PIKE HEALTH SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: PIKE HEALTH SERVICES INC (EIN 31-1072406)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202513189349314471
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T17:39:41+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	311072406	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIKE HEALTH SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PIKE	BusinessNameControlTxt
Phone	7409472186	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 DAWN LANE	AddressLine1Txt
City	WAVERLY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45690	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFF GRAHAM	PersonNm
Person Title	AHS CEO	PersonTitleTxt
Phone	7409472186	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	2025-11-14	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 PIKE MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVE ZANNI	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 DAWN LANE	AddressLine1Txt
City	WAVERLY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45690	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$35,114,677	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	1983	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	ADENA PIKE MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL AND A MEMBER OF THE ADENA HEALTH SYSTEM THAT PROVIDES HEALTHCARE TO CITIZENS IN PIKE COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	290	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$349,663	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$33,951,951	PYProgramServiceRevenueAmt
CY Program Service Revenue	$35,036,341	CYProgramServiceRevenueAmt
PY Investment Income	$907	PYInvestmentIncomeAmt
CY Investment Income	$309	CYInvestmentIncomeAmt
PY Other Revenue	$100,670	PYOtherRevenueAmt
CY Other Revenue	$78,027	CYOtherRevenueAmt
PY Total Revenue	$34,403,191	PYTotalRevenueAmt
CY Total Revenue	$35,114,677	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$13,330,654	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$13,920,398	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$15,349,312	PYOtherExpensesAmt
CY Other Expenses	$18,645,366	CYOtherExpensesAmt
PY Total Expenses	$28,679,966	PYTotalExpensesAmt
CY Total Expenses	$32,565,764	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,723,225	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,548,913	CYRevenuesLessExpensesAmt
Total Assets BOY	$13,326,257	TotalAssetsBOYAmt
Total Assets EOY	$13,666,492	TotalAssetsEOYAmt
Total Liabilities BOY	$1,617,700	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,793,132	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$11,708,557	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,873,360	NetAssetsOrFundBalancesEOYAmt
Mission	CALLED TO SERVE OUR COMMUNITIES	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$26,740,176	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$35,040,749	RevenueAmt
Desc	PIKE HEALTH SERVICES, INC. IS A 25- BED CRITICAL ACCESS HOSPITAL LOCATED IN PIKE COUNTY IN THE STATE OF OHIO. IN 2024, PIKE HEALTH SERVICES, INC. HAD 857 INPATIENT DISCHARGES AND 11,354 EMERGENCY ROOM PATIENTS. DURING THE YEAR, PIKE HEALTH SERVICES, INC PARTICIPATED IN HEALTH FAIRS OFFERING SCREENING AND EDUCATION FOR DIABETES, CHOLESTEROL AND ARTHRITIS FOR BOTH ADULTS AND CHILDREN. PIKE HEALTH SERVICES MAINTAINS CLINIC OFFICE SPACE FOR PHYSICIAN SPECIALISTS FROM ADENA HEALTH SYSTEM TO SEE PATIENTS AT A DESTINATION CLOSER TO THEIR HOMES. THESE INCLUDE GENERAL SURGEONS, UROLOGISTS, AND GYNECOLOGISTS.	Desc
Total Program Service Expenses	$26,740,176	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	290	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
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 (19 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANTHONY FISH
TRUSTEE/CHAIR	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
VAL FRANCIS
TRUSTEE/VICE CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
CONNIE SHELLEY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
JOSH REMY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
JUDY SCHMITT
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
JUSTIN SMITH
COS/PHYSICIAN	1.0	50.0	Yes (X)		$0	$530,434	$20,635
KIM ROE
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
RENEA GREGORY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
SARA RAMSEY
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
TONY DIXON
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
DAVE ZANNI
SENIOR OPERATIONS EXECUTIVE OFFICER	50.0	0		Yes (X)	$211,755	$0	$62,067
