2021-11-15T10:02:49-06:00 2020-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2020-01-01 314379443 ADENA HEALTH SYSTEM ADEN 7407794478 272 HOSPITAL RD CHILLICOTHE OH 45601 LISA CARLSON CFO 7407794478 2021-11-11 1 LISA CARLSON 999009999 AMY CIMINELLO P00796388 6148493000 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ADENA REGIONAL MEDICAL CENTER LISA CARLSON 272 HOSPITAL RD CHILLICOTHE OH 45601 590687595 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. 14 10 4094 203 215176 97103 618858 44998337 545454374 517218445 3910431 4950934 16193009 23457759 566176672 590625475 262132 1397885 0 0 291277289 292111073 0 0 0 255873102 257319715 547412523 550828673 18764149 39796802 738150495 876980484 396487306 460216466 341663189 416764018 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 445884278 1397885 537348398 HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,071 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 38,793 EMERGENT VISITS IN 2020. PHYSICIAN OFFICES: THERE WERE 523,118 PHYSICIAN OFFICE VISITS AND 48,760 URGENT CARE VISITS IN 2020. 445884278 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 1 258 0 1 4094 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 10 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 BRIAN COHEN PHYSICIAN 50.00 0.00 X 2531520 0 36504 JEFF GRAHAM CEO 50.00 4.00 X 1269939 0 296095 ROGER WILTFONG PHYSICIAN 50.00 0.00 X 1081343 0 43866 KATHERINE EDRINGTON COO 50.00 4.00 X 817533 0 149850 LISA CARLSON CFO 50.00 4.00 X 732200 0 219594 TAREK MOUSSA PHYSICIAN 50.00 0.00 X 882054 0 34475 KELLY GALLINA PHYSICIAN 50.00 1.00 X 879281 0 36704 HAVAL SAADLLA PHYSICIAN 50.00 0.00 X 820849 0 36806 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER 50.00 0.00 X 648072 0 183605 JOHN GABIS PRESIDENT OF AMG 50.00 0.00 X 592069 0 176365 WILBUR SEVER FORMER TRUSTEE/PHYSICIAN 50.00 0.00 X 732270 0 35811 KIRK TUCKER CHIEF CLINICAL OFFICER 50.00 0.00 X 561329 0 171625 ANTHONY FREEMAN FORMER MEDICAL OFFICER 0.00 0.00 X 579452 0 28958 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 50.00 0.00 X 462507 0 136630 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 50.00 0.00 X 464914 0 100853 JOHN FORTNEY CHIEF MEDICAL OFFICER 50.00 1.00 X 510899 0 0 CRAIG BABBITT CHIEF LEGAL OFFICER 50.00 0.00 X 358068 0 118338 WAYNE COATS FORMER TRUSTEE/PHYSICIAN 50.00 0.00 X 355841 0 34272 REGGINA YANDILA TRUSTEE/PHYSICIAN 50.00 0.00 X 302896 0 33822 TY MCBEE VP OF STRATEGIC OPERATIONS 50.00 0.00 X 281097 0 52319 JACK BERNO FMR CHIEF MEDICAL OFFICER/PHYSICIAN 50.00 0.00 X 329609 0 3502 ANTHONY LATTAVO TRUSTEE/PHYSICIAN 50.00 0.00 X 209909 0 34569 SCOTT GRIFFIN FORMER PRESIDENT OF AMG 0.00 0.00 X 100250 0 0 CARVEL SIMMONS TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 JENNIFER MCKELL TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 JOSEPH WATSON TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 STEVE HIRSCH TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 ANTHONY FISH TRUSTEE 2.00 2.00 X 0 0 0 BARTON HENSHAW TRUSTEE 2.00 0.00 X 0 0 0 BETH WORKMAN TRUSTEE (MAY-DEC) 2.00 0.00 X 0 0 0 JERRY PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 KEVIN SHOEMAKER TRUSTEE 2.00 2.00 X 0 0 0 ROBERT FRENCH TRUSTEE 2.00 0.00 X 0 0 0 RONALD COFFEY TRUSTEE 2.00 0.00 X 0 0 0 SHEILAH GRAY TRUSTEE 2.00 0.00 X 0 0 0 15503901 0 1964563 464 1 1 0 MESSER CONSTRUCTION CO 643 W COURT CINCINNATI OH 45203 CONSTRUCTION 29227302 ENSEMBLE RCM LLC 4605 DUKE DRIVE SUITE 600 MASON OH 45040 REVENUE CYCLE MANAGEMENT 14224631 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 8139812 DANIS BUILDING CONSTRUCTION CO 3233 NEWMARK DRIVE MIAMISBURG OH 45342 CONSTRUCTION 2855824 NTHRIVE INC 200 N POINT CENTER ALPHARETTA GA 30022 MEDICAL RECORD SERVICES 2567930 75 432536 43759226 806575 