ADENA HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201103159349300015
Schema version: 2010v3.4
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T08:34:42-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	314379443	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ADEN	NameControl
Phone	7407794478	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	456019031	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Keith T Coleman	Name
Title	CFO	Title
Phone	7407794273	Phone
Date Signed	2011-11-11	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Mark Shuter	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	272 Hospital Road	AddressLine1
City	Chillicothe	City
State	OH	State
ZIP Code	456019031	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	380151784	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ADENA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	"To Heal, To Educate, To Care". The Organization is a regional healthcare system with 1 hospital and several ambulatory centers, in addition to multiple physician practices. AHS offers a wide scope of diagnostic and rehabilitative services both for inpatients and outpatients, including comprehensive cardiology and cancer care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	2682	TotalNbrEmployees
Total Nbr Volunteers	349	TotalNbrVolunteers
Total Gross UBI	46218	TotalGrossUBI
Net Unrelated Business Txbl Income	9049	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3976944	ContributionsGrantsPriorYear
Contributions Grants Current Year	13748492	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	308960773	ProgramServiceRevenuePriorYear
Program Service Revenue CY	360483761	ProgramServiceRevenueCY
Investment Income Prior Year	705713	InvestmentIncomePriorYear
Investment Income Current Year	3840247	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1751094	OtherRevenuePriorYear
Other Revenue Current Year	1862741	OtherRevenueCurrentYear
Total Revenue Prior Year	315394524	TotalRevenuePriorYear
Total Revenue Current Year	379935241	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	118723	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	126002	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	165434321	SalariesEtcPriorYear
Salaries Etc Current Year	187026318	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	134030977	OtherExpensePriorYear
Other Expenses Current Year	167743075	OtherExpensesCurrentYear
Total Expenses Prior Year	299584021	TotalExpensesPriorYear
Total Expenses Current Year	354895395	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15810503	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25039846	RevenuesLessExpensesCY
Total Assets BOY	376144767	TotalAssetsBOY
Total Assets EOY	419282931	TotalAssetsEOY
Total Liabilities BOY	212818035	TotalLiabilitiesBOY
Total Liabilities EOY	227217017	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	163326732	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	192065914	NetAssetsOrFundBalancesEOY
Mission Description	"To Heal, To Educate, To Care" is the mission of Adena Health System. Adena Health System is a regional healthcare system providing a wide scope of services to a 13 county area in south-central Ohio.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	294741518	Expense
Grants	126002	Grants
Revenue	321529984	Revenue
Description	Health Care Programs, General/Other: Routine hospital services - Room and board testing and monitoring by various ancillary specialties, physical therapy and surgical services. There were 15,150 inpatients and 872,390 outpatients treated in 2010.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4021994	Expense
Grants	0	Grants
Revenue	32310981	Revenue
Description	Emergency Services - Treatment of emergency accident and illness as well as less urgent conditions in the absence of a family physician. The number of visits in 2010 was 48,471.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	3100336	Expense
Grants	0	Grants
Revenue	6642796	Revenue
Description	The Hospice and Home Health departments provide medical care, medications, home health needs, bereavement counseling, prescriptions, food and shelter to patients. There were 10,431 Hospice patient days in 2010.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	301863848	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	100	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2682	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ken Dicken Controller	NamePerson
Telephone Number	7407797500	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1
City	CHILLICOTHE	City
State	OH	State
ZIP Code	456019031	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Deborah Barrington
Director/Chairman	2	X	X	0	0	0
Jack Berno
Employed M.D.	40	X		305979	0	8932
Steve Burkhardt
Director/Treasurer	2	X	X	0	0	0
Doug Folzenlogen
Employed M.D.	40	X		325527	0	33886
James Grove
Director	2	X		0	0	0
Chad Harris
Director	2	X		0	0	0
Tom Kellenberger
Director	2	X		0	0	0
Mike Lilly
Director	2	X		0	0	0
Tim Nausbaum
Director	2	X		0	0	0
Mathew Schmidt
Director	2	X		0	0	0
Allen Shaw
Employed M.D.	40	X		247112	0	15142
Dave Strickland
Director	2	X		0	0	0
Ginny Wettersten
Director/Secretary	2	X	X	0	0	0
Tom White
Director	2	X		0	0	0
Eric Wissler
Director/Vice-Chairman	2	X	X	0	0	0
Keith Coleman
Chief Financial Officer	40		X	354835	0	45076
Mark Shuter
Chief Executive Officer	40		X	716522	0	45529
Karen Bolton
General Counsel	40			205951	0	28570	X
Marcus Bost
Chief Information Officer	40			184393	0	29523	X
John Fortney
Chief Medical Officer	40			376426	0	23356	X
Jeff Graham
Chief Operating Officer	40			245724	0	35708	X
Denise Minor
Chief Nursing Officer	40			171801	0	26706	X
Barbara Purdom
Chief Human Resources Officer	40			231339	0	33073	X
Patricia Roam
Corporate Compliance Officer	40			150184	0	14308	X
Faitha Shelton
System Director Practice Operations	40			152689	0	32279	X
Elisabeth Williams
Chief Strategy Officer	40			215337	0	33061	X
Rob Bradley
Employed M.D.	40			1044317	0	33886		X
Brian Cohen
Employed M.D.	40			2450714	0	25506		X
Matt Cosenza
Employed M.D.	40			911608	0	15142		X
James Fleming
