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 753008742 ADENA HEALTH FOUNDATION ADEN 7407797528 272 HOSPITAL ROAD CHILLICOTHE OH 45601 JAMES P MCMANUS CFO 7407797528 2024-11-14 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-12 2023 2024-10-15 13:58:12Z HEATHER SPRAGUE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 1884411 0 X WWW.ADENA.ORG X 2002 OH ADENA HEALTH FOUNDATION PROVIDES SUPPORT TO ADENA HEALTH SYSTEM AND THE TWO CRITICAL ACCESS HOSPITALS CONTROLLED BY ADENA HEALTH SYSTEM. IN 2023, ADENA HEALTH FOUNDATION PROVIDED $768,570 TO ADENA HEALTH SYSTEM. THE FOUNDATION ALSO SUPPORTS AREA NON-PROFIT ORGANIZATIONS AS WELL AS INDIVIDUALS IN THE HOSPITALS SERVICE AREA. THE AID TO INDIVIDUALS IS IN THE FORM OF EDUCATIONAL SCHOLARSHIPS AND HELP WITH BASIC UNMET NEEDS INCLUDING FOOD, TRANSPORTATION, AND UTILITIES. AHF CONTRIBUTED $165,212 TO INDIVIDUALS IN 2023. 12 10 4 12 0 0 2940948 1846486 0 0 215944 0 -30556 -40271 3126336 1806215 340038 933782 0 0 589981 352752 0 0 145520 271569 229329 1201588 1515863 1924748 290352 8647076 9343948 14195 28350 8632881 9315598 WE BELIEVE EVERYONE IN SOUTHERN OHIO DESERVES ACCESS TO THE BEST HEALTHCARE CLOSE TO HOME. 0 0 768570 768570 THROUGH INDIVIDUAL GIVING AND FUNDRAISING EVENTS TO AND FOR SELECTED FUNDS, WE WERE ABLE TO PROVIDE $768,570 TO ADENA HEALTH SYSTEM IN SUPPORT OF PATIENT AND STAFF EDUCATION, COMMUNITY EDUCATION, EQUIPMENT, CAPITAL PROJECT, AND CHARITY CARE. 70286 70286 THE FOUNDATION AWARDED SCHOLARSHIPS TO 19 STUDENTS. THE FIELDS OF STUDY INCLUDED NURSING, RADIOLOGY, TECHNOLOGY, PHYSICAL THERAPY, PRE-MED AND LABORATORY TECHNOLOGY. THE STUDENTS WERE SELECTED BY THE VOLUNTEER ADVISORY COUNCIL WITH OVERSIGHT FROM HUMAN RESOURCES. EACH STUDENT MUST SUBMIT AN APPLICATION. APPLICANTS ARE REQUIRED TO HAVE AT LEAST A 3.30 GRADE POINT AVERAGE TO BE ELIGIBLE. THERE WERE ALSO 2 ATHLETIC SCHOLARSHIPS AWARDED. THE STUDENTS WERE SELECTED BY THE SPORTS MEDICINE SCHOLARSHIP COMMITTEE WITH MEMBERS FROM THE DEPARTMENT AND A FOUNDATION REPRESENTIVE. EACH STUDENT MUST SUBMIT AN APPLICATION. APPLICANTS ARE REQUIRED TO HAVE AT LEAST A 3.0 GRADE POINT AVERAGE TO BE ELIBLE 94926 94926 THE COMMUNITY FUND IS USED TO SUPPORT OTHER NON-PROFITS IN THE COMMUNITIES WE SERVE. WE SUPPORT THOSE WHO HAVE SIMILAR MISSIONS AND VALUES OF ADENA WITH A FOCUS ON BETTERING THE COMMUNITIES, ENHANCING GROWTH IN AREAS WE SERVE AND SUPPORTING HEALTH AND WELL-BEING INITIATIVES. A COMMITTEE CONSISTING OF MARKETING, COMMUNITY, AND FOUNDATION CAREGIVERS REVIEWS REQUESTS AND DECIDES IF THE REQUEST IS WITHIN OUR MISSION AND VALUES AND WHICH GROUPS ADENA WILL BE SUPPORTING IF THE CRITERIA IS MET. 933782 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 4 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF CRAFT VP SYSTEM FINANCE 7407794481 272 HOSPITAL ROAD CHILLICOTHE OH 45601 JEFF