2018-11-15T14:50:53-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2017-01-01 314379443 ADENA HEALTH SYSTEM ADEN 7407794478 272 HOSPITAL RD CHILLICOTHE OH 45601 LISA CARLSON CFO 7407794478 2018-11-14 1 BERNIE OSTROWSKI P00366367 6148493000 2018-11-14 67.59.56.32 2018-11-14 08:08:17 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DCADD2CDA100FC630949EB2812E82144C693340D 2017 2019-02-21 02:37:17Z ADENA REGIONAL MEDICAL CENTER LISA CARLSON 272 HOSPITAL RD CHILLICOTHE OH 45601 469880689 0 X WWW.ADENA.ORG X 1895 OH "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. 14 12 3577 213 788 0 788168 463634 408415410 446204420 2180196 13964554 11554082 9248081 422937856 469880689 562077 593238 0 0 229977764 245758274 0 0 0 183278092 197731213 413817933 444082725 9119923 25797964 485156474 565089403 228637469 280319022 256519005 284770381 TO CARE, TO HEAL, TO EDUCATE. 0 0 397885397 593238 449191258 HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,228 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 46,934 EMERGENT AND URGENT VISITS IN 2017. PHYSICIAN OFFICES: THERE WERE 408,392 PHYSICIAN OFFICE VISITS IN 2017. 397885397 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 608 0 1 3577 1 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X SHARON WISECUP VP SYSTEM FINANCE 7407794478 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 TOM WHITE TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 JOSEPH SULZER TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 VIRGINIA WETTERSTEN TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 STEVE BURKHARDT TRUSTEE/CHAIRMAN 2.00 0.00 X X 0 0 0 JERRY PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 REGGINA YANDILA TRUSTEE 50.00 0.00 X 212288 0 11525 DAVID STRICKLAND TRUSTEE 2.00 0.00 X 0 0 0 JENNIFER MCKELL TRUSTEE 2.00 0.00 X 0 0 0 CARVEL SIMMONS TRUSTEE 2.00 0.00 X 0 0 0 RALPH D'ANTONI TRUSTEE 2.00 0.00 X 0 0 0 JOE WATSON TRUSTEE 2.00 0.00 X 0 0 0 BARTOW HENSHAW TRUSTEE 2.00 0.00 X 0 0 0 GAIL TAYLOR TRUSTEE 2.00 0.00 X 0 0 0 WILLIAM STRAUCH TRUSTEE 50.00 0.00 X 520494 0 32959 JOHN FORTNEY CEO (JAN - JULY) 50.00 4.00 X 620562 0 159069 LISA CARLSON CFO 50.00 0.00 X 335986 0 125663 JEFF GRAHAM CEO (JULY-DEC) 50.00 0.00 X 311630 0 52015 JACK BERNO CHIEF MEDICAL OFFICER (JAN-JULY) 50.00 0.00 X 336380 0 20625 ERIC CECAVA COO (JAN-OCT) 50.00 0.00 X 471558 0 45412 TIM CAHILL GENERAL COUNSEL 50.00 0.00 X 321654 0 114637 BRIAN COHEN EMPLOYED M.D. 50.00 0.00 X 2769669 0 33682 HAVAL SAADLLA EMPLOYED M.D. 50.00 0.00 X 1106710 0 34182 THOMAS LEWIS EMPLOYED M.D. 50.00 0.00 X 980204 0 34283 JAMES MANAZER EMPLOYED M.D. 50.00 0.00 X 1008799 0 33882 MARK SHUTER FORMER CEO 0.00 0.00 X 648688 0 0 9644622 0 697934 13 1 1 0 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 MANAGEMENT SERVICES 5862294 CAPTIVE RADIOLOGY 6273 FRANK AVENUE NW NORTH CANTON OH 44720 MRI SERVICES 2582399 NTHRIVE INC 200 NORTH POINT CENTER E ALPHARETTA GA 30022 REVENUE CYCLE MANAGEMENT 2146958 TATUM LLC 3715 NORTHSIDE PARKWAY NW 300 NORT ATLANTA GA 30327 CONSULTING SERVICES 1655014 ARUP INC 500 CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 1598374 60 135355 328279 463634 NET PATIENT SVC REV 622110 446204420 446194297 10123 446204420 13952104 13952104 119157 