Employed M.D.	40			922745	0	35286		X
John Young
Employed M.D.	40			889153	0	11920		X
Rachel Rhude
Chief Nursing Officer	0			156173	0	4663			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10258529	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	531552	TotalOtherCompensation
Number Individuals GT100 K	205	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Kings Medical Company
PO Box 72483	Cleveland	OH	44192	MRI Services	2276325
Premier Health Care Services Inc
332 Congress Park Drive	Dayton	OH	45459	ER coverage, house coverage	1194233
Tatum LLC
PO BOX 847872	Dallas	TX	752847872	Staffing Services	968562
The Pendleton Group Inc
200 Chartwell Pt Road	Seneca	SC	29672	Consulting	857151
Design Group
515 E Main St	Columbus	OH	43215	Architectural	714791

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	91540	MembershipDues
Fundraising Events	3475	FundraisingEvents
Related Organizations	13511245	RelatedOrganizations
Government Grants	37846	GovernmentGrants
All Other Contributions	104386	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	13748492	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Service Revenue	Description
Business Code	622110	BusinessCode
Total Revenue Column	360483761	TotalRevenueColumn
Related Or Exempt Function Income	360483761	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	360483761	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3904283	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,904,283	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	93442	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	93442	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	93442	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$93,442	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	52752	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	116788	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	-64036	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-64036	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$64,036	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	76307	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	3475	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	38388	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	37919	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$37,919	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	153413	GrossSalesOfInventory
Cost Of Goods Sold	61367	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	92046	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$92,046	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Other revenue	622110	46218	46218	$0
Food & Nutrition	622110	1151382	0	$1,151,382
Consulting Fees	622110	150162	0	$150,162

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	291572	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$291,572	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1639334	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	379935241	TotalRevenueColumn
Related Or Exempt Function Income	360483761	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	46218	UnrelatedBusinessRevenue
Exclusion	$5,656,770	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	87610	Total
Program Services	87610	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	38392	Total
Program Services	38392	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4148210	Total
Program Services	1816944	ProgramServices
Management And General	2331266	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	145020519	Total
Program Services	131392590	ProgramServices
Management And General	13627929	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10921095	Total
Program Services	9453218	ProgramServices
Management And General	1467877	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18953650	Total
Program Services	16404914	ProgramServices
Management And General	2548736	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7982844	Total
Program Services	6907177	ProgramServices
Management And General	1075667	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	313248	Total
Program Services	0	ProgramServices
Management And General	313248	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	99996	Total
Program Services	0	ProgramServices
Management And General	99996	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	3192	Total
Program Services	0	ProgramServices
Management And General	3192	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1449678	Total
Program Services	19395	ProgramServices
Management And General	1430283	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	524227	Total
Program Services	384145	ProgramServices
Management And General	140082	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	120774	Total
Program Services	11567	ProgramServices
Management And General	109207	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4123799	Total
Program Services	2015163	ProgramServices
Management And General	2108636	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1957671	Total
Program Services	1364766	ProgramServices
Management And General	592905	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	7056694	Total
Program Services	5701809	ProgramServices
Management And General	1354885	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17721977	Total
Program Services	14319358	ProgramServices
Management And General	3402619	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2949404	Total
Program Services	2721737	ProgramServices
Management And General	227667	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Operating Supplies	55190052	54599654	590398
Purchased Services	33221401	22967191	10254210
Provision for Bad Debt	21840196	21840196	0
Repair, Maintenance & Rental	16756843	7630607	9126236
Professional Services	2090116	2090116	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2323807	Total
Program Services	97299	ProgramServices
Management And General	2226508	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	354895395	Total
Program Services	301863848	ProgramServices
Management And General	53031547	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11211	BOY
