ADENA HEALTH SYSTEM: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201713189349306551
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T13:24:17-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S High St Suite 100	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	314379443	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADEN	BusinessNameControlTxt
Phone	7407794478	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LISA CARLSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7407794478	PhoneNum
Signature	2017-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Bernie Ostrowski	PreparerPersonNm
PTIN	P00366367	PTIN
Phone	6148493000	PhoneNum
Preparation	2017-11-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.59.56.32	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-08	IPDt
IP Tm	13:34:24	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7BCF9D38B0E592211C041BCD1ADDE56655A5E8DF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	LISA CARLSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$422,937,856	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1895	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
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 Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3159	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$619,395	PYContributionsGrantsAmt
CY Contributions Grants	$788,168	CYContributionsGrantsAmt
PY Program Service Revenue	$422,296,219	PYProgramServiceRevenueAmt
CY Program Service Revenue	$408,415,410	CYProgramServiceRevenueAmt
PY Investment Income	$3,405,739	PYInvestmentIncomeAmt
CY Investment Income	$2,180,196	CYInvestmentIncomeAmt
PY Other Revenue	$11,675,562	PYOtherRevenueAmt
CY Other Revenue	$11,554,082	CYOtherRevenueAmt
PY Total Revenue	$437,996,915	PYTotalRevenueAmt
CY Total Revenue	$422,937,856	CYTotalRevenueAmt
PY Grants And Similar Paid	$496,434	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$562,077	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$231,139,642	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$229,977,764	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$194,336,482	PYOtherExpensesAmt
CY Other Expenses	$183,278,092	CYOtherExpensesAmt
PY Total Expenses	$425,972,558	PYTotalExpensesAmt
CY Total Expenses	$413,817,933	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,024,357	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,119,923	CYRevenuesLessExpensesAmt
Total Assets BOY	$474,400,163	TotalAssetsBOYAmt
Total Assets EOY	$485,156,474	TotalAssetsEOYAmt
Total Liabilities BOY	$230,428,958	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$228,637,469	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$243,971,205	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$256,519,005	NetAssetsOrFundBalancesEOYAmt
Mission	TO CARE, TO HEAL, TO EDUCATE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$388,425,310	ExpenseAmt
Grant	$562,077	GrantAmt
Revenue	$414,153,188	RevenueAmt
Desc	HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 9,859 INPATIENTS AND TREATED 47,799 EMERGENCY VISITS IN 2016. EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 77,064 EMERGENT AND URGENT VISITS IN 2016. PHYSICIAN OFFICES: THERE WERE 396,455 PHYSICIAN OFFICE VISITS IN 2016.	Desc
Total Program Service Expenses	$388,425,310	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	230	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3159	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SHARON WISECUP VP SYSTEM FINANCE	PersonNm
Phone	7407794478	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	456019031	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN BURKHARDT
TRUSTEE/CHAIRMAN	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
VIRGINIA WETTERSTEN
TRUSTEE/VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TOM WHITE
TRUSTEE/SECRETARY	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH SULZER
TRUSTEE/TREASURER	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE LILLY
TRUSTEE	2.00	2.00	Yes (X)		$0	$0	$0
DAVE STRICKLAND
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
RALPH D'ANTONI
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JERRY PHILLIPS
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
WILBUR SEVER JAN-SEPT
TRUSTEE/EMPLOYED M.D.	50.00	0.00	Yes (X)		$699,685	$0	$29,821
GAIL TAYLOR
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JOE WATSON
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
NOBLE YOSHIDA
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
HAVAL SAADLLA JAN-SEPT
TRUSTEE	50.00	0.00	Yes (X)		$1,161,321	$0	$30,331
BARTOW HENSHAW
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
WILLIAM STRAUCH SEPT-DEC
TRUSTEE	2.00	0.00	Yes (X)		$513,381	$0	$28,299
REGGINA YANDILA SEPT-DEC
TRUSTEE	2.00	0.00	Yes (X)		$264,703	$0	$29,387
ROBERT ROSENBERGER
CHIEF FINANCIAL OFFICER (JAN-OCT)	46.00	4.00		Yes (X)	$368,157	$0	$37,792
MARK SHUTER
CHIEF EXECUTIVE OFFICER (JAN-OCT)	46.00	4.00		Yes (X)	$810,195	$0	$31,755
LISA CARLSON
CFO	40.00	0.00		Yes (X)	$0	$0	$0
JAY JUSTICE
INTERIM CHRO (FEB-OCT)	40.00	0.00		Yes (X)	$229,508	$0	$3,152
JOHN FORTNEY
INTERIM CEO	46.00	4.00		Yes (X)	$439,134	$0	$30,401
ERIC CECAVA
CHIEF OPERATING OFFICER	45.00	0.00			$389,007	$0	$30,971	Yes (X)
MARTHA LIVINGSTON
CHIEF BUSINESS DEVLOPMENT	45.00	0.00			$267,753	$0	$22,997	Yes (X)
