ADENA HEALTH SYSTEM: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ADENA HEALTH SYSTEM (EIN 31-4379443)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201943179349302429
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T09:58:06-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S HIGH ST SUITE 100 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 314379443 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADEN | BusinessNameControlTxt |
| Phone | 7407794478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 HOSPITAL RD | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA CARLSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7407794478 | PhoneNum |
| Signature | 2019-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BERNIE OSTROWSKI | PreparerPersonNm |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2019-11-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.30 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-06 | IPDt |
| IP Tm | 14:40:47 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0E91126D0FB3B5231D35CFCADBE487908A76FDB7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA CARLSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 HOSPITAL RD | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $519,459,247 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADENA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1895 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | "TO CARE, TO HEAL, TO EDUCATE." THE REPORTING ORGANIZATION IS A REGIONAL HEALTHCARE SYSTEM WITH ONE HOSPITAL AND SEVERAL AMBULATORY CENTERS, IN ADDITION TO MULTIPLE PHYSICIAN PRACTICES. AHS OFFERS A WIDE SCOPE OF DIAGNOSTIC AND REHABILITATIVE SERVICES BOTH FOR INPATIENTS AND OUTPATIENTS, INCLUDING COMPREHENSIVE CARDIOLOGY AND CANCER CARE. FURTHERMORE, AHS IS THE SOLE MEMBER OF TWO CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER AND ADENA GREENFIELD MEDICAL CENTER, THAT FILE SEPARATELY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3645 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $60,019 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $159,015 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $463,634 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,615,417 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $446,204,420 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $489,601,886 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,964,554 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,744,820 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,248,081 | PYOtherRevenueAmt |
| CY Other Revenue | $17,497,124 | CYOtherRevenueAmt |
| PY Total Revenue | $469,880,689 | PYTotalRevenueAmt |
| CY Total Revenue | $519,459,247 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $593,238 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $187,679 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $245,758,274 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $266,990,878 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $197,731,213 | PYOtherExpensesAmt |
| CY Other Expenses | $225,410,218 | CYOtherExpensesAmt |
| PY Total Expenses | $444,082,725 | PYTotalExpensesAmt |
| CY Total Expenses | $492,588,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,797,964 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,870,472 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $565,089,403 | TotalAssetsBOYAmt |
| Total Assets EOY | $568,360,487 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $280,319,022 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $283,618,878 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $284,770,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $284,741,609 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CARE, TO HEAL, TO EDUCATE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $380,181,162 | ExpenseAmt |
| Grant | $187,679 | GrantAmt |
| Revenue | $505,512,580 | RevenueAmt |
| Desc | HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,344 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 45,485 EMERGENT AND URGENT VISITS IN 2018. PHYSICIAN OFFICES: THERE WERE 420,395 PHYSICIAN OFFICE VISITS IN 2018. | Desc |
| Total Program Service Expenses | $380,181,162 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 244 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3645 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON WISECUP VP SYSTEM FINANCE | PersonNm |
| Phone | 7407794478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 HOSPITAL ROAD | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 456019031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TOM WHITE | ||||||||||
| TRUSTEE/SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| VIRGINIA WETTERSTEN | ||||||||||
| TRUSTEE/CHAIRMAN | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JERRY PHILLIPS | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| REGGINA YANDILA | ||||||||||
| TRUSTEE | 50.00 | 0.00 | Yes (X) | $289,334 | $0 | $32,650 | ||||
| DAVID STRICKLAND | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER MCKELL | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARVEL SIMMONS | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RALPH D'ANTONI | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE WATSON | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BARTOW HENSHAW | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM STRAUCH | ||||||||||
| TRUSTEE | 50.00 | 0.00 | Yes (X) | $424,120 | $0 | $31,224 | ||||
| ROBERT FRENCH | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHEILAH GRAY | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE HIRSH | ||||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LISA CARLSON | ||||||||||
| CFO | 50.00 | 4.00 | Yes (X) | $650,185 | $0 | $244,021 | ||||
| JEFF GRAHAM | ||||||||||
| CEO | 50.00 | 4.00 | Yes (X) | $805,474 | $0 | $414,173 | ||||
| JOHN FORTNEY | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 4.00 | $713,277 | $0 | $231,524 | Yes (X) | ||||
| TIM CAHILL | ||||||||||
| CHIEF LEGAL OFFICER | 50.00 | 0.00 | $413,568 | $0 | $171,930 | Yes (X) | ||||
| KATHI EDRINGTON | ||||||||||
| COO | 50.00 | 4.00 | $482,178 | $0 | $225,704 | Yes (X) | ||||
| ANTHONY FREEMAN | ||||||||||
| MEDICAL OFFICER | 50.00 | 0.00 | $646,010 | $0 | $35,831 | Yes (X) | ||||
| JOHN GABIS | ||||||||||
| PRESIDENT OF AMG | 50.00 | 0.00 | $347,428 | $0 | $76,398 | Yes (X) | ||||
| SCOTT GRIFFIN | ||||||||||
| PRESIDENT OF AMG (JAN-AUG 2018) | 50.00 | 0.00 | $416,796 | $0 | $47,348 | Yes (X) | ||||
| JAY JUSTICE | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 50.00 | 0.00 | $375,211 | $0 | $39,230 | Yes (X) | ||||
| HARRY KITTAKA | ||||||||||
| CHIEF TRANSFORMATION OFFICER | 50.00 | 0.00 | $573,099 | $0 | $207,276 | Yes (X) | ||||
| KIRK TUCKER | ||||||||||
| CHIEF CLINICAL OFFICER | 50.00 | 0.00 | $396,562 | $0 | $114,173 | Yes (X) | ||||
| BRIAN COHEN | ||||||||||
