ADENA HEALTH SYSTEM: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202543189349314469
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T17:38:38+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	314379443	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADEN	BusinessNameControlTxt
Phone	7407994481	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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY J GRAHAM	PersonNm
Person Title	ADENA HEALTH SYSTEMS CEO	PersonTitleTxt
Phone	7403351210	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 REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES P MCMANUS	BusinessNameLine1Txt

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)
Gross Receipts	$968,921,895	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	1895	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE REPORTING ORGANIZATION IS A REGIONAL HEALTHCARE SYSTEM CONSISTING OF A HOSPITAL, SEVERAL AMBULATORY CENTERS, AND A LARGE MULTISPECIALTY PHYSICIAN PRACTICE. AHS OFFERS A WIDE ARRAY OF DIAGNOSTIC, TREATMENT, AND REHABILITATIVE SERVICES BOTH FOR INPATIENTS AND OUTPATIENTS, INCLUDING COMPREHENSIVE ORTHOPEDIC, CARDIOLOGY AND ONCOLOGY. FURTHERMORE, AHS IS THE SOLE MEMBER OF THREE CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER, ADENA GREENFIELD MEDICAL CENTER, AND ADENA FAYETTE MEDICAL CENTER THAT FILE SEPARATELY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3562	TotalEmployeeCnt
Total Volunteers	106	TotalVolunteersCnt
Total Gross UBI	$87,558	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$15,754	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,465,419	PYContributionsGrantsAmt
CY Contributions Grants	$901,343	CYContributionsGrantsAmt
PY Program Service Revenue	$623,884,851	PYProgramServiceRevenueAmt
CY Program Service Revenue	$624,745,239	CYProgramServiceRevenueAmt
PY Investment Income	$16,094,218	PYInvestmentIncomeAmt
CY Investment Income	$42,171,990	CYInvestmentIncomeAmt
PY Other Revenue	$26,591,977	PYOtherRevenueAmt
CY Other Revenue	$36,616,397	CYOtherRevenueAmt
PY Total Revenue	$670,036,465	PYTotalRevenueAmt
CY Total Revenue	$704,434,969	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,643,732	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$843,042	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$357,304,948	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$324,473,135	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$325,505,620	PYOtherExpensesAmt
CY Other Expenses	$351,302,883	CYOtherExpensesAmt
PY Total Expenses	$684,454,300	PYTotalExpensesAmt
CY Total Expenses	$676,619,060	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,417,835	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,815,909	CYRevenuesLessExpensesAmt
Total Assets BOY	$806,490,536	TotalAssetsBOYAmt
Total Assets EOY	$798,341,314	TotalAssetsEOYAmt
Total Liabilities BOY	$415,441,458	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$374,517,858	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$391,049,078	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$423,823,456	NetAssetsOrFundBalancesEOYAmt
Mission	THE ADENA HEALTH SYSTEM'S MISSION IS "CALLED TO SERVE OUR COMMUNITIES THE VISION IS "TO BE OUR REGION'S MOST TRUSTED PARTNER FOR HEALTHCARE."	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$561,701,323	ExpenseAmt
Grant	$843,042	GrantAmt
Revenue	$653,694,153	RevenueAmt
Desc	HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 13,356 INPATIENTS. EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 41,425 EMERGENT VISITS IN 2024. PHYSICIAN OFFICES: THERE WERE 533,922 PHYSICIAN OFFICE VISITS AND 91,749 URGENT CARE VISITS IN 2024.	Desc
Total Program Service Expenses	$561,701,323	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	Yes (true)	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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
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	Yes (true)	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	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	270	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3562	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN REAM
SECRETARY	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JENNIFIER MCKELL
TRUSTEE/ VICE CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN SHOEMAKER
TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT FRENCH
VICE CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
STEVE HIRSCH
CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY FISH
APMC CHAIR	2.0	2.0	Yes (X)		$0	$0	$0
BILL KNOLES
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
CARVEL SIMMONS
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
JIM CRABTREE
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
JUSTIN SMITH
MEDICAL STAFF TRUSTEE/PHYSICIAN	50.0	1.0	Yes (X)		$530,434	$0	$20,635
RON COFFEY
AGMC CHAIR	2.0	0	Yes (X)		$0	$0	$0
SEAN KALLNER
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
SHEILAH GRAY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
STATHISH JETTY
MEDICAL STAFF TRUSTEE/PHYSICIAN	50.0	0	Yes (X)		$409,753	$0	$14,444
DR SHAHEED KOURY
CHIEF CLINICAL OFFICER	50.0	0		Yes (X)	$742,685	$0	$214,223
JAMES MCMANUS
CFO	50.0	5.0		Yes (X)	$738,566	$0	$253,395
JEFF GRAHAM
AHS CEO	50.0	5.0		Yes (X)	$1,180,581	$0	$368,169
KATHERINE EDRINGTON
COO	50.0	5.0		Yes (X)	$441,728	$0	$191,286
CRAIG BABBITT
CHIEF LEGAL OFFICER	50.0	0			$733,943	$0	$193,944	Yes (X)
DONALD DIENER
PRESIDENT OF ARMC	25.0	25.0			$303,150	$0	$79,518	Yes (X)
HEATHER SPRAGUE
CHRO	50.0	1.0			$526,480	$0	$145,919	Yes (X)
JEFFREY CRAFT
VP SYSTEM FINANCE	40.0	0			$292,735	$0	$73,247	Yes (X)
JOHN GABIS
PRESIDENT OF AMG	50.0	0			$371,914	$0	$107,175	Yes (X)
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	50.0	0			$369,994	$0	$126,767	Yes (X)
MOLLY GROOMS
CHIEF NURSING OFFICER	50.0	0			$400,344	$0	$4,978	Yes (X)
RICHARD MIZER
PRESIDENT OF AMG	50.0	2.0			$334,605	$0	$26,063	Yes (X)
TY MCBEE
VP STRATEGIC OPERATIONS - PART YEAR	40.0	0			$239,518	$0	$6,117	Yes (X)
HAFEEZ HASSAN
PHYSICIAN	50.0	0			$1,275,336	$0	$41,176		Yes (X)
JAMES FLEMING
PHYSICIAN	50.0	0			$1,105,896	$0	$44,148		Yes (X)
MARK TAWIL
PHYSICIAN	50.0	0			$1,122,665	$0	$38,145		Yes (X)
ROGER WILTFONG
PHYSICIAN	50.0	0			$1,633,780	$0	$41,877		Yes (X)
WAHEED GUL
PHYSICIAN	50.0	0			$1,054,887	$0	$44,108		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,808,994	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,035,334	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	598	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 MANAGEMENT	$36,720,355
Inspirity Health Partners LLC
200 1st St SW	Rochester	MN	55905	CONSULTING	$10,520,809
Apogee Medical Management
15059 N Scottsdale Rd	scottsdale	AZ	85254	PHYSICIAN SERVICES	$8,071,945	Suite 600
MeDefis Inc
2121 N 117th Ave Ste 200	Omaha	NE	68164	MANAGEMENT SOLUTIONS	$6,998,913
Trimedx Holdings LLC
5451 Lakeview Pkwy Dr S	Indianapolis	IN	46268	CYBERSECURITY	$5,226,886

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	84	CntrctRcvdGreaterThan100KCnt
Related Organizations	$291,325	RelatedOrganizationsAmt
Government Grants	$70,805	GovernmentGrantsAmt
All Other Contributions	$539,213	AllOtherContributionsAmt
Total Contributions	$901,343	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$624,745,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$624,745,239	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	$624,745,239	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,061	TotalRevenueColumnAmt
Exclusion	$63,061	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$141,492	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$14,524	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$126,968	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,968	TotalRevenueColumnAmt
Exclusion	$126,968	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$306,567,645	SecuritiesAmt
Other	$13,686	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$264,472,402	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$42,095,243	SecuritiesAmt
Other	$13,686	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,108,929	TotalRevenueColumnAmt
Exclusion	$42,108,929	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OUTPATIENT PHARMACY SALES	456110	$28,948,914	$28,948,914
Joint Venture	621990	$2,970,000	$2,970,000
CAFETERIA REVENUE	722514	$2,456,229		$2,456,229

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,114,286	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$87,558	UnrelatedBusinessRevenueAmt
Exclusion	$2,026,728	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$36,489,429	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$704,434,969	TotalRevenueColumnAmt
Related Or Exempt Func Income	$656,664,153	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$87,558	UnrelatedBusinessRevenueAmt
Exclusion	$46,781,915	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$843,042	TotalAmt
Program Services	$843,042	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,442,310	TotalAmt
Program Services	$8,153,123	ProgramServicesAmt
Management And General	$1,289,187	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$261,318,816	TotalAmt
Program Services	$225,640,177	ProgramServicesAmt
Management And General	$35,678,639	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,608,717	TotalAmt
Program Services	$8,432,202	ProgramServicesAmt
