ADENA HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349308411
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T18:03:14-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	65 EAST STATE ST STE 600	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	314379443	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ADEN	NameControl
Phone	7407794478	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	45601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAWN BENNETT-JOHNSON	Name
Title	INTERIM CFO	Title
Phone	7407794478	Phone
Date Signed	2013-11-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BERNIE OSTROWSKI	Name
PTIN	P00366367	PTIN
Phone	6148493000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARK SHUTER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	45601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	397945385	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ADENA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	"TO HEAL, TO EDUCATE, TO CARE." THE 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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3213	TotalNbrEmployees
Total Nbr Volunteers	299	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4108646	ContributionsGrantsPriorYear
Contributions Grants Current Year	1407756	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	366151182	ProgramServiceRevenuePriorYear
Program Service Revenue CY	378441880	ProgramServiceRevenueCY
Investment Income Prior Year	5646835	InvestmentIncomePriorYear
Investment Income Current Year	4729565	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1874178	OtherRevenuePriorYear
Other Revenue Current Year	13256012	OtherRevenueCurrentYear
Total Revenue Prior Year	377780841	TotalRevenuePriorYear
Total Revenue Current Year	397835213	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	97223	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	788202	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	194995529	SalariesEtcPriorYear
Salaries Etc Current Year	210329286	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	184979996	OtherExpensePriorYear
Other Expenses Current Year	190672229	OtherExpensesCurrentYear
Total Expenses Prior Year	380072748	TotalExpensesPriorYear
Total Expenses Current Year	401789717	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2291907	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-3954504	RevenuesLessExpensesCY
Total Assets BOY	410696244	TotalAssetsBOY
Total Assets EOY	423361896	TotalAssetsEOY
Total Liabilities BOY	227847622	TotalLiabilitiesBOY
Total Liabilities EOY	230072795	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	182848622	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	193289101	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O"TO HEAL, TO EDUCATE, TO CARE." THE 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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	350424425	Expense
Grants	788202	Grants
Revenue	381381339	Revenue
Description	HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. THERE WERE 13,188 INPATIENTS AND 917,307 OUTPATIENTS IN 2012.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 49,535 EMERGENCY VISITS IN 2012.THE HOSPICE AND HOME HEALTH DEPARTMENTS PROVIDE MEDICAL CARE, MEDICATIONS, HOME HEALTH NEEDS, BEREAVEMENT COUNSELING PRESCRIPTIONS, FOOD AND SHELTER TO PATIENTS. THERE WERE 10,612 HOSPICE DAYS IN 2012.PHYSICIAN OFFICES: THERE WERE 358,492 PHYSICIAN OFFICE VISITS IN 2012.	Description
Total Program Service Expense	350424425	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	142	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3213	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAWN BENNETT JOHNSON INTERIM CFO	NamePerson
Telephone Number	7407794200	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	456019031	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DEBORAH BARRINGTON
DIRECTOR	2.00	0.00	X	0	0	0
JACK BERNO
DIRECTOR/EMPLOYED M.D.	50.00	0.00	X	296346	0	12909
STEVEN BURKHARDT
DIRECTOR/TREASURER	2.00	0.00	X	0	0	0	X
RALPH D'ANTONI
DIRECTOR	2.00	0.00	X	0	0	0
GARY EVANS
DIRECTOR	2.00	0.00	X	0	0	0
JAMES GROVE
DIRECTOR	2.00	0.00	X	0	0	0
CHAD HARRIS
DIRECTOR/VICE-CHAIRMAN	2.00	0.00	X	0	0	0	X
MIKE LILLY
DIRECTOR/SECRETARY	2.00	2.00	X	0	0	0	X
MATTHEW SCHMIDT
DIRECTOR	2.00	0.00	X	0	0	0
WILBUR SEVER
DIRECTOR/EMPLOYED M.D.	50.00	0.00	X	712322	0	31814
ALLEN SHAW
DIRECTOR/EMPLOYED M.D.	50.00	0.00	X	212563	0	10149
DAVE STRICKLAND
DIRECTOR/CHAIRMAN	2.00	0.00	X	0	0	0	X
TOM WHITE
DIRECTOR	2.00	0.00	X	0	0	0
NOBLE YOSHIDA
DIRECTOR	2.00	0.00	X	0	0	0
DAWN BENNETT JOHNSON
INTERIM CHIEF FINANCIAL OFFICER	46.00	4.00		48654	0	0	X
KEITH COLEMAN
CHIEF FINANCIAL OFFICER	46.00	4.00		369508	0	75281	X
MARK SHUTER
CHIEF EXECUTIVE OFFICER	46.00	4.00		727072	0	192602	X
ETHELBERT BAKER
EMPLOYED M.D.	50.00	0.00		648635	0	31160		X
KAREN BOLTON
GENERAL COUNSEL	45.00	6.00		270933	0	12460		X
LLOYD COATS
EMPLOYED M.D.	50.00	0.00		378884	0	28526		X
NATALIE DI LONNO
ASSISTANT GENERAL COUNSEL	45.00	6.00		167141	0	29465		X
MICHELLE FEDERER
EMPLOYED M.D.	50.00	0.00		389253	0	16305		X
JOHN FORTNEY
CHIEF MEDICAL OFFICER	50.00	0.00		422907	0	50313		X
ANTHONY FREEMAN
EMPLOYED M.D.	50.00	0.00		875659	0	31160		X
JEFFREY GRAHAM
CHIEF OPERATING OFFICER	50.00	0.00		163818	0	8048		X
JUDITH HENSON
CHIEF NURSING OFFICER	50.00	0.00		160902	0	30312		X
SATHISH JETTY
EMPLOYED M.D.	50.00	2.00		413122	0	18514		X
MARTHA LIVINGSTON
CHIEF BUSINESS DEVLOPMENT OFFICER	50.00	0.00		184162	0	24452		X
DENISE MINOR
CHIEF NURSING OFFICER	50.00	0.00		178775	0	6864		X
MARK MOFFITT
CHIEF INFORMATION OFFICER	50.00	0.00		150505	0	33829		X
ERIC PERDUE
CHIEF HUMAN RESOURCES	50.00	0.00		169658	0	31434		X
BARBARA PURDOM
