ADENA HEALTH SYSTEM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202233199349305513
Schema version: 2021v4.2
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	2022-11-15T09:24:57-06:00	ReturnTs
Tax Period End	2021-12-31	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	2021-01-01	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	JAMES P MCMANUS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7407794478	PhoneNum
Signature	2022-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	MCMANUS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2022-11-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	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	JAMES P MCMANUS	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	$699,770,749	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	THE REPORTING ORGANIZATION IS A REGIONAL HEALTHCARE SYSTEM WITH ONE HOSPITAL AND SEVERAL AMBULATORY CENTERS, IN ADDITION TO MULTIPLE PHYSICIAN PRACTICES. AHS OFFERS A WIDE SCOPE OF DIAGNOSTIC AND REHABILITATIVE SERVICES BOTH FOR INPATIENTS AND OUTPATIENTS, INCLUDING COMPREHENSIVE CARDIOLOGY AND CANCER CARE. FURTHERMORE, AHS IS THE SOLE MEMBER OF TWO CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER AND ADENA GREENFIELD MEDICAL CENTER, THAT FILE SEPARATELY. ADENA HEALTH SYSTEM SERVED AS THE REGIONAL LEADER FOR THE SOUTHERN DISTRICT AS HOSPITALS ORGANIZED UNDER GOVERNOR DEWINE'S REQUEST FOR HOSPITALS TO UNITE TO SUPPORT EACH OTHER AND BETTER SERVE THEIR COMMUNITIES AS THE COVID-19 PANDEMIC DISRUPTED SERVICES FOR SIGNIFICANT PORTIONS OF OHIO IN 2020 & 2021.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4336	TotalEmployeeCnt
Total Volunteers	173	TotalVolunteersCnt
Total Gross UBI	$9,084	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,029	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$44,998,337	PYContributionsGrantsAmt
CY Contributions Grants	$20,371,965	CYContributionsGrantsAmt
PY Program Service Revenue	$517,218,445	PYProgramServiceRevenueAmt
CY Program Service Revenue	$611,392,791	CYProgramServiceRevenueAmt
PY Investment Income	$4,950,934	PYInvestmentIncomeAmt
CY Investment Income	$24,256,677	CYInvestmentIncomeAmt
PY Other Revenue	$23,457,759	PYOtherRevenueAmt
CY Other Revenue	$24,748,974	CYOtherRevenueAmt
PY Total Revenue	$590,625,475	PYTotalRevenueAmt
CY Total Revenue	$680,770,407	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,397,885	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,571,253	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$292,111,073	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$333,875,540	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$257,319,715	PYOtherExpensesAmt
CY Other Expenses	$310,338,308	CYOtherExpensesAmt
PY Total Expenses	$550,828,673	PYTotalExpensesAmt
CY Total Expenses	$645,785,101	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,796,802	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,985,306	CYRevenuesLessExpensesAmt
Total Assets BOY	$828,850,429	TotalAssetsBOYAmt
Total Assets EOY	$888,565,612	TotalAssetsEOYAmt
Total Liabilities BOY	$412,086,411	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$442,427,479	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$416,764,018	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$446,138,133	NetAssetsOrFundBalancesEOYAmt
Mission	THE ADENA HEALTH SYSTEM'S MISSION IS "CALLED TO SERVE OUR COMMUNITIES AND VISION IS "TO BE OUR REGION'S MOST TRUSTED PARTNER FOR HEALTHCARE".	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$507,714,665	ExpenseAmt
Grant	$1,571,253	GrantAmt
Revenue	$629,257,170	RevenueAmt
Desc	HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,550 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 42,032 EMERGENT VISITS IN 2021. PHYSICIAN OFFICES: THERE WERE 545,798 PHYSICIAN OFFICE VISITS AND 71,786 URGENT CARE VISITS IN 2021.	Desc
Total Program Service Expenses	$507,714,665	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
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	248	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4336	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	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	JEFF CRAFT VP SYSTEM FINANCE	PersonNm
Phone	7407794481	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 (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
REGGINA YANDILA
TRUSTEE/PHYSICIAN	50.00	0.00	Yes (X)	$314,926	$0	$44,107
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN	50.00	0.00	Yes (X)	$250,854	$0	$35,326
BARTON HENSHAW
TRUSTEE/SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT FRENCH
TRUSTEE/VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SHEILAH GRAY
TRUSTEE/CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEVE HIRSCH
TRUSTEE/TREASURER	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
BRIAN REAM
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
ANTHONY FISH
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
RONALD COFFEY
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JENNIFER MCKELL
TRUSTEE/VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
BETH WORKMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JOSEPH WATSON
TRUSTEE/CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
KEVIN SHOEMAKER
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
CARVEL SIMMONS
TRUSTEE/SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JERRY PHILLIPS
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JEFF GRAHAM
CEO	50.00	4.00		$1,123,172	$0	$333,237	Yes (X)
LISA CARLSON
CFO	50.00	4.00		$751,765	$0	$253,223	Yes (X)
KATHERINE EDRINGTON
COO	50.00	4.00		$650,248	$0	$167,390	Yes (X)
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER	50.00	0.00		$653,051	$0	$216,131		Yes (X)
KIRK TUCKER
CHIEF CLINICAL OFFICER	50.00	0.00		$564,764	$0	$195,368		Yes (X)
JOHN GABIS
PRESIDENT OF AMG	50.00	0.00		$557,902	$0	$123,100		Yes (X)
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER	50.00	0.00		$461,851	$0	$152,093		Yes (X)
CRAIG BABBITT
CHIEF LEGAL OFFICER	50.00	0.00		$447,042	$0	$143,506		Yes (X)
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	50.00	0.00		$407,468	$0	$116,317		Yes (X)
RICHARD D MIZER
PRESIDENT OF AMG	50.00	0.00		$305,446	$0	$86,484		Yes (X)
JAMIE SMITH
CHIEF INFORMATION OFFICER	50.00	1.00		$240,831	$0	$97,932		Yes (X)
BROOKE L BURNS
EXECUTIVE VICE PRESIDENT AMG	50.00	0.00		$266,344	$0	$14,034		Yes (X)
MOLLY M GROOMS
CHIEF NURSING OFFICER	50.00	0.00		$323,685	$0	$33,598		Yes (X)
TY MCBEE
VP OF STRATEGIC OPERATIONS	50.00	0.00		$267,257	$0	$68,436		Yes (X)
BRIAN COHEN
PHYSICIAN	50.00	0.00		$987,422	$0	$19,840			Yes (X)
HAVAL SAADLLA
PHYSICIAN	50.00	0.00		$1,031,543	$0	$45,336			Yes (X)
ROGER WILTFONG
PHYSICIAN	50.00	0.00		$1,278,180	$0	$62,048			Yes (X)
JAMES FLEMING
PHYSICIAN	50.00	0.00		$1,090,777	$0	$61,953			Yes (X)
THOMAS LEWIS
PHYSICIAN	50.00	0.00		$1,031,543	$0	$45,336			Yes (X)
JACK BERNO
FORMER CHIEF MEDICAL OFFICER	50.00	0.00		$316,014	$0	$27,468				Yes (X)
ANTHONY FREEMAN
FORMER CHIEF MEDICAL OFFICER	0.00	0.00		$704,321	$0	$50,392				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,026,406	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,392,655	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
MESSER CONSTRUCTION CO
643 W COURT	CINCINNATI	OH	45203	CONSTRUCTION	$32,271,385
ENSEMBLE RCM LLC
4605 DUKE DRIVE SUITE 600	MASON	OH	45040	REVENUE CYCLE MANAGEMENT	$18,628,769
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD 600	SCOTTSDALE	AZ	85254	PHYSICIAN SERVICES	$7,221,342
UNIDINE CORPORATION
1000 WASHINGTON ST 510	BOSTON	MA	02118	FOOD SERVICES	$3,611,599
CAPTIVE RADIOLOGY
6273 FRANK AVE NW	NORTH CANTON	OH	44720	RADIOLOGY SERVICES	$3,310,573

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Related Organizations	$384,211	RelatedOrganizationsAmt
Government Grants	$17,051,462	GovernmentGrantsAmt
