2023-11-14T13:14:05-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 311072406 PIKE HEALTH SERVICES INC PIKE 7409472186 100 DAWN LANE WAVERLY OH 45690 JAMES P MCMANUS CFO 7409472186 2023-11-13 1 JAMES MCMANUS 999009999 0 AMY CIMINELLO P00796388 6148493000 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADENA PIKE MEDICAL CENTER DAVE ZANNI 100 DAWN LANE WAVERLY OH 45690 30476338 0 X WWW.ADENA.ORG X 1983 OH PIKE HEALTH SERVICES, INC. IS HIGH QUALITY, COMPASSIONATE HEALTHCARE ORGANIZATION. PIKE HEALTH SERVICES IS ACCESSIBLE TO THE COMMUNITY, COMMITTED TO EXCELLENCE, RESPECTFUL OF EACH INDIVIDUAL, AND FOUNDED ON SERVICE TO OTHERS. 10 9 245 18 0 0 122108 877018 30577637 29522501 2204 728 65857 76091 30767806 30476338 0 0 0 0 12866276 13939902 0 0 0 15202590 15414722 28068866 29354624 2698940 1121714 15323530 16326389 5046754 4347386 10276776 11979003 X CALLED TO SERVE OUR COMMUNITIES 0 0 25155777 29529113 PIKE HEALTH SERVICES, INC. IS A 25- BED CRITICAL ACCESS HOSPITAL LOCATED IN THE STATE OF OHIO IN PIKE COUNTY. IN 2022, PIKE HEALTH SERVICES, INC. SERVICED 545 INPATIENT DISCHARGES AND 10,774 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 VISITING PHYSICIAN SPECIALISTS FROM ADENA HEALTH SYSTEM TO SEE PATIENTS AT A DESTINATION CLOSER TO THEIR HOMES. THESE INCLUDE GENERAL SURGEONS, ONCOLOGISTS, UROLOGISTS, AND GYNECOLOGISTS. 25155777 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 245 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X JEFF CRAFT VP SYSTEM FINANCE 7407794481 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 DAVID KESSLER TRUSTEE/CHIEF OF MEDICAL STAFF 2.00 50.00 X 0 333420 20056 ANTHONY FISH TRUSTEE/CHAIR 2.00 2.00 X X 0 0 0 VAL FRANCIS TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 CONNIE SHELLEY TRUSTEE 2.00 0.00 X 0 0 0 JOSH REMY TRUSTEE 2.00 0.00 X 0 0 0 JUDY SCHMITT TRUSTEE 2.00 0.00 X 0 0 0 PAUL ADKINS TRUSTEE 2.00 0.00 X 0 0 0 RENEA GREGORY TRUSTEE 2.00 0.00 X 0 0 0 TONY DIXON TRUSTEE 2.00 0.00 X 0 0 0 KIM ROE TRUSTEE 2.00 0.00 X 0 0 0 JEFF GRAHAM AHS CEO 1.00 53.00 X 0 1178750 88919 KATHERINE EDRINGTON AHS COO 1.00 53.00 X 0 696085 41744 LISA CARLSON AHS CFO-PART YEAR 1.00 53.00 X 0 619618 50481 DAVE ZANNI SENIOR OPERATIONS EXECUTIVE OFFICER 50.00 0.00 X 243018 0 21630 JAMES MCMANUS AHS CFO 1.00 53.00 X 0 314210 19615 CHERYL SMITH PHARMACIST 40.00 0.00 X 174071 0 10691 JASON LOUTSENHIZER PHARMACIST 45.00 0.00 X 155601 0 24543 BRANDY STRAIN DIRECTOR OF NURSING 45.00 0.00 X 132480 0 21481 ANDREW BAUER DIRECTOR OF OPERATIONS 45.00 0.00 X 119703 0 28881 ROBERTA L KEATON RESPIRATORY THERAPIST 40.00 0.00 X 117148 0 19899 942021 3142083 347940 6 0 1 0 PREMIER PHYSICIAN SERVICES 332 CONGRESS PARK DRIVE DAYTON OH 45459 PHYSICIAN SERVICES 1385351 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 699908 PSYCHIATRIC MEDICAL CARE PO BOX 734606 DALLAS TX 75373 GER-PSYC COUNSELING 429024 CAPTIVE RADIOLOGY 6273 FRANK AVENUE NW NORTH CANTON OH 44720 MRI SERVICES 382495 MEDCARE AMBULANCE 3699 PARAGON DRIVE COLUMBUS OH 43228 PHYSICIAN SERVICES 345610 7 40041 796935 40042 877018 NET PATIENT SVC REV 622110 29522501 29522501 29522501 728 728 6612 0 6612 6612 6612 CAFETERIA REVENUE 722514 69479 69479 69479 30476338 29529113 0 70207 304163 246226 57937 10795802 8744600 2051202 2275260 1840685 434575 564677 456824 107853 827805 795521 32284 441147 350271 90876 6362 3315 3047 1134019 826700 307319 109345 82337 27008 MEDICAL SUPPLIES 5636882 5309943 