CHIEF OPERATING OFFICER	50.00	0.00		316734	0	21310		X
FAITHA SHELTON
SYSTEM DIRECTOR PRACTICE OPERATIONS	50.00	0.00		180755	0	36632		X
KIRK TUCKER
EMPLOYED M.D.	50.00	0.00		334123	0	18514		X
JOHN YOUNG
EMPLOYED M.D.	50.00	0.00		1068225	0	25555		X
BRIAN COHEN
EMPLOYED M.D.	50.00	0.00		2832624	0	25555			X
JAMES FLEMING
EMPLOYED M.D.	50.00	0.00		807493	0	31160			X
KORT GRONBACH
EMPLOYED M.D.	50.00	0.00		881950	0	31056			X
THOMAS LEWIS
EMPLOYED M.D.	50.00	0.00		857194	0	31160			X
MICHAEL VIETTI
EMPLOYED M.D.	50.00	0.00		859383	0	31160			X
DOUGLAS FOLZENLOGEN
FORMER DIRECTOR	50.00	0.00		366196	0	18514				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15445496	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	946213	TotalOtherCompensation
Number Individuals GT100 K	241	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KINGS MEDICAL COMPANY
PO BOX 72483	CLEVELAND	OH	44192	MRI SERVICES	2076641
TATUM LLC
PO BOX 847872	DALLAS	TX	752847872	STAFFING SERVICES	2015565
MEDICAL DOCTOR ASSOCIATES
PO BOX 277185	ATLANTA	GA	303847185	MEDICAL STAFFING SERVICES	1179196
INTERIM PHYSICIANS LLC
PO BOX 790379	STLOUIS	MO	631790379	MEDICAL STAFFING SERVICES	852164
THE PENDLETON GROUP INC
200 CHARTWELL PT ROAD	SENECA	SC	29672	CONSULTING	433402

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Membership Dues	31975	MembershipDues
Fundraising Events	2380	FundraisingEvents
Related Organizations	764428	RelatedOrganizations
Government Grants	436386	GovernmentGrants
All Other Contributions	172587	AllOtherContributions
Total Contributions	1407756	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SVC REV	Description
Business Code	622110	BusinessCode
Total Revenue Column	378441880	TotalRevenueColumn
Related Or Exempt Function Income	378441880	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	378441880	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4719893	TotalRevenueColumn
Exclusion	$4,719,893	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2907253	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2907253	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2907253	TotalRevenueColumn
Exclusion	$2,907,253	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	15716	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	6044	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	9672	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9672	TotalRevenueColumn
Exclusion	$9,672	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	48213	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	2380	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	51180	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-2967	TotalRevenueColumn
Exclusion	-$2,967	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	138874	GrossSalesOfInventory
Cost Of Goods Sold	52948	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	85926	TotalRevenueColumn
Related Or Exempt Function Income	85926	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR IMPLEMENTATION	622110	4764713	$4,764,713
FOOD & NUTRITION	622110	1436317	$1,436,317
CONSULTING FEES	622110	1389659		1389659

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2675111	TotalRevenueColumn
Related Or Exempt Function Income	1463874	RelatedOrExemptFunctionIncome
Exclusion	$1,211,237	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10265800	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	397835213	TotalRevenueColumn
Related Or Exempt Function Income	381381339	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$15,046,118	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	788202	Total
Program Services	788202	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	16517745	Total
Program Services	13203787	ProgramServices
Management And General	3313958	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	148997610	Total
Program Services	143901231	ProgramServices
Management And General	5096379	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10115119	Total
Program Services	7849333	ProgramServices
Management And General	2265786	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	34698812	Total
Program Services	25952193	ProgramServices
Management And General	8746619	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	657529	Total
Program Services	563909	ProgramServices
Management And General	93620	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	669957	Total
Management And General	669957	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	120000	Total
Management And General	120000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39757298	Total
Program Services	21874406	ProgramServices
Management And General	17882892	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	290336	Total
Program Services	216160	ProgramServices
Management And General	74176	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14257718	Total
Program Services	9114450	ProgramServices
Management And General	5143268	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4592377	Total
Program Services	4592377	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12595407	Total
Program Services	12595407	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	964520	Total
Program Services	664089	ProgramServices
Management And General	300431	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8833304	Total
Program Services	6854644	ProgramServices
Management And General	1978660	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22409705	Total
Program Services	13620701	ProgramServices
Management And General	8789004	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2819530	Total
Program Services	2687582	ProgramServices
Management And General	131948	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	61183546	61183546	0