JAMES MCMANUS
AHS CFO	1.0	54.0		Yes (X)	$0	$738,566	$253,395
JEFF GRAHAM
AHS CEO	1.0	54.0		Yes (X)	$0	$1,180,581	$368,169
KATHERINE EDRINGTON
AHS COO	1.0	54.0		Yes (X)	$0	$441,728	$191,286
ANITA KOHN
STAFF NURSE RN BSN	50.0	0			$153,198	$0	$12,798	Yes (X)
CHERYL SMITH
PHARMACIST	50.0	0			$193,460	$0	$10,282	Yes (X)
JASON LOUTSENHIZER
TL PHARMACIST	50.0	0			$178,554	$0	$20,643	Yes (X)
LADOSKA EVANS
STAFF NURSE RN BSN	50.0	0			$158,203	$0	$7,652	Yes (X)
RANDALL RATLIFF
REG NUC MED TECH	50.0	0			$136,214	$0	$30,650	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,031,384	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,891,309	TotReportableCompRltdOrgAmt
Total Other Compensation	$977,577	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	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
ENSEMBLE HEALTH PARTNERS HOLDINGS LLC
11511 REED HARTMAN HWY	CINCINNATI	OH	45241	REVENUE CYCLE MANAGEMENT	$1,807,708
Premier Physician Services Inc
332 CONGRESS PARK DRIVE	dayton	OH	45459	PHYSICIAN SERVICES	$1,188,423
Apogee Medical Managementap
SCOTTSDALE RD 600	SCOTTSDALE	AZ	85254	PHYSICIAN SERVICES	$759,978
Captive Radiology LLC
6273 FRANK AVENUE NW	NORTH CANTON	OH	44720	MRI SERVICES	$609,917
MeDefis Inc
2121 N 117th Ave Ste 200	Omaha	NE	68164	MANAGEMENT SOLUTIONS	$499,374

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$35,036,341	TotalRevenueColumnAmt
Related Or Exempt Func Income	$35,036,341	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	$35,036,341	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$309	TotalRevenueColumnAmt
Exclusion	$309	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,408	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,408	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,408	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,408	RelatedOrExemptFuncIncomeAmt

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	722514	BusinessCd
Total Revenue Column	$73,619	TotalRevenueColumnAmt
Exclusion	$73,619	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$73,619	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,114,677	TotalRevenueColumnAmt
Related Or Exempt Func Income	$35,040,749	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$73,928	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$273,822	TotalAmt
Program Services	$236,436	ProgramServicesAmt
Management And General	$37,386	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$10,761,921	TotalAmt
Program Services	$9,292,564	ProgramServicesAmt
Management And General	$1,469,357	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,326,858	TotalAmt
Program Services	$2,041,952	ProgramServicesAmt
Management And General	$284,906	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$557,797	TotalAmt
Program Services	$489,499	ProgramServicesAmt
Management And General	$68,298	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,344,627	TotalAmt
Program Services	$465,970	ProgramServicesAmt
Management And General	$2,878,657	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$452,796	TotalAmt
Program Services	$357,934	ProgramServicesAmt
Management And General	$94,862	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,597	TotalAmt
Program Services	$2,158	ProgramServicesAmt
Management And General	$1,439	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$937,810	TotalAmt
Program Services	$688,025	ProgramServicesAmt
Management And General	$249,785	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$92,295	TotalAmt
Program Services	$69,981	ProgramServicesAmt
Management And General	$22,314	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$5,969,781	$5,693,456	$276,325
CORPORATE OVERHEAD ALLOCATION	$3,530,256	$3,530,256
BAD DEBT EXPENSE	$2,583,318	$2,583,318
FRANCHISE FEES	$1,106,767	$1,106,767

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$624,119	TotalAmt
Program Services	$181,860	ProgramServicesAmt
Management And General	$442,259	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,565,764	TotalAmt
Program Services	$26,740,176	ProgramServicesAmt
Management And General	$5,825,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$578,724	BOYAmt
EOY	$689,883	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,443,339	BOYAmt
EOY	$3,738,266	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	$289,831	BOYAmt
EOY	$343,434	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$701,626	BOYAmt
EOY	$777,198	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	-$4,947	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,449,411	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,887,753	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,709,737	BOYAmt
