2024-11-15T11:25:39-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 261566590 SOUTHERN OHIO HEALTHCARE NETWORK SOUT 7407794478 272 HOSPITAL ROAD CHILLICOTHE OH 45601 LISA CARLSON CFO 7407794478 2024-11-14 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-12 2023 2024-10-15 13:58:12Z JAMES P MCMANUS 272 HOSPITAL ROAD CHILLICOTHE OH 45601 149397 0 X SOHCN.ORG X 2007 OH TO CREATE AN INCLUSIVE AND SUSTAINABLE FIBER OPTIC BROADBAND HEALTH CARE NETWORK OPEN TO ALL HEALTH CARE PROVIDERS IN THE SOUTHERN OHIO SERVICE AREA TO IMPROVE THE DELIVERY OF HEALTH CARE IN THE RURAL SOUTHERN OHIO REGION. 7 2 0 2 0 0 0 0 0 0 0 0 170850 149397 170850 149397 0 0 0 0 0 0 0 0 0 927902 869466 927902 869466 -757052 -720069 10063241 9304140 25220 17743 10038021 9286397 X TO CREATE AN INCLUSIVE AND SUSTAINABLE FIBER OPTIC BROADBAND HEALTH CARE NETWORK OPEN TO ALL HEALTH CARE PROVIDERS IN THE SOUTHERN OHIO SERVICE AREA TO IMPROVE THE DELIVERY OF HEALTH CARE IN THE RURAL SOUTHERN OHIO REGION. 0 0 771871 149397 SOHCN HAS FACILITATED AND CONTINUES TO FACILITATE ADDITIONAL GRANT FUNDING FROM THE UNITED STATES DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT, APPALACHIAN REGIONAL COMMISSION, AND FEDERAL COMMUNICATIONS COMMISSION TO DEVELOP A FIBER OPTIC NETWORK AVAILABLE TO HEALTH CARE PROVIDERS IN A THIRTY-FOUR (34) COUNTY REGION OF SOUTHERN OHIO AND IS WORKING ON APPLICATIONS FOR ADDITIONAL FUNDING FROM OTHER FEDERAL, STATE AND PRIVATE SOURCES TO: - DEPLOY BROADBAND TECHNOLOGY TO SUPPORT HEALTH CARE INNOVATION AND GENERAL ECONOMIC DEVELOPMENT; - EXPAND TELEMEDICINE AVAILABILITY; - IMPLEMENT ELECTRONIC HEALTH RECORD SYSTEMS ACROSS A WIDE ARRAY OF PROVIDERS IN THE REGION; - PARTICIPATE AND SUPPORT REGIONAL, STATE AND NATIONAL HEALTH INFORMATION EXCHANGES; - CREATE AND UTILIZE REGION-WIDE PATIENT DATABASES FOR RESEARCH PURPOSES; AND - DEVELOP AND TEST EFFECTIVENESS OF TRIAL PROGRAMS TO IMPROVE HEALTH CARE EFFECTIVENESS AND EFFICIENCY. 771871 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JEFF CRAFT VP SYSTEM FINANCE 7407794481 272 HOSPITAL ROAD CHILLICOTHE OH 45601 JAMIE SMITH PRESIDENT 1.00 53.00 X X 0 344991 83652 JEFFREY CRAFT VP FOR SYSTEM FINANCE - PART YEAR 1.00 50.00 X X 0 264476 41272 ERICA MONCRIEF AHS VP OF INFORMATION TECHNOLOGY 1.00 53.00 X X 0 218446 13493 DOUGLAS PACK TRUSTEE/ENTERPRISE ARCHITECT 1.00 53.00 X 0 139556 20439 RYAN MOUNTJOY VICE PRESIDENT SOHCN 1.00 53.00 X X 0 122599 27965 KRISTEN BARR TRUSTEE 1.00 0.00 X 0 0 0 MARK BRIDENBAUGH TRUSTEE 1.00 0.00 X 0 0 0 JEFF GRAHAM AHS CEO 1.00 53.00 X 0 1010366 58200 JAMES MCMANUS CFO 1.00 53.00 X 0 621511 125944 KATHERINE EDRINGTON AHS COO 1.00 53.00 X 0 621194 32774 LISA CARLSON FORMER - AHS CFO 1.00 53.00 X 0 270056 1020 0 3613195 404759 0 1 1 0 REID CONSULTING 14 WOODSIDE DRIVE ATHENS OH 45701 CONSULTING SERVICES 101944 1 149397 149397 149397 149397 0 0 X 97595 97595 771871 771871 869466 771871 97595 0 36912 49682 10026329 9254458 10063241 9304140 25220 17743 25220 17743 X 10038021 9286397 10038021 9286397 10063241 9304140 X -720069 -31555 X X 0 1 X 1 0 X X 1 ADENA HEALTH SYSTEM 314379443 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 JEFF GRAHAM AHS CEO 0 956818 0 39688 0 13860 0 23080 0 35120 0 1068566 0 0 JAMES MCMANUS CFO 0 547954 0 35472 0 38085 0 74012 0 51932 0 747455 