Management And General	$1,176,515	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,704,581	TotalAmt
Program Services	$1,495,868	ProgramServicesAmt
Management And General	$208,713	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$42,398,711	TotalAmt
Program Services	$37,207,307	ProgramServicesAmt
Management And General	$5,191,404	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,788,639	TotalAmt
Management And General	$1,788,639	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$331,457	TotalAmt
Management And General	$331,457	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,909,680	TotalAmt
Program Services	$34,216,071	ProgramServicesAmt
Management And General	$50,693,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$774,103	TotalAmt
Program Services	$266,550	ProgramServicesAmt
Management And General	$507,553	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,945,431	TotalAmt
Program Services	$4,716,521	ProgramServicesAmt
Management And General	$228,910	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$36,119,860	TotalAmt
Program Services	$28,552,636	ProgramServicesAmt
Management And General	$7,567,224	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$475,994	TotalAmt
Program Services	$285,596	ProgramServicesAmt
Management And General	$190,398	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$956,124	TotalAmt
Program Services	$573,650	ProgramServicesAmt
Management And General	$382,474	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,679,417	TotalAmt
Program Services	$9,545,940	ProgramServicesAmt
Management And General	$2,133,477	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,324,512	TotalAmt
Program Services	$17,845,697	ProgramServicesAmt
Management And General	$6,478,815	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,067,847	TotalAmt
Program Services	$2,326,122	ProgramServicesAmt
Management And General	$741,725	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL EQUIPMENT & SUPPLIES	$116,165,630	$116,165,630
BAD DEBT EXPENSE	$43,780,379	$43,780,379
HCAP ASSESSMENT	$16,381,682	$16,381,682
CAFETERIA/CATERING	$3,085,994	$2,943,152	$142,842	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,516,134	TotalAmt
Program Services	$2,329,978	ProgramServicesAmt
Management And General	$186,156	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$676,619,060	TotalAmt
Program Services	$561,701,323	ProgramServicesAmt
Management And General	$114,917,737	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,373	BOYAmt
EOY	$15,637	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,100,406	BOYAmt
EOY	$2,499,922	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$100,949,597	BOYAmt
EOY	$91,867,060	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	-$73	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,404,163	BOYAmt
EOY	$14,778,908	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,046,860	BOYAmt
EOY	$5,470,969	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$587,094,803	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$327,834,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$270,344,254	BOYAmt
EOY	$259,260,073	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$359,318,889	BOYAmt
EOY	$368,919,236	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	$515,580	BOYAmt
EOY	$446,042	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,795,487	BOYAmt
EOY	$55,083,467	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$806,490,536	BOYAmt
EOY	$798,341,314	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$70,077,880	BOYAmt
EOY	$60,522,275	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,214,874	BOYAmt
EOY	$2,864,971	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$276,163,714	BOYAmt
EOY	$267,648,648	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$19,700,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,284,990	BOYAmt
EOY	$43,481,964	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$415,441,458	BOYAmt
EOY	$374,517,858	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	$386,794,840	BOYAmt
EOY	$420,702,847	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,254,238	BOYAmt
EOY	$3,120,610	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$391,049,078	BOYAmt
EOY	$423,823,457	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$806,490,536	BOYAmt
EOY	$798,341,315	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,815,909	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$12,654,977	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,613,447	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	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	$3,537	OtherActivitiesAmt
Total Lobbying Expenditures	$3,537	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	$1,404,020	BeginningYearBalanceAmt
Investment Earnings Or Losses	$75,437	InvestmentEarningsOrLossesAmt
End Year Balance	$1,479,457	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,240,821	BeginningYearBalanceAmt
Investment Earnings Or Losses	$163,199	InvestmentEarningsOrLossesAmt
End Year Balance	$1,404,020	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,693,379	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$452,558	InvestmentEarningsOrLossesAmt
End Year Balance	$1,240,821	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,691,757	BeginningYearBalanceAmt
Contributions	$1,622	ContributionsAmt
End Year Balance	$1,693,379	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	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	$8,576,779	OtherCostOrOtherBasisAmt
Book Value	$8,576,779	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$342,214,964	OtherCostOrOtherBasisAmt
Depreciation	$153,334,962	DepreciationAmt
Book Value	$188,880,002	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,875	OtherCostOrOtherBasisAmt
Depreciation	$99,896	DepreciationAmt
Book Value	$41,979	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,645,554	OtherCostOrOtherBasisAmt
Depreciation	$166,571,151	DepreciationAmt
Book Value	$44,074,403	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,515,631	OtherCostOrOtherBasisAmt
Depreciation	$7,828,721	DepreciationAmt
Book Value	$17,686,910	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$259,260,073	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
SOFTWARE IMPLEMENTATION ASSET	$16,294,839
457B STATE RETIREMENT INVESTMENT	$18,891,803
RIGHT-OF-USE OPERATING LEASE ASSETS	$5,444,984
SPLIT VALUE RETIREMENT	$4,216,170
MALPRACTICE INSURANCE RECOVERY - LT	$3,356,426
BOND ISSUE COSTS	$1,626,463
INVESTMENT IN JOINT VENTURES	$1,434,893
LIFE SOLUTIONZ	$2,591,074
OTHER ASSETS	$1,226,815

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$55,083,467	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal Income Taxes
DEFERRED COMPENSATION LIABILITY	$18,743,664
ACCRUED MALPRACTICE INSURANCE - LT	$10,811,026
OBLIGATION	$5,444,984
CAPITAL LEASE OBLIGATION	$4,413,129
INTERCOMPANY PAYABLE	$3,215,139
COST REPORT PAYABLE	$854,022

Field	Value	IRS element (for citing)
Total Liability	$43,481,964	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	ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (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	$8,900,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,113,994	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	$142,330,410	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,523,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,806,459	NetCommunityBenefitExpnsAmt
Total Expense	0.08976	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	$151,230,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,637,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,806,459	NetCommunityBenefitExpnsAmt
Total Expense	0.08976	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,035,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,331,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,703,916	NetCommunityBenefitExpnsAmt
Total Expense	0.01059	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,862,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,021,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,840,978	NetCommunityBenefitExpnsAmt
Total Expense	0.01871	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	$29,909,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,353,539	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,556,394	NetCommunityBenefitExpnsAmt
Total Expense	0.02932	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$181,140,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,991,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,362,853	NetCommunityBenefitExpnsAmt
Total Expense	0.11909	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)
Total Community Benefit Expns	$798,358	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$798,358	NetCommunityBenefitExpnsAmt
Total Expense	0.00126	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,184	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,184	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	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)
Total Community Benefit Expns	$31,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	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	$843,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$843,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00133	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$43,780,379	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$177,910,139	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$265,987,604	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$88,077,465	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	24	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