| EMPLOYED M.D. | 50.00 | 0.00 | $2,680,898 | $0 | $35,789 | Yes (X) | ||||
| HAVAL SAADLLA | ||||||||||
| EMPLOYED M.D. | 50.00 | 0.00 | $1,062,580 | $0 | $35,789 | Yes (X) | ||||
| JAMES MANAZER | ||||||||||
| EMPLOYED M.D. | 50.00 | 0.00 | $955,391 | $0 | $35,789 | Yes (X) | ||||
| BRUCE CHEN | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,255,208 | $0 | $23,636 | Yes (X) | ||||
| SHANE MATHENY | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,002,117 | $0 | $41,145 | Yes (X) | ||||
| MARK SHUTER | ||||||||||
| FORMER CEO | 0.00 | 0.00 | $564,496 | $0 | $0 | Yes (X) | ||||
| WAYNE COATS | ||||||||||
| FORMER TRUSTEE/PHYSICIAN | 50.00 | 0.00 | $409,764 | $0 | $34,879 | Yes (X) | ||||
| WILBUR SEVER | ||||||||||
| FORMER TRUSTEE/PHYSICIAN | 50.00 | 0.00 | $707,203 | $0 | $26,820 | Yes (X) | ||||
| ERIC CECAVA | ||||||||||
| FORMER COO | 0.00 | 0.00 | $461,705 | $0 | $0 | Yes (X) | ||||
| JACK BERNO | ||||||||||
| FORMER CHIEF MEDICAL OFFICER/PHYSICIAN | 50.00 | 0.00 | $334,918 | $0 | $13,508 | Yes (X) | ||||
| STUART FREEDMAN | ||||||||||
| FORMER CHIEF COMPLIANCE OFFICER | 0.00 | 0.00 | $246,477 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,213,999 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,118,837 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DANIS BUILDING CONSTRUCTION CO | |||||
| 3233 NEWMARK DRIVE | MIAMISBURG | OH | 45342 | CONSTRUCTION | $16,532,223 |
| APOGEE MEDICAL MANAGEMENT | |||||
| 15059 N SCOTTSDALE RD 600 | SCOTTSDALE | AZ | 85254 | MANAGEMENT SERVICES | $8,689,522 |
| ENSEMBLE RCM LLC | |||||
| 4605 DUKE DRIVE SUITE 600 | MASON | OH | 45040 | REVENUE CYCLE MANAGEMENT | $6,859,097 |
| CAPTIVE RADIOLOGY | |||||
| 6273 FRANK AVENUE NW | NORTH CANTON | OH | 44720 | MRI SERVICES | $2,974,143 |
| NTHRIVE INC | |||||
| 200 NORTH POINT CENTER E | ALPHARETTA | GA | 30022 | REVENUE CYCLE MANAGEMENT | $2,537,243 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 85 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,249,203 | RelatedOrganizationsAmt |
| All Other Contributions | $366,214 | AllOtherContributionsAmt |
| Total Contributions | $1,615,417 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SVC REV | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $489,601,886 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $489,541,867 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $60,019 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $489,601,886 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,710,910 | TotalRevenueColumnAmt |
| Exclusion | $10,710,910 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,324 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,324 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,324 | TotalRevenueColumnAmt |
| Exclusion | $119,324 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $33,910 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $33,910 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,910 | TotalRevenueColumnAmt |
| Exclusion | $33,910 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FOOD & NUTRITION | 722514 | $2,234,222 | $2,234,222 |
| EHR IMPLEMENTATION | 622110 | $687,933 | $687,933 |
| CONSULTING FEES | 900099 | $199,503 | $199,503 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,256,142 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,971,823 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,284,319 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $17,377,800 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $519,459,247 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $505,635,348 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $60,019 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,148,463 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,679 | TotalAmt |
| Program Services | $187,679 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,361,699 | TotalAmt |
| Management And General | $18,361,699 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,925,468 | TotalAmt |
| Program Services | $184,716,750 | ProgramServicesAmt |
| Management And General | $19,208,718 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,146,885 | TotalAmt |
| Program Services | $28,196,571 | ProgramServicesAmt |
| Management And General | $3,950,314 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,556,826 | TotalAmt |
| Program Services | $9,734,245 | ProgramServicesAmt |
| Management And General | $2,822,581 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,764,588 | TotalAmt |
| Program Services | $32,815,124 | ProgramServicesAmt |
| Management And General | $46,949,464 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,655,392 | TotalAmt |
| Program Services | $2,918,954 | ProgramServicesAmt |
| Management And General | $2,736,438 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,469,844 | TotalAmt |
| Program Services | $249 | ProgramServicesAmt |
| Management And General | $4,469,595 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,150,256 | TotalAmt |
| Program Services | $1,790,815 | ProgramServicesAmt |
| Management And General | $2,359,441 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,958,766 | TotalAmt |
| Program Services | $7,482,822 | ProgramServicesAmt |
| Management And General | $13,475,944 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,566,094 | TotalAmt |
| Program Services | $1,451,863 | ProgramServicesAmt |
| Management And General | $1,114,231 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $91,686,642 | $90,279,351 | $1,407,291 |
| BAD DEBT EXPENSE | $15,509,887 | $15,509,887 | |
| TAXES | $4,833,233 | $4,745,235 | $87,998 |
| OVERHEAD ALLOCATION | -$4,184,484 | $351,617 | -$4,536,101 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,588,775 | TotalAmt |
| Program Services | $380,181,162 | ProgramServicesAmt |
| Management And General | $112,407,613 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,958 | BOYAmt |
| EOY | $14,748 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,816,980 | BOYAmt |
| EOY | $31,921,798 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,290,422 | BOYAmt |
| EOY | $14,015,794 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,982,767 | BOYAmt |
| EOY | $59,432,378 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,389 | BOYAmt |
| EOY | $7,714 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,222,011 | BOYAmt |
| EOY | $7,296,153 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,943,720 | BOYAmt |
| EOY | $5,893,732 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $405,060,890 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $249,592,202 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,316,856 | BOYAmt |
| EOY | $155,468,688 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,557,286 | BOYAmt |
| EOY | $281,339,081 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,939,014 | BOYAmt |
| EOY | $12,970,401 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,089,403 | BOYAmt |