BAD DEBT EXPENSE	25522738	25522738	0
OVERHEAD ALLOCATION	-4001736	-760330	-3241406

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	401789717	Total
Program Services	350424425	ProgramServices
Management And General	51365292	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10848	BOY
EOY	10343	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	75912428	BOY
EOY	75023140	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4554026	BOY
EOY	4877872	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	44303899	BOY
EOY	38926587	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	159180	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5582037	BOY
EOY	5150603	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3046536	BOY
EOY	9902850	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	365946902	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	209445403	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	155999265	BOY
EOY	156501499	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	114131981	BOY
EOY	114226562	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7155224	BOY
EOY	18583260	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	410696244	BOY
EOY	423361896	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32054059	BOY
EOY	36977454	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	178919218	BOY
EOY	178918450	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16874345	BOY
EOY	14176891	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	227847622	BOY
EOY	230072795	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	182286137	BOY
EOY	192560681	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	562485	BOY
EOY	728420	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	182848622	BOY
EOY	193289101	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	410696244	BOY
EOY	423361896	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-3954504	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	6000793	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8394190	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$1,756	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1756	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1050463	BeginningOfYearBalance
Contributions	1142201	Contributions
Investment Earnings Or Losses	169101	InvestmentEarningsOrLosses
Grants Or Scholarships	192806	GrantsOrScholarships
End Of Year Balance	2168959	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	979299	BeginningOfYearBalance
Contributions	48900	Contributions
Investment Earnings Or Losses	30021	InvestmentEarningsOrLosses
Grants Or Scholarships	7757	GrantsOrScholarships
End Of Year Balance	1050463	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	859540	BeginningOfYearBalance
Contributions	50593	Contributions
Investment Earnings Or Losses	101333	InvestmentEarningsOrLosses
Grants Or Scholarships	32167	GrantsOrScholarships
End Of Year Balance	979299	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	762259	BeginningOfYearBalance
Contributions	170668	Contributions
Investment Earnings Or Losses	85016	InvestmentEarningsOrLosses
Other Expenditures	158403	OtherExpenditures
End Of Year Balance	859540	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	615256	BeginningOfYearBalance
Contributions	263999	Contributions
Investment Earnings Or Losses	641	InvestmentEarningsOrLosses
Grants Or Scholarships	18520	GrantsOrScholarships
Other Expenditures	99117	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	762259	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2648975	OtherCostOrOtherBasis
Book Value	2648975	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	165766734	OtherCostOrOtherBasis
Depreciation	59180475	Depreciation
Book Value	106586259	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10302964	OtherCostOrOtherBasis
Depreciation	10302964	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	179653398	OtherCostOrOtherBasis
Depreciation	135086368	Depreciation
Book Value	44567030	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7574831	OtherCostOrOtherBasis
Depreciation	4875596	Depreciation
Book Value	2699235	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	156501499	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED MALPRACTICE INSURANCE - LT	$7,152,468
DEFINED BENEFIT PLAN LIABILITY	$7,024,423

Field	Value	IRS element (for citing)
Total Of Amounts	14176891	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR PACCAR MEDICAL EDUCATION CENTER.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED AS OF DECEMBER 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THAT IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	CHARITY BALL	NameOfEvent1
Gross Receipts Event1	18172	GrossReceiptsEvent1
Charitable Contributions Event1	2380	CharitableContributionsEvent1
Gross Revenue Event1	15792	GrossRevenueEvent1
Rent Facility Costs Event1	1403	RentFacilityCostsEvent1
Food And Beverage Event1	849	FoodAndBeverageEvent1
Other Direct Expenses Event1	16094	OtherDirectExpensesEvent1
Name Of Event2	PLANT SALE	NameOfEvent2
Gross Receipts Event2	32421	GrossReceiptsEvent2
Gross Revenue Event2	32421	GrossRevenueEvent2
Other Direct Expenses Event2	32834	OtherDirectExpensesEvent2
Gross Receipts Total	50593	GrossReceiptsTotal
Charitable Contributions Total	2380	CharitableContributionsTotal
Gross Revenue Total Events	48213	GrossRevenueTotalEvents
Rent Facility Costs Total Events	1403	RentFacilityCostsTotalEvents
Food And Beverage Total Events	849	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	48928	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	51180	DirectExpenseSummaryEvents