44998337 NET PATIENT SVC REV 622110 517218445 517000782 217663 517218445 4968709 4968709 151769 44345 107424 107424 -2487 109911 17775 -17775 -17775 -17775 OUTPATIENT PHARMACY SALES 446110 13515711 13515711 CAFETERIA REVENUE 722514 1831458 1831458 CONSULTING FEES 900099 195131 195131 7808035 6636774 1171261 23350335 590625475 537348398 215176 8063564 X 903717 903717 494168 494168 8885098 8885098 240635800 206564357 34071443 28784354 25741512 3042842 13805821 11523972 2281849 84232737 42078783 42153954 5297028 2355277 2941751 2747067 2747067 2963533 1996053 967480 7567298 5508402 2058896 27817268 19291496 8525772 3850175 2669901 1180274 MEDICAL SUPPLIES 89992382 88124309 1868073 BAD DEBT EXPENSE 29659511 29659511 TAXES 8425460 8157456 268004 OVERHEAD ALLOCATION -5232744 815364 -6048108 550828673 445884278 104944395 0 14093 14543 41536934 135845160 16677796 15502721 62537635 56610154 87692 9081165 11514833 5841026 5892437 511248348 292106564 189304713 219141784 388223907 386946720 24933226 45424440 738150495 876980484 82157119 83669239 279841381 291137939 500000 500000 33988806 84909288 396487306 460216466 X 339422719 414118758 2240470 2645260 341663189 416764018 738150495 876980484 X 39796802 30354518 -19700 4969209 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 4520 4520 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. 1663413 38177 -9710 123 1691757 1428564 24401 229105 -18657 1663413 1483984 24783 -70278 -9925 1428564 1331708 -3508 155784 1483984 1321696 -43583 54095 500 1331708 1.00000 0.00000 0.00000 0 0 5058768 5058768 243053694 125220647 117833047 141875 30521 111354 204880110 160230342 44649768 58113901 6625054 51488847 219141784 OTHER NONCURRENT ASSETS 22000 RIGHT-OF-USE OPERATING LEASE ASSETS 6944276 SOFTWARE IMPLEMENTATION ASSET 20132781 CARLISLE DEVELOPMENT LOAN 500000 INVESTMENT IN DAVITA 620744 MALPRACTICE INSURANCE RECOVERY LT 1926495 457B STATE RETIREMENT INVESTMENT 15278144 45424440 ACCRUED MALPRACTICE INSURANCE - LT 12103302 DEFERRED COMPENSATION LIABILITY 15278144 INTERCOMPANY PAYABLE 1129423 CAPITAL LEASE OBLIGATION 2187758 RIGHT-OF-USE OPERATING LEASE OBLIGATION 4756518 ADVANCE MEDICARE PAYMENTS 44752947 DEFERRED FICA 3903168 OTHER LIABILITIES 798028 84909288 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 8577717 7432504 1145213 0.00220 106306534 65831737 40474797 0.07770 114884251 73264241 41620010 0.07990 1335143 146225 1188918 0.00230 9527627 2861729 6665898 0.01280 22485841 8934371 13551470 0.02600 13523 13523 0.00000 33362134 11942325 21419809 0.04110 148246385 85206566 63039819 0.12100 239103 239103 0.00050 8383 8383 0.00000 15000 15000 0.00000 262486 262486 0.00050 0 29659511 0 150344786 179449093 -29104307 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/YXWFCDQ6 X HTTPS://TINYURL.COM/Y4VCAXJS X X 1 19 1 HTTPS://TINYURL.COM/YXWFCDQ6 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/Y5BP84C7 X HTTPS://TINYURL.COM/Y5BP84C7 X HTTPS://TINYURL.COM/Y5BP84C7 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 1,200 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 DURING 2020.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 COLLABORATIVE AGREEMENT WITH THE RULON CENTER, AND INPATIENT SUD TREATMENT FACILITY WAS ACCOMPLISHED IN 2019. IN ADDITION, A FORMAL AGREEMENT WITH BRIGHTVIEW TREATMENT CENTERS WAS CONTINUED TO PROVIDE PRIORITY APPOINTMENTS TO ADENA PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER. A GRANT FROM OHIO MENTAL HEALTH AND ADDICTION SERVICES WAS ALSO CONTINUED TO MAINTAIN AN EMERGENCY ROOM SUD NAVIGATOR IN 2019. 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. 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 2020 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 2020. 