EOY	$6,561,658	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,603,000	BOYAmt
EOY	$1,561,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,326,257	BOYAmt
EOY	$13,666,492	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$988,403	BOYAmt
EOY	$1,256,358	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$282,617	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$346,680	BOYAmt
EOY	$536,774	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,617,700	BOYAmt
EOY	$1,793,132	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,705,484	BOYAmt
EOY	$11,870,287	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,073	BOYAmt
EOY	$3,073	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,708,557	BOYAmt
EOY	$11,873,360	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,326,257	BOYAmt
EOY	$13,666,492	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,548,913	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$2,384,110	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$671	OtherActivitiesAmt
Total Lobbying Expenditures	$671	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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$350,000	OtherCostOrOtherBasisAmt
Book Value	$350,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,454,167	OtherCostOrOtherBasisAmt
Depreciation	$4,517,598	DepreciationAmt
Book Value	$3,936,569	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,496,645	OtherCostOrOtherBasisAmt
Depreciation	$6,988,525	DepreciationAmt
Book Value	$1,508,120	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,148,599	OtherCostOrOtherBasisAmt
Depreciation	$381,630	DepreciationAmt
Book Value	$766,969	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,561,658	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	GROUND LEASE	Desc
Book Value	$1,561,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,561,000	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Federal Income Taxes
COST REPORT SETTLEMENTS PAYABLE	$445,006
CAPITAL LEASE OBLIGATION	$91,768

Field	Value	IRS element (for citing)
Total Liability	$536,774	TotalLiabilityAmt

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	$621,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,181,905	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	$7,721,375	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,739,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,981,965	NetCommunityBenefitExpnsAmt
Total Expense	0.09157	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	$8,342,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,921,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,981,965	NetCommunityBenefitExpnsAmt
Total Expense	0.09157	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,980	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00031	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,980	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00031	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,352,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,921,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,991,945	NetCommunityBenefitExpnsAmt
Total Expense	0.09187	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,583,318	BadDebtExpenseAmt
Reimbursed By Medicare	$17,686,915	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,598,291	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$88,624	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIKE HEALTH SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 DAWN LANE	AddressLine1Txt
City	WAVERLY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45690	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
State License	1299	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PIKE HEALTH SERVICES INC	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
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
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/	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/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/	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