EOY	11632	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	70226184	BOY
EOY	77635482	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4528253	BOY
EOY	4565558	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40905671	BOY
EOY	47965899	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5126945	BOY
EOY	6449362	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3991008	BOY
EOY	2951771	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	313868389	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	170078555	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	141608590	BOY
EOY	143789834	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	105417405	BOY
EOY	127550069	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4329500	BOY
EOY	8363324	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	376144767	BOY
EOY	419282931	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	42444283	BOY
EOY	30848157	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	151775981	BOY
EOY	179713947	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18597771	BOY
EOY	16654913	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	212818035	BOY
EOY	227217017	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	162554983	BOY
EOY	191651223	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	771749	BOY
EOY	414691	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	163326732	BOY
EOY	192065914	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	376144767	BOY
EOY	419282931	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25039846	ReconcilationRevenueExpenses
Reconcilation Other Changes	3699336	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$3,192	OtherActivitiesAmount
Total Lobbying Expenditures IIB	3192	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	859540	BeginningOfYearBalance
Contributions	50593	Contributions
Investment Earnings Or Losses	101333	InvestmentEarningsOrLosses
Grants Or Scholarships	32167	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	979299	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	762259	BeginningOfYearBalance
Contributions	170668	Contributions
Investment Earnings Or Losses	85016	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	158403	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	859540	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	615256	BeginningOfYearBalance
Contributions	263999	Contributions
Investment Earnings Or Losses	641	InvestmentEarningsOrLosses
Grants Or Scholarships	18520	GrantsOrScholarships
Other Expenditures	99117	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	762259	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2393357	OtherCostOrOtherBasis
Book Value	2393357	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	146117647	OtherCostOrOtherBasis
Depreciation	44957301	Depreciation
Book Value	101160346	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	10308569	OtherCostOrOtherBasis
Depreciation	8277763	Depreciation
Book Value	2030806	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	145591477	OtherCostOrOtherBasis
Depreciation	112579943	Depreciation
Book Value	33011534	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	9457339	OtherCostOrOtherBasis
Depreciation	4263548	Depreciation
Book Value	5193791	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	143789834	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Defined Benefit Plan Liability	$11,234,135
Accrued Insurance Long-term	$5,420,778

Field	Value	IRS element (for citing)
Total Of Amounts	16654913	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SchD_P05_S00_L04	Identifier
Return Reference	Schedule D, Part V, Line 4	ReturnReference
Explanation	Adena Health Foundation Endowment Funds are used to provide scholarships and offset operating expenses of PACCAR Medical Education Center.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Charity Ball	NameOfEvent1
Gross Receipts Event1	18802	GrossReceiptsEvent1
Charitable Contributions Event1	3475	CharitableContributionsEvent1
Gross Revenue Event1	15327	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	1420	RentFacilityCostsEvent1
Food And Beverage Event1	773	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	13134	OtherDirectExpensesEvent1
Name Of Event2	Plant Sale	NameOfEvent2
Gross Receipts Event2	35256	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	35256	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	120	RentFacilityCostsEvent2
Food And Beverage Event2	0	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	35136	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	54058	GrossReceiptsTotal
Charitable Contributions Total	3475	CharitableContributionsTotal
Gross Revenue Total Events	50583	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	1540	RentFacilityCostsTotalEvents
Food And Beverage Total Events	773	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	48270	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	50583	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	0	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18880607	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5463774	DirectOffsettingRevenue
Net Community Benefit Expense	13416833	NetCommunityBenefitExpense
Percent Of Total Expense	0.0403	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58371013	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32842863	DirectOffsettingRevenue
Net Community Benefit Expense	25528150	NetCommunityBenefitExpense
Percent Of Total Expense	0.0766	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	77251620	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38306637	DirectOffsettingRevenue
Net Community Benefit Expense	38944983	NetCommunityBenefitExpense
Percent Of Total Expense	0.1169	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	481448	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	481448	NetCommunityBenefitExpense
Percent Of Total Expense	0.0014	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54505	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	54505	NetCommunityBenefitExpense