0 119157 119157 -9335 128492 12450 0 12450 12450 12450 FOOD & NUTRITION 722514 1965122 1965122 EHR IMPLEMENTATION 622110 772392 772392 CONSULTING FEES 900099 100323 100323 6291087 159124 6131963 9128924 469880689 449191258 788 20225009 X 593238 593238 1167476 1043681 123795 196816568 176687336 20129232 40489907 37099052 3390855 7284323 6511917 772406 48233 48233 589382 589382 102000 102000 67056405 51607170 15449235 5169610 4786922 382688 8699747 7777444 922303 2818525 2154609 663916 7093855 6341646 752209 22581889 20188034 2393855 1788703 1788703 MEDICAL SUPPLIES 66786842 66652536 134306 BAD DEBT EXPENSE 11762109 11762109 LOSS ON BOND REFINANCIN 10413657 9309427 1104230 OVERHEAD ALLOCATION -7179744 -6418427 -761317 444082725 397885397 46197328 0 11658 11958 74914778 24816980 5215234 7290422 52869504 59982767 8989 8389 5640546 6222011 11210480 3943720 395222728 259905872 135040792 135316856 188239938 312557286 12004555 14939014 485156474 565089403 51452745 61467940 158764005 194594671 500000 500000 17920719 23756411 228637469 280319022 X 254709236 282810528 1809769 1959853 256519005 284770381 485156474 565089403 X 25797964 12677219 -10223807 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4326 4326 0 PART II-B, LINE 1: 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. 1331708 -3508 155784 0 1483984 1321696 -43583 54095 500 1331708 1305508 44539 -6351 22000 1321696 1219218 34077 52213 1305508 1149935 -2887 77350 5180 1219218 1.00000 0.00000 0.00000 0 0 2648975 2648975 176802237 96571242 80230995 65000 271 64729 199196087 157635357 41560730 16510429 5699002 10811427 135316856 ACCRUED MALPRACTICE INSURANCE - LT 9580633 DEFERRED COMPENSATION LIABILITY 10333772 INTERCOMPANY PAYABLE 643576 DEFINED BENEFIT PLAN LIABILITY 3198430 23756411 PART V, LINE 4: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 11032277 1379374 9652903 0.02290 88521141 53662648 34858493 0.08260 99553418 55042022 44511396 0.10550 1128122 1128122 0.00270 892853 892853 0.00210 938440 938440 0.00220 2959415 2959415 0.00700 102512833 55042022 47470811 0.11250 0 11762109 2760942 89839025 86097774 3741251 X 1 0 1 1 ADENA REGIONAL MEDICAL CENTER 272 HOSPITAL RD CHILLICOTHE OH 45601 WWW.ADENA.ORG ST. REG. NUM. 1029 X X X ADENA REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X WWW.ADENA.ORG/INSIDE/PAGE.DT/CHNA X HTTP://ROSSCOUNTYHEALTH.ORG/HEALTHASSESSMENT.PDF X X 1 16 1 HTTP://WWW.ADENA.ORG/FILES/RESOURCES/ROSS-IS-2016.DOCX 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID X HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID X HTTP://WWW.ADENA.ORG/INSIDE/PAGE.DT/FINANCIAL-AID X X X X X X 1 X 0 X X X 1 X 0 0 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: ADDICTION INFRASTRUCTURE BUILDINGADENA, AS PART OF ITS COORDINATION EFFORTS FOR PARTNERS FOR A HEALTHIER ROSS COUNTY (PHRC) BEGAN CROSS REPORTING IN JANUARY OF 2017 WITH THE HEROIN PARTNERSHIP PROJECT (HPP). A TOTAL OF FOUR MEMBERS OF PHRC STEERING TEAM PARTICIPATE AS PART OF THE HPP.ADVOCACYADENA HEALTH SYSTEM CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY. 