ERIC PERDUE
CHIEF HUMAN RESOURCES	45.00	0.00			$221,076	$0	$532	Yes (X)
TIM CAHILL
GENERAL COUNSEL	50.00	0.00			$287,342	$0	$40,305	Yes (X)
BRIAN COHEN
EMPLOYED M.D.	50.00	0.00			$2,826,193	$0	$29,831		Yes (X)
THOMAS LEWIS
EMPLOYED M.D.	50.00	0.00			$852,766	$0	$30,333		Yes (X)
NEIL GHANY
EMPLOYED M.D.	50.00	0.00			$931,788	$0	$34,989		Yes (X)
JAMES MANAZER
EMPLOYED M.D.	50.00	0.00			$900,711	$0	$30,031		Yes (X)
KELLY GALLINA
EMPLOYED M.D.	50.00	0.00			$844,803	$0	$12,178		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,007,523	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$453,105	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	17	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
APOGEE MEDICAL MANAGEMENT
2525 E CAMELBACK RD	PHOENIX	AZ	85016	HOSPITALIST STAFF	$6,055,551
CAPTIVE RADIOLOGY
6273 FRANK AVENUE NW	NORTH CANTON	OH	44720	MRI SERVICES	$2,936,780
PRECYSE SOLUTIONS LLC
PO BOX 11407	BIRMINGHAM	AL	35246	TRANSCRIPTION & CODING	$2,620,298
STRATEGIC SOURCING INC
3938 N HAMPTON DR	POWELL	OH	43065	IT CONSULTING	$1,692,777
ECONOMY LINEN & TOWEL SERVICE
5087 HOWARD ST	ZANESVILLE	OH	43701	LINEN SERVICE	$1,164,549

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$444,744	RelatedOrganizationsAmt
Government Grants	$30,647	GovernmentGrantsAmt
All Other Contributions	$312,777	AllOtherContributionsAmt
Total Contributions	$788,168	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SVC REV	Desc
Business	622110	BusinessCd
Total Revenue Column	$408,415,410	TotalRevenueColumnAmt
Related Or Exempt Func Income	$408,415,410	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$408,415,410	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,983,509	TotalRevenueColumnAmt
Exclusion	$1,983,509	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$318,303	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$318,303	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$318,303	TotalRevenueColumnAmt
Exclusion	$318,303	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$196,687	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$196,687	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$196,687	TotalRevenueColumnAmt
Exclusion	$196,687	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD & NUTRITION	722514	$1,872,015	$1,872,015
EHR IMPLEMENTATION	622110	$1,800,009	$1,800,009
CONSULTING FEES	900099	$924,117	$924,117

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,639,638	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,141,637	RelatedOrExemptFuncIncomeAmt
Exclusion	$5,498,001	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,235,779	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,937,856	TotalRevenueColumnAmt
Related Or Exempt Func Income	$414,153,188	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,996,500	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$562,077	TotalAmt
Program Services	$562,077	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,967,005	TotalAmt
Program Services	$5,591,090	ProgramServicesAmt
Management And General	$375,915	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$179,631,102	TotalAmt
Program Services	$170,349,440	ProgramServicesAmt
Management And General	$9,281,662	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,757,022	TotalAmt
Program Services	$31,369,358	ProgramServicesAmt
Management And General	$2,387,664	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,622,635	TotalAmt
Program Services	$9,953,420	ProgramServicesAmt
Management And General	$669,215	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$27,315	TotalAmt
Management And General	$27,315	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,266,645	TotalAmt
Management And General	$1,266,645	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$102,007	TotalAmt
Management And General	$102,007	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,449,492	TotalAmt
Program Services	$54,875,835	ProgramServicesAmt
Management And General	$8,573,657	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,407,355	TotalAmt
Program Services	$5,087,897	ProgramServicesAmt
Management And General	$319,458	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,060,611	TotalAmt
Program Services	$7,552,811	ProgramServicesAmt
Management And General	$507,800	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,429,679	TotalAmt
Program Services	$2,009,348	ProgramServicesAmt
Management And General	$420,331	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,256,724	TotalAmt
Program Services	$7,736,559	ProgramServicesAmt
Management And General	$520,165	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,002,938	TotalAmt
Program Services	$19,680,183	ProgramServicesAmt
Management And General	$1,322,755	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,218,100	TotalAmt
Program Services	$2,218,100	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$64,731,586	$64,662,320	$69,266
BAD DEBT EXPENSE	$13,488,176	$13,488,176
OVERHEAD ALLOCATION	-$7,162,536	-$6,711,304	-$451,232

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$413,817,933	TotalAmt
Program Services	$388,425,310	ProgramServicesAmt
Management And General	$25,392,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,558	BOYAmt
EOY	$11,658	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,845,736	BOYAmt
