2015 ANNUAL REPORT

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Here. For Life.CHAIR’S LETTER

Dear Neighbor,

The history of Adena Health System spans over 120 years now, and 2015 will stand among its best. This year has been one of remarkable achievements, highlighted by the rededication of the historic Carlisle Building, which now serves as a catalyst in the revitalization of downtown Chillicothe.

Adena is committed to patients living in communities throughout south central and southern Ohio, and that is why we are proud to say, “Here. For Life.” Throughout this report, it is demonstrated how “Here. For Life” is embraced by our caregivers through those things we value: Community, Quality Care and People.

Adena’s role is not only to meet the healthcare needs of the communities we serve, but to be an active and involved contributor. One way we are succeeding in our efforts is by helping our communities develop healthier habits for life through initiatives like our Move More Challenges. This community-wide challenge proved to be a great success in 2015, with over 1,100 people from Adena and eight participating companies taking part. As a whole, teams logged 1.8 million minutes of movement, with plans already bigger for next year.

Improving the wellness of our community requires Adena to have a community-focused vision. There was no greater example of the impact Adena Health System can have within our community than when the ribbon was cut last October at the Carlisle Building. Following nearly 16 months of construction, the building now includes 32 student apartments and nearly 7,000 square feet of first-floor office

space for the Adena Health Foundation, other community-facing personnel and a community room. The $8 million revitalization project exemplifies the vision of Adena’s leaders to make Adena and our communities stronger and healthier for our future by utilizing the building to house medical students and physician residents.

Adena’s achievements throughout the past year were also recognized by many valued institutions and organizations. Adena Regional Medical Center scored an ‘A’ rating on the Leapfrog Hospital Safety Score Survey for the first time in its history. We were also named by Becker’s Healthcare as one of the publication’s “150 Great Places to Work in Healthcare.” We were also presented with the Gallup Great Workplace Award for caregiver engagement for the second consecutive year. In 2015, Adena’s financial profile was even strengthened to an ‘A- stable’ by the Wall Street Financial Rating Service, Standard & Poor’s.

As we move forward into the next year, it is incumbent on us to build on the momentum we have created to build healthy, thriving communities for our families, friends and neighbors. I commend each of my fellow Board of Trustee members and Adena leadership on a focus toward our future, and the foundation of leadership that we stand on today. It has been an honor to serve my first year as Chair. It is through the efforts of everyone associated with Adena that we can make the impact we do in being “Here” for our community.

Sincerely,

Steven P. Burkhardt, Chair Adena Board of Trustees

CONTENTSHere. For Life

CHAIR’S LETTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1PRESIDENT & CEO WELCOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Here. For Community REDEDICATION OF CARLISLE BUILDING . . . . . . . . . . . . . . . . . . . . . . 3CARE AND SUPPORT EXTENDS BEYOND HEALTHCARE . . . . . . 4WELLNESS CENTER WEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4AGMC NEWLY RENOVATED EMERGENCY DEPARTMENT. . . . . . 5DIABETES AND OBESITY PATIENT EDUCATION . . . . . . . . . . . . . . . 6120TH COMMUNITY CELEBRATION . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ADENA AND OU-C CELEBRATE NEW BSN PROGRAM. . . . . . . . . 7AGMC NAMED ENERGY STAR FACILITY . . . . . . . . . . . . . . . . . . . . . . . 8MOVE MORE CHALLENGE EXPANDS. . . . . . . . . . . . . . . . . . . . . . . . . . 8

Here. For Quality Care ADENA EARNS ‘A’ RATING FOR SAFETY . . . . . . . . . . . . . . . . . . . . . . . 9FINANCIAL OUTLOOK BOOSTED BY WALL STREET . . . . . . . . . . . 91,000TH ROBOT-ASSISTED SURGERY . . . . . . . . . . . . . . . . . . . . . . . . . 10DR. BRIAN COHEN SIMULCAST SURGERY LIVE . . . . . . . . . . . . . . 11FREE LUNG CANCER SCREENING PROGRAM HIGHLIGHTED 12ADENA ONE PROJECT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Here. For People GREAT PLACE TO WORK AWARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . 13MARCH OF DIMES NURSE OF THE YEAR . . . . . . . . . . . . . . . . . . . . . 14APMC CAREGIVER HONORED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14ADENA’S FIRST PHYSICIAN RESIDENT CONTRACT . . . . . . . . . . . 15PROGRAM FOR ADDICTED MOMS & BABIES PRAISED . . . . . . 16FIRST GOLD CERTIFIED SAFE SLEEP HOSPITAL IN OHIO . . . . . 16GOODWILL’S COMMUNITY PARTNER OF THE YEAR . . . . . . . . . 16

Board of Trustees & Leadership . . . . . . . . 17

Financials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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Here. For Life.PRESIDENT AND CEO WELCOME

Dear Neighbor,

Adena Health System has been caring for the people of Chillicothe, Ross County, and 11 additional counties throughout south central and southern Ohio for more than 120 years. Created in 1895, based on a need for community-based health care, Adena continues to focus its vision on the communities we serve.