GRAHAM TRUSTEE/AHS PRESIDENT & CEO 1.00 53.00 X X 0 1010366 58200 JOHN DESMARAIS TRUSTEE/PHYSICIAN 2.00 50.00 X 0 326542 45287 TRISH MARES TRUSTEE/CHAIR 2.00 0.00 X 0 0 0 WILLIAM BEATTY TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 VIRGINIA WETTERSTEN TRUSTEE/SECRETARY 2.00 0.00 X 0 0 0 LINDA BEAVER TRUSTEE 2.00 0.00 X 0 0 0 PHILLIP EVANS TRUSTEE 2.00 0.00 X X 0 0 0 MATT HALLER TRUSTEE 2.00 0.00 X 0 0 0 TY KELLEY TRUSTEE 2.00 0.00 X 0 0 0 JULIE PARK TRUSTEE 2.00 0.00 X 0 0 0 LINDA PENN TRUSTEE 2.00 0.00 X 0 0 0 BRIAN REAM TRUSTEE 2.00 0.00 X 0 0 0 KEVIN SHOEMAKER TRUSTEE 2.00 0.00 X 0 0 0 JIM MCMANUS AHS CHIEF FINANCIAL OFFICER 1.00 53.00 X 0 621511 125944 KATHERINE EDRINGTON AHS COO 1.00 53.00 X 0 621194 32774 HEATHER SPRAGUE EXECUTIVE DIRECTOR AND CHIEF HUMAN RESOURCES OFFIC 1.00 54.00 X 0 436802 76934 ROBIN BERNO DIRECTOR OF FOUNDATION 50.00 0.00 X 146451 0 21257 LISA CARLSON FORMER - AHS CFO 1.00 53.00 X 0 270056 1020 146451 3286471 361416 1 1 1 0 0 180609 636498 1029379 1846486 37925 180609 78196 -40271 -40271 1806215 0 0 -40271 768570 768570 165212 165212 276915 207687 69228 55382 41537 13845 20455 15341 5114 18643 13982 4661 72361 54271 18090 23916 17936 5980 6701 5026 1675 OVERHEAD ALLOCATION 77387 58040 19347 FUNDRAISING 26340 19755 6585 MEDICAL SUPPLIES 3981 2986 995 1515863 933782 436561 145520 91752 43941 5622797 6229818 2932527 3070189 8647076 9343948 14195 28350 14195 28350 X 2311511 2917524 6321370 6398074 8632881 9315598 8647076 9343948 290352 392365 0 X X 0 1 X 1 0 X X 1 ADENA HEALTH SYSTEM 314379443 3 1 768570 0 1 768570 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1751562 1470 -50000 1703032 1693363 128951 -70768 1751562 1691757 1606 1693363 1663413 38177 -9710 123 1691757 1428564 24401 229105 -18657 1663413 1.00000 0.00000 0.00000 0 0 0 MONEY OWED TO ADENA HEALTH FOUNDATION FROM AHS 3034903 OTHER NONCURRENT ASSETS 35286 3070189 PART V, LINE 4: ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION. TO DATE ALL OF THE QUASI ENDOWMENT FUNDS HAVE BEEN USED TO PROVIDE SCHOLARSHIPS TO INDIVIDUALS PURSUING A DEGREE IN HEALTHCARE. X 1 ALLEGIANT DIRECT INC 278 FRANKLIN RD STE 290 BRENTWOOD TN 37027 MAIL ORDER CAMPAIGN SUPPORT 0 0 56057 -56057 56057 -56057 JBMGC 67875 60463 7412 133 8827 5248 2113 2000 1338 APMC GALA 52179 32681 19498 1800 8167 6515 10143 2 98480 87465 11015 3700 16986 1715 9511 218534 180609 37925 133 8827 10748 27266 10230 20992 78196 -40271 1 ADENA HEALTH SYSTEM 272 HOSPITAL ROAD CHILLICOTHE OH 45601 314379443 501(C)(3) 768570 0 TO PURCHASE MEDICAL EQUIPMENT 1 0 SCHOLARSHIPS 21 70286 BENEVOLENCE 20 90022 HOSPICE 16 4904 PART I, LINE 2: THIS ASSISTANCE IS PROVIDED TO THE SUPPORTED ORGANIZATION IN CONFORMANCE WITH OUR MISSION. THESE FUNDS ARE ADMINISTERED IN ACCORDANCE WITH THE SUPPORTED ORGANIZATION'S POLICIES AND PROCEDURES. PART III COLUMN B LISTS THE ACTUAL