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 HPP. PROGRAMMINGTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 57 WOMEN (FROM MULTIPLE COUNTIES INCLUDING PIKE) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS. THE PROGRAM WAS RECOGNIZED AS THE 2017 HOSPITAL CHARITABLE SERVICES PROGRAM OF PROMISE.THE ARMC EMERGENCY DEPARTMENT DEPLOYED A POST OVERDOSE RESPONSE TEAM (PORT) IN AUGUST OF 2017.FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $12,000 IN SUPPORT FOR THE DRUG FREE CLUBS OF AMERICAN PROGRAM MADE DEPLOYED IN ALL SEVEN ROSS COUNTY SCHOOL DISTRICTS WHICH INCENTIVIZES STUDENT PARTICIPATION IN DRUG TESTING. OBESITY 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.EDUCATIONA HERE FOR LIFE EVENT LED BY DR. JOHN KELLER ON HEART HEALTH AND ATRIAL FIBRILLATION WAS HELD IN APRIL WHERE A TOTAL OF 55 PARTICIPANTS WERE PROVIDED TWO HOURS OF EDUCATION ON GENERAL HEART HEALTH AND MANAGING ATRIAL FIBRILLATION.ARMC COORDINATED A REGIONAL DIABETES AWARENESS EXPO DELIVERED AT THE JACKSON COUNTY YMCA IN MARCH 2017 WHERE A TOTAL OF 75 PARTICIPANTS WERE PROVIDED FOUR HOURS OF EDUCATION ON DIABETES MANAGEMENT, INCLUDING MEDICATION, NUTRITION, COOKING, AND FITNESS.A WALK WITH A DOC EVENT WAS HELD IN OCTOBER AS PART OF DIABETES AWARENESS MONTH WHERE ENDOCRINOLOGIST DR. GIANINA USERA 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. THE ADENA FAMILY FIT PROGRAM PROVIDED SEVEN FAMILIES A TOTAL OF 12 HOURS OF FITNESS AND NUTRITION EDUCATION OVER SIX WEEKS OF AT THE ROSS COUNTY YMCA. FINANCIAL SUPPORTADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY FARMER'S MARKET TO FUND THE FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDE 161 INDIVIDUAL ADENA PATIENTS AND COMMUNITY SNAP BENEFICIARIES A TOTAL OF $2,891 OF FRESH FRUITS AND VEGETABLES.RESPIRATORYINFRASTRUCTURE BUILDINGADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE BREATHEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY HEALTH DISTRICT WHICH 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.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 19 PATIENTS RECEIVED TOBACCO CESSATION COUNSELING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 787 PATIENTS FROM THE REGION INCLUDING PIKE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2017 WHICH RESULTED IN 7 POSITIVE CANCER RESULTS.FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $10,000 IN SUPPORT FOR RELAY FOR LIFE WHICH ENGAGED THE ROSS, PIKE AND HIGHLAND COMMUNITIES IN CANCER AWARENESS.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.ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES 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 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.EDUCATIONA WALK WITH A DOC EVENT WAS HELD IN NOVEMBER 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. PROGRAMMINGTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED 81 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 $175,000. FINANCIAL SUPPORTADENA HEALTH SYSTEM PROVIDED $8,000 IN SUPPORT TO THE SCIOTO PAINT VALLEY MENTAL HEALTH CENTER TO 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.EDUCATIONA WALK WITH A DOC EVENT WAS HELD IN MARCH WHERE PEDIATRICIAN DR. ALESSANDRO MARANZANA PROVIDED A TOTAL OF 35 COMMUNITY MEMBERS .5 HOURS OF EDUCATION ON CHILD BEHAVIOR AND PARENTING STRATEGIES FOLLOWED BY A 30 MINUTE WALK. PROGRAMMINGTHE ADENA CENTERING PREGNANCY PROGRAM PROVIDED A TOTAL OF 25 