All Other Contributions	$2,936,292	AllOtherContributionsAmt
Total Contributions	$20,371,965	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SVC REV	Desc
Business	621110	BusinessCd
Total Revenue Column	$611,392,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	$611,392,791	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$611,392,791	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,616,368	TotalRevenueColumnAmt
Exclusion	$21,616,368	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$196,436	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$29,145	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$167,291	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,291	TotalRevenueColumnAmt
Unrelated Business Revenue	-$4,307	UnrelatedBusinessRevenueAmt
Exclusion	$171,598	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,472,666	SecuritiesAmt
Other	$19,138,840	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$18,971,197	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,472,666	SecuritiesAmt
Other	$167,643	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,640,309	TotalRevenueColumnAmt
Exclusion	$2,640,309	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTPATIENT PHARMACY SALES	446110	$17,694,646	$17,681,255	$13,391
CAFETERIA REVENUE	722514	$4,860,524			$4,860,524
CONSULTING FEES	541610	$183,124	$183,124

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,843,389	TotalRevenueColumnAmt
Exclusion	$1,843,389	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$24,581,683	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$680,770,407	TotalRevenueColumnAmt
Related Or Exempt Func Income	$629,257,170	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,084	UnrelatedBusinessRevenueAmt
Exclusion	$31,132,188	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	$846,361	TotalAmt
Program Services	$846,361	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$724,892	TotalAmt
Program Services	$724,892	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,666,888	TotalAmt
Management And General	$9,666,888	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$259,852,475	TotalAmt
Program Services	$211,519,915	ProgramServicesAmt
Management And General	$48,332,560	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,990,123	TotalAmt
Program Services	$39,447,881	ProgramServicesAmt
Management And General	$8,542,242	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,366,054	TotalAmt
Program Services	$13,452,896	ProgramServicesAmt
Management And General	$2,913,158	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$977,198	TotalAmt
Management And General	$977,198	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$243,718	TotalAmt
Management And General	$243,718	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$148,461	TotalAmt
Management And General	$148,461	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,142,999	TotalAmt
Program Services	$47,322,937	ProgramServicesAmt
Management And General	$25,820,062	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$779,201	TotalAmt
Program Services	$329,602	ProgramServicesAmt
Management And General	$449,599	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,523,826	TotalAmt
Program Services	$6,080,206	ProgramServicesAmt
Management And General	$443,620	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,409,116	TotalAmt
Program Services	$8,522,735	ProgramServicesAmt
Management And General	$19,886,381	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$556,339	TotalAmt
Program Services	$282,064	ProgramServicesAmt
Management And General	$274,275	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,517,955	TotalAmt
Program Services	$769,603	ProgramServicesAmt
Management And General	$748,352	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,185,083	TotalAmt
Program Services	$7,596,064	ProgramServicesAmt
Management And General	$1,589,019	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,807,175	TotalAmt
Program Services	$20,327,045	ProgramServicesAmt
Management And General	$7,480,130	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,221,893	TotalAmt
Program Services	$2,426,085	ProgramServicesAmt
Management And General	$795,808	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL EQUIPMENT & SUP	$101,105,742	$94,230,552	$6,875,190
BAD DEBT EXPENSE	$36,548,493	$36,548,493
TAXES	$12,814,735	$10,431,194	$2,383,541
CAFETERIA/CATERING	$2,901,065	$2,703,793	$197,272

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,455,309	TotalAmt
Program Services	$4,152,347	ProgramServicesAmt
Management And General	$302,962	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$645,785,101	TotalAmt
Program Services	$507,714,665	ProgramServicesAmt
Management And General	$138,070,436	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,543	BOYAmt
EOY	$14,943	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$135,845,160	BOYAmt
EOY	$70,469,096	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,881,406	BOYAmt
EOY	$83,407,749	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$47,196	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,319,161	BOYAmt
EOY	$3,078,563	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,514,833	BOYAmt
EOY	$13,459,701	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,892,437	BOYAmt
EOY	$9,712,110	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$585,086,953	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$313,431,848	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$209,065,930	BOYAmt
EOY	$271,655,105	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$346,776,529	BOYAmt
EOY	$377,393,138	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,061,637	BOYAmt
EOY	$561,637	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,478,793	BOYAmt
EOY	$58,766,374	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$828,850,429	BOYAmt
EOY	$888,565,612	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$79,328,597	BOYAmt
EOY	$73,892,604	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$47,992,512	BOYAmt
EOY	$30,522,253	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$214,916,570	BOYAmt
EOY	$293,702,676	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,749,088	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,099,644	BOYAmt
EOY	$44,309,946	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$412,086,411	BOYAmt
EOY	$442,427,479	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$414,118,758	BOYAmt
EOY	$441,778,706	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,645,260	BOYAmt
EOY	$4,359,427	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,764,018	BOYAmt
EOY	$446,138,133	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$828,850,429	BOYAmt
EOY	$888,565,612	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,985,306	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,073,341	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,684,532	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

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	$5,023	OtherActivitiesAmt
Total Lobbying Expenditures	$5,023	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	$1,691,757	BeginningYearBalanceAmt
Contributions	$1,622	ContributionsAmt
End Year Balance	$1,693,379	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,663,413	BeginningYearBalanceAmt
Contributions	$38,177	ContributionsAmt
Investment Earnings Or Losses	-$9,710	InvestmentEarningsOrLossesAmt
Other Expenditures	$123	OtherExpendituresAmt
End Year Balance	$1,691,757	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,331,708	BeginningYearBalanceAmt
Contributions	-$3,508	ContributionsAmt
Investment Earnings Or Losses	$155,784	InvestmentEarningsOrLossesAmt
End Year Balance	$1,483,984	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	$8,576,779	OtherCostOrOtherBasisAmt
Book Value	$8,576,779	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$336,433,349	OtherCostOrOtherBasisAmt
