GREENFIELD AREA MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GREENFIELD AREA MEDICAL CENTER (EIN 31-0993422)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202533189349314088
Schema version: 2024v5.1
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 C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T17:45:14+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	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 SOUTH 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	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310993422	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREENFIELD AREA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GREE	BusinessNameControlTxt
Phone	7407794478	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	550 MIRABEAU ST	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45123	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFF GRAHAM	PersonNm
Person Title	AHS CEO	PersonTitleTxt
Phone	7407794478	PhoneNum
Signature	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO CPA	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2025-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA GREENFIELD MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFF GRAHAM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	550 MIRABEAU ST	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45123	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$28,036,103	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1918	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	ADENA GREENFIELD MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL AND A MEMBER OF THE ADENA HEALTH SYSTEM THAT PROVIDES HEALTHCARE TO CITIZENS IN HIGHLAND COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	204	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$227,632	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$24,972,892	PYProgramServiceRevenueAmt
CY Program Service Revenue	$27,931,230	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$158,661	PYOtherRevenueAmt
CY Other Revenue	$104,873	CYOtherRevenueAmt
PY Total Revenue	$25,359,185	PYTotalRevenueAmt
CY Total Revenue	$28,036,103	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,945,675	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$11,833,737	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$11,946,113	PYOtherExpensesAmt
CY Other Expenses	$14,871,119	CYOtherExpensesAmt
PY Total Expenses	$23,891,788	PYTotalExpensesAmt
CY Total Expenses	$26,704,856	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,467,397	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,331,247	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,909,289	TotalAssetsBOYAmt
Total Assets EOY	$13,466,387	TotalAssetsEOYAmt
Total Liabilities BOY	$1,591,328	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,451,494	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,317,961	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,014,893	NetAssetsOrFundBalancesEOYAmt
Mission	CALLED TO SERVE OUR COMMUNITIES	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$21,129,526	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$27,931,230	RevenueAmt
Desc	ADENA GREENFIELD MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN GREENFIELD, OH. THE HOSPITAL HAS AN EMERGENCY DEPARTMENT, INPATIENT REHABILITATION AND MEDICAL/SURGICAL UNITS, DIAGNOSTIC AND SURGICAL TREATMENT SERVICES, AND SPECIALTY PHYSICIAN SERVICES. EMERGENCY, INPATIENT MEDICAL AND SURGICAL, AND LABORATORY SERVICES ARE THE LARGEST PROGRAMS, BY EXPENSES, FOR THE FACILITY. EMERGENCY SERVICES ARE PROVIDED 24 HOURS A DAY, SEVEN DAYS A WEEK AT THE ADENA GREENFIELD MEDICAL CENTER. IT IS EQUIPPED TO HANDLE MOST EMERGENCIES AND ITS AFFILIATION WITH ADENA REGIONAL MEDICAL CENTER MEANS PROVIDES ACCESS TO SPECIALISTS AND REGIONAL-LEVEL CARE IS READILY AVAILABLE TO THE COMMUNITY. IN 2024, THERE WERE 8,340 EMERGENCY ROOM VISITS TO THE HOSPITAL. THE INPATIENT UNIT OF ADENA GREENFIELD MEDICAL CENTER SERVES GENERAL ADULT ACUTE AND SKILLED CARE WITH AN AVERAGE LENGTH OF STAY OF 8.0 DAYS. IN 2024, THERE WERE 466 INPATIENT DISCHARGES. CARE IS ADMINISTERED PRIMARILY FOR THOSE INDIVIDUALS SUFFERING FROM PNEUMONIA, CONGESTIVE HEART FAILURE, DIABETES, STROKE, AND COPD. THROUGH THE AFFILIATION WITH ADENA HEALTH SYSTEM, THE HOSPITAL IS ABLE TO OFFER RESIDENTS OF THE GREENFIELD AREA ACCESS TO HIGHER-INTENSITY SERVICES SUCH AS THE INTENSIVE/CARDIAC CARE UNIT AND CARDIAC TELEMETRY UNIT, AS WELL AS SPECIALIZED SERVICES SUCH AS MATERNITY AND PEDIATRICS. THE ADENA GREENFIELD MEDICAL CENTER OFFERS ACCESS TO HIGH-QUALITY INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THE COMMUNITY. THE REHAB TEAM FOCUSES ON RETURNING PATIENTS TO A NORMAL ROUTINE AS SOON AS POSSIBLE. EACH MEMBER HAS ADVANCED TRAINING SPECIFIC TO THE TYPE OF TREATMENT BEING PROVIDED, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH, AND RECREATIONAL THERAPY. THE THERAPISTS USE THE LATEST TREATMENTS AND EQUIPMENT TO HELP EACH PATIENT.	Desc
Total Program Service Expenses	$21,129,526	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	204	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFF CRAFT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7407794481	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	456019031	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RON COFFEY