In 2015, Adena Health System took a renewed vision of the original intent of our founders and adopted a new vision statement; “To be instrumental in creating healthy and thriving communities.”

Some say, “The health of a community is only as good as the health of its people.”

As the primary healthcare provider to the people living in our 12-county service area, Adena has taken on the challenge to help solve many of the health problems that contribute to social issues, and the challenges facing many people and families in our region.

In 2015, Senior System Medical Advisor Dr. John Fortney and I actively joined the discussion. We have become engaged with a number of individuals and organizations who represent

health, business, government and individuals. The group has worked together on a five-year plan that is intended to make the community healthy and thriving.

Adena has been at the heart of this community for over 120 years. Never before has the health of those who live here been more at risk. To be healthy and thriving, we have to be ‘at the table’ working with others in the community to identify those moving parts that contribute to poor health and a poor economy, and to work on a solution.

As part of our community-focus, Adena relocated community-focused personnel to the newly-renovated Carlisle Building. This has given us greater opportunities to be immersed in the downtown community and accessibility to the business and community leaders who share a common goal for the future of the region.

In this annual report, I am confident you will gain a greater understanding of the quality care Adena provides for its patients, as well as the value it has on the lives of people and communities throughout south central and southern Ohio.

Sincerely,

Mark Shuter, President & CEO Adena Health System

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Here. For Community.REDEDICATION OF THE CARLISLE BUILDINGAfter more than 11 years and nearly 16 months of construction, downtown Chillicothe’s Carlisle Building was reopened. Adena Health System, the building’s new leaseholder held a community celebration and official ribbon cutting on Monday, Oct. 19.

“While Adena holds the lease and is the caretaker of the Carlisle Building, this historic structure belongs to Chillicothe,” said Adena President and CEO Mark Shuter. “With The Chesler Group, and many community and state partners, we have been able to give the building new life, and it is now serving as a catalyst for new investment in our downtown. As a community, we have a lot to celebrate.”

The 32,000 square-foot Carlisle Building is located in the center of downtown Chillicothe at Paint and Main Streets, and sat condemned after nearly being destroyed by arson in 2003. After years of community discussion, the building was ultimately saved, due to the perseverance of historic preservationists, and the vision of Adena’s leaders to utilize the building to house medical students and physician residents. The building now includes 32 student apartments

and nearly 7,000 square feet of first-floor office space for the Adena Health Foundation, other community-facing personnel and a community room.

The building’s owner, Michael Chesler of The Chesler Group, began construction in the summer of 2014. “Retaining the historic aspect of the Carlisle Building is something that was important to me and everyone involved with this project,” said Chesler. “It is by far one of the most challenging projects that I have completed.”

The Carlisle Building was constructed in 1885. Chesler and his team had to adhere to many historic requirements throughout the project, following the standard guidelines

set by the Department of the Interior, the Ohio State Historic Preservation Office, and the National Park Service.

The $8 million revitalization project was made possible due to support in the form of loans and grants from organizations including: Cortland Banks, JobsOhio, City of Chillicothe, Chillicothe Ross Community Foundation and the Ross County CIC.

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“Here. For Community.

THE ADENA HEALTH FOUNDATION SCHOLARSHIPS ARE MADE POSSIBLE THANKS TO GENEROUS DONORS WHO SHARE ADENA’S VISION TO DO OUR BEST TO NURTURE THE TALENT OF FUTURE CAREGIVERS.”

– Adena Health Foundation Executive Director, Ralph Metzger

Recognizing the important role our communities have in Adena’s success, the Health System takes pride in giving back to those who are supportive of it.

In celebrating 2015’s Hospital Week, Adena President and CEO Mark Shuter delivered gift cards valued at $11,805 to area schools and community organizations. The donations were collected

by a number of departments within the Health System, and distributed throughout the area as way to thank the community for its support of Adena.

As a teaching hospital, Adena’s education focus is reinforced in the annual support of the Adena Health Foundation Scholarship Awards. In 2015, $85,400 in scholarships were awarded to 62 students pursuing careers in Healthcare. Since 2002, the Adena Health Foundation and the Volunteer Advisory Council have awarded more than a half-million dollars to students living in Adena’s 12-county service area.

Also in 2015, Adena’s caregivers purchased coats for children in need. Nearly 1,200 local children were presented to Adena’s annual Coats for Kids drive. Adena caregivers purchased coats, hats and gloves, making sure every child listed received a brand new coat to keep them warm. Since the program began four years ago, Adena’s caregivers have provided more than 5,000 coats to children in our communities through its Coats for Kids program, which is led by a team of nurses and other caregivers.