State License	1029	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	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/patients-and-visitors/billing-and-financial-services/billing-and-insurance	OwnWebsiteURLTxt
Other Website URL	https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance	OtherWebsiteURLTxt
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/patients-and-visitors/billing-and-financial-services/billing-and-insurance	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://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ADENA REGIONAL MEDICAL CENTER. The Adena Regional Medical Center captured the broad interests of the community for the CHNA through two primary methods: public surveys and key stakeholder interviews. A health needs survey was widely distributed in both electronic and paper form across the Ross County Community and received approximately 1,100 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 - ADENA REGIONAL MEDICAL CENTER. THE CHNA FOR ADENA REGIONAL MEDICAL CENTERWAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: VETERANS ADMINISTRATION HOSPITAL, CHILLICOTHE.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ADENA REGIONAL MEDICAL CENTER. The CHNA for Adena Regional Medical Center was conducted in collaboration with the following organizations who participate as the Partners for a Healthier Ross County: Adena Health, Chillicothe Ross Libraries, Hope Clinic of Ross County, Hopewell Health Center, City of Chillicothe, Ross County Parks, Ohio Health, Ohio State University Extension, Ohio University-Chillicothe, Paint Valley ADAMH Board, Ross County Community Action, Ross County Health District, Ross County YMCA, United Way of Ross County, Ross County Board of Developmental Disabilities/Pioneer Center, Veterans Administration Hospital.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - ADENA REGIONAL 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 - ADENA REGIONAL MEDICAL CENTER. The following details the specific implementation strategies used for health priorities identified for the Adena Regional Medical Center in the 2022 Community Health Needs Assessment. The needs assessment was utilized to develop the areas of focus for Adena. Substance Use Disorder Community Development Adena, as part of its coordination efforts for Partners for a Healthier Ross County (PHRC) works with The Hope Partnership Project (HPP) and other substance use providers in the area. Adena Health assisted in the development of an implementation grant in 2019. In 2022, Adena Health was awarded $1.6 million over three years for a HRSA Rural Communities Opioid Response Program (RCORP). Adena Health is the fiscal agent for the grant, oversees all of the grants management and provide a 0.25FTE project coordinator/director to oversee the project. Adena works with community treatment providers and referral through a navigator program located at Adena Regional Medical Center to facilitate distribution of risk reduction materials and treatment resources to patients identified with substance use disorder. This navigation facilitates more immediate access to treatment and supportive resources. In 2024, there were 3 FTEs dedicated to the navigator program. Advocacy ARMC has two employees who dedicated a minimum total of two hours a month to participating in committee and subcommittee meetings related to projects for the Partners for a Healthier Ross County in 2024. The manager of community health supports the coalition's monthly activities with a counterpart from the Ross County Health District. Programs and Initiatives In 2024 as part of the work related to the HRSA Rural Communities Opioid Response Program (RCORP), Adena Health is the fiscal agent and supervising project director of the grant. The grant has the goal of reducing opioid overdose deaths and increasing access to medication assisted treatment in Ross, Pike and Fayette counties. Through the grant, work includes increasing navigation to treatment, support of post overdose response teams, distribution of risk reduction materials and development of a peer supporter network. Support is also given to prescribers to increase access to medications for opioid use disorder and facilitate safer opioid prescribing and dispensing practices. The work of the program was featured at the HRSA RCORP national conference poster presentation. 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 with multiple awards, including: National Awards - Program of Promise" by National Hospital Charitable Services - "A Best Practice Site" by the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Service (CMS) Medication Management and Opioid Support Team (1 of only 3 in Ohio) - Featured in The Emmy Nominated Documentary Short by "Fault Lines": Heroin's Children: Inside the US Opioid Crisis. State Awards - The Ohio Senate has recognized the program twice for the creation of the Adena Baby-Centered Closet. - The Ohio State Senate also recognized the program for its work with Medicaid patients. - The Ohio Lactation Association recognized one of the program's facilitators "As Most Breastfeeding Supportive Health Professional in Ohio." Community Awards - The program received a community award from Ohio CAN-Ross County-2019 Steps of Change for the impact the program made in a young woman's life. - Paint Valley ADAMH Board named one of the program's facilitator a Ross County Recovery Champion - The Hope Partnership Project named of the program's facilitators "Provider of the Year" in 2021 Financial Support & 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 six Ross County 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 Community Development A representative from Adena Community Health and Development serves on the Live Well Ross/Creating Healthy Communities steering team. This group plans and implements; active transportation initiatives fresh food access points across, and social determinates of health initiatives in Ross County. Adena Health has a representative who oversees these activities, including nutrition programming and community assessments. Adena Health also promotes and supports initiatives by the Ross County Park District. The Park District provides programming throughout the county to encourage activity, fitness and connection with nature. The District has also increased the number of trails in the county. Advocacy Adena Health has one employee who participated in committee meetings for LiveWell Ross (subcommittee of Partners for a Healthier Ross County) where the topics of diabetes and obesity are discussed as part of the community health improvement plan. Adena Health deployed public service announcements via local radio and social media focused on nutrition, fitness education and awareness. Programs and Initiatives - ARMC partnered with the Ohio State University Extension Ross County office to provide cooking classes and education to Adena patients. The curriculum addresses multiple topics including obesity and diabetes. Classes are offered virtually and in person. A total of 79 individuals were served in Ross County with 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 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. - 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) Financial Support & Clinical Alignment Adena Health works to align its service lines and clinics with community resources to address the social factors and barriers faced by many of its rural patients. This often involves community partnering and monetary support from Adena Health through community health and development programming. These two strategies are connected and reported together. Adena Health partnered again in 2024 with area farmers markets to support Fresh Food Rx and Fruit & Veggie Perks programing. This program Adena patients screened for food insecurity are given a produce prescription worth $10 and can be used for fresh produce at the farmers markers. The value of the produce prescription is then matched through fruit and veggie perks. This program provided for a total of $9,439 in fresh fruits and vegetables. An additional $5,000 sponsorship is given to the Chillicothe Farmers Market to support winter operations thus allowing for this to be a year-round option for patients.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - . Respiratory Issues Community Development Adena Health provides a representative to participate in Partners for a Healthier Ross County. This group addresses community initiatives that can improve the lung and respiratory health of the community such as smoking and vaping cessation, lung cancer screenings, air monitoring, and more. Other Adena caregivers are involved in projects and programming as needed as a result of this committee. These efforts are outlined below. Advocacy In 2024, Adena Health participated in the BreatheWell subcommittee of the Partners for a Healthier Ross County in addition to the larger committee. These two committees addressed smoking cessation option and environmental factors that affected the respiratory status of those in live in Ross County. Programming & Initiatives 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 meetings of Partners for a Healthier Ross County were topics such as mental health access, stigma reduction and other mental health related issues in Ross County. Advocacy Adena Health share a weekly communication to community partners where mental health topics and education opportunities are shared. Mental health topics were also shared through Adena Health's social media channels. An Adena employee devotes 4-6 hours/week on this education to community partners. 