Percent Of Total Expense	0.0002	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	535953	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	535953	NetCommunityBenefitExpense
Percent Of Total Expense	0.0016	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	77787573	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38306637	DirectOffsettingRevenue
Net Community Benefit Expense	39480936	NetCommunityBenefitExpense
Percent Of Total Expense	0.1185	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	25000	TotalCommunityBuildingExpense
Net Community Building Expense	25000	NetCommunityBuildingExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	25000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	25000	NetCommunityBuildingExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$9,565,272	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	99139634	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	127405825	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-28266191	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Adena Regional Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	272 Hospital Rd	AddressLine1
City	Chillicothe	City
State	OH	State
ZIP Code	45601	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Adena Regional Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	15	NumberOfOtherFacilities

Other Facilities OtherFacilities (15 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Adena Urgent Care
55 Centennial Blvd	Chillicothe	OH	45601	Ambulatory Care Center
Adena Health Center - Waverly
12340 State Route 104	Waverly	OH	45690	Ambulatory Care Center
Adena Health Center - Jackson
1000 Veterans Drive	Jackson	OH	45640	Ambulatory Care Center
Adena Health Pavilion
4437 State Route 159	Chillicothe	OH	45601	General Medicine and Surgical
Adena Medical Office Building
4439 State Route 159	Chillicothe	OH	45601	Physician Offices
Adena Rehabilitation and Wellness Center
445 Shawnee Lane	Chillicothe	OH	45601	Rehabilitation Center
Adena Counseling Center
455 Shawnee Lane	Chillicothe	OH	45601	Counseling Center
Adena Hospice and Home Health
111 W Water Street	Chillicothe	OH	45601	Hospice and Home Health Care
Adena Family Medicine - Greenfield
Physician Offices	Greenfield	OH	45123	Physician Offices
Adena Pickawy-Ross Family Physicians
100 N Walnut Street	Chillicothe	OH	45601	Physician Offices
Adena Ross Urology
8 Medical Drive	Chillicothe	OH	45601	Physician Offices
Adena Family Medicine of Chillicothe
626 Central Center	Chillicothe	OH	45601	Physician Offices
Adena Family Medicine - Oak Hill
315 Washington Street	Oak Hill	OH	45656	Physician Offices
Adena Family Medicine - Circleville
798 N Court Street	Circleville	OH	43113	Physicians Offices
Adena Family Medicine - Washington Court House
1430 Columbus Ave Suite 102	Washington Court House	OH	43160	Physician Offices	Medical Arts Bldg 1

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L03c	Schedule H, Part I, Line 3c	We have inserted the wording from our consolidated financial statements that deals with charity care. "The System provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the System does not pursue collection of amounts determined to qualify as charity care, they are not reported as net patient revenue. Beginning in January 2008, the System began allocating charity write-offs based on an "ability to pay". This determination was derived from an analysis prepared by one of the System's collection vendors. From this analysis, management was able to determine that collections on patient accounts from guarantors with credit scores below a certain level was extremely doubtful and could be assumed to be a result of inability to pay rather than unwillingness to pay. The System began allocating those claims to the charity category." The credit scoring is only applicable to hospital charges and is not used for professional fee obligations.
SchH_P01_S00_L04	Schedule H, Part I, Line 4	While there is no written policy to handle the resolution of claims for medical indigent cases, the business office will address the guarantor's needs on a case by case basis.
SchH_P01_S00_L06a	Schedule H, Part I, Line 6a	Annually, Adena Health System provides a Community Benefit Report to the community of Chillicothe listing all system services and accomplishments including community benefit services.
SchH_P01_S00_L07	Schedule H, Part I, Line 7	The cost-to-charge ratio derived from Worksheet 2 was used to convert charges to costs.
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	Bad debt expense was deducted from total operating expenses when calculating the percentages in this column.
SchH_P02_S00_L00	Schedule H, Part II	The hospital supported an economic development initiative which promotes additional business and job creation for the southern Ohio area. This would lead to additional opportunities for the hospital to promote its services to the community.
SchH_P03_S0A_L03	Schedule H, Part III, Section A, Line 3	All self pay claims are turned over to a collection vendor who uses a credit scoring system. If the score is below a certain amount, the claim is considered charity after the patient supplies appropriate documentation. This is why the hospital believes the bad debt at cost reported in Part III Line 2 does not contain any amounts that would be attributable to patients under the hospital's financial assistance policy.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	To derive our cost of bad debt, we followed the cost to charge formula outlined in Worksheet 2 and applied the calculated ratio to the bad debt provision. We do not have separate financial statements for Adena Health System. It is included in the consolidated statements. The billing for Adena Health System is centralized and billing and collection procedures are uniform throughout the system. The footnote in our financial statements includes the following about our bad debt expense and allowance for uncollectibles."An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the System's ability to collect outstanding amounts. Uncollectible accounts are written off against the allowance for doubtful accounts in the period they are determined to be uncollectible."