ADENA’S CARE AND SUPPORT OF COMMUNITY EXTENDS BEYOND HEALTHCARE

WELLNESS CENTER WEST OFFERING CLOSE-TO-HOME CARE

Making healthcare as convenient as possible is part of creating a health system that always puts the needs of its patients first.

When patients expressed a desire for rehabilitative care that was closer to home, Adena looked at how to make that possible. The result was the opening of the Adena Wellness Center West, located inside the former Cinema 6 building on Western Avenue.

Now home to part of Adena’s Rehabilitation Services Department and Adena Home Care and Hospice, the facility is meeting the needs of the more than 60-percent of Adena’s patients living at the western edge of our service region.

The 17,500 square-foot Wellness Center West building has undergone a major transformation; going from a six-theater facility to clinical space that now houses a gymnasium for patient rehabilitation, exam rooms, offices, and a storefront for home health equipment. To fill the sloped floors in the theater spaces, owner Kevin Winegardner says it took 3,000 tons of fill and 500 tons of concrete to create level, usable workspace.

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Here. For Community.Adena Greenfield Medical Center revealed its newly-renovated Emergency Room that is helping to reduce wait times and improve the patient’s overall experience. With the addition of three new beds, one acute care and two fast track rooms, the department has nearly doubled its bed space to seven. Sliding glass doors have also been added to each of the patient rooms for privacy.

In addition, the new design is making things easier for the staff.

“Work flow overall is better,” said Heidi Bell, AGMC Emergency Department Manager. “We have a separate registration area, a

ADENA GREENFIELD MEDICAL CENTER SHOWS OFF NEW EMERGENCY ROOM

separate triage room and Registration now has a window that is open to the waiting area.”

The larger nurse’s station and new supply carts make patient care more efficient. There are also a few “extras” that have been added to make the area more comfortable to staff, patients and visitors. The addition of a new staff lounge is something everyone in the department appreciates, and one caregiver came up with a creative idea to help decorate. She suggested they reach out to the Greenfield High School art teacher for some help, and seven pieces of student work has been framed and put on display, with the ability to add more in the future.

“WORK FLOW OVERALL IS BETTER. WE HAVE A SEPARATE REGISTRATION AREA, A SEPARATE TRIAGE ROOM AND REGISTRATION NOW HAS A WINDOW THAT IS OPEN TO THE WAITING AREA.”

– AGMC Emergency Department Manager, Heidi Bell

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Here. For Community.Created in 1895 to fill a need for community-based health care, Adena has taken a renewed vision of the original intent of its founders by adopting a new vision statement; “To be instrumental in the creation of healthy and thriving communities.”

Part of that community-focused vision includes a key system-wide strategy towards Population Health. This strategy involves caring for the patient beyond the office appointment or when they are a patient in the hospital. Population Health includes a variety of functions such as: nurse navigators coordinating care for the patient between all of his/her providers, offering education about living with conditions such as diabetes, and making sure a patient’s regular follow up appointments are made and kept.

DIABETES AND OBESITY FOCUS FOR PATIENT EDUCATION

“Adena’s key clinical strategy toward population health, and our renewed community focus is evident in many of the System’s 2015 achievements,” said Adena President and CEO Mark Shuter. “When looking back on the year as a whole, our caregivers worked hard to bring healthcare and the health-related issues outside the four walls of a clinic or the hospital. This is something that we plan to continue well into the future.”

A key health concern in our region includes people who are living with diabetes and/or struggling with obesity. These serious health issues have become a primary initiative for caregivers at Adena.

Adena’s Diabetes Education Program is accredited by the American Association of Diabetes Educators (AADE).

“Diabetes education is an important element in the care of all people with this disease,” said Adena’s Vice President of Clinical Integration Bambi Huffman. “We have worked to create a quality program that is making an impact on the lives of our patients. Achieving this accreditation is just one way Adena can demonstrate its dedication to providing quality diabetes care for our patients in the communities we serve.”

In November, educators held the first-ever Diabetes Expo at Adena’s PACCAR Medical Education Center, drawing a crowd of more than 200 people. The program offered participants information about diabetes, shopping and cooking demonstrations, and more. The information provided was so well-received and needed, the Diabetes Expo will expand to other areas of the region.

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Here. For Community.Adena Health System celebrated 120 years of service and dedication to the community during a special evening with the Chillicothe Paints in July.

As a special thank you to the community, everyone who attended the game received a free Adena seat cushion. Volunteers handed out more than 900 seat cushions as they welcomed fans to the game.

Before the game, Adena CEO and President Mark Shuter took to the mound to toss out the ceremonial first pitch.

Adena was founded June 27, 1895.