EOY	$74,914,778	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,064,834	BOYAmt
EOY	$5,215,234	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,844,246	BOYAmt
EOY	$52,869,504	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$29,367	BOYAmt
EOY	$8,989	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,226,267	BOYAmt
EOY	$5,640,546	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,324,627	BOYAmt
EOY	$11,210,480	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$384,051,993	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$249,011,201	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,284,819	BOYAmt
EOY	$135,040,792	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$178,112,976	BOYAmt
EOY	$188,239,938	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,655,733	BOYAmt
EOY	$12,004,555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$474,400,163	BOYAmt
EOY	$485,156,474	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,599,526	BOYAmt
EOY	$51,452,745	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$163,805,430	BOYAmt
EOY	$158,764,005	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$500,000	BOYAmt
EOY	$500,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,524,002	BOYAmt
EOY	$17,920,719	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$230,428,958	BOYAmt
EOY	$228,637,469	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$242,393,189	BOYAmt
EOY	$254,709,236	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,578,016	BOYAmt
EOY	$1,809,769	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$243,971,205	BOYAmt
EOY	$256,519,005	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$474,400,163	BOYAmt
EOY	$485,156,474	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,119,923	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,462,817	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,034,940	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$3,132	OtherActivitiesAmt
Total Lobbying Expenditures	$3,132	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	THE OHIO HOSPITAL ASSOCIATION DOES LOBBYING ON BEHALF OF HOSPITAL RELATED CAUSES. THIS ACTIVITY IS PAID FOR THROUGH DUES PAID TO THE OHIO HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,305,508	BeginningYearBalanceAmt
Contributions	$44,539	ContributionsAmt
Investment Earnings Or Losses	-$6,351	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$22,000	GrantsOrScholarshipsAmt
End Year Balance	$1,321,696	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,219,218	BeginningYearBalanceAmt
Contributions	$34,077	ContributionsAmt
Investment Earnings Or Losses	$52,213	InvestmentEarningsOrLossesAmt
End Year Balance	$1,305,508	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,149,935	BeginningYearBalanceAmt
Contributions	-$2,887	ContributionsAmt
Investment Earnings Or Losses	$77,350	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,180	GrantsOrScholarshipsAmt
End Year Balance	$1,219,218	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,050,463	BeginningYearBalanceAmt
Contributions	$22,085	ContributionsAmt
Investment Earnings Or Losses	$89,484	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,097	GrantsOrScholarshipsAmt
End Year Balance	$1,149,935	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,648,975	OtherCostOrOtherBasisAmt
Book Value	$2,648,975	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$175,160,468	OtherCostOrOtherBasisAmt
Depreciation	$89,092,701	DepreciationAmt
Book Value	$86,067,767	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$196,439,616	OtherCostOrOtherBasisAmt
Depreciation	$154,082,966	DepreciationAmt
Book Value	$42,356,650	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,802,934	OtherCostOrOtherBasisAmt
Depreciation	$5,835,534	DepreciationAmt
Book Value	$3,967,400	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$135,040,792	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED MALPRACTICE INSURANCE - LT	$9,087,619
DEFERRED COMPENSATION LIABILITY	$8,539,274
INTERCOMPANY PAYABLE	$293,826

Field	Value	IRS element (for citing)
Total Liability	$17,920,719	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,778,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,256,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$521,891	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,576,163	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,445,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,130,758	NetCommunityBenefitExpnsAmt
Total Expense	0.07530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,354,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,701,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,652,649	NetCommunityBenefitExpnsAmt
Total Expense	0.07660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$652,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$652,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$875,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$875,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,527,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,527,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,882,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,701,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,180,346	NetCommunityBenefitExpnsAmt