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - PIKE HEALTH SERVICES, INC.. The Adena Pike Medical Center captured the broad interests of the community for the CHNA through three primary methods: public surveys, focus groups and key stakeholder interviews. A health needs survey was widely distributed in both electronic and paper form across the Pike County Community and received more than 300 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 - PIKE HEALTH SERVICES, INC.. THE CHNA FOR ADENA PIKE MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: ADENA HEALTH SYSTEM.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - PIKE HEALTH SERVICES, INC.. The CHNA for Adena Pike Medical Center was conducted in collaboration with the following organizations: Pike County General Health District, Adena Health, Valley View Health Center, Community Action Committee of Pike County, OSU Extension-Pike County, Pike Healthy Lifestyle Initiative (PHLI), Pike County Job and Family Services, Pike County Senior Center, Pike County Children's Services, the Recovery Council, Southern Ohio Medical Center, Paint Valley ADAMH, Pike County YMCA, Pike County Sherriff's Department, Pike County Partnership Against Domestic Violence, Ross-Pike Educational Services District.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - PIKE HEALTH SERVICES, INC. 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 - PIKE HEALTH SERVICES, INC.. The following details the specific implementation strategies used for health priorities identified for the Adena Pike Medical Center during the 2022 Community Health Needs Assessment. Substance Use Disorder Community Development Adena Health assisted in the development of a HRSA Rural Communities Opioid Response Program (RCORP) implementation grant in 2019. In 2022, Adena Health awarded $1.6 million over three years. Adena Health is the fiscal agent for the grant, oversees all of the grants management and provides 0.5 FTE project coordinator to oversee the project. The grant is focused on increasing medication assisted treatment access for those who are being treated for opioid use disorder in Pike, Ross and Fayette counties. This grant continues through August 2025. Adena works with Bright View Treatment to provide priority appointments to patients identified with substance use disorder to facilitate more immediate access to treatment. Advocacy Adena Health share a weekly communication to community partners where substance use topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Adena Health has one who each dedicated a minimum of one hour a month to participating in Pike County Drug Coalition meetings and coordinating projects for the group in 2024. Programming and Initiatives The Baby Centered Recovery Program provided a total of 12 women (from multiple counties including Ross) with pregnancy education and addiction counseling in 2024. In addition, participants were provided resource referrals, as well as food and baby supplies at no charge to participants. More than 300 mothers have been supported by the program since 2014. The program has been recognized for exceptional care provided at the local, state and national level. Financial Support and Clinical Alignment Adena Health works to align its service lines and clinics with community resources that will address the social factors and barriers faced by many of its rural patients. This often involves community partnering and monetary support from Adena Community Health and Development. These two strategies are connected and reported together. - Adena Health provided $35,000 in support during 2024 for the Buck Fifty which coordinates the Drug Free Clubs of America/MADE program deployed in area school districts which incentivizes student participation in drug testing. Adena caregivers provide more than 50 hours per year supporting this program by working with area students to collect samples for testing to support their participation in the program. - Adena Health also provided an additional support for harm reduction kits deployed in the ARMC, AFMC, APMC and AGMC emergency departments and risk reduction supply distribution with community partners using funds from the HRSA RCORP grant. - Adena Health contributed $1,000 to support the Paint Valley Alcohol, Drug Addiction and Mental Health (ADAMH) Board's annual Recovery Celebration dinner, honoring those who work to prevent, treat and support recovery for those in Ross, Highland, Fayette, Pike and Pickaway counties. Obesity and Diabetes Advocacy Adena Health has one employee who dedicates 10 hours a year to participate in the Pike County Local Foods Group and programming activities related to this. This group works to address healthy food access in Pike County and provide nutrition education to residents. Representatives on this group include area dietitians from Valley View Health Center, OSU Extension (local and state offices), Adena Health, Pike Outreach, and Pike Health District. The group also engages with Pike County 3rd graders to educate about fresh produce and the local farmers market at the annual Pike Ag Day. Vouchers for