| EOY | $568,360,487 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,467,940 | BOYAmt |
| EOY | $72,368,681 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,594,671 | BOYAmt |
| EOY | $190,630,420 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,756,411 | BOYAmt |
| EOY | $20,119,777 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,319,022 | BOYAmt |
| EOY | $283,618,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,810,528 | BOYAmt |
| EOY | $282,693,451 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,959,853 | BOYAmt |
| EOY | $2,048,158 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,770,381 | BOYAmt |
| EOY | $284,741,609 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,089,403 | BOYAmt |
| EOY | $568,360,487 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $26,870,472 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$25,656,985 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,242,259 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,628 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,628 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE OHIO HOSPITAL ASSOCIATION DOES LOBBYING ON BEHALF OF HOSPITAL RELATED CAUSES. THIS ACTIVITY IS PAID FOR THROUGH DUES PAID TO THE OHIO HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,483,984 | BeginningYearBalanceAmt |
| Contributions | $24,783 | ContributionsAmt |
| Investment Earnings Or Losses | -$70,278 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$9,925 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,428,564 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,331,708 | BeginningYearBalanceAmt |
| Contributions | -$3,508 | ContributionsAmt |
| Investment Earnings Or Losses | $155,784 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,483,984 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,321,696 | BeginningYearBalanceAmt |
| Contributions | -$43,583 | ContributionsAmt |
| Investment Earnings Or Losses | $54,095 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $500 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,331,708 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,305,508 | BeginningYearBalanceAmt |
| Contributions | $44,539 | ContributionsAmt |
| Investment Earnings Or Losses | -$6,351 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,321,696 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,219,218 | BeginningYearBalanceAmt |
| Contributions | $34,077 | ContributionsAmt |
| Investment Earnings Or Losses | $52,213 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,305,508 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,648,975 | OtherCostOrOtherBasisAmt |
| Book Value | $2,648,975 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $201,833,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,109,029 | DepreciationAmt |
| Book Value | $97,724,636 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,521 | DepreciationAmt |
| Book Value | $61,479 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $187,164,539 | OtherCostOrOtherBasisAmt |
| Depreciation | $139,502,783 | DepreciationAmt |
| Book Value | $47,661,756 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,348,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,976,869 | DepreciationAmt |
| Book Value | $7,371,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $155,468,688 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MALPRACTICE INSURANCE - LT | $9,904,579 |
| DEFERRED COMPENSATION LIABILITY | $9,902,333 |
| INTERCOMPANY PAYABLE | $312,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,119,777 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,163,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,991,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,172,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,258,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,213,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,045,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,422,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,204,463 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,218,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,626,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,574,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,549,214 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,507,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,041,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,650,694 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,064,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,586,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,826,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,624,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,201,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,249,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,829,114 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,419,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,762,109 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $143,574,922 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $153,331,732 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,756,810 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 HOSPITAL RD | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ADENA.ORG | WebsiteAddressTxt |
| State License | ST. REG. NUM. 1029 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ADENA.ORG/INSIDE/PAGE.DT/CHNA | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://ROSSCOUNTYHEALTH.ORG/HEALTHASSESSMENT.PDF | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.ADENA.ORG/FILES/RESOURCES/ROSS-IS-2016.DOCX | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: ADENA REGIONAL MEDICAL CENTER CAPTURED THE BROAD INTERESTS OF THE COMMUNITY FOR THE CHNA THROUGH TWO METHODS: SURVEY AND INTERVIEWS. A HEALTH NEEDS SURVEY WAS WIDELY DISTRIBUTED TO THE ROSS COUNTY COMMUNITY THROUGH PAPER AND WEB FORM. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS. |
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: ADENA HEALTH SYSTEM, CHILLICOTHE CITY SCHOOLS, CHILLICOTHE GAZETTE, HOPE CLINIC OF ROSS COUNTY, HOPEWELL HEALTH CENTER, OHIO DEPARTMENT OF JOB AND FAMILY SERVICES, OHIO STATE UNIVERSITY EXTENSION, OHIO UNIVERSITY CHILLCOTHE, PACCAR, PAINT VALLEY ADAMH BOARD, RECOVERY COUNCIL, ROSS COUNTY CHILD PROTECTION CENTER, ROSS COUNTY HEALTH DISTRICT, ROSS COUNTY YMCA, SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, UNION-SCIOTO SCHOOL DISTRICT, UNITED WAY OF ROSS COUNTY, AND VETERANS ADMINISTRATION HOSPITAL. |
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7D: HARD COPIES OF THE CHNA REPORT WERE PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES. |