Depreciation	$137,950,049	DepreciationAmt
Book Value	$198,483,300	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,875	OtherCostOrOtherBasisAmt
Depreciation	$49,146	DepreciationAmt
Book Value	$92,729	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$231,678,425	OtherCostOrOtherBasisAmt
Depreciation	$175,432,653	DepreciationAmt
Book Value	$56,245,772	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,256,525	OtherCostOrOtherBasisAmt
Book Value	$8,256,525	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$271,655,105	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
OTHER NONCURRENT ASSETS	$5,500
RIGHT-OF-USE OPERATING LEASE ASSETS	$5,632,471
SOFTWARE IMPLEMENTATION ASSET	$21,842,831
SPLIT VALUE RETIREMENT	$1,250,953
MALPRACTICE INSURANCE RECOVERY LT	$4,392,546
457B STATE RETIREMENT INVESTMENT	$15,293,768
BOND ISSUE COSTS	$10,348,305

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$58,766,374	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED MALPRACTICE INSURANCE - LT	$12,942,871
DEFERRED COMPENSATION LIABILITY	$15,156,144
INTERCOMPANY PAYABLE	$1,204,428
CAPITAL LEASE OBLIGATION	$4,114,786
RIGHT-OF-USE OPERATING LEASE OBLIGATION	$5,632,470
COST REPORT PAYABLE	$5,259,247

Field	Value	IRS element (for citing)
Total Liability	$44,309,946	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	$8,859,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,182,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,193,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,949,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,243,858	NetCommunityBenefitExpnsAmt
Total Expense	0.06610	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,052,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,132,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,243,858	NetCommunityBenefitExpnsAmt
Total Expense	0.06610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,929,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$204,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,724,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,855,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,861,729	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,993,294	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,560,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,399,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,160,546	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,363,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,466,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,897,044	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,416,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$121,599,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,140,902	NetCommunityBenefitExpnsAmt
Total Expense	0.09050	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$505,211	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$505,211	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,258	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,258	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$551,440	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$551,440	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$36,548,493	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$178,196,320	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$230,852,847	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$52,656,527	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	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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	19	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	HTTPS://TINYURL.COM/HV8A5T9P	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://TINYURL.COM/HV8A5T9P	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	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW	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	HTTPS://TINYURL.COM/UJBAHXW4	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://TINYURL.COM/UJBAHXW4	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://TINYURL.COM/UJBAHXW4	FAPSummaryOnWebsiteURLTxt
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
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	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: IN CONDUCTING ITS MOST RECENT CHNA, DID THE HOSPITAL FACILITY TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH? IF YES, DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED. THE ADENA REGIONAL MEDICAL CENTER CAPTURED THE BROAD INTERESTS OF THE COMMUNITY FOR THE CHNA THROUGH TWO PRIMARY METHODS: PUBLIC SURVEYS AND KEY STAKEHOLDER INTERVIEWS. A HEALTH NEEDS SURVEY WAS WIDELY DISTRIBUTED IN BOTH ELECTRONIC AND PAPER FORM ACROSS THE ROSS COUNTY COMMUNITY AND RECEIVED APPROXIMATELY 1,200 RESPONSES. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: VETERANS ADMINISTRATION HOSPITAL.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: ADENA HEALTH SYSTEM, CHILLICOTHE GAZETTE, HOPE CLINIC OF ROSS COUNTY, HOPEWELL HEALTH CENTER, CITY OF CHILLICOTHE, ROSS COUNTY PARKS, OHIO STATE UNIVERSITY EXTENSION, PAINT VALLEY ADAMH BOARD, ROSS COUNTY CHILD PROTECTION CENTER, ROSS COUNTY HEALTH DISTRICT, ROSS COUNTY YMCA, SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, UNITED WAY OF ROSS COUNTY, ROSS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES/PIONEER CENTER, VETERANS ADMINISTRATION HOSPITAL.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE CHNA WAS MADE AVAILABLE IN ELECTRONIC FORM THROUGH SOCIAL MEDIA, NEWSPAPER, AND RADIO WEBSITES. PRESENTATIONS OF ITS CONTENT WERE MADE TO 12 GOVERNMENT, COMMUNITY, AND CIVIC ORGANIZATIONS. HARD COPIES OF THE CHNA REPORT WERE ALSO PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE FOLLOWING DETAILS THE SPECIFIC IMPLEMENTATION STRATEGIES USED FOR HEALTH PRIORITIES IDENTIFIED FOR THE ADENA REGIONAL MEDICAL CENTER IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE IMPLEMENTATION STRATEGIES WILL BE UTILIZED IN 2020-2022.SUBSTANCE USE DISORDER COMMUNITY DEVELOPMENTADENA, AS PART OF ITS COORDINATION EFFORTS FOR PARTNERS FOR A HEALTHIER ROSS COUNTY (PHRC) BEGAN CROSS REPORTING IN JANUARY OF 2017 WITH THE HOPE PARTNERSHIP PROJECT (HPP). A TOTAL OF FOUR REPRESENTATIVES (MEDICINE, SOCIAL WORK, COMMUNITY HEALTH AND ADVOCACY) FROM ARMC TEAM PARTICIPATE ON THE HPP COALITION. ADENA HEALTH SYSTEM ASSISTED IN THE DEVELOPMENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) GRANT IN 2019 AND WAS AWARDED $1 MILLION OVER THREE YEARS. ADENA HEALTH SYSTEM IS THE FISCAL AGENT FOR THE GRANT, OVERSEES ALL OF THE GRANTS MANAGEMENT AND PROVIDES 1FTE PROJECT MANAGER TO OVERSEE THE PROJECT. A FORMAL AGREEMENT WITH BRIGHT VIEW TREATMENT CENTERS, COORDINATED IN 2017, WAS CONTINUED TO PROVIDE PRIORITY APPOINTMENTS TO ADENA PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER. ADVOCACYADENA HEALTH SYSTEM CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2019. ARMC HAS A TOTAL OF FOUR EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF SIX HOURS A MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE PARTNERS FOR A HEALTHIER ROSS COUNTY AND THE HPP IN 2019. ADENA HEALTH SYSTEM ALSO COORDINATES THE ROSS COUNTY SAFE COMMUNITIES COALITION (SUPPORTED BY THE OHIO DEPARTMENT OF PUBLIC SAFETY), WHICH IS OVERSEEN BY ONE .5 FTE. PARTICIPATION BY ANOTHER EMPLOYEE IS ALSO PROVIDED. THIS PROGRAM COORDINATES REGULAR SOCIAL MEDIA MESSAGES AND AN ANNUAL CAMPAIGN AROUND THE "DRIVE SOBER" CAMPAIGN. PROGRAMS AND INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 20 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS IN 2021. A TOTAL OF 16 COMPLETED THE PROGRAM. THE PROGRAM WAS RECOGNIZED AS THE 2018 PROMISING PRACTICES PROGRAM BY THE CENTERS FOR MEDICAID AND MEDICARE.THE ARMC EMERGENCY DEPARTMENT DEPLOYED A POST OVERDOSE RESPONSE TEAM (PORT) IN AUGUST OF 2017 WHICH CONTINUED IN 2021 TO PROVIDE TREATMENT RESOURCES AND HARM REDUCTION FOR THOSE WITH SUBSTANCE USE DISORDER AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT ALSO STAFFS A SOCIAL WORKER/SUBSTANCE USE DISORDER NAVIGATOR TO ENGAGE PATIENTS IDENTIFIED AS NEEDING SERVICES IN RESOURCES FOR RECOVERY. THESE SERVICES CONTINUED IN 2021. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PROVIDED $25,000 IN SUPPORT DURING 2021 FOR THE BUCK FIFTY WHICH COORDINATES THE DRUG FREE CLUBS OF AMERICA/MADE PROGRAM DEPLOYED IN SIX ROSS COUNTY SCHOOL DISTRICTS WHICH INCENTIVIZES STUDENT PARTICIPATION IN DRUG TESTING. ADENA COMMUNITY HEALTH AND DEVELOPMENT ALSO PROVIDED AN ADDITIONAL $3,500 IN SUPPORT FOR HARM REDUCTION KITS FOR THE EDINS PROJECT AND $600 OF ENGAGEMENT MATERIALS FOR THE ROSS COUNTY SAFE COMMUNITIES ANNUAL "DRIVE SOBER" CAMPAIGN. OBESITY AND DIABETESCOMMUNITY DEVELOPMENTTWO REPRESENTATIVES FROM ADENA COMMUNITY HEALTH & DEVELOPMENT, AS PART OF THEIR PARTICIPATION ON THE PHRC STEERING TEAM COORDINATED AND CONVENED THE LIVEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY YMCA. AFTER THE IMPACT OF COVID-19 PANDEMIC ON THE OUTREACH WITH THE SCHOOLS, THE GROUP ALIGNED WITH THE ROSS COUNTY HEALTH DISTRICT WHICH RECEIVED A CREATING HEALTHY COMMUNITIES GRANT HELD BY THE ROSS COUNTY HEALTH DISTRICT WHICH STARTED PLANS FOR COMMUNITY GARDENS AND ACTIVE TRANSPORTATION. DURING 2021, ADENA'S PARTNERSHIP WITH ROSS COUNTY HEALTH DISTRICT AND OTHER PARTNERS RESULTED IN THE IMPLEMENTATION OF BIKE LANES IN THE DOWNTOWN AREA STREETS AND BIKE RACKS BEING PLACED AROUND TOWN. AN ACTIVE TRANSPORTATION PLAN WAS ALSO COMPLETED IN 2021 TO BEING LOOKING AT OTHER ADDITIONAL OPPORTUNITIES TO CREATE SAFE SPACES FOR ACTIVITY AND WALKING. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR LIVEWELL ROSS.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON NUTRITION AND FITNESS EDUCATION AND AWARENESS.PROGRAMS AND INITIATIVESARMC PARTNERED WITH THE ROSS COUNTY OHIO STATE UNIVERSITY EXTENSION OFFICE TO DELIVER COOKING CLASSES TO ADENA PATIENTS WITH OBESITY AND DIABETES. THESE CLASSES WENT VIRTUAL IN 2020 DUE TO THE COVID 19 PANDEMIC. A TOTAL OF 35 ADENA PATIENTS WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING AT A COST OF $3,200. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PARTNERED WITH THE CHILLICOTHE FARMER'S MARKET TO FUND THE "FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED 123 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER FOR A TOTAL OF $8,457 IN FRESH FRUITS AND VEGETABLES. IN 2021 ADENA HEALTH SYSTEM CONTINUED ITS PARTNERSHIP WITH THE YMCA OF ROSS COUNTY TO COORDINATE THE "FIRST STEP" PROGRAM. THIS PROGRAM UTILIZES A YMCA TRAINER TO OPTIMIZE (REDUCE BMI) ADENA BONE & JOINT PATIENTS PRIOR TO SURGERY TO IMPROVE SURGICAL OUTCOMES OF JOINT REPLACEMENT. A TOTAL OF 36 PATIENTS WERE SERVED IN 2021 AND A TOTAL OF $7,450 IN SUPPORT WAS PROVIDED THROUGH THIS PARTNERSHIP. RESPIRATORY ISSUESCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE BREATHEWELL ROSS COMMITTEE IN 2017, NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. THIS TEAM DEVELOPED A PLAN TO ENGAGE LOCAL TOWNS AND VILLAGES IN SMOKE FREE SPACE POLICY AND DEVELOP POLICY DEVELOPMENT AND CESSATION KITS FOR LOCAL BUSINESSES AND AGENCIES WHICH HAS RESULTED IN ALL ROSS COUNTY PARKS BEING SMOKE-FREE.ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS COUNTY AIR QUALITY COMMITTEE NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. IN 2018, THIS TEAM RESEARCHED EPA DATA ON TOXIC EMISSIONS AND INVENTORY TO IDENTIFY AND PRIORITIZED FIVE CENSUS TRACTS WHERE AIR MONITORING COULD BE INITIATED. THE TEAM INSTALLED FIVE PURPLE AIR MONITORS ACROSS THE COUNTY AND PARTNERED WITH OHIO EPA WHO HAS COMMITTED SUPPORT TO READING MONITOR DATA ON AN ONGOING BASIS TO DETERMINE IF LARGER MONITORS ARE NEEDED. DATA COLLECTION AND REPORTING CONTINUED IN 2021. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH IN 2021 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.ARMC CONTRIBUTES THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS COUNTY AIR QUALITY COMMITTEE.PROGRAMMING & INITIATIVESADENA HEALTH SYSTEM CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2021 WHICH PROVIDED A TOTAL OF 20 PATIENTS WITH TOBACCO CESSATION COUNSELING ACROSS 124 VISITS. CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,356 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2021 WHICH RESULTED IN 35 POSITIVE CANCER FINDINGS.THE ADENA HEALTH SYSTEM PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE LIVESTRONG WELLNESS CLASSES FOR PATIENTS RECEIVING TREATMENT AT THE ADENA CANCER CENTER. IN 2021 10 PATIENTS WERE ENROLLED BUT CLASSES WERE DISRUPTED DUE TO THE COVID 19 PANDEMIC. A TOTAL OF $1,000 WAS SPENT TO OPERATE THE PROGRAM.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 20E: PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. IF AVAILABLE, SELFPAY PATIENTS ARE SCREENED FOR GOVERNMENT ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE DURING THE INPATIENT STAY. FAP APPLICATIONS ARE PROVIDED TO THE PATIENT AS PART OF THE SCREENING. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE ONLINE AND THROUGHOUT THE HOSPITALS AND CLINICS. THIS IS ALSO AVAILABLE AT THE HOPE CLINIC.
PART V, SECTION B, LINE 11 CONTINUED	MENTAL HEALTHCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS MENTAL HEALTH FORUM NOW LED BY DR. JIM HAGEN IN 2018. THIS TEAM UTILIZED THE SEQUENTIAL INTERCEPT MAPPING IT COMPLETED IN THE FALL OF 2018 TO COORDINATE INITIATIVES WITH THE LOCAL JAIL, HOPE PARTNERSHIP PROJECT, PAINT VALLEY ADAMH BOARD AND SCIOTO PAINT VALLEY MENTAL HEALTH CENTER. THE ROSS MENTAL HEALTH FORUM CONTINUED IN 2021. ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2021 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2021 TO PARTICIPATE IN VIRTUAL COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS IN 2020 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 347 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY NET AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $213,946 IN 2021. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS COUNTY, PIKE COUNTY AND HIGHLAND COUNTY. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO 203 CRISIS CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. CHILD SAFETY AND WELLNESSADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 2 HOURS PER QUARTER TO PARTICIPATING IN MEETINGS AND COORDINATING PROJECTS FOR THE FAMILY AND CHILDREN FIRST COUNCIL.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS ACROSS THE HEALTH SYSTEM AND CLINICS, INCLUDING HIGHLAND COUNTY, FOCUSED ON SAFE SLEEP AWARENESS IN 2021.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $697,000 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 14 LOCAL PUBLIC HIGH SCHOOLS WITHIN SIX COUNTIES, ROSS, PIKE, FAYETTE, HIGHLAND, JACKSON, PICKAWAY, SERVICE REGION IN 2021. A TOTAL OF 14 ATHLETIC TRAINERS WORK WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS AND FOCUS ON EDUCATING STUDENTS, PARENTS AND COACHES ON SPORTS MEDICINE TOPICS, INCLUDING CONCUSSION IDENTIFICATION AND TREATMENT. THE STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO MORE THAN 1,200 STUDENTS IN HIGHLAND, JACKSON, PICKAWAY, PIKE, AND ROSS COUNTIES. ADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY PUBLIC LIBRARIES TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, COORDINATED WITH THE BOOKWORM SUMMER READING PROGRAM. ALTHOUGH THE COVID 19 PANDEMIC IMPACTED PARTICIPATION AND REACH GREATLY AGAIN IN 2021 AS IT DID IN 2020, A TOTAL OF 1,147 CHILDREN, 28 TEENS, AND 34 ADULTS WERE ENGAGED IN THE PROGRAM THAT REWARDED FOR COMPLETING WEEKLY HEALTH CHALLENGES. PARTICIPANTS ARE OFFERED THE OPPORTUNITY TO EARN PRIZES AS THEY COMPLETE CHALLENGES AND THOSE WHO COMPLETE ALL CHALLENGES ARE ENTERED INTO A DRAWING FOR A NEW BICYCLE AND ADULTS GOT THE OPPORTUNITY FOR A FITBIT. A TOTAL OF $6,734 WAS SPENT ON REWARD PRIZES. ADENA HEALTH SYSTEM HAS PARTNERED WITH CHILLICOTHE CITY SCHOOLS TO COORDINATE THE AIM PROGRAM, WHICH OFFERS SIX STUDENTS A FELLOWSHIP OPPORTUNITY DURING THEIR SENIOR YEAR OF HIGH SCHOOL TO EXPLORE THE CAREER OF MEDICINE. STUDENTS ARE OFFERED THE OPPORTUNITY TO SHADOW PHYSICIANS ACROSS VARIOUS SPECIALTIES AND COMPLETE A COMMUNITY HEALTH PROJECT. A TOTAL OF $2,150 WAS SPENT ON THE PROGRAM IN 2021. IN 2021, ADENA HEALTH SYSTEM PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. ADENA HEALTH SYSTEM COMMUNITY HEALTH AND DEVELOPMENT IS PROVIDING A 1.0 FTE TO WORK WITH FOUR ROSS COUNTY SCHOOL DISTRICTS TO COMPLETE SCHOOL NEEDS ASSESSMENTS AND DEVELOP SCHOOL WELLNESS STRATEGIC PLANS. IN ADDITION, THE COORDINATOR IS ASSISTING THE DISTRICTS IN DEVELOPING PRIMARY CARE AND TELEHEALTH RESOURCES FOR THE DISTRICT, AS WELL AS BRING IN ADDITIONAL COMMUNITY PARTNERS TO ADDRESS MENTAL HEALTH AND SOCIAL NEEDS OF STUDENTS. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PROVIDES ANNUAL SUPPORT IN THE AMOUNT OF $3,000 EACH YEAR TO THE ROSS COUNTY JUNIOR ACHIEVEMENT, WHICH WORKS WITH YOUTH IN ALL SCHOOL DISTRICTS, GRADES 5-12, TO EDUCATE ON FINANCIAL LITERACY, CAREER DEVELOPMENT AND ENTREPRENEURSHIP. SUPPORT IS UTILIZED TO PURCHASE LEARNING MATERIALS. ADENA HEALTH SYSTEM PROVIDED SLEEP SACKS FOR THE 1,404 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2021. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE AND HIGHLAND. A TOTAL OF 5 CRIBS WERE ALSO PROVIDED FOR PARENTS WHO DID NOT HAVE A BED FOR THEIR BABY PRIOR TO LEAVING THE HOSPITAL.ZANE TRACE LOCAL SCHOOLS RECEIVED $5,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES. TEAYS VALLEY LOCAL SCHOOLS RECEIVED $10,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES.AS PART OF ITS EFFORTS TO PROVIDE HEALTH SERVICES AND ATHLETIC TRAINING SERVICES, ADENA HEALTH SYSTEM PROVIDED A TOTAL OF $197,000 IN SUPPORT FOR 7 SCHOOL DISTRICTS IN FAYETTE, ROSS, PICKAWAY, HIGHLAND AND JACKSON COUNTIES TO SUPPORT WELLNESS INITIATIVES. COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES STAYED AT 77 IN 2021 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 49 TO 56 IN 2021 (COUNTY HEALTH RANKINGS).ADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2021 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINICS PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS PROVIDING SERVICES TO PATIENTS IN THE CLINIC. A TOTAL OF 4,111 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON) MADE A TOTAL OF 11,747 VISITS TO THE TWO CLINICS IN 2021. APPROXIMATELY 7.3% OF PATIENTS SERVED BY THE CLINICS ARE UNINSURED. ADENA ALSO PROVIDES SUPPORT TO THE ROSS COUNTY COMMUNITY THROUGH A VARIETY OF ENGAGEMENT ACTIVITIES, INCLUDING FINANCIAL SUPPORT AND PARTICIPATION IN LOCAL COMMUNITY EVENTS AND INITIATIVES. IN 2021, COMMUNITY EVENTS CONTINUED TO BE LIMITED AND WITH SPIKES IN CASES IN THE COMMUNITY, VOLUNTEERING AT COMMUNITY EVENTS WAS NOT SAFE SO PARTICIPATION WAS VERY LIMITED. THEREFORE ONLY A LIMITED AMOUNT OF EMPLOYEES PROVIDED VOLUNTEER SERVICE. APPROXIMATELY 25 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A TOTAL OF 376 HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME PARTICIPATING IN COVID 19 COMMUNITY RESPONSE SERVICE, PACKING WEEKEND FOOD BAGS FOR FOOD INSECURE CHILDREN, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, AND OTHER INITIATIVES. THESE INCLUDED: $25,000 IN SUPPORT FOR THE 2-1-1 INFORMATION AND REFERRAL LINE OPERATED BY THE ROSS COUNTY UNITED WAY. THE LINE IS A 24/7 RESOURCE AND CONNECTION TO FOOD, EDUCATION, TRANSPORTATION, FINANCIAL ASSISTANCE AND HEALTHCARE RESOURCES. $20,000 IN SUPPORT OF THE ROSS COUNTY UNITED WAY'S ANNUAL CAMPAIGN. UNITED WAY UTILIZES FUNDS RAISED TO OFFER GRANTS FOR EDUCATION, HEALTH AND FINANCIAL MOBILITY PROGRAMMING. $15,000 IN SUPPORT OF THE ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO, WHICH PROVIDES BUSINESS AND ECONOMIC DEVELOPMENT SERVICES TO THE REGION. $2,500 IN SUPPORT OF THE CHILLICOTHE-ROSS CHAMBER OF COMMERCE, WHICH PROVIDES SUPPORT TO LOCAL BUSINESSES AND ORGANIZATIONS OVER $10,000 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN ROSS, HIGHLAND AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE.
PART V, SECTION B, LINE 11 CONTINUED	ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH SYSTEM CONTINUED IT'S MORE THAN 20 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2021 WHICH PROVIDES RESOURCES AND COUNSELING TO YOUNG VICTIMS OF INTERPERSONAL VIOLENCE AND SEXUAL ASSAULT IN A NINE COUNTY SERVICE REGION THAT INCLUDES ROSS, PIKE AND HIGHLAND COUNTIES. ADENA PROVIDED A TOTAL OF $63,374 IN FINANCIAL SUPPORT FOR THE CPC'S FACILITY COSTS AND INFORMATION TECHNOLOGY NEEDS. MEDICAL AND NURSING STAFF ALSO PROVIDE SUPPORT TO THE CENTER. HOPE CLINIC: ADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2021. A TOTAL OF 9 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED MORE THAN 200 HOURS OF CARE AT HOPE CLINIC IN 2021. A TOTAL OF 317 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE AND WORTH $130,300. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. THE CLINIC IS LOCATED IN CHILLICOTHE, OH BUT SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $24,200 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY (SERVING 55 PATIENTS IN 2021) AND MEDICAL RESOURCE SYSTEM ELSEVIER. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE: IN 2015, ADENA HEALTH SYSTEM COLLABORATED WITH THE ROSS COUNTY HEALTH DISTRICT TO COORDINATE AND CONVENE A COMMUNITY STEERING COMMITTEE FOCUSED ON COMPLETING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHA) AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR ROSS COUNTY. A TOTAL OF 19 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS PARTICIPATE TO IDENTIFY STRATEGIC HEALTH PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. ADENA HEALTH SYSTEM HAD A TOTAL OF FIVE ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2021 TO CONTRIBUTING TO THE PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE IN ADDITION TO OTHER SUB-COMMITTEES MENTIONED THROUGHOUT THIS REPORT.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 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
18 - ADENA HEALTH & WELLNESS CNTR-MAIN CAMPUS
4457 ST RT 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICE, CARDIAC REHAB, OCCUPATIONAL MEDICINE
19 - ADENA CANCER CENTER
4435 ST RT 159	CHILLICOTHE	OH	45601	OUTPATIENT CHEMOTHERAPY AND RADIATION
20 - ADENA WELLNESS CENTER WEST
2077 WESTERN AVENUE	CHILLICOTHE	OH	45601	HOME HEALTH AND REHABILITATION
21 - CLINIC AT WALMART
85 RIVER TRACE LANE	CHILLICOTHE	OH	45601	NURSE PRACTITIONER CLINIC

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 $36,548,493 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADENA HEALTH SYSTEM SUPPORTS COMMUNITY BUILDING ACTIVITIES BY PROVIDING GRANTS TO THE FOLLOWING ORGANIZATIONS:CHILLICOTHE CAVALIER CLUB- GRANT PROVIDED TO INSTALL A SCOREBOARDUNITED WAY OF ROSS COUNTY- GRANT PROVIDED TO SUPPORT RELAY FOR LIFEMIGHTY CHILDREN'S MUSEUM- GRANT PROVIDED TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIVITYROSS COUNTY AGRICULTURAL SOCIETY- GRANT PROVIDED TO SUPPORT FREE RIDE DAY AT THE ROSS COUNTY FAIR AND TO PROVIDE A STAGE FOR THE HEALTHY KIDS EVENTROSS COUNTY CHILD PROTECTION CENTER- GRANT PROVIDED TO SUPPORT ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT
PART III, LINE 2:	THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS.
PART III, LINE 3:	ENSEMBLE PERFORMS ALL MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY PER POLICY. THERE IS NO PRESUMPTIVE CHARITY.
PART III, LINE 4:	WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA REGIONAL MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE, ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE."