students to use fresh produce from Pike Ag Day were sponsored in part by Adena Health. Adena Health share a weekly communication to community partners where health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Programming and Initiatives, Financial Support and Clinical Alignment Adena Health partnered with the Chillicothe Farmers; Market, Fayette County Farmers' Market and Way Farms to fund the "Fresh Food Rx Fruit & Veggie Perks programing. This program provides Adena patients referred by their provider an opportunity for fresh fruits and vegetables from area produce markets (a benefit for the patient and the local farmer). In 2024, Adena provided $9,439 in support to area markets for this programming. Adena Health partnered with the Ohio State University Extension - Pike County to provide cooking classes and education to area residents. The program provides nutrition education, food preparation and education on shopping healthy on a budget and label reading. Adena Health also supports the incentives given to participant which includes the cooking utensils (cutting board, measuring spoons, measuring cup, etc.). Respiratory Issues Advocacy Adena Health had 1 employee participating in the Pike Health Coalition meetings and activities for approximately 20 hours/year. Programming, Initiatives and Clinical Alignment Adena Health continued its coordination of the Adena Quit Clinic in 2024. The clinic provided a total of 19 patients served in 5 locations: Chillicothe (Ross County); Waverly (Pike County); Washington Court House (Fayette County); Greenfield (Highland County) and Jackson (Jackson County). Adena pharmacists completed 35 visits with patient with tobacco cessation counseling services including cessation planning, support and nicotine replacement education is provided by Adena pharmacists. Adena provided free lung cancer screenings to 2,200 patients from the region including Pike, Fayette, Highland and Ross counties. The screenings resulted in 188 patients being referred for additional work up secondary to the screening findings. By providing cancer screenings Adena Health is helping to decrease rates of death as early detection and treatment result in saving lives. Mental Health Community Development Adena Health participates in the education and support of the Paint Valley ADAMH events where topics such as mental health access, stigma reduction and other mental health related issues are discussed. Advocacy Adena Health had 1 employee participating in the Pike Health Coalition meetings and activities for approximately 20 hours/year. Adena Health share a weekly communication to community partners where mental health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Mental health topics were also shared through Adena Health's social media channels. Programming & Initiatives Adena Health showcased mental health topics throughout the year as part of the Just Walk/Walk with a Doc programming. There were 4 such events throughout the year in 2024 in the region. As part of the event, participants are able to speak with a provider to have questions answered pertinent to the topic in a general format. Financial Support & Clinical Alignment Adena Health supported mental health events throughout the region through participation and/or financial support. A contribution was also made of $1000 to support a community education night for suicide awareness prevention. Adena's sponsorship helped support the speaker costs for this free community event. Child Safety & Wellness Advocacy Adena Health compiles a weekly communication to community partners where mental health topics and education opportunities are shared. An Adena employee devotes 4-6 hours/week on this education to community partners. Mental health topics were also shared through Adena Health's social media channels. Programming & Initiatives Adena Health provided athletic trainer services to 12 local public high schools within a six county (Ross, Pike, Fayette, Highland, Jackson, Pickaway) service region in 2024. A total of 13 athletic trainers worked within the school's athletic departments and focused on educating students, parents and coaches on sports medicine topics, including concussion identification and treatment. The value of this community support was greater than $650,000. The staff is also readily available at athletic events and provides yearly sports physicals to more than 1200 students in Highland, Fayette, and Jackson, Pickaway, Pike, and Ross counties. Sponsoring 4-H project books is another way Adena Health supports youth wellness. The cost of the projects books is prohibitive in some cases for area youth. Adena Health provided more than $4,000 in 2024 to support Pike County 4-H participants in this enrichment program.