CHAIR	2.0	Yes (X)	Yes (X)	$0	$0	$0
STEVE PEARCE
VICE CHAIR	0	Yes (X)	Yes (X)	$0	$0	$0	2.0
BLAIN BERGSTORM
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
DANNY LONG
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
DESTINY BRYSON
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
HEATH FETTRO
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
KRISTEN WHITE
PHYSICIAN	0	Yes (X)		$387,774	$0	$13,739	50.0
QUINCEY GRAY
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
RICHARD MIZER
TRUSTEE/PRESIDENT OF AMG	50.0	Yes (X)		$0	$334,605	$26,063	2.0
TARA CAMPBELL
TRUSTEE	0	Yes (X)		$0	$0	$0	2.0
JAMES MCMANUS
AHS CFO	54.0		Yes (X)	$0	$738,566	$253,395	1.0
JEFF GRAHAM
AHS CEO	54.0		Yes (X)	$0	$1,180,581	$368,169	1.0
JOSH MCCOY
WEST MARKET VP/SENIOR OPS EXECUTIVE	25.0		Yes (X)	$256,392	$0	$86,003	25.0
KATHERINE EDRINGTON
AHS COO	54.0		Yes (X)	$0	$441,728	$191,286	1.0
CHERYL BECKMAN
MGR REHAD OPERATIONS	0			$126,168	$0	$19,275	50.0	Yes (X)
DAWN PAGE
NURSE STAFF RN BSN	0			$130,105	$0	$9,389	50.0	Yes (X)
HALEY TEETERS
TEAM LEAD INPATIENT REHAB	0			$124,164	$0	$7,291	50.0	Yes (X)
LAUREN KING
DIRECTOR OF NURSING	0			$132,172	$0	$33,190	50.0	Yes (X)
LYNN HARRIS
DIRECTOR OPERATIONS CRITICAL ACCESS	0			$155,418	$0	$49,400	50.0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,312,193	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,695,480	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,057,200	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Ensemble Health Partners Holdings LLC
11511 Reed Hartman Hwy	Cincinnati	OH	45241	REVENUE CYCLE MANAGMENT	$1,399,387
Premier Physician Services Inc
332 Congress Park Dr	washington township	OH	45459	PHYSICIAN SERVICES	$1,351,982	suite B
Apogee Medical Management
15059 N Scottsdale Rd	SCOTTSDALE	AZ	85254	PHYSICIAN SERVICES	$699,445	SUITE 600
Captive Radiology LLC
6273 Frank Ave NW	North Canton	OH	44720	MRI SERVICES	$341,100
MeDefis Inc
2121 N 117th Ave Ste 200	Omaha	NE	68164	MANAGEMENT SOLUTIONS	$206,528

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NEW PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$27,931,230	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,931,230	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$27,931,230	TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
FOOD & NUTRITION	722514	$85,034	$85,034
INTEREST REFUND	900099	$11,855	$11,855
AUXILLIARY INCOME	900099	$7,984	$7,984

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$104,873	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,036,103	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,931,230	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$104,873	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$743,908	TotalAmt
Program Services	$642,340	ProgramServicesAmt
Management And General	$101,568	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,568,620	TotalAmt
Program Services	$7,398,721	ProgramServicesAmt
Management And General	$1,169,899	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,880,383	TotalAmt
Program Services	$1,650,144	ProgramServicesAmt
Management And General	$230,239	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$640,826	TotalAmt
Program Services	$562,362	ProgramServicesAmt
Management And General	$78,464	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,817,251	TotalAmt
Program Services	$1,658,745	ProgramServicesAmt
Management And General	$3,158,506	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$201,142	TotalAmt
Program Services	$159,002	ProgramServicesAmt
Management And General	$42,140	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$45,062	TotalAmt
Program Services	$27,037	ProgramServicesAmt
Management And General	$18,025	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,481	TotalAmt
Program Services	$1,210	ProgramServicesAmt
Management And General	$271	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$877,029	TotalAmt
Program Services	$643,433	ProgramServicesAmt
Management And General	$233,596	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$77,318	TotalAmt
Program Services	$58,625	ProgramServicesAmt
Management And General	$18,693	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$2,811,330	$2,811,330
OVERHEAD ALLOCATION	$2,560,512	$2,560,512
MEDICAL SUPPLIES	$2,003,204	$1,910,481	$92,723
HCAP ASSESSMENT	$868,269	$868,269

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$608,521	TotalAmt
Program Services	$177,315	ProgramServicesAmt
Management And General	$431,206	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,704,856	TotalAmt
Program Services	$21,129,526	ProgramServicesAmt
Management And General	$5,575,330	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,185,525	BOYAmt
EOY	$83,915	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$238,715	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,956,087	BOYAmt
EOY	$2,884,356	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$455,722	BOYAmt
EOY	$440,819	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,423,237	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,645,050	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,479,358	BOYAmt
EOY	$7,778,187	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,832,597	BOYAmt
EOY	$2,040,395	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,909,289	BOYAmt
EOY	$13,466,387	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$926,728	BOYAmt
