ADENA HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202033179349306048
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-12T14:49:00-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN314379443EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADENA HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADENBusinessNameControlTxt
Phone7407794478PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL RDAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA CARLSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7407794478PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2020-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.24.98.214IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-11IPDt
IP Tm08:22:55IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0E91126D0FB3B5231D35CFCADBE487908A76FDB7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ADENA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLISA CARLSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL RDAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$566,291,612GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADENA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or Mission"TO CARE, TO HEAL, TO EDUCATE." 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.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4024TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI-$12,167TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$133,795NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,615,417PYContributionsGrantsAmt
CY Contributions Grants$618,858CYContributionsGrantsAmt
PY Program Service Revenue$489,601,886PYProgramServiceRevenueAmt
CY Program Service Revenue$545,454,374CYProgramServiceRevenueAmt
PY Investment Income$10,744,820PYInvestmentIncomeAmt
CY Investment Income$3,910,431CYInvestmentIncomeAmt
PY Other Revenue$17,497,124PYOtherRevenueAmt
CY Other Revenue$16,193,009CYOtherRevenueAmt
PY Total Revenue$519,459,247PYTotalRevenueAmt
CY Total Revenue$566,176,672CYTotalRevenueAmt
PY Grants And Similar Paid$187,679PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$262,132CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$266,990,878PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$291,277,289CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$225,410,218PYOtherExpensesAmt
CY Other Expenses$255,873,102CYOtherExpensesAmt
PY Total Expenses$492,588,775PYTotalExpensesAmt
CY Total Expenses$547,412,523CYTotalExpensesAmt
PY Revenues Less Expenses$26,870,472PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,764,149CYRevenuesLessExpensesAmt
Total Assets BOY$568,360,487TotalAssetsBOYAmt
Total Assets EOY$738,150,495TotalAssetsEOYAmt
Total Liabilities BOY$283,618,878TotalLiabilitiesBOYAmt
Total Liabilities EOY$396,487,306TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$284,741,609NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$341,663,189NetAssetsOrFundBalancesEOYAmt
MissionTO CARE, TO HEAL, TO EDUCATE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$434,147,991ExpenseAmt
Grant$262,132GrantAmt
Revenue$559,622,498RevenueAmt
DescHEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,716 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 45,503 EMERGENT VISITS IN 2019. PHYSICIAN OFFICES: THERE WERE 526,034 PHYSICIAN OFFICE AND URGENT CARE VISITS IN 2019.Desc
Total Program Service Expenses$434,147,991TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document319IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4024EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHARON WISECUP VP SYSTEM FINANCEPersonNm
Phone7407794478PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL ROADAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP456019031ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BRIAN COHEN
PHYSICIAN50.000.00Yes (X)$2,276,993$0$36,812
JEFF GRAHAM
CEO50.004.00$1,145,693$0$461,791Yes (X)
JAMES MANAZER
PHYSICIAN50.000.00Yes (X)$964,458$0$36,812
LISA CARLSON
CFO50.004.00$735,044$0$261,617Yes (X)
HAVAL SAADLLA
PHYSICIAN50.000.00Yes (X)$933,446$0$36,812
KATHI EDRINGTON
COO50.004.00$660,899$0$247,871Yes (X)
BRUCE CHEN
PHYSICIAN50.000.00Yes (X)$787,225$0$37,111
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER50.000.00$608,227$0$208,394Yes (X)
WILBUR SEVER
FORMER TRUSTEE/PHYSICIAN50.000.00$735,620$0$36,126Yes (X)
SHANE MATHENY
PHYSICIAN50.000.00Yes (X)$671,513$0$36,923
JOHN FORTNEY
CHIEF MEDICAL OFFICER50.000.00$703,192$0$4,181Yes (X)
JOHN GABIS
PRESIDENT OF AMG50.000.00$458,460$0$188,136Yes (X)
KIRK TUCKER
CHIEF CLINICAL OFFICER50.000.00$475,220$0$167,304Yes (X)
ANTHONY FREEMAN
FORMER MEDICAL OFFICER0.000.00$575,172$0$29,223Yes (X)
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER50.000.00$406,876$0$135,314Yes (X)
TIMOTHY CAHILL
CHIEF LEGAL OFFICER50.000.00$408,548$0$36,769Yes (X)
WAYNE COATS
FORMER TRUSTEE/PHYSICIAN50.000.00$388,508$0$35,756Yes (X)
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICE50.000.00$244,919$0$106,879Yes (X)
JACK BERNO
FORMER CHIEF MEDICAL OFFICER/PHYSICIAN50.000.00$322,349$0$3,502Yes (X)
REGGINA YANDILA
TRUSTEE/PHYSICIAN50.000.00$277,001$0$33,768Yes (X)
SCOTT GRIFFIN
FORMER PRESIDENT OF AMG0.000.00$303,703$0$0Yes (X)
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN50.000.00$244,752$0$34,625Yes (X)
JENNIFER MCKELL
TRUSTEE2.000.00$0$0$0Yes (X)
BETH WORKMAN
TRUSTEE (MAY-DEC)2.000.00$0$0$0Yes (X)
ANTHONY FISH
TRUSTEE2.000.00$0$0$0Yes (X)
JOSEPH WATSON
TRUSTEE2.000.00$0$0$0Yes (X)
RONALD COFFEY
TRUSTEE2.000.00$0$0$0Yes (X)
BARTON HENSHAW
TRUSTEE2.000.00$0$0$0Yes (X)
ROBERT FRENCH
TRUSTEE2.000.00$0$0$0Yes (X)
SHEILAH GRAY
TRUSTEE2.000.00$0$0$0Yes (X)
STEVE HIRSCH
TRUSTEE2.000.00$0$0$0Yes (X)
VIRGINIA WETTERSTEN
TRUSTEE/CHAIRMAN2.000.00$0$0$0Yes (X)Yes (X)
CARVEL SIMMONS
TRUSTEE/SECRETARY2.000.00$0$0$0Yes (X)Yes (X)
JERRY PHILLIPS