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: SUBSTANCE USE DISORDERINFRASTRUCTURE BUILDINGADENA, 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.NO COLLABORATIVE AGREEMENT WITH AN IN-PATIENT DETOX FACILITY WAS ACCOMPLISHED IN 2018, HOWEVER A FORMAL AGREEMENT WITH BRIGHTVIEW TREATMENT CENTERS WAS EXECUTED PROVIDING PRIORITY APPOINTMENTS TO ADENA PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER. A GRANT FROM OHIO MENTAL HEALTH AND ADDICTION SERVICES WAS ALSO OBTAINED TO INSTALL AN EMERGENCY ROOM SUD NAVIGATOR TO BEGIN IN 2019. ADVOCACYADENA HEALTH SYSTEM CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2018. 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 2018. EDUCATIONARMC PROVIDED EDUCATION ON SUBSTANCE USE DISORDER THROUGH THREE EVENTS IN 2018 INCLUDING A BRIEF SESSION DELIVERED AT THE SEPTEMBER WALK WITH A DOC SESSION, A PANEL DISCUSSION COORDINATED AT THE PACCAR MEDICAL EDUCATION CENTER IN PARTNERSHIP WITH THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, AND A COMMUNITY FORUM AND RESOURCE FAIR COORDINATED AT THE PACCAR MEDICAL EDUCATION CENTER IN PARTNERSHIP WITH THE HOPE PARTNERSHIP PROJECT. TWO STAFF MEMBERS PROVIDED A TOTAL OF 14 HOURS OF COMMUNITY EDUCATION.PROGRAMMINGTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 54 WOMEN (FROM MULTIPLE COUNTIES INCLUDING PIKE) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS. A TOTAL OF 31 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 2018 TO PROVIDE TREATMENT RESOURCES AND HARM REDUCTION FOR THOSE WITH SUBSTANCE USE DISORDER AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT WAS ALSO AWARDED A GRANT BY THE OHIO MENTAL HEALTH AND ADDICTION SERVICES AGENCY TO INSTALL A SOCIAL WORKER/SUBSTANCE USE DISORDER NAVIGATOR TO ENGAGE PATIENTS IDENTIFIED AS NEEDING SERVICES IN RESOURCES FOR RECOVERY. INSTALLATION OF THE NAVIGATOR WILL HAPPEN IN 2019.FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $10,000 IN SUPPORT FOR THE DRUG FREE CLUBS OF AMERICAN PROGRAM MADE DEPLOYED IN SIX ROSS COUNTY SCHOOL DISTRICTS WHICH INCENTIVIZES STUDENT PARTICIPATION IN DRUG TESTING. ANOTHER $600 WAS PROVIDED IN SUPPORT TO THE KEYS TO SUCCESS PROGRAM COORDINATED BY CHILLICOTHE CITY SCHOOLS.OBESITY INFRASTRUCTURE BUILDINGADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE LIVEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY YMCA. THIS TEAM REFORMULATED A PLAN TO ENGAGE LOCAL SCHOOLS ON NUTRITION AND FITNESS IMPROVEMENT STRATEGIES. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR LIVEWELL ROSS.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON NUTRITION AND FITNESS EDUCATION AND AWARENESS.EDUCATIONA HERE FOR LIFE EVENT LED BY ADENA CARDIOLOGY ON HEART HEALTH AND ATRIAL FIBRILLATION WAS HELD IN FEBRUARY WHERE A TOTAL OF 45 PARTICIPANTS WERE PROVIDED TWO HOURS OF EDUCATION ON GENERAL HEART HEALTH AND MANAGING ATRIAL FIBRILLATION.ARMC PARTNERED WITH THE ROSS COUNTY OHIO STATE UNIVERSITY EXTENSION OFFICE TO DELIVER COOKING CLASSES TO ADENA PATIENTS WITH OBESITY AND DIABETES. A TOTAL OF 25 FAMILIES WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING. A TOTAL OF $1,500 WAS EXPENDED PROVIDING PATIENTS WITH THE SIX-WEEK LONG EDUCATION SERIES. A WALK WITH A DOC EVENT WAS HELD IN OCTOBER AS PART OF DIABETES AWARENESS MONTH WHERE ENDOCRINOLOGIST DR. JOHN SIDENSTICKER PROVIDED A TOTAL OF 65 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON DIABETES MANAGEMENT FOLLOWED BY A 30 MINUTE WALK. PROGRAMMINGADENA HEALTH SYSTEM COORDINATED A HEALTHY KIDS EVENT AT THE ROSS COUNTY FAIR WHERE A TOTAL OF 75 CHILDREN WERE PROVIDED 45 MINUTES OF HEALTHY COOKING INSTRUCTION FOLLOWED BY THIRTY MINUTES OF NUTRITION, FITNESS AND WELLBEING EDUCATION. ADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY PUBLIC LIBRARIES TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, COORDINATED WITH THE BOOKWORM SUMMER READING PROGRAM. A TOTAL OF 1,892 CHILDREN WERE ENGAGED IN THE PROGRAM WITH 31% PERSISTING THROUGHOUT THE SUMMER WITH THE PROGRAM AND COMPLETING ALL OF THEIR HEALTHY CHALLENGES. PARTICIPANTS ARE OFFERED THE OPPORTUNITY TO EARN PRIZES AS THEY COMPLETE CHALLENGES AND THOSE WHO COMPLETE ALL CHALLENGES ARE ENTERED INTO A DRAWING FOR A NEW BICYCLE. FINANCIAL SUPPORTADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY FARMER'S MARKET TO FUND THE FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED MORE THAN 300 INDIVIDUAL ADENA PATIENTS AND COMMUNITY SNAP BENEFICIARIES A TOTAL OF $5.375 OF FRESH FRUITS AND VEGETABLES.RESPIRATORY ISSUESINFRASTRUCTURE BUILDINGADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE BREATHEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. THIS TEAM DEVELOPED A PLAN IN 2017 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 AND COUNTY PARKS ADOPTED SMOKE-FREE SPACE POLICIES AND MORE THAN 50 SMALL BUSINESSES HAVE UTILIZED THE CESSATION AND SMOKE FREE WORK PLACE POLICY ADOPTION KITS. A BUTT-PICK UP EVENT WAS COORDINATED IN YOCTANGEE PARK IN OCTOBER 2018, IN PARTNERSHIP WITH THE KEYS TO SUCCESS PROGRAM AT CHILLICOTHE HIGH SCHOOL. A TOTAL OF 165 STUDENTS PICKED UP CIGARETTE BUTTS AND PLANTED FLAGS TO DEMONSTRATE IMPACT OF TOBACCO LITTER. 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. THIS TEAM RESEARCHED EPA DATA ON TOXIC EMISSIONS AND INVENTORY TO IDENTIFY AND PRIORITIZE FIVE CENSUS TRACTS WHERE AIR MONITORING COULD BE INITIATED. THE EPA HAS COMMITTED SUPPORT TO READING MONITOR DATA ONCE THEY ARE INSTALLED IN 2019. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.ARMC CONTRIBUTES THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS COUNTY AIR QUALITY COMMITTEE.PROGRAMMINGADENA HEALTH SYSTEM COORDINATED THE ADENA QUIT CLINIC WHICH PROVIDED A TOTAL OF 27 PATIENTS RECEIVED TOBACCO CESSATION COUNSELING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION BY ADENA PHARMACISTS IN 2018. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,929 PATIENTS FROM THE REGION INCLUDING PIKE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2018 WHICH RESULTED IN 18 POSITIVE CANCER FINDINGS.FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $15,000 IN SUPPORT FOR RELAY FOR LIFE WHICH ENGAGED THE ROSS, PIKE AND HIGHLAND COMMUNITIES IN CANCER AWARENESS (INCLUDING LUNG CANCER) AND FUNDRAISING FOR RESEARCH.MENTAL HEALTHINFRASTRUCTURE BUILDINGADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS MENTAL HEALTH FORUM NOW LED BY DR. JIM HAGEN. THIS TEAM INVENTORIED THE NUMBER OF MENTAL HEALTH PROVIDERS IN THE COMMUNITY, INCLUDING INSURANCES TAKEN AND SPECIALTY AND BEGAN PLANNING FOR AN IN-DEPTH MENTAL HEALTH CONTINUUM ASSESSMENT FOR 2018. THE TEAM ALSO COMPLETED A SEQUENTIAL INTERCEPT MAPPING IN OCTOBER TO IDENTIFY OPPORTUNITIES TO IMPROVE MENTAL HEALTH SERVICES AND NEED IN THE ROSS COUNTY COMMUNITY.ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2018 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS IN 2018 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.EDUCATIONA WALK WITH A DOC EVENT WAS HELD IN NOVEMBER 2018 WHERE LOCAL PSYCHIATRIST DR. NATHAN SCHIFLETT PROVIDED A TOTAL OF 55 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON DEPRESSION AND SEASONAL AFFECTIVE DISORDER FOLLOWED BY A 30 MINUTE WALK. SEE PART VI FOR CONTINUATION |