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. 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 contributed the time of one employee who dedicates a minimum total of 2 hours per quarter to participating in meetings and coordinating projects for the Early Childhood Health Coalition for Ross County. Programming and 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. Adena Health partnered with the Chillicothe and Ross County Public Libraries to coordinate the Healthy Kids Summer Fun Challenge in coordination with the Bookworm Summer Reading program. Approximately 1,400 Ross County Residents - children, teens, and adults- were engaged in the program that rewarded them for completing health challenges. Participants are offered the opportunity to earn prizes as they complete challenges and those who complete all challenges are entered into a drawing for a new bicycle and adults got the opportunity for a Fitbit. A total of $2500 was spent on reward prizes for participants in Ross, Fayette, Highland and Pike counties. Adena Health continued its partnership with Chillicothe City Schools to coordinate the Academy in Medicine (AIM) program, which offers six students a fellowship opportunity during their senior year of high school to explore careers in healthcare/medicine. Students are offered the opportunity to shadow providers across various specialties and complete a community health project. Approximately $2,500 was spent on the program in 2024. Adena Health caregivers also volunteered with the United Way of Ross County to support the Mighty Action Pack (MAP) program. This program provides food for area students who are food insecure to take home for the weekend. In 2024, Adena volunteers packed more than 1000 bags of food for area students as part of this program. 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 $5,000 in 2024 to support Ross 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. Financial Support & 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. - Ross County Junior Achievement: Adena Health provides annual support in the amount of $3,000 each year to the Ross County Junior Achievement, which works with youth in all school districts, grades 5-12, to educate on financial literacy, career development and entrepreneurship. Support is utilized to purchase learning materials, and Adena Community Health and Development staff to teach the prepared curriculum in Ross County school districts. - School Districts: A total of 6 Ross County school districts - Chillicothe City Schools, Union-Scioto Local Schools, Southeastern Local Schools, Adena Local Schools, Zane Trace Local Schools and Huntington School District - each received $25,000 or a total of $150,000 to support the health and wellness of their district's students. - United Way: ARMC provided $1,200 in support to United Way's Success by Six program. The program provided over 100 preschoolers a six-week "boot camp" to prepare for kindergarten ahead of the upcoming school year. - Chillicothe Civic Theater: Adena provided $10,000 in support for the Civic Theater, which coordinates theater productions for Ross County. The Chillicothe Civic Theater also coordinates a youth theater program where children are provided the opportunity to perform and coordinate productions as part of their experience. - Gus Macker Basketball Tournament: Adena Health provided $15,000 for the 3-on-3 basketball tournament. Community Health Outcomes and Health Factors Summary - Ross County Health Outcomes stayed at 77 in 2022 (County Health Rankings). - Ross County Health Factors moved from 49 to 56 in 2022 (County Health Rankings).
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - . 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 Ross County community through a variety of engagement activities, including financial support and participation in local community events and initiatives. More than 150 caregivers from across the system provided a 500+ of hours of community service and volunteer time participating in community outreach events, packing weekend food bags for food insecure children, non-profit board participation and leadership, community events 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. In addition to items listed previously in this report, other sponsorships include: - $15,000 in support for the 2-1-1 Information and referral line operated by the Ross County United Way. The line is a 24/7 resource and connection to food, education, transportation, financial assistance and healthcare resources. - $20,000 in support of the Ross County United Way's Annual Campaign. United Way utilizes funds to offer grants for education, health and financial mobility programming. - $15,000 sponsorship to the Ross County YMCA. - 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 provided $3,800 in financial support to Big Brother Big Sisters of South-Central Ohio for annual Bowl for Kids' Sake and Dance for Kids' Sake events. - $5,000 sponsorship of the Chillicothe Half Marathon. - Adena Health provided $10,000 in support to assist the Chillicothe Rotary in coordinating the Chillicothe 4th of July Fireworks celebration in the Downtown area. - $2,000 sponsorship of the Dr. Ater Memorial Golf Outing benefiting the Child Protection Center of Ross County. - Adena Health provided $7,000 in support to assist the Downtown Chillicothe Development Associates in coordinating the Sand in the Streets Volleyball Tournament. Caregivers from Adena Bone & Joint also volunteered time to provide first aid services for the event. - Adena Health provided $10,000 in support to assist the Shine On Foundation in coordinating the 2024 holiday lighting of Yoctangee Park in downtown Chillicothe. - Adena provided $1,000 in support to the Fall Festival of Leaves. - Adena provided the Ross County Agricultural Society $9,500 in support to provide a free ride day for the children attending the fair and an additional $6,150 in market fair add-on for youth exhibitors. An additional $20,000 was given to support their commercial building event. - $1,500 for Feast of the Flowering Moon sponsorship. - $5,000 sponsorship for the Chillicothe Civic Theatre. - Supported Ross County Sheriff's Office with $600 for their law enforcement education campaign. - $1,000 for the Ross Chamber of Commerce. - Supported a community health fair at Ohio University - Chillicothe ($500). - Other miscellaneous community support: - Gifts for Angels - $2,500 - United Way Ross for the Kenworth Truck Parade - $1,500 - Chillicothe Halloween Fest - $1,000 - Kiwanis Kids Day - $1,000 - Tecumseh by the Scioto Society - $7,500 - Junior Civic League's Holiday Gala - $2,000 - Ohio State University's Cultivating for a Cure - $6,000 - Unioto Schools - safe play zone - $500 Additional Community Collaborations 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 of Ross County: 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/. Partners for a Healthier Ross County Health Coalition: In 2015, Adena Health collaborated with the Ross County Health District to coordinate and convene a community health coalition focused on completing regular community health assessments (CHA) and a community health improvement plan (CHIP) for Ross County. In 2024, the coalition has grown to total of 19 local government, civic and business leaders participate to identify strategic health priorities for the community and assist in allocating resources to support initiatives built around these strategic priorities. Adena Health had 2 Adena employees who collectively volunteered more than 25 hours to contributing to the Partners for a Healthier Ross County Steering committee in addition to other sub-committees mentioned throughout this report. Ross County Continuum of Care: Adena Health is also working to address topics of housing insecurity and homelessness in the region. One strategy is to participate in the Ross County Continuum of Care. This group focuses on needs of the community across the housing continuum in the county. In 2024, Adena Health had one employee who worked on the continuum tasks for a minimum of 2 hours/month. Adena Health also sponsored the homeless standdown and point in town count costs for a donation of $1500 in support.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - ADENA REGIONAL MEDICAL CENTER. PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. IF AVAILABLE, SELFPAY PATIENTS ARE SCREENED FOR GOVERNMENT ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE DURING THE INPATIENT STAY. FAP APPLICATIONS ARE PROVIDED TO THE PATIENT AS PART OF THE SCREENING. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE ONLINE AND THROUGHOUT THE HOSPITALS AND CLINICS. THIS IS ALSO AVAILABLE AT THE HOPE CLINIC.