TRUSTEE2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,327,818TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,175,726TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K382IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ENSEMBLE RCM LLC
4605 DUKE DRIVE SUITE 600MASONOH45040REVENUE CYCLE MANAGEMENT$14,047,270
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD 600SCOTTSDALEAZ85254MANAGEMENT SERVICES$7,570,845
DANIS BUILDING CONSTRUCTION CO
3233 NEWMARK DRIVEMIAMISBURGOH45342CONSTRUCTION$5,746,749
MA ARCHITECTS
775 YARD ST SUITE 325COLUMBUSOH43212CONSTRUCTION$3,062,892
CAPTIVE RADIOLOGY
6273 FRANK AVENUE NWNORTH CANTONOH44720MRI SERVICES$2,254,039
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K111CntrctRcvdGreaterThan100KCnt
Related Organizations$76,835RelatedOrganizationsAmt
All Other Contributions$542,023AllOtherContributionsAmt
Total Contributions$618,858TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business622110BusinessCd
Total Revenue Column$545,454,374TotalRevenueColumnAmt
Related Or Exempt Func Income$545,454,374RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$545,454,374TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,892,538TotalRevenueColumnAmt
Exclusion$3,892,538ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$173,662RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$114,940RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$58,722RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,722TotalRevenueColumnAmt
Unrelated Business Revenue-$12,167UnrelatedBusinessRevenueAmt
Exclusion$70,889ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$17,893OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$17,893OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,893TotalRevenueColumnAmt
Exclusion$17,893ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD & NUTRITION722514$2,027,090$2,027,090
EHR IMPLEMENTATION622110$306,400$306,400
CONSULTING FEES900099$270,483$270,483

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,530,314TotalRevenueColumnAmt
Related Or Exempt Func Income$11,564,151RelatedOrExemptFuncIncomeAmt
Exclusion$1,966,163ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,134,287OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$566,176,672TotalRevenueColumnAmt
Related Or Exempt Func Income$559,622,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$12,167UnrelatedBusinessRevenueAmt
Exclusion$5,947,483ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$262,132TotalAmt
Program Services$262,132ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,685,438TotalAmt
Management And General$10,685,438ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$232,721,317TotalAmt
Program Services$196,063,712ProgramServicesAmt
Management And General$36,657,605ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,090,715TotalAmt
Program Services$30,729,213ProgramServicesAmt
Management And General$3,361,502ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,779,819TotalAmt
Program Services$11,261,960ProgramServicesAmt
Management And General$2,517,859ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,664,724TotalAmt
Program Services$40,461,052ProgramServicesAmt
Management And General$45,203,672ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,628,582TotalAmt
Program Services$2,541,075ProgramServicesAmt
Management And General$3,087,507ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,566,069TotalAmt
Management And General$4,566,069ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,368,129TotalAmt
Program Services$1,728,370ProgramServicesAmt
Management And General$1,639,759ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,460,052TotalAmt
Program Services$5,437,532ProgramServicesAmt
Management And General$2,022,520ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,252,852TotalAmt
Program Services$18,188,844ProgramServicesAmt
Management And General$8,064,008ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,301,168TotalAmt
Program Services$2,426,204ProgramServicesAmt
Management And General$874,964ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$89,594,096$88,640,579$953,517
BAD DEBT EXPENSE$27,931,371$27,931,371$0
TAXES$7,827,729$7,705,450$122,279
OVERHEAD ALLOCATION-$5,721,670$770,497-$6,492,167

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$547,412,523TotalAmt
Program Services$434,147,991ProgramServicesAmt
Management And General$113,264,532ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,748BOYAmt
EOY$14,093EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,921,798BOYAmt
EOY$41,536,934EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,015,794BOYAmt
EOY$16,677,796EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$59,432,378BOYAmt
EOY$62,537,635EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$7,714BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,296,153BOYAmt
EOY$9,081,165EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,893,732BOYAmt
EOY$5,841,026EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$453,670,840LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$264,366,127LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$155,468,688BOYAmt
EOY$189,304,713EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$281,339,081BOYAmt
EOY$388,223,907EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,970,401BOYAmt
EOY$24,933,226EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$568,360,487BOYAmt
EOY$738,150,495EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$72,368,681BOYAmt
EOY$82,157,119EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$190,630,420BOYAmt
EOY$279,841,381EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$500,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,119,777BOYAmt
EOY$33,988,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$283,618,878BOYAmt
EOY$396,487,306EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$282,693,451BOYAmt
