STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ADENA HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202133199349306403
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T10:02:49-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN314379443EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA CARLSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7407794478PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISAPersonFirstNm
Person LastCARLSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2021-11-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 HOSPITAL RDAddressLine1Txt
CityCHILLICOTHECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$590,687,595GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADENA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE 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.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4094TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI$215,176TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$97,103NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$618,858PYContributionsGrantsAmt
CY Contributions Grants$44,998,337CYContributionsGrantsAmt
PY Program Service Revenue$545,454,374PYProgramServiceRevenueAmt
CY Program Service Revenue$517,218,445CYProgramServiceRevenueAmt
PY Investment Income$3,910,431PYInvestmentIncomeAmt
CY Investment Income$4,950,934CYInvestmentIncomeAmt
PY Other Revenue$16,193,009PYOtherRevenueAmt
CY Other Revenue$23,457,759CYOtherRevenueAmt
PY Total Revenue$566,176,672PYTotalRevenueAmt
CY Total Revenue$590,625,475CYTotalRevenueAmt
PY Grants And Similar Paid$262,132PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,397,885CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$291,277,289PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$292,111,073CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$255,873,102PYOtherExpensesAmt
CY Other Expenses$257,319,715CYOtherExpensesAmt
PY Total Expenses$547,412,523PYTotalExpensesAmt
CY Total Expenses$550,828,673CYTotalExpensesAmt
PY Revenues Less Expenses$18,764,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,796,802CYRevenuesLessExpensesAmt
Total Assets BOY$738,150,495TotalAssetsBOYAmt
Total Assets EOY$876,980,484TotalAssetsEOYAmt
Total Liabilities BOY$396,487,306TotalLiabilitiesBOYAmt
Total Liabilities EOY$460,216,466TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$341,663,189NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$416,764,018NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$445,884,278ExpenseAmt
Grant$1,397,885GrantAmt
Revenue$537,348,398RevenueAmt
DescHEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,071 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 38,793 EMERGENT VISITS IN 2020. PHYSICIAN OFFICES: THERE WERE 523,118 PHYSICIAN OFFICE VISITS AND 48,760 URGENT CARE VISITS IN 2020.Desc
Total Program Service Expenses$445,884,278TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document258IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4094EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF CRAFT VP SYSTEM FINANCEPersonNm
Phone7407794481PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BRIAN COHEN
PHYSICIAN50.000.00Yes (X)$2,531,520$0$36,504
JEFF GRAHAM
CEO50.004.00$1,269,939$0$296,095Yes (X)
ROGER WILTFONG
PHYSICIAN50.000.00Yes (X)$1,081,343$0$43,866
KATHERINE EDRINGTON
COO50.004.00$817,533$0$149,850Yes (X)
LISA CARLSON
CFO50.004.00$732,200$0$219,594Yes (X)
TAREK MOUSSA
PHYSICIAN50.000.00Yes (X)$882,054$0$34,475
KELLY GALLINA
PHYSICIAN50.001.00Yes (X)$879,281$0$36,704
HAVAL SAADLLA
PHYSICIAN50.000.00Yes (X)$820,849$0$36,806
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER50.000.00$648,072$0$183,605Yes (X)
JOHN GABIS
PRESIDENT OF AMG50.000.00$592,069$0$176,365Yes (X)
WILBUR SEVER
FORMER TRUSTEE/PHYSICIAN50.000.00$732,270$0$35,811Yes (X)
KIRK TUCKER
CHIEF CLINICAL OFFICER50.000.00$561,329$0$171,625Yes (X)
ANTHONY FREEMAN
FORMER MEDICAL OFFICER0.000.00$579,452$0$28,958Yes (X)
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER50.000.00$462,507$0$136,630Yes (X)
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER50.000.00$464,914$0$100,853Yes (X)
JOHN FORTNEY
CHIEF MEDICAL OFFICER50.001.00$510,899$0$0Yes (X)
CRAIG BABBITT
CHIEF LEGAL OFFICER50.000.00$358,068$0$118,338Yes (X)
WAYNE COATS
FORMER TRUSTEE/PHYSICIAN50.000.00$355,841$0$34,272Yes (X)
REGGINA YANDILA
TRUSTEE/PHYSICIAN50.000.00$302,896$0$33,822Yes (X)
TY MCBEE
VP OF STRATEGIC OPERATIONS50.000.00$281,097$0$52,319Yes (X)
JACK BERNO
FMR CHIEF MEDICAL OFFICER/PHYSICIAN50.000.00$329,609$0$3,502Yes (X)
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN50.000.00$209,909$0$34,569Yes (X)
SCOTT GRIFFIN
FORMER PRESIDENT OF AMG0.000.00$100,250$0$0Yes (X)
CARVEL SIMMONS
TRUSTEE/SECRETARY2.000.00$0$0$0Yes (X)Yes (X)
JENNIFER MCKELL
TRUSTEE/VICE CHAIR2.000.00$0$0$0Yes (X)Yes (X)
JOSEPH WATSON
TRUSTEE/CHAIR2.000.00$0$0$0Yes (X)Yes (X)
STEVE HIRSCH
TRUSTEE/TREASURER2.000.00$0$0$0Yes (X)Yes (X)
ANTHONY FISH
TRUSTEE2.002.00$0$0$0Yes (X)
BARTON HENSHAW
TRUSTEE2.000.00$0$0$0Yes (X)
BETH WORKMAN
TRUSTEE (MAY-DEC)2.000.00$0$0$0Yes (X)
JERRY PHILLIPS
TRUSTEE2.000.00$0$0$0Yes (X)
KEVIN SHOEMAKER
TRUSTEE2.002.00$0$0$0Yes (X)
ROBERT FRENCH
TRUSTEE2.000.00$0$0$0Yes (X)
RONALD COFFEY
TRUSTEE2.000.00$0$0$0Yes (X)
SHEILAH GRAY
TRUSTEE2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,503,901TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,964,563TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K464IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MESSER CONSTRUCTION CO
643 W COURTCINCINNATIOH45203CONSTRUCTION$29,227,302
ENSEMBLE RCM LLC
4605 DUKE DRIVE SUITE 600MASONOH45040REVENUE CYCLE MANAGEMENT$14,224,631
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD 600SCOTTSDALEAZ85254PHYSICIAN SERVICES$8,139,812
DANIS BUILDING CONSTRUCTION CO
3233 NEWMARK DRIVEMIAMISBURGOH45342CONSTRUCTION$2,855,824
NTHRIVE INC
200 N POINT CENTERALPHARETTAGA30022MEDICAL RECORD SERVICES$2,567,930
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K75CntrctRcvdGreaterThan100KCnt
Related Organizations$432,536RelatedOrganizationsAmt
Government Grants$43,759,226GovernmentGrantsAmt
All Other Contributions$806,575AllOtherContributionsAmt
Total Contributions$44,998,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business622110BusinessCd
Total Revenue Column$517,218,445TotalRevenueColumnAmt
Related Or Exempt Func Income$517,000,782RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$217,663UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$517,218,445TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,968,709TotalRevenueColumnAmt
Exclusion$4,968,709ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$151,769RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$44,345RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$107,424RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,424TotalRevenueColumnAmt
Unrelated Business Revenue-$2,487UnrelatedBusinessRevenueAmt
Exclusion$109,911ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$17,775OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$17,775OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,775TotalRevenueColumnAmt
Exclusion-$17,775ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OUTPATIENT PHARMACY SALES446110$13,515,711$13,515,711
CAFETERIA REVENUE722514$1,831,458$1,831,458
CONSULTING FEES900099$195,131$195,131

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,808,035TotalRevenueColumnAmt
Related Or Exempt Func Income$6,636,774RelatedOrExemptFuncIncomeAmt
Exclusion$1,171,261ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,350,335OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$590,625,475TotalRevenueColumnAmt
Related Or Exempt Func Income$537,348,398RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$215,176UnrelatedBusinessRevenueAmt
Exclusion$8,063,564ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$903,717TotalAmt
Program Services$903,717ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$494,168TotalAmt
Program Services$494,168ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,885,098TotalAmt
Management And General$8,885,098ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$240,635,800TotalAmt
Program Services$206,564,357ProgramServicesAmt
Management And General$34,071,443ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,784,354TotalAmt
Program Services$25,741,512ProgramServicesAmt
Management And General$3,042,842ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,805,821TotalAmt
Program Services$11,523,972ProgramServicesAmt
Management And General$2,281,849ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$84,232,737TotalAmt
Program Services$42,078,783ProgramServicesAmt
Management And General$42,153,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,297,028TotalAmt
Program Services$2,355,277ProgramServicesAmt