Net Income Summary	-2967	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17682745	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6383959	DirectOffsettingRevenue
Net Community Benefit Expense	11298786	NetCommunityBenefitExpense
Percent Of Total Expense	0.03000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68482397	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44184191	DirectOffsettingRevenue
Net Community Benefit Expense	24298206	NetCommunityBenefitExpense
Percent Of Total Expense	0.06460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	86165142	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50568150	DirectOffsettingRevenue
Net Community Benefit Expense	35596992	NetCommunityBenefitExpense
Percent Of Total Expense	0.09460	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	670854	TotalCommunityBenefitExpense
Net Community Benefit Expense	670854	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1016884	TotalCommunityBenefitExpense
Direct Offsetting Revenue	492733	DirectOffsettingRevenue
Net Community Benefit Expense	524151	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54926	TotalCommunityBenefitExpense
Net Community Benefit Expense	54926	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1742664	TotalCommunityBenefitExpense
Direct Offsetting Revenue	492733	DirectOffsettingRevenue
Net Community Benefit Expense	1249931	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	87907806	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51060883	DirectOffsettingRevenue
Net Community Benefit Expense	36846923	NetCommunityBenefitExpense
Percent Of Total Expense	0.09790	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	26177	TotalCommunityBuildingExpense
Net Community Building Expense	26177	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	26177	TotalCommunityBuildingExpense
Net Community Building Expense	26177	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$25,522,738	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	67706848	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62723307	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4983541	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	0	WrittenDebtCollectionPolicy
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	45601	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	15	NumberOfOtherFacilities

Other Facilities OtherFacilities (15 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ADENA HEALTH PAVILION
4437 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA URGENT CARE
55 CENTENNIAL BLVD	CHILLICOTHE	OH	45601	AMBULATORY CARE CENTER
ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104	WAVERLY	OH	45690	AMBULATORY CARE CENTER
ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVE	JACKSON	OH	45640	AMBULATORY CARE CENTER
ADENA HOME CARE SERVICES
111 W WATER STREET	CHILLICOTHE	OH	45601	HOME HEALTH CARE AND HOSPICE
ADENA REHABILITATION AND WELLNESS CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	OUTPATIENT REHABILITATION CENTER
ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREET	OAK HILL	OH	45656	PHYSICIAN OFFICES
ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREET	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREET	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICES
ADENA COUNSELING CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	MENTAL HEALTH COUNSELING
ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTER	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA ROSS UROLOGY
8 MEDICAL DRIVE	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - GREENFIELD
536 MIRABEAU STREET	GREENFIELD	OH	45123	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - WASHINGTON CH
308 HIGHLAND AVENUE SUITE C	WASHINGTON COURT HOU	OH	43160	PHYSICIAN OFFICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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, L7 COL(F): BAD DEBT EXPENSE OF $25,522,738 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART III, LINE 4: PART III, LINE 2:THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS. PART III LINE 3:IN DETERMINING THE APPROPRIATE AMOUNT TO BE RECORDED ON PART III, LINE 3, ALL SELF PAY CLAIMS ARE TURNED OVER TO A COLLECTION VENDOR. THE VENDOR DETERMINES IF THE CLAIM IS CHARITY AFTER THE PATIENT SUPPLIES APPROPRIATE DOCUMENTATION. HOWEVER, THE HOSPITAL HAD AN OUTSIDE CREDIT AGENCY REVIEW TWO MONTHS OF BAD DEBT TRANSACTIONS AND DETERMINED THAT 39% OF THE AMOUNT BOOKED AS BAD DEBT EXPENSE RELATED TO UNCOMPENSATED CHARITY CARE. THE HOSPITAL RECLASSED $16,422,776 FROM BAD DEBT EXPENSE TO CHARITY CARE. BAD DEBT EXPENSE BEFORE THIS RECLASS WAS $41,945,514 LEAVING $25,522,738 AS BAD DEBT EXPENSE. BASED ON THIS ANALYSIS AND RECLASS, THE HOSPITAL ESTIMATES THAT $0 OF THE BAD DEBT EXPENSE REPORTED IN PART III LINE 2 ARE AMOUNTS THAT WOULD BE ATTRIBUTABLE TO PATIENTS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PART III LINE 4: WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA REGIONAL MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "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 INCURRED A SHORTFALL OF $8,939,227 IN 2012. THE PHYSICIAN MEDICARE ADVANTAGE PLAN INCURRED A SHORTFALL OF $3,843,410 IN 2012. OUR SERVICE AREA IS A RURAL 13 COUNTY AREA IN SOUTHERN OHIO. THE POPULATION IS AN AGING POPULATION WHICH RESULTS IN MEDICARE AS OUR LARGEST PAYER GROUP. IN ADDITION, THE ECONOMIC CONDITIONS THAT RESULT FROM APPALACHIAN DESIGNATION CREATE A RECRUITING ISSUE. TO COMBAT THE ISSUE, WE ARE FORCED TO NOT ONLY EMPLOY PHYSICIANS BUT MUST PAY A PREMIUM TO GET THEM TO AGREE TO SERVE THE AREA'S RESIDENTS. 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 V, SECTION B, LINE 20D: THE PATIENT IS INITIALLY CHARGED REGULAR HOSPITAL RATES FOR SERVICES PERFORMED. THE PATIENT THEN COMPLETES AN APPLICATION FOR FINANCIAL AID FORM AND RETURNS IT TO THE FINANCIAL COUNSELORS, EMPLOYED BY AN OUTSIDE AGENCY. HCAP/CHARITY ADJUSTMENTS ARE ADMINISTERED BASED ON PROOF OF INCOME AND THE TABLES OF THE FEDERAL POVERTY LIMITS (FPL) AND THE MAXIMUM AMOUNT CHARGED IS CALCULATED IN THE FOLLOWING MANNER: 1. 100% WRITE-OFF AND HCAP ELIGIBLE - LESS THAN 100% FPL 2. 90% WRITE-OFF - BETWEEN 101 - 150% OF FPL 3. 75% WRITE-OFF - BETWEEN 151 - 250% OF FPL 4. 50% WRITE-OFF - BETWEEN 251 - 350% FPL 5. 25% WRITE-OFF BETWEEN 351 - 400% FPL 6. 0% WRITE-OFF - GREATER THAN 400% FPL. MANAGEMENT DECIDED TO LIMIT THE DISCOUNT TO THOSE UNDER THE 400% FPL, BASED ON MANAGEMENT'S EXPERIENCE AT OTHER INSTITUTIONS ALONG WITH A CURSORY REVIEW OF HOSPITALS IN THE LOCAL MARKET.	ADENA REGIONAL MEDICAL CENTER