Total Expense	0.08040	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,603	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,603	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,103	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$13,488,176	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$76,030,420	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$70,546,292	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,484,128	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	0	WrittenDebtCollectionPolicyInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
State License	ST. REG. NUM. 1029	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.adena.org/inside/page.dT/CHNA	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://rosscountyhealth.org/healthassessment.pdf	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.ADENA.ORG/FILES/RESOURCES/ROSS-IS-2016.DOCX	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.adena.org/inside/page.dT/financial-aid	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.adena.org/files/resources/adenafinaidformfinal.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	Yes (1)	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 5: ADENA REGIONAL MEDICAL CENTER CAPTURED THE BROAD INTERESTS OF THE COMMUNITY FOR THE CHNA THROUGH TWO METHODS: SURVEY AND INTERVIEWS. A HEALTH NEEDS SURVEY WAS WIDELY DISTRIBUTED TO THE ROSS COUNTY COMMUNITY THROUGH PAPER AND WEB FORM. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS.
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 6b: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: ADENA HEALTH SYSTEM, CHILLICOTHE CITY SCHOOLS, CHILLICOTHE GAZETTE, HOPE CLINIC OF ROSS COUNTY, HOPEWELL HEALTH CENTER, OHIO DEPARTMENT OF JOB AND FAMILY SERVICES, OHIO STATE UNIVERSITY EXTENSION, OHIO UNIVERSITY CHILLCOTHE, PACCAR, PAINT VALLEY ADAMH BOARD, RECOVERY COUNCIL, ROSS COUNTY CHILD PROTECTION CENTER, ROSS COUNTY HEALTH DISTRICT, ROSS COUNTY YMCA, SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, UNION-SCIOTO SCHOOL DISTRICT, UNITED WAY OF ROSS COUNTY, AND VETERANS ADMINISTRATION HOSPITAL.
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 7d: HARD COPIES OF THE CHNA REPORT WERE PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES.
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 11: OBESITY-EMPLOYEE HEALTH INITIATIVES: IN 2016, AHS CONTINUED ITS INTERNAL EFFORTS AROUND EMPLOYEE HEALTH AND WELLNESS BY EXPANDING AND IMPLEMENTING EVIDENCE-BASED HEALTH AND WELLNESS PROGRAMMING BUILT ON THREE DIFFERENT PILLARS MOVEMENT, NUTRITION AND WELL-BEING. SOME PROGRAMMING WAS ALSO EXPANDED INTO THE GREATER ROSS COUNTY COMMUNITY.THE TEAM CONTINUED THE CAMPUS BASED WALKING PROGRAM, WEIGHT WATCHERS AT WORK, ADENA FIT, AND STRESS MANAGEMENT CLASSES. THE COMMUNICATION PLAN DEVELOPED IN 2014 WAS CONTINUED, REPRESENTATIVES FROM THE ORGANIZATION'S HEALTH & WELLNESS COMMITTEE ROUNDED TO DEPARTMENTAL MEETINGS. THE MOVE MORE CHALLENGE WAS KICKED OFF AGAIN IN MAY OF 2016 WITH MORE THAN 500 ADENA EMPLOYEES PARTICIPATING.IMPROVEMENT OF HEALTHIER OPTIONS IN THE ADENA REGIONAL MEDICAL CENTER CAFETERIA WAS ALSO CONTINUED. THE OVERALL FRUIT AND VEGETABLE CONSUMPTION CONTINUED TO INCREASE AND HEALTHIER OPTIONS WERE ADDED TO THE MENU. ALL OF THE HEALTH & WELLNESS PROGRAMMING AGAIN ENGAGED MORE THAN 35% OF THE TOTAL EMPLOYEE POPULATION THROUGH THESE INITIATIVES IN 2016. OBESITY-COMMUNITY PROGRAMMING:AHS COMMUNITY HEALTH ADVANCEMENT CONTINUED COLLABORATION WITH MORE THAN A DOZEN OF COMMUNITY PARTNERS TO COORDINATE AND DELIVER COMMUNITY PROGRAMS AIMED AT PROMOTING MOVEMENT AND NUTRITION. PROGRAMS INCLUDED:SPONSORSHIP AND PARTICIPATION IN THE HEALTHY KIDS' EVENT AT THE ROSS COUNTY FAIR WITH CHILLICOTHE GAZETTE, HEALTHY START FOR KIDS, YMCA AND ROSS COUNTY PUBLIC LIBRARY. SPONSORSHIP OF THE ROSS COUNTY PUBLIC LIBRARY'S HEALTHY KIDS PORTION OF THE BOOKWORM PROGRAM. THE MOVE MORE CHALLENGE WALK WITH A DOC PROGRAMOBESITY-REGIONAL INITIATIVES:THE COMMUNITY HEALTH FOCUS AND MESSAGE, "MOVE MORE, EAT WELL" WAS FINALIZED AND IMPLEMENTED IN 2015 AND CONTINUED DURING 2016. BANNERS FOR MORE THAN 35 COMMUNITY AND REGIONAL EVENTS (COUNTY FAIRS, FESTIVALS, SENIOR HEALTH FAIRS, EMPLOYEE HEALTH FAIRS AND HEALTH EXPOS) WERE DISPLAYED THROUGHOUT SIX COUNTIES (FAYETTE, ROSS, HIGHLAND, PIKE, JACKSON, AND PICKAWAY) AS WELL BROCHURES AND EDUCATIONAL INFORMATION ON PHYSICAL ACTIVITY AND NUTRITION WERE DISTRIBUTED. A SOCIAL MEDIA CAMPAIGN ON THE BENEFITS TO PROPER NUTRITION AND FITNESS WERE ALSO POSTED ON FACEBOOK THROUGHOUT THE YEAR. THERE WERE ALSO THREE ONE HOUR RADIO PROGRAMS FEATURING ADENA PHYSICIANS AND REPRESENTATIVES FOCUSED ON HEALTHY LIFESTYLE CHOICES INCLUDING MOVEMENT AND NUTRITION. MENTAL & BEHAVIORAL HEALTH-ADVOCACY:AHS CONTINUED ITS SUPPORT OF MULTIPLE COMMUNITY PARTNERS IN 2016 TO ADVOCATE FOR EXPANDED ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. ONE PHYSICIAN, ONE COMMUNITY HEALTH REPRESENTATIVE AND ONE SOCIAL WORKER PARTICIPATED ON THE ROSS COUNTY HEROIN PARTNERSHIP ADVISORY COUNCIL AND ASSISTED WITH FACILITATING AND DEVELOPING A COMMUNITY-WIDE STRATEGIC PLAN AROUND THE HEROIN EPIDEMIC. AHS CONTINUED DELIVERY OF PRENATAL CARE TO HIGH-RISK PREGNANT WOMEN, INCLUDING THOSE WITH ADDICTION ISSUES USING A CENTERINGPREGNANCY MODEL AT THE ADENA REGIONAL MEDICAL CENTER CAMPUS. ANOTHER 150 WOMEN WERE SERVED IN 