EOY$339,422,719EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,048,158BOYAmt
EOY$2,240,470EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$284,741,609BOYAmt
EOY$341,663,189EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$568,360,487BOYAmt
EOY$738,150,495EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,764,149ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$41,059,699NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,902,268OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,610OtherActivitiesAmt
Total Lobbying Expenditures$5,610TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,483,984BeginningYearBalanceAmt
Contributions$24,783ContributionsAmt
Investment Earnings Or Losses-$70,278InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$9,925GrantsOrScholarshipsAmt
End Year Balance$1,428,564EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,331,708BeginningYearBalanceAmt
Contributions-$3,508ContributionsAmt
Investment Earnings Or Losses$155,784InvestmentEarningsOrLossesAmt
End Year Balance$1,483,984EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,321,696BeginningYearBalanceAmt
Contributions-$43,583ContributionsAmt
Investment Earnings Or Losses$54,095InvestmentEarningsOrLossesAmt
Grants Or Scholarships$500GrantsOrScholarshipsAmt
End Year Balance$1,331,708EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,305,508BeginningYearBalanceAmt
Contributions$44,539ContributionsAmt
Investment Earnings Or Losses-$6,351InvestmentEarningsOrLossesAmt
Grants Or Scholarships$22,000GrantsOrScholarshipsAmt
End Year Balance$1,321,696EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,729,763OtherCostOrOtherBasisAmt
Book Value$2,729,763BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$236,206,905OtherCostOrOtherBasisAmt
Depreciation$114,490,830DepreciationAmt
Book Value$121,716,075BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,875OtherCostOrOtherBasisAmt
Depreciation$11,896DepreciationAmt
Book Value$129,979BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,975,991OtherCostOrOtherBasisAmt
Depreciation$143,580,760DepreciationAmt
Book Value$55,395,231BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,616,306OtherCostOrOtherBasisAmt
Depreciation$6,282,641DepreciationAmt
Book Value$9,333,665BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$189,304,713TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED MALPRACTICE INSURANCE - LT$10,980,285
DEFERRED COMPENSATION LIABILITY$12,785,947
INTERCOMPANY PAYABLE$915,171
CAPITAL LEASE OBLIGATION$2,847,000
RIGHT-OF-USE OPERATING LEASE OBLIGATION$6,460,403
FieldValueIRS element (for citing)
Total Liability$33,988,806TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,575,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,125,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,449,887NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,025,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,014,342DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,011,130NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$111,600,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,139,766DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,461,017NetCommunityBenefitExpnsAmt
Total Expense0.07210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,710,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$209,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,500,333NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,457,773TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,913,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,543,907NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,890,557TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,188,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,701,742NetCommunityBenefitExpnsAmt
Total Expense0.02060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,096TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,096NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,094,456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,312,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,782,078NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,695,239TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,452,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,243,095NetCommunityBenefitExpnsAmt
Total Expense0.11020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$208,672TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$208,672NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,364TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,364NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$226,036TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$226,036NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$27,931,371BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$158,470,989ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$173,874,770CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,403,781MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADENA REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL RDAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45601ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ADENA.ORGWebsiteAddressTxt
State LicenseST. REG. NUM. 1029StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ADENA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/YXWFCDQ6OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTPS://TINYURL.COM/Y4VCAXJSOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/YXWFCDQ6StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ADENA REGIONAL MEDICAL CENTERPART 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 CENTERPART 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 CENTERPART V, SECTION B, LINE 6B: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: 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.