EOY	$1,064,033	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$664,600	BOYAmt
EOY	$387,461	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,591,328	BOYAmt
EOY	$1,451,494	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,471,977	BOYAmt
EOY	$9,958,275	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,845,984	BOYAmt
EOY	$2,056,618	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,317,961	BOYAmt
EOY	$12,014,893	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,909,289	BOYAmt
EOY	$13,466,387	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,331,247	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$2,634,315	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$603	OtherActivitiesAmt
Total Lobbying Expenditures	$603	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	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	$179,204	BeginningYearBalanceAmt
Investment Earnings Or Losses	$49,257	InvestmentEarningsOrLossesAmt
Other Expenditures	$49,258	OtherExpendituresAmt
End Year Balance	$179,203	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,204	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,706	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,706	OtherExpendituresAmt
End Year Balance	$179,204	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,200	BeginningYearBalanceAmt
Investment Earnings Or Losses	$29,920	InvestmentEarningsOrLossesAmt
Other Expenditures	$29,916	OtherExpendituresAmt
End Year Balance	$179,204	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,200	BeginningYearBalanceAmt
Investment Earnings Or Losses	$55,959	InvestmentEarningsOrLossesAmt
Other Expenditures	$55,959	OtherExpendituresAmt
End Year Balance	$179,200	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,200	BeginningYearBalanceAmt
Investment Earnings Or Losses	$55,955	InvestmentEarningsOrLossesAmt
Other Expenditures	$55,955	OtherExpendituresAmt
End Year Balance	$179,200	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$669,553	OtherCostOrOtherBasisAmt
Book Value	$669,553	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,872,174	OtherCostOrOtherBasisAmt
Depreciation	$4,871,239	DepreciationAmt
Book Value	$5,000,935	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,383,159	OtherCostOrOtherBasisAmt
Depreciation	$5,499,386	DepreciationAmt
Book Value	$1,883,773	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$498,351	OtherCostOrOtherBasisAmt
Depreciation	$274,425	DepreciationAmt
Book Value	$223,926	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,778,187	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Federal Income Taxes
COST REPORT SETLEMENT PAYABLE	$318,703
CAPITAL LEASE PAYABLE	$35,596
RIGHT OF USE LIABILITES	$33,162
ADVANCED MEDICARE PAYMENTS

Field	Value	IRS element (for citing)
Total Liability	$387,461	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR PURCHASE OF CAPITAL EQUIPMENT AND OPERATIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,846	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$809,498	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,936,792	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,697,336	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,239,456	NetCommunityBenefitExpnsAmt
Total Expense	0.09373	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,375,638	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,506,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,239,456	NetCommunityBenefitExpnsAmt
Total Expense	0.09373	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00025	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00025	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,381,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,506,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,245,336	NetCommunityBenefitExpnsAmt
Total Expense	0.09397	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,811,330	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,829,157	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,537,321	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$708,164	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	GREENFIELD AREA MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	550 MIRABEAU ST	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	451231617	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
State License	1200	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	CAH WITH ACUTE & SKILLED NURSING	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GREENFIELD AREA MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://tinyurl.com/2s2a5wmw	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://tinyurl.com/2s2a5wmw	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://tinyurl.com/2s2a5wmw	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GREENFIELD AREA MEDICAL CENTER. The Adena Greenfield Medical Center captured the broad interests of the community for the CHNA through three primary methods: public surveys, key stakeholder interviews and focus groups. A health needs survey was widely distributed in both electronic and paper form across the Highland County Community and received approximately 600 responses. In addition to the surveys, interviews with local community leaders, including civic, public health and emergency response were requested and/or conducted to gain further knowledge of survey topics.