2016 WITH THOSE PARTICIPATING IN THE PROGRAM ACHIEVING BETTER BIRTH OUTCOMES OVERALL THAN THOSE WHO OPTED NOT TO PARTICIPATE. REIMBURSEMENT FROM OHIO MEDICAID CONTINUED FOR THIS PROGRAM IN 2016.THE AHS DIRECTOR OF COMMUNITY HEALTH ADVANCEMENT CONTINUED PARTICIPATING IN THE SOUTHEAST OHIO MEDICAID EXPANSION COMMITTEE, AROUND EFFORTS TO EXPAND MEDICAID COVERAGE TO THE REGION'S RESIDENTS. THIS GROUP ALSO INFORMS STATE GOVERNMENT ON THE NEED AND BENEFIT OF AFFORDABLE HEALTH CARE IN SOUTHERN OHIO.MENTAL & BEHAVIORAL HEALTH-REFERRAL RESOURCES:AHS CONTINUED TO OPERATE THE REGION'S ONLY ACUTE INPATIENT, PSYCHIATRIC UNIT FOR INSURED, UNINSURED AND UNDER INSURED PATIENTS IN 2016 AT THE ADENA REGIONAL MEDICAL CENTER. AHS WOMEN'S & CHILDREN'S, PRIMARY CARE AND PAIN MANAGEMENT SERVICE LINES MADE REFERRALS FOR PATIENTS NEEDING MENTAL AND BEHAVIORAL HEALTH SERVICES IN ROSS COUNTY TO THE ADENA COUNSELING CENTER, PAINT VALLEY MENTAL HEALTH CENTER, ADENA WOMEN'S AND CHILDREN'S CENTERINGPREGNANCY PROGRAM, THE ROSS COUNTY HEALTH DEPARTMENT'S VIVITROL PROGRAM.MENTAL & BEHAVIORAL HEALTH-CESSATION RESOURCES:AHS SERVED MORE THAN 75 WOMEN ADDICTED TO OPIATES AS PART OF ITS BABY CENTERED RECOVERY PROGRAM IN 2016 FROM MULTIPLE COUNTIES, INCLUDING ROSS COUNTY. THE WORK TEAM CONTINUED EFFORTS TOWARDS ACHIEVING CENTERING HEALTHCARE INSTITUTE ACCREDITATION, AS WELL AS WORKING ON DEVELOPING RELATIONSHIPS WITH SOBER LIVING AND SUPPORT PROGRAMS SUCH AS STEPPING STONES AND COMPASS COMMUNITY HEALTH TO ASSIST WITH EXPANDING DRUG ADDICTION SUPPORT SERVICES, INCLUDING HOUSING, IN ROSS COUNTY. MENTAL & BEHAVIORAL HEALTH-SCREENING:IN 2016, AHS CONTINUED ITS SCREENING POLICY TO IDENTIFY POSSIBLE MENTAL AND BEHAVIORAL ISSUES WITH PATIENTS PRESENTING IN THE EMERGENCY ROOMS OF ADENA HEALTH SYSTEM HOSPITALS.SMOKING-CESSATION RESOURCES:THE ADENA QUIT CLINIC CONTINUED WITH PACCAR/KENWORTH TRUCKING COMPANY IN 2016. ANOTHER 35 PARTICIPANTS WERE SERVED AS PART OF THE PROGRAM THAT UTILIZES PHARMACISTS, TRAINED IN THE US PUBLIC HEALTH SERVICES' 5 A'S METHODOLOGY, TO ASSIST TOBACCO USERS IN CESSATION. THE PROGRAM WAS EXPANDED TO ADENA EMPLOYEES IN 2016. SMOKING-SCREENING:AHS CANCER CENTER PROVIDED FREE LUNCH CANCER SCREENINGS FOR OVER 700 PATIENTS FROM MULTIPLE COUNTIES INCLUDING ROSS COUNTY IN 2016, WITH MULTIPLE TYPES OF CANCER AND HEART RELATED ISSUES BEING DETECTED EARLY.ADDITIONAL INITIATIVES AND RESOURCES:UNINTENTIONAL INJURIESIN 2016, ADENA HEALTH SYSTEM AT THE ADENA REGIONAL MEDICAL CENTER TOOK OVER OPERATION OF THE ROSS COUNTY SAFE COMMUNITIES PROGRAM FROM THE ROSS COUNTY HEALTH DISTRICT. TWO ADENA EMPLOYEES COORDINATE THE PROGRAM WHERE OUTREACH AT LOCAL COMMUNITY EVENTS AND A SOCIAL MEDIA CAMPAIGN PROMOTE A VARIETY OF ROAD SAFETY ISSUES, INCLUDING: 1.) SEAT BELT USAGE 2.) SOBER DRIVING 3.) DISTRACTED DRIVING AND 4.) MOTORCYCLE AWARENESS. THE TEAM ATTENDED MORE THAN A DOZEN ROSS COUNTY EVENTS, INCLUDING HIGH SCHOOL FOOTBALL GAMES, FAIRS, AND FESTIVALS TO PROMOTE SAFE DRIVING. THE PRIMARY CAUSE OF UNINTENTIONAL INJURIES IN ROSS COUNTY IN 2016 BECAME DRUG OVERDOSE DEATHS SURPASSING AUTOMOTIVE ACCIDENTS. AHS/AGMC AVERAGED MORE THAN 3 OVERDOSES PER MONTH IN ITS EMERGENCY DEPARTMENT WHERE NARCAN WAS PROVIDED. IN ADDITION, THE ED ADDED INFORMATION PACKETS TO BE PROVIDED TO INDIVIDUALS AND FAMILIES WITH ADDICTION ISSUES CONTAINING RESOURCES FOR TREATMENT AND SUPPORT. ADENA FAMILY MEDICINE-RESIDENCY CLINIC:THE ADENA FAMILY MEDICINE - RESIDENCY CLINIC OPERATED A HOSPITAL CLINIC IN 2016 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINIC PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS AND A CERTIFIED NURSE PRACTITIONER ALSO PROVIDING SERVICES TO PATIENTS IN THE CLINIC. A TOTAL OF 1,437 PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, FAYETTE, VINTON, PICKAWAY, PIKE, HIGHLAND AND JACKSON) MADE A TOTAL OF 4,022 VISITS TO THE RESIDENCY CLINIC IN 2016.ADENA SPORTS MEDICINE-ATHLETIC TRAINING PROGRAMTHE ADENA HEALTH SYSTEM PROVIDED ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 10 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION.COMMUNITY COLLABORATIONS:PARTNERS FOR A HEALTHIER ROSS COUNTYTHE COALITION ENGAGED ANOTHER 19 AGENCIES TO JOIN THE COALITION WHICH BEGAN PLANNING FOR ROSS COUNTY'S FIRST COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). HOPE CLINICTHIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE.GREATER CHILLICOTHE-ROSS STEERING COMMITTEEIN 2016, 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.
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 16j: www.adena.org/files/resources/adenafinaidformfinal.pdf
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 20e: PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. SELF-PAY PATIENTS HAVE TO ASK FOR A QUESTIONNAIRE AT REGISTRATION ASKING IF THEY WOULD LIKE TO BE SCREENED FOR FINANCIAL ASSISTANCE. IF SO, THEY ARE GIVEN A FAP AT THAT TIME.
ADENA REGIONAL MEDICAL CENTER	Part V, Section B, Line 23: IN 2016, PATIENTS WOULD CALL IN AND REQUEST THE AGB AT WHICH POINT IT WOULD BE APPLIED. AS A RESULT, A SERIES OF PATIENTS WERE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED. THIS IS A PROCESS THAT HAS SINCE BEEN CORRECTED, APPLYING THE AGB TO ALL PATIENTS ELIGIBLE UNDER THE FAP. MEASURES ARE NOW BEING TAKEN TO APPLY REFUNDS TO ANY PATIENTS WHO HAVE BEEN ADVERSELY AFFECTED.