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 16J: HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID |
| ADENA REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 20E: PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. SELF-PAY PATIENTS HAVE TO ASK FOR A QUESTIONNAIRE AT REGISTRATION ASKING IF THEY WOULD LIKE TO BE SCREENED FOR FINANCIAL ASSISTANCE. IF SO, THEY ARE GIVEN A FAP AT THAT TIME. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE ONLINE AND THROUGHOUT THE HOSPITALS AND CLINICS. THIS IS ALSO AVAILABLE AT THE HOPE CLINIC. |
| SCHEDULE H, PART V, SECTION B | PROGRAMMINGTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED 161 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 2018.FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $1,750 IN SUPPORT TO THE SCIOTO PAINT VALLEY MENTAL HEALTH CENTER TO FINALIZE AND COMPLETE AN ASSESSMENT AND STRATEGIC PLAN FOR THE REGIONAL 211 RESOURCE REFERRAL LINE THAT SUPPORTS SIX COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.INFANT MORTALITY/CHILD SAFETYADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 2 HOURS PER QUARTER TO PARTICIPATING IN MEETINGS AND COORDINATING PROJECTS FOR THE FAMILY AND CHILDREN FIRST COUNCIL.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS ACROSS THE HEALTH SYSTEM AND CLINICS FOCUSED ON SAFE SLEEP AWARENESS IN 2018.PROGRAMMINGTHE ADENA CENTERING PREGNANCY PROGRAM PROVIDED A TOTAL OF 54 NUMBER HIGH-RISK PREGNANCY PATIENTS WITH PREGNANCY EDUCATION AND SUPPORT DURING A TOTAL 7 ONGOING MONTHLY CLASSES. FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED A TOTAL OF 8 CRIBS AND 1212 SLEEP SACKS FOR SOME OF THE 947 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2018. PATIENTS COME FROM MULTIPLE COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES MOVED FROM 81 TO 74 IN 2018 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 60 TO 65 IN 2018 (COUNTY HEALTH RANKINGS).ADDITIONAL INITIATIVES AND RESOURCESCOMMUNITY ENGAGEMENTADENA HEALTH SYSTEM IS A PARTNER OF THE UNITED WAY PROGRAM MAP YOUR FUTURE, WHICH ENGAGES 6TH THROUGH 8TH GRADE STUDENTS IN EXPLORING CAREER OPPORTUNITIES AND BUILDING A PRODUCTIVE FUTURE. IN 2018, ADENA HEALTH SYSTEM HOSTED ONSITE TOURS OF THE ADENA REGIONAL MEDICAL CENTER, AS WELL AS ALLOWED ON-SITE VISITS TO SCHOOLS BY INDIVIDUAL EMPLOYEES TO TALK ABOUT THEIR CAREER IN HEALTHCARE. A TOTAL OF 1,200 CAREER MENTORING HOURS WERE PROVIDED BY ADENA CAREGIVERS THROUGH THE MAP YOUR FUTURE PROGRAM IN 2018, WHICH UNITED WAY VALUED AT $75,269. UNINTENTIONAL INJURIES THE PRIMARY CAUSE OF UNINTENTIONAL INJURIES IN ROSS COUNTY IN 2016 BECAME DRUG OVERDOSE DEATHS SURPASSING AUTOMOTIVE ACCIDENTS. AHS/AGMC SAW A CONTINUED REDUCTION IN OVERDOSES DURING 2018 AND THE COUNTY SAW A 25% REDUCTION IN OVERDOSE DEATHS IN 2017 DUE TO THEIR TRACKING AND INFORMATION SHARING THROUGH THE HOPE PARTNERSHIP PROJECT FUNDED BY THE OHIO DEPARTMENT OF JUSTICE. NARCAN DEPLOYMENT CONTINUED IN LOCAL LAW ENFORCEMENT AND PUBLIC HEALTH PROGRAMS, BUT ALSO IN THE ADENA REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT. ADENA HEALTH SYSTEM AT THE ADENA REGIONAL MEDICAL CENTER CONTINUES OPERATIONS OF THE ROSS COUNTY SAFE COMMUNITIES PROGRAM THOUGH ITS GRANT FROM THE OHIO DEPARTMENT OF PUBLIC SAFETY. THIS PROGRAM SAW AN IMPROVEMENT IN THE USE OF SEATBELTS FROM 81% TO 89% FROM 2017 TO 2018 (SURVEY ASSESSMENT CONDUCTED ANNUALLY BY MIAMI UNIVERSITY). TWO ADENA EMPLOYEES COORDINATE THE PROGRAM WHERE OUTREACH AT LOCAL COMMUNITY EVENTS AND A SOCIAL MEDIA CAMPAIGN PROMOTE A VARIETY OF ROAD SAFETY ISSUES, INCLUDING: 1.) SEAT BELT USAGE; 2.) SOBER DRIVING; 3.) DISTRACTED DRIVING; 4.) MOTORCYCLE AWARENESS AND; 5.) ROAD SAFETY. THE TEAM ATTENDED 21 ROSS COUNTY EVENTS, INCLUDING COUNTY FAIRS AND FESTIVALS, HIGH SCHOOL FOOTBALL GAMES AND PHYSICALS TO PROMOTE SAFE DRIVING. THERE ARE MULTIPLE WEEKLY ROAD SAFETY SOCIAL MEDIA MESSAGES POSTED EACH WEEK TO A GROWING 200 FOLLOWERS IN 2018. THERE WERE ALSO 3 TRAFFIC SAFETY AND FATALITY REVIEW COALITION MEETINGS HELD DURING THE YEAR.WALK WITH A DOCADENA HEALTH SYSTEM ESTABLISHED A WALK WITH A DOC FRANCHISE IN 2016, WHICH CONTINUED THROUGH 2017. THE PROGRAM INVOLVES A MONTHLY ONE HOUR MEETING, HELD AT THE ROSS COUNTY YMCA, WHERE AN ADENA PHYSICIAN PROVIDES A 30 MINUTE HEALTH TOPIC ON VARIOUS TOPICS (THOSE RELATED TO COMMUNITY HEALTH PRIORITIES LISTED ABOVE) AND A FREE, HEALTHY LUNCH. A TOTAL OF 10 WALK WITH A DOC SESSIONS, LED BY 9 ADENA PHYSICIANS AND 1 VA PHYSICIAN, WERE HELD IN 2018 WITH AN AVERAGE OF 57 PARTICIPANTS ATTENDING EACH SESSION. MORE THAN $7,000 WAS PROVIDED FROM ADENA COMMUNITY HEALTH TO SUPPORT THE HEALTHY LUNCH. RESIDENCY CLINICTHE ADENA FAMILY MEDICINE - RESIDENCY OPERATED A CLINIC IN 2017 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINIC PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS AND A CERTIFIED NURSE PRACTITIONER ALSO PROVIDING SERVICES TO PATIENTS IN THE CLINIC. A TOTAL OF 2,502 PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, FAYETTE, VINTON, PICKAWAY, PIKE, HIGHLAND AND JACKSON) MADE A TOTAL OF 5,878 VISITS TO THE RESIDENCY CLINIC IN 2017.FOR MORE INFORMATION, GO TO: HTTP://WWW.ADENA.ORG/LOCATIONS/DEPARTMENT.DT/RESIDENCY-CLINICADENA SPORTS MEDICINE ATHLETIC TRAINING PROGRAMTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $591,285 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION IN 2018. 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 PIKE, ROSS, AND JACKSON COUNTIES. COMMUNITY COLLABORATIONSHOPE CLINICADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY. A TOTAL OF 8 ADENA PHYSICIANS PROVIDED 99 HOURS OF CARE AND TWO ADENA NURSE PRACTITIONERS PROVIDED 110 HOURS OF CARE AT HOPE CLINIC IN 2017. A TOTAL OF 415 PATIENTS WERE SERVED WITH $181,130 WORTH OF MEDICAL SERVICES AT NO CHARGE. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. THE CLINIC IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $3,675 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR MEDICAL SUPPLIES AND RESOURCES. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/ GREATER CHILLICOTHE-ROSS STEERING COMMITTEEIN 2018, ADENA HEALTH SYSTEM COLLABORATED WITH THE ROSS COUNTY CHAMBER OF COMMERCE TO COORDINATE AND CONVENE A COMMUNITY STEERING COMMITTEE FOCUSED ON CREATING A COMMUNITY DEVELOPMENT PLAN FOR ROSS COUNTY. A TOTAL OF 12 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS CONVENED TO IDENTIFY STRATEGIC PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. THE PARTNERS FOR A HEALTHIER ROSS COUNTY AND THE ROSS COUNTY HEROIN PARTNERSHIP ADVISORY COUNCIL ARE ALIGNED WITH THIS COMMITTEE. COMMUNITY SUPPORTADENA PROVIDES ADDITIONAL SUPPORT TO THE ROSS COUNTY COMMUNITY THROUGH A VARIETY OF ENGAGEMENT ACTIVITIES, INCLUDING: ADENA PARTICIPATES IN MANY ASPECTS OF COMMUNITY WELLNESS, ENSURING HEALTH CARE NEEDS ARE MET. IN OUR ROLE AS A LEADING JOB CREATOR IN THE COMMUNITY, ADENA IS AT THE TABLE IN DISCUSSIONS WITH COMMUNITY GROUPS AND ASSOCIATIONS. HERE ARE JUST A FEW AREAS IN WHICH ADENA IS WORKING TO MAKE A DIFFERENCE, OUTSIDE THE HOSPITAL WALLS: PARTNERSHIP FOR A HEALTHIER ROSS COUNTY - ADENA LED EFFORT SHOWCASING STATE EFFORTS ON COMMUNITY HEALTH NEEDS SUCH AS: SMOKING, OBESITY, DIABETES, POVERTY, HUNGER. HEROIN PARTNERSHIP PROJECT - ADENA LED EFFORT SHOWCASING STATE EFFORTS (NATIONAL LAW ENFORCEMENT AWARD) TO RESOLVE THE DRUG ABUSE EPIDEMIC THROUGH FAMILY/ADDICT TREATMENT AND SUPPORT. GREATER CHILLICOTHE ROSS STEERING COMMITTEE - ADENA LED EFFORT SHOWCASING LOCAL ECONOMIC DEVELOPMENT, PROMOTE TRAVEL & TOURISM TO BUILD THE REGIONAL ECONOMY. ECONOMIC DEVELOPMENT ALLIANCE - ADENA EXECUTIVE LEADERSHIP SITS ON THE BOARD OF THE LOCAL ECONOMIC DEVELOPMENT COUNCIL PROVIDING EXPERTISE AND GUIDANCE TO SUPPORT GROWTH IN THE LOCAL ECONOMY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ADENA HEALTH PAVILION | ||||