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GREENFIELD AREA MEDICAL CENTER. THE CHNA FOR GREENFIELD AREA MEDICAL CENTER WAS COMPLETED WITH ITS PARENT ENTITY, ADENA HEALTH SYSTEM.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GREENFIELD AREA MEDICAL CENTER. The CHNA for Adena Greenfield Medical Center was conducted in collaboration with the following organizations: Highland County Community Action, Paint Valley ADAMH Board, Highland County EMS, Highland County Health Department, Adena Health, Adena Greenfield Medical Center, Highland County Coroner's Office, Hillsboro City Police, Highland County Sheriff, Highland County Job and Family Services, Family and Children First Council-Highland, Highland District Hospital, Paint Creek Fire and EMS, Hillsboro City Schools, Samaritan Outreach Services, City of Hillsboro, City of Greenfield, Highland County Senior Center, Highland County Commissioners, Highland County Probation Department, Paint Creek EMS/Fire, Turning Point ALC reentry Services, FRS Transportation, Family Recovery Services, Highland County Chamber of Commerce, Members of the General Public, Village of Highland, Area Agency on Aging, Highland County Prosecutor, Greenfield Police Department, Southern Ohio Education Center, Highland County Medical Reserve Corps.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - GREENFIELD AREA MEDICAL CENTER. The CHNA was made available in electronic form through social media, newspaper, and participating agency websites. Presentations of its content were made to government, community and civic organizations. Hard copies of the CHNA report were also printed and sent to community leaders and agencies.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GREENFIELD AREA MEDICAL CENTER. The following details the specific implementation strategies used for health priorities identified for the Adena Greenfield Medical Center during 2024. Substance Use Disorder Advocacy Adena Health share a weekly communication to community partners where substance use topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Programming and Initiatives The Baby Centered Recovery Program provided a total of 12 women (from multiple counties including Ross) with pregnancy education and addiction counseling in 2024. In addition, participants were provided resource referrals, as well as food and baby supplies at no charge to participants. More than 300 mothers have been supported by the program since 2014. The program has been recognized for exceptional care provided at the local, state and national level. Financial Support and Clinical Alignment Adena Health works to align its service lines and clinics with community resources that will address the social factors and barriers faced by many of its rural patients. This often involves community partnering and monetary support from Adena Community Health and Development. These two strategies are connected and reported together. - Adena Health provided $35,000 in support during 2024 for the Buck Fifty which coordinates the Drug Free Clubs of America/MADE program deployed in area school districts which incentivizes student participation in drug testing. Adena caregivers provide more than 50 hours per year supporting this program by working with area students to collect samples for testing to support their participation in the program. - Adena Health also provided an additional support for harm reduction kits deployed in the ARMC, AFMC, APMC and AGMC emergency departments and risk reduction supply distribution with community partners using funds from the HRSA RCORP grant. - Adena Health contributed $1,000 to support the Paint Valley Alcohol, Drug Addiction and Mental Health (ADAMH) Board's annual Recovery Celebration dinner, honoring those who work to prevent, treat and support recovery for those in Ross, Highland, Fayette, Pike and Pickaway counties. Obesity and Diabetes Advocacy Adena Health compiles a weekly communication to community partners where health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Programming and Initiatives, Financial Support and Clinical Alignment Adena Health partnered with the Chillicothe Farmers; Market, Fayette County Farmers' Market and Way Farms to fund the "Fresh Food Rx Fruit & Veggie Perks programing. This program provides Adena patients referred by their provider an opportunity for fresh fruits and vegetables from area produce markets (a benefit for the patient and the local farmer). In 2024, Adena provided $9,439 in support to area markets for this programming. Adena Health partnered with the Ohio State University Extension - Highland County to provide cooking classes and education to area residents. The program provides nutrition education, food preparation and education on shopping healthy on a budget and label reading. Adena Health also supports the incentives given to participant which includes the cooking utensils (cutting board, measuring spoons, measuring cup, etc.). Adena Health partners with the Ross County YMCA and Fayette County Family YMCA to coordinate several programs to improve health outcomes of patients. These programs are led by certified YMCA trainers and are evidenced-based. In 2024, Adena paid $25,000 to support patients on their wellness journey at the YMCA. Numbers across the region were: - Diabetes Prevention Program - 30 referrals to this program (3 graduated) - The Blood Pressure