0 29615 KATHERINE EDRINGTON AHS COO 0 605161 0 13933 0 2100 0 17691 0 15083 0 653968 0 0 JAMIE SMITH PRESIDENT 0 305428 0 4328 0 35235 0 48138 0 35514 0 428643 0 34610 JEFFREY CRAFT VP FOR SYSTEM FINANCE - PART YEAR 0 261937 0 0 0 2539 0 13166 0 28106 0 305748 0 0 LISA CARLSON FORMER - AHS CFO 0 28082 0 291 0 241683 0 931 0 89 0 271076 0 241505 ERICA MONCRIEF AHS VP OF INFORMATION TECHNOLOGY 0 217877 0 0 0 569 0 10922 0 2571 0 231939 0 0 DOUGLAS PACK TRUSTEE/ENTERPRISE ARCHITECT 0 139388 0 0 0 168 0 6855 0 13584 0 159995 0 0 RYAN MOUNTJOY VICE PRESIDENT SOHCN 0 117849 0 0 0 4750 0 5432 0 22533 0 150564 0 0 PART I, LINE 3 EXECUTIVE LEADERSHIP AT SOUTHERN OHIO HEALTHCARE NETWORK HAS THEIR COMPENSATION REVIEWED EVERY OTHER 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 SOUTHERN OHIO HEALTHCARE NETWORK MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. THIS PROCESS WAS LAST UNDERTAKEN IN 2023. 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 2023: LISA CARLSON $241,505 SERP EARNINGS JAMIE SMITH $34,610 SERP EARNINGS JAMES MCMANUS $29,615 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $60,232 SERP ACCRUAL JAMIE SMITH $33,790 SERP ACCRUAL FORM 990, PART VI, SECTION A, LINE 6 THE BOARD CONSISTS OF 4 DIRECTORS FROM ADENA HEALTH SYSTEM, 1 DIRECTOR FROM HOLZER HEALTH SYSTEM AND 1 DIRECTOR FROM HOPEWELL HEALTH CENTERS. ADENA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A SOHCN'S BOARD PROVIDES A SLATE OF CANDIDATES TO ADENA HEALTH SYSTEM, WHICH THE ADENA HEALTH SYSTEM BOARD VOTES ON AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 7B NOMINATIONS FOR OFFICER POSITIONS ON THE ORGANIZATION'S BOARD OF DIRECTORS MUST BE APPROVED BY THE BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM. 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. FRONT LINE SUPERVISORS UP THROUGH THE CEO, ADVANCED PRACTICE CLINICIANS, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE LEADERSHIP HAVE COMPENSATION REVIEWED EVERY OTHER 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. THIS PROCESS WAS LAST UNDERTAKEN IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE OHIO SECRETARY OF STATE WEBSITE. THE ARTICLES ALONG WITH A COPY OF THE 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANT FEES- REID: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 97,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,595. FORM 990, PART XI, LINE 9: PAYMENT TO AFFILIATE -31,555. PART XII, LINE 2C THE ADENA HEALTH SYSTEM 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. SOUTHERN OHIO HEALTHCARE NETWORK 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 AND THE W-2S. ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 753008742 FUNDRAISING OH 501(C)(3) 12A ADENA HEALTH SYSTEM 1 ADENA HEALTH SYSTEM 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 314379443 HOSPITAL OH 501(C)(3) 3 N/A 0 GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD OH 45123 310993422 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 PIKE HEALTH SERVICES INC 100 DAWN LANE WAVERLY OH 45690 311072406 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA FAYETTE MEDICAL CENTER 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 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 0 1 0 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.