| 4437 STATE ROUTE 159 | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER |
| 2 - ADENA MEDICAL OFFICE BUILDING | ||||
| 4439 STATE ROUTE 159 | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICES |
| 3 - ADENA HEALTH CENTER - WAVERLY | ||||
| 12340 STATE ROUTE 104 | WAVERLY | OH | 45690 | AMBULATORY CARE CENTER |
| 4 - ADENA URGENT CARE | ||||
| 55 CENTENNIAL BLVD | CHILLICOTHE | OH | 45601 | AMBULATORY CARE CENTER |
| 5 - ADENA HOME CARE SERVICES | ||||
| 111 W WATER STREET | CHILLICOTHE | OH | 45601 | HOME HEALTH CARE AND HOSPICE |
| 6 - ADENA HEALTH CENTER - JACKSON | ||||
| 1000 VETERANS DRIVE | JACKSON | OH | 45640 | AMBULATORY CARE CENTER |
| 7 - ADENA REHABILITATION AND WELLNESS CENTER | ||||
| 445 SHAWNEE LANE | CHILLICOTHE | OH | 45601 | OUTPATIENT REHABILITATION CENTER |
| 8 - ADENA FAMILY MEDICINE - OAK HILL | ||||
| 315 WASHINGTON STREET | OAK HILL | OH | 45656 | PHYSICIAN OFFICES |
| 9 - ADENA PICKAWAY-ROSS FAMILY PHYSICIANS | ||||
| 100 N WALNUT STREET | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICES |
| 10 - ADENA FAMILY MEDICINE - CIRCLEVILLE | ||||
| 798 N COURT STREET | CIRCLEVILLE | OH | 43113 | PHYSICIAN OFFICES |
| 11 - ADENA COUNSELING CENTER | ||||
| 445 SHAWNEE LANE | CHILLICOTHE | OH | 45601 | MENTAL HEALTH COUNSELING |
| 12 - ADENA FAMILY MEDICINE OF CHILLICOTHE | ||||
| 626 CENTRAL CENTER | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICES |
| 13 - ADENA ROSS UROLOGY | ||||
| 8 MEDICAL DRIVE | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICES |
| 14 - ADENA FAMILY MEDICINE - GREENFIELD | ||||
| 536 MIRABEAU STREET | GREENFIELD | OH | 45123 | PHYSICIAN OFFICES |
| 15 - ADENA FAMILY MEDICINE - WASHINGTON CH | ||||
| 308 HIGHLAND AVENUE SUITE C | WASHINGTON COURT HOU | OH | 43160 | PHYSICIAN OFFICES |
| 16 - ADENA FAMILY MEDICINE - WELLSTON | ||||
| 118 SOUTH NEW YORK AVE SUITE A | WELLSTON | OH | 45692 | NURSE PRACTITIONER CLINIC |
| 17 - ADENA FAMILY MEDICINE - HILLSBORO | ||||
| 160 ROBERTS LANE | HILLSBORO | OH | 45133 | URGENT CARE AND FAMILY PRACTICE |
| 18 - ADENA HEALTH & WELLNESS CNTR-MAIN CAMPUS | ||||
| 4457 ST RT 159 | CHILLICOTHE | OH | 45601 | PHYSICIAN OFFICE, CARDIAC REHAB, OCCUPATIONAL MEDICINE |
| 19 - ADENA CANCER CENTER | ||||
| 4435 ST RT 159 | CHILLICOTHE | OH | 45601 | OUTPATIENT CHEMOTHERAPY AND RADIATION |
| 20 - ADENA WELLNESS CENTER WEST | ||||
| 2077 WESTERN AVENUE | CHILLICOTHE | OH | 45601 | HOME HEALTH AND REHABILITATION |
| 21 - CLINIC AT WALMART | ||||
| 85 RIVER TRACE LANE | CHILLICOTHE | OH | 45601 | NURSE PRACTITIONER CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B. ACTUAL COSTS WERE USED IN LINE 7E & 7F. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $11,762,109 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 WITH THE COST TO CHARGE RATIO APPLIED. |
| PART III, LINE 3: | THE HOSPITAL DEVELOPED, WITH THE HELP OF AN OUTSIDE VENDOR, A NEW PRESUMPTIVE CHARITY POLICY. THE HOSPITAL SENDS A QUARTERLY FILE OF ALL SELF-PAY BALANCES TO THE VENDOR. AFTER THE VENDOR PERFORMS THE CREDIT ANALYSIS, THE VENDOR CATEGORIZES THE CLAIMS INTO THREE CATEGORIES, A CATEGORY THAT WOULD NOT BE ELIGIBLE FOR CHARITY BASED ON THE HOSPITALS CHARITY POLICY, A GROUP THAT WOULD BE ELIGIBLE FOR A 60% CHARITY WRITEOFF, AND A THIRD CATEGORY THAT WOULD BE ELIGIBLE FOR A 100% WRITE OFF. THE HOSPITAL ASSUMES ALL OF THESE AMOUNTS IN THE LAST TWO CATEGORIES TO BE 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. "AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS ESTABLISHED BASED ON EXPECTED PAYMENT RATES FROM PAYORS UTILIZING CURRENT REIMBURSEMENT METHODOLOGIES AND PAYMENT RATES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE." |
| PART III, LINE 8: | MEDICARE SHORTFALL (INCLUDING BOTH TRADITIONAL AND ADVANTAGE) RESULTED IN A SHORTFALL OF $10,267,673.THE ADENA HEALTH SYSTEM SERVICE AREA IS A RURAL 13 COUNTY AREA IN SOUTHERN OHIO. ADENA HEALTH SYSTEM HAS EVALUATED THE COMMUNITY HEALTH NEEDS AND HAS IMPORTANT PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE NEEDS OF ADENA'S BROAD SERVICE AREA. HOWEVER, ONE OF THE MOST SIGNIFICANT HEALTH NEEDS MET BY ADENA IS THE IDENTIFICATION OF PHYSICIAN AND ADVANCED PRACTICE PROVIDERS FOR EACH SPECIALTY OF CARE. ADENA RECRUITS, SUPPORTS, AND PROVIDES THE INFRASTRUCTURE FOR PROVIDERS IN SPECIALTIES RANGING FROM PRIMARY CARE TO INTERVENTIONAL CARDIOLOGY. IN ADENA'S RURAL, APPALACHIAN SERVICE AREA, PHYSICIAN AND OTHER KEY CLINICAL AND SUPPORT STAFF ARE DIFFICULT TO RECRUIT AND RETAIN WHICH ELEVATES THE MARKET SALARY FOR SPECIALIZED STAFF. THE MEDICARE TWO PERCENT SEQUESTRATION IS ALSO A COMPONENT OF THE SHORTFALL CALCULATION. BASED ON THESE ISSUES, WE BELIEVE SERVICE TO OUR MEDICARE POPULATION IS A COMMUNITY BENEFIT. ALSO, THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT WHEN DETERMINING THE AMOUNT ON PART III - LINE 6.PRIOR YEAR SETTLEMENTS FOR MEDICARE-RELATED SERVICES THAT WERE BOOKED IN THE CURRENT TAX YEAR ARE ALSO INCLUDED IN THE CURRENT TAX YEAR CALCULATION. |
| PART III, LINE 9B: | IF THE RESPONSIBLE INDIVIDUAL HAS NOT SUBMITTED A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE OR HAS NOT PAID-IN-FULL, THREE 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. COLLECTION AGENCIES ARE THEN INFORMED AND ARE AUTHORIZED TO REPORT UNPAID ACCOUNTS TO CREDIT AGENCIES AND TAKE LEGAL ACTION TO RECOVER OUTSTANDING AMOUNTS DUE. 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 2018 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 14 MEMBERS WHO ALL RESIDE IN THE HOSPITAL SERVICE AREA. ONE OF THE BOARD MEMBERS WAS AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR. |
| PART VI, LINE 6: | FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ADENA MANSION & GARDENS SOCIETY | |||||||
| 848 ADENA ROAD | CHILLICOTHE | OH | 45601 | 271330314 | 501(C)(3) | $5,000 | COMMUNITY IMPROVEMENT INITIATIVE |
| CHILLICOTHE FARMERS MARKET ASSOCIAT | |||||||
| 300 CHILLICOTHE AVE | HILLSBORO | OH | 45133 | 262216517 | 501(C)(4) | $6,555 | COMMUNITY IMPROVEMENT INITIATIVE |
| ECONOMIC DEVELOPMENT ALLIANCE OF | |||||||
| 45 EAST MAIN STREET | CHILLICOTHE | OH | 45601 | 203786756 | 501(C)(3) | $10,000 | JOB DEVELOPMENT INITIATIVE |