Self-Monitoring program - 5 referrals (5 graduates) - LiveStrong- 38 referrals (33 graduates) - First steps - 31 referrals (9 completed full program. Respiratory Issues Programming, Initiatives and Clinical Alignment Adena Health continued its coordination of the Adena Quit Clinic in 2024. The clinic provided a total of 19 patients served in 5 locations: Chillicothe (Ross County); Waverly (Pike County); Washington Court House (Fayette County); Greenfield (Highland County) and Jackson (Jackson County). Adena pharmacists completed 35 visits with patient with tobacco cessation counseling services including cessation planning, support and nicotine replacement education is provided by Adena pharmacists. Adena provided free lung cancer screenings to 2,200 patients from the region including Pike, Fayette, Highland and Ross counties. The screenings resulted in 188 patients being referred for additional work up secondary to the screening findings. By providing cancer screenings Adena Health is helping to decrease rates of death as early detection and treatment result in saving lives. Mental Health Community Development Adena Health participates in the education and support of the Paint Valley ADAMH events where topics such as mental health access, stigma reduction and other mental health related issues are discussed. Advocacy Adena Health compiles a weekly communication to community partners where mental health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Mental health topics were also shared through Adena Health's social media channels. Programming & Initiatives Adena Health showcased mental health topics throughout the year as part of the Just Walk/Walk with a Doc programming. There were 4 such events throughout the year in 2024 in the region. As part of the event, participants are able to speak with a provider to have questions answered pertinent to the topic in a general format. Financial Support & Clinical Alignment Adena Health supported mental health events throughout the region through participation and/or financial support. A contribution was also made of $1000 to support a community education night for suicide awareness prevention. Adena's sponsorship helped support the speaker costs for this free community event. Child Safety and Wellness Advocacy Adena Health compiles a weekly communication to community partners where mental health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Mental health topics were also shared through Adena Health's social media channels. Programming & Initiatives Adena Health provided athletic trainer services to 12 local public high schools within a six county (Ross, Pike, Fayette, Highland, Jackson, Pickaway) service region in 2024. A total of 13 athletic trainers worked within the school's athletic departments and focused on educating students, parents and coaches on sports medicine topics, including concussion identification and treatment. The value of this community support was greater than $650,000. The staff is also readily available at athletic events and provides yearly sports physicals to more than 1200 students in Highland, Fayette, and Jackson, Pickaway, Pike, and Ross counties. Sponsoring 4-H project books is another way Adena Health supports youth wellness. The cost of the projects books is prohibitive in some cases for area youth. Adena Health provided more than $4,000 in 2024 to support Highland County 4-H participants in this enrichment program. In 2021, Adena Health partnered with Nationwide Children's Hospital to develop the Appalachian Whole Child Initiative. In 2023, Adena Health expanded the program and provided a coordinator (1.0 FTE) valued at $101,608 to work with partnered school district to complete school needs assessments, develop school wellness plans, and improve healthcare access to students and staff. In addition, the coordinator is assisting the districts in developing primary care and telehealth resources for the district, as well as bring in additional community partners to address mental health and social needs of students. Also in September 2023, Adena launched a mobile health clinic to provide medical care to area students and staff. In 2024, there were 714 patient encounters on the mobile unit. Adena Health partnered with the Highland County District Library-Greenfield Branch to coordinate the Healthy Kids Summer Fun Challenge, part of the Bookworm Summer Reading program. Participants are offered the opportunity to earn prizes as they complete challenges and those who complete all challenges are entered into a drawing for a new bicycle and adults got the opportunity for a Fitbit. A total of $2500 was spent on reward prizes for participants in Ross, Fayette, Highland and Pike counties.