Management And General$2,941,751ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,747,067TotalAmt
Management And General$2,747,067ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,963,533TotalAmt
Program Services$1,996,053ProgramServicesAmt
Management And General$967,480ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,567,298TotalAmt
Program Services$5,508,402ProgramServicesAmt
Management And General$2,058,896ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,817,268TotalAmt
Program Services$19,291,496ProgramServicesAmt
Management And General$8,525,772ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,850,175TotalAmt
Program Services$2,669,901ProgramServicesAmt
Management And General$1,180,274ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$89,992,382$88,124,309$1,868,073
BAD DEBT EXPENSE$29,659,511$29,659,511
TAXES$8,425,460$8,157,456$268,004
OVERHEAD ALLOCATION-$5,232,744$815,364-$6,048,108

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$550,828,673TotalAmt
Program Services$445,884,278ProgramServicesAmt
Management And General$104,944,395ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,093BOYAmt
EOY$14,543EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,536,934BOYAmt
EOY$135,845,160EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,677,796BOYAmt
EOY$15,502,721EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,537,635BOYAmt
EOY$56,610,154EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$87,692EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,081,165BOYAmt
EOY$11,514,833EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,841,026BOYAmt
EOY$5,892,437EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$511,248,348LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$292,106,564LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$189,304,713BOYAmt
EOY$219,141,784EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$388,223,907BOYAmt
EOY$386,946,720EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,933,226BOYAmt
EOY$45,424,440EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$738,150,495BOYAmt
EOY$876,980,484EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$82,157,119BOYAmt
EOY$83,669,239EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$279,841,381BOYAmt
EOY$291,137,939EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,988,806BOYAmt
EOY$84,909,288EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$396,487,306BOYAmt
EOY$460,216,466EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$339,422,719BOYAmt
EOY$414,118,758EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,240,470BOYAmt
EOY$2,645,260EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$341,663,189BOYAmt
EOY$416,764,018EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$738,150,495BOYAmt
EOY$876,980,484EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,796,802ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$30,354,518NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$19,700PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$4,969,209OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit Performed0FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,520OtherActivitiesAmt
Total Lobbying Expenditures$4,520TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,321,696BeginningYearBalanceAmt
Contributions-$43,583ContributionsAmt
Investment Earnings Or Losses$54,095InvestmentEarningsOrLossesAmt
Grants Or Scholarships$500GrantsOrScholarshipsAmt
End Year Balance$1,331,708EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,058,768OtherCostOrOtherBasisAmt
Book Value$5,058,768BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$243,053,694OtherCostOrOtherBasisAmt
Depreciation$125,220,647DepreciationAmt
Book Value$117,833,047BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,875OtherCostOrOtherBasisAmt
Depreciation$30,521DepreciationAmt
Book Value$111,354BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,880,110OtherCostOrOtherBasisAmt
Depreciation$160,230,342DepreciationAmt
Book Value$44,649,768BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,113,901OtherCostOrOtherBasisAmt
Depreciation$6,625,054DepreciationAmt
Book Value$51,488,847BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$219,141,784TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
OTHER NONCURRENT ASSETS$22,000
RIGHT-OF-USE OPERATING LEASE ASSETS$6,944,276
SOFTWARE IMPLEMENTATION ASSET$20,132,781
CARLISLE DEVELOPMENT LOAN$500,000
INVESTMENT IN DAVITA$620,744
MALPRACTICE INSURANCE RECOVERY LT$1,926,495
457B STATE RETIREMENT INVESTMENT$15,278,144
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,424,440TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ACCRUED MALPRACTICE INSURANCE - LT$12,103,302
DEFERRED COMPENSATION LIABILITY$15,278,144
INTERCOMPANY PAYABLE$1,129,423
CAPITAL LEASE OBLIGATION$2,187,758
RIGHT-OF-USE OPERATING LEASE OBLIGATION$4,756,518
ADVANCE MEDICARE PAYMENTS$44,752,947
DEFERRED FICA$3,903,168
OTHER LIABILITIES$798,028
FieldValueIRS element (for citing)
Total Liability$84,909,288TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,577,717TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,432,504DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,145,213NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,306,534TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,831,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,474,797NetCommunityBenefitExpnsAmt
Total Expense0.07770TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,884,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,264,241DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,620,010NetCommunityBenefitExpnsAmt
Total Expense0.07990TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,335,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$146,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,188,918NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,527,627TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,861,729DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,665,898NetCommunityBenefitExpnsAmt
Total Expense0.01280TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,485,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,934,371DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,551,470NetCommunityBenefitExpnsAmt
Total Expense0.02600TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,523TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,523NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,362,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,942,325DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,419,809NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,246,385TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,206,566DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,039,819NetCommunityBenefitExpnsAmt
Total Expense0.12100TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$239,103TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$239,103NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,383TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,383NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$262,486TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$262,486NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$29,659,511BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$150,344,786ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$179,449,093CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$29,104,307MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ADENA REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/YXWFCDQ6OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTPS://TINYURL.COM/Y4VCAXJSOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/YXWFCDQ6StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://TINYURL.COM/Y5BP84C7FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ADENA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE ADENA REGIONAL MEDICAL CENTER CAPTURED THE BROAD INTERESTS OF THE COMMUNITY FOR THE CHNA THROUGH TWO PRIMARY METHODS: PUBLIC SURVEYS AND KEY STAKEHOLDER INTERVIEWS. A HEALTH NEEDS SURVEY WAS WIDELY DISTRIBUTED IN BOTH ELECTRONIC AND PAPER FORM ACROSS THE ROSS COUNTY COMMUNITY AND RECEIVED APPROXIMATELY 1,200 RESPONSES. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS.
ADENA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6A: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: VETERANS ADMINISTRATION HOSPITAL.
ADENA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6B: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: 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 CENTERPART V, SECTION B, LINE 7D: THE CHNA WAS MADE AVAILABLE IN ELECTRONIC FORM THROUGH SOCIAL MEDIA, NEWSPAPER AND RADIO WEBSITES. PRESENTATIONS OF ITS CONTENT WERE MADE TO 12 GOVERNMENT, COMMUNITY AND CIVIC ORGANIZATIONS. HARD COPIES OF THE CHNA REPORT WERE ALSO PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES.