Field	Value	IRS element (for citing)
Facility	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ADENA HEALTH PAVILION
4437 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER
ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159	Cincinnati	OH	45601	PHYSICIAN OFFICES
ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104	Cincinnati	OH	45690	AMBULATORY CARE CENTER
ADENA URGENT CARE
55 CENTENNIAL BLVD	CHILLICOTHE	OH	45601	AMBULATORY CARE CENTER
ADENA HOME CARE SERVICES
111 W WATER STREET	CHILLICOTHE	OH	45601	HOME HEALTH CARE AND HOSPICE
ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVE	JACKSON	OH	45640	AMBULATORY CARE CENTER
ADENA REHABILITATION AND WELLNESS CEN
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	OUTPATIENT REHABILITATION CENTER
ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREET	OAK HILL	OH	45656	PHYSICIAN OFFICES
ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREET	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREET	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICES
ADENA COUNSELING CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	MENTAL HEALTH COUNSELING
ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTER	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA HEALTH PAVILION
4437 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER
ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159	Cincinnati	OH	45601	PHYSICIAN OFFICES
ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104	Cincinnati	OH	45690	AMBULATORY CARE CENTER
ADENA URGENT CARE
55 CENTENNIAL BLVD	CHILLICOTHE	OH	45601	AMBULATORY CARE CENTER
ADENA HOME CARE SERVICES
111 W WATER STREET	CHILLICOTHE	OH	45601	HOME HEALTH CARE AND HOSPICE
ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVE	JACKSON	OH	45640	AMBULATORY CARE CENTER
ADENA REHABILITATION AND WELLNESS CEN
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	OUTPATIENT REHABILITATION CENTER
ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREET	OAK HILL	OH	45656	PHYSICIAN OFFICES
ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREET	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREET	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICES
ADENA COUNSELING CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	MENTAL HEALTH COUNSELING
ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTER	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA ROSS UROLOGY
8 MEDICAL DRIVE	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - GREENFIELD
536 MIRABEAU STREET	GREENFIELD	OH	45123	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - WASHINGTON CH
308 HIGHLAND AVENUE SUITE C	WASHINGTON COURT HOUSE	OH	43160	PHYSICIAN OFFICES
ADENA FAMILY MEDICINE - WELLSTON
118 SOUTH NEW YORK AVE SUITE A	WELLSTON	OH	45692	NURSE PRACTITIONER CLINIC
ADENA FAMILY MEDICINE - HILLSBORO
160 ROBERTS LANE	HILLSBORO	OH	45133	URGENT CARE AND FAMILY PRACTICE
ADENA HEALTH & WELLNESS CNTR-MAIN CAM
4457 ST RT 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICE, CARDIAC REHAB, OCCUPATIONAL MEDICINE
ADENA CANCER CENTER
4435 ST RT 159	CHILLICOTHE	OH	45601	OUTPATIENT CHEMOTHERAPY AND RADIATION
ADENA WELLNESS CENTER WEST
2077 WESTERN AVENUE	CHILLICOTHE	OH	45601	HOME HEALTH AND REHABILITATION
ADENA HEALTH CENTER CIRCLEVILLE
140 MORRIS ROAD	CIRCLEVILLE	OH	43113	AMBULATORY CARE CENTER
AOSI CIRCLEVILLE
160 SUMMIT AVE	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICE
ADENA HEALTH URGENT CARE CIRCLEVILLE
166 SUMMIT AVE	CIRCLEVILLE	OH	43113	URGENT CARE
ADENA URGENT CARE BRIDGE STREET
1450 N BRIDGE STREET	CHILLICOTHE	OH	45601	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f	BAD DEBT EXPENSE OF $43,780,379 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	43780379
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 II Community Building Activities	ADENA HEALTH SYSTEM SUPPORTS COMMUNITY BUILDING ACTIVITIES BY PROVIDING GRANTS TO THE FOLLOWING ORGANIZATIONS: CHILLICOTHE CAVALIER CLUB- GRANT PROVIDED TO INSTALL A SCOREBOARD UNITED WAY OF ROSS COUNTY- GRANT PROVIDED TO SUPPORT RELAY FOR LIFE MIGHTY CHILDREN'S MUSEUM- GRANT PROVIDED TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIVITY ROSS COUNTY AGRICULTURAL SOCIETY- GRANT PROVIDED TO SUPPORT FREE RIDE DAY AT THE ROSS COUNTY FAIR AND TO PROVIDE A STAGE FOR THE HEALTHY KIDS EVENT ROSS COUNTY CHILD PROTECTION CENTER- GRANT PROVIDED TO SUPPORT ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT
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 3 Bad Debt Expense Methodology	ENSEMBLE PERFORMS ALL MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY PER POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA REGIONAL MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE, ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE."
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. ADENA HEALTH SYSTEM USED THE MEDICARE ALLOWABLE COSTS PER ITS 2024 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 ADENA'S CUSTOMER SERVICE PROCEDURES.
Schedule H, Part V, Section B, Line 16a FAP website	- ADENA REGIONAL MEDICAL CENTER: Line 16a URL: https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ADENA REGIONAL MEDICAL CENTER: Line 16b URL: https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ADENA REGIONAL MEDICAL CENTER: Line 16c URL: https://www.adena.org/patients-and-visitors/billing-and-financial-services/billing-and-insurance;
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 AS WELL AS COLLECTION VENDORS EXPLAIN AND LIST THE 100% AND 60% ASSISTANCE GUIDELINES ON THE BACKSIDE OF THE STATEMENT. 2. THERE IS SIGNAGE EXPLAINING THE PROGRAM AT ALL THE REGISTRATION AREAS. 3. STAFF AT THE CASHIER AREA EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE.
