2025-11-14T17:45:14+00:00 2024-12-31 331498605 Plante & Moran PLLC 250 SOUTH HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 310993422 GREENFIELD AREA MEDICAL CENTER GREE 7407794478 550 MIRABEAU ST GREENFIELD OH 45123 JEFF GRAHAM AHS CEO 7407794478 2025-11-14 true true AMY CIMINELLO CPA P00796388 6148493000 2025-11-13 2024 2025-03-06 01:10:19Z ADENA GREENFIELD MEDICAL CENTER JEFF GRAHAM 550 MIRABEAU ST GREENFIELD OH 45123 28036103 false X WWW.ADENA.ORG X 1918 OH 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. 11 8 204 13 0 227632 0 24972892 27931230 0 0 158661 104873 25359185 28036103 0 0 0 0 11945675 11833737 0 0 0 11946113 14871119 23891788 26704856 1467397 1331247 14909289 13466387 1591328 1451494 13317961 12014893 CALLED TO SERVE OUR COMMUNITIES false false 21129526 0 27931230 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. 21129526 true false false true false false false false false true true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true false false false false true X 0 0 204 true false false false false false false false false false false false false X 11 8 false false false false true true true true true false false false true true true true true true true false false false X X JEFF CRAFT 7407794481 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 X RON COFFEY CHAIR 2.0 X X 0 0 0 STEVE PEARCE VICE CHAIR 2.0 0 X X 0 0 0 BLAIN BERGSTORM TRUSTEE 2.0 0 X 0 0 0 DANNY LONG TRUSTEE 2.0 0 X 0 0 0 DESTINY BRYSON TRUSTEE 2.0 0 X 0 0 0 HEATH FETTRO TRUSTEE 2.0 0 X 0 0 0 KRISTEN WHITE PHYSICIAN 50.0 0 X 387774 0 13739 QUINCEY GRAY TRUSTEE 2.0 0 X 0 0 0 RICHARD MIZER TRUSTEE/PRESIDENT OF AMG 2.0 50.0 X 0 334605 26063 TARA CAMPBELL TRUSTEE 2.0 0 X 0 0 0 JAMES MCMANUS AHS CFO 1.0 54.0 X 0 738566 253395 JEFF GRAHAM AHS CEO 1.0 54.0 X 0 1180581 368169 JOSH MCCOY WEST MARKET VP/SENIOR OPS EXECUTIVE 25.0 25.0 X 256392 0 86003 KATHERINE EDRINGTON AHS COO 1.0 54.0 X 0 441728 191286 CHERYL BECKMAN MGR REHAD OPERATIONS 50.0 0 X 126168 0 19275 DAWN PAGE NURSE STAFF RN BSN 50.0 0 X 130105 0 9389 HALEY TEETERS TEAM LEAD INPATIENT REHAB 50.0 0 X 124164 0 7291 LAUREN KING DIRECTOR OF NURSING 50.0 0 X 132172 0 33190 LYNN HARRIS DIRECTOR OPERATIONS CRITICAL ACCESS 50.0 0 X 155418 0 49400 1312193 2695480 1057200 19 false true false Ensemble Health Partners Holdings LLC 11511 Reed Hartman Hwy Cincinnati OH 45241 REVENUE CYCLE MANAGMENT 1399387 Premier Physician Services Inc 332 Congress Park Dr suite B washington township OH 45459 PHYSICIAN SERVICES 1351982 Apogee Medical Management 15059 N Scottsdale Rd SUITE 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 699445 Captive Radiology LLC 6273 Frank Ave NW North Canton OH 44720 MRI SERVICES 341100 MeDefis Inc 2121 N 117th Ave Ste 200 Omaha NE 68164 MANAGEMENT SOLUTIONS 206528 5 0 NEW PATIENT SERVICE REVENUE 621110 27931230 27931230 0 0 0 0 27931230 0 0 0 0 FOOD & NUTRITION 722514 85034 85034 INTEREST REFUND 900099 11855 11855 AUXILLIARY INCOME 900099 7984 7984 0 0 0 0 104873 28036103 27931230 0 104873 X 743908 642340 101568 0 8568620 7398721 1169899 1880383 1650144 230239 640826 562362 78464 4817251 1658745 3158506 0 201142 159002 42140 45062 27037 18025 1481 1210 271 877029 643433 233596 77318 58625 18693 BAD DEBT EXPENSE 2811330 2811330 OVERHEAD ALLOCATION 2560512 2560512 MEDICAL SUPPLIES 2003204 1910481 92723 HCAP ASSESSMENT 868269 868269 608521 177315 431206 0 26704856 21129526 5575330 0 1185525 83915 0 238715 2956087 2884356 0 0 0 0 455722 440819 18423237 10645050 8479358 7778187 1832597 2040395 0 0 0 