ADENA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE FOLLOWING DETAILS THE SPECIFIC IMPLEMENTATION STRATEGIES USED FOR HEALTH PRIORITIES IDENTIFIED FOR THE ADENA REGIONAL MEDICAL CENTER DURING 2020.SUBSTANCE USE DISORDER COMMUNITY DEVELOPMENTADENA, AS PART OF ITS COORDINATION EFFORTS FOR PARTNERS FOR A HEALTHIER ROSS COUNTY (PHRC) BEGAN CROSS REPORTING IN JANUARY OF 2017 WITH THE HOPE PARTNERSHIP PROJECT (HPP). A TOTAL OF FOUR REPRESENTATIVES (MEDICINE, SOCIAL WORK, COMMUNITY HEALTH AND ADVOCACY) FROM ARMC TEAM PARTICIPATE ON THE HPP COALITION. ADENA HEALTH SYSTEM ASSISTED IN THE DEVELOPMENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) GRANT IN 2019 AND WAS AWARDED $1 MILLION OVER THREE YEARS. ADENA HEALTH SYSTEM IS THE FISCAL AGENT FOR THE GRANT, OVERSEES ALL OF THE GRANTS MANAGEMENT AND PROVIDES 1FTE PROJECT MANAGER TO OVERSEE THE PROJECT. A COLLABORATIVE AGREEMENT WITH THE RULON CENTER, AND INPATIENT SUD TREATMENT FACILITY WAS ACCOMPLISHED IN 2019. IN ADDITION, A FORMAL AGREEMENT WITH BRIGHTVIEW TREATMENT CENTERS WAS CONTINUED TO PROVIDE PRIORITY APPOINTMENTS TO ADENA PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER. A GRANT FROM OHIO MENTAL HEALTH AND ADDICTION SERVICES WAS ALSO CONTINUED TO MAINTAIN AN EMERGENCY ROOM SUD NAVIGATOR IN 2019. ADVOCACYADENA HEALTH SYSTEM CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2019. ARMC HAS A TOTAL OF FOUR EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF SIX HOURS A MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE PARTNERS FOR A HEALTHIER ROSS COUNTY AND THE HPP IN 2019. ADENA HEALTH SYSTEM ALSO COORDINATES THE ROSS COUNTY SAFE COMMUNITIES COALITION (SUPPORTED BY THE OHIO DEPARTMENT OF PUBLIC SAFETY), WHICH IS OVERSEEN BY ONE .5 FTE. PARTICIPATION BY ANOTHER EMPLOYEE IS ALSO PROVIDED. THIS PROGRAM COORDINATES REGULAR SOCIAL MEDIA MESSAGES AND AN ANNUAL CAMPAIGN AROUND THE "DRIVE SOBER" CAMPAIGN. PROGRAMS AND INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 20 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS. A TOTAL OF 16 COMPLETED THE PROGRAM. THE PROGRAM WAS RECOGNIZED AS THE 2018 PROMISING PRACTICES PROGRAM BY THE CENTERS FOR MEDICAID AND MEDICARE.THE ARMC EMERGENCY DEPARTMENT DEPLOYED A POST OVERDOSE RESPONSE TEAM (PORT) IN AUGUST OF 2017 WHICH CONTINUED IN 2020 TO PROVIDE TREATMENT RESOURCES AND HARM REDUCTION FOR THOSE WITH SUBSTANCE USE DISORDER AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT ALSO STAFFS A SOCIAL WORKER/SUBSTANCE USE DISORDER NAVIGATOR TO ENGAGE PATIENTS IDENTIFIED AS NEEDING SERVICES IN RESOURCES FOR RECOVERY. THESE SERVICES CONTINUED IN 2020. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PROVIDED $25,000 IN SUPPORT DURING 2020 FOR THE BUCK FIFTY WHICH COORDINATES THE DRUG FREE CLUBS OF AMERICA/MADE PROGRAM DEPLOYED IN SIX ROSS COUNTY SCHOOL DISTRICTS WHICH INCENTIVIZES STUDENT PARTICIPATION IN DRUG TESTING. ADENA COMMUNITY HEALTH AND DEVELOPMENT ALSO PROVIDED AN ADDITIONAL $2,500 IN SUPPORT FOR HARM REDUCTION KITS FOR THE EDINS PROJECT AND $600 OF ENGAGEMENT MATERIALS FOR THE ROSS COUNTY SAFE COMMUNITIES ANNUAL "DRIVE SOBER" CAMPAIGN. OBESITY AND DIABETESCOMMUNITY DEVELOPMENTADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE LIVEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY YMCA. THIS TEAM REFORMULATED A PLAN TO ENGAGE LOCAL SCHOOLS ON NUTRITION AND FITNESS IMPROVEMENT STRATEGIES IN 2019 BUT WAS UNABLE TO MOVE MUCH OF THEIR PLAN IN 2020 DUE TO THE COVID 19 PANDEMIC. WORK STARTED LATER IN 2020 TO ALIGN THE GROUP WITH THE CREATING HEALTHY COMMUNITIES GRANT HELD BY THE ROSS COUNTY HEALTH DISTRICT WHICH STARTED PLANS FOR COMMUNITY GARDENS AND ACTIVE TRANSPORTATION. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR LIVEWELL ROSS.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON NUTRITION AND FITNESS EDUCATION AND AWARENESS.PROGRAMS AND INITIATIVESARMC PARTNERED WITH THE ROSS COUNTY OHIO STATE UNIVERSITY EXTENSION OFFICE TO DELIVER COOKING CLASSES TO ADENA PATIENTS WITH OBESITY AND DIABETES. THESE CLASSES WENT VIRTUAL IN 2020 DUE TO THE COVID 19 PANDEMIC. A TOTAL OF 21 FAMILIES WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING. DUE TO THE PROGRAM BEING DELIVERED VIRTUALLY DURING THE 2020 COVID PANDEMIC, NO FUNDS WERE EXPENDED FOR THE DELIVERY OF THE PROGRAM. A WALK WITH A DOC EVENT WAS HELD IN JANUARY WHERE PRIMARY CARE PROVIDER DR. REGINA YANDILA PROVIDED A TOTAL OF 65 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON NUTRITION AND ACTIVITY FOLLOWED BY A 30 MINUTE WALK. ANOTHER EVENT WAS HELD IN FEBRUARY OF 2020 TO DISCUSS HEART HEALTH AND OBESITY. DR. KEVIN RADEKI PROVIDED COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON HEART HEALTH FOLLOWED BY A 30 MINUTE WALK. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PARTNERED WITH THE CHILLICOTHE FARMER'S MARKET TO FUND THE "FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED 83 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER AND AN ADDITIONAL 292 COMMUNITY SNAP BENEFICIARIES RECEIVED A TOTAL OF $5,883 OF FRESH FRUITS AND VEGETABLES. ADENA HEALTH SYSTEM ALSO PROVIDED IN-KIND RESOURCES TO THE LIVEWELL ROSS COALITION BY PRINTING THEIR "HEALTHY CELEBRATIONS" GUIDES AT NO COST. IN 2020 ADENA HEALTH SYSTEM CONTINUED ITS PARTNERSHIP WITH THE YMCA OF ROSS COUNTY TO COORDINATE THE "FIRST STEP" PROGRAM. THIS PROGRAM UTILIZES A YMCA TRAINER TO OPTIMIZE (REDUCE BMI) ADENA BONE & JOINT PATIENTS PRIOR TO SURGERY TO IMPROVE SURGICAL OUTCOMES OF JOINT REPLACEMENT. A TOTAL OF 20 PATIENTS WERE SERVED IN 2020 AND A TOTAL OF $11,060.08 IN SUPPORT WAS PROVIDED THROUGH THIS PARTNERSHIP. RESPIRATORY ISSUESCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE BREATHEWELL ROSS COMMITTEE IN 2017, NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. THIS TEAM DEVELOPED A PLAN TO ENGAGE LOCAL TOWNS AND VILLAGES IN SMOKE FREE SPACE POLICY AND DEVELOP POLICY DEVELOPMENT AND CESSATION KITS FOR LOCAL BUSINESSES AND AGENCIES. IN 2018, ALL CITY PARKS ADOPTED SMOKE-FREE SPACE POLICIES AND MORE THAN 50 SMALL BUSINESSES HAVE UTILIZED THE CESSATION AND SMOKE FREE WORK PLACE POLICY ADOPTION KITS. IN 2019, THE ROSS COUNTY PARKS DISTRICT ALSO ADOPTED SMOKE-FREE PARKS POLICIES. CITY PARKS ALSO EXTENDED THE POLICIES TO ALL OF THEIR BALL FIELDS. ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS COUNTY AIR QUALITY COMMITTEE NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. IN 2018, THIS TEAM RESEARCHED EPA DATA ON TOXIC EMISSIONS AND INVENTORY TO IDENTIFY AND PRIORITIZED FIVE CENSUS TRACTS WHERE AIR MONITORING COULD BE INITIATED. THE TEAM INSTALLED FIVE PURPLE AIR MONITORS ACROSS THE COUNTY AND PARTNERED WITH OHIO EPA WHO HAS COMMITTED SUPPORT TO READING MONITOR DATA ON AN ONGOING BASIS TO DETERMINE IF LARGER MONITORS ARE NEEDED. DATA COLLECTION AND REPORTING CONTINUED IN 2020. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH IN 2020 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.ARMC CONTRIBUTES THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS COUNTY AIR QUALITY COMMITTEE.PROGRAMMING & INITIATIVESADENA HEALTH SYSTEM CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2020 WHICH PROVIDED A TOTAL OF 50 PATIENTS WITH TOBACCO CESSATION COUNSELING ACROSS 320 VISITS. CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,126 PATIENTS FROM THE REGION INCLUDING PIKE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2020 WHICH RESULTED IN 25 POSITIVE CANCER FINDINGS.
ADENA REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 20E: PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. IF AVAILABLE, SELFPAY PATIENTS ARE SCREENED FOR GOVERNMENT ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE DURING THE INPATIENT STAY. FAP APPLICATIONS ARE PROVIDED TO THE PATIENT AS PART OF THE SCREENING. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE ONLINE AND THROUGHOUT THE HOSPITALS AND CLINICS. THIS IS ALSO AVAILABLE AT THE HOPE CLINIC.
PART V, SECTION B, LINE 11 CONTINUEDTHE ADENA HEALTH SYSTEM PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE LIVESTRONG WELLNESS CLASSES FOR PATIENTS RECEIVING TREATMENT AT THE ADENA CANCER CENTER. IN 2020 PATIENTS WERE ENROLLED BUT CLASSES WERE DISRUPTED DUE TO THE COVID 19 PANDEMIC. A TOTAL OF $250 WAS SPENT TO OPERATE THE PROGRAM. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PROVIDED $1,187 IN FINANCIAL SUPPORT TO THE ROSS COUNTY PARKS DISTRICT TO ASSIST IN THE PURCHASE OF SMOKE FREE SPACE SIGNAGE FOR THE PARKS AFTER THEIR ADOPTION OF A NO SMOKING POLICY IN ALL ROSS COUNTY PARKS. MENTAL HEALTHCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS MENTAL HEALTH FORUM NOW LED BY DR. JIM HAGEN IN 2018. THIS TEAM UTILIZED THE SEQUENTIAL INTERCEPT MAPPING IT COMPLETED IN THE FALL OF 2018 TO COORDINATE INITIATIVES WITH THE LOCAL JAIL, HOPE PARTNERSHIP PROJECT, PAINT VALLEY ADAMH BOARD AND SCIOTO PAINT VALLEY MENTAL HEALTH CENTER. ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2018 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2020 TO PARTICIPATE IN VIRTUAL COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS IN 2020 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 445 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY NET AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $225,000 IN 2020. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS COUNTY, PIKE COUNTY AND HIGHLAND COUNTY. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO 307 CRISIS CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. CHILD SAFETY AND WELLNESSADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 2 HOURS PER QUARTER TO PARTICIPATING IN MEETINGS AND COORDINATING PROJECTS FOR THE FAMILY AND CHILDREN FIRST COUNCIL.ARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM OF 1 HOUR PER MONTH TO THE CHILDREN'S DRUG PREVENTION COMMITTEE OF THE HOPE PARTNERSHIP PROJECT. ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS ACROSS THE HEALTH SYSTEM AND CLINICS, INCLUDING HIGHLAND COUNTY, FOCUSED ON SAFE SLEEP AWARENESS IN 2020.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $395,367 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION IN 2020. A TOTAL OF 12 ATHLETIC TRAINERS WORK WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS AND FOCUS ON EDUCATING STUDENTS, PARENTS AND COACHES ON SPORTS MEDICINE TOPICS, INCLUDING CONCUSSION IDENTIFICATION AND TREATMENT. THE STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO MORE THAN 1,200 STUDENTS IN HIGHLAND, JACKSON, PICKAWAY, PIKE, AND ROSS COUNTIES. ADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY PUBLIC LIBRARIES TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, COORDINATED WITH THE BOOKWORM SUMMER READING PROGRAM. ALTHOUGH THE COVID 19 PANDEMIC IMPACTED PARTICIPATION AND REACH GREATLY, A TOTAL OF 293 CHILDREN, 90 TEENS, AND 147 ADULTS WERE ENGAGED IN THE PROGRAM THAT REWARDED FOR COMPLETING WEEKLY HEALTH CHALLENGES. PARTICIPANTS ARE OFFERED THE OPPORTUNITY TO EARN PRIZES AS THEY COMPLETE CHALLENGES AND THOSE WHO COMPLETE ALL CHALLENGES ARE ENTERED INTO A DRAWING FOR A NEW BICYCLE AND ADULTS GOT THE OPPORTUNITY FOR A FITBIT. A TOTAL OF $700 WAS SPENT ON REWARD PRIZES. ADENA HEALTH SYSTEM HAS PARTNERED WITH CHILLICOTHE CITY SCHOOLS TO COORDINATE THE AIM PROGRAM, WHICH OFFERS SIX STUDENTS A FELLOWSHIP OPPORTUNITY DURING THEIR SENIOR YEAR OF HIGH SCHOOL TO EXPLORE THE CAREER OF MEDICINE. STUDENTS ARE OFFERED THE OPPORTUNITY TO SHADOW PHYSICIANS ACROSS VARIOUS SPECIALTIES AND COMPLETE A COMMUNITY HEALTH PROJECT. A TOTAL OF $2,300 WAS SPENT ON THE PROGRAM IN 2020. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH SYSTEM PROVIDES ANNUAL SUPPORT IN THE AMOUNT OF $3,000 EACH YEAR TO THE ROSS COUNTY JUNIOR ACHIEVEMENT, WHICH WORKS WITH YOUTH IN ALL SCHOOL DISTRICTS, GRADES 5-12, TO EDUCATE ON FINANCIAL LITERACY, CAREER DEVELOPMENT AND ENTREPRENEURSHIP. SUPPORT IS UTILIZED TO PURCHASE LEARNING MATERIALS. ADENA HEALTH SYSTEM PROVIDED A TOTAL OF 4 CRIBS AND 1,300 SLEEP SACKS FOR BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2020. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.ZANE TRACE LOCAL SCHOOLS RECEIVED $5,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES. TEAYS VALLEY LOCAL SCHOOLS RECEIVED $10,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES.COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES STAYED AT 77 IN 2020 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 65 TO 55 IN 2020 (COUNTY HEALTH RANKINGS).ADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2020 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINICS PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS PROVIDING SERVICES TO PATIENTS IN THE CLINIC. A TOTAL OF 3,968 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, FAYETTE, VINTON, PICKAWAY, PIKE, HIGHLAND AND JACKSON) MADE A TOTAL OF 12,965 VISITS TO THE TWO CLINICS IN 2020. APPROXIMATELY 9.5% OF PATIENTS SERVED BY THE CLINICS ARE UNINSURED. ADENA ALSO PROVIDES SUPPORT TO THE ROSS COUNTY COMMUNITY THROUGH A VARIETY OF ENGAGEMENT ACTIVITIES, INCLUDING FINANCIAL SUPPORT AND PARTICIPATION IN LOCAL COMMUNITY EVENTS AND INITIATIVES. IN 2020, WITH QUARANTINE AND SHUT DOWN ORDERED BY THE OHIO GOVERNOR DUE TO THE COVID 19 PANDEMIC, NO COMMUNITY EVENTS OR INITIATIVES WERE HELD. THEREFORE ONLY A LIMITED AMOUNT OF EMPLOYEES PROVIDED VOLUNTEER SERVICE. APPROXIMATELY 25 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A TOTAL OF 300 HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME PARTICIPATING IN COVID 19 COMMUNITY RESPONSE SERVICE, PACKING WEEKEND FOOD BAGS FOR FOOD INSECURE CHILDREN, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, AND OTHER INITIATIVES. THESE INCLUDED: -$25,000 IN SUPPORT FOR THE 2-1-1 INFORMATION AND REFERRAL LINE OPERATED BY THE ROSS COUNTY UNITED WAY. THE LINE IS A 24/7 RESOURCE AND CONNECTION TO FOOD, EDUCATION, TRANSPORTATION, FINANCIAL ASSISTANCE AND HEALTHCARE RESOURCES. - $20,000 IN SUPPORT OF THE ROSS COUNTY UNITED WAY'S ANNUAL CAMPAIGN. UNITED WAY UTILIZES FUNDS RAISED TO OFFER GRANTS FOR EDUCATION, HEALTH AND FINANCIAL MOBILITY PROGRAMMING. - $10,000 IN SUPPORT OF THE ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO, WHICH PROVIDES BUSINESS AND ECONOMIC DEVELOPMENT SERVICES TO THE REGION. -$2,500 IN SUPPORT OF THE CHILLICOTHE-ROSS CHAMBER OF COMMERCE, WHICH PROVIDES SUPPORT TO LOCAL BUSINESSES AND ORGANIZATIONS- OVER $10,000 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN ROSS, HIGHLAND AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE.
PART V, SECTION B, LINE 11 CONTINUEDADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH SYSTEM CONTINUED IT'S MORE THAN 20 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2020 WHICH PROVIDES RESOURCES AND COUNSELING TO YOUNG VICTIMS OF INTERPERSONAL VIOLENCE AND SEXUAL ASSAULT IN A NINE COUNTY SERVICE REGION THAT INCLUDES ROSS, PIKE AND HIGHLAND COUNTIES. ADENA PROVIDED A TOTAL OF $63,374 IN FINANCIAL SUPPORT FOR THE CPC'S FACILITY COSTS AND INFORMATION TECHNOLOGY NEEDS. MEDICAL AND NURSING STAFF ALSO PROVIDE SUPPORT TO THE CENTER. HOPE CLINIC: ADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2020. A TOTAL OF 12 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED MORE THAN 342 HOURS OF CARE AT HOPE CLINIC IN 2020. A TOTAL OF 452 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE, WORTH $229,637. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. THE CLINIC IS LOCATED IN CHILLICOTHE, OH BUT SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $4,000 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR CLINICAL RESOURCES. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE: IN 2015, ADENA HEALTH SYSTEM COLLABORATED WITH THE ROSS COUNTY HEALTH DISTRICT TO COORDINATE AND CONVENE A COMMUNITY STEERING COMMITTEE FOCUSED ON COMPLETING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHA) AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR ROSS COUNTY. A TOTAL OF 19 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS PARTICIPATE TO IDENTIFY STRATEGIC HEALTH PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. ADENA HEALTH SYSTEM HAD A TOTAL OF FIVE ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2020 TO CONTRIBUTING TO THE PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE IN ADDITION TO OTHER SUB-COMMITTEES MENTIONED THROUGHOUT THIS REPORT.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B. ACTUAL COSTS WERE USED IN LINE 7E & 7F.
PART I, LN 7 COL(F):BAD DEBT EXPENSE OF $29,659,511 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:ADENA HEALTH SYSTEM SUPPORTS COMMUNITY BUILDING ACTIVITIES BY PROVIDING GRANTS TO THE FOLLOWING ORGANIZATIONS:CHILLICOTHE CAVALIER CLUB- GRANT PROVIDED TO INSTALL A SCOREBOARDUNITED WAY OF ROSS COUNTY- GRANT PROVIDED TO SUPPORT RELAY FOR LIFEMIGHTY CHILDREN'S MUSEUM- GRANT PROVIDED TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIVITYROSS COUNTY AGRICULTURAL SOCIETY- GRANT PROVIDED TO SUPPORT FREE RIDE DAY AT THE ROSS COUNTY FAIR AND TO PROVIDE A STAGE FOR THE HEALTHY KIDS EVENTROSS COUNTY CHILD PROTECTION CENTER- GRANT PROVIDED TO SUPPORT ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT
PART III, LINE 2:THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS.
PART III, LINE 3:ENSEMBLE PERFORMS ALL MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY PER POLICY. THERE IS NO PRESUMPTIVE CHARITY.
PART III, LINE 4:WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA REGIONAL MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE, ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE."