326939 CORPORATE OVERHEAD ALLO 3985522 3754362 231160 BAD DEBT EXPENSE 1723796 1723796 FRANCHISE FEES 859976 810097 49879 689868 211100 478768 29354624 25155777 4198847 0 1612271 1844047 3432446 4562325 210443 355374 646325 686153 17267639 10034149 7735045 7233490 1687000 1645000 15323530 16326389 742905 1391849 1536318 885826 2767531 2069711 5046754 4347386 X 10274009 11975930 2767 3073 10276776 11979003 15323530 16326389 X 1121714 580513 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 837 837 0 PART II-B, LINE 1: 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. 350000 350000 8238856 3597217 4641639 8204679 6114011 2090668 474104 322921 151183 7233490 GROUND LEASE 1645000 1645000 COST REPORT SETTLEMENTS PAYABLE 1877882 CAPITAL LEASE OBLIGATION 191829 2069711 1 1 X 1 X 1 X 1 1 1 0 1 1 540770 1290170 0 0.00000 7090446 4029740 3060706 0.11080 7631216 5319910 3060706 0.11080 9980 9980 0.00040 1266117 1266117 0.04580 1276097 1276097 0.04620 8907313 5319910 4336803 0.15700 0 1723796 0 13790004 14021771 -231767 X 1 1 1 1 PIKE HEALTH SERVICES INC 100 DAWN LANE WAVERLY OH 45690 WWW.ADENA.ORG ST. REG. NUM. 1299 X X X X PIKE HEALTH SERVICES INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW X X 1 22 1 HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/ X HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/ X HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/ X X X X X X 1 X 0 X X X X 1 X 0 0 PIKE HEALTH SERVICES, INC. PART V, SECTION B, LINE 5: 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 ROSS 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. PIKE HEALTH SERVICES, INC. PART V, SECTION B, LINE 6A: THE CHNA FOR ADENA PIKE MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: ADENA HEALTH SYSTEM. PIKE HEALTH SERVICES, INC. PART V, SECTION B, LINE 6B: THE CHNA FOR ADENA PIKE MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS: PIKE COUNTY GENERAL HEALTH DISTRICT, ADENA HEALTH SYSTEM, 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. PIKE HEALTH SERVICES, INC. PART V, SECTION B, LINE 7D: THE CHNA WAS MADE AVAILABLE IN ELECTRONIC FORM THROUGH SOCIAL MEDIA, NEWSPAPER AND RADIO 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. PIKE HEALTH SERVICES, INC. PART V, SECTION B, LINE 11: THE FOLLOWING DETAILS THE SPECIFIC IMPLEMENTATION STRATEGIES USED FOR HEALTH PRIORITIES IDENTIFIED FOR THE ADENA PIKE MEDICAL CENTER. THE FOLLOWING OUTLINES THE EFFORTS THAT WERE INITIATED IN 2022.SUBSTANCE USE DISORDER ADVOCACYADENA HEALTH SYSTEM HAS THREE EMPLOYEES WHO EACH DEDICATED A MINIMUM TOTAL OF TWO HOURS A MONTH TO PARTICIPATING IN PIKE COUNTY HEALTH DRUG COALITION MEETINGS AND COORDINATING PROJECTS FOR THE GROUP IN 2022. PROGRAMMING & INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 5 WOMEN (FROM MULTIPLE COUNTIES INCLUDING PIKE) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING IN 2022. IN ADDITION, PARTICIPANTS WERE PROVIDED RESOURCE REFERRALS, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS. A TOTAL OF 5 COMPLETED THE PROGRAM. A TOTAL OF 289 MOTHERS HAVE BEEN SUPPORTED BY THE PROGRAM SINCE 2014. THE PROGRAM HAS BEEN RECOGNIZED WITH MULTIPLE AWARDS, INCLUDING:NATIONAL AWARDS "PROGRAM OF PROMISE" BY NATIONAL HOSPITAL CHARITABLE SERVICES. "A BEST PRACTICE SITE" BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' CENTERS FOR MEDICARE AND MEDICAID SERVICE (CMS) MEDICATION MANAGEMENT AND OPIOID SUPPORT TEAM (1 OF ONLY 3 IN