NUMBER OF RECIPIENTS THAT RECEIVED CASH SCHOLARSHIPS/ASSISTANCE DURING 2023. THE NUMBER OF SCHOLARSHIPS IS LIMITED BY THE AMOUNT OF MONEY AVAILABLE. RECORDS FOR THE NUMBER OF STUDENTS RECEIVING SCHOLARSHIPS IS TRACKED ON A SPREADSHEET. SCHOLARSHIPS ARE PAID TO THE SCHOOL'S OFFICE OF FINANCIAL AID AND DISTRIBUTED ON A QUARTERLY OR SEMESTER BASIS TO THE STUDENTS ACCOUNT FOR QUALIFIED EDUCATIONAL EXPENSES. THE NUMBER OF HOSPICE PATIENTS SERVED IS LIMITED BY THE AMOUNT OF MONEY AVAILABLE. HOSPICE STAFF TRACKS THE NUMBER OF PATIENTS AND THE NATURE OF ASSISTANCE PROVIDED. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 JEFF GRAHAM TRUSTEE/AHS PRESIDENT & CEO 0 956818 0 39688 0 13860 0 23080 0 35120 0 1068566 0 0 JIM MCMANUS AHS CHIEF FINANCIAL OFFICER 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 HEATHER SPRAGUE EXECUTIVE DIRECTOR AND CHIEF HUMAN R 0 387878 0 8314 0 40610 0 17244 0 59690 0 513736 0 0 JOHN DESMARAIS TRUSTEE/PHYSICIAN 0 321410 0 0 0 5132 0 16500 0 28787 0 371829 0 0 LISA CARLSON FORMER - AHS CFO 0 28082 0 291 0 241683 0 931 0 89 0 271076 0 241505 ROBIN BERNO DIRECTOR OF FOUNDATION 133616 0 0 0 12835 0 7498 0 13759 0 167708 0 0 0 PART I, LINE 1A BEAU BOWMAN, FORMER EXECUTIVE DIRECTOR, HAS COUNTRY CLUB FEES PAID DIRECTLY THROUGH ADENA HEALTH SYSTEM THAT ARE THEN INCLUDED IN HIS TAXABLE INCOME. PART I, LINE 3 EXECUTIVE LEADERSHIP AT ADENA HEALTH FOUNDATION 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 ADENA HEALTH FOUNDATION 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 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 FORM 990, PART VI, SECTION A, LINE 6 ADENA HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM ELECTS MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. NOMINEES ARE PROPOSED BY THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NOMINATIONS FOR OFFICER POSITIONS ON THE FOUNDATION'S BOARD OF DIRECTORS MUST BE APPROVED BY THE BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE 990 ARE SENT TO BOARD MEMBERS VIA THE SERCURE INFORMATION PORTAL PROVIDED BY ADENA HEALTH SYSTEM. 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. EXECUTIVE DIRECTORS 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 2023. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE OFFICE OF THE OHIO ATTORNEY GENERAL. THE 990 IS AVAILABLE ON THE GUIDE STAR WEBSITE AND AVAILABLE UPON REQUEST. FORM 990, 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. ADENA HEALTH FOUNDATION 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 ORGANZIATION, 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 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 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 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 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 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.