PART III, LINE 8:MEDICARE SHORTFALL (INCLUDING BOTH TRADITIONAL AND ADVANTAGE) RESULTED IN A SHORTFALL OF $29,104,308.THE ADENA HEALTH SYSTEM SERVICE AREA IS A RURAL 13 COUNTY AREA IN SOUTHERN OHIO. ADENA HEALTH SYSTEM HAS EVALUATED THE COMMUNITY HEALTH NEEDS AND HAS IMPORTANT PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE NEEDS OF ADENA'S BROAD SERVICE AREA. HOWEVER, ONE OF THE MOST SIGNIFICANT HEALTH NEEDS MET BY ADENA IS THE IDENTIFICATION OF PHYSICIAN AND ADVANCED PRACTICE PROVIDERS FOR EACH SPECIALTY OF CARE. ADENA RECRUITS, SUPPORTS, AND PROVIDES THE INFRASTRUCTURE FOR PROVIDERS IN SPECIALTIES RANGING FROM PRIMARY CARE TO INTERVENTIONAL CARDIOLOGY. IN ADENA'S RURAL, APPALACHIAN SERVICE AREA, PHYSICIAN AND OTHER KEY CLINICAL AND SUPPORT STAFF ARE DIFFICULT TO RECRUIT AND RETAIN WHICH ELEVATES THE MARKET SALARY FOR SPECIALIZED STAFF. THE MEDICARE TWO PERCENT SEQUESTRATION IS ALSO A COMPONENT OF THE SHORTFALL CALCULATION. EFFECTIVE MAY 1, 2020 THE TWO PERCENT SEQUESTRATION WAS REMOVED, A CHANGE BROUGHT BY THE CARES ACT. BASED ON THESE ISSUES, WE BELIEVE SERVICE TO OUR MEDICARE POPULATION IS A COMMUNITY BENEFIT. ALSO, THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT WHEN DETERMINING THE AMOUNT ON PART III - LINE 6.PRIOR YEAR SETTLEMENTS FOR MEDICARE-RELATED SERVICES THAT WERE BOOKED IN THE CURRENT TAX YEAR ARE ALSO INCLUDED IN THE CURRENT TAX YEAR CALCULATION.
PART III, LINE 9B:IF THE RESPONSIBLE INDIVIDUAL HAS NOT SUBMITTED A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE OR HAS NOT PAID-IN-FULL, FOUR SEPARATE STATEMENTS ARE SENT OUT FOR THE COLLECTION OF SELF-PAY ACCOUNTS. THE FINAL STATEMENT SENT WILL INFORM THE INDIVIDUAL OF POSSIBLE EXTRAORDINARY COLLECTION ACTIONS (ECA) TO BE TAKEN IF FINANCIAL ASSISTANCE IS NOT APPLIED FOR OR THE ACCOUNT IS NOT PAID IN FULL. AFTER THE FINAL STATEMENT AND BEFORE ECAS ARE TAKEN, REASONABLE EFFORTS ARE MADE TO ORALLY CONTACT THE INDIVIDUAL AS A FINAL NOTICE. PATIENTS WHO CANNOT PAY CHARGES IN FULL MAY ALSO BE OFFERED A PAYMENT PLAN THAT IS CONSISTENT WITH ADENA'S CUSTOMER SERVICE PROCEDURES.
PART VI, LINE 3:THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN THE FOLLOWING MANNER: 1. STATEMENTS FROM ADENA AS WELL AS COLLECTION VENDORS EXPLAIN AND LIST THE 100% AND 60% ASSISTANCE GUIDELINES ON THE BACKSIDE OF THE STATEMENT. 2. THERE IS SIGNAGE EXPLAINING THE PROGRAM AT ALL THE REGISTRATION AREAS. 3. STAFF AT THE CASHIER AREA EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE.
PART VI, LINE 4:ROSS COUNTY, HOME TO ADENA REGIONAL MEDICAL CENTER, IS LOCATED IN SOUTH CENTRAL OHIO. IT IS PART OF 2 CONGRESSIONAL DISTRICTS (2ND AND THE 15TH) AND ONE OF OHIO'S 32 APPALACHIAN COUNTIES. IT CONTAINS THE POPULATION PATTERNS AND DISTINCT ECONOMIC CONDITIONS INHERENT OF THIS REGION OF THE U.S AND FACES SIMILAR CHALLENGES TO IMPROVE THE LIVES OF ITS 77,000 RESIDENTS. THESE INCLUDE LOW EDUCATIONAL ATTAINMENT PERCENTAGES AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. THE TOTAL POPULATION OF ROSS COUNTY REPRESENTS 15% OF THE TOTAL ADENA HEALTH SYSTEM SERVICE REGION AND IS THE PRIMARY PLACE OF RESIDENCE FOR 80% OF THE PATIENTS IT SERVES. THE COUNTY, AS WELL AS THE REMAINDER OF THE 12 COUNTY SERVICE REGION, HAS SIMILAR DEMOGRAPHICS AS THE STATE OF OHIO AND U.S. OVER 64% OF THE POPULATION IS BETWEEN THE AGES OF 19 AND 64 AND 13% OF THE POPULATION IS OVER THE AGE OF 65. THE MAJORITY OF THE POPULATION IS WHITE WITH AFRICAN AMERICANS MAKING UP THE MAJORITY OF THE REGION'S MINORITY POPULATION.THE 28,269 HOUSEHOLDS IN ROSS COUNTY REPRESENT 14.7% OF THE HOUSEHOLDS IN ADENA HEALTH SYSTEM'S 12-COUNTY SERVICE REGION. THE AVERAGE HOUSEHOLD SIZE IS 2.54 PEOPLE, COMPARABLE WITH THE REST OF OHIO AND THE U.S. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.05 PEOPLE. A LITTLE MORE THAN 50% OF THE POPULATION IS NOW MARRIED WHICH IS COMPARABLE WITH OHIO AND NATIONAL AVERAGES. MORE THAN 14% ARE DIVORCED WHICH IS NOTICEABLY HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES. MORE THAN 15% OF THE ADULTS IN ROSS COUNTY HAVE NOT GRADUATED FROM HIGH SCHOOL. THIS PERCENTAGE IS HIGHER THAN BOTH THE OHIO (12.2%) AND NATIONAL (14.6%) AVERAGES, BUT IS LOWER THAN THE AVERAGE FOR THE 12-COUNTY SERVICE REGION (18.9%). MORE THAN 10% OF THE POPULATION OF ROSS COUNTY IS ESTIMATED TO BE FUNCTIONALLY ILLITERATE, OR LACKING THE READING AND WRITING SKILLS SUFFICIENT FOR ORDINARY PRACTICAL NEEDS.THE UNEMPLOYMENT RATE IN ROSS COUNTY (4.8%) IS COMPARABLE TO THE U.S. AVERAGE. IN ADDITION, MORE THAN 45% OF THE POPULATION IS NOT IN THE WORKFORCE. THIS IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE TOP FIVE EMPLOYMENT INDUSTRIES IN ROSS COUNTY ARE MANAGEMENT/PROFESSIONAL OCCUPATIONS, EDUCATION/HEALTHCARE SERVICES, SALES, PRODUCTION/TRANSPORTATION SERVICES, AND SERVICE OCCUPATIONS. ROSS COUNTY HAS MORE PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE COUNTY HAS ABOUT HALF AS MANY PROFESSIONAL, SCIENTIFIC AND MANAGEMENT SERVICES PROFESSIONALS AS OHIO AND THE U.S.THE PER CAPITA, MEDIAN AND MEAN HOUSEHOLD INCOMES IN ROSS COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES, BUT HIGHER THAN REGIONAL AVERAGE. POVERTY RATES ARE ALSO HIGHER THAN STATE AND NATIONAL AVERAGES BUT LOWER THAN THE REST OF THE REGION. ACCESS TO EMPLOYMENT IN ROSS COUNTY IS HIGHER THAN OTHER COUNTIES IN THE REGION.THERE ARE 6,348 CIVILIAN VETERANS LIVING IN ROSS COUNTY, ACCOUNTING FOR ALMOST 8% OF THE REGION'S POPULATION. THE TOTAL CIVILIAN VETERANS WITHIN THE ADENA HEALTH SYSTEM 12-COUNTY SERVICE REGION REPRESENT 5% OF OHIO'S TOTAL CIVILIAN VETERAN POPULATION. ROSS COUNTY ALSO HAS A VETERAN'S ADMINISTRATION HOSPITAL LOCATED 4.5 MILES FROM ADENA REGIONAL MEDICAL CENTER.ROSS COUNTY AND ITS ENTIRE SURROUNDING SERVICE REGION HAVE A HIGHER PREVALENCE OF DISABILITY THAN THE REST OF OHIO. SEVEN OF THE 12 COUNTIES IN THE SERVICE REGION HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%. ROSS COUNTY'S PREVALENCE RATE IS 13.5%.