ADENA REGIONAL MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 11: THE FOLLOWING DETAILS THE SPECIFIC IMPLEMENTATION STRATEGIES USED FOR HEALTH PRIORITIES IDENTIFIED FOR THE ADENA REGIONAL MEDICAL CENTER DURING 2019.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 IS 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 33 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 33 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 2019 TO PROVIDE TREATMENT RESOURCES AND HARM REDUCTION FOR THOSE WITH SUBSTANCE USE DISORDER AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT WAS ALSO AWARDED A GRANT BY THE OHIO MENTAL HEALTH AND ADDICTION SERVICES FOR THE EDINS PROJECT (EMERGENCY DEPARTMENT INTERCEPT AND NAVIGATION TO SUPPORT) AGENCY IN 2018 TO PROVIDE A SOCIAL WORKER/SUBSTANCE USE DISORDER NAVIGATOR TO ENGAGE PATIENTS IDENTIFIED AS NEEDING SERVICES IN RESOURCES FOR RECOVERY. THESE SERVICES CONTINUED IN 2019. 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 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. ANOTHER $500 WAS PROVIDED IN SUPPORT TO THE KEYS TO SUCCESS PROGRAM COORDINATED BY CHILLICOTHE CITY SCHOOLS. ADENA COMMUNITY HEALTH AND DEVELOPMENT ALSO PROVIDED AN ADDITIONAL $2,500 IN SUPPORT FOR HARM REDUCTION KITS FOR THE EDINS PROJECT AND 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. 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. A TOTAL OF 25 FAMILIES WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING. A TOTAL OF $1,046.33 WAS EXPENDED PROVIDING PATIENTS WITH THE SIX-WEEK LONG EDUCATION SERIES. A WALK WITH A DOC EVENT WAS HELD IN MAY WHERE ENDOCRINOLOGIST DR. GIANINA USERA PROVIDED A TOTAL OF 65 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON DIABETES MANAGEMENT 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 289 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER AND COMMUNITY SNAP BENEFICIARIES RECEIVED A TOTAL OF $7,364 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. ADENA HEALTH SYSTEM ALSO PARTNERED WITH THE YMCA OF ROSS COUNTY IN 2019 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 $14,694 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 IN 2019 AND PARTNERED WITH OHIO EPA WHO HAS COMMITTED SUPPORT TO READING MONITOR DATA ON AN ONGOING BASIS TO DETERMINE IF LARGER MONITORS ARE NEEDED. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH 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 COORDINATED THE ADENA QUIT CLINIC WHICH PROVIDED A TOTAL OF 26 PATIENTS RECEIVED TOBACCO CESSATION COUNSELING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION BY ADENA PHARMACISTS IN 2019. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,184 PATIENTS FROM THE REGION INCLUDING PIKE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2019 WHICH RESULTED IN 33 POSITIVE CANCER FINDINGS.
ADENA REGIONAL MEDICAL CENTERPART 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 CONTINUEDFINANCIAL 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 A TOTAL OF $15,000 TO THE AMERICAN CANCER SOCIETY IN 2019 TO SUPPORT CANCER AWARENESS (INCLUDING LUNG CANCER) AND FUNDRAISING FOR RESEARCH. ADENA ALSO PROVIDED $873.00 TO THE CITY OF CHILLICOTHE TO PURCHASE SMOKE FREE PARK SIGNAGE FOR CITY PARKS AND BALL FIELDS. 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 IN 2019 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 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS IN 2019 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.PROGRAMMING & INITIATIVESA WALK WITH A DOC EVENT WAS HELD IN NOVEMBER 2019 WHERE A PRIMARY CARE PHYSICIAN PROVIDED A TOTAL OF 55 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON DEPRESSION AND SEASONAL AFFECTIVE DISORDER FOLLOWED BY A 30 MINUTE WALK. THE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 432 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 2019.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 LOCAL CHAPTER OF THE NATIONAL ALLIANCE FOR THE MENTALLY ILL (NAMI) TO ASSIST IN A COMEDY NIGHT. A TOTAL OF $600 WAS PROVIDED TO SUPPORT THE EVENT. 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 2019.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $449,509 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION IN 2019. 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. A TOTAL OF 1,892 CHILDREN WERE ENGAGED IN THE PROGRAM WITH 44% PERSISTING THROUGHOUT THE SUMMER WITH THE PROGRAM AND 31% COMPLETING ALL OF THEIR HEALTHY 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. ADENA HEALTH SYSTEM PARTNERED WITH HIGHLAND, ROSS, PIKE, PICKAWAY AND FAYETTE COUNTY SCHOOLS AND THE ROSS COUNTY UNITED WAY TO COORDINATE THE "ADENA NURSING CAMP" IN JUNE OF 2019. A TOTAL OF 75 STUDENTS PARTICIPATED IN THREE DAY SESSIONS WHERE THEY WERE PROVIDED EDUCATION ON NURSING CAREERS, SUPERVISED CLINICAL ROTATIONS TO SHADOW OTHER HEALTHCARE PROVIDERS AND CPR TRAINING. 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. ADENA HEALTH SYSTEM CONTINUED ITS PARTNERSHIP WITH THE ROSS COUNTY UNITED WAY IN 2019 TO SUPPORT THEIR "MAP YOUR FUTURE" CAREER MENTORING PROGRAM. MORE THAN 300 OF VOLUNTEER TIME WAS PROVIDED BY ADENA CAREGIVERS MENTORING STUDENTS IN FOUR SCHOOL DISTRICTS AND ON THE MAIN CAMPUS OF ADENA REGIONAL MEDICAL CENTER. INFORMATION ABOUT THE WIDE VARIETY OF CAREER OPPORTUNITIES IN HEALTHCARE AND HOW TO CREATE A PERSONAL CAREER PLAN ARE PROVIDED. 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 1,280 SLEEP SACKS FOR THE 1,280 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2019. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.MORE THAN $8,000 WAS PROVIDED IN 2019 FOR THE AIM AND NURSING CAMP PROGRAMS, DESIGNED TO ENCOURAGE AND PAVE PATHWAYS TO CAREERS IN HEALTHCARE. A TOTAL OF $5,000 WAS ALSO PROVIDED TO SUPPORT THE AWARENESS AND RESEARCH EFFORTS OF THE MARCH OF DIMES AS PART OF THEIR ANNUAL CAMPAIGN. COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY-ROSS COUNTY HEALTH OUTCOMES MOVED FROM 74 TO 77 IN 2019 (COUNTY HEALTH RANKINGS).-ROSS COUNTY HEALTH FACTORS MOVED FROM 65 TO 57 IN 2019 (COUNTY HEALTH RANKINGS).