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 2017. PATIENTS COME FROM MULTIPLE COUNTIES INCLUDING ROSS, PIKE AND HIGHLAND.COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES MOVED FROM 74 TO 81 IN 2017 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 64 TO 60 IN 2017 (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 2017, A TOTAL OF 67 EMPLOYEES PROVIDED A TOTAL OF 2,124 HOURS OF CAREER MENTORING THROUGH THE MAP YOUR FUTURE PROGRAM IN 2017, WHICH UNITED WAY VALUED AT $105,152. UNINTENTIONAL INJURIES 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 2016 TO 2017 (SURVEY ASSESSMENT CONDUCTED ANNUALLY BY MIAMI UNIVERSITY). ADENA SPORTS MEDICINE ATHLETIC TRAINING PROGRAMTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $465,878 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 10 LOCAL PUBLIC HIGH SCHOOLS WITHIN THE SERVICE REGION IN 2017. A TOTAL OF 8 ATHLETIC TRAINERS WORK WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS. THE STAFF IS ALSO PROVIDES YEARLY SPORTS PHYSICALS TO MORE THAN 1,200 STUDENTS IN PIKE, ROSS, AND JACKSON COUNTIES. COMMUNITY COLLABORATIONSHOPE CLINICA TOTAL OF 8 ADENA PHYSICIANS PROVIDED 99 HOURS OF CARE AND TWO ADENA NURSE PRACTITIONERS PROVIDED 110 HOURS OF FREE CARE AT HOPE CLINIC IN 2017. A TOTAL OF 415 PATIENTS WERE SERVED WITH $181,130 WORTH OF MEDICAL SERVICES AT NO CHARGE. AHS PROVIDES AN ADDITIONAL $3,589 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR MEDICAL SUPPLIES AND RESOURCES. 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. 21 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 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: THE HOSPITAL MEDICARE ADVANTAGE PLAN, THE PHYSICIAN MEDICARE ADVANTAGE PLAN, AND THE PHYSICIAN TRADITIONAL MEDICARE PLAN INCURRED A SHORTFALL OF <$27,273,959> IN 2017. THIS SHORTFALL COMBINED WITH THE LONGFALL FROM TRADITIONAL MEDICARE SOURCES OF $3,741,251 RESULTS IN A NET MEDICARE SHORTFALL OF <$23,532,708>.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 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 2016 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 15 MEMBERS. ONE OF THE BOARD MEMBERS WAS AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR. ALL BUT ONE MEMBER OF THE BOARD MEMBERS RESIDE IN ROSS COUNTY OHIO. PART VI, LINE 6: FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN), A COLLABORATION OF THE REGION'S THREE LARGEST HEALTHCARE PROVIDERS. THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS. 1 ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 501(C)(3) 434775 PAYMENT OF ORGANIZATION EXPENSES CHILLICOTHE CAVALIER CLUB 2710 S BRIDGE ST CHILLICOTHE OH 45601 311324783 501(C)(3) 15000 SCOREBOARD INSTALLMENT MIGHTY CHILDRENS MUSEUM PO BOX 503 CHILLICOTHE OH 45601 473052995 501(C)(3) 21000 RAISING FUNDS TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIV ROSS COUNTY AGRICULTURAL SOCIETY 207 S QUARRY BAINBRIDGE OH 45612 316050864 501(C)(3) 12500 FREE RIDE DAY AT THE ROSS COUNTY FAIR AND STAGE FOR HEALTHY KIDS EVENT OSU EXTENSION OFFICE ROSS COUNTY 475 WESTERN AVE F CHILLICOTHE OH 45601 316025986 501(C)(1) 7500 CAPITAL CAMPAIGN FOR OHIO UNIVERSITY- CHILLICOTHE ROSS COUNTY CHILD PROTECTION CENTER 138 MARIETTA RD CHILLICOTHE OH 45601 311579825 