THE HOSPITAL'S FAP DISCUSSES, AT A HIGH LEVEL, ACTIONS THE HOSPITAL MAKE TAKE IN COLLECTION EFFORTS. THE HOSPITAL IS IN PROCESS OF FINALIZING A SEPARATE BILLING AND COLLECTION POLICY. FURTHERMORE, THE HOSPITAL HAS AUTOMATED PARAMETERS IN IT'S SOFTWARE TO ENSURE PROPER BILLING AND COLLECTION PRACTICES ARE FOLLOWED.		SCHEDULE H, SECTION B, PART V, LINE 15
THE STUDY COMPLETED BY THE OHIO STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH'S CENTER FOR PUBLIC HEALTH PRACTICE REFLECTS THE COMMUNITY HEALTH STATUS OF ADENA HEALTH SYSTEM'S SERVICE REGION. ADENA ALSO MEASURES THE NEEDS OF COMMUNITIES AND POPULATIONS BASED ON APPLICATIONS IT RECEIVES FROM AREA NONPROFIT ORGANIZATIONS, INCLUDING SCHOOLS. THE STUDY'S COMMON FINDINGS SHOW THAT THOSE LIVING IN ADENA'S SERVICE REGION ARE AMONG OHIO'S MOST VULNERABLE POPULATIONS. OUR COMMUNITY FACES UNIQUE HEALTH RISKS AND BARRIERS AS A RESULT OF SOCIAL STATUS, HUMAN CAPITAL, SOCIAL CAPITAL AND RISK. MANY REQUIRE SPECIAL SERVICES AND/OR ENHANCED OUTREACH. A SERIOUS THREAT TO THE OVERALL HEALTH OF PEOPLE IN ADENA'S SERVICE AREA IS OBESITY. THE MAJORITY OF PEOPLE IN OUR SERVICE REGION ARE OVERWEIGHT OR OBESE. OVERWEIGHT AND OBESE PEOPLE ARE AT RISK OF DEVELOPING CONDITIONS SUCH AS DIABETES, HYPERTENSION AND HIGH CHOLESTEROL, AMONG OTHER CONDITIONS THAT LEAD TO CHRONIC DISEASE. CHILDREN ARE AT SIMILAR RISKS FOR HEALTH PROBLEMS WHEN OVERWEIGHT OR OBESE, WHICH COULD HAVE A LONG TERM IMPACT ON THEIR LIVES. THE INCIDENCE OF DIABETES, CANCER AND HEART DISEASE ARE PROMINENT IN ADENA'S PATIENT POPULATION. MORTALITY STUDIES COMPARING ADENA'S SERVICE REGION TO U.S, OHIO AND PEER COUNTY RATES SHOW DEATH RATES FROM CARDIOVASCULAR DISEASE AND CANCER ARE OF CONCERN. COUNTY HEALTH RANKINGS DATA INDICATES THAT NINE OF TWELVE COUNTIES IN THE ADENA SERVICE REGION RANK IN THE BOTTOM 25 PERCENT IN HEALTH OUTCOMES. THE MAJORITY OF OUR COMMUNITY OUTREACH EFFORTS ARE FOCUSED ON EDUCATING OUR PATIENTS ON THE IMPORTANCE OF BETTER HEALTHCARE, POSITIVE LIFESTYLE DECISIONS AND DISEASE PREVENTION - AND GUIDING THEM ON THEIR HEALTHCARE JOURNEY.		SCHEDULE H, PART VI, LINE 2
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% GUIDELINES ON THE BACKSIDE OF THE STATEMENT. 2. THERE IS SIGNAGE EXPLAINING THE PROGRAM AT ALL THE REGISTRATION AREAS. 3. A CONTRACTED VENDOR SUPPLIES STAFF AT THE CASHIER AREA TO 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 UTILIZE A "HINDSIGHT" VENDOR THAT SCREENS ALL BAD DEBT ACCOUNTS, AFTER THE YEAR-END, AGAINST THE STATE MEDICAID ELIGIBILITY AND FEDERAL POVERTY GUIDELINES TO ATTEMPT ONE LAST EFFORT TO OBTAIN FINANCIAL ASSISTANCE FOR INDIVIDUALS.		SCHEDULE H, PART VI, LINE 3
ADENA HEALTH SYSTEM SERVES THE NEEDS OF MORE THAN 500,000 PEOPLE IN 12 COUNTIES IN SOUTH CENTRAL OHIO. ADENA REGIONA MEDICAL CENTER IS LOCATED IN CHILLICOTHE, OHIO. CHILLICOTHE IS A CITY OF 21,700 LOCATED IN ROSS COUNTY AND SERVES A POPULATION OF APPROXIMATELY 78,800 RESIDENTS. THE FOLLOWING DETAILS THE NUMBER OF PEOPLE IN THE ADENA SERVICE REGION GROUP BY VULNERABILITIES. 18.9% NO HIGH SCHOOL DIPLOMA 6.8% UNEMPLOYED 43.9% DEPRESSION 8% RECENT DRUG USER, 32% OBESE, DISABILITY PREVALENCE RATES ARE 16.7% - 22% POVERTY LEVELS RANGE FROM 11.1% TO 27.7%. THE POVERTY RATE RANGE FOR OHIO IS 8.1% TO 21.2%. A HIGH PROPORTION OF ADENA PATIENTS HAVE NO OR LIMITED HEALTH INSURANCE COVERAGE, THESE INCLUDE: 23.4% UNINSURED 12.3% MEDICARE BENEFICIARIES 27.5% MEDICAID BENEFICIARIES DATA SHOWS THAT NEARLY 25 PERCENT OF ADENA'S SERVICE REGION RESIDENTS ARE UNINSURED. WHILE SLIGHTLY BELOW THE STATE AVERAGE OF 16%, THIS PERCENTAGE MAY INCREASE DUE TO THE ECONOMIC CLIMATE AND UNEMPLOYMENT RATES. FACTORS THAT MAY CONTRIBUTE TO THE REGION'S MORBIDITY AND MORTALITY RATES.		SCHEDULE H, PART VI, LINE 4
ADENA HEALTH SYSTEM SERVES NEARLY A HALF-MILLION PATIENTS IN OHIO'S APPALACHIAN REGION. MANY PEOPLE IN THE REGION STRUGGLE WITH OBESITY, DIABETES AND HEART DISEASE. IN ADDITION, POVERTY LEVELS IN THE REGION ARE AMONG THE HIGHEST IN THE STATE. MANY OF OUR PATIENTS ARE IN NEED FINANCIALLY AND IN TERMS OF HEALTH COVERAGE. ADENA AND ITS EMPLOYEES RECOGNIZE THE VALUE OF OUR HEALTHCARE SERVICES FOR THOSE OUR COMMUNITIES, IN ADDITION TO THE VARIETY OF NEEDS MANY OF OUR PATIENTS HAVE. TO MEET THOSE NEEDS, ADENA AND ITS EMPLOYEES PARTICIPATED IN THE FOLLOWING ACTIVITIES AND SERVICES TO ENHANCE THE HEALTH AND WELL-BEING OF THE PATIENTS WE SERVE. HOPE CLINIC: ABOUT 18 PERCENT OF ROSS COUNTY RESIDENTS, OR NEARLY ONE-IN-FIVE, HAVE NO FORM OF HEALTH INSURANCE. TO ENSURE ACCESS TO HEALTH CARE, THE HOPE CLINIC OF ROSS COUNTY WAS IN DEVELOPMENT IN 2011 (OPENING IN JANUARY 2012). ADENA WAS INVOLVED IN THE PLANNING AND PREPARATION. ONCE OPEN, ADENA PHYSICIANS AND NURSES WILL VOLUNTEER THEIR TIME AT THE CLINIC, PROVIDING FREE HEALTH CARE TO THOSE NEEDING IT THE MOST. ADENA (PACCAR) MEDICAL EDUCATION CENTER: BASIC FIRST AID AND CPR COURSES PROVIDED TO