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	In addition to the hospital's regular Medicare shortfall that would be included on our Medicare Cost Report, we have also included the Medicare Advantage plan results and our professional fees billed to Medicare and Medicare Advantage plans. Our service area is a very rural 13 county area in southern Ohio. The population is an aging population which results in Medicare as our largest payer group.In addition, the economic conditions that result from Appalachian designation create a recruiting issue. To combat this issue, we are forced to not only employ physicians but must pay a premium to get them to agree to serve the area's residents. Based on these issues, we believe serving our Medicare population is a community benefit. Also, the hospital used the methodology required for completing the Medicare Cost Report when determining the amount on Part III - Line 6.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	The System's collection based debt policy clearly states "if agencies identify accounts that qualify for charity care or financial assistance, they are to cease further collection activities and return accounts to Adena Health System for disposition
SchH_P05_S0A_L00	Schedule H, Part V, Section A	Adena Health System is a licensed general medical and surgical hospital with a 24 hour Emergency Department. In addition it offers a wide range of ancillary services for both inpatients and outpatients.
SchH_P05_S0B_L00	Schedule H, Part V, Section B	We chose not to complete this section because it is optional for 2010.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	Adena Medical Center (AMC) in Chillicothe, OH, is one of two hospitals operated by the Adena Health System and served by the Adena Health Foundation. AMC is a 261-bed inpatient facility featuring an emergency department, inpatient rehabilitation unit and medical/surgical, diagnostic and treatment services, as well as family practice and specialty physicians. Adena Health System recently commissioned the Ohio University's Voinovich School of Leadership and Public Affairs to develop a snapshot assessment of the communities served by the health system. Adena also bases need on applications it receives from locally based nonprofit organizations, including schools. A recent ranking of Ohio counties placed eight of the counties in the Adena service area in the bottom quartile for health outcomes, based on mortality and morbidity measures. The same study, prepared by Ohio University's Voinovich School of Leadership and Public Affairs, ranked six of the counties in the bottom quartile for health factors, including health behaviors, clinical care, socioeconomic factors and physical environment. All of the counties in the area fall below the state average of 25.4 physicians per 10,000 people. And in the majority of counties served by Adena, more than 10 percent of families live below the poverty level.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	Part VI - Line 3 - The availability of financial assistance is communicated in the following manner: * Statements from Adena as well as collection vendors explain and list the 100% guidelines on the backside of the statement. * There is signage explaining the program at all the registration areas. * A contracted vendor supplies staff at the Cashier area to explain options available to the patient. * We send an application with the self-pay discount letters in case the patient/guarantor can't set up a payment plan. * The Customer Service staff is educated on all the options and can explain the programs when patients call. * Our physician offices, as well as collection vendors have financial aid applications available. 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
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The Adena Medical Center is a 261-bed inpatient facility 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. Currently under construction on the campus of the medical center is the $21 million, 35,000-square-foot freestanding Adena Cancer Center, which is scheduled to open in late 2011. In October 2010, Adena Medical Center achieved 5-Star ratings from HealthGrades for Chronic Obstructive Pulmonary Disease survival six months after hospitalization, Respiratory failure survival while in the hospital, Respiratory failure survival one month after hospitalization, Respiratory failure survival six months after hospitalization, heart failure survival while in the hospital and heart failure survival six months after hospitalization. A ranking of Ohio counties, which was conducted last year and released this year, placed eight of the counties in the Adena service area in the bottom quartile for health outcomes, based on mortality and morbidity measures. The same study ranked six of the counties in the bottom quartile for health factors, including health behaviors, clinical care, socioeconomic factors and physical environment. All of the counties in the area fall below the state average of 25.4 physicians per 10,000 people. And in the majority of counties served by Adena, more than 10 percent of families live below the poverty level. Adena employs more than 2,400 people and uses a physician-led, patient-centered model of care while working collaboratively with local hospitals and health care organizations. In 2010, nearly 1 million services were provided to patients and the health system is planning for increased patient volumes of up to 30 percent during the next five years.