OHIO). RECOGNIZED BY CONGRESSMAN STEVE STIVERS ON THE FLOOR OF THE US. HOUSE OF REPRESENTATIVES, "AS A MODEL THAT OTHER COMMUNITIES SHOULD REPLICATE". FEATURED IN THE EMMY NOMINATED DOCUMENTARY SHORT BY "FAULT LINES": HEROIN'S CHILDREN: INSIDE THE US OPIOID CRISIS. STATE AWARDS THE OHIO SENATE HAS RECOGNIZED THE PROGRAM TWICE FOR THE CREATION OF THE ADENA BABY-CENTERED CLOSET. THE OHIO STATE SENATE ALSO RECOGNIZED THE PROGRAM FOR ITS WORK WITH MEDICAID PATIENTS. THE OHIO LACTATION ASSOCIATION RECOGNIZED ONE OF THE PROGRAM'S FACILITATORS "AS MOST BREASTFEEDING SUPPORTIVE HEALTH PROFESSIONAL IN OHIO".COMMUNITY AWARDS THE PROGRAM RECEIVED A COMMUNITY AWARD FROM OHIO CAN-ROSS COUNTY-2019 STEPS OF CHANGE FOR THE IMPACT THE PROGRAM MADE IN A YOUNG WOMAN'S LIFE. PAINT VALLEY ADAMH BOARD NAMED ONE OF THE PROGRAM'S FACILITATOR A ROSS COUNTY RECOVERY CHAMPION. THE HOPE PARTNERSHIP PROJECT NAMED OF THE PROGRAM'S FACILITATORS PROVIDER OF THE YEAR IN 2021.FINANCIAL SUPPORT AND CLINICAL ALIGNMENTTHE ADENA HEALTH SYSTEM PROVIDED $5,000 TO SUPPORT THE ADAMH ANNUAL RECOVERY CELEBRATION DINNER, HONORING THOSE WHO WORK TO PREVENT, TREAT AND SUPPORT RECOVERY FOR THOSE IN ROSS, HIGHLAND, FAYETTE, PIKE AND PICKAWAY COUNTIES.THE ADENA HEALTH SYSTEM PROVIDED $2,000 OF SUPPORT THE PIKE COUNTY POST OVERDOSE RESPONSE TEAM WHICH PROVIDES OUTREACH AND HARM REDUCTION SUPPLIES TO OVERDOSE VICTIMS AND THEIR FAMILIES. OBESITY AND DIABETESADVOCACYADENA HEALTH SYSTEM HAS TWO EMPLOYEES WHO EACH DEDICATED A TOTAL OF FIVE HOURS EACH TO DEVELOP AND HELP DISTRIBUTE A FRESH FOOD AND ACTIVITY GUIDE FOR PIKE COUNTY. THE PIKE COUNTY HEALTH DEPARTMENT AND THE PIKE HEALTHY LIVING INITIATIVE (PHLI) HELPED DISTRIBUTE THE GUIDE. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM 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 SYSTEM PARTNERED WITH THE WAY FARMS AND THE PIKE COUNTY OSU EXTENSION TO FUND THE FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED 28 INDIVIDUAL ADENA PATIENTS AND COMMUNITY SNAP BENEFICIARIES A TOTAL OF $420 OF FRESH FRUITS AND VEGETABLES.RESPIRATORY ISSUESADVOCACYADENA HEALTH SYSTEM HAS THREE EMPLOYEES WHO EACH DEDICATED A TOTAL OF TWO HOURS PER MONTH EACH TO COORDINATE THE PIKE COUNTY TOBACCO PREVENTION COALITION. THE TEAM LEAD THE DEVELOPMENT OF A SMOKING CESSATION RESOURCE BOOKLET AND SMOKE FREE WORKPLACE KITS FOR LOCAL BUSINESSES. THE COALITION PARTNERED WITH THE LOCAL CHAMBER OF COMMERCE TO MAKE THE RESOURCES AVAILABLE TO THE BROADER PUBLIC. ADENA HEALTH SYSTEM SPENT $742 TO HAVE THE RESOURCES PUBLISHED PROGRAMMINGADENA HEALTH SYSTEM CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2022. THE CLINIC PROVIDED A TOTAL OF 43 PATIENTS SERVED IN 3 PHARMACY LOCATIONS IN ROSS COUNTY, (CHILLICOTHE), PIKE COUNTY (WAVERLY) AND JACKSON COUNTY (JACKSON) WITH TOBACCO CESSATION COUNSELING ACROSS 78 VISITS. CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,440 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2022 WHICH RESULTED IN 36 POSITIVE CANCER FINDINGS. DATA FROM 2013 THROUGH 2021 DEMONSTRATES A HIGHLY INCREASED RATE OF FINDING LUNG CANCERS AT STAGE 1, WITH RATES OF DEATH DECLINING DUE TO EARLY INTERVENTION AND TREATMENT. MENTAL HEALTHPROGRAMMINGTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 472 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY NET AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $231,061 IN 2022. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS COUNTY, PIKE COUNTY, FAYETTE COUNTY AND HIGHLAND COUNTY. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO 67 CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS AND OTHER SOCIAL NEEDS. FINANCIAL SUPPORTADENA PIKE MEDICAL CENTER PROVIDED A TOTAL OF $500 TO SUPPORT THE PIKE COUNTY SUICIDE PREVENTION COALITION'S COLOR RUN, WHICH RAISES FUNDS TO SUPPORT MENTAL HEALTH ADVOCACY AND OUTREACH. IN ADDITION, ADENA CAREGIVERS VOLUNTEERED AND PARTICIPATED IN THE EVENT. CHILD SAFETY & WELLNESSPROGRAMMINGTHE ADENA HEALTH SYSTEM PROVIDED OVER $800,000 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 14 LOCAL PUBLIC HIGH SCHOOLS WITHIN SIX COUNTIES, ROSS, PIKE, FAYETTE, HIGHLAND, JACKSON, PICKAWAY, SERVICE REGION IN 2022. AN ADDITIONAL $40,000 IN MEDICAL SUPPLIES WAS PROVIDED AS PART OF THESE SERVICES. 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 STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO 1,235 STUDENTS IN HIGHLAND, FAYETTE, JACKSON, PICKAWAY, PIKE, AND ROSS COUNTIES. IN 2021, ADENA HEALTH SYSTEM PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. IN 2022, ADENA HEALTH SYSTEM COMMUNITY HEALTH AND DEVELOPMENT EXPANDED THE PROGRAM AND PROVIDED A 1.0 FTE VALUED AT $101,608 TO WORK WITH FOUR ROSS COUNTY SCHOOL DISTRICTS, ONE PIKE COUNTY SCHOOL DISTRICT, ONE FAYETTE COUNTY SCHOOL DISTRICT AND ONE HIGHLAND COUNTY SCHOOL DISTRICT TO COMPLETE SCHOOL NEEDS ASSESSMENTS AND DEVELOP SCHOOL WELLNESS STRATEGIC PLANS. 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. ADENA HEALTH SYSTEM PARTNERED WITH THE GARNET A. WILSON PUBLIC LIBRARY TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, PART OF THE BOOKWORM SUMMER READING PROGRAM. A TOTAL OF 510 PIKE COUNTY RESIDENTS - 330 CHILDREN AND 180 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 $7,394 WAS SPENT ON REWARD PRIZES FOR PARTICIPANTS IN ROSS, FAYETTE, HIGHLAND AND PIKE COUNTIES. FINANCIAL SUPPORTADENA WOMEN'S & CHILDREN'S CENTER: ADENA HEALTH SYSTEM PROVIDED SLEEP SACKS FOR THE 1,279 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2022, VALUED AT $12,777. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE AND HIGHLAND. IN ADDITION, A TOTAL OF 1 PORTABLE CRIB, VALUED AT $75 WAS PROVIDED FOR A FAMILY WITHOUT A BED FOR THEIR BABY PRIOR TO LEAVING THE HOSPITAL.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 SYSTEM. PART V, SECTION B, LINE 11 CONTINUED RONALD MCDONALD HOUSE: ADENA PROVIDED $3,000 TO SUPPORT THE RONALD MCDONALD HOUSE CHARITIES. THE RONALD MCDONALD HOUSE AT NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS, OHIO PROVIDED OVER 500 NIGHTS OF STAY FREE OF CHARGE TO PARENTS OF CHILDREN FROM ROSS, PIKE, HIGHLAND AND FAYETTE COUNTIES WHO NEEDED SPECIALTY CARE NOT AVAILABLE IN THEIR HOME COUNTY. NEWSPAPERS IN EDUCATIONA TOTAL OF $1,200 WAS PROVIDED TO SUPPORT THE ADDITION OF THE LOCAL PIKE NEWS WATCHMAN PROGRAMMING AND READING MATERIALS TO PIKE COUNTY SCHOOLS. 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 RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2022 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. A TOTAL OF 4,356 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON), MADE A TOTAL OF 11,984 VISITS TO THE TWO CLINICS IN 2022. 