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 311072406 PIKE HEALTH SERVICES INC PIKE 7409472186 100 DAWN LANE WAVERLY OH 45690 JAMES P MCMANUS CFO 7409472186 2024-11-14 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-14 2023 2024-10-15 13:58:12Z ADENA PIKE MEDICAL CENTER DAVE ZANNI 100 DAWN LANE WAVERLY OH 45690 34403191 0 X WWW.ADENA.ORG X 1983 OH ADENA PIKE MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL AND A MEMBER OF THE ADENA HEALTH SYSTEM THAT PROVIDES HEALTHCARE TO CITIZENS IN PIKE COUNTY. 8 7 305 19 0 0 877018 349663 29522501 33951951 728 907 76091 100670 30476338 34403191 0 0 0 0 13939902 13330654 0 0 0 15414722 15349312 29354624 28679966 1121714 5723225 16326389 13326257 4347386 1617700 11979003 11708557 X CALLED TO SERVE OUR COMMUNITIES 0 0 25016198 0 33958563 PIKE HEALTH SERVICES, INC. IS A 25- BED CRITICAL ACCESS HOSPITAL LOCATED IN PIKE COUNTY IN THE STATE OF OHIO. IN 2023, PIKE HEALTH SERVICES, INC. HAD 624 INPATIENT DISCHARGES AND 11,280 EMERGENCY ROOM PATIENTS. DURING THE YEAR, PIKE HEALTH SERVICES, INC PARTICIPATED IN HEALTH FAIRS OFFERING SCREENING AND EDUCATION FOR DIABETES, CHOLESTEROL AND ARTHRITIS FOR BOTH ADULTS AND CHILDREN.PIKE HEALTH SERVICES MAINTAINS CLINIC OFFICE SPACE FOR PHYSICIAN SPECIALISTS FROM ADENA HEALTH SYSTEM TO SEE PATIENTS AT A DESTINATION CLOSER TO THEIR HOMES. THESE INCLUDE GENERAL SURGEONS, UROLOGISTS, AND GYNECOLOGISTS. 25016198 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 0 305 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 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 JUSTIN SMITH TRUSTEE-CHIEF OF STAFF/PHYSICIAN 2.00 50.00 X 497231 0 44062 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 RENEA GREGORY TRUSTEE 2.00 0.00 X 0 0 0 JOSH REMY TRUSTEE 2.00 0.00 X 0 0 0 KIM ROE TRUSTEE 2.00 0.00 X 0 0 0 JUDY SCHMITT TRUSTEE 2.00 0.00 X 0 0 0 CONNIE SHELLEY TRUSTEE 2.00 0.00 X 0 0 0 JEFF GRAHAM AHS PRESIDENT & CEO 1.00 53.00 X 0 1010366 58200 JAMES MCMANUS AHS CHIEF FINANCIAL OFFICER 1.00 53.00 X 0 621511 125944 KATHERINE EDRINGTON AHS CHIEF OPERATING OFFICER 1.00 53.00 X 0 621194 32774 DAVE ZANNI SENIOR OPERATIONS EXECUTIVE OFFICER 50.00 0.00 X 207513 0 26743 CHERYL SMITH PHARMACIST 50.00 0.00 X 198386 0 12650 JASON LOUTSENHIZER TEAM LEAD PHARMACIST 50.00 0.00 X 178612 0 30820 STACY BOLTE COORD PATIENT CARE 50.00 0.00 X 134630 0 35378 BRANDY STRAIN DIRECTOR OF NURSING 50.00 0.00 X 127552 0 28994 CHRISTOPHER BANKS MGR REHAB OPERATIONS 50.00 0.00 X 120428 0 8414 DAVID KESSLER TRUSTEE/CHIEF OF STAFF-FORMER 2.00 50.00 X 0 318460 18692 LISA CARLSON AHS CFO-FORMER 1.00 53.00 X 0 270056 1020 1464352 2841587 423691 15 1 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 720805 CAPTIVE RADIOLOGY 6273 FRANK AVENUE NW NORTH CANTON OH 44720 MRI SERVICES 575600 PSYCHIATRIC MEDICAL CARE PO BOX 734606 DALLAS TX 75373 GER-PSYC COUNSELING 446163 MEDCARE AMBULANCE 3699 PARAGON DRIVE COLUMBUS OH 43228 PHYSICIAN SERVICES 138218 5 349663 349663 NET PATIENT SVC REV 621110 33951951 33951951 33951951 907 907 6612 0 6612 6612 6612 CAFETERIA REVENUE 722514 94058 94058 94058 34403191 33958563 0 94965 504494 420328 84166 10073737 8393103 1680634 2160754 1848591 312163 591669 506191 85478 923697 911723 11974 476433 377043 99390 8100 4561 3539 997098 731958 265140 121706 92070 29636 MEDICAL SUPPLIES 5358499 5045967 312532 CORPORATE OVERHEAD ALLO 4476564 4215471 261093 BAD DEBT EXPENSE 1373531 1373531 FRANCHISE FEES 982387 925090 57297 631297 170571 460726 28679966 25016198 3663768 0 1844047 578724 4562325 3443339 355374 289831 686153 