Schedule H, Part VI, Line 4 Community information	ROSS COUNTY, HOME TO ADENA REGIONAL MEDICAL CENTER, IS LOCATED IN SOUTH CENTRAL OHIO. IT IS PART OF 2 CONGRESSIONAL DISTRICTS (2ND AND THE 15TH) AND ONE OF OHIO'S 32 APPALACHIAN COUNTIES. IT CONTAINS THE POPULATION PATTERNS AND DISTINCT ECONOMIC CONDITIONS INHERENT OF THIS REGION OF THE U.S AND FACES SIMILAR CHALLENGES TO IMPROVE THE LIVES OF ITS 77,000 RESIDENTS. THESE INCLUDE LOW EDUCATIONAL ATTAINMENT PERCENTAGES AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. THE TOTAL POPULATION OF ROSS COUNTY REPRESENTS 15% OF THE TOTAL ADENA HEALTH SYSTEM SERVICE REGION AND IS THE PRIMARY PLACE OF RESIDENCE FOR 80% OF THE PATIENTS IT SERVES. THE COUNTY, AS WELL AS THE REMAINDER OF THE 12 COUNTY SERVICE REGION, HAS SIMILAR DEMOGRAPHICS AS THE STATE OF OHIO AND U.S. OVER 64% OF THE POPULATION IS BETWEEN THE AGES OF 19 AND 64 AND 13% OF THE POPULATION IS OVER THE AGE OF 65. THE MAJORITY OF THE POPULATION IS WHITE WITH AFRICAN AMERICANS MAKING UP THE MAJORITY OF THE REGION'S MINORITY POPULATION. THE 28,269 HOUSEHOLDS IN ROSS COUNTY REPRESENT 14.7% OF THE HOUSEHOLDS IN ADENA HEALTH SYSTEM'S 12-COUNTY SERVICE REGION. THE AVERAGE HOUSEHOLD SIZE IS 2.54 PEOPLE, COMPARABLE WITH THE REST OF OHIO AND THE U.S. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.05 PEOPLE. A LITTLE MORE THAN 50% OF THE POPULATION IS NOW MARRIED WHICH IS COMPARABLE WITH OHIO AND NATIONAL AVERAGES. MORE THAN 14% ARE DIVORCED WHICH IS NOTICEABLY HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES. ROSS COUNTY HAS MORE PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE COUNTY HAS ABOUT HALF AS MANY PROFESSIONAL, SCIENTIFIC AND MANAGEMENT SERVICES PROFESSIONALS AS OHIO AND THE U.S. THE PER CAPITA, MEDIAN AND MEAN HOUSEHOLD INCOMES IN ROSS COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES, BUT HIGHER THAN REGIONAL AVERAGE. POVERTY RATES ARE ALSO HIGHER THAN STATE AND NATIONAL AVERAGES BUT LOWER THAN THE REST OF THE REGION. ACCESS TO EMPLOYMENT IN ROSS COUNTY IS HIGHER THAN OTHER COUNTIES IN THE REGION. THERE ARE 6,348 CIVILIAN VETERANS LIVING IN ROSS COUNTY, ACCOUNTING FOR ALMOST 8% OF THE REGION'S POPULATION. THE TOTAL CIVILIAN VETERANS WITHIN THE ADENA HEALTH SYSTEM 12-COUNTY SERVICE REGION REPRESENT 5% OF OHIO'S TOTAL CIVILIAN VETERAN POPULATION. ROSS COUNTY ALSO HAS A VETERAN'S ADMINISTRATION HOSPITAL LOCATED 4.5 MILES FROM ADENA REGIONAL MEDICAL CENTER. ROSS COUNTY AND ITS ENTIRE SURROUNDING SERVICE REGION HAVE A HIGHER PREVALENCE OF DISABILITY THAN THE REST OF OHIO. SEVEN OF THE 12 COUNTIES IN THE SERVICE REGION HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%. ROSS COUNTY'S PREVALENCE RATE IS 13.5%.
Schedule H, Part VI, Line 5 Promotion of community health	ADENA REGIONAL MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH A VARIETY OF MEANS, INCLUDING BOARD MEMBERS, ADMINISTRATIONS, EMPLOYEES, AND VOLUNTEERS. THE 2022 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 14 MEMBERS WHO ALL RESIDE IN THE HOSPITAL SERVICE AREA. TWO OF THE BOARD MEMBERS WERE AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR.
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 SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ADENA LOCAL SCHOOL DISTRICT
3367 COUNTY ROAD 550	FRANKFORT	OH	45628	310709140	115	$25,000	Community Improvement Initiative
CHILLICOTHE CITY SCHOOLS
425 YOCTANGEE PARKWAY	CHILLICOTHE	OH	45601	316400384	115	$25,000	Community Improvement Initiative
CHILLICOTHE FARMERS MARKET ASSOCIATION
PO BOX 6256	CHILLICOTHE	OH	45601	262216517	501 C (4)	$13,184	Community Improvement Initiative
CHILLICOTHE ROSS CHAMBER OF COMMERCE
45 E MAIN ST	CHILLICOTHE	OH	45601	314147100	501 C (3)	$7,500	Community Improvement Initiative
CHILLICOTHE ROTARY FOUNDATION
PO BOX 6357	CHILLICOTHE	OH	45601	316059785	115	$10,000	Community Improvement Initiative
CIRCLEVILLE PUMPKIN SHOW INC
159 EAST FRANKLIN STREET	CIRCLEVILLE	OH	43113	316044652	501 C (3)	$6,537	Community Improvement Initiative
DOWNTOWN CHILLICOTHE
45 E MAIN ST	CHILLICOTHE	OH	45601	364901133	115	$7,000	Community Improvement Initiative
FAYETTE COUNTY YMCA
100 CIVIC DRIVE	WASHINGTON COURT HOUSE	OH	43160	611416843	115	$15,000	Community Improvement Initiative
GREENFIELD EXEMPTED VILLAGE SCHOOL
200 NORTH FIFTH ST	GREENFIELD	OH	45123	316000808	115	$25,000	Community Improvement Initiative
HOPE PARTNERSHIP PROJECTS
9 S PAINT STREET	CHILLICOTHE	OH	45601	862294038	501 C (3)	$46,162	Community Improvement Initiative
HUNTINGTON LOCAL BOARD OF EDUCATION
188 HUNTSMAN ROAD	CHILLICOTHE	OH	45601	316400570	115	$25,000	Community Improvement Initiative
JACKSON AREA FESTIVALS & EVENTS
PO BOX 488	JACKSON	OH	45640	461960880	115	$12,000	Community Improvement Initiative
MIAMI TRACE LOCAL SCHOOL DISTRICT
3818 STATE ROUTE 41 NW	WASHINGTON COURT HOUSE	OH	43160	316006819	115	$25,000	Community Improvement Initiative
OHIO STATE UNIVERSITY
901 WOODY HAYES DR 2020 BLANKENSHI	COLUMBUS	OH	43210	316025986	115	$18,885	Community Improvement Initiative
PICKAWAY ADDICTION ACTION COALITION
770 NORTH COURT STREET	CIRCLEVILLE	OH	43113	824089691	501 C (3)	$15,000	Community Improvement Initiative
PIKE COUNTY AGRICULTURAL SOCIETY
311 MILL ST	PIKETON	OH	45661	316106189	501 C (3)	$15,000	Community Improvement Initiative