PART V, SECTION B, LINE 20A	A PLAIN LANGUAGE SUMMARY OF THE FAP IS NOT CURRENTLY ATTACHED, HOWEVER, THIS WILL BE COMPLETED BY NOVEMBER 15, 2017.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ADENA HEALTH PAVILION
4437 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER
2 - ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
3 - ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104	WAVERLY	OH	45690	AMBULATORY CARE CENTER
4 - ADENA URGENT CARE
55 CENTENNIAL BLVD	CHILLICOTHE	OH	45601	AMBULATORY CARE CENTER
5 - ADENA HOME CARE SERVICES
111 W WATER STREET	CHILLICOTHE	OH	45601	HOME HEALTH CARE AND HOSPICE
6 - ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVE	JACKSON	OH	45640	AMBULATORY CARE CENTER
7 - ADENA REHABILITATION AND WELLNESS CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	OUTPATIENT REHABILITATION CENTER
8 - ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREET	OAK HILL	OH	45656	PHYSICIAN OFFICES
9 - ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREET	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
10 - ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREET	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICES
11 - ADENA COUNSELING CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	MENTAL HEALTH COUNSELING
12 - ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTER	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
13 - ADENA ROSS UROLOGY
8 MEDICAL DRIVE	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
14 - ADENA FAMILY MEDICINE - GREENFIELD
536 MIRABEAU STREET	GREENFIELD	OH	45123	PHYSICIAN OFFICES
15 - ADENA FAMILY MEDICINE - WASHINGTON CH
308 HIGHLAND AVENUE SUITE C	WASHINGTON COURT HOU	OH	43160	PHYSICIAN OFFICES
16 - ADENA FAMILY MEDICINE - WELLSTON
118 SOUTH NEW YORK AVE SUITE A	WELLSTON	OH	45692	NURSE PRACTITIONER CLINIC
17 - ADENA FAMILY MEDICINE - HILLSBORO
160 ROBERTS LANE	HILLSBORO	OH	45133	URGENT CARE AND FAMILY PRACTICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $13,488,176 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 EVENTLITTLE BLESSINGS- GRANT PROVIDED TO KNIT HATS FOR NEWBORNSOHIO UNIVERSITY FOUNDATION- CAPITAL CAMPAIGN FOR OHIO UNIVERSITYROSS 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 MINUS THE PRESUMPTIVE CHARITY AMOUNT THAT WAS RECLASSED TO SCHEDULE H, PART I, LINE 7A.
Part III, Line 3:	THE HOSPITAL DEVELOPED, WITH THE HELP OF AN OUTSIDE VENDOR, A NEW PRESUMPTIVE CHARITY POLICY. THE HOSPITAL SENDS A QUARTERLY FILE OF ALL SELF-PAY BALANCES TO THE VENDOR. AFTER THE VENDOR PERFORMS THE CREDIT ANALYSIS, THE VENDOR CATEGORIZES THE CLAIMS INTO THREE CATEGORIES, A CATEGORY THAT WOULD NOT BE ELIGIBLE FOR CHARITY BASED ON THE HOSPITALS CHARITY POLICY, A GROUP THAT WOULD BE ELIGIBLE FOR A 60% CHARITY WRITEOFF, AND A THIRD CATEGORY THAT WOULD BE ELIGIBLE FOR A 100% WRITE OFF. AFTER THE VENDOR RETURNS THIS DATA, A REPORT OF RECEIPTS ON THESE SELF PAY BALANCES IS RUN; THE PAYMENTS RECEIVED SINCE THE FILE WAS SENT TO THE VENDOR IS USED TO REDUCE THE POTENTIAL PRESUMPTIVE CHARITY. THE REMAINING AMOUNT IS USED AS OUR PRESUMPTIVE CHARITY FOR SCHEDULE H, PART III, LINE 3.
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. "AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS ESTABLISHED BASED ON EXPECTED PAYMENT RATES FROM PAYORS UTILIZING CURRENT REIMBURSEMENT METHODOLOGIES AND PAYMENT RATES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE."
Part III, Line 8:	THE HOSPITAL MEDICARE ADVANTAGE PLAN AND THE PHYSICIAN MEDICARE ADVANTAGE PLAN INCURRED A SHORTFALL OF <$15,925,627> IN 2016. THIS SHORTFALL COMBINED WITH THE LONGFALL FROM TRADITIONAL MEDICARE SOURCES OF $5,484,128 RESULTS IN A NET MEDICARE SHORTFALL OF <$10,441,499>.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.
Part III, Line 9b:	ADENA HEALTH SYSTEM HAD A DEBT COLLECTION POLICY, HOWEVER, THIS WAS NOT WRITTEN UNTIL TAX YEAR 2017.
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. 7. LASTLY, WE DO A CREDIT SCORING IN ORDER TO DETERMINE "PRESUMPTIVE CHARITY." IN 2015, ALL SELF-PAY PATIENTS WERE SCORED.
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 2016 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 15 MEMBERS. ONE OF THE BOARD MEMBERS WAS AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR. ALL BUT ONE MEMBER OF THE BOARD MEMBERS RESIDE IN ROSS COUNTY OHIO.