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - PIKE HEALTH SERVICES, INC.. In 2021, Adena Health partnered with Nationwide Children's Hospital to develop the Appalachian Whole Child Initiative. In 2023, Adena Health expanded the program and provided a coordinator (1.0 FTE) valued at $101,608 to work with partnered school district to complete school needs assessments, develop school wellness plans, and improve healthcare access to students and staff. In addition, the coordinator is assisting the districts in developing primary care and telehealth resources for the district, as well as bring in additional community partners to address mental health and social needs of students. Also in September 2023, Adena launched a mobile health clinic to provide medical care to area students and staff. In 2024, there were 714 patient encounters on the mobile unit. Adena Health partnered with the Garnet A. Wilson Public Library to coordinate the Healthy Kids Summer Fun Challenge, part of the Bookworm Summer Reading program. Pike County residents - children and adults- were engaged in the program that rewarded them for completing weekly 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. Financial Support and clinical alignment Adena Health works to align its service lines and clinics with community resources that will address the social factors and barriers faced by many of its rural patients. This often involves community partnering and monetary support from Adena Community Health and Development. - Adena Women's & Children's Center: Adena Health provided sleep sacks for the babies born at the Adena Women's and Children's Center in 2024 valued at $10,000. Patients come from a number of counties including Fayette, Ross, Pike and Highland. - School Districts: A total of 2 Pike County school districts - Waverly City Schools and Scioto Valley Local Schools - each received $25,000 or a total of $50,000 to support the health and wellness of their district's athletes, aligned with the support of athletic trainers provided by Adena Health. Community Health Outcomes and Health Factors Summary - Pike County Health Outcomes stayed at 87 in 2022 (County Health Rankings). - Pike County Health Factors moved from 84 to 79 in 2022 (County Health Rankings). Additional Initiatives and Resources The Adena Family Medicine - Residency Clinic and the Adena Residency Clinic - Internal Medicine continued operations of its clinic in 2023 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 10,084 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 Engagement: Adena also provides support to the Pike County community through a variety of engagement activities, including financial support and participation in local community events and initiatives. A total of 17 caregivers from APMC provided more than 51 hours of community service and volunteer time participating in community service, non-profit board participation and leadership, and other initiatives. - 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. - Supported Pike County Community Action Coalition with $2,500 to support the Gus Macker tournament. - Contributed $500 to Waverly City Schools COPE program. - Donated $500 to the Pike County Color Run, an event to raise awareness to suicide prevention. - $300 sponsorship to the Pike County Chamber of Commerce golf outing. - Provided $500 for Pike County Outreach Council's Christmas in Canal Park event. - Supported the Pike County FFA with a $450 donation. - Adena Health supported Pike County Agricultural Association with a donation of $15,000 to support the 2024 Pike County Fair, its market program and junior fair market projects. 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: 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/. Pike County Health Coalition: In 2017, Adena Health collaborated with the Pike County Health Department to reconvene a community steering committee focused on completing regular community health assessments (CHA) and a community health improvement plan (CHIP) for Ross County. A total of 21 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 one employee who volunteered over 20 hours in 2024 to contributing to the Pike County Health Coalition's work.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA FAMILY MEDICINE - PIKETON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 INDIAN RIDGE DRIVE	AddressLine1Txt
City	piketon	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45661	ZIPCd