501(C)(3) 63874 ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT ECONOMIC DEVELOPMENT ALLIANCE 45 E MAIN CHILLICOTHE OH 45601 203786756 501(C)(3) 10000 TO REVITALIZE CHILLICOTHE AND ROSS COUNTY AMERICAN CANCER SOCIETY 138 MARIETTA RD CHILLICOTHE OH 45601 131788491 501(C)(3) 5000 CAPITAL CAMPAIGN FOR OHIO UNIVERSITY- CHILLICOTHE CHILLICOTHE ROSS CHAMBER OF COMMERCE 45 E MAIN CHILLICOTHE OH 45601 314147100 501(C)(6) 23589 TO REVITALIZE CHILLICOTHE AND ROSS COUNTY 7 2 PART I, LINE 2: DECISIONS TO DONATE TO COMMUNITY PROJECTS ARE BROUGHT TO CEO FOR APPROVAL FROM MEMBERS OF SENIOR LEADERSHIP AND/OR THE STRATEGY DEPARTMENT. 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. X X X 1 1 X X X X 1 0 0 0 0 1 0 0 0 REGGINA YANDILA TRUSTEE 160251 0 17822 0 34215 0 0 0 31881 0 244169 0 0 0 WILLIAM STRAUCH TRUSTEE 496977 0 14743 0 8774 0 0 0 32959 0 553453 0 0 0 JOHN FORTNEY CEO (JAN - JULY) 491426 0 0 0 129136 0 136363 0 22706 0 779631 0 0 0 LISA CARLSON CFO 231066 0 100000 0 4920 0 115304 0 10359 0 461649 0 0 0 JEFF GRAHAM CEO (JULY-DEC) 311630 0 0 0 0 0 50254 0 1761 0 363645 0 0 0 JACK BERNO CHIEF MEDICAL OFFICER (JAN-JULY) 305868 0 17822 0 12690 0 0 0 20625 0 357005 0 2838 0 ERIC CECAVA COO (JAN-OCT) 285129 0 0 0 186429 0 15325 0 30087 0 516970 0 0 0 TIM CAHILL GENERAL COUNSEL 258102 0 0 0 63552 0 78001 0 36636 0 436291 0 0 0 BRIAN COHEN EMPLOYED M.D. 2729386 0 11665 0 28618 0 0 0 33682 0 2803351 0 0 0 HAVAL SAADLLA EMPLOYED M.D. 1031449 0 14743 0 60518 0 0 0 34182 0 1140892 0 0 0 THOMAS LEWIS EMPLOYED M.D. 965454 0 5508 0 9242 0 0 0 34283 0 1014487 0 0 0 JAMES MANAZER EMPLOYED M.D. 956594 0 12290 0 39915 0 0 0 33882 0 1042681 0 0 0 MARK SHUTER FORMER CEO 0 0 0 0 648688 0 0 0 0 0 648688 0 0 0 PART I, LINE 1A ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY FOUR OF THE OFFICERS AND KEY EMPLOYEES. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. FIVE OFFICERS AND KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2017. PART I, LINE 4A MARK SHUTER RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $630,000. ERIC PERDUE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $111,840. PART I, LINE 6 IF THE NET EARNINGS TARGET WAS ACHIEVED FOR THE ADENA HEALTH SYSTEM, COMPENSATION WAS PAID OUT BASED ON FOUR PILLARS, INCLUDING: A PERCENTAGE OF OPERATING INCOME, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, AND QUALITY MEASURES. A COUNTY OF ROSS OHIO 316400085 778260EX3 2008-09-17 141346983 CURRENT REFUNDING OF 2001 AND 2006 ISSUES 1 0 0 B COUNTY OF ROSS OHIO 316400085 2010-09-15 29985000 INFUSION CENTER AND INTERVENTIONAL RADIOLOGY 0 0 0 C CITY OF CHILLICOTHE OHIO 316400221 169203AK2 2017-06-22 161095326 ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM 0 0 0 A 15010000 127960000 196865226 10925535 1366439 487668 184085584 2010 1 0 1 1 B 5078641 30087491 411604 29675887 2012 0 0 1 1 C 161202245 117249584 1777018 5808858 2615000 33751785 0 1 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 1 BAYERISCHE LANDESBANK 3.000000000000 1 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 1 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COUNTY OF ROSS OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2013 ISSUER NAME: COUNTY OF ROSS OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 