ORGANIZATIONS WITHIN THE REGION SERVED BY ADENA HEALTH SYSTEM. THE COURSES HELP EDUCATE THE PUBLIC ABOUT WHAT THEY CAN DO WHEN FACED WITH A MEDICAL EMERGENCY, UNTIL PROFESSIONAL HELP ARRIVES. AMONG THOSE WHO HAVE TAKEN ADVANTAGE OF THE COURSES ARE AREA ORGANIZATIONS INCLUDING: BIG BROTHERS AND BIG SISTERS, KENWORTH TRUCKING, MCDONALD'S RESTAURANTS, ROSS COUNTY ENGINEER'S OFFICE, ROSS COUNTY HEALTH DEPARTMENT AND SOUTHERN OHIO EYE SURGERY CENTER. IN ADDITION TO FIRST AID AND CPR COURSES, ADENA'S COMMUNITY COURSE OFFERINGS INCLUDE ADVANCED CARDIAC LIFE SUPPORT AND A NEONATAL RESUSCITATION PROGRAM. ATHLETIC TRAINERS: TO ENSURE THE SAFETY AND HEALTH OF LOCAL TEEN ATHLETES, ADENA PROVIDES ATHLETIC TRAINERS FREE-OF-CHARGE TO SEVEN HIGH SCHOOLS IN FOUR COUNTIES IN ITS SERVICE REGION. ADENA SPORTS MEDICINE PHYSICIANS ARE AVAILABLE ON SATURDAY MORNING'S TO EVALUATE LOCAL ATHLETES' INJURIES. THE HEALTH SYSTEM'S ATHLETIC TRAINERS ALSO PROVIDE COMMUNITY EDUCATIONAL PROGRAMS, INCLUDING REHABILITATION AND NUTRITION EDUCATION, CPR CLASSES AND SCHOOL SPORTS PHYSICALS. IN ADDITION, OUR TRAINERS PROVIDE FREE SERVICES AT COMMUNITY EVENTS INCLUDING: GUS MACKER 3-ON-3 TOURNAMENT, OHSAA BASEBALL ALL-STAR TOURNAMENT, AND VARIOUS OTHER EVENTS. EMPLOYEES GIVING BACK: COATS FOR KIDS: FOR THE FOURTH YEAR, ADENA EMPLOYEES RAISED HUNDREDS OF COATS FOR CHILDREN FROM LOW-INCOME HOMES THROUGHOUT OUR SERVICE REGION. MORE THAN 300 NEW OR GENTLY USED COATS WERE DONATED IN 2012. FOOD PANTRY ASSISTANCE: ADENA'S STRATEGY DIVISION PACKED 700 BAGS OF GROCERIES (4,900 CANS) AT THE GOOD SAMARITAN FOOD PANTRY, AS A WAY OF HELPING THE LESS FORTUNATE IN THE AREA DURING THANKSGIVING. THE UNEMPLOYMENT RATE FOR THE REGION IS HIGHER THAN AVERAGE AND THE FOOD PANTRY IS CRUCIAL IN FEEDING MANY FAMILIES. PEDIATRIC AUCTION: STAFF OF ADENA PEDIATRICS HELD AN IN-HOUSE CHARITY AUCTION WITH PROCEEDS GOING TO NEEDY CHILDREN IN THE COMMUNITY. MORE THAN $1,600 WAS RAISED AND DONATED TO 15 CHILDREN WHO WERE IDENTIFIED BY THE SALVATION ARMY AS HAVING SIGNIFICANT NEED. RAISING AWARENESS OF SEXUAL VIOLENCE: ADENA PARTNERED WITH THE ROSS COUNTY SEXUAL ASSAULT RESPONSE TEAM TO HOST "TAKE A WALK IN HER SHOES" EVENT TO RAISE MONEY AND AWARENESS TO THE PROBLEM OF SEXUAL VIOLENCE IN THE REGION. $2,000 WAS RAISED TO TRAIN VOLUNTEER SEXUAL ASSAULT VICTIM ADVOCATES. FREE MAMMOGRAMS: HUNDREDS OF UNINSURED AND UNDERINSURED WOMEN IN ADENA'S SERVICE REGION RECEIVED MAMMOGRAMS AS PART OF THE "A PROMISE TO KEEP" PROGRAM. THE HEALTH SYSTEM APPLIED FOR GRANT FUNDING TO HELP COVER SOME COST OF THE PROGRAM, WHICH IS VITAL IN FINDING BREAST CANCER EARLY. WOMEN IN APPALACHIA ARE TYPICALLY DIAGNOSED IN MORE ADVANCED STAGES OF THE DISEASE, DUE TO LACK OF INSURANCE OR EDUCATION ON THE IMPORTANCE OF MAMMOGRAPHY. KID SHAPE: OBESITY IS A MAJOR HEALTH CONCERN IN ADENA'S SERVICE AREA. TO HELP CHILDREN AND THEIR FAMILIES LEARN ABOUT EATING HEALTHY AND LOSE WEIGHT, ADENA DIETICIANS TEACH THE EIGHT-WEEK KID SHAPE COURSE. THE ADENA HEALTH FOUNDATION COVERS 2/3 OF THE COST OF THE PROGRAM TO ENSURE PARTICIPATION IS NOT COSTLY. EIGHTY-SEVEN PERCENT OF KIDSHAPE PARTICIPANTS LOSE WEIGHT AND 80% OF PARTICIPANTS KEEP THE WEIGHT OFF AFTER TWO YEARS. ADENA WEIGH: TO COMBAT OBESITY IN OUR COMMUNITY, ADENA SPONSORS A WEIGHT LOSS AND LIFESTYLE COACHING PROGRAM WITH A REGISTERED DIETITIAN TO IMPROVE THE HEALTH OF OUR PATIENTS AND STAFF. A REGISTERED DIETITIAN ASSESSES THE CLIENT'S DIET QUALITY AND MAKES RECOMMENDATIONS FOR HEALTH IMPROVEMENT AND WEIGHT LOSS. PATIENTS LEARN THEIR BODY MASS INDEX, WAIST CIRCUMFERENCE, HEALTH RISKS BASED ON YOUR EATING HABITS, DIET IMPROVEMENT AND DETERMINE A WEIGHT LOSS GOAL. DONATION TO OPEN COMMUNITY POOL: WHEN THE CITY OF CHILLICOTHE DID NOT HAVE THE FUNDS TO OPEN THE COMMUNITY SWIMMING POOL, ADENA STEPPED UP WITH A $10,000 DONATION. MANY IN THE COMMUNITY DO NOT HAVE THE MEANS TO AIR CONDITION THEIR HOMES, AND THE POOL SERVES AS A WAY FOR FAMILIES TO STAY COOL IN THE HOT WEATHER, AS WELL AS OFFERS THE HEALTH BENEFITS INVOLVED IN SWIMMING AND BEING ACTIVE. COMMUNITY EDUCATION: ADENA PERSONNEL PARTICIPATE IN NUMEROUS HEALTH SCREENINGS AND HEALTH EDUCATION EVENTS TO PROMOTE BETTER HEALTH AND LIFESTYLE CHOICES TO THOSE LIVING IN OUR SERVICE AREA. THESE INCLUDE VISITS TO SCHOOLS, SENIOR CENTER, COMMUNITY ORGANIZATIONS, AND MORE. HEALTHCARE CAREER EVENT: ADENA HOSTS A HEALTHCARE CAREER NIGHT FOR STUDENTS IN GRADES 7 THROUGH 12. AT THE EVENT, COLLEGES AND UNIVERSITIES PRESENT INFORMATION ABOUT CAREERS IN HEALTHCARE AND THE CURRICULUM AVAILABLE FOR STUDENTS. INFORMATION PRESENTED IN BREAKOUT SESSIONS INCLUDE: EMS, MEDICAL ASSISTANT, MEDICAL OFFICE, MEDICAL THERAPIES, NON-DIRECT PATIENT CARE, NURSING, PHYSICIAN, PHYSICIAN ASSISTANT, PHARMACY, RADIOLOGY RESPIRATORY AND SIMULATION - VIRTUAL HOSPITAL.		SCHEDULE H, PART VI, LINE 5
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 AND WAVERLY, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE AND WAVERLY. 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 PARTNERSHIP OF THE REGION'S THREE LARGEST HEALTHCARE PROVIDERS -- ADENA, O'BLENESS HEALTH SYSTEM AND HOLZER CONSOLIDATED HEALTH SYSTEMS. 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 H, PART VI, LINE 6

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ADENA MANSION & GARDENS SOCIETY
848 ADENA ROAD	CHILLICOTHE	OH	45601	271330314	501(C)(3)	10000	SPONSORSHIP TO HELP MANAGE THE ADENA HISTORICAL MANSION.
CITY OF CHILLICOTHE
35 S PAINT STREET	CHILLICOTHE	OH	45601	316400221	GOVERNMENT	10000	SPONSORSHIP OF THE COMMUNITY POOL.
CHILLICOTHE EDUCATION FOUNDATION
45 EAST MAIN STREET	CHILLICOTHE	OH	45601	311480939	501(C)(3)	6000	SPONSORSHIP OF THE "LEADER-IN-ME" PROGRAM FOR CITY SCHOOLS.