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - GREENFIELD AREA MEDICAL CENTER. Financial Support and clinical alignment Adena Health works to align its service lines and clinics with community resources that will address the social factors and barriers faced by many of its rural patients. This often involves community partnering and monetary support from Adena Community Health and Development. - Adena Women's & Children's Center: Adena Health provided sleep sacks for the babies born at the Adena Women's and Children's Center in 2024 valued at $10,000. Patients come from a number of counties including Fayette, Ross, Pike and Highland. - School Districts: The Greenfield McClain School District in Highland County received $25,000 to support the health and wellness of their district's athletes, aligned with the support of athletic trainers provided by Adena Health. Community Health Outcomes and Health Factors Summary - Highland County Health Outcomes were ranked 66 in 2022 (County Health Rankings). - Highland County Health Factors moved from 76 to 82 in 2022 (County Health Rankings). Additional Initiatives and Resources The Adena Family Medicine - Residency Clinic and the Adena Residency Clinic - Internal Medicine continued operations of its clinic in 2024 providing affordable, quality health care. The clinics paired accessible primary care medical services provided by physician interns and residents of Adena's Graduate Medical Education program, family and internal medicine preceptors providing services to patients in the clinic. Combined the clinics had more than 9,500 visits from patients mostly from seven counties (Ross, Pickaway, Pike, Jackson, Highland, Fayette, Vinton). Approximately 5% of patients served by the clinics are uninsured. Community Service: Adena also provides support to the Highland County community through a variety of engagement activities, including financial support and participation in local community events and initiatives. Approximately 10 caregivers from AGMC provided more than 50 hours of community service and volunteer time participating in community outreach, non-profit board participation and leadership, and other initiatives. Community Sponsorships: Adena support a number of initiatives in the community and region to benefit the wellbeing of those in the community. These include: - Over $5,000 in coordinated transportation services for patients in Fayette, Ross, Highland and Pike counties without transport to medical appoints and no insurance coverage. - Adena Health provided $1,500 in support for the annual Ernie Blankenship Telethon which provides medical related support to local residents of Highland County including medications such as insulin. - Supported Grow Greater Greenfield with a $250 donation. - A total of $2,500 was given to support the Rotary Club of Greenfield. - Highland County Chamber of Commerce received a $100 sponsorship at their annual golf outing. - Adena Health supported the Senior Halloween Expo with a donation of $200 to Highland County Senior Citizens. - A total of $1,000 was provided to support the Hillsboro Festival of the Bells. - A total of $5,000 was provided to support the Highland County Agricultural Society, including the county fair and the county's 4-H market program. - A total of $1,000 was given to support the Greenfield Music Festival. Additional Community Collaboration Ross County Child Protection Center: Adena Health continued it's more than 25-year relationship with and support of the Ross County Child Protection Center in 2024 which provides resources and counseling to young victims of interpersonal violence and sexual assault in a nine-county service region that includes Fayette, Ross, Pike and Highland Counties. Adena provided a total of $61,374 in financial support for the CPC's facility costs and information technology needs. Medical and nursing staff also provide support to the center. An additional $2,000 in support was provided to support the fundraising efforts of the organization. Hope Clinic: Adena Health continued support of Hope Clinic in 2024. Support was both with Adena caregivers volunteering and financial support. Hope Clinic provides free medical care to those without health insurance coverage, including medical, dental and vision care. Located in Chillicothe, Ohio, the clinic serves patients from around the region including Ross, Pike Fayette, and Highland counties. It is open one day per week. In 2024, Hope Clinic had more than 3,000 medical, dental and pharmacy patients and provided more $1.7 million in free medical care. In addition to the clinical service, Hope Clinic operates a mobile food market where more than 4,100 families (10,000 were served in 2024). Ten providers from Adena Health volunteered 68 hours of care at Hope Clinic in 2024. Adena Health provided $25,000 in monetary support for the clinic's community charitable pharmacy, operations and medical resource system Elsevier. For more information, go to http://www.hopeclinicfree.org/. Highland County Health Coalition: In 2024, Adena Health participated in a community steering committee focused on completing a community health improvement plan (CHIP) for Highland County and addressing the health objectives identified.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f	BAD DEBT EXPENSE OF $2,811,330 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Adena Health System
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	2811330