ADENA’S 120TH COMMUNITY CELEBRATION Adena Health System and Ohio University-Chillicothe kicked off

an education partnership that is offering a bachelor’s level nursing program for local students. This type of collaboration was exactly what Adena and the community had in mind when the concept for the PACCAR Medical Education Center came about several years ago.

“This is the culmination of the community commitment we’ve had through the years to grow healthcare, grow jobs and grow education,” said Adena President and CEO Mark Shuter. “The growth we are seeing with our medical education program and the massive growth of the Ohio University’s nursing program are impressive. We’re looking forward to what we can do collaboratively to support both of our missions; and what we can do to make incredible progress together as a community.”

OU-C Dean Martin Tuck praised Adena for its foresight in creating the PACCAR facility, and recognizing the power of community partnerships.

“In many ways, our two institutions are very similar,” Tuck said. “We both provide services that are intangible and invaluable - healthcare and education. We also have a shared mission of improving the quality of life in this incredible area we serve. So whether providing quality healthcare or a meaningful

ADENA AND OU-C CELEBRATE NEW BSN PROGRAM

education experience, Adena Health System and the Chillicothe campus of Ohio University are committed to making a positive mark on this region. This partnership is unique because it hits the target on both of these goals.”

The first class of OU-C BSN candidates began their classes at PACCAR in spring semester, and are participating in the four-year degree program.

The benefit of the partnership gives Adena an opportunity to provide a local option for students who want to pursue a Bachelor’s degree in Nursing, and perhaps provide an employment opportunity for them in the future.

“None of the services at Adena would happen without nursing,” said Shuter.

“Nursing represents about 30 percent of the jobs in our facilities, and literally has a hand in nearly every aspect of patient care.”

In addition to the general nursing education and training, Adena’s unique medical education program enables nursing students and medical students

to work together in the simulation labs for a realistic training experience. The experience is good for the students, and it’s good for our patients who have nurses with state-of-the-art skills and good hands-on experience.

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Here. For Community.Adena Greenfield Medical Center is the first hospital, and the first critical access hospital in Ohio to receive ENERGY STAR™ certification for Label Year 2015. It is also just the second organization in Ohio’s American Society for Healthcare Engineering region to achieve this distinction.

To make a difference in saving energy, AGMC’s Facilities team was instrumental in executing the use of energy-saving light bulbs; setting water temperature at a lower level; installing dimmer switches; and performing preventive maintenance on some equipment – among other improvements. ENERGY STAR™ is a U.S. Environmental Protection Agency (EPA) voluntary program, which helps businesses and individuals save money and protects our climate through superior energy efficiency.

AGMC NAMED ENERGY STAR™ FACILITY

Adena Health System’s most recent Community Health Needs Assessment shows obesity is one of our community’s top three health challenges, along with drug abuse and stress. The study, which was initially mandated by the Affordable Care Act, has served as a great launch pad for a robust community-focused vision of the future for Adena. To build healthy, thriving communities for our families, friends and neighbors.

With the results of the Community Health Needs Assessment guiding Adena’s efforts, we have recognized that fighting obesity is a long-term endeavor, and a primary health need throughout southern Ohio. To be successful, we knew we needed to start with ourselves. So, Adena chose to begin to address the battle against obesity within our Adena family, before rolling it out to the community.

The Move More, Adena Challenge, encouraged our caregivers to add just 90 minutes of activity to their weekly routine. In our first year, 900 people logged more than 1.5 million minutes of walking or added activity during that 12 weeks!

Several local companies took notice and contacted us to find out how they could start similar programs in their workplaces. Over the winter months, members of Adena’s Health and Wellness Committee worked with these local employers, and developed the tools needed to tailor our program to their workforces.

“Every employer wants to have a safe and healthy workforce,” said Kim Jones, Adena’s Director of Community Health Advancement.

“We had been developing our outreach plan to get the community involved, and then they started reaching out to us. We were thrilled, and more want to join us each day.”

COMMUNITY MOVE MORE CHALLENGEIn 2015, community partners, including: Kenworth, Glatfelter, Petland, Visit Chillicothe, the Chamber of Commerce, the YMCA, The Chillicothe Gazette; and the United Way of Ross County participated in the community-wide Move More Challenge!

Carrie Mercer of Petland joined the Challenge to inspire others in her office to do the same and or the overall health aspects of adding movement to her day. “It’s important for all of us be a little healthier than we are,” she said. “If it gets us all moving a little more that’s never a bad thing. It’s good for overall health and mental wellbeing if we all try to do a little something.”

“Getting people to move more is important,” added Randy Davies, president of the Ross-Chillicothe Chamber of Commerce. “It helps not only our lifestyles, but it keeps a focus on the community. It’s going to bring a greater awareness to healthy living, and get our community on a healthier path.”

The community-wide challenge proved to be a great success for the first year with over 1,100 people from Adena and the participating companies taking part. As a whole, the teams logged 1.8 million minutes of movement.