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	Our mission is to be a catalyst for advancing the health of people in the counties we serve, while our vision is to be regionally recognized as beneficial, respected and needs-driven. To do so we provide a number of benefits to our communities. Among those benefits are charity care provided to qualifying patients. In 2010, AMC charity care, based on gross charges, amounted to $29.3 million. Here are other benefits offered to patients in the 13-county region served by Adena, followed by snapshots of some of those offerings: * Free or low-cost health screenings * Staff time and materials for community education effort * Community outreach through illness prevention and health information * Grants to other non-profit and public service organizations * Scholarships for students and teachers * Financial assistance to schools to promote student health * Community Benefit program expenses Additionally, Adena Health System sponsored eight school districts at the 2010 Coordinated School Health Conference, including Greenfield Village Exempt Schools in the market area served by GAMC. School districts that participated in the conference completed an action plan and developed a goal that would impact a significant health issue within the school district. The plans included action steps, timelines, needed resource needs and evaluation process, with implementation during the 2010-2011 school year.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	The Adena Medical Center is a 261-bed inpatient facility 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. Currently under construction is the $21 million, 35,000-square-foot freestanding Adena Cancer Center, which is scheduled to open in late 2011. In October 2010, Adena Medical Center achieved 5-Star ratings from Health Grades for Chronic Obstructive Pulmonary Disease survival six months after hospitalization, Respiratory failure survival while in the hospital, Respiratory failure survival one month after hospitalization, Respiratory failure survival six months after hospitalization, heart failure survival while in the hospital and heart failure survival six months after hospitalization. Here's snapshot of the other facilities: Greenfield Area Medical Center (GAMC): Located in Greenfield, OH, is one of two hospitals operated by the Adena Health System and served by the Adena Health Foundation. GAMC is a 25-bed inpatient facility featuring an emergency department, inpatient rehabilitation unit and medical/surgical, diagnostic and treatment services, as well as family practice and specialty physicians. GAMC is located in Highland County and also serves parts of Fayette and Ross counties. Adena Health Centers: Located in Chillicothe and at regional sites in Circleville, Jackson, Oak Hill, Washington Court House and Waverly, OH, featuring physician offices, diagnostic and treatment services, physical, occupation and speech therapies. Urgent care services are offered in Chillicothe and Waverly. Adena Home Care and Hospice: Provides highly personalized, quality care to patients of four service lines -- home health, hospice, home respiratory and home infusion. Adena Rehabilitation and Wellness Center: Provides physical, occupational, massage and industrial rehabilitation, as well as orthopaedics, 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. They include offices for family physicians, endocrinologists, gerontologists and urologists.
SchH_P06_S00_L07	Schedule H, Part VI, Line 7	Adena Health System complied with the Ohio Hospital Association's request for data, but we did not file our Community Benefit Report with anyone.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance
Economic DevelopmentAlliance of Southern Ohio
45 East Main Street	Chillicothe	OH	45601	203786756	501(c)(3)	25000	Book	To help the developement of jobs for Southern Ohio.
Adena Mansion & Gardens Society
848 Adena Road	Chillicothe	OH	45601	271330314		10100		Sponsorship to help manage the Adena historical mansion.	0
Vinton County Local School District
307 West High Street	McArthur	OH	45651	310714641	501(c)(3)	10000	Book	To help support programs for the benefit of students.
Chillicothe Education Foundation
45 East Main Street	Chillicothe	OH	45601	311480939	501(c)(3)	9000	Book	To help students develop into future highly effective workers and managers.