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA GREENFIELD MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE, ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM. - THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS. - MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES. GREENFIELD AREA MEDICAL CENTER USED THE MEDICARE ALLOWABLE COSTS PER ITS 2023 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. PRIOR YEAR SETTLEMENTS FOR MEDICARE-RELATED SERVICES THAT WERE BOOKED IN THE CURRENT TAX YEAR ARE ALSO INCLUDED IN THE CURRENT TAX YEAR CALCULATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IF THE RESPONSIBLE INDIVIDUAL HAS NOT SUBMITTED A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE OR HAS NOT PAID-IN-FULL, FOUR SEPARATE STATEMENTS ARE SENT OUT FOR THE COLLECTION OF SELF-PAY ACCOUNTS. THE FINAL STATEMENT SENT WILL INFORM THE INDIVIDUAL OF POSSIBLE EXTRAORDINARY COLLECTION ACTIONS (ECA) TO BE TAKEN IF FINANCIAL ASSISTANCE IS NOT APPLIED FOR OR THE ACCOUNT IS NOT PAID IN FULL. AFTER THE FINAL STATEMENT AND BEFORE ECAS ARE TAKEN, REASONABLE EFFORTS ARE MADE TO ORALLY CONTACT THE INDIVIDUAL AS A FINAL NOTICE. PATIENTS WHO CANNOT PAY CHARGES IN FULL MAY ALSO BE OFFERED A PAYMENT PLAN THAT IS CONSISTENT WITH GREENFIELD AREA MEDICAL CENTER'S CUSTOMER SERVICE PROCEDURES.
Schedule H, Part V, Section B, Line 16a FAP website	- GREENFIELD AREA MEDICAL CENTER: Line 16a URL: https://tinyurl.com/2s2a5wmw;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GREENFIELD AREA MEDICAL CENTER: Line 16b URL: https://tinyurl.com/2s2a5wmw;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GREENFIELD AREA MEDICAL CENTER: Line 16c URL: https://tinyurl.com/2s2a5wmw;
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN THE FOLLOWING MANNER: 1. STATEMENTS FROM ADENA GREENFIELD MEDICAL CENTER 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. A CONTRACTED VENDOR SUPPLIES STAFF AT THE CASHIER AREA TO EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE. 7. LASTLY, WE UTILIZE A "HINDSIGHT" VENDOR THAT SCREENS ALL BAD DEBT ACCOUNTS, AFTER THE YEAR-END, AGAINST THE STATE MEDICAID ELIGIBILITY AND FEDERAL POVERTY GUIDELINES TO ATTEMPT ONE LAST EFFORT TO OBTAIN FINANCIAL ASSISTANCE FOR INDIVIDUALS.
Schedule H, Part VI, Line 4 Community information	HIGHLAND COUNTY, HOME OF THE ADENA GREENFIELD MEDICAL CENTER, IS LOCATED IN SOUTHWESTERN OHIO. IT IS PART OF THE 2ND CONGRESSIONAL DISTRICT AND ONE OF OHIO'S 32 APPALACHIAN COUNTIES. IT CONTAINS THE POPULATION PATTERNS AND GREENFIELD AREA MEDICAL CENTER 31-0993422 DISTINCT ECONOMIC CONDITIONS INHERENT OF THIS REGION OF THE U.S AND FACES SIMILAR CHALLENGES IN DIVERSIFYING ITS ECONOMY TO IMPROVE THE LIVES OF ITS RESIDENTS. A RURAL COUNTY SITUATED IN SOUTHWESTERN OHIO, HIGHLAND COUNTY IS ONE OF THE STATE'S 32 COUNTIES LOCATED WITHIN THE DESIGNATED APPALACHIAN REGION. IN GENERAL, THE APPALACHIAN REGION'S ECONOMY, ONCE CHARACTERIZED BY ITS DEPENDENCE ON HEAVY INDUSTRY, AGRICULTURE, AND MINING, IS GRADUALLY DIVERSIFYING, WITH A GREATER FOCUS ON SERVICE INDUSTRIES, RETAILING, GOVERNMENT, AND TOURISM (OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES, 2013). THE COUNTY'S ONLY CITY, HILLSBORO, POPULATION 6,550 (U.S. CENSUS, 2015), SERVES AS THE COUNTY SEAT. VILLAGES WITHIN THE COUNTY INCLUDE GREENFIELD, HIGHLAND, LEESBURG, LYNCHBURG, MOWRYSTOWN, AND SINKING SPRING. ACCORDING TO 2015 U.S. CENSUS DATA, THE POPULATION IN HIGHLAND COUNTY IS 43,026. THE COUNTY IS BORDERED BY SEVEN RURAL COUNTIES OF SIMILAR SIZE, INCLUDING ADAMS, BROWN, CLINTON, FAYETTE, PIKE, ROSS, AND SCIOTO. IN THE LAST 40 YEARS, HIGHLAND COUNTY HAS EXPERIENCED A POPULATION GROWTH OF NEARLY 37 PERCENT. THERE ARE 16,841 HOUSEHOLDS IN HIGHLAND COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.57 PEOPLE, COMPARABLE WITH THE REST OF THE 12 COUNTY SERVICE REGION AND OHIO. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.01 PEOPLE. MORE THAN 50% OF THE POPULATION IS NOW MARRIED WHICH IS COMPARABLE WITH OHIO AND NATIONAL AVERAGES. APPROXIMATELY 12% ARE DIVORCED WHICH IS ALSO COMPARABLE WITH THE REGION AND THE STATE. EDUCATIONAL ATTAINMENT IN HIGHLAND COUNTY IS NOT AS PREVALENT AS THE REST OF THE SERVICE REGION, OHIO OR THE U.S. APPROXIMATELY 12.1% OF THE ADULTS IN HIGHLAND COUNTY HOLD A BACHELOR'S DEGREE OR HIGHER, AS COMPARED WITH 11.4% IN THE REGION, 24.5% IN OHIO, AND 28.2% IN THE U.S. ABOUT 11% OF THE POPULATION OF HIGHLAND COUNTY IS ESTIMATED TO BE FUNCTIONALLY ILLITERATE OR LACKING READING AND WRITING SKILLS SUFFICIENT FOR PRACTICAL NEEDS. THE TOP FIVE EMPLOYMENT INDUSTRIES IN HIGHLAND COUNTY ARE PRODUCTION/TRANSPORTATION SERVICES (25.5%), MANAGEMENT/BUSINESS/SCIENCE (22.7%), SALES (22.3%), SERVICE (17.3%), AND NATURAL RESOURCES/CONSTRUCTION/MAINTENANCE (12.3%). HIGHLAND COUNTY HAS CONSIDERABLY MORE PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS (25.5%) THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE PER CAPITA MEDIAN AND MEAN HOUSEHOLD INCOMES IN HIGHLAND COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES. POVERTY RATES ARE LOWER THAN THE REGIONAL AVERAGE BUT STILL HIGHER THAN THE STATE AND NATIONAL AVERAGES. THERE ARE 3,849 CIVILIAN VETERANS LIVING IN HIGHLAND COUNTY. THE TOTAL CIVILIAN VETERANS WITHIN THE ADENA HEALTH SYSTEM 12 COUNTY SERVICE REGION REPRESENT 5% OF OHIO'S TOTAL CIVILIAN VETERAN POPULATION. HIGHLAND 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, INCLUDING HIGHLAND COUNTY, HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%.