“Exercise is such an important part of a healthy lifestyle. Adena Health System is very excited and encouraged by the involvement of the community in the Move More Challenge and we can’t wait to kick off our 2016 challenge to get the region moving more,” says Jones.

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Here. For Quality Care.For the first time, Adena Regional Medical Center scored an ‘A’ rating on the Leapfrog Hospital Safety Score Survey for Fall 2015.

The Leapfrog Hospital Survey is the “gold standard” for comparing hospitals’ performance on the top 28 national standards used to determine safety, quality and efficiency, which are most important to consumers of hospital care. Each A, B, C, D or F rates how well the hospital protects patients from errors, injuries and infections. The highest grade Adena had received previously was a B, in 2013.

“Adena Regional Medical Center’s ‘A’ grade is a powerful reminder of its commitment to putting patient safety above all else,” said Leah Binder, president and CEO of The Leapfrog Group, which administers the Hospital Safety Score. “We are pleased to recognize the persistent efforts of Adena’s clinicians and staff to protect their patients. Families, neighbors, colleagues and friends deserve a hospital that will pull out all the stops to keep them safe, and we urge Adena and all other A-rated hospitals to preserve and renew their commitment to safety year after year.”

Adena was one of 2,530 U.S. hospitals to be graded in the Survey, and among 773 earning an ‘A’ (the number of A-rated hospitals is down from 782 in spring 2015). The data collected to determine the fall 2015 Safety Score covers a time period from mainly Jan. 1 – Dec. 31, 2014.

Adena Health System’s financial profile was given a boost by Wall Street Financial Rating Service Standard & Poor’s (S&P). Following its annual analysis, S&P has revised Adena’s financial outlook from an ‘A- negative’ to an ‘A- stable.’

The reviewers assessed Adena’s financial profile as “strong, characterized by its sound balance sheet with ample liquidity and decreasing debt.”

“We strive to be good stewards of Adena funds, in order to provide our patients with the most up-to-date services, when and where they need them,” said Adena’s Chief Financial Officer, Robert Rosenberger. “Having Standard & Poor’s affirm the hard work and planning we have undertaken to achieve this progress to date is evidence that we are on the right track; and is a great incentive to continue on a path of sound decision-making and efficiency.”

Adena President and CEO, Mark Shuter added, “The increasing confidence of the Wall Street rating servicers, like S&P, tells us we are making a lot of good decisions that are having a positive impact. A financially strong Adena is good for our patients, our caregivers, and the organization. It is also extremely important for the health and vitality of the region, as we create and retain good jobs within those communities we serve.”

Standard & Poor’s upgrade to a “stable” outlook reflects the organization’s expectation that “Adena’s expense management efforts, physician recruitment, and management plans will likely allow it to improve operating results closer to historic levels.”

ADENA EARNS ‘A’ RATING FOR SAFETY BY NATIONAL GROUP

ADENA’S FINANCIAL OUTLOOK BOOSTED BY WALL STREET“Earning an ‘A’ means Adena is among an elite group of institutions

that have selected safety as a differentiator,” said Rhett Holland, Director of Quality. “Adena’s ‘A’ is a deserved recognition of our hospital’s commitment to quality and patient safety, by one of the most respected independent ratings organizations in the U.S.”

The positive results coincide with ARMC’s increased protocols, which are highly focused on quality and safety.

“For the past few years, we have intensified our efforts toward delivering the best quality and enhanced safety when it comes for the care we provide for our patients,” said Adena President and CEO Mark Shuter. “The Leapfrog Hospital Safety Score demonstrates this commitment by our caregivers is making a difference.”

Achieving success has been a deliberate and dedicated effort within ARMC. The Quality staff has continually worked with Nursing, physicians, and leadership to improve its scores in the following areas: computerized physician order entry; evidence-based high risk referrals; maternity care; ICU physician staffing; safe practices scores; managing serious errors; bar code medication administration; and resource use for common acute conditions.

While progress made has resulted in an ‘A’ grade, Adena’s Quality Team continues to remain diligent in its efforts toward improvement. Holland added, “We have identified areas that still need some improvement, and we will continue to move forward, driving quality and safety first.”

“ADENA’S ‘A’ IS A DESERVED RECOGNITION OF OUR HOSPITAL’S COMMITMENT TO QUALITY AND

PATIENT SAFETY, BY ONE OF THE MOST RESPECTED INDEPENDENT RATINGS ORGANIZATIONS IN THE U.S.”

– Adena Director of Quality, Rhett Holland

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Adena Health System’s robotic surgery program reached a major milestone when surgeons performed our 1,000th robot-assisted surgery. This significant event came just one month before the program’s three-year anniversary.