701626 17703656 10993919 7233490 6709737 1645000 1603000 16326389 13326257 1391849 988403 885826 282617 2069711 346680 4347386 1617700 X 11975930 11705484 3073 3073 11979003 11708557 16326389 13326257 X 5723225 -5993671 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1031 1031 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 8415068 4059303 4355765 8345687 6573753 1771934 592901 360863 232038 6709737 GROUND LEASE 1603000 1603000 COST REPORT SETTLEMENTS PAYABLE 208199 CAPITAL LEASE OBLIGATION 138481 346680 1 1 X 1 X 1 X 1 1 1 0 1 1 512962 1569500 0 0.00000 7480739 4529683 2951056 0.10810 7993701 6099183 2951056 0.10810 9980 9980 0.00040 9980 9980 0.00040 8003681 6099183 2961036 0.10850 0 1373531 0 15716834 15510452 206382 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 SEE PAGE SCH H PAGE 8 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 PIKE COUNTY COMMUNITY AND RECEIVED MORE THAN 300 RESPONSES. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS. 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, 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 PARTICIPATING AGENCY WEBSITES. PRESENTATIONS OF ITS CONTENT WERE MADE TO GOVERNMENT, COMMUNITY AND CIVIC ORGANIZATIONS. HARD COPIES OF THE CHNA REPORT WERE ALSO PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES. 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 DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT.SUBSTANCE USE DISORDER COMMUNITY DEVELOPMENTADENA HEALTH ASSISTED IN THE DEVELOPMENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) IMPLEMENTATION GRANT IN 2019. IN 2022, ADENA HEALTH AWARDED $1.6 MILLION OVER THREE YEARS. ADENA HEALTH IS THE FISCAL AGENT FOR THE GRANT, OVERSEES ALL OF THE GRANTS MANAGEMENT AND PROVIDES 1FTE PROJECT COORDINATOR TO OVERSEE THE PROJECT. THE GRANT IS FOCUSED ON INCREASING MEDICATION ASSISTED TREATMENT ACCESS FOR THOSE WHO ARE BEING TREATED FOR OPIOID USE DISORDER IN PIKE, ROSS AND FAYETTE COUNTIES. THIS GRANT CONTINUES THROUGH AUGUST 2025. ADENA WORKS WITH BRIGHT VIEW TREATMENT TO PROVIDE PRIORITY APPOINTMENTS TO PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER TO FACILITATE MORE IMMEDIATE ACCESS TO TREATMENT. ADVOCACYADENA HEALTH HAS TWO 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 2023. PROGRAMMING & INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 5 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING IN 2023. 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) 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 PROVIDE $1,000 IN 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.OBESITY AND DIABETESADVOCACYADENA HEALTH HAS ONE EMPLOYEE WHO DEDICATES 10 HOURS A YEAR TO PARTICIPATE IN THE PIKE COUNTY LOCAL FOODS GROUP. THIS GROUP WORKS TO ADDRESS HEALTHY FOOD ACCESS IN PIKE COUNTY AND PROVIDE NUTRITION EDUCATION TO RESIDENTS. REPRESENTATIVES ON THIS GROUP INCLUDE AREA DIETITIANS FROM VALLEY VIEW HEALTH CENTER, OSU EXTENSION (LOCAL AND STATE OFFICES), ADENA HEALTH, PIKE OUTREACH, AND PIKE HEALTH DISTRICT. THE GROUP ALSO ENGAGES WITH PIKE COUNTY 3RD GRADERS TO EDUCATE ABOUT FRESH PRODUCE AND THE LOCAL FARMERS MARKET AT THE ANNUAL PIKE AG DAY. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH PARTNERED WITH THE WAY FARMS AND THE PIKE COUNTY OSU EXTENSION TO FUND THE FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED ADENA PATIENTS AND COMMUNITY SNAP BENEFICIARIES A TOTAL OF $1440 OF FRESH FRUITS AND VEGETABLES IN 2023. PARTNERING WITH OSU EXTENSION PIKE COUNTY, ADENA HEALTH SUPPORTED TWO EVIDENCED BASED NUTRITION PROGRAMS, COOKING + AND DINING WITH DIABETES. THIS CLASSES WERE FREE FOR PARTICIPANTS. ADENA HEALTH PROVIDED FINANCIAL SUPPORT ($2446.28) AND A DIETITIAN WHO VOLUNTEERED TIME TO ASSIST. VOUCHERS FOR STUDENTS TO USE FRESH PRODUCE FROM PIKE AG DAY (EVENT REFERENCED ABOVE) AT A COST OF $500.RESPIRATORY ISSUESADVOCACYADENA HEALTH HAD 3 EMPLOYEES PARTICIPATE IN THE PIKE HEALTH COALITION FOR A COMBINED ADVOCACY PARTICIPATION OF MORE THAN 36 HOURS/YEAR.PROGRAMMINGADENA HEALTH CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2023. THE CLINIC PROVIDED A TOTAL OF 19 PATIENTS SERVED IN 5 LOCATIONS: CHILLICOTHE (ROSS COUNTY); WAVERLY (PIKE COUNTY); WASHINGTON COURT HOUSE (FAYETTE COUNTY); GREENFIELD (HIGHLAND COUNTY) AND JACKSON (JACKSON COUNTY). ADENA PHARMACISTS COMPLETED 35 VISITS WITH PATIENT WITH TOBACCO CESSATION COUNSELING SERVICES INCLUDING CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. ADENA PROVIDED A TOTAL OF 1,726 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2023 WHICH RESULTED IN 32 POSITIVE CANCER FINDINGS. BY PROVIDING CANCER SCREENINGS ADENA HEALTH IS HELPING TO DECREASE RATES OF DEATH DECLINING DUE TO EARLY INTERVENTION AND TREATMENT. MENTAL HEALTHADVOCACYADENA HEALTH HAD 3 EMPLOYEES PARTICIPATE IN THE PIKE HEALTH COALITION FOR A COMBINED ADVOCACY PARTICIPATION OF MORE THAN 36 HOURS/YEAR.PROGRAMMINGADENA HEALTH HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 477 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $250,000 IN 2023 . PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS, PIKE, AND HIGHLAND AND FAYETTE COUNTIES. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS AND OTHER SOCIAL NEEDS. FINANCIAL SUPPORTADENA HEALTH PROVIDED $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 & WELLNESSPROGRAMMINGADENA HEALTH PROVIDED ATHLETIC TRAINER SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN A SIX COUNTY (ROSS, PIKE, FAYETTE, HIGHLAND, JACKSON, PICKAWAY) SERVICE REGION IN 2023. A TOTAL OF 13 ATHLETIC TRAINERS WORKED WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS AND FOCUSED ON EDUCATING STUDENTS, PARENTS AND COACHES ON SPORTS MEDICINE TOPICS, INCLUDING CONCUSSION IDENTIFICATION AND TREATMENT. THE VALUE OF THIS COMMUNITY SUPPORT WAS $662,774. THE STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO MORE THAN 1200 STUDENTS IN HIGHLAND, FAYETTE, AND JACKSON, PICKAWAY, PIKE, AND ROSS COUNTIES. IN 2021, ADENA HEALTH PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. IN 2023, ADENA HEALTH EXPANDED THE PROGRAM AND PROVIDED A 1.0 FTE VALUED AT $101,608 TO WORK WITH PARTNERED SCHOOL DISTRICT TO COMPLETE SCHOOL NEEDS ASSESSMENTS, DEVELOP SCHOOL WELLNESS PLANS, AND IMPROVE HEALTHCARE ACCESS TO STUDENTS AND STAFF. ALSO IN SEPTEMBER 2023, ADENA LAUNCHED A MOBILE HEALTH CLINIC TO PROVIDE MEDICAL CARE TO 373 STUDENTS AND STAFF. IN ADDITION, THE COORDINATOR IS ASSISTING THE DISTRICTS IN DEVELOPING PRIMARY CARE AND TELEHEALTH RESOURCES FOR THE DISTRICT, AS WELL AS BRING IN ADDITIONAL COMMUNITY PARTNERS TO ADDRESS MENTAL HEALTH AND SOCIAL NEEDS OF STUDENTS. ADENA HEALTH PARTNERED WITH THE GARNET A. WILSON PUBLIC LIBRARY TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, PART OF THE BOOKWORM SUMMER READING PROGRAM. A TOTAL OF 300 PIKE COUNTY RESIDENTS - CHILDREN AND ADULTS- WERE ENGAGED IN THE PROGRAM THAT REWARDED THEM FOR COMPLETING WEEKLY HEALTH CHALLENGES. PARTICIPANTS ARE OFFERED THE OPPORTUNITY TO EARN PRIZES AS THEY COMPLETE CHALLENGES AND THOSE WHO COMPLETE ALL CHALLENGES ARE ENTERED INTO A DRAWING FOR A NEW BICYCLE AND ADULTS GOT THE OPPORTUNITY FOR A FITBIT. A TOTAL OF $2500 WAS SPENT ON REWARD PRIZES FOR PARTICIPANTS IN ROSS, FAYETTE, HIGHLAND AND PIKE COUNTIES. PART V, SECTION B, LINE 11 CONTINUED FINANCIAL SUPPORTADENA WOMEN'S & CHILDREN'S CENTER: ADENA HEALTH PROVIDED SLEEP SACKS FOR THE 1,200 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2023, VALUED AT $12,777. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE AND HIGHLAND. SCHOOL DISTRICTS: A TOTAL OF 2 PIKE COUNTY SCHOOL DISTRICTS WAVERLY CITY SCHOOLS AND SCIOTO VALLEY LOCAL SCHOOLS - EACH RECEIVED $25,000 OR A TOTAL OF $50,000 TO SUPPORT THE HEALTH AND WELLNESS OF THEIR DISTRICT'S ATHLETES, ALIGNED WITH THE SUPPORT OF ATHLETIC TRAINERS PROVIDED BY ADENA HEALTH. COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY PIKE COUNTY HEALTH OUTCOMES STAYED AT 87 IN 2022 (COUNTY HEALTH RANKINGS). PIKE COUNTY HEALTH FACTORS MOVED FROM 84 TO 79 IN 2022 (COUNTY HEALTH RANKINGS).ADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2023 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINICS PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS PROVIDING SERVICES TO PATIENTS IN THE CLINIC. COMBINED THE CLINICS HAD 10,084 VISITS FROM PATIENTS MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON). APPROXIMATELY 5% OF PATIENTS SERVED BY THE CLINICS ARE UNINSURED. COMMUNITY ENGAGEMENT: ADENA ALSO PROVIDES SUPPORT TO THE PIKE COUNTY COMMUNITY THROUGH A VARIETY OF ENGAGEMENT ACTIVITIES, INCLUDING FINANCIAL SUPPORT AND PARTICIPATION IN LOCAL COMMUNITY EVENTS AND INITIATIVES. A TOTAL OF 17 CAREGIVERS FROM APMC PROVIDED MORE THAN 51 HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME PARTICIPATING IN COMMUNITY SERVICE, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, AND OTHER INITIATIVES. OVER $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 $1,000 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. CONTRIBUTED $500 TO WAVERLY CITY SCHOOLS COPE PROGRAM. DONATED $500 TO THE PIKE COUNTY COLOR RUN, AN EVENT TO RAISE AWARENESS TO SUICIDE PREVENTION. A TOTAL OF $895 WAS PROVIDED TO SUPPORT THE WAVERLY POLICE DEPARTMENT OPERATIONS AND THEIR NATIONAL CHILD SAFETY COUNCIL PROGRAMMING. $300 SPONSORSHIP TO THE PIKE COUNTY CHAMBER OF COMMERCE GOLF OUTING. A TOTAL OF $16,900 WAS PROVIDED TO THE PIKE COUNTY AGRICULTURAL ASSOCIATION TO SUPPORT THE 2023 PIKE COUNTY FAIR, ITS MARKET PROGRAM AND JUNIOR FAIR MARKET PROJECTS. PURCHASED THE 2023 PIKE COUNTY 4H PARTICIPANTS PROJECT BOOKS AT COST OF $4960. ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH CONTINUED IT'S MORE THAN 25 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2023 WHICH PROVIDES RESOURCES AND COUNSELING TO YOUNG VICTIMS OF INTERPERSONAL VIOLENCE AND SEXUAL ASSAULT IN A NINE COUNTY SERVICE REGION THAT INCLUDES FAYETTE, ROSS, PIKE AND HIGHLAND COUNTIES. ADENA PROVIDED A TOTAL OF $61,374 IN FINANCIAL SUPPORT FOR THE CPC'S FACILITY COSTS AND INFORMATION TECHNOLOGY NEEDS. MEDICAL AND NURSING STAFF ALSO PROVIDE SUPPORT TO THE CENTER. AN ADDITIONAL $2,000 IN SUPPORT WAS PROVIDED TO SUPPORT THE FUNDRAISING EFFORTS OF THE ORGANIZATION. HOPE CLINIC: ADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2023. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. LOCATED IN CHILLICOTHE, OHIO, THE CLINIC SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. THE CLINIC SAW MORE THAN 1500 PATIENTS FOR MEDICAL, DENTAL AND PHARMACY SERVICES AND DISPENSED MORE THAN 4000 PRESCRIPTIONS THROUGH THE CHARITABLE PHARMACY. TEN PROVIDERS FROM ADENA HEALTH VOLUNTEERED 68 HOURS OF CARE AT HOPE CLINIC IN 2023. ADENA CAREGIVERS ALSO VOLUNTEER AS STAFF IN THE CLINIC AND/OR AT THE MOBILE FOOD CLINIC TO ASSIST THOSE WHO ARE FOOD INSECURE (MORE THAN 7900 RESIDENTS IN 2023). ADENA HEALTH PROVIDES ADDITIONAL MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY AND MEDICAL RESOURCE SYSTEM ELSEVIER. AN ADDITIONAL $1500 WAS ALSO PROVIDED TO SUPPORT GENERAL FUNDRAISING CAMPAIGN FOR SERVICES. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/. PIKE COUNTY HEALTH COALITION: IN 2017, ADENA HEALTH COLLABORATED WITH THE PIKE COUNTY HEALTH DEPARTMENT TO RECONVENE A COMMUNITY STEERING COMMITTEE FOCUSED ON COMPLETING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHA) AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR ROSS COUNTY. A TOTAL OF 21 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS PARTICIPATE TO IDENTIFY STRATEGIC HEALTH PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. ADENA HEALTH HAD A TOTAL OF FOUR ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2023 TO CONTRIBUTING TO THE PIKE COUNTY HEALTH COALITION'S WORK. PART V, SECTION B, LINE 7A CONTINUED HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW 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 $1,373,531 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 SURPLUS, WHICH IS THE EXCESS OF REMIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT OVER COST TO TREAT MEDICARE PATIENTS. PIKE HEALTH SERVICES USED THE MEDICARE ALLOWABLE COSTS PER ITS 2023 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 PRESIDENT & CEO 0 956818 0 39688 0 13860 0 23080 0 35120 0 1068566 0 0 JAMES MCMANUS AHS CHIEF FINANCIAL OFFICER 0 547954 0 35472 0 38085 0 74012 0 51932 0 747455 0 29615 KATHERINE EDRINGTON AHS CHIEF OPERATING OFFICER 0 605161 0 13933 0 2100 0 17691 0 15083 0 653968 0 0 JUSTIN SMITH TRUSTEE-CHIEF OF STAFF/PHYSICIAN 256097 0 179530 0 61604 0 7263 0 36799 0 541293 0 0 0 DAVID KESSLER TRUSTEE/CHIEF OF STAFF-FORMER 0 177893 0 89319 0 51248 0 15935 0 2757 0 337152 0 0 LISA CARLSON AHS CFO-FORMER 0 28082 0 291 0 241683 0 931 0 89 0 271076 0 241505 DAVE ZANNI SENIOR OPERATIONS EXECUTIVE OFFICER 199815 0 0 0 7698 0 10655 0 16088 0 234256 0 0 0 CHERYL SMITH PHARMACIST 163883 0 0 0 34503 0 9936 0 2714 0 211036 0 0 0 JASON LOUTSENHIZER TEAM LEAD PHARMACIST 158381 0 0 0 20231 0 9255 0 21565 0 209432 0 0 0 STACY BOLTE COORD PATIENT CARE 84326 0 0 0 50304 0 7158 0 28220 0 170008 0 0 0 BRANDY STRAIN DIRECTOR OF NURSING 126152 0 0 0 1400 0 5370 0 23624 0 156546 0 0 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 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 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 2023: LISA CARLSON $241,505 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 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 THE TOP MANAGEMENT OFFICIAL AT ADENA PIKE MEDICAL CENTER HAS HIS COMPENSATION REVIEWED EVERY OTHER YEAR BY ADENA HEALTH SYSTEM TOTAL REWARDS TEAM. THE LAST REVIEW WAS COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE SYSTEM DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. SOME ORGANIZING DOCUMENTS MAY BE AVAILABLE THROUGH STATE OF OHIO WEBSITES. THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED TO THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM WITHIN 150 DAYS AFTER FISCAL YEAR END. THE PUBLIC MAY ACCESS THIS SYSTEM FREE OF CHARGE. FORM 990, PART XI, LINE 9: TRANSFER (TO) FROM RELATED ORGANIZATION -5,993,671. 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 1430 COLUMBUS AVE WASHINGTON COURT HOUSE 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.