10/09/2015 SCHEDULE K, PART II, LINE 6 2001 AND 2006 ISSUES WERE REFUNDED ON OCTOBER 29, 2008. INCLUDED $116,560,000 OF PRINCIPAL AND $149,427 OF INTEREST. THIS IS FOR THE 2008 ISSUE. SCHEDULE K, PART II, LINE 11 $11,750,000 OF ISSUE WAS USED TO PAY OFF QUALIFIED HEDGED RELATED TO THE 2001 AND 2006 BONDS. THIS IS FOR THE 2008 ISSUE. SCHEDULE K, PART III, LINE 2 ADENA HEALTH SYSTEM LEASES APPROXIMATELY 300 SQUARE FEET TO A FOR PROFIT COMPANY THAT OPERATES A COFFEE KIOSK. THIS IS CONSIDERED DEMINIMUS SPACE AND SO 0% WAS PUT IN LINE 4 OF PART III. THIS IS FOR THE 2008 ISSUE. THE LEASE CEASED IN FALL OF 2012. SCHEDULE K, PART IV, LINE 4A PROCEEDS INVESTED IN GIC FROM 2006 ISSUE - UNUSED PORTION TRANSFERS TO 2008 ISSUE. THE GIC MATURED IN JULY 2009; THIS WAS 36 MONTHS AFTER THE DATE OF ISSUE. THIS IS FOR THE 2008 ISSUE. SCHEDULE K, PART IV, LINE 2C THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013. JOHN FORTNEY PHYSICIAN STUDENT LOANS X 11214 8389 0 1 1 8389 ROBIN BERNO SPOUSE OF KEY EMPLOYEE JACK BERNO 134600 EMPLOYEE COMPENSATION 0 JENNIFER STRICKLAND RELATIVE OF CHAIR DAVID STRICKLAND 34913 EMPLOYEE COMPENSATION 0 TARA D'ANTONI DAUGHTER-IN-LAW OF BOARD DIRECTOR RALPH D'ANTONI 29063 EMPLOYEE COMPENSATION 0 MARIA SMITH SISTER OF BOARD DIRECTOR JOE WATSON 112790 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 3 ADENA HEALTH SYSTEM PAID AN EXECUTIVE CONSULTING SERVICES FIRM, TATUM, FOR CFO DUTIES. LISA CARLSON WAS PAID $127,430 FROM TATUM FROM JANUARY TO JUNE FOR HER ROLE AS CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. 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 MERCER, AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR ALL DISQUALIFIED PERSONS. MERCER UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH MERCER REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE DISQUALIFIED PERSONS. COMPENSATION WAS LAST REVIEWED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PREPARES AN ANNUAL REPORT TO THE PUBLIC WHICH INCLUDES ITS STATEMENT OF REVENUES AND EXPENSES. ADDITIONALLY, ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON GUIDESTAR.ORG AS PART OF THE ANNUAL FORM 990 FILING. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,432,549. MANAGEMENT AND GENERAL EXPENSES -89,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,342,586. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,202,288. MANAGEMENT AND GENERAL EXPENSES 14,008,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,210,803. FACILITY MAINTENANCE: PROGRAM SERVICE EXPENSES 17,972,333. MANAGEMENT AND GENERAL EXPENSES 1,530,683. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,503,016. FORM 990, PART XI, LINE 9: TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -6,823,046. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS -3,494,248. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 260,016. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE -81,296. TEMPORARILY RESTRICTED EXPENDITURES -46,130. NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASE OF CAPITAL ASSETS 96,252. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -135,355. 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. 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