On Oct. 16, 2012, Adena became the first health system in southern Ohio, located south of I-70 and east of I-71 to offer minimally invasive robotic-assisted surgery to patients.

“Adena’s robotic surgery program is making a difference in people’s lives,” said Adena President and CEO Mark Shuter. “By offering minimally-invasive, robot-assisted surgery performed by skilled surgeons, people in our community and region can be assured they are receiving the most up-to-date, quality care when they come to Adena.”

ADENA SURGEONS PERFORM 1,000TH ROBOT-ASSISTED SURGERY

A surgical robot enables a surgeon to perform extremely precise procedures, using small incisions in areas of the body that are difficult for the human hand to reach. Adena uses robot-assisted surgery for many types of surgeries, including: women’s surgery, prostate surgery, general surgery, and some lung procedures. Because robotic surgery is less invasive, the body heals faster and patients are back on their feet – and back to work sooner.

“The number of days we’ve saved patients from being in the hospital, to them being in their home is incredible,” said Adena General Surgeon Dr. Bill Sever. “We have also minimized the patient’s risk for infection by getting them out of the hospital much sooner; and you can’t quantify those savings.”

Here. For Quality Care.

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Adena Orthopedic Surgeon Dr. Brian S. Cohen taught his technique for the reverse total shoulder arthroplasty procedure to more than 500 peers, live via simulcast from a surgical suite inside Chillicothe’s Adena Regional Medical Center, in May. The other physicians were attending a conference in Las Vegas, NV, titled Current Concepts in Joint Replacement (CCJR). Dr. Cohen was selected as a member of the

CCJR faculty, and often teaches his surgical methods to other physicians. The course was titled, “Live in Las Vegas: Shoulder Reconstruction from the Adena Bone & Joint Center.”

The patient, 69-year old David Evans of Logan, OH, first injured his shoulder in 1964 when he fell off the wing of a B-58 bomber, while serving in the U.S. Air Force. Evans has had four surgeries on the shoulder, which had deteriorated after several injuries over the years. A recent fall forced his decision to finally have the shoulder replaced.

“I couldn’t raise it, I couldn’t move it, I couldn’t do anything with it really,” Evans said. He’s hopeful the surgery will restore full use of his shoulder and enhance his quality of life. “I hope I’ll be able to use it like I used to. I work in the woods a lot. That’s my enjoyment,” he said. The surgery went well, as expected.

Later in the year, Dr. Cohen was in Germany teaching other surgeons at the Munich Shoulder Arthroplasty Convention. The biennial convention attracted experts from all over the world who come to share results of their research, experiences with new concepts, and practical information about shoulder arthroplasty.

DR. BRIAN COHEN PERFORMS REVERSE TOTAL SHOULDER REPLACEMENT LIVE

“We usually have three or four surgeons a month visiting our operating room here at Adena,” said Dr. Cohen. “When asked to present to CCJR we had been requested to go to another location to do this operation; and I, along with Arthrex, said we had no problem doing the operation as part of the program, but we wanted to do it from Adena.”

Using two cameras and a video encoder, fed through the Internet, Dr. Cohen explained each step of the surgical process. On the other side of the country, moderator, and Dr. Cohen’s mentor, Dr. Tony Romeo fielded questions from the participants during the more than one-hour procedure.

Here. For Quality Care.

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Adena Cancer Center Oncologist Dr. Jeffrey VanDeusen was among the presenters at the Lung Cancer Screening & Continuum of Care Conference held in Cleveland in September. The national conference provided a forum for physicians and educators who are currently involved with CT screening for lung cancer, and to promote interaction between varied areas of Oncology in hopes of achieving the best possible outcome for patients.

ADENA’S FREE LUNG CANCER SCREENING PROGRAM HIGHLIGHTED AT NATIONAL CONFERENCE

After more than 430 days of preparation, Adena Health System’s acute care hospitals and Urgent Care locations went live with its more than $15 million information system upgrade in July.

“We have completely rebuilt the infrastructure,” said Linn Weimer, Chief Information and Strategy Officer. “It truly has been a journey.”

The initiative is known within the Health System as Adena One, a project that has been a key Adena strategy for over two years. The new system replaces several older systems, creating a single, streamlined, integrated information system that is becoming the primary tool to input and store patient data, physician orders, treatment plans and much more.

ADENA LAUNCHES NEW INFORMATION SYSTEM

 ADENA  ONE

 

StreamlineStandardize

Integrate

The immediate gain for patients is a single patient health record. The new Meditech 6.15 information system means better documentation, improved access to information, fewer delays, faster discharge, and less opportunity for clerical errors.

Once complete in the summer of 2016, all patient information from encounters with Adena-affiliated physicians and staff will be accessible on the single system, and on one billing summary.

“WE HAVE COMPLETELY REBUILT THE INFRASTRUCTURE. IT TRULY HAS BEEN A JOURNEY.”