Vinton County Health Department
31927 St Rt 93	McArthur	OH	45651	316400088	501(3)(c)	6231	Book	Educate Children to understand proportions and serving sizes and to make healthier food choices.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	45	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	The Franklin Fund is money left to Adena Health System for the purpose of paying the healthcare bills of patients who meet certain qualifications.	TypeOfGrant
Number Of Recipients	19	NumberOfRecipients
Amount Of Cash Grant	38392	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	Gross Charges	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	Each grantee is required to submit 2 progress reports and a final report with an accounting for the use of funds. In addition to progress reports, Community Health staff visit each grantee at least twice during the project period. Summary reports are prepared for the for the Health System's Board of Trustees.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jack Berno
288589	0	8173	0	9217	0	9989	0	0	0	315968	0	0	0
Doug Folzenlogen
308065	0	9176	0	8286	0	35093	0	0	0	360620	0		0
Allen Shaw
239252	0	0	0	7860	0	16018	0	0	0	263130	0	0	0
Mark Shuter
532750	0	72002	0	111770	0	23953	0	22827	0	763302	0	0	0
Keith Coleman
309798	0	42337	0	2700	0	25363	0	20964	0	401162	0	0	0
Karen Bolton
178904	0	24767	0	2280	0	16419	0	13135	0	235505	0	0	0
Marcus Bost
146988	0	21889	0	15516	0	23691	0	6711	0	214795	0		0
John Fortney
319013	0	49008	0	8405	0	24607	0	0	0	401033	0		0
Jeff Graham
214375	0	29009	0	2340	0	19704	0	17251	0	282679	0	0	0
Denise Minor
160686	0	10801	0	314	0	23731	0	3895	0	199427	0	0	0
Barbara Purdom
201588	0	27648	0	2103	0	25568	0	8612	0	265519	0	0	0
Patricia Roam
129664	0	7680	0	12840	0	11351	0	3688	0	165223	0	0	0
Faitha Shelton
136680	0	15856	0	153	0	24071	0	9028	0	185788	0	0	0
Elisabeth Williams
191944	0	21060	0	2333	0	25188	0	8950	0	249475	0	0	0
Brian Cohen
2442254	0	0	0	8460	0	26757	0	0	0	2477471	0		0
Matt Cosenza
899964	0	2500	0	9144	0	16393	0	0	0	928001	0		0
Rob Bradley
1035759	0	0	0	8558	0	35137	0	0	0	1079454	0		0
James Fleming
903294	0	12788	0	6663	0	35137	0	0	0	957882	0		0
John Young
842543	0	13333	0	33277	0	13171	0	0	0	902324	0	0	0
Rachel Rhude
0	0	0	0	156173	0	0	0	4663	0	160836	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	Adena Health System provides for a membership to the local Country Club for all Officers and Key Employees. This benefit is taxed.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Rachel Rhude the former Chief Nursing Officer received severence pay.The severance agreement included 12 months of compensation with an additional guarantee of 6 months if not employed at the end of 12 months.
SchJ_P01_S00_L06	Schedule J, Part I, Line 6	Schedule J, Part I, Line 6 - The Adena Health System Management Incentive Plan was established to communicate strategic performance priorities to the management team and to encourage the highest level of performance in the delivery of health care services. The Incentive Award is funded by an Incentive Pool based upon Margin Percentage recommended by Management and approved by the Executive Compensation Committee. The Incentive Pool shall be based upon the percentage of "salary at risk" and number of participants for each eligibility level. Prior to the beginning of each Plan Year, organizational goals shall be developed to support and further the accomplishments of the System's mission, strategic plan, financial goals and business outcomes. At the end of each Plan Year, Management, with the support of the CFO and CHRO shall submit a report summarizing the performance level of the System and the recommended funding level for the Incentive Pool. This proposal is approved by the Executive Compensation Committee.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
County of Ross Ohio
316400085	778260EX3	2008-09-17	141346983	Restructuring 2001 and 2006 Issues	0	0	0
County of Ross Ohio
316400085		2010-09-15	29985000	Cancer Care Building and additional Cath Lab	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
200000	0	196848510	10920538	0	0	1366439	487668	0	55557232	0	0	2010	1	0	1	1
0	0	30012389	0	0	0	411604	0	0	1803746	0	27797040	2012	0	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	0	0	1	0	0	0	1
0	0	0	0	1	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
Bayerische Landesbank
0	0	0	1	3	1	0	0
(no name)
0	1	0	0			0	0

Form990 Schedule K Part V Form990ScheduleKPartV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchK_P02_S00_L03	Schedule K, Part II, Line 3	This represents the original issue, plus the unused proceeds from issue 2006, plus investment earnings through December 31, 2010.
SchK_P02_S00_L06	Schedule K, Part II, Line 6	The 2001 and 2006 issues were refunded on October 29, 2008. This was $116,560,000 of principal and $149,427 of interest.
SchK_P02_S00_L11	Schedule K, Part II, Line 11	$11,750,000 of issue was used to pay off qualified hedges in the 2001 and 2006 Bonds.
SchK_P03_S00_L02	Schedule K, Part III, Line 2	The System leases approximately 300 square feet to a for profit company that operates a coffee kiosk. This is considered deminimis space and so 0% is in line 4 of part III.
SchK_P04_S00_L04a	Schedule K, Part IV, Line 4a	The proceeds invested in a GIC were from the 2006 issue. The unused portion was transferred to the 2010 issue. The GIC matured in July 2009, 36 months after the 2006 issue.