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. 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), A COLLABORATION OF THE REGION'S THREE LARGEST HEALTHCARE PROVIDERS. 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	501(C)(3)	$466,974	PAYMENT OF ORGANIZATION EXPENSES
CHILLICOTHE CAVALIER CLUB
2710 S BRIDGE ST	CHILLICOTHE	OH	45601	311324783	501(C)(3)	$15,000	SCOREBOARD INSTALLMENT
UNITED WAY ROSS COUNTY
69 E WATER ST	CHILLICOTHE	OH	45601	314389671	501(C)(3)	$20,000	RELAY FOR LIFE
MIGHTY CHILDRENS MUSEUM
PO BOX 503	CHILLICOTHE	OH	45601	473052995	501(C)(3)	$21,000	RAISING FUNDS TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIV
ROSS COUNTY AGRICULTURAL SOCIETY
207 S QUARRY	BAINBRIDGE	OH	45612	316050864	501(C)(3)	$6,500	FREE RIDE DAY AT THE ROSS COUNTY FAIR AND STAGE FOR HEALTHY KIDS EVENT
LITTLE BLESSINGS INC
5095 DRY RUN RD	CHILLICOTHE	OH	45601	811865841	501(C)(3)	$5,000	TO KNIT HATS FOR NEWBORNS
OHIO UNIVERSITY FOUNDATION
104 MCGUFFEY HALL	ATHENS	OH	45701	316402113	501(C)(3)	$10,000	CAPITAL CAMPAIGN FOR OHIO UNIVERSITY- CHILLICOTHE
ROSS COUNTY CHILD PROTECTION CENTER
138 MARIETTA RD	CHILLICOTHE	OH	45601	311579825	501(C)(3)	$17,603	ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILBUR SEVER JAN-SEPT
TRUSTEE/EMPLOYED M.D.	$672,779	$0	$0	$0	$26,906	$0	$0	$0	$29,821	$0	$729,506	$0	$0	$0
HAVAL SAADLLA JAN-SEPT
TRUSTEE	$1,109,058	$0	$42,153	$0	$10,110	$0	$0	$0	$30,331	$0	$1,191,652	$0	$0	$0
WILLIAM STRAUCH SEPT-DEC
TRUSTEE	$502,600	$0	$2,015	$0	$8,766	$0	$0	$0	$28,299	$0	$541,680	$0	$0	$0
REGGINA YANDILA SEPT-DEC
TRUSTEE	$224,022	$0	$32,625	$0	$8,056	$0	$0	$0	$29,387	$0	$294,090	$0	$0	$0
ROBERT ROSENBERGER
CHIEF FINANCIAL OFFICER (JAN-OCT)	$338,255	$0	$0	$0	$29,902	$0	$9,811	$0	$27,982	$0	$405,950	$0	$0	$0
MARK SHUTER
CHIEF EXECUTIVE OFFICER (JAN-OCT)	$552,477	$0	$0	$0	$257,718	$0	$7,950	$0	$23,805	$0	$841,950	$0	$0	$0
JAY JUSTICE
INTERIM CHRO (FEB-OCT)	$229,508	$0	$0	$0	$0	$0	$346	$0	$2,806	$0	$232,660	$0	$0	$0
JOHN FORTNEY
INTERIM CEO	$399,200	$0	$0	$0	$39,934	$0	$7,950	$0	$22,451	$0	$469,535	$0	$0	$0
ERIC CECAVA
CHIEF OPERATING OFFICER	$365,003	$0	$0	$0	$24,004	$0	$6,105	$0	$24,866	$0	$419,978	$0	$0	$0
MARTHA LIVINGSTON
CHIEF BUSINESS DEVLOPMENT	$248,985	$0	$100	$0	$18,668	$0	$7,247	$0	$15,749	$0	$290,749	$0	$0	$0
ERIC PERDUE
CHIEF HUMAN RESOURCES	$22,811	$0	$0	$0	$198,265	$0	$449	$0	$83	$0	$221,608	$0	$0	$0
TIM CAHILL
GENERAL COUNSEL	$269,952	$0	$0	$0	$17,390	$0	$6,432	$0	$33,873	$0	$327,647	$0	$0	$0
BRIAN COHEN
EMPLOYED M.D.	$2,797,583	$0	$500	$0	$28,110	$0	$0	$0	$29,831	$0	$2,856,024	$0	$0	$0
THOMAS LEWIS
EMPLOYED M.D.	$843,700	$0	$0	$0	$9,066	$0	$0	$0	$30,333	$0	$883,099	$0	$0	$0
NEIL GHANY
EMPLOYED M.D.	$903,178	$0	$500	$0	$28,110	$0	$0	$0	$34,989	$0	$966,777	$0	$0	$0
JAMES MANAZER
EMPLOYED M.D.	$865,481	$0	$8,365	$0	$26,865	$0	$0	$0	$30,031	$0	$930,742	$0	$0	$0
KELLY GALLINA
EMPLOYED M.D.	$844,803	$0	$0	$0	$0	$0	$0	$0	$12,178	$0	$856,981	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY FOUR OF THE OFFICERS AND KEY EMPLOYEES. ADENA HEALTH SYSTEM PROVIDED A HOUSING ALLOWANCE TO ROBERT ROSENBERGER FOR TEN MONTHS IN THE AMOUNT OF $9,500. THIS BENEFIT HAS NOT BEEN TREATED AS TAXABLE COMPENSATION.
Part I, Line 4a	MARK SHUTER RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $72,692. ERIC PERDUE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $178,198.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF ROSS OHIO
A	316400085	778260EX3	2008-09-17	$141,346,983	CURRENT REFUNDING OF 2001 AND 2006 ISSUES	0	0	0
COUNTY OF ROSS OHIO
B	316400085		2010-09-15	$29,985,000	INFUSION CENTER AND INTERVENTIONAL RADIOLOGY	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,395,000	$196,860,219	$10,920,528	$1,366,439	$487,668	$184,085,584	2010	Yes (1)	0	Yes (1)	Yes (1)
B	$4,132,640	$30,087,491		$411,604		$29,675,887	2012	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	Yes (1)	0	0	0.00700		0.00700	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BAYERISCHE
A	0	0	0	Yes (1)	0	0	Yes (1)	LANDESBANK	3.000000000000	Yes (1)	0	0
(no name)
B	0	0	0	0	0	0	0				0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: COUNTY OF ROSS OHIO Date the Rebate Computation was Performed: 01/01/2013
SCHEDULE K, PART II, LINE 6	2001 AND 2006 ISSUES WERE REFUNDED ON OCTOBER 29, 2008. INCLUDED $116,560,000 OF PRINCIPAL AND $149,427 OF INTEREST. THIS IS FOR THE 2008 ISSUE.
SCHEDULE K, PART II, LINE 11	$11,750,000 OF ISSUE WAS USED TO PAY OFF QUALIFIED HEDGED RELATED TO THE 2001 AND 2006 BONDS. THIS IS FOR THE 2008 ISSUE.
SCHEDULE K, PART III, LINE 2	ADENA HEALTH SYSTEM LEASES APPROXIMATELY 300 SQUARE FEET TO A FOR PROFIT COMPANY THAT OPERATES A COFFEE KIOSK. THIS IS CONSIDERED DEMINIMUS SPACE AND SO 0% WAS PUT IN LINE 4 OF PART III. THIS IS FOR THE 2008 ISSUE. THE LEASE CEASED IN FALL OF 2012.