Field	Value	IRS element (for citing)
Facility	PHYSICIAN OFFICES	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f	BAD DEBT EXPENSE OF $2,583,318 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA PIKE 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 SURPLUS, WHICH IS THE EXCESS OF REMIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT OVER COST TO TREAT MEDICARE PATIENTS. PIKE HEALTH SERVICES 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.
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 PIKE HEALTH SERVICES INC.'S CUSTOMER SERVICE PROCEDURES.
Schedule H, Part V, Section B, Line 16a FAP website	- PIKE HEALTH SERVICES, INC.: Line 16a URL: HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PIKE HEALTH SERVICES, INC.: Line 16b URL: HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PIKE HEALTH SERVICES, INC.: Line 16c URL: HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/;
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. A CONTRACTED VENDOR SUPPLIES STAFF AT THE CASHIER AREA TO EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE. 7. LASTLY, WE UTILIZE A "HINDSIGHT" VENDOR THAT SCREENS ALL BAD DEBT ACCOUNTS, AFTER THE YEAR-END, AGAINST THE STATE MEDICAID ELIGIBILITY AND FEDERAL POVERTY GUIDELINES TO ATTEMPT ONE LAST EFFORT TO OBTAIN FINANCIAL ASSISTANCE FOR INDIVIDUALS.
Schedule H, Part VI, Line 4 Community information	PIKE COUNTY, HOME OF THE ADENA PIKE MEDICAL CENTER (APMC), IS LOCATED IN SOUTH CENTRAL OHIO. IT IS PART OF THE 2ND CONGRESSIONAL DISTRICT AND IS 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 IN DIVERSIFYING ITS ECONOMY TO IMPROVE THE LIVES OF ITS 28,160 RESIDENTS. THERE ARE 10,816 HOUSEHOLDS IN PIKE COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.61 PEOPLE, COMPARABLE WITH THE REST OF THE 12 COUNTY SERVICE REGION AND OHIO. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.11 PEOPLE. MORE THAN 22% OF THE ADULTS IN PIKE COUNTY HAVE NOT GRADUATED FROM HIGH SCHOOL. THIS PERCENTAGE IS HIGHER THAN THE AVERAGES FOR THE REGION (18.9%), OHIO (12.2%) AND THE NATION (14.6%). LESS THAN 12% HAVE A COLLEGE DEGREE. MORE THAN 12% OF THE POPULATION OF PIKE COUNTY IS ESTIMATED TO BE FUNCTIONALLY ILLITERATE OR LACKING THE READING AND WRITING SKILLS SUFFICIENT FOR ORDINARY PRACTICAL NEEDS. THE UNEMPLOYMENT RATE IN PIKE COUNTY (10.7%) IS CONSIDERABLY HIGHER THAN PIKE HEALTH SERVICES, INC. 31-1072406 THE REGIONAL (6.8%), STATE (6%) AND U.S. (7.7%) AVERAGES. IN ADDITION, MORE THAN 44.5% OF THE POPULATION IS NOT IN THE WORKFORCE. THIS IS HIGHER THAN THE STATE (35.4%) AND NATIONAL AVERAGES (35.2%). THE TOP FIVE EMPLOYMENT INDUSTRIES IN PIKE COUNTY ARE MANAGEMENT/BUSINESS/SCIENCE (28.9%), SERVICE (21.5%) SALES (23%), PRODUCTION/TRANSPORTATION SERVICES (19.2%), SALES (18.2%), AND NATURAL RESOURCES/CONSTRUCTION/MAINTENANCE. PIKE COUNTY HAS A GREATER PERCENTAGE OF PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS (19.2%) THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE PER CAPITA MEDIAN AND MEAN HOUSEHOLD INCOMES IN PIKE COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES. POVERTY RATES ARE ALSO HIGHER THAN REGIONAL, STATE AND NATIONAL AVERAGES. ACCESS TO EMPLOYMENT IN PIKE COUNTY IS ALSO LOWER THAN OTHER COUNTIES IN THE REGION. PIKE COUNTY AND ITS ENTIRE SURROUNDING SERVICE REGION HAVE A HIGHER PREVALENCE OF DISABILITY THAN THE REST OF OHIO. SEVEN OF THE 12 COUNTIES IN THE SERVICE REGION, INCLUDING PIKE COUNTY, HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%.
Schedule H, Part VI, Line 5 Promotion of community health	The Adena Pike Medical Center captured the broad interests of the community for the CHNA through three primary methods: public surveys, focus groups and key stakeholder interviews. A health needs survey was widely distributed in both electronic and paper form across the Pike County Community and received more than 300 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 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. 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, WELLSTON, HILLSBORO, WASHINGTON COURT HOUSE AND WAVERLY, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, HILLSBORO, AND WAVERLY. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
COS/PHYSICIAN	$0	$263,934	$0	$205,026	$0	$61,474	$0	$12,871	$0	$7,764	$0	$551,069	$0	$0
JAMES MCMANUS
AHS CFO	$0	$560,539	$0	$112,972	$0	$65,055	$0	$225,932	$0	$27,463	$0	$991,961	$0	$56,375
JEFF GRAHAM
AHS CEO	$0	$977,033	$0	$187,011	$0	$16,537	$0	$319,845	$0	$48,324	$0	$1,548,750	$0	$0
KATHERINE EDRINGTON
AHS COO	$0	$306,628	$0	$126,256	$0	$8,844	$0	$171,687	$0	$19,599	$0	$633,014	$0	$0