ROSS COUNTY AGRICULTURAL SOCIETY
PO BOX 614	CHILLICOTHE	OH	45601	316050864	501 C (3)	$20,000	Community Improvement Initiative
ROSS COUNTY COMMUNITY ACTION
250 N WOODRIDGE AVE	CHILLICOTHE	OH	45601	316059908	501 C (3)	$60,425	Community Improvement Initiative
ROSS COUNTY HEALTH DISTRICT
150 E SECOND STREET	CHILLICOTHE	OH	45601	316400085	115	$64,794	Community Improvement Initiative
ROSS COUNTY YMCA
100 MILL STREET	CHILLICOTHE	OH	45601	314379806	501 C (3)	$33,180	Community Improvement Initiative
SCIOTO VALLEY LOCAL SCHOOL DISTRICT
1414 PIKETON RD	PIKETON	OH	45661	316402789	115	$25,000	Community Improvement Initiative
SHINE ON CHILLICOTHE
562 BELLEVIEW AVE	CHILLICOTHE	OH	45601	881367174	115	$10,000	Community Improvement Initiative
SOUTHEASTERN LOCAL SCHOOL DTISRICT
2003 LANCASTER ROAD	CHILLICOTHE	OH	45601	316400983	115	$25,000	Community Improvement Initiative
THE BUCK FIFTY INC
113 GORDON DRIVE	CHILLICOTHE	OH	45601	811817174	501 C (3)	$35,000	Community Improvement Initiative
THE GARDEN FAMILY ADVOCACY CENTER
138 MARIETTA RD STE E	CHILLICOTHE	OH	45601	311579825	115	$65,375	Community Improvement Initiative
THE OHIO STATE UNIVERSITY FOUNDATION
14 E 15th AVE	COLUMBUS	OH	43201	311145986	501 C (3)	$6,000	Community Improvement Initiative
THE SCIOTO SOCIETY INC
PO BOX 73	CHILLICOTHE	OH	45601	310791031	115	$7,500	Community Improvement Initiative
UNION-SCIOTO LOCAL SCHOOL DISTRICT
1565 EGYPT PIKE	CHILLICOTHE	OH	45601	316401035	115	$50,500	Community Improvement Initiative
UNITED WAY
69 EAST WATER STREET	CHILLICOTHE	OH	45601	314389671	501 C (3)	$31,500	Job Development Initiative
WASHINGTON COURT HOUSE CITY SCHOOLS
306 HIGHLAND AVENUE	WASHINGTON COURT HOUSE	OH	43160	316001001	115	$25,000	Community Improvement Initiative
WAVERLY CITY BOARD OF EDUCATION
1 TIGER DRIVE	WAVERLY	OH	45690	316401098	115	$25,500	Community Improvement Initiative
WELLSTON CITY SCHOOLS
1 E BROADWAY ST	WELLSTON	OH	45692	316401103	115	$27,000	Community Improvement Initiative
WHERE WAZ EYE CHERYL'S HOUSE OF HOPE
144 S MULBERRY ST	CHILLICOTHE	OH	45601	464831545	501 C (3)	$15,000	Community Improvement Initiative
ZANE TRACE LOCAL SCHOOL DISTRICT
946 STATE ROUTE 180	CHILLICOTHE	OH	45601	370711566	115	$25,000	Community Improvement Initiative

Field	Value	IRS element (for citing)
Total501c3 Org	34	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	DECISIONS TO DONATE TO COMMUNITY PROJECTS ARE BROUGHT TO CEO FOR APPROVAL FROM MEMBERS OF SENIOR LEADERSHIP AND/OR THE STRATEGY DEPARTMENT. FOR EACH GRANT THERE IS AN AGREEMENT SIGNED BY ADENA AND THE ORGANIZATION RECEIVING THE DONATION THAT CONFIRMS FUNDS ARE BEING USED FOR THE INTENDED PURPOSE. A BLANKET AMOUNT IS BUDGETED FOR THE FISCAL YEAR AND CONSIDERED AS EACH REQUEST IS MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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 (20 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
JUSTIN SMITH
MEDICAL STAFF TRUSTEE/PHYSICIAN	$263,934	$0	$205,026	$0	$61,474	$0	$12,871	$0	$7,764	$0	$551,069	$0	$0	$0
STATHISH JETTY
MEDICAL STAFF TRUSTEE/PHYSICIAN	$122,896	$0	$147,917	$0	$138,940	$0	$10,492	$0	$3,952	$0	$424,197	$0	$0	$0
JAMES MCMANUS
CFO	$560,539	$0	$112,972	$0	$65,055	$0	$225,932	$0	$27,463	$0	$991,961	$0	$56,375	$0
JEFF GRAHAM
AHS CEO	$977,033	$0	$187,011	$0	$16,537	$0	$319,845	$0	$48,324	$0	$1,548,750	$0	$0	$0
KATHERINE EDRINGTON
COO	$306,628	$0	$126,256	$0	$8,844	$0	$171,687	$0	$19,599	$0	$633,014	$0	$0	$0
DR SHAHEED KOURY
CHIEF CLINICAL OFFICER	$568,926	$0	$110,000	$0	$63,759	$0	$197,156	$0	$17,067	$0	$956,908	$0	$55,413	$0
DONALD DIENER
PRESIDENT OF ARMC	$295,121	$0	$5,200	$0	$2,829	$0	$72,566	$0	$6,952	$0	$382,668	$0	$0	$0
HEATHER SPRAGUE
CHRO	$394,894	$0	$85,737	$0	$45,849	$0	$117,659	$0	$28,260	$0	$672,399	$0	$0	$0
CRAIG BABBITT
CHIEF LEGAL OFFICER	$485,631	$0	$197,136	$0	$51,176	$0	$178,766	$0	$15,178	$0	$927,887	$0	$45,920	$0
JEFFREY CRAFT
VP SYSTEM FINANCE	$282,148	$0	$7,883	$0	$2,704	$0	$69,137	$0	$4,110	$0	$365,982	$0	$0	$0
JOHN GABIS
PRESIDENT OF AMG	$364,957	$0	$0	$0	$6,957	$0	$87,886	$0	$19,289	$0	$479,089	$0	$0	$0
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	$221,299	$0	$71,214	$0	$77,481	$0	$120,860	$0	$5,907	$0	$496,761	$0	$37,686	$0
TY MCBEE
VP STRATEGIC OPERATIONS - PART YEAR	$83,030	$0	$0	$0	$156,488	$0	$4,658	$0	$1,459	$0	$245,635	$0	$0	$0
MOLLY GROOMS
CHIEF NURSING OFFICER	$71,749	$0	$611	$0	$327,984	$0	$3,990	$0	$988	$0	$405,322	$0	$0	$0
RICHARD MIZER
PRESIDENT OF AMG	$284,008	$0	$2,512	$0	$48,085	$0	$12,269	$0	$13,794	$0	$360,668	$0	$41,406	$0
HAFEEZ HASSAN
PHYSICIAN	$730,226	$0	$397,006	$0	$148,104	$0	$14,508	$0	$26,668	$0	$1,316,512	$0	$0	$0
JAMES FLEMING
PHYSICIAN	$486,236	$0	$462,168	$0	$157,492	$0	$17,250	$0	$26,898	$0	$1,150,044	$0	$0	$0
MARK TAWIL
PHYSICIAN	$816,918	$0	$0	$0	$305,747	$0	$17,250	$0	$20,895	$0	$1,160,810	$0	$0	$0
ROGER WILTFONG
PHYSICIAN	$387,154	$0	$1,229,251	$0	$17,375	$0	$15,242	$0	$26,635	$0	$1,675,657	$0	$0	$0
WAHEED GUL
PHYSICIAN	$663,072	$0	$207,661	$0	$184,154	$0	$17,250	$0	$26,858	$0	$1,098,995	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES.
Schedule J, Part I, Line 4a Severance or change-of-control payment	MOLLY GROOMS RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $247,411. TY MCBEE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $156,061.