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 2020 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 $2,500 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 DEVELOPMENTADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE LIVEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY YMCA. THIS TEAM REFORMULATED A PLAN TO ENGAGE LOCAL SCHOOLS ON NUTRITION AND FITNESS IMPROVEMENT STRATEGIES IN 2019 BUT WAS UNABLE TO MOVE MUCH OF THEIR PLAN IN 2020 DUE TO THE COVID 19 PANDEMIC. WORK STARTED LATER IN 2020 TO ALIGN THE GROUP WITH THE CREATING HEALTHY COMMUNITIES GRANT HELD BY THE ROSS COUNTY HEALTH DISTRICT WHICH STARTED PLANS FOR COMMUNITY GARDENS AND ACTIVE TRANSPORTATION. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 2 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 21 FAMILIES WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING. DUE TO THE PROGRAM BEING DELIVERED VIRTUALLY DURING THE 2020 COVID PANDEMIC, NO FUNDS WERE EXPENDED FOR THE DELIVERY OF THE PROGRAM. A WALK WITH A DOC EVENT WAS HELD IN JANUARY WHERE PRIMARY CARE PROVIDER DR. REGINA YANDILA PROVIDED A TOTAL OF 65 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON NUTRITION AND ACTIVITY FOLLOWED BY A 30 MINUTE WALK. ANOTHER EVENT WAS HELD IN FEBRUARY OF 2020 TO DISCUSS HEART HEALTH AND OBESITY. DR. KEVIN RADEKI PROVIDED COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON HEART HEALTH FOLLOWED BY A 30 MINUTE WALK. 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 83 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER AND AN ADDITIONAL 292 COMMUNITY SNAP BENEFICIARIES RECEIVED A TOTAL OF $5,883 OF FRESH FRUITS AND VEGETABLES. ADENA HEALTH SYSTEM ALSO PROVIDED IN-KIND RESOURCES TO THE LIVEWELL ROSS COALITION BY PRINTING THEIR "HEALTHY CELEBRATIONS" GUIDES AT NO COST. IN 2020 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 20 PATIENTS WERE SERVED IN 2020 AND A TOTAL OF $11,060.08 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. IN 2018, ALL CITY PARKS ADOPTED SMOKE-FREE SPACE POLICIES AND MORE THAN 50 SMALL BUSINESSES HAVE UTILIZED THE CESSATION AND SMOKE FREE WORK PLACE POLICY ADOPTION KITS. IN 2019, THE ROSS COUNTY PARKS DISTRICT ALSO ADOPTED SMOKE-FREE PARKS POLICIES. CITY PARKS ALSO EXTENDED THE POLICIES TO ALL OF THEIR BALL FIELDS. 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 2020. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH IN 2020 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 2020 WHICH PROVIDED A TOTAL OF 50 PATIENTS WITH TOBACCO CESSATION COUNSELING ACROSS 320 VISITS. CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,126 PATIENTS FROM THE REGION INCLUDING PIKE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2020 WHICH RESULTED IN 25 POSITIVE CANCER FINDINGS. 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 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 2020 PATIENTS WERE ENROLLED BUT CLASSES WERE DISRUPTED DUE TO THE COVID 19 PANDEMIC. A TOTAL OF $250 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 PROVIDED $1,187 IN FINANCIAL SUPPORT TO THE ROSS COUNTY PARKS DISTRICT TO ASSIST IN THE PURCHASE OF SMOKE FREE SPACE SIGNAGE FOR THE PARKS AFTER THEIR ADOPTION OF A NO SMOKING POLICY IN ALL ROSS COUNTY PARKS. 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. ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2018 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2020 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 445 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 $225,000 IN 2020. 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 307 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 CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM OF 1 HOUR PER MONTH TO THE CHILDREN'S DRUG PREVENTION COMMITTEE OF THE HOPE PARTNERSHIP PROJECT. ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS ACROSS THE HEALTH SYSTEM AND CLINICS, INCLUDING HIGHLAND COUNTY, FOCUSED ON SAFE SLEEP AWARENESS IN 2020.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $395,367 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION IN 2020. A TOTAL OF 12 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, A TOTAL OF 293 CHILDREN, 90 TEENS, AND 147 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 $700 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 $2,300 WAS SPENT ON THE PROGRAM IN 2020. 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 A TOTAL OF 4 CRIBS AND 1,300 SLEEP SACKS FOR BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2020. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.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.COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES STAYED AT 77 IN 2020 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 65 TO 55 IN 2020 (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 2020 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 3,968 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, FAYETTE, VINTON, PICKAWAY, PIKE, HIGHLAND AND JACKSON) MADE A TOTAL OF 12,965 VISITS TO THE TWO CLINICS IN 2020. APPROXIMATELY 9.5% 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 2020, WITH QUARANTINE AND SHUT DOWN ORDERED BY THE OHIO GOVERNOR DUE TO THE COVID 19 PANDEMIC, NO COMMUNITY EVENTS OR INITIATIVES WERE HELD. THEREFORE ONLY A LIMITED AMOUNT OF EMPLOYEES PROVIDED VOLUNTEER SERVICE. APPROXIMATELY 25 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A TOTAL OF 300 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. - $10,000 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 2020 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 2020. A TOTAL OF 12 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED MORE THAN 342 HOURS OF CARE AT HOPE CLINIC IN 2020. A TOTAL OF 452 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE, WORTH $229,637. 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 AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $4,000 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR CLINICAL RESOURCES. 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 2020 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 $29,659,511 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 $29,104,308.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 2020 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) 8383 COMMUNITY IMPROVEMENT INITIATIVE ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO 45 EAST MAIN STREET CHILLICOTHE OH 45601 203786756 501(C)(3) 15000 JOB DEVELOPMENT INITIATIVE THE BUCK FIFTY INC 113 GORDON DRIVE CHILLICOTHE OH 45601 811817174 501(C)(3) 25000 COMMUNITY IMPROVEMENT INITIATIVE UNITED WAY ROSS CO 69 EAST WATER STREET CHILLICOTHE OH 45601 314389671 501(C)(3) 46000 COMMUNITY IMPROVEMENT INITIATIVE CHILD PROTECTION CENTER OF ROSS CO 138 MARIETTA RD ST E CHILLICOTHE OH 45601 311579825 501(C)(3) 63374 COMMUNITY IMPROVEMENT INITIATIVE TEAYS VALLEY SCHOOL BOARD 385 VIKING WAY ASHVILLE OH 43103 316402688 501(C)(3) 10000 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY YMCA 100 MILL STREET CHILLICOTHE OH 45601 314379806 501(C)(3) 41564 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY TRANSPORTATION 1338 DELANO RD CHILLICOTHE OH 45601 474971338 501(C)(3) 13523 WELLNESS INITIATIVE CHILLICOTHE -ROSS CHAMBER OF COMMERCE 41 E MAIN ST CHILLICOTHE OH 45601 314147100 501(C)(6) 18408 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY COMMUNITY ACTION 250 N WOODBRIDGE AVE CHILLICOTHE OH 45601 316059908 501(C)(3) 34757 COMMUNITY IMPROVEMENT INITIATIVE ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 501(C)(3) 622708 OPERATING ASSISTANCE 9 