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	501(C)(3)	478880	PAYMENT OF ORGANIZATION EXPENSES
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	501(C)(3)	100000	SUPPORT THE VOLUNTEER SCHOLARSHIP FUND AND PURCHASE EQUIPMENT/SUPPLIES
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	501(C)(3)	139992	TO HELP FUND ADENA HEALTH FOUNDATION'S OPERATING EXPENSES
THE CHESSLER GROUP INC
9639 KINSMAN ROAD	MATERIALS PARK	OH	44073	341632120		26177	RESTORE HISTORICAL BUILDING

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: DECISIONS TO DONATE TO COMMUNITY PROJECTS ARE BROUGHT TO CEO FOR APPROVAL FROM MEMBERS OF SENIOR LEADERSHIP AND/OR THE STRATEGY DEPARTMENT. THE AMOUNTS ARE NOT SO SIGNIFICANT THAT THEY NEED TO BE APPROVED BY THE BOARD OF TRUSTEES. A BLANKET AMOUNT IS BUDGETED FOR THE FISCAL YEAR AND CONSIDERED AS EACH REQUEST IS MADE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JACK BERNO
DIRECTOR/EMPLOYED M.D.	292192	0	0	0	4154	0	0	0	21812	0	318158	0	0	0
WILBUR SEVER
DIRECTOR/EMPLOYED M.D.	685991	0	0	0	26331	0	654	0	32691	0	745667	0	0	0
ALLEN SHAW
DIRECTOR/EMPLOYED M.D.	211131	0	0	0	1432	0	0	0	16065	0	228628	0	0	0
KEITH COLEMAN
CHIEF FINANCIAL OFFICER	366383	0	0	0	3125	0	55419	0	29295	0	454222	0	0	0
MARK SHUTER
CHIEF EXECUTIVE OFFICER	710977	0	0	0	16095	0	160198	0	33935	0	921205	0	0	0
ETHELBERT BAKER
EMPLOYED M.D.	645493	0	0	0	3142	0	0	0	32802	0	681437	0	0	0
KAREN BOLTON
GENERAL COUNSEL	95962	0	0	0	174971	0	1023	0	13822	0	285778	0	0	0
LLOYD COATS
EMPLOYED M.D.	377841	0	0	0	1043	0	0	0	29945	0	408829	0	0	0
NATALIE DI LONNO
ASSISTANT GENERAL COUNSEL	166399	0	0	0	742	0	10636	0	28048	0	205825	0	0	0
MICHELLE FEDERER
EMPLOYED M.D.	388541	0	0	0	712	0	0	0	17506	0	406759	0	0	0
JOHN FORTNEY
CHIEF MEDICAL OFFICER	418314	0	0	0	4593	0	31799	0	28204	0	482910	0	0	0
ANTHONY FREEMAN
EMPLOYED M.D.	872590	0	0	0	3069	0	0	0	32665	0	908324	0	0	0
JEFFREY GRAHAM
CHIEF OPERATING OFFICER	163372	0	0	0	446	0	2853	0	11243	0	177914	0	0	0
JUDITH HENSON
CHIEF NURSING OFFICER	160062	0	0	0	840	0	9859	0	24092	0	194853	0	0	0
SATHISH JETTY
EMPLOYED M.D.	410927	0	0	0	2195	0	0	0	27359	0	440481	0	0	0
MARTHA LIVINGSTON
CHIEF BUSINESS DEVLOPMENT OFFICER	183303	0	0	0	859	0	16781	0	12195	0	213138	0	0	0
DENISE MINOR
CHIEF NURSING OFFICER	31141	0	0	0	147634	0	0	0	8785	0	187560	0	0	0
MARK MOFFITT
CHIEF INFORMATION OFFICER	149634	0	0	0	871	0	27253	0	12342	0	190100	0	0	0
ERIC PERDUE
CHIEF HUMAN RESOURCES	169348	0	0	0	310	0	29484	0	6639	0	205781	0	0	0
BARBARA PURDOM
CHIEF OPERATING OFFICER	132783	0	14000	0	169951	0	857	0	25831	0	343422	0	0	0
FAITHA SHELTON
SYSTEM DIRECTOR PRACTICE OPERATIONS	180090	0	0	0	665	0	16361	0	26307	0	223423	0	0	0
KIRK TUCKER
EMPLOYED M.D.	333589	0	0	0	534	0	0	0	26841	0	360964	0	0	0
JOHN YOUNG
EMPLOYED M.D.	1055414	0	10256	0	2555	0	0	0	27472	0	1095697	0	0	0
BRIAN COHEN
EMPLOYED M.D.	2830899	0	0	0	1725	0	0	0	27607	0	2860231	0	0	0
JAMES FLEMING
EMPLOYED M.D.	804897	0	0	0	2596	0	0	0	32528	0	840021	0	0	0
KORT GRONBACH
EMPLOYED M.D.	880999	0	0	0	951	0	0	0	32221	0	914171	0	0	0
THOMAS LEWIS
EMPLOYED M.D.	820302	0	0	0	36892	0	0	0	32256	0	889450	0	0	0
MICHAEL VIETTI
EMPLOYED M.D.	822084	0	33333	0	3966	0	0	0	32702	0	892085	0	0	0
DOUGLAS FOLZENLOGEN
FORMER DIRECTOR	365050	0	0	0	1146	0	0	0	25866	0	392062	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES.