PART III, LINE 8:	MEDICARE SHORTFALL (INCLUDING BOTH TRADITIONAL AND ADVANTAGE) RESULTED IN A SHORTFALL OF $56,266,973.THE ADENA HEALTH SYSTEM SERVICE AREA IS A RURAL 13 COUNTY AREA IN SOUTHERN OHIO. ADENA HEALTH SYSTEM HAS EVALUATED THE COMMUNITY HEALTH NEEDS AND HAS IMPORTANT PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE NEEDS OF ADENA'S BROAD SERVICE AREA. HOWEVER, ONE OF THE MOST SIGNIFICANT HEALTH NEEDS MET BY ADENA IS THE IDENTIFICATION OF PHYSICIAN AND ADVANCED PRACTICE PROVIDERS FOR EACH SPECIALTY OF CARE. ADENA RECRUITS, SUPPORTS, AND PROVIDES THE INFRASTRUCTURE FOR PROVIDERS IN SPECIALTIES RANGING FROM PRIMARY CARE TO INTERVENTIONAL CARDIOLOGY. IN ADENA'S RURAL, APPALACHIAN SERVICE AREA, PHYSICIAN AND OTHER KEY CLINICAL AND SUPPORT STAFF ARE DIFFICULT TO RECRUIT AND RETAIN WHICH ELEVATES THE MARKET SALARY FOR SPECIALIZED STAFF. THE MEDICARE TWO PERCENT SEQUESTRATION IS ALSO A COMPONENT OF THE SHORTFALL CALCULATION. EFFECTIVE MAY 1, 2020 THE TWO PERCENT SEQUESTRATION WAS REMOVED, A CHANGE BROUGHT BY THE CARES ACT. BASED ON THESE ISSUES, WE BELIEVE SERVICE TO OUR MEDICARE POPULATION IS A COMMUNITY BENEFIT. ALSO, THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT WHEN DETERMINING THE AMOUNT ON PART III - LINE 6.PRIOR YEAR SETTLEMENTS FOR MEDICARE-RELATED SERVICES THAT WERE BOOKED IN THE CURRENT TAX YEAR ARE ALSO INCLUDED IN THE CURRENT TAX YEAR CALCULATION.
PART III, LINE 9B:	IF THE RESPONSIBLE INDIVIDUAL HAS NOT SUBMITTED A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE OR HAS NOT PAID-IN-FULL, FOUR SEPARATE STATEMENTS ARE SENT OUT FOR THE COLLECTION OF SELF-PAY ACCOUNTS. THE FINAL STATEMENT SENT WILL INFORM THE INDIVIDUAL OF POSSIBLE EXTRAORDINARY COLLECTION ACTIONS (ECA) TO BE TAKEN IF FINANCIAL ASSISTANCE IS NOT APPLIED FOR OR THE ACCOUNT IS NOT PAID IN FULL. AFTER THE FINAL STATEMENT AND BEFORE ECAS ARE TAKEN, REASONABLE EFFORTS ARE MADE TO ORALLY CONTACT THE INDIVIDUAL AS A FINAL NOTICE. PATIENTS WHO CANNOT PAY CHARGES IN FULL MAY ALSO BE OFFERED A PAYMENT PLAN THAT IS CONSISTENT WITH ADENA'S CUSTOMER SERVICE PROCEDURES.
PART VI, LINE 3:	THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN THE FOLLOWING MANNER: 1. STATEMENTS FROM ADENA AS WELL AS COLLECTION VENDORS EXPLAIN AND LIST THE 100% AND 60% ASSISTANCE GUIDELINES ON THE BACKSIDE OF THE STATEMENT. 2. THERE IS SIGNAGE EXPLAINING THE PROGRAM AT ALL THE REGISTRATION AREAS. 3. STAFF AT THE CASHIER AREA EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE.
PART VI, LINE 4:	ROSS COUNTY, HOME TO ADENA REGIONAL MEDICAL CENTER, IS LOCATED IN SOUTH CENTRAL OHIO. IT IS PART OF 2 CONGRESSIONAL DISTRICTS (2ND AND THE 15TH) AND ONE OF OHIO'S 32 APPALACHIAN COUNTIES. IT CONTAINS THE POPULATION PATTERNS AND DISTINCT ECONOMIC CONDITIONS INHERENT OF THIS REGION OF THE U.S AND FACES SIMILAR CHALLENGES TO IMPROVE THE LIVES OF ITS 77,000 RESIDENTS. THESE INCLUDE LOW EDUCATIONAL ATTAINMENT PERCENTAGES AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. THE TOTAL POPULATION OF ROSS COUNTY REPRESENTS 15% OF THE TOTAL ADENA HEALTH SYSTEM SERVICE REGION AND IS THE PRIMARY PLACE OF RESIDENCE FOR 80% OF THE PATIENTS IT SERVES. THE COUNTY, AS WELL AS THE REMAINDER OF THE 12 COUNTY SERVICE REGION, HAS SIMILAR DEMOGRAPHICS AS THE STATE OF OHIO AND U.S. OVER 64% OF THE POPULATION IS BETWEEN THE AGES OF 19 AND 64 AND 13% OF THE POPULATION IS OVER THE AGE OF 65. THE MAJORITY OF THE POPULATION IS WHITE WITH AFRICAN AMERICANS MAKING UP THE MAJORITY OF THE REGION'S MINORITY POPULATION.THE 28,269 HOUSEHOLDS IN ROSS COUNTY REPRESENT 14.7% OF THE HOUSEHOLDS IN ADENA HEALTH SYSTEM'S 12-COUNTY SERVICE REGION. THE AVERAGE HOUSEHOLD SIZE IS 2.54 PEOPLE, COMPARABLE WITH THE REST OF OHIO AND THE U.S. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.05 PEOPLE. A LITTLE MORE THAN 50% OF THE POPULATION IS NOW MARRIED WHICH IS COMPARABLE WITH OHIO AND NATIONAL AVERAGES. MORE THAN 14% ARE DIVORCED WHICH IS NOTICEABLY HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES. MORE THAN 15% OF THE ADULTS IN ROSS COUNTY HAVE NOT GRADUATED FROM HIGH SCHOOL. THIS PERCENTAGE IS HIGHER THAN BOTH THE OHIO (12.2%) AND NATIONAL (14.6%) AVERAGES, BUT IS LOWER THAN THE AVERAGE FOR THE 12-COUNTY SERVICE REGION (18.9%). MORE THAN 10% OF THE POPULATION OF ROSS COUNTY IS ESTIMATED TO BE FUNCTIONALLY ILLITERATE, OR LACKING THE READING AND WRITING SKILLS SUFFICIENT FOR ORDINARY PRACTICAL NEEDS.THE UNEMPLOYMENT RATE IN ROSS COUNTY (4.8%) IS COMPARABLE TO THE U.S. AVERAGE. IN ADDITION, MORE THAN 45% OF THE POPULATION IS NOT IN THE WORKFORCE. THIS IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE TOP FIVE EMPLOYMENT INDUSTRIES IN ROSS COUNTY ARE MANAGEMENT/PROFESSIONAL OCCUPATIONS, EDUCATION/HEALTHCARE SERVICES, SALES, PRODUCTION/TRANSPORTATION SERVICES, AND SERVICE OCCUPATIONS. ROSS COUNTY HAS MORE PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE COUNTY HAS ABOUT HALF AS MANY PROFESSIONAL, SCIENTIFIC AND MANAGEMENT SERVICES PROFESSIONALS AS OHIO AND THE U.S.THE PER CAPITA, MEDIAN AND MEAN HOUSEHOLD INCOMES IN ROSS COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES, BUT HIGHER THAN REGIONAL AVERAGE. POVERTY RATES ARE ALSO HIGHER THAN STATE AND NATIONAL AVERAGES BUT LOWER THAN THE REST OF THE REGION. ACCESS TO EMPLOYMENT IN ROSS COUNTY IS HIGHER THAN OTHER COUNTIES IN THE REGION.THERE ARE 6,348 CIVILIAN VETERANS LIVING IN ROSS COUNTY, ACCOUNTING FOR ALMOST 8% OF THE REGION'S POPULATION. THE TOTAL CIVILIAN VETERANS WITHIN THE ADENA HEALTH SYSTEM 12-COUNTY SERVICE REGION REPRESENT 5% OF OHIO'S TOTAL CIVILIAN VETERAN POPULATION. ROSS COUNTY ALSO HAS A VETERAN'S ADMINISTRATION HOSPITAL LOCATED 4.5 MILES FROM ADENA REGIONAL MEDICAL CENTER.ROSS COUNTY AND ITS ENTIRE SURROUNDING SERVICE REGION HAVE A HIGHER PREVALENCE OF DISABILITY THAN THE REST OF OHIO. SEVEN OF THE 12 COUNTIES IN THE SERVICE REGION HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%. ROSS COUNTY'S PREVALENCE RATE IS 13.5%.