2 ATHLETIC TRAINERS AT AREA SCHOOLS 3166 494168 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 1 1 0 0 0 0 0 1 0 BRIAN COHEN PHYSICIAN 2507809 0 0 0 23711 0 0 0 36504 0 2568024 0 0 0 JEFF GRAHAM CEO 825038 0 300003 0 144898 0 267215 0 28880 0 1566034 0 406977 0 ROGER WILTFONG PHYSICIAN 1058509 0 0 0 22834 0 0 0 43866 0 1125209 0 0 0 KATHERINE EDRINGTON COO 485760 0 146081 0 185692 0 135061 0 14789 0 967383 0 207725 0 LISA CARLSON CFO 508828 0 145548 0 77824 0 201098 0 18496 0 951794 0 206967 0 TAREK MOUSSA PHYSICIAN 857933 0 20769 0 3352 0 0 0 34475 0 916529 0 0 0 KELLY GALLINA PHYSICIAN 877419 0 0 0 1862 0 0 0 36704 0 915985 0 0 0 HAVAL SAADLLA PHYSICIAN 818987 0 0 0 1862 0 0 0 36806 0 857655 0 0 0 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER 474057 0 112158 0 61857 0 149629 0 33976 0 831677 0 165552 0 JOHN GABIS PRESIDENT OF AMG 431538 0 99813 0 60718 0 142903 0 33462 0 768434 0 145808 0 WILBUR SEVER FORMER TRUSTEE/PHYSICIAN 710063 0 0 0 22207 0 0 0 35811 0 768081 0 0 0 KIRK TUCKER CHIEF CLINICAL OFFICER 428998 0 78800 0 53531 0 137754 0 33871 0 732954 0 127138 0 ANTHONY FREEMAN FORMER MEDICAL OFFICER 553643 0 0 0 25809 0 0 0 28958 0 608410 0 0 0 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 335878 0 77657 0 48972 0 100568 0 36062 0 599137 0 100023 0 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 278134 0 66503 0 120277 0 96675 0 4178 0 565767 0 90792 0 JOHN FORTNEY CHIEF MEDICAL OFFICER 14553 0 0 0 496346 0 0 0 0 0 510899 0 0 0 CRAIG BABBITT CHIEF LEGAL OFFICER 317714 0 0 0 40354 0 104134 0 14204 0 476406 0 0 0 WAYNE COATS FORMER TRUSTEE/PHYSICIAN 345858 0 0 0 9983 0 0 0 34272 0 390113 0 0 0 REGGINA YANDILA TRUSTEE/PHYSICIAN 301872 0 0 0 1024 0 0 0 33822 0 336718 0 0 0 TY MCBEE VP OF STRATEGIC OPERATIONS 225916 0 54054 0 1127 0 43243 0 9076 0 333416 0 54054 0 JACK BERNO FMR CHIEF MEDICAL OFFICER/PHYSICIAN 310950 0 10000 0 8659 0 0 0 3502 0 333111 0 10000 0 ANTHONY LATTAVO TRUSTEE/PHYSICIAN 189851 0 0 0 20058 0 0 0 34569 0 244478 0 0 0 SCOTT GRIFFIN FORMER PRESIDENT OF AMG 0 0 0 0 100250 0 0 0 0 0 100250 0 0 0 PART I, LINE 1A ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. THREE KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2020. PART I, LINES 4A-B JOHN FORTNEY RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $494,346. SCOTT GRIFFIN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $100,250. THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2020: JEFF GRAHAM $22,212 SERP ACCRUAL KATHERINE EDRINGTON $12,744 SERP ACCRUAL LISA CARLSON $66,041 SERP ACCRUAL HARRY KITTAKA $59,261 SERP ACCRUAL KIRK TUCKER $51,782 SERP ACCRUAL JOHN GABIS $53,883 SERP ACCRUAL HEATHER SPRAGUE $9,558 SERP ACCRUAL KRISTIN BOGGS $34,530 SERP ACCRUAL CRAIG BABBITT $33,928 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 A 164402962 121977262 1777526 40648173 2020 0 1 1 1 B 3130000 99798631 6037075 964347 34234263 23486711 35076236 1 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 A 0 1 0 0 0 0 0 1 1 B 0 1 0 0 0 0 0 0 1 A 1 B 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 33077 0 0 1 TAREK MOUSSA HIGHEST COMPENSATED EMPLOYEE SIGN ON X 100000 54615 0 0 1 87692 ROBIN BERNO SPOUSE OF FORMER KEY EMPLOYEE JACK BERNO 143200 EMPLOYEE COMPENSATION 0 MARIA SMITH SISTER OF BOARD DIRECTOR JOE WATSON 144010 EMPLOYEE COMPENSATION 0 ALIVIA MCBEE DAUGHTER OF KEY EMPLOYEE TY MCBEE 30758 EMPLOYEE COMPENSATION 0 JANINE GABIS WIFE OF KEY EMPLOYEE JOHN GABIS 69074 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. 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 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION ARE AVAILABLE THRU OHIO SECRETARY OF STATE WEBSITE. AS A RESULT OF HAVING ISSUED PUBLIC DEBT, THE AUDITED FINANCIALS FOR ADENA HEALTH SYSTEM ARE AVAILABLE FOR VIEWING AT EMMR.MSRB.ORG. COPIES OF MOST RECENT 990 IS AVAILABLE UPON REQUEST BY CONTACTING ADMINISTRATION AT ADENA HEALTH SYSTEM; PRIOR 990S ARE AVAILABLE FOR VIEWING AT GUIDESTAR.COM. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,838,806. MANAGEMENT AND GENERAL EXPENSES 307,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,145,845. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,480,619. MANAGEMENT AND GENERAL EXPENSES 9,028,931. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,509,550. FACILITY MAINTENANCE: PROGRAM SERVICE EXPENSES 12,718,962. MANAGEMENT AND GENERAL EXPENSES 10,463,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,182,293. MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 4,848,239. MANAGEMENT AND GENERAL EXPENSES 6,756,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,604,974. REVENUE CYCLE MANAGEMENT: PROGRAM SERVICE EXPENSES 5,942,660. MANAGEMENT AND GENERAL EXPENSES 8,281,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,224,632. MRI SERVICES: PROGRAM SERVICE EXPENSES 861,875. MANAGEMENT AND GENERAL EXPENSES 1,201,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,063,025. CONSTRUCTION SERVICES: PROGRAM SERVICE EXPENSES 1,193,085. MANAGEMENT AND GENERAL EXPENSES 1,662,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,855,824. MEDICAL RECORD SERVICES: PROGRAM SERVICE EXPENSES 1,072,810. MANAGEMENT AND GENERAL EXPENSES 1,495,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,567,929. TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 839,246. MANAGEMENT AND GENERAL EXPENSES 1,169,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,008,859. HOUSEKEEPING AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 798,885. MANAGEMENT AND GENERAL EXPENSES 1,113,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,912,248. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 483,596. MANAGEMENT AND GENERAL EXPENSES 673,962. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,157,558. FORM 990, PART XI, LINE 9: TRANSFERS (TO) FROM AFFILIATED ORGANIZATION 4,822,046. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 248,617. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE 30,130. TEMPORARILY RESTRICTED EXPENDITURES -164,846. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 455,729. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -432,536. BENEFIT PLAN RETIREMENT 10,069. 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 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN THE RELEVANT OMB GUIDANCE. ADENA MEDICAL GROUP LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 271370967 HEALTHCARE PROVIDERS OH 84843957 7235682 ADENA HEALTH SYSTEM ADENA HOSPICE LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 275340755 HEALTHCARE PROVIDERS OH 3508354 640760 ADENA HEALTH SYSTEM ADENA HOME HEALTH 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752730 HEALTHCARE PROVIDERS OH 3603426 627593 ADENA HEALTH SYSTEM ADENA HOME INFUSIONHOME RESPIRATORY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752854 HEALTHCARE PROVIDERS OH -1787486 1126554 ADENA HEALTH SYSTEM ADENA PHARMACY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 451138187 HEALTHCARE PROVIDERS OH 5909783 980094 ADENA HEALTH SYSTEM ADENA HEALTHCARE COLLABORATIVE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 465731515 HEALTHCARE PROVIDERS OH 0 0 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 CARE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 453980850 SEE SCHEDULE R, PART VII OH ADENA HEALTH SYSTEM C 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 5272238 BOOK VALUE PIKE HEALTH SERVICES S 7248204 BOOK VALUE ADENA HEALTH FOUNDATION C 468719 BOOK VALUE ADENA HEALTH FOUNDATION P 622708 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.