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Matt Cosenza
Sign-on bonus	X	$7,500	1827	0	1	1
Doug Folzenlogen
Sign-on bonus	X	$25,000	9286	0	1	1
John Young
Sign-on bonus	X	$40,000	23590	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	34703	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Steve Burkhardt
Officer of Horizon Chillicothe Telephone Company	954009	Business Vendor	0
Jennifer White
Daughter in-law of Board member Tom White	100873	Employee compensation	0
Robin Berno
Spouse of Director Jack Berno	90630	Employee compensation	0
Dean Kuchta
Spouse of Key Employee Karen Bolton	73758	Employee compensation	0
Kristen Davis
Daughter of COO Jeff Graham	40395	Employee compensation	0
Jennifer Strickland
Spouse of Board member David Strickland	26628	Employee compensation	0
Roger Nusbaum
Son of Board member Tim Nusbaum	25904	Employee compensation	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	The organization is composed of 9 member churches. All of the churches are in the Chillicothe, Ohio area.
F990_P06_S0A_L07a	Form 990, Part VI, Section A, Line 7a	The corporate member churches may only elect one person per church to act as their Trustee. The Trustee 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."
F990_P06_S0A_L07b	Form 990, Part VI, Section A, Line 7b	Section 2.04 Rights of the Corporate Members: (a). The right to elect nine trustees of the Corporation as specified in these Bylaws. (b) The right to approve any lease, sale exchange, transfer,or other disposition of all or substantially all of the assets of the Corporation. (c). The right to approve any proposed merger or consolidation of the Corporation. (d). The right to approve any proposed dissolution of the Corporation. (e).The right to approve any proposed change to the fundemental purpose of the corporation as stated in Section 1.01. (f).The right to approve any proposed amendments to the Code of Regulations.
F990_P06_S0B_L11a	Form 990, Part VI, Section B, Line 11a	The 990 was reviewed with the trustees at a board meeting prior to filing. Each board member was provided with a copy of the 990.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The Corporate Compliance Office of Adena Health System annually coordinates the distribution and return of the conflict of interest statements. The Corporate Compliance Officer 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. Conflict Board members abstain from voting on the particular items. All Adena Health System employees are subject to the Conflict of Interest policy.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Compensation is determined through market surveys on all executives(including CEO). The market surveys are conducted by a 3rd party- Mercer. Mercer makes recommendations to the Executive Compensation Committee which is a subcommittee of the board. The CEO is not present for the CEO recommendation for integrity purposes. The Executive Compensation Committee approves the salary and all aspects of compensation. The Chief Human Resources Officer works with the Human Resources department to implement any changes. The CEO contract is a 8 year contract. The Committee reviews and approves all aspects of the contract which must be approved and signed by all parties prior to processing the changes.The process was last undertaken in April 2010.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The organization prepares an annual report to the public which includes its statement of revenues and expenses. Additionally, its governing documents and conflict of interest policy is available upon request. The financial statements are not available.
F990_P11_S00_L05	Form 990, Part XI, Line 5	1. Pension-related Changes Other than Net Periodic Cost (565,139). 2. Change in unrealized investment 5,334,582. 3. The Women's Board /VAC financial information is included in this 990. The excess of revenue over expenses was (109,643). 4.Restricted Funds financial information is included in the 990.The excess of revenue over expenses was (357,058). 5.Contributions from Adena Health Foundation (603,406).

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Adena Medical Group LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	Dept L637	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43260	ZIPCode

Field	Value	IRS element (for citing)
EIN	271370967	EIN
Primary Activities	Healthcare providers	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Total Income	-22804100	TotalIncome
EOY Assets	7929097	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Adena Health System	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Greenfield Area Medical Center
550 Mirabeau St	Greenfield	OH	45123	310993422	Hospital	OH	501(c((3)	3	N/A	1
Adena Health Foundation
272 Hospital Road	Chillicothe	OH	45601	753008742	Foundation	OH	501(c)(3)	11a	N/A	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Southern Ohio Healthcare Network	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 Hospital Road	AddressLine1
City	Chillicothe	City
State	OH	State
ZIP Code	45601	ZIPCode

Field	Value	IRS element (for citing)
EIN	261566590	EIN
Primary Activity	Fiberoptic network grants	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Adena Health Foundation
c	603406	Cash
Greenfield Area Medical Center
l	3005147	Medicare cost report allocation method, estimate of fmv.
Greenfield Area Medical Center
m	24000	Medicare cost report allocation method.
Adena Health Foundation
p	252843	Actual operating cost funded by.
Greenfield Area Medical Center
c	12907839	Book Value of liability forgiven.
Greenfield Area Medical Center
q	11412770	Book Value of liability forgiven.
Greenfield Area Medical Center
r	14851536	Book Value of liability forgiven.