– Adena Chief Information and Strategy Officer, Linn Weimer

Dr. VanDeusen’s presentation focused on how Adena began to offer and read screening CT scans at no cost to the patient. He also shared the incorporation of smoking cessation education, follow-up and referral information into the program.

Since beginning its free CT scans for lung cancer two years ago, Adena has provided screenings to 1,190 unique patients, and offered 1,546 screenings. In total, 14 cases of lung cancer have been found, one case of breast cancer, and multiple findings of heart aneurysms and other thoracic issues patients and their physicians may not have been aware of until it was too late.

To be eligible for a free lung screening, the patient must be between 54-77 years; quit smoking fewer than 15 years ago; and have 30 “pack years” of smoking in their recent or distant past. A “pack year” is calculated by taking the number of packs of cigarettes smoked per day and multiplying it by the number of years the person smoked. Therefore, a two-pack a day smoker, who smoked for 15 years is considered a 30-pack year smoker, and should be tested.

Here. For Quality Care.

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Here. For People.For the second consecutive year, Adena Health System was named a Gallup Great Workplace. The Health System is one of just 40 global

organizations to be awarded the 2015 Gallup Great Workplace Award.

“To receive the Gallup Great Workplace Award for the second consecutive year shows that we are doing many things right,” said Gail Games, Chief Learning Officer. “It’s a proven fact that engaged caregivers offer our patients a more rewarding experience and contribute to better outcomes. An engaged workforce is such an important part of everything we do at Adena.”

The Gallup organization recognizes its winners as having “the most engaged workforces in the world.”

The Gallup Great Workplace Award recognizes organizations for their ability to create an engaged workplace across teams, departments and locations. To be eligible for the award, an organization must:

• Administer an employee engagement survey to at least 1,000 employees with a response rate of 80 percent or higher;

• Receive a qualifying score on Gallup’s Q12 employee engagement assessment for at least 50 percent of eligible workgroups; and

• Demonstrate clear links between engagement and business outcomes.

Organizations meeting the criteria are invited to apply for the award and submit detailed evidence of their commitment to, and advancement of employee engagement. All submissions are reviewed and scored by a panel of Gallup judges.

Adena Health System was named to Becker Healthcare’s 2015 list of 150 Great Places to Work in Healthcare. Criteria for selection was based on benefit offerings, wellness programs, commitment to diversity and inclusion, professional development opportunities, and for an environment that promotes employee satisfaction and a work-life balance.

“It is an honor to be nationally recognized for our employee programs,” said Adena President and CEO Mark Shuter. “Here at Adena, we firmly believe that in order to provide our patients with the best quality care possible, we must have a satisfied and engaged team of caregivers. By offering the benefits, support and tools needed to help them perform their duties; along with the opportunities for career growth and a work-life balance, we feel that Adena is well-positioned to achieve this goal.”

The 2015 Becker’s Healthcare list includes healthcare providers and healthcare-specific companies, such as consulting firms, health IT vendors, medical societies and more. The organization’s list is developed through a combination of nominations and editorial research and has been published since 2011.

ADENA AGAIN NAMED A GALLUP GREAT WORKPLACE

ADENA NAMED AMONG 150 GREAT PLACES TO WORK

“TO RECEIVE THE GALLUP GREAT WORKPLACE AWARD FOR THE SECOND CONSECUTIVE YEAR SHOWS THAT WE ARE DOING MANY THINGS RIGHT.”

– Adena Chief Learning Officer, Gail Games

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Here. For People.There are thousands of healthcare workers in Ohio dedicated to their patients and providing the best care. But in 2015, one of Adena’s own was honored as one of the best in the state.

Before retiring, Linda James led by example at Adena Pike Medical Center for 24 years. She was nominated and was a finalist for the Ohio Hospital Association’s (OHA) Albert E. Dyckes Health Care Worker of the Year Award.

Each year, OHA recognizes one caregiver in Ohio who personifies a leader, reflects the mission and values of the organization, gives back to the community, and routinely goes above and beyond the call of duty.

Linda, an example of all these criteria, is humble and quick to point out the work of others.

“I am flattered (about the nomination),” said Linda. “But it should be given to the people I have worked with all these years.”

Linda, a nurse for 30 years, served most of her career as the Director of Nursing at Pike Community Hospital. When PCH joined Adena, she returned to the Emergency Department as Nurse Manager.

“After we became Adena, I went back to the ED because it’s what I really love,” she said. “You never know what you are going to get, and you get to see that you made a difference in someone’s life immediately.”

During her career, Linda made a tremendous difference in the lives of her fellow caregivers and patients. If patients could not afford their medicine it wasn’t uncommon for Linda to pay for it out of her own pocket. She is also well known for providing comfort for the youngest patients. Buying small gifts like stuffed animals and coloring books to hand out to kids who are seen in the ED, helping them feel less anxious and scared.