PART V, SECTION B, LINE 11 CONTINUEDADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2019 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 3,908 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, FAYETTE, VINTON, PICKAWAY, PIKE, HIGHLAND AND JACKSON) MADE A TOTAL OF 11,807 VISITS TO THE TWO CLINICS IN 2019.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 2019, MORE THAN 200 ARMC CAREGIVERS PROVIDED A TOTAL OF 3,200 HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME ENGAGING COMMUNITY AT LOCAL FAIRS AND FESTIVALS, PACKING WEEKEND FOOD BAGS FOR FOOD INSECURE CHILDREN, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, AS WELL AS A VARIETY OF COMMUNITY IMPROVEMENT EFFORTS. THESE INCLUDED:-$6,700 IN SUPPORT OF COORDINATION OF THE DATA PORTION OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS PROVIDED IN PARTNERSHIP WITH THE ROSS COUNTY HEALTH DISTRICT. APPROXIMATELY 10% OF THE ADENA COMMUNITY HEALTH AND DEVELOPMENT DIRECTOR'S TIME WAS ALSO SUPPLIED TO COMPLETE THE WRITING AND PRODUCTION OF THE ASSESSMENT. -$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. -$37,500 IN SUPPORT TO THE OHIO HISTORICAL SOCIETY TO SUPPORT THEIR EFFORTS IN GETTING THE ROSS COUNTY COMMUNITY'S HISTORIC EARTHWORKS INSCRIBED WITH UNESCO. -$1,000 IN SUPPORT OF THE ANNUAL FEAST OF THE FLOWERING MOON, WHICH CELEBRATES THE NATIVE AMERICAN HERITAGE OF ROSS COUNTY. -$10,000 IN SUPPORT OF THE ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO, WHICH PROVIDES BUSINESS AND ECONOMIC DEVELOPMENT SERVICES TO THE REGION. -OVER $12,918 IN COORDINATED TRANSPORTATION SERVICES TO PATIENTS WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE. -$5,000 IN SUPPORT TO THE RONALD MCDONALD HOUSE IN COLUMBUS, OHIO TO SUPPORT NIGHTS OF STAY FOR ROSS COUNTY, HIGHLAND COUNTY AND PIKE COUNTY PARENTS WITH CHILDREN COMPLETING AN IN-PATIENT STAY AT NATIONWIDE CHILDREN'S HOSPITAL. 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 2019 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 2019. A TOTAL OF 11 PROVIDERS (9 FROM ADENA HEALTH SYSTEM) VOLUNTEERED MORE THAN 280 HOURS OF CARE AT HOPE CLINIC IN 2019. A TOTAL OF 635 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE, WORTH $349, 603. 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/GREATER CHILLICOTHE-ROSS STEERING COMMITTEE: IN 2019, ADENA HEALTH SYSTEM COLLABORATED WITH THE ROSS COUNTY CHAMBER OF COMMERCE TO COORDINATE AND CONVENE A COMMUNITY STEERING COMMITTEE FOCUSED ON CREATING A COMMUNITY DEVELOPMENT PLAN FOR ROSS COUNTY. A TOTAL OF 12 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS CONVENED TO IDENTIFY STRATEGIC PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. THE PARTNERS FOR A HEALTHIER ROSS COUNTY AND THE ROSS COUNTY HEROIN PARTNERSHIP ADVISORY COUNCIL ARE ALIGNED WITH THIS COMMITTEE.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ADENA HEALTH PAVILION
4437 STATE ROUTE 159CHILLICOTHEOH45601PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER
2 - ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159CHILLICOTHEOH45601PHYSICIAN OFFICES
3 - ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104WAVERLYOH45690AMBULATORY CARE CENTER
4 - ADENA URGENT CARE
55 CENTENNIAL BLVDCHILLICOTHEOH45601AMBULATORY CARE CENTER
5 - ADENA HOME CARE SERVICES
111 W WATER STREETCHILLICOTHEOH45601HOME HEALTH CARE AND HOSPICE
6 - ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVEJACKSONOH45640AMBULATORY CARE CENTER