PART I, LINES 4A-B

LINE 4A: KAREN BOLTON, DENISE MINOR, AND BARBARA PURDOM WERE ALL KEY EMPLOYEES IN 2012. ALL ARE RECEIVING 12 MONTHS OF SEVERANCE AND THEN A 6 MONTH BRIDGE IF STILL NOT EMPLOYED. AT ANY TIME AFTER THE INITIAL 12 MONTHS, AHS WOULD REDUCE PAY IF EMPLOYED AT A LESSER RATE. KAREN BOLTON REPORTED SEVERANCE COMPENSATION IN 2012 OF $174,619, DENISE MINOR REPORTED SEVERANCE COMPENSATION IN 2012 OF $147,330, AND BARBARA PURDOM REPORTED SEVERANCE COMPENSATION IN 2012 OF $169,517. LINE 4B: MEMBERS OF THE EXECUTIVE TEAM PARTICIPATE IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. THE FOLLOWING MEMBERS OF THE EXECUTIVE TEAM THAT ARE LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE PLAN: - KEITH COLEMAN - JOHN FORTNEY - MARK MOFFITT - ERIC PERDUE - MARK SHUTER

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF ROSS OHIO
A	316400085	778260EX3	2008-09-17	141346983	CURRENT REFUNDING OF 2001 AND 2006 ISSUES	0	0	0
COUNTY OF ROSS OHIO
B	316400085		2010-09-15	29985000	INFUSION CENTER AND INTERVENTIONAL RADIOLOGY	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
A	3370000	196850421	10920538	1366439	487668	55557232	2010	1	0	1	1
B	613965	30087491		411604		28391799	2012	0	0	0	1	1284088

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	1	0	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line2NameOfGICProvider/BusinessNameLine2	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
BAYERISCHE
A	0	0	0	0	0	0	1	LANDESBANK	3.000000000000	1	0	0
(no name)
B	0	0	0	0	1	0	0				0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	ExplanationExplanation
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 L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
THOMAS LEWIS
PHYSICIAN	RECRUITMENT	X	$95,000	57796	0	1	1
MICHAEL VIETTI
PHYSICIAN	RECRUITMENT	X	$100,000	51282	0	1	1
WILBUR SEVER
PHYSICIAN	RECRUITMENT	X	$190,000	24846	0	1	1
JOHN YOUNG
PHYSICIAN	RECRUITMENT	X	$40,000	10256	0	1	1
DOUGLAS FOLZENLOGEN
PHYSICIAN	RETENTION	X	$15,000	15000	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	159180	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
HORIZON TELCOM INC
BUSINESS VENDOR OF AHS	839386	PHONE SERVICE	0
ROBIN BERNO
SPOUSE OF DIRECTOR JACK BERNO	93860	EMPLOYEE COMPENSATION	0
DEAN KUCHTA
SPOUSE OF KEY EMPLOYEE KAREN BOLTON	69681	EMPLOYEE COMPENSATION	0
JENNIFER WHITE
DAUGHTER-IN-LAW OF BOARD DIRECTOR TOM WHITE	114213	EMPLOYEE COMPENSATION	0
BRITTEN YOUNG
SPOUSE OF KEY EMPLOYEE JOHN YOUNG	517048	EMPLOYEE COMPENSATION	0
LOIS JETTY
SPOUSE OF KEY EMPLOYEE SATISH JETTY	209404	EMPLOYEE COMPENSATION	0
MICHELLE PERDUE
SPOUSE OF KEY EMPLOYEE ERIC PERDUE	63061	EMPLOYEE COMPENSATION	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV	Identifier
Explanation	STEVE BURKHARDT THE TREASURER OF HORIZON TELCOM, INC. REGULARLY ABSTAINS FROM VOTING AND REMOVES HIMSELF FROM DISCUSSIONS CONCERNING HORIZON TELCOM, INC.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 11	THE 990 WAS REVIEWED AT THE NOVEMBER 4TH 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 15TH 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. 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. ALL ADENA HEALTH SYSTEM WORKFORCE MEMBERS AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE TOP MANAGEMENT OFFICIAL AT ADENA HEALTH SYSTEM, ALONG WITH ANY KEY EMPLOYEES HAVE THEIR COMPENSATION REVIEWED ON A BI-ANNUAL BASIS IN CONJUNCTION WITH OTHER MANAGEMENT POSITIONS BY THE HUMAN RESOURCE DEPARTMENT RESPONSIBLE FOR EMPLOYEE COMPENSATION. VARIOUS MARKET SURVEYS ARE USED AS APPROPRIATE FOR THE APPLICABLE POSITIONS AND RECOMMENDATIONS FOR SALARY SCALE CHANGES ARE APPROVED BY THE HUMAN RESOURCES COMMITTEE OF THE ADENA HEALTH SYSTEM BOARD OF DIRECTORS. SPECIFIC WAGE INCREASES FOR INDIVIDUALS ARE BASED ON THE EMPLOYEE MEETING AGREED UPON DEVELOPMENTAL AND PERFORMANCE-BASED GOALS FOR THE FISCAL YEAR. THE PROCESS WAS LAST UNDERTAKEN DURING 2012 AND ALSO IN APRIL/JUNE 2013.
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 XI, LINE 9:	TRANSFERS TO AFFILIATED ORGANIZATION -137,978. PENSION RELATED CHANGES OTHERE THAN NET PERIODIC COSTS 8,406,397. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION -3,954. ADENA VAC INCOME NOT INCLUDED IN AUDITED NET ASSETS -86,776. VAC WOMEN'S BOARD GRANT 100,000. COURT DIALYSIS K-1 ACTIVITY 116,501.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ADENA MEDICAL GROUP LLC
DEPT L637	COLUMBUS	OH	43260	271370967	HEALTHCARE PROVIDERS	OH	-49215478	5960582	ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	275340755	HEALTHCARE PROVIDERS	OH	-523276	547479	ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752730	HEALTHCARE PROVIDERS	OH	-2760699	1232436	ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752854	HEALTHCARE PROVIDERS	OH	-416998	1243721	ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	451138187	HEALTHCARE PROVIDERS	OH	-522829	227315	ADENA HEALTH SYSTEM

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
GREENFIELD AREA MEDICAL CETNER
550 MIRABEAU ST	GREENFIELD	OH	45123	310993422	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	1
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	FUNDRAISING	OH	501(C)(3)	11A	ADENA HEALTH SYSTEM	1
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	261566590	FIBEROPTIC NETWORK GRANTS	OH	501(C)(3)	11A	ADENA HEALTH SYSTEM	1
PIKE HEALTH SERVICES INC
100 DAWN LANE	WAVERLY	OH	45690	311072406	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	45601	ZIPCode

Field	Value	IRS element (for citing)
EIN	453980850	EIN
Primary Activity	PROVIDE EMPLOYEE HEALTH INSURANCE	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	-599288	ShareOfTotalIncome
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GREENFIELD AREA MEDICAL CENTER
R	137978	BOOK VALUE
ADENA HEALTH FOUNDATION
C	764428	CASH CONTRIBUTION
ADENA HEALTH FOUNDATION
B	718872	GRANT/CASH RECEIVED
SOUTHERN OHIO HEALTHCARE NETWORK
P	796919	BOOK VALUE
ADENA HEALTH FOUNDATION
O	310400	TIMESHEET ALLOCATION
GREENFIELD AREA MEDICAL CENTER
O	7292026	TIMESHEET ALLOCATION
SOUTHERN OHIO HEALTHCARE NETWORK
S	1226285	BOOK VALUE
PIKE HEALTH SERVICES INC
O	9979354	TIMESHEET ALLOCATION
PIKE HEALTH SERVICES INC
B	5178966	BOOK VALUE