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. THESE INCLUDED: OVER $3,360 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN FAYETTE, ROSS, HIGHLAND AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE. A TOTAL OF $2,150 TO SUPPORT LOCAL PIKE COUNTY YOUTH SPORTS LEAGUES AND FACILITIES. A TOTAL OF $1,500 IN SUPPORT OF THE GUS MACKER TOURNAMENT LED BY COMMUNITY ACTION OF PIKE COUNTY TO SUPPORT THEIR PROGRAMS FOR AT RISK FAMILIES. IN ADDITION, ADENA CAREGIVERS VOLUNTEERED FOR THE EVENT. A TOTAL OF $895 WAS PROVIDED TO SUPPORT THE WAVERLY POLICE DEPARTMENT OPERATIONS AND THEIR NATIONAL CHILD SAFETY COUNCIL PROGRAMMING. A TOTAL OF $19,450 WAS PROVIDED TO THE PIKE COUNTY AGRICULTURAL ASSOCIATION TO SUPPORT THE 2022 PIKE COUNTY FAIR, ITS MARKET PROGRAM AND 4H BOOKS FOR PARTICIPANTS. ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH SYSTEM CONTINUED IT'S MORE THAN 25 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2022 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 $63,374 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 PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2022. A TOTAL OF 10 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED 215 HOURS OF CARE AT HOPE CLINIC IN 2022. A TOTAL OF 283 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE AND VALUED AT $1,055,751. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. THE CLINIC IS LOCATED IN CHILLICOTHE, OH AND SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $29,616 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY (SERVING 1,284 PATIENTS IN 2022) AND MEDICAL RESOURCE SYSTEM ELSEVIER. AN ADDITIONAL $3,250 WAS ALSO PROVIDED TO SUPPORT GENERAL FUNDRAISING CAMPAIGN FOR SERVICES. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/PIKE COUNTY HEALTH COALITION: ADENA HEALTH SYSTEM COLLABORATES WITH THE PIKE COUNTY HEALTH DEPARTMENT TO HOST 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 SYSTEM HAD A TOTAL OF FOUR ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2022 TO CONTRIBUTING TO THE PIKE COUNTY HEALTH COALITION'S TOBACCO CESSATION AND PREVENTION COMMITTEE, INCLUDING COORDINATION, PUBLICATION AND DISTRIBUTION OF A COMMUNITY RESOURCE GUIDE FOR TOBACCO CESSATION. IN ADDITION, ADENA HEALTH SYSTEM PROVIDED $6,000 IN FINANCIAL SUPPORT TO CONTRACT THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO COLLECT AND VALIDATE PUBLIC HEALTH DATA THAT WAS UTILIZED TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENTS IN HIGHLAND, PIKE AND ROSS COUNTIES IN 2022. THESE WERE COMPLETED IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS IN EACH OF THESE COUNTIES. PART V, LINE 7A HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW PART V, LINE 16A, FAP HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE 1 1 - ADENA FAMILY MEDICINE - PIKETON 100 INDIAN RIDGE DRIVE PIKETON OH 45661 PHYSICIAN OFFICES PART I, LINE 7: THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $1,723,796 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN. PART III, LINE 2: THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS. PART III, LINE 4: 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." PART III, LINE 8: MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.PIKE HEALTH SERVICES USED THE MEDICARE ALLOWABLE COSTS PER ITS 2022 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. PART III, LINE 9B: 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. PART VI, LINE 3: 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. PART VI, LINE 4: 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 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%. PART VI, LINE 5: ADENA PIKE MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH A LOCAL BOARD. THE 2020 BOARD OF TRUSTEES OF ADENA PIKE MEDICAL CENTER WAS COMPRISED OF NINE MEMBERS. ONE OF THE BOARD MEMBERS IS AN EMPLOYEE OF ADENA HEALTH SYSTEM. ALL BOARD MEMBERS RESIDE IN THE HOSPITAL'S SERVICE AREA. PART VI, LINE 6: 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. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 JEFF GRAHAM AHS CEO 0 925582 0 250303 0 2865 0 24920 0 63999 0 1267669 0 250203 KATHERINE EDRINGTON AHS COO 0 561061 0 132159 0 2865 0 15921 0 25823 0 737829 0 132059 LISA CARLSON AHS CFO-PART YEAR 0 415123 0 136007 0 68488 0 18980 0 31501 0 670099 0 202646 DAVID KESSLER TRUSTEE/CHIEF OF MEDICAL STAFF 0 239473 0 93947 0 0 0 14341 0 5715 0 353476 0 0 JAMES MCMANUS AHS CFO 0 291710 0 22500 0 0 0 7246 0 12369 0 333825 0 0 DAVE ZANNI SENIOR OPERATIONS EXECUTIVE OFFICER 198329 0 39849 0 4840 0 9209 0 12421 0 264648 0 39516 0 CHERYL SMITH PHARMACIST 173871 0 200 0 0 0 8036 0 2655 0 184762 0 0 0 JASON LOUTSENHIZER PHARMACIST 155601 0 0 0 0 0 7498 0 17045 0 180144 0 0 0 BRANDY STRAIN DIRECTOR OF NURSING 113695 0 17485 0 1300 0 3688 0 17793 0 153961 0 17485 0 PART I, LINE 1A 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. PART I, LINE 3 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. PART I, LINE 4B THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2022: LISA CARLSON $259,980 SERP ACCRUAL JAMES MCMANUS $32,295 SERP ACCRUAL THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. PART I, LINE 7 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, SECTION A, LINE 6 THE SOLE MEMBER OF PIKE HEALTH SERVICES IS ADENA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A 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, SECTION A, LINE 7B 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, SECTION B, LINE 11B THE 990 IS PROVIDED TO THE ADENA HEALTH SYSTEM BOARD MEMBERS FOR REVIEW AND APPROVAL BEFORE FILING. ADENA HEALTH SYSTEM IS THE SOLE MEMBER AND THE RETURN IS AVAILABILE VIA THE BOARD PORTAL. 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. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. FRONT LINE SUPERVISORS UP THROUGH THE CEO AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE LEADERSHIP HAVE 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 MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER (TO) FROM RELATED ORGANIZATION 580,513. 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. FORM 990, PART V, LINE 1 A RELATED ORGANIZATION, ADENA HEALTH SYSTEM, ISSUES THE 1099S. GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD OH 45123 310993422 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 FUNDRAISING OH 501(C)(3) 12A ADENA HEALTH SYSTEM 1 SOUTHERN OHIO HEALTHCARE NETWORK 272 HOSPITAL ROAD CHILLICOTHE OH 45601 261566590 FIBEROPTIC NETWORK GRANTS OH 501(C)(3) 12A ADENA HEALTH SYSTEM 1 ADENA HEALTH SYSTEM 272 HOSPITAL ROAD CHILLICOTHE OH 45601 314379443 HOSPITAL OH 501(C)(3) 3 N/A 0 ADENA FAYETTE MEDICAL CENTER 272 HOSPITAL ROAD CHILLICOTHE OH 45601 852985806 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA CARE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 453980850 SEE SCHEDULE R, PART VII OH N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 SCHEDULE R, PART IV, COLUMN (B) THE PRIMARY ACTIVITY OF ADENA CARE IS TO DEVELOP STRATEGIC RELATIONSHIPS TO THE SERVICE AREAS MAJOR EMPLOYERS THROUGH HEALTH MANAGEMENT AND WELLNESS SERVICES.