7 - ADENA REHABILITATION AND WELLNESS CENTER
445 SHAWNEE LANECHILLICOTHEOH45601OUTPATIENT REHABILITATION CENTER
8 - ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREETOAK HILLOH45656PHYSICIAN OFFICES
9 - ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREETCHILLICOTHEOH45601PHYSICIAN OFFICES
10 - ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREETCIRCLEVILLEOH43113PHYSICIAN OFFICES
11 - ADENA COUNSELING CENTER
445 SHAWNEE LANECHILLICOTHEOH45601MENTAL HEALTH COUNSELING
12 - ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTERCHILLICOTHEOH45601PHYSICIAN OFFICES
13 - ADENA ROSS UROLOGY
8 MEDICAL DRIVECHILLICOTHEOH45601PHYSICIAN OFFICES
14 - ADENA FAMILY MEDICINE - GREENFIELD
536 MIRABEAU STREETGREENFIELDOH45123PHYSICIAN OFFICES
15 - ADENA FAMILY MEDICINE - WASHINGTON CH
308 HIGHLAND AVENUE SUITE CWASHINGTON COURT HOUOH43160PHYSICIAN OFFICES
16 - ADENA FAMILY MEDICINE - WELLSTON
118 SOUTH NEW YORK AVE SUITE AWELLSTONOH45692NURSE PRACTITIONER CLINIC
17 - ADENA FAMILY MEDICINE - HILLSBORO
160 ROBERTS LANEHILLSBOROOH45133URGENT CARE AND FAMILY PRACTICE
18 - ADENA HEALTH & WELLNESS CNTR-MAIN CAMPUS
4457 ST RT 159CHILLICOTHEOH45601PHYSICIAN OFFICE, CARDIAC REHAB, OCCUPATIONAL MEDICINE
19 - ADENA CANCER CENTER
4435 ST RT 159CHILLICOTHEOH45601OUTPATIENT CHEMOTHERAPY AND RADIATION
20 - ADENA WELLNESS CENTER WEST
2077 WESTERN AVENUECHILLICOTHEOH45601HOME HEALTH AND REHABILITATION
21 - CLINIC AT WALMART
85 RIVER TRACE LANECHILLICOTHEOH45601NURSE PRACTITIONER CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $27,931,371 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 $15,403,781.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. 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 2019 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 WAS AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR.
PART VI, LINE 6:FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CHILLICOTHE FARMERS MARKET ASSOCIAT
300 CHILLICOTHE AVEHILLSBOROOH45133262216517501(C)(4)$7,364COMMUNITY IMPROVEMENT INITIATIVE
ECONOMIC DEVELOPMENT ALLIANCE OF
45 EAST MAIN STREETCHILLICOTHEOH45601203786756501(C)(3)$10,000JOB DEVELOPMENT INITIATIVE
JACKSON CITY SCHOOLS
450 VAUGHN STREETJACKSONOH45640316400579501(C)(3)$5,000EDUCATION INITIATIVE
RONALD MCDONALD HOUSE CHARITIES
711 EAST LIVINGSTON AVENUECOLUMBUSOH43205310890152501(C)(3)$5,000COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY AGRICULTURAL SOCIETY
344 FAIRGROUNDS ROADCHILLICOTHEOH45601316050864501(C)(3)$7,500WELLNESS INITIATIVE
THE BUCK FIFTY INC
113 GORDON DRIVECHILLICOTHEOH45601811817174501(C)(3)$25,000COMMUNITY IMPROVEMENT INITIATIVE
OHIO HISTORICAL SOCIETY
800 E 17TH AVECOLUMBUSOH43211314389673501(C)(3)$37,500EDUCATION INITIATIVE
UNITED WAY ROSS CO
69 EAST WATER STREETCHILLICOTHEOH45601314389671501(C)(3)$46,104COMMUNITY IMPROVEMENT INITIATIVE
CHILD PROTECTION CENTER OF ROSS CO
138 MARIETTA RD ST ECHILLICOTHEOH45601311579825501(C)(3)$63,624COMMUNITY IMPROVEMENT INITIATIVE
TEAYS VALLEY SCHOOL BOARD
385 VIKING WAYASHVILLEOH43103316402688501(C)(3)$10,000COMMUNITY IMPROVEMENT INITIATIVE
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303131788491501(C)(3)$7,500WELLNESS INITIATIVE
ROSS COUNTY YMCA
100 MILL STREETCHILLICOTHEOH45601314379806501(C)(3)$16,444COMMUNITY IMPROVEMENT INITIATIVE
MARCH OF DIMES
1550 CRYSTAL DR SUITE 1300ARLINGTONVA22202131846366501(C)(3)$5,000WELLNESS INITIATIVE