Schedule H, Part VI, Line 5 Promotion of community health	ADENA GREENFIELD MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH LOCAL BOARD REPRESENTATION. THE 2021 BOARD OF TRUSTEES OF ADENA GREENFIELD MEDICAL CENTER WAS COMPRISED OF 9 MEMBERS. ONE BOARD MEMBER IS AN EMPLOYEE OF ADENA HEALTH SYSTEM. ALL BOARD MEMBERS RESIDE THE HOSPITAL'S SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care system	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 EIGHT REGIONAL CLINICS, WITH A TOTAL OF 311 REGISTERED 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. ADENA GREENFIELD MEDICAL CENTER AND ADENA PIKE MEDICAL CENTER: 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 (ADENA GREENFIELD MEDICAL CENTER) AND PIKE COUNTY (ADENA PIKE MEDICAL CENTER) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WELLSTON, HILLSBORO, WASHINGTON COURT HOUSE AND WAVERLY, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE AND WAVERLY. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
KRISTEN WHITE
PHYSICIAN	$185,000	$0	$170,364	$0	$32,410	$0	$11,524	$0	$2,215	$0	$401,513	$0	$0	$0
RICHARD MIZER
TRUSTEE/PRESIDENT OF AMG	$0	$284,008	$0	$2,512	$0	$48,085	$0	$12,269	$0	$13,794	$0	$360,668	$0	$41,406
JAMES MCMANUS
AHS CFO	$0	$560,539	$0	$112,972	$0	$65,055	$0	$225,932	$0	$27,463	$0	$991,961	$0	$56,375
JEFF GRAHAM
AHS CEO	$0	$977,033	$0	$187,011	$0	$16,537	$0	$319,845	$0	$48,324	$0	$1,548,750	$0	$0
JOSH MCCOY
WEST MARKET VP/SENIOR OPS EXECUTIVE	$255,545	$0	$0	$0	$847	$0	$62,307	$0	$23,696	$0	$342,395	$0	$0	$0
KATHERINE EDRINGTON
AHS COO	$0	$306,628	$0	$126,256	$0	$8,844	$0	$171,687	$0	$19,599	$0	$633,014	$0	$0
LAUREN KING
DIRECTOR OF NURSING	$131,879	$0	$200	$0	$93	$0	$27,334	$0	$5,856	$0	$165,362	$0	$0	$0
LYNN HARRIS
DIRECTOR OPERATIONS CRITICAL ACCESS	$154,536	$0	$0	$0	$882	$0	$31,031	$0	$18,369	$0	$204,818	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	EXECUTIVE LEADERSHIP AT ADENA GREENFIELD MEDICAL CENTER HAS THEIR COMPENSATION REVIEWED EVERY YEAR BY ADENA HEALTH SYSTEM, THE SOLE MEMBER OF THE FILING ENTITY. THE SYSTEM UTILIZES A SEPARATE COMPENSATION CONSULTING FIRM THAT USES SEVERAL AVAILABLE MARKET STUDIES FOR APPLICABLE POSITIONS IN COMPARABLE MARKETS. OTHER ADENA GREENFIELD MEDICAL CENTER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. THIS PROCESS WAS LAST UNDERTAKEN IN 2024.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2024: RICHARD MIZER $41,406 SERP EARNINGS JAMES MCMANUS $56,375 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $62,812 SERP ACCRUALS
Schedule J, Part I, Line 7 Non-fixed payments	MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER A VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a	A RELATED ORGANIZATION, ADENA HEALTH SYSTEM, ISSUES THE 1099S.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF GREENFIELD AREA MEDICAL CENTER IS ADENA HEALTH SYSTEM.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF THE ORGANIZATION NOMINATES TRUSTEES, AND ADENA HEALTH SYSTEM, AS THE SOLE MEMBER OF THE ORGANIZATION, ELECTS THE TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN GOVERNANCE DECISIONS ARE RESERVED FOR ADENA HEALTH SYSTEM AS THE SOLE MEMBER OF THE ORGANIZATION, SUCH AS THE ELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF THE ORGANIZATION, APPROVAL OF STRATEGIC PLANS OF THE ORGANIZATION, AND APPROVAL OF AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND CODE OF REGULATIONS. ADENA HEALTH SYSTEM CAN ACT ON THESE RIGHTS BY A VOTE AT ANY MEETING, AN ACTION WITHOUT A MEETING, OR THROUGH OTHER AUTHORIZED MEANS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	COPIES OF ALL FORMS 990 ARE MADE AVAILABLE TO THE PARENT GOVERNING BOARD PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	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. FRONT LINE SUPERVISORS UP THROUGH THE CEO, ADVANCED PRACTICE CLINICIANS, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE TOP MANAGEMENT OFFICIAL AT ADENA GREENFIELD MEDICAL CENTER HAS HIS COMPENSATION REVIEWED EVERY OTHER YEAR BY ADENA HEALTH SYSTEM TOTAL REWARDS TEAM.
Form 990, Part VI, Line 19 Required documents available to the public	THE SYSTEM DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. SOME ORGANIZING DOCUMENTS MAY BE AVAILABLE THROUGH STATE OF OHIO WEBSITES. THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM WITHIN 150 DAYS AFTER FISCAL YEAR END. THE PUBLIC MAY ACCESS THIS SYSTEM FREE OF CHARGE.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 4817251, Program Service Expense: 1658745, Management and General Expenses: 3158506, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO/FROM AFFILIATE - -2884949; CHANGE IN RESTRICTED CONTRIBUTIONS - 250634; Total - -2634315;
Form 990, Part XII, Line 2c	THE ADENA HEALTH SYSTEM'S 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. GREENFIELD AREA MEDICAL CENTER IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ADENA HEALTH SYSTEM
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	314379443	HOSPITAL	OH	501(c)(3)	3	NA	false
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	FUNDRAISING	OH	501(c)(3)	Type I	ADENA HEALTH SYSTEM	Yes (true)
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	261566590	FIBEROPTIC NETWORK GRANTS	OH	501(c)(3)	Type I	ADENA HEALTH SYSTEM	Yes (true)
PIKE HEALTH SERVICES INC
100 DAWN LANE	WAVERLY	OH	45690	311072406	HOSPITAL	OH	501(c)(3)	3	ADENA HEALTH SYSTEM	Yes (true)
ADENA FAYETTE MEDICAL CENTER
1430 COLUMBUS AVE	WASHINGTON COURT HOUSE	OH	43160	852985806	HOSPITAL	OH	501(c)(3)	3	ADENA HEALTH SYSTEM	Yes (true)

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	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	-$1,324	ShareOfTotalIncomeAmt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part IV, Column (b) ADENA CARE	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