PART VI, LINE 5:	ADENA REGIONAL MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH A VARIETY OF MEANS, INCLUDING BOARD MEMBERS, ADMINISTRATIONS, EMPLOYEES AND VOLUNTEERS. THE 2021 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 14 MEMBERS WHO ALL RESIDE IN THE HOSPITAL SERVICE AREA. TWO OF THE BOARD MEMBERS WERE AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR.
PART VI, LINE 6:	FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CHILLICOTHE FARMERS MARKET ASSOCIATION
300 CHILLICOTHE AVE	HILLSBORO	OH	45133	262216517	501(C)(4)	$15,258	$0	COMMUNITY IMPROVEMENT INITIATIVE
UNITED WAY ROSS CO
69 EAST WATER STREET	CHILLICOTHE	OH	45601	314389671	501(C)(3)	$30,971	$0	JOB DEVELOPMENT INITIATIVE
CHILD PROTECTION CENTER OF ROSS CO
138 MARIETTA RD ST E	CHILLICOTHE	OH	45601	311579825	501(C)(3)	$64,374	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY YMCA
100 MILL STREET	CHILLICOTHE	OH	45601	314379806	501(C)(3)	$18,843	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILLICOTHE -ROSS CHAMBER OF COMMERCE
41 E MAIN ST	CHILLICOTHE	OH	43103	314147100	501(C)(3)	$25,288	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY COMMUNITY ACTION
250 N WOODBRIDGE AVE	CHILLICOTHE	OH	45601	316059908	501(C)(3)	$97,106	$0	COMMUNITY IMPROVEMENT INITIATIVE
HIGHLAND COUNTY JR FAIR
PO BOX 232	HILLSBORO	OH	45601	346570420	501(C)(3)	$18,600	$0	WELLNESS INITIATIVE
PIKE COUNTY AGRICULTURAL SOCIETY
311 MILL ST	PIKETON	OH	45601	316106189	501(C)(3)	$28,950	$0	COMMUNITY IMPROVEMENT INITIATIVE
HIGHLAND COUNTY AGRICULTURAL
PO BOX 564	HILLSBORO	OH	45601		115	$5,400	$0	OPERATING ASSISTANCE
JACKSON AREA FESTIVALS & EVENTS
PO BOX 488	JACKSON	OH	45640	461960880	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
WELLSTON CITY SCHOOLS
1 E BROADWAY ST	WELLSTON	OH	45692	316401103	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
TEAYS VALLEY BOARD OF EDUCATION
385 VIKING WAY	ASHVILLE	OH	43103	316402688	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
MIAMI TRACE LOCAL SCHOOL DISTRICT
3818 STATE ROUTE 41 NW	WASHINGTON COURT HOUSE	OH	43160	316006819	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
GREENFIELD EXEMPTED VILLAGE SCHOOL
200 NORTH FIFTH ST	GREENFIELD	OH	45123	316000808	115	$26,200	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY JUNIOR FAIR SALE COMMITTEE
475 WESTERN AVE SUITE F	CHILLICOTHE	OH	45601	205233558	115	$47,450	$0	COMMUNITY IMPROVEMENT INITIATIVE
SOUTHEASTERN LOCAL SCHOOL DISTRICT
2003 LANCASTER ROAD	CHILLICOTHE	OH	45601	316400983	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
ZANE TRACE LOCAL SCHOOL DISTRICT
946 STATE ROUTE 180	CHILLICOTHE	OH	45601	370711566	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
UNION-SCIOTO LOCAL SCHOOL DISTRICT
1565 EGYPT PIKE	CHILLICOTHE	OH	45601		115	$47,000	$0	COMMUNITY IMPROVEMENT INITIATIVE

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	ATHLETIC TRAINERS AT AREA SCHOOLS	GrantTypeTxt
Recipient	3166	RecipientCnt
Non Cash Assistance	$724,892	NonCashAssistanceAmt
Valuation Method Used	COST OF LABOR AND BENEFITS	ValuationMethodUsedDesc
Non Cash Assistance	SERVICE TO AREA HIGHSCHOOL ATHLETES	NonCashAssistanceDesc

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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
JEFF GRAHAM
CEO	$845,204	$0	$241,003	$0	$36,965	$0	$276,203	$0	$57,034	$0	$1,456,409	$0	$262,215	$0
ROGER WILTFONG
PHYSICIAN	$387,867	$0	$886,938	$0	$3,375	$0	$18,000	$0	$44,048	$0	$1,340,228	$0	$0	$0
JAMES FLEMING
PHYSICIAN	$543,601	$0	$527,715	$0	$19,461	$0	$24,216	$0	$37,737	$0	$1,152,730	$0	$0	$0
HAVAL SAADLLA
PHYSICIAN	$389,837	$0	$639,280	$0	$2,426	$0	$9,000	$0	$36,336	$0	$1,076,879	$0	$0	$0
THOMAS LEWIS
PHYSICIAN	$389,837	$0	$639,280	$0	$2,426	$0	$9,000	$0	$36,336	$0	$1,076,879	$0	$0	$0
BRIAN COHEN
PHYSICIAN	$577,408	$0	$402,448	$0	$7,566	$0	$8,648	$0	$11,192	$0	$1,007,262	$0	$0	$0
LISA CARLSON
CFO	$538,525	$0	$131,057	$0	$82,183	$0	$226,846	$0	$26,377	$0	$1,004,988	$0	$196,098	$0
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER	$454,357	$0	$126,920	$0	$71,774	$0	$175,090	$0	$41,041	$0	$869,182	$0	$176,533	$0
KATHERINE EDRINGTON
COO	$515,416	$0	$117,865	$0	$16,967	$0	$146,797	$0	$20,593	$0	$817,638	$0	$129,609	$0
KIRK TUCKER
CHIEF CLINICAL OFFICER	$426,456	$0	$85,053	$0	$53,255	$0	$151,517	$0	$43,851	$0	$760,132	$0	$135,834	$0
ANTHONY FREEMAN
FORMER CHIEF MEDICAL OFFICER	$614,573	$0	$63,891	$0	$25,857	$0	$21,180	$0	$29,212	$0	$754,713	$0	$0	$0
JOHN GABIS
PRESIDENT OF AMG	$415,517	$0	$84,828	$0	$57,557	$0	$98,719	$0	$24,381	$0	$681,002	$0	$137,936	$0
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER	$340,584	$0	$88,500	$0	$32,767	$0	$111,505	$0	$40,588	$0	$613,944	$0	$97,058	$0
CRAIG BABBITT
CHIEF LEGAL OFFICER	$313,687	$0	$67,003	$0	$66,352	$0	$123,815	$0	$19,691	$0	$590,548	$0	$99,930	$0
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	$308,253	$0	$61,200	$0	$38,015	$0	$110,264	$0	$6,053	$0	$523,785	$0	$94,730	$0
RICHARD D MIZER
PRESIDENT OF AMG	$285,506	$0	$13,901	$0	$6,039	$0	$64,537	$0	$21,947	$0	$391,930	$0	$0	$0
REGGINA YANDILA
TRUSTEE/PHYSICIAN	$207,629	$0	$106,294	$0	$1,003	$0	$10,916	$0	$33,191	$0	$359,033	$0	$0	$0
MOLLY M GROOMS
CHIEF NURSING OFFICER	$270,100	$0	$53,000	$0	$585	$0	$32,056	$0	$1,542	$0	$357,283	$0	$52,000	$0
JACK BERNO
FORMER CHIEF MEDICAL OFFICER	$299,576	$0	$11,000	$0	$5,438	$0	$24,507	$0	$2,961	$0	$343,482	$0	$10,000	$0
JAMIE SMITH
CHIEF INFORMATION OFFICER	$210,606	$0	$29,601	$0	$624	$0	$65,182	$0	$32,750	$0	$338,763	$0	$28,601	$0
TY MCBEE
VP OF STRATEGIC OPERATIONS	$221,456	$0	$44,710	$0	$1,091	$0	$57,888	$0	$10,548	$0	$335,693	$0	$43,243	$0
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN	$174,601	$0	$74,665	$0	$1,588	$0	$1,560	$0	$33,766	$0	$286,180	$0	$0	$0
BROOKE L BURNS
EXECUTIVE VICE PRESIDENT AMG	$220,342	$0	$45,505	$0	$497	$0	$0	$0	$14,034	$0	$280,378	$0	$44,305	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 SEVEN OF THE OFFICERS AND KEY EMPLOYEES. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. THREE KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2021.