HOSPITAL COUNCIL OF NORTHERN OHIO
3231 CENTRAL PARK W STE 200TOLEDOOH43617341116795501(C)(3)$7,000WELLNESS INITIATIVE
ROSS COUNTY TRANSPORTATION
1338 DELANO RDCHILLICOTHEOH45601474971338501(C)(3)$9,096WELLNESS INITIATIVE
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN COHEN
PHYSICIAN$2,253,966$0$0$0$23,027$0$0$0$36,812$0$2,313,805$0$0$0
JEFF GRAHAM
CEO$766,803$0$295,478$0$83,412$0$432,670$0$29,121$0$1,607,484$0$369,586$0
JAMES MANAZER
PHYSICIAN$944,198$0$0$0$20,260$0$0$0$36,812$0$1,001,270$0$0$0
LISA CARLSON
CFO$454,336$0$217,922$0$62,786$0$243,085$0$18,532$0$996,661$0$207,902$0
HAVAL SAADLLA
PHYSICIAN$930,811$0$0$0$2,635$0$0$0$36,812$0$970,258$0$0$0
KATHI EDRINGTON
COO$459,195$0$154,512$0$47,192$0$233,532$0$14,339$0$908,770$0$198,707$0
BRUCE CHEN
PHYSICIAN$774,913$0$3,269$0$9,043$0$0$0$37,111$0$824,336$0$0$0
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER$447,968$0$114,028$0$46,231$0$174,206$0$34,188$0$816,621$0$157,885$0
WILBUR SEVER
FORMER TRUSTEE/PHYSICIAN$714,030$0$0$0$21,590$0$0$0$36,126$0$771,746$0$0$0
SHANE MATHENY
PHYSICIAN$566,627$0$82,143$0$22,743$0$0$0$36,923$0$708,436$0$0$0
JOHN FORTNEY
CHIEF MEDICAL OFFICER$81,026$0$131,440$0$490,726$0$1,418$0$2,763$0$707,373$0$188,152$0
JOHN GABIS
PRESIDENT OF AMG$409,632$0$42,846$0$5,982$0$154,268$0$33,868$0$646,596$0$42,846$0
KIRK TUCKER
CHIEF CLINICAL OFFICER$407,390$0$66,276$0$1,554$0$133,319$0$33,985$0$642,524$0$66,276$0
ANTHONY FREEMAN
FORMER MEDICAL OFFICER$562,128$0$0$0$13,044$0$0$0$29,223$0$604,395$0$0$0
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER$197,414$0$50,000$0$159,462$0$111,354$0$23,960$0$542,190$0$0$0
TIMOTHY CAHILL
CHIEF LEGAL OFFICER$177,445$0$80,257$0$150,846$0$14,376$0$22,393$0$445,317$0$115,424$0
WAYNE COATS
FORMER TRUSTEE/PHYSICIAN$371,162$0$0$0$17,346$0$0$0$35,756$0$424,264$0$0$0
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICE$242,221$0$0$0$2,698$0$102,821$0$4,058$0$351,798$0$0$0
JACK BERNO
FORMER CHIEF MEDICAL OFFICER/PHYSICI$307,136$0$10,000$0$5,213$0$0$0$3,502$0$325,851$0$10,000$0
REGGINA YANDILA
TRUSTEE/PHYSICIAN$276,033$0$0$0$968$0$0$0$33,768$0$310,769$0$0$0
SCOTT GRIFFIN
FORMER PRESIDENT OF AMG$0$0$0$0$303,703$0$0$0$0$0$303,703$0$0$0
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN$244,125$0$0$0$627$0$0$0$34,625$0$279,377$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AADENA 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. TWO OFFICERS AND KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2019.
PART I, LINES 4A-BJOHN FORTNEY RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $422,814. SCOTT GRIFFIN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $303,703. TIMOTHY CAHILL RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $115,056. STUART FREEDMAN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $53,078. ERIC CECAVA RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $44,644. THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2019: JEFF GRAHAM $107,467 SERP ACCRUAL KATHI EDRINGTON $61,748 SERP ACCRUAL LISA CARLSON $61,522 SERP ACCRUAL HARRY KITTAKA $53,648 SERP ACCRUAL KIRK TUCKER $49,841 SERP ACCRUAL JOHN GABIS $46,055 SERP ACCRUAL HEATHER SPRAGUE $24,751 SERP ACCRUAL KRISTIN BOGGS $24,146 SERP ACCRUAL INCLUDED IN PART II, COLUMN (C) ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS. PLEASE NOTE THAT IN PRIOR PERIOD(S) AMOUNTS CREDITED TO THE EXECUTIVE'S ACCOUNT HAVE NOT BEEN DISCLOSED IN PART II, COLUMN (C).