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: JAMES MCMANUS, $56,375 SERP EARNINGS SHAHEED KOURY, $55,414 SERP EARNINGS CRAIG BABBITT, $45,920 SERP EARNINGS RICHARD MIZER, $41,406 SERP EARNING KRISTIN BOGGS, $37,686 SERP EARNINGS JAMIE SMITH, $32,606 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. SHAHEED KOURY, $62,951 SERP ACCRUALS JAMES MCMANUS, $62,812 SERP ACCRUALS CRAIG BABBITT, $56,516 SERP ACRRUALS JAMIE SMITH, $43,060 SERP ACCRUALS KRISTIN BOGGS, $38,256 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 AN INDUSTRY STANDARD VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CHILLICOTHE OHIO
A	316400221	169203AK2	2017-06-22	$161,095,326	ADVANCE REFUNDING OF 2008 ISSUE AND FINANCE EMERGENCY ROOM	false	false	false
COUNTY OF ROSS OHIO
B	316400085	778260FN4	2019-06-19	$83,270,000	FINANCE ORTHO-ROBOTIC CENTER	false	false	false
COUNTY OF ROSS OHIO
C	316400085		2021-05-13	$30,000,000	FINANCE HOSPITAL FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$8,735,000	$164,402,962	$1,777,526	$40,648,173	$121,977,262	2020	false	Yes (true)	Yes (true)	Yes (true)
B	$8,950,000	$99,845,477	$964,347	$75,362,052	$23,486,711	2022	Yes (true)	false	false	Yes (true)	$33,981
C	$3,805,000	$30,060,426	$117,290	$29,937,239		2023	false	false	false	Yes (true)	$6,190

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 COLUMN A	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
Schedule K, Part II, Line 10 COLUMN A	INCLUDES $546,277 OF TRANSFERRED PROCEEDS FROM SERIES 2008 BONDS.
Schedule K, Part II, Line 3 COLUMN B	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
Schedule K, Part II, Line 3 COLUMN C	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: CITY OF CHILLICOTHE, OHIO The calculation for computing no rebate due was performed on 06/22/2022
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: COUNTY OF ROSS, OHIO The calculation for computing no rebate due was performed on 07/17/2024

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOUGLAS FRENCH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SON OF TRUSTEE ROBERT FRENCH	RelationshipDescriptionTxt
Transaction	$64,607	TransactionAmt
Transaction	EMPLOYEE COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	KATHERINE EDRINGTON (CHIEF OPERATING OFFICER) AND KRISTIN BOGGS (CHIEF INTEGRITY & COMPLIANCE OFFICER) ARE SIBLINGS. ADENA HAS IMPLEMENTED A MECHANISM FOR TRIAGING ANY UNDERLYING CONCERNS INVOLVING EITHER PARTY DIRECTLY TO THE CHRO AS WELL AS BOTH PARTIES SHALL RECUSE THEMSELVES FROM ANY DECISIONS INVOLVING THE OTHER PARTY.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. FREEDOM HOUSE OF CHILICOTHE 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. ST. PETER'S CATHOLIC CHURCH
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE CORPORATE MEMBER CHURCHES MAY NOMINATE A BOARD MEMBER, BUT THE BOARD OF DIRECTORS OF AHS RESERVES THE FINAL APPROVAL. THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION."
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	COPIES OF THE 990 ARE SENT TO BOARD MEMBERS VIA THE SERCURE INFORMATION PORTAL PROVIDED BY ADENA HEALTH SYSTEM.
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. ADVANCED PRACTICE CLINICIANS, FRONT LINE SUPERVISORS UP THROUGH THE CEO, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR EXECUTIVE LEADERSHIP. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE EXECUTIVE LEADERSHIP. OTHER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. COMPENSATION WAS LAST REVIEWED IN 2023.
Form 990, Part VI, Line 19 Required documents available to the public	THE ARTICLES OF INCORPORATION ARE AVAILABLE THRU OHIO SECRETARY OF STATE WEBSITE. AS A RESULT OF HAVING ISSUED PUBLIC DEBT, THE AUDITED FINANCIALS FOR ADENA HEALTH SYSTEM ARE AVAILABLE FOR VIEWING AT EMMR.MSRB.ORG. COPIES OF MOST RECENT 990 IS AVAILABLE UPON REQUEST BY CONTACTING ADMINISTRATION AT ADENA HEALTH SYSTEM, PRIOR 990S ARE AVAILABLE FOR VIEWING AT GUIDESTAR.COM.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	CHARITY CARE - Total Revenue: 1246333, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1246333; DAVITA DIALYSIS - Total Revenue: 638086, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 638086; CONSULTING FEES - Total Revenue: 259633, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 259633; BORROWED FUNDS - Total Revenue: 250455, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 250455; NON-PATIENT PHARMACY SALES - Total Revenue: 87558, Related or Exempt Function Revenue: , Unrelated Business Revenue: 87558, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 83929, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 83929; MERCER ACTIVITY - Total Revenue: -451708, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -451708;
Form 990, Part IX, Line 11g Other Fees	CONTRACT STAFFING - Total Expense: 23326979, Program Service Expense: 23315096, Management and General Expenses: 11883, Fundraising Expenses: ; CONSULTANT FEES - Total Expense: 1440543, Program Service Expense: 1439809, Management and General Expenses: 734, Fundraising Expenses: ; NON-PHYSICIAN HEALTHCARE SERVICES - Total Expense: 27476688, Program Service Expense: 9461166, Management and General Expenses: 18015522, Fundraising Expenses: ; REVENUE CYCLE MANAGEMENT - Total Expense: 32665470, Program Service Expense: , Management and General Expenses: 32665470, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS TO/FROM RELATED - 17447748; INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION - 165699; Total - 17613447;
Form 990, Part XII, Line 2c	THE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADENA MEDICAL GROUP LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	271370967	HEALTHCARE PROVIDERS	OH	$106,547,905	$9,683,519	ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	275340755	HEALTHCARE PROVIDERS	OH	$5,409,494	$722,496	ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752730	HEALTHCARE PROVIDERS	OH	$3,678,922	$221,312	ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
				273752854	HEALTHCARE PROVIDERS	OH	$2,963,618	$3,235,778	ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	451138187	HEALTHCARE PROVIDERS	OH	$24,927,739	$3,587,840	ADENA HEALTH SYSTEM
MAXIMUM PROPERTIES LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601		PROPERTY HOLDING	OH	$0	$0	ADENA HEALTH SYSTEM
ADENA HEALTHCARE COLLABORATIVE
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	465731515	HEALTHCARE PROVIDERS	OH	$0	$0	ADENA HEALTH SYSTEM

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
GREENFIELD AREA MEDICAL CENTER
550 MIRABEAU ST	GREENFIELD	OH	45123	310993422	HOSPITAL	OH	501(c)(3)	3	ADENA HEALTH SYSTEM	Yes (true)
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	ADENA HEALTH SYSTEM	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	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
S	$2,999,333	BOOK VALUE
PIKE HEALTH SERVICES
S	$2,267,431	BOOK VALUE
ADENA HEALTH FOUNDATION
C	$289,186	BOOK VALUE
ADENA FAYETTE MEDICAL CENTER
S	$9,334,609	BOOK VALUE
SOUTHERN OHIO HEALTHCARE NETWORK
S	$308,502	BOOK VALUE

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