PART I, LINE 4B	THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2021: LISA CARLSON $66,739 SERP ACCRUAL HARRY KITTAKA $59,343 SERP ACCRUAL KIRK TUCKER $51,813 SERP ACCRUAL KRISTIN BOGGS $36,706 SERP ACCRUAL CRAIG BABBITT $40,083 SERP ACCRUAL MOLLY GROOMS $32,056 SERP ACCRUAL THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN.
PART I, LINE 7	MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER AN INDUSTRY STANDARD VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CHILLICOTHE OHIO
A	316400221	169203AK2	2017-06-22	$161,095,326	ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM	0	0	0
COUNTY OF ROSS OHIO
B	316400085		2019-06-19	$83,270,000	ORTHO ROBOTIC CENTER	0	0	0
COUNTY OF ROSS OHIO
C	316400085		2021-05-13	$30,000,000	HOSPITAL FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$1,925,000	$164,402,962	$121,977,262	$1,777,526	$40,648,173	2020	0	Yes (1)	Yes (1)	Yes (1)
B	$4,470,000	$99,843,365		$964,347	$71,856,977		Yes (1)	0	0	Yes (1)	$23,486,711	$3,535,330
C	$710,000	$30,000,609	$112,289		$26,628,338		0	0	0	Yes (1)		$3,259,982

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C	FormAndLineReferenceDesc
Explanation	THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
ROGER WILTFONG
HIGHEST COMPENSATED EMPLOYEE	SIGN ON	Yes (X)	$70,000	$12,896	0	0	Yes (1)
TAREK MOUSSA
HIGHEST COMPENSATED EMPLOYEE	SIGN ON	Yes (X)	$100,000	$34,300	0	0	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$47,196	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ROBIN BERNO
SPOUSE OF FORMER KEY EMPLOYEE JACK BERNO	$172,674	EMPLOYEE COMPENSATION	0
MARIA SMITH
SISTER OF BOARD DIRECTOR JOE WATSON	$137,811	EMPLOYEE COMPENSATION	0
(no name)
			0
(no name)
			0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	KATHERINE EDRINGTON CHIEF OPERATING OFFICER AND KRISTIN BOGGS, CHIEF INTEGRITY & COMPLIANCE OFFICER ARE SIBLINGS. ADENA HAS IMPLEMENTED A MECHANISM FOR TRIAGING ANY UNDERLYING CONCERNS INVOLVING EITHER PARTY DIRECTLY TO THE CHRO AS WELL AS BOTH PARTIES SHALL RECUSE THEMSELVES FROM ANY DECISIONS INVOLVING THE OTHER PARTY.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. FREEDOM HOUSE OF CHILICOTHE 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. ST. PETER'S CATHOLIC CHURCH
FORM 990, PART VI, SECTION A, LINE 7A	THE CORPORATE MEMBER CHURCHES MAY NOMINATE A BOARD MEMBER, BUT THE BOARD OF DIRECTORS OF AHS RESERVES THE FINAL APPROVAL. THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION."
FORM 990, PART VI, SECTION A, LINE 7B	SECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	COPIES OF THE 990 ARE SENT TO BOARD MEMBERS VIA THE SERCURE INFORMATION PORTAL PROVIDED BY ADENA HEALTH SYSTEM. THE FORM IS PUBLISHED ON THE PORTAL PRIOR TO THE BOARD MEETING THAT INCLUDES A VISIT BY PLANTE MORAN REPRESENTATIVES. THESE REPRESENTATIVES STRESS THE IMPORTANCE OF THE 990 AND DISCUSS THE MAJOR COMPONENTS INCLUDING SCHEDULE H.
FORM 990, PART VI, SECTION B, LINE 12C	THE CORPORATE COMPLIANCE OFFICE OF ADENA HEALTH SYSTEM ANNUALLY COORDINATES THE DISTRIBUTION AND RETURN OF THE CONFLICT OF INTEREST STATEMENTS. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. ADVANCED PRACTICE CLINICIANS, FRONT LINE SUPERVISORS UP THROUGH THE CEO, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR EXECUTIVE LEADERSHIP. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE EXECUTIVE LEADERSHIP. OTHER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. COMPENSATION WAS LAST REVIEWED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19	THE ARTICLES OF INCORPORATION ARE AVAILABLE THRU OHIO SECRETARY OF STATE WEBSITE. AS A RESULT OF HAVING ISSUED PUBLIC DEBT, THE AUDITED FINANCIALS FOR ADENA HEALTH SYSTEM ARE AVAILABLE FOR VIEWING AT EMMR.MSRB.ORG. COPIES OF MOST RECENT 990 IS AVAILABLE UPON REQUEST BY CONTACTING ADMINISTRATION AT ADENA HEALTH SYSTEM; PRIOR 990S ARE AVAILABLE FOR VIEWING AT GUIDESTAR.COM.
FORM 990, PART IX, LINE 11G	CONSULTANT FEES: PROGRAM SERVICE EXPENSES 2,052,834. MANAGEMENT AND GENERAL EXPENSES 54,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,107,632. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,888,573. MANAGEMENT AND GENERAL EXPENSES 25,765,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,653,837. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 26,381,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,381,530.
FORM 990, PART XI, LINE 9:	TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -9,341,120. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 2,226. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE -98,755. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -246,883.
FORM 990: PART XII, LINE 2C	THE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
FORM 990: PART XII, LINE 3B	THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/21 IS IN PROCESS AND WILL BE COMPLETED AS SOON AS POSSIBLE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 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
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	271370967	HEALTHCARE PROVIDERS	OH	$90,883,318	$8,706,932	ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	275340755	HEALTHCARE PROVIDERS	OH	$4,346,744	$809,362	ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752730	HEALTHCARE PROVIDERS	OH	$3,327,790	$818,305	ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752854	HEALTHCARE PROVIDERS	OH	$5,432,838	$1,745,463	ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	451138187	HEALTHCARE PROVIDERS	OH	$7,468,596	$732,005	ADENA HEALTH SYSTEM
ADENA HEALTHCARE COLLABORATIVE
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	465731515	HEALTHCARE PROVIDERS	OH	$0	$0	ADENA HEALTH SYSTEM
MAXIMUM PROPERTIES LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	314379443	PROPERTY HOLDING	OH	$0	$5,927,804	ADENA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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)	12A	ADENA HEALTH SYSTEM	Yes (1)
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	261566590	FIBEROPTIC NETWORK GRANTS	OH	501(C)(3)	12A	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)
ADENA FAYETTE MEDICAL CENTER
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	852985806	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	-$83,547	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
S	$1,312,332	BOOK VALUE
PIKE HEALTH SERVICES
S	$2,470,797	BOOK VALUE
ADENA HEALTH FOUNDATION
C	$798,679	BOOK VALUE
ADENA HEALTH FOUNDATION
B	$384,211	BOOK VALUE
ADENA FAYETTE MEDICAL CENTER
P	$13,436,787	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