PART I, LINE 7MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER A VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
COUNTY OF ROSS OHIO
A3164000852010-09-15$29,985,000INFUSION CENTER AND INTERVENTIONAL RADIOLOGY000
CITY OF CHILLICOTHE OHIO
B3164002212017-06-22$161,095,326ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM000169203AK2
COUNTY OF ROSS OHIO
C3164000852019-06-19$83,270,000ORTHO ROBOTIC CENTER000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtCapitalized InterestCapitalizedInterestAmt
A$29,985,000$30,087,491$411,604$29,675,887201200Yes (1)Yes (1)
B$112,534,487$161,795,034$1,723,0520Yes (1)0Yes (1)$44,906,523$2,630,972
C$98,839,225$964,347$26,377,951Yes (1)00Yes (1)$2,997,767$61,056,015$7,443,145

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
C00Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00000Yes (1)Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: COUNTY OF ROSS OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 10/09/2015
SCHEDULE K, PART IV, LINE 2CTHE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROBIN BERNO
SPOUSE OF KEY EMPLOYEE JACK BERNO$162,691EMPLOYEE COMPENSATION0
MARIA SMITH
SISTER OF BOARD DIRECTOR JOE WATSON$140,009EMPLOYEE COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2KATHERINE 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 6THE 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 7ATHE 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 7BSECTION 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 11BCOPIES 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 DISUCSS THE MAJOR COMPONENTS INCLUDING SCHEDULE H.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR ALL DISQUALIFIED PERSONS. 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 DISQUALIFIED PERSONS. COMPENSATION WAS LAST REVIEWED IN 2019.
FORM 990, PART VI, SECTION C, LINE 19THE 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 11GMEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,610,123. MANAGEMENT AND GENERAL EXPENSES 419,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,030,122. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,247,260. MANAGEMENT AND GENERAL EXPENSES 15,725,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,972,681. FACILITY MAINTENANCE: PROGRAM SERVICE EXPENSES 10,975,782. MANAGEMENT AND GENERAL EXPENSES 10,004,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,980,126. MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 3,156,945. MANAGEMENT AND GENERAL EXPENSES 4,413,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,570,845. REVENUE CYCLE MANAGEMENT: PROGRAM SERVICE EXPENSES 5,857,530. MANAGEMENT AND GENERAL EXPENSES 8,189,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,047,270. MRI SERVICES: PROGRAM SERVICE EXPENSES 939,905. MANAGEMENT AND GENERAL EXPENSES 1,314,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,254,039. CONSTRUCTION SERVICES: PROGRAM SERVICE EXPENSES 3,673,507. MANAGEMENT AND GENERAL EXPENSES 5,136,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,809,641.
FORM 990, PART XI, LINE 9:TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -2,970,761. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 210,830. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE -114,792. TEMPORARILY RESTRICTED EXPENDITURES -113,159. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 86,810. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -76,835. BENEFIT PLAN RETIREMENT 75,639.
FORM 990: PART XII, LINE 2CTHE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADENA MEDICAL GROUP LLC
DEPT L637COLUMBUSOH43260271370967HEALTHCARE PROVIDERSOH$82,371,735$7,783,268ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROADCHILLICOTHEOH45601275340755HEALTHCARE PROVIDERSOH$2,924,970$563,325ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROADCHILLICOTHEOH45601273752730HEALTHCARE PROVIDERSOH$3,360,502$241,297ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROADCHILLICOTHEOH45601273752854HEALTHCARE PROVIDERSOH$2,131,057$1,376,032ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROADCHILLICOTHEOH45601451138187HEALTHCARE PROVIDERSOH$5,321,244$891,698ADENA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GREENFIELD AREA MEDICAL CENTER
550 MIRABEAU STGREENFIELDOH45123310993422HOSPITALOH501(C)(3)3ADENA HEALTH SYSTEMYes (1)
ADENA HEALTH FOUNDATION
272 HOSPITAL ROADCHILLICOTHEOH45601753008742FUNDRAISINGOH501(C)(3)12AADENA HEALTH SYSTEMYes (1)
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROADCHILLICOTHEOH45601261566590FIBEROPTIC NETWORK GRANTSOH501(C)(3)12AADENA HEALTH SYSTEMYes (1)
PIKE HEALTH SERVICES INC
100 DAWN LANEWAVERLYOH45690311072406HOSPITALOH501(C)(3)3ADENA HEALTH SYSTEMYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ADENA CAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL ROADAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45601ZIPCd
FieldValueIRS element (for citing)
EIN453980850EIN
Primary ActivitiesSEE SCHEDULE R, PART VIIPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ADENA HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$255,362ShareOfTotalIncomeAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
R$2,324,027BOOK VALUE
PIKE HEALTH SERVICES
S$153,142BOOK VALUE
ADENA HEALTH FOUNDATION
C$76,835BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

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

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