DAVE ZANNI
SENIOR OPERATIONS EXECUTIVE OFFICER	$203,977	$0	$0	$0	$7,778	$0	$51,716	$0	$10,351	$0	$273,822	$0	$0	$0
ANITA KOHN
STAFF NURSE RN BSN	$97,269	$0	$1,851	$0	$54,078	$0	$5,266	$0	$7,532	$0	$165,996	$0	$0	$0
CHERYL SMITH
PHARMACIST	$166,405	$0	$0	$0	$27,055	$0	$7,930	$0	$2,352	$0	$203,742	$0	$0	$0
JASON LOUTSENHIZER
TL PHARMACIST	$163,026	$0	$100	$0	$15,428	$0	$7,474	$0	$13,169	$0	$199,197	$0	$0	$0
LADOSKA EVANS
STAFF NURSE RN BSN	$131,025	$0	$750	$0	$26,428	$0	$5,981	$0	$1,671	$0	$165,855	$0	$0	$0
RANDALL RATLIFF
REG NUC MED TECH	$107,792	$0	$18,892	$0	$9,530	$0	$5,174	$0	$25,476	$0	$166,864	$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	DAVE ZANNI HAS MEMBERSHIP IN ROTARY. PURPOSE IS TO ENHANCE PIKE'S ENGAGEMENT IN THE ACTIVITES OF WAVERLY AND SURROUNDING COMMUNITIES. DAVE ZANNI IS REIMBURSED FOR HIS ROTARY CLUB DUES. THIS IS NOT TREATED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	EXECUTIVE LEADERSHIP AT PIKE HEALTH SERVICES HAS THEIR COMPENSATION REVIEWED EVERY YEAR BY ADENA HEALTH SYSTEM, A RELATED PARTY. THE SYSTEM UTILIZES A SEPARATE COMPENSATION CONSULTING FIRM THAT USES SEVERAL AVAILABLE MARKET STUDIES FOR APPLICABLE POSITIONS IN COMPARABLE MARKETS. OTHER PIKE HEALTH SERVICES MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. THIS PROCESS WAS LAST UNDERTAKEN IN 2024.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2024: JAMES MCMANUS $56,375 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $62,812 SERP ACCRUALS
Schedule J, Part I, Line 7 Non-fixed payments	MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER A VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a	A RELATED ORGANIZATION, ADENA HEALTH SYSTEM, ISSUES THE 1099S.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF PIKE HEALTH SERVICES IS ADENA HEALTH SYSTEM.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF THE ORGANIZATION NOMINATES TRUSTEES, AND ADENA HEALTH SYSTEM, AS THE SOLE MEMBER OF THE ORGANIZATION, ELECTS THE TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN GOVERNANCE DECISIONS ARE RESERVED FOR ADENA HEALTH SYSTEM AS THE SOLE MEMBER OF THE ORGANIZATION, SUCH AS THE ELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF THE ORGANIZATION, APPROVAL OF STRATEGIC PLANS OF THE ORGANIZATION, AND APPROVAL OF AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND CODE OF REGULATIONS. ADENA HEALTH SYSTEM CAN ACT ON THESE RIGHTS BY A VOTE AT ANY MEETING, AN ACTION WITHOUT A MEETING, OR THROUGH OTHER AUTHORIZED MEANS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	COPIES OF ALL FORMS 990 ARE MADE AVAILABLE TO THE PARENT GOVERNING BOARD PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER A VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE TOP MANAGEMENT OFFICIAL AT ADENA PIKE MEDICAL CENTER HAS HIS COMPENSATION REVIEWED EVERY OTHER YEAR BY ADENA HEALTH SYSTEM TOTAL REWARDS TEAM. THE LAST REVIEW WAS COMPLETED IN 2023.
Form 990, Part VI, Line 19 Required documents available to the public	THE SYSTEM DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. SOME ORGANIZING DOCUMENTS MAY BE AVAILABLE THROUGH STATE OF OHIO WEBSITES. THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM WITHIN 150 DAYS AFTER FISCAL YEAR END. THE PUBLIC MAY ACCESS THIS SYSTEM FREE OF CHARGE.
Form 990, Part IX, Line 11g Other Fees	CONTRACT STAFFING - Total Expense: 1353249, Program Service Expense: 465970, Management and General Expenses: 887279, Fundraising Expenses: ; REVENUE CYCLE MANAGEMENT - Total Expense: 1991378, Program Service Expense: , Management and General Expenses: 1991378, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER (TO) FROM RELATED ORGANIZATION - -2384110; Total - -2384110;
Form 990, Part XII, Line 2c	THE ADENA HEALTH SYSTEM'S AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. PIKE HEALTH SERVICES IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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)
ADENA HEALTH SYSTEM
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	314379443	HOSPITAL	OH	501(c)(3)	3	NA	false
ADENA FAYETTE MEDICAL CENTER
1430 COLUMBUS AVE	WASHINGTON COURT HOUSE	OH	43160	852985806	HOSPITAL	OH	501(c)(3)	3	ADENA HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	adena care	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	453980850	EIN
Primary Activities	SEE SCHEDULE R, PART VII	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

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

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

Supplemental Information Detail SupplementalInformationDetail

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