PART VI, LINE 5:ADENA REGIONAL MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH A VARIETY OF MEANS, INCLUDING BOARD MEMBERS, ADMINISTRATIONS, EMPLOYEES AND VOLUNTEERS. THE 2020 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 14 MEMBERS WHO ALL RESIDE IN THE HOSPITAL SERVICE AREA. TWO OF THE BOARD MEMBERS WERE AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR.
PART VI, LINE 6:FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CHILLICOTHE FARMERS MARKET ASSOCIATION
300 CHILLICOTHE AVEHILLSBOROOH45133262216517501(C)(4)$8,383COMMUNITY IMPROVEMENT INITIATIVE
ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO
45 EAST MAIN STREETCHILLICOTHEOH45601203786756501(C)(3)$15,000JOB DEVELOPMENT INITIATIVE
THE BUCK FIFTY INC
113 GORDON DRIVECHILLICOTHEOH45601811817174501(C)(3)$25,000COMMUNITY IMPROVEMENT INITIATIVE
UNITED WAY ROSS CO
69 EAST WATER STREETCHILLICOTHEOH45601314389671501(C)(3)$46,000COMMUNITY IMPROVEMENT INITIATIVE
CHILD PROTECTION CENTER OF ROSS CO
138 MARIETTA RD ST ECHILLICOTHEOH45601311579825501(C)(3)$63,374COMMUNITY IMPROVEMENT INITIATIVE
TEAYS VALLEY SCHOOL BOARD
385 VIKING WAYASHVILLEOH43103316402688501(C)(3)$10,000COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY YMCA
100 MILL STREETCHILLICOTHEOH45601314379806501(C)(3)$41,564COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY TRANSPORTATION
1338 DELANO RDCHILLICOTHEOH45601474971338501(C)(3)$13,523WELLNESS INITIATIVE
CHILLICOTHE -ROSS CHAMBER OF COMMERCE
41 E MAIN STCHILLICOTHEOH45601314147100501(C)(6)$18,408COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY COMMUNITY ACTION
250 N WOODBRIDGE AVECHILLICOTHEOH45601316059908501(C)(3)$34,757COMMUNITY IMPROVEMENT INITIATIVE
ADENA HEALTH FOUNDATION
272 HOSPITAL ROADCHILLICOTHEOH45601753008742501(C)(3)$622,708OPERATING ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeATHLETIC TRAINERS AT AREA SCHOOLSGrantTypeTxt
Recipient3166RecipientCnt
Non Cash Assistance$494,168NonCashAssistanceAmt
Valuation Method UsedCOST OF LABOR AND BENEFITSValuationMethodUsedDesc
Non Cash AssistanceSERVICE TO AREA HIGHSCHOOL ATHLETESNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN COHEN
PHYSICIAN$2,507,809$0$0$0$23,711$0$0$0$36,504$0$2,568,024$0$0$0
JEFF GRAHAM
CEO$825,038$0$300,003$0$144,898$0$267,215$0$28,880$0$1,566,034$0$406,977$0
ROGER WILTFONG
PHYSICIAN$1,058,509$0$0$0$22,834$0$0$0$43,866$0$1,125,209$0$0$0
KATHERINE EDRINGTON
COO$485,760$0$146,081$0$185,692$0$135,061$0$14,789$0$967,383$0$207,725$0
LISA CARLSON
CFO$508,828$0$145,548$0$77,824$0$201,098$0$18,496$0$951,794$0$206,967$0
TAREK MOUSSA
PHYSICIAN$857,933$0$20,769$0$3,352$0$0$0$34,475$0$916,529$0$0$0
KELLY GALLINA
PHYSICIAN$877,419$0$0$0$1,862$0$0$0$36,704$0$915,985$0$0$0
HAVAL SAADLLA
PHYSICIAN$818,987$0$0$0$1,862$0$0$0$36,806$0$857,655$0$0$0
HARRY KITTAKA
CHIEF TRANSFORMATION OFFICER$474,057$0$112,158$0$61,857$0$149,629$0$33,976$0$831,677$0$165,552$0
JOHN GABIS
PRESIDENT OF AMG$431,538$0$99,813$0$60,718$0$142,903$0$33,462$0$768,434$0$145,808$0
WILBUR SEVER
FORMER TRUSTEE/PHYSICIAN$710,063$0$0$0$22,207$0$0$0$35,811$0$768,081$0$0$0
KIRK TUCKER
CHIEF CLINICAL OFFICER$428,998$0$78,800$0$53,531$0$137,754$0$33,871$0$732,954$0$127,138$0
ANTHONY FREEMAN
FORMER MEDICAL OFFICER$553,643$0$0$0$25,809$0$0$0$28,958$0$608,410$0$0$0
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER$335,878$0$77,657$0$48,972$0$100,568$0$36,062$0$599,137$0$100,023$0
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER$278,134$0$66,503$0$120,277$0$96,675$0$4,178$0$565,767$0$90,792$0
JOHN FORTNEY
CHIEF MEDICAL OFFICER$14,553$0$0$0$496,346$0$0$0$0$0$510,899$0$0$0
CRAIG BABBITT
CHIEF LEGAL OFFICER$317,714$0$0$0$40,354$0$104,134$0$14,204$0$476,406$0$0$0
WAYNE COATS
FORMER TRUSTEE/PHYSICIAN$345,858$0$0$0$9,983$0$0$0$34,272$0$390,113$0$0$0
REGGINA YANDILA
TRUSTEE/PHYSICIAN$301,872$0$0$0$1,024$0$0$0$33,822$0$336,718$0$0$0
TY MCBEE
VP OF STRATEGIC OPERATIONS$225,916$0$54,054$0$1,127$0$43,243$0$9,076$0$333,416$0$54,054$0
JACK BERNO
FMR CHIEF MEDICAL OFFICER/PHYSICIAN$310,950$0$10,000$0$8,659$0$0$0$3,502$0$333,111$0$10,000$0
ANTHONY LATTAVO
TRUSTEE/PHYSICIAN$189,851$0$0$0$20,058$0$0$0$34,569$0$244,478$0$0$0
SCOTT GRIFFIN
FORMER PRESIDENT OF AMG$0$0$0$0$100,250$0$0$0$0$0$100,250$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. THREE KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2020.
PART I, LINES 4A-BJOHN FORTNEY RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $494,346. SCOTT GRIFFIN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $100,250. THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2020: JEFF GRAHAM $22,212 SERP ACCRUAL KATHERINE EDRINGTON $12,744 SERP ACCRUAL LISA CARLSON $66,041 SERP ACCRUAL HARRY KITTAKA $59,261 SERP ACCRUAL KIRK TUCKER $51,782 SERP ACCRUAL JOHN GABIS $53,883 SERP ACCRUAL HEATHER SPRAGUE $9,558 SERP ACCRUAL KRISTIN BOGGS $34,530 SERP ACCRUAL CRAIG BABBITT $33,928 SERP ACCRUAL THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN.