0 14909289 13466387 926728 1064033 0 0 664600 387461 1591328 1451494 X 11471977 9958275 1845984 2056618 13317961 12014893 14909289 13466387 X 1331247 -2634315 X false true true false X false false false false false false false false true 603 603 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 179204 49257 49258 179203 179204 2706 2706 179204 179200 29920 29916 179204 179200 55959 55959 179200 179200 55955 55955 179200 0.0 1.0 0.0 false false 669553 669553 9872174 4871239 5000935 7383159 5499386 1883773 498351 274425 223926 7778187 Federal Income Taxes COST REPORT SETLEMENT PAYABLE 318703 CAPITAL LEASE PAYABLE 35596 RIGHT OF USE LIABILITES 33162 ADVANCED MEDICARE PAYMENTS 387461 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR PURCHASE OF CAPITAL EQUIPMENT AND OPERATIONS. true true X true X true X 438846 809498 0 0.0 5936792 3697336 2239456 0.09373 0 0 0 0.0 0 0 6375638 4506834 2239456 0.09373 5880 0 5880 0.00025 0 0.0 0 0.0 0 0.0 0 0.0 0 0 5880 0 5880 0.00025 0 0 6381518 4506834 2245336 0.09397 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 2811330 0 11829157 12537321 -708164 X true true 1 1 GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD OH 451231617 WWW.ADENA.ORG 1200 X X X X CAH WITH ACUTE & SKILLED NURSING GREENFIELD AREA MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true true X HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW X X true 22 true HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW false true X 200.0 400.0 X X X X true true X X X X true X https://tinyurl.com/2s2a5wmw X https://tinyurl.com/2s2a5wmw X https://tinyurl.com/2s2a5wmw X X X X X X true X false X X X X X true X false false 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. 0 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. false true false false false false false true false KRISTEN WHITE PHYSICIAN 185000 0 170364 0 32410 0 11524 0 2215 0 401513 0 0 0 RICHARD MIZER TRUSTEE/PRESIDENT OF AMG 0 284008 0 2512 0 48085 0 12269 0 13794 0 360668 0 41406 JAMES MCMANUS AHS CFO 0 560539 0 112972 0 65055 0 225932 0 27463 0 991961 0 56375 JEFF GRAHAM AHS CEO 0 977033 0 187011 0 16537 0 319845 0 48324 0 1548750 0 0 JOSH MCCOY WEST MARKET VP/SENIOR OPS EXECUTIVE 255545 0 0 0 847 0 62307 0 23696 0 342395 0 0 0 KATHERINE EDRINGTON AHS COO 0 306628 0 126256 0 8844 0 171687 0 19599 0 633014 0 0 LAUREN KING DIRECTOR OF NURSING 131879 0 200 0 93 0 27334 0 5856 0 165362 0 0 0 LYNN HARRIS DIRECTOR OPERATIONS CRITICAL ACCESS 154536 0 0 0 882 0 31031 0 18369 0 204818 0 0 0 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. 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. 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 true SOUTHERN OHIO HEALTHCARE NETWORK 272 HOSPITAL ROAD CHILLICOTHE OH 45601 261566590 FIBEROPTIC NETWORK GRANTS OH 501(c)(3) Type I ADENA HEALTH SYSTEM true PIKE HEALTH SERVICES INC 100 DAWN LANE WAVERLY OH 45690 311072406 HOSPITAL OH 501(c)(3) 3 ADENA HEALTH SYSTEM true ADENA FAYETTE MEDICAL CENTER 1430 COLUMBUS AVE WASHINGTON COURT HOUSE OH 43160 852985806 HOSPITAL OH 501(c)(3) 3 ADENA HEALTH SYSTEM true ADENA CARE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 453980850 SEE SCHEDULE R, PART VII OH NA C Corporation -1324 true false false false false false false false false false false false false false false true true true true true Schedule R, Part IV, Column (b) ADENA CARE THE PRIMARY ACTIVITY OF ADENA CARE IS TO DEVELOP STRATEGIC RELATIONSHIPS TO THE SERVICE AREAS MAJOR EMPLOYERS THROUGH HEALTH MANAGEMENT AND WELLNESS SERVICES.