| JACKSON CITY SCHOOLS | |||||||
| 450 VAUGHN STREET | JACKSON | OH | 45640 | 316400579 | 501(C)(3) | $5,000 | EDUCATION INITIATIVE |
| OHIO UNIVERSITY FOUNDATION | |||||||
| PO BOX 869 | ATHENS | OH | 45701 | 316402269 | 501(C)(3) | $10,000 | EDUCATION INITIATIVE |
| RONALD MCDONALD HOUSE CHARITIES | |||||||
| 711 EAST LIVINGSTON AVENUE | COLUMBUS | OH | 43205 | 310890152 | 501(C)(3) | $5,000 | COMMUNITY IMPROVEMENT INITIATIVE |
| ROSS COUNTY AGRICULTURAL SOCIETY | |||||||
| 344 FAIRGROUNDS ROAD | CHILLICOTHE | OH | 45601 | 316050864 | 501(C)(3) | $7,500 | WELLNESS INITIATIVE |
| THE BUCK FIFTY INC | |||||||
| 113 GORDON DRIVE | CHILLICOTHE | OH | 45601 | 811817174 | 501(C)(3) | $7,500 | COMMUNITY IMPROVEMENT INITIATIVE |
| THE IBELIEVE FOUNDATION | |||||||
| 1778 N HIGHT ST SUITE 310 | COLUMBUS | OH | 43201 | 611845157 | 501(C)(3) | $5,000 | COMMUNITY IMPROVEMENT INITIATIVE |
| THE OHIO HISTORICAL SOCIETY INC | |||||||
| 800 E 17TH AVE | COLUMBUS | OH | 43211 | 314389673 | 501(C)(3) | $37,500 | COMMUNITY IMPROVEMENT INITIATIVE |
| UNITED WAY ROSS CO | |||||||
| 69 EAST WATER STREET | CHILLICOTHE | OH | 45601 | 314389671 | 501(C)(3) | $20,000 | COMMUNITY IMPROVEMENT INITIATIVE |
| ZANE TRACE ATHLETICS | |||||||
| 946 STATE ROUTE 180 | CHILLICOTHE | OH | 45601 | 311192918 | 501(C)(3) | $5,000 | WELLNESS INITIATIVE |
| CHILD PROTECTION CENTER OF ROSS CO | |||||||
| 138 MARIETTA RD ST E | CHILLICOTHE | OH | 45601 | 311579825 | 501(C)(3) | $63,624 | COMMUNITY IMPROVEMENT INITIATIVE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DECISIONS TO DONATE TO COMMUNITY PROJECTS ARE BROUGHT TO CEO FOR APPROVAL FROM MEMBERS OF SENIOR LEADERSHIP AND/OR THE STRATEGY DEPARTMENT. FOR EACH GRANT THERE IS AN AGREEMENT SIGNED BY ADENA AND THE ORGANIZATION RECEIVING THE DONATION THAT CONFIRMS FUNDS ARE BEING USED FOR THE INTENDED PURPOSE. A BLANKET AMOUNT IS BUDGETED FOR THE FISCAL YEAR AND CONSIDERED AS EACH REQUEST IS MADE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REGGINA YANDILA | ||||||||||||||
| TRUSTEE | $248,899 | $0 | $0 | $0 | $40,435 | $0 | $0 | $0 | $32,650 | $0 | $321,984 | $0 | $0 | $0 |
| WILLIAM STRAUCH | ||||||||||||||
| TRUSTEE | $415,551 | $0 | $0 | $0 | $8,569 | $0 | $0 | $0 | $31,224 | $0 | $455,344 | $0 | $0 | $0 |
| LISA CARLSON | ||||||||||||||
| CFO | $435,512 | $0 | $162,254 | $0 | $52,419 | $0 | $226,070 | $0 | $17,951 | $0 | $894,206 | $0 | $98,279 | $0 |
| JEFF GRAHAM | ||||||||||||||
| CEO | $686,122 | $0 | $50,254 | $0 | $69,098 | $0 | $390,377 | $0 | $23,796 | $0 | $1,219,647 | $0 | $50,254 | $0 |
| JOHN FORTNEY | ||||||||||||||
| CHIEF MEDICAL OFFICER | $431,702 | $0 | $112,213 | $0 | $169,362 | $0 | $208,519 | $0 | $23,005 | $0 | $944,801 | $0 | $112,213 | $0 |
| TIM CAHILL | ||||||||||||||
| CHIEF LEGAL OFFICER | $281,290 | $0 | $59,821 | $0 | $72,457 | $0 | $134,120 | $0 | $37,810 | $0 | $585,498 | $0 | $59,821 | $0 |
| KATHI EDRINGTON | ||||||||||||||
| COO | $439,335 | $0 | $0 | $0 | $42,843 | $0 | $212,447 | $0 | $13,257 | $0 | $707,882 | $0 | $0 | $0 |
| ANTHONY FREEMAN | ||||||||||||||
| MEDICAL OFFICER | $597,139 | $0 | $0 | $0 | $48,871 | $0 | $0 | $0 | $35,831 | $0 | $681,841 | $0 | $0 | $0 |
| JOHN GABIS | ||||||||||||||
| PRESIDENT OF AMG | $335,899 | $0 | $0 | $0 | $11,529 | $0 | $42,846 | $0 | $33,552 | $0 | $423,826 | $0 | $0 | $0 |
| SCOTT GRIFFIN | ||||||||||||||
| PRESIDENT OF AMG (JAN-AUG 2018) | $207,432 | $0 | $67,031 | $0 | $142,333 | $0 | $20,399 | $0 | $26,949 | $0 | $464,144 | $0 | $67,031 | $0 |
| JAY JUSTICE | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $220,233 | $0 | $62,213 | $0 | $92,765 | $0 | $21,705 | $0 | $17,525 | $0 | $414,441 | $0 | $62,213 | $0 |
| HARRY KITTAKA | ||||||||||||||
| CHIEF TRANSFORMATION OFFICER | $413,693 | $0 | $65,282 | $0 | $94,124 | $0 | $175,856 | $0 | $31,420 | $0 | $780,375 | $0 | $65,282 | $0 |
| KIRK TUCKER | ||||||||||||||
| CHIEF CLINICAL OFFICER | $356,745 | $0 | $30,938 | $0 | $8,879 | $0 | $80,713 | $0 | $33,460 | $0 | $510,735 | $0 | $30,938 | $0 |
| BRIAN COHEN | ||||||||||||||
| EMPLOYED M.D. | $2,650,950 | $0 | $0 | $0 | $29,948 | $0 | $0 | $0 | $35,789 | $0 | $2,716,687 | $0 | $0 | $0 |
| HAVAL SAADLLA | ||||||||||||||
| EMPLOYED M.D. | $961,870 | $0 | $0 | $0 | $100,710 | $0 | $0 | $0 | $35,789 | $0 | $1,098,369 | $0 | $0 | $0 |
| JAMES MANAZER | ||||||||||||||
| EMPLOYED M.D. | $910,295 | $0 | $0 | $0 | $45,096 | $0 | $0 | $0 | $35,789 | $0 | $991,180 | $0 | $0 | $0 |
| BRUCE CHEN | ||||||||||||||
| PHYSICIAN | $1,108,176 | $0 | $0 | $0 | $147,032 | $0 | $0 | $0 | $23,636 | $0 | $1,278,844 | $0 | $0 | $0 |
| SHANE MATHENY | ||||||||||||||
| PHYSICIAN | $857,190 | $0 | $0 | $0 | $144,927 | $0 | $0 | $0 | $41,145 | $0 | $1,043,262 | $0 | $0 | $0 |
| MARK SHUTER | ||||||||||||||
| FORMER CEO | $0 | $0 | $0 | $0 | $564,496 | $0 | $0 | $0 | $0 | $0 | $564,496 | $0 | $0 | $0 |
| WAYNE COATS | ||||||||||||||
| FORMER TRUSTEE/PHYSICIAN | $365,842 | $0 | $0 | $0 | $43,922 | $0 | $0 | $0 | $34,879 | $0 | $444,643 | $0 | $0 | $0 |
| WILBUR SEVER | ||||||||||||||
| FORMER TRUSTEE/PHYSICIAN | $679,561 | $0 | $0 | $0 | $27,642 | $0 | $0 | $0 | $26,820 | $0 | $734,023 | $0 | $0 | $0 |
| ERIC CECAVA | ||||||||||||||
| FORMER COO | $0 | $0 | $0 | $0 | $461,705 | $0 | $0 | $0 | $0 | $0 | $461,705 | $0 | $0 | $0 |
| JACK BERNO | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER/PHYSICI | $301,321 | $0 | $20,625 | $0 | $12,972 | $0 | $10,000 | $0 | $3,508 | $0 | $348,426 | $0 | $20,625 | $0 |
| STUART FREEDMAN | ||||||||||||||
| FORMER CHIEF COMPLIANCE OFFICER | $0 | $0 | $0 | $0 | $246,477 | $0 | $0 | $0 | $0 | $0 | $246,477 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY EIGHT OF THE OFFICERS AND KEY EMPLOYEES. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. TWO OFFICERS AND KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2018. |
| PART I, LINES 4A-B | MARK SHUTER RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $564,496. STUART FREEDMAN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $246,477. ERIC CECAVA RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $461,705. SCOTT GRIFFIN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $142,333. THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2018: JOHN FORTNEY $56,712 SERP ACCRUAL JEFF GRAHAM $74,108 SERP ACCRUAL LISA CARLSON $53,956 SERP ACCRUAL KATHI EDRINGTON $44,195 SERP ACCRUAL HARRY KITTAKA $43,857 SERP ACCRUAL TIM CAHILL $35,167 SERP ACCRUAL INCLUDED IN PART II, COLUMN (C) ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS. PLEASE NOTE THAT IN PRIOR PERIOD(S) AMOUNTS CREDITED TO THE EXECUTIVE'S ACCOUNT HAVE NOT BEEN DISCLOSED IN PART II, COLUMN (C). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF ROSS OHIO | ||||||||
| A | 316400085 | 2010-09-15 | $29,985,000 | INFUSION CENTER AND INTERVENTIONAL RADIOLOGY | 0 | 0 | 0 | |
| CITY OF CHILLICOTHE OHIO | ||||||||