PART I, LINE 7MANAGEMENT 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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF CHILLICOTHE OHIO
A316400221169203AK22017-06-22$161,095,326ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM000
COUNTY OF ROSS OHIO
B3164000852019-06-19$83,270,000ORTHO ROBOTIC CENTER000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtCapitalized InterestCapitalizedInterestAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$164,402,962$121,977,262$1,777,526$40,648,17320200Yes (1)Yes (1)Yes (1)
B$99,798,631$964,347$34,234,263Yes (1)00Yes (1)$3,130,000$6,037,075$23,486,711$35,076,236

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00000Yes (1)Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2CFormAndLineReferenceDesc
ExplanationTHE 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 OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
ROGER WILTFONG
HIGHEST COMPENSATED EMPLOYEESIGN ONYes (X)$70,000$33,07700Yes (1)
TAREK MOUSSA
HIGHEST COMPENSATED EMPLOYEESIGN ONYes (X)$100,000$54,61500Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$87,692TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROBIN BERNO
SPOUSE OF FORMER KEY EMPLOYEE JACK BERNO$143,200EMPLOYEE COMPENSATION0
MARIA SMITH
SISTER OF BOARD DIRECTOR JOE WATSON$144,010EMPLOYEE COMPENSATION0
ALIVIA MCBEE
DAUGHTER OF KEY EMPLOYEE TY MCBEE$30,758EMPLOYEE COMPENSATION0
JANINE GABIS
WIFE OF KEY EMPLOYEE JOHN GABIS$69,074EMPLOYEE COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2KATHERINE EDRINGTON CHIEF OPERATING OFFICER AND KRISTIN BOGGS, CHIEF INTEGRITY & COMPLIANCE OFFICER ARE SIBLINGS. ADENA HAS IMPLEMENTED A MECHANISM FOR TRIAGING ANY UNDERLYING CONCERNS INVOLVING EITHER PARTY DIRECTLY TO THE CHRO AS WELL AS BOTH PARTIES SHALL RECUSE THEMSELVES FROM ANY DECISIONS INVOLVING THE OTHER PARTY.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. FREEDOM HOUSE OF CHILICOTHE 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. ST. PETER'S CATHOLIC CHURCH
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE MEMBER CHURCHES MAY NOMINATE A BOARD MEMBER, BUT THE BOARD OF DIRECTORS OF AHS RESERVES THE FINAL APPROVAL. THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION."
FORM 990, PART VI, SECTION A, LINE 7BSECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11BCOPIES OF THE 990 ARE SENT TO BOARD MEMBERS VIA THE SERCURE INFORMATION PORTAL PROVIDED BY ADENA HEALTH SYSTEM. THE FORM IS PUBLISHED ON THE PORTAL PRIOR TO THE BOARD MEETING THAT INCLUDES A VISIT BY PLANTE MORAN REPRESENTATIVES. THESE REPRESENTATIVES STRESS THE IMPORTANCE OF THE 990 AND DISCUSS THE MAJOR COMPONENTS INCLUDING SCHEDULE H.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATE COMPLIANCE OFFICE OF ADENA HEALTH SYSTEM ANNUALLY COORDINATES THE DISTRIBUTION AND RETURN OF THE CONFLICT OF INTEREST STATEMENTS. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. ADVANCED PRACTICE CLINICIANS, FRONT LINE SUPERVISORS UP THROUGH THE CEO, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR EXECUTIVE LEADERSHIP. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE EXECUTIVE LEADERSHIP. OTHER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. COMPENSATION WAS LAST REVIEWED IN 2019.
FORM 990, PART VI, SECTION C, LINE 19THE ARTICLES OF INCORPORATION ARE AVAILABLE THRU OHIO SECRETARY OF STATE WEBSITE. AS A RESULT OF HAVING ISSUED PUBLIC DEBT, THE AUDITED FINANCIALS FOR ADENA HEALTH SYSTEM ARE AVAILABLE FOR VIEWING AT EMMR.MSRB.ORG. COPIES OF MOST RECENT 990 IS AVAILABLE UPON REQUEST BY CONTACTING ADMINISTRATION AT ADENA HEALTH SYSTEM; PRIOR 990S ARE AVAILABLE FOR VIEWING AT GUIDESTAR.COM.
FORM 990, PART IX, LINE 11GMEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,838,806. MANAGEMENT AND GENERAL EXPENSES 307,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,145,845. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,480,619. MANAGEMENT AND GENERAL EXPENSES 9,028,931. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,509,550. FACILITY MAINTENANCE: PROGRAM SERVICE EXPENSES 12,718,962. MANAGEMENT AND GENERAL EXPENSES 10,463,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,182,293. MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 4,848,239. MANAGEMENT AND GENERAL EXPENSES 6,756,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,604,974. REVENUE CYCLE MANAGEMENT: PROGRAM SERVICE EXPENSES 5,942,660. MANAGEMENT AND GENERAL EXPENSES 8,281,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,224,632. MRI SERVICES: PROGRAM SERVICE EXPENSES 861,875. MANAGEMENT AND GENERAL EXPENSES 1,201,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,063,025. CONSTRUCTION SERVICES: PROGRAM SERVICE EXPENSES 1,193,085. MANAGEMENT AND GENERAL EXPENSES 1,662,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,855,824. MEDICAL RECORD SERVICES: PROGRAM SERVICE EXPENSES 1,072,810. MANAGEMENT AND GENERAL EXPENSES 1,495,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,567,929. TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 839,246. MANAGEMENT AND GENERAL EXPENSES 1,169,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,008,859. HOUSEKEEPING AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 798,885. MANAGEMENT AND GENERAL EXPENSES 1,113,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,912,248. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 483,596. MANAGEMENT AND GENERAL EXPENSES 673,962. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,157,558.
FORM 990, PART XI, LINE 9:TRANSFERS (TO) FROM AFFILIATED ORGANIZATION 4,822,046. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 248,617. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE 30,130. TEMPORARILY RESTRICTED EXPENDITURES -164,846. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 455,729. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -432,536. BENEFIT PLAN RETIREMENT 10,069.
FORM 990: PART XII, LINE 2CTHE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
FORM 990: PART XII, LINE 3BTHE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN THE RELEVANT OMB GUIDANCE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADENA MEDICAL GROUP LLC
272 HOSPITAL ROADCHILLICOTHEOH45601271370967HEALTHCARE PROVIDERSOH$84,843,957$7,235,682ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROADCHILLICOTHEOH45601275340755HEALTHCARE PROVIDERSOH$3,508,354$640,760ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROADCHILLICOTHEOH45601273752730HEALTHCARE PROVIDERSOH$3,603,426$627,593ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROADCHILLICOTHEOH45601273752854HEALTHCARE PROVIDERSOH-$1,787,486$1,126,554ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROADCHILLICOTHEOH45601451138187HEALTHCARE PROVIDERSOH$5,909,783$980,094ADENA HEALTH SYSTEM
ADENA HEALTHCARE COLLABORATIVE
272 HOSPITAL ROADCHILLICOTHEOH45601465731515HEALTHCARE PROVIDERSOH$0$0ADENA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ADENA CAREBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
S$5,272,238BOOK VALUE
PIKE HEALTH SERVICES
S$7,248,204BOOK VALUE
ADENA HEALTH FOUNDATION
C$468,719BOOK VALUE
ADENA HEALTH FOUNDATION
P$622,708BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

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