SCHEDULE K, PART IV, LINE 4A	PROCEEDS INVESTED IN GIC FROM 2006 ISSUE - UNUSED PORTION TRANSFERS TO 2008 ISSUE. THE GIC MATURED IN JULY 2009; THIS WAS 36 MONTHS AFTER THE DATE OF ISSUE. THIS IS FOR THE 2008 ISSUE.
SCHEDULE K, PART IV, LINE 2C	THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN FORTNEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	PHYSICIAN	RelationshipWithOrgTxt
Loan Purpose	STUDENT LOANS	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$11,214	OriginalPrincipalAmt
Balance Due	$8,989	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$8,989	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ROBIN BERNO
SPOUSE OF DIRECTOR JACK BERNO	$124,888	EMPLOYEE COMPENSATION	0
JENNIFER WHITE
DAUGHTER-IN-LAW OF BOARD DIRECTOR TOM WHITE	$100,720	EMPLOYEE COMPENSATION	0
JENNIFER STRICKLAND
RELATIVE OF CHAIR DAVID STRICKLAND	$30,614	EMPLOYEE COMPENSATION	0
MICHELLE PERDUE
SPOUSE OF KEY EMPLOYEE ERIC PERDUE	$69,766	EMPLOYEE COMPENSATION	0
TARA D'ANTONI
DAUGHTER-IN-LAW OF BOARD DIRECTOR RALPH D'ANTONI	$25,059	EMPLOYEE COMPENSATION	0
MARIA SMITH
SISTER OF BOARD DIRECTOR JOE WATSON	$110,302	EMPLOYEE COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 3	ADENA HEALTH SYSTEM PAID AN EXECUTIVE CONSULTING SERVICES FIRM, TATUM, FOR CFO DUTIES. LISA CARLSON WAS PAID $56,100 FROM TATUM FOR HER ROLE AS CHIEF FINANCIAL OFFICER.
Form 990, Part VI, Section A, line 6	THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. SALEM COMMUNITY CHURCH 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. ST. PETER'S CATHOLIC CHURCH
Form 990, Part VI, Section A, line 7a	THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION."
Form 990, Part VI, Section A, line 7b	SECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS.
Form 990, Part VI, Section B, line 11b	THE 990 WAS REVIEWED AT A BOARD MEETING, AND COPIES OF THE FORM 990 WERE PROVIDED TO THE BOD MEMBERS. ADDITIONALLY, COPIES OF THE 990 WERE MADE AVAILABLE ON THE HOSPITAL'S BOARD PORTAL AND IN ADMINISTRATION OFFICE UNTIL THE NOVEMBER 15 FILING DATE.
Form 990, Part VI, Section B, line 12c	THE CORPORATE COMPLIANCE OFFICE OF ADENA HEALTH SYSTEM ANNUALLY COORDINATES THE DISTRIBUTION AND RETURN OF THE CONFLICT OF INTEREST STATEMENTS. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. FRONT LINE SUPERVISORS UP THROUGH THE CEO, ADVANCED PRACTICE CLINICIANS, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Section B, line 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS MERCER, AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR ALL DISQUALIFIED PERSONS. MERCER 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 MERCER REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE DISQUALIFIED PERSONS. COMPENSATION WAS LAST REVIEWED IN 2016.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION PREPARES AN ANNUAL REPORT TO THE PUBLIC WHICH INCLUDES ITS STATEMENT OF REVENUES AND EXPENSES. ADDITIONALLY, ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON GUIDESTAR.ORG AS PART OF THE ANNUAL FORM 990 FILING.
Form 990, Part IX, line 11g	MEDICAL PROFESSIONAL FEES: Program service expenses 2,602,483. Management and general expenses -555,697. Fundraising expenses 0. Total expenses 2,046,786. PURCHASED SERVICES: Program service expenses 34,732,495. Management and general expenses 8,289,402. Fundraising expenses 0. Total expenses 43,021,897. FACILITY MAINTENANCE: Program service expenses 17,540,857. Management and general expenses 839,952. Fundraising expenses 0. Total expenses 18,380,809.
Form 990, Part XI, line 9:	TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -8,713,894. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS 1,913,600. intercompany receipts eliminated in consolidation 54,237. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE 674. TEMPORARILY RESTRICTED EXPENDITURES -111,671. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 2,266,858. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -444,744.
Form 990, Part XII, Line 2c:	THE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADENA MEDICAL GROUP LLC
DEPT L637	COLUMBUS	OH	43260	271370967	HEALTHCARE PROVIDERS	OH	$65,313,939	$5,523,640	ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	275340755	HEALTHCARE PROVIDERS	OH	$2,022,574	$261,040	ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752730	HEALTHCARE PROVIDERS	OH	$3,000,904	$288,558	ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752854	HEALTHCARE PROVIDERS	OH	$2,133,126	$940,773	ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	451138187	HEALTHCARE PROVIDERS	OH	$5,297,469	$704,567	ADENA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREENFIELD AREA MEDICAL CENTER
550 MIRABEAU ST	GREENFIELD	OH	45123	310993422	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	Yes (1)
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	FUNDRAISING	OH	501(C)(3)	11A	ADENA HEALTH SYSTEM	Yes (1)
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	261566590	FIBEROPTIC NETWORK GRANTS	OH	501(C)(3)	11A	ADENA HEALTH SYSTEM	Yes (1)
PIKE HEALTH SERVICES INC
100 DAWN LANE	WAVERLY	OH	45690	311072406	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
EIN	453980850	EIN
Primary Activities	SEE SCHEDULE R, PART VII	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$976,441	ShareOfTotalIncomeAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
R	$1,318,574	BOOK VALUE
PIKE HEALTH SERVICES
S	$250,028	BOOK VALUE
SOUTHERN OHIO HEALTHCARE NETWORK
S	$3,869,897	BOOK VALUE
ADENA HEALTH FOUNDATION
R	$114,283	BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

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