| B | 316400221 | 2017-06-22 | $161,095,326 | ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM | 0 | 0 | 0 | 169203AK2 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,137,416 | $30,087,491 | $411,604 | $29,675,887 | 2012 | 0 | 0 | Yes (1) | Yes (1) | |||
| B | $161,591,118 | $1,723,052 | 0 | Yes (1) | 0 | Yes (1) | $119,859,444 | $27,195,705 | $12,812,917 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: COUNTY OF ROSS OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 10/09/2015 |
| SCHEDULE K, PART IV, LINE 2C | THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN FORTNEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | PHYSICIAN | RelationshipWithOrgTxt |
| Loan Purpose | STUDENT LOANS | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $11,214 | OriginalPrincipalAmt |
| Balance Due | $7,714 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $7,714 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ROBIN BERNO | |||
| SPOUSE OF KEY EMPLOYEE JACK BERNO | $158,653 | EMPLOYEE COMPENSATION | 0 |
| JENNIFER STRICKLAND | |||
| RELATIVE OF BOARD DIRECTOR DAVID STRICKLAND | $31,868 | EMPLOYEE COMPENSATION | 0 |
| TARA D'ANTONI | |||
| DAUGHTER-IN-LAW OF BOARD DIRECTOR RALPH D'ANTONI | $32,812 | EMPLOYEE COMPENSATION | 0 |
| MARIA SMITH | |||
| SISTER OF BOARD DIRECTOR JOE WATSON | $111,364 | EMPLOYEE COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | KATHERINE EDRINGTON CHIEF OPERATING OFFICER AND KRISTIN BOGGS, CHIEF INTEGRITY & COMPLIANCE OFFICER ARE SIBLINGS. ADENA HAS IMPLEMENTED A MECHANISM FOR TRIAGING ANY UNDERLYING CONCERNS INVOLVING EITHER PARTY DIRECTLY TO THE CHRO AS WELL AS BOTH PARTIES SHALL RECUSE THEMSELVES FROM ANY DECISIONS INVOLVING THE OTHER PARTY. |
| FORM 990, PART VI, SECTION A, LINE 3 | FOR A 3 MONTH PERIOD, DUE TO AN UNTIMELY DEATH, ADENA HEALTH PAID A CONSULTING SERVICE FOR CHIEF HUMAN RESOURCE OFFICER DUTIES. ADENA HEALTH PAID GALLAHER BENEFIT SERVICES $77,600 |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. FREEDOM HOUSE OF CHILICOTHE 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. ST. PETER'S CATHOLIC CHURCH |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER CHURCHES MAY NOMINATE A BOARD MEMBER, BUT THE BOARD OF DIRECTORS OF AHS RESERVES THE FINAL APPROVAL. THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION." |
| FORM 990, PART VI, SECTION A, LINE 7B | SECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WAS REVIEWED AT A BOARD MEETING, AND COPIES OF THE FORM 990 WERE PROVIDED TO THE BOD MEMBERS. ADDITIONALLY, COPIES OF THE 990 WERE MADE AVAILABLE ON THE HOSPITAL'S BOARD PORTAL AND IN ADMINISTRATION OFFICE UNTIL THE NOVEMBER 15 FILING DATE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATE COMPLIANCE OFFICE OF ADENA HEALTH SYSTEM ANNUALLY COORDINATES THE DISTRIBUTION AND RETURN OF THE CONFLICT OF INTEREST STATEMENTS. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. ADVANCED PRACTICE CLINICIANS, FRONT LINE SUPERVISORS UP THROUGH THE CEO, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR ALL DISQUALIFIED PERSONS. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE DISQUALIFIED PERSONS. COMPENSATION WAS LAST REVIEWED IN 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PREPARES AN ANNUAL REPORT TO THE PUBLIC WHICH INCLUDES ITS STATEMENT OF REVENUES AND EXPENSES. ADDITIONALLY, ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON GUIDESTAR.ORG AS PART OF THE ANNUAL FORM 990 FILING. |
| FORM 990, PART IX, LINE 11G | MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,407,475. MANAGEMENT AND GENERAL EXPENSES 436,288. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,843,763. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,248,538. MANAGEMENT AND GENERAL EXPENSES 35,069,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,317,602. FACILITY MAINTENANCE: PROGRAM SERVICE EXPENSES 9,159,111. MANAGEMENT AND GENERAL EXPENSES 11,444,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,603,223. |
| FORM 990, PART XI, LINE 9: | TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -235,309. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS 13,253,363. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 402,075. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE -182,787. TEMPORARILY RESTRICTED EXPENDITURES -125,061. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 1,120,314. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -1,249,203. BENEFIT PLAN RETIREMENT -14,225,651. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ADENA MEDICAL GROUP LLC | |||||||||
| DEPT L637 | COLUMBUS | OH | 43260 | 271370967 | HEALTHCARE PROVIDERS | OH | $68,625,870 | $5,863,627 | ADENA HEALTH SYSTEM |
| ADENA HOSPICE LLC | |||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 275340755 | HEALTHCARE PROVIDERS | OH | $2,147,728 | $344,301 | ADENA HEALTH SYSTEM |
| ADENA HOME HEALTH | |||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 273752730 | HEALTHCARE PROVIDERS | OH | $3,316,160 | $213,289 | ADENA HEALTH SYSTEM |
| ADENA HOME INFUSIONHOME RESPIRATORY | |||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 273752854 | HEALTHCARE PROVIDERS | OH | $1,567,373 | $782,989 | ADENA HEALTH SYSTEM |
| ADENA PHARMACY | |||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 451138187 | HEALTHCARE PROVIDERS | OH | $5,425,929 | $745,355 | ADENA HEALTH SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GREENFIELD AREA MEDICAL CENTER | ||||||||||
| 550 MIRABEAU ST | GREENFIELD | OH | 45123 | 310993422 | HOSPITAL | OH | 501(C)(3) | 3 | ADENA HEALTH SYSTEM | Yes (1) |
| ADENA HEALTH FOUNDATION | ||||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 753008742 | FUNDRAISING | OH | 501(C)(3) | 12A | ADENA HEALTH SYSTEM | Yes (1) |
| SOUTHERN OHIO HEALTHCARE NETWORK | ||||||||||
| 272 HOSPITAL ROAD | CHILLICOTHE | OH | 45601 | 261566590 | FIBEROPTIC NETWORK GRANTS | OH | 501(C)(3) | 12A | ADENA HEALTH SYSTEM | Yes (1) |
| PIKE HEALTH SERVICES INC | ||||||||||
| 100 DAWN LANE | WAVERLY | OH | 45690 | 311072406 | HOSPITAL | OH | 501(C)(3) | 3 | ADENA HEALTH SYSTEM | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA CARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 HOSPITAL ROAD | AddressLine1Txt |
| City | CHILLICOTHE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453980850 | EIN |
| Primary Activities | SEE SCHEDULE R, PART VII | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADENA HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$446,871 | ShareOfTotalIncomeAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GREENFIELD AREA MEDICAL CENTER | ||
| R | $77,385 | BOOK VALUE |
| PIKE HEALTH SERVICES | ||
| S | $441,817 | BOOK VALUE |
| SOUTHERN OHIO HEALTH CARE NETWORK | ||
| R | $25,251 | BOOK VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART IV, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE PRIMARY ACTIVITY OF ADENA CARE IS TO DEVELOP STRATEGIC RELATIONSHIPS TO THE SERVICE AREAS MAJOR EMPLOYERS THROUGH HEALTH MANAGEMENT AND WELLNESS SERVICES. | ExplanationTxt |