Adena Regional Medical Center Nurse Joan Uhrig was named the 2015 March of Dimes of Ohio’s Nurse of the Year for Women’s Health and Centering. Uhrig was selected from nearly 400 applicants, and was one of a dozen finalists in the Health and Centering category. She has been a nurse with Adena Health System for more than 34 years.

“Joan consistently goes above and beyond to support our new moms,” said Adena’s Chief Nursing Officer Judi Henson. “Her 34 years of experience has helped educate many new families in our community. We are thankful for her passion for our patients, and her commitment to Adena Health System.”

Uhrig was recognized for her work making sure babies and their mothers receive the education and information they need for an optimal start. She has been instrumental in the development of a prenatal education program designed to help mothers prepare for safe deliveries of healthy babies.

Joan has also assisted in the development of the Health System’s Safe Sleep Program, which includes parental education about safe sleep, the use of the Halo® Sleep Sack, and “Cribs for Kids” program, which promotes safe sleep for infants in a bed of their own. She is a certified lactation consultant and a leader in increasing the number of mothers who breastfeed their babies in our community.

“I’m very grateful, but you don’t do things alone,” said Joan of her recognition. “Over the years, I’ve had a lot of awesome co-workers who have helped me accomplish a great deal. It’s a group effort; and there are a lot of amazing people here.”

The March of Dimes’ Nurse of the Year Awards is a state-wide event that recognizes exceptional nurses, creates awareness of professional excellence, and promotes the future of the nursing profession. The organization works to improve the health of babies by preventing premature birth, birth defects and infant mortality.

APMC CAREGIVER HONORED BY OHIO HOSPITAL ASSOCIATION

ADENA RN NAMED AS A MARCH OF DIMES NURSE OF THE YEAR

Linda’s commitment also extends to her fellow caregivers.

“Linda is on call to her staff 24/7/365 - her choice,” said Seth Haynes, Linda’s former supervisor. “She will answer the phone and come in to help no matter if its nights, weekends, or holidays.”

Linda has worked every Christmas so her staff with children can be home with their families.

It’s not easy getting Linda to talk about herself, but it’s clear to see the pride she has in her department.

“It’s worked well for me, but it’s worked well for me because the people around me are good people,” Linda said. “I have people here that I hired 20 years ago.”

Linda also helps her fellow caregivers with her commitment to engagement in the department. In two years, she has helped raised her department’s Gallup engagement score to one of the best in the health system.

A Pike County native, Linda appreciates knowing many of her patients and being there for them.

“It’s rewarding, working in your own backyard, but sometimes it is sad, too,” said Linda. “I’ve had people tell me they were so glad there was someone in the Emergency Department that they knew in the time of crisis.”

Outside of work, Linda is also known for giving back to her community. She has participated in numerous events throughout her career, including: Christmas for Kids, support of the Board of Developmentally Disabled, the Festival of Trees, Pike County Cyclemania, and many more.

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Here. For People.Dr. Benjamin Trotter has more than a year left of his residency in Adena Regional Medical Centers’ Emergency Department, but he knows where he will be when his residency is complete. Dr. Trotter became the first Adena Resident to sign-on to begin his professional career at Adena Health System.

Dr. Trotter’s commitment is a significant milestone in the ever-growing Graduate Medical Education (GME) program. He is a member of the first class to match in as an Emergency Department resident, and now the first member of the GME program to pledge to stay with Adena.

“As the residency has continued to grow and change, it has been a place where I feel a great deal of connection,” said Dr. Trotter. “The more time I spent here, I noticed the actual medicine that was going on; and the things we were seeing and the people we were affecting was very close to home. It has made it a very enjoyable place for me to be.”

GME Director Dr. David Towle is thrilled with Dr. Trotter’s choice to stay with Adena. “Dr. Trotter is the first of many to come,” said Dr. Towle.

Dr. Trotter says while he is the first resident to sign with Adena, he believes more will follow.

“Several of us feel a great deal of connection and potential for opportunity here, because of what they have given us,” he said.

“There are others who want to stay around and give back, and to help make this as great as a place as we think it can be.”

Dr. Trotter’s experience with the Residency Program was a major factor in his decision to stay. “To me, the reason I stayed is because of how strong the program is, the interaction we’ve had, and the

ADENA’S FIRST PHYSICIAN RESIDENT SIGNS CONTRACT TO STAY

quality of education we’re provided. Adena took a risk on us, just like we took a risk on them,” added Dr. Trotter. “To give back to that is something I felt was important.”

His decision to start his career at Adena is bringing to life the end goal of what was imagined when the GME program started -- training and growing quality providers in the program to improve the future of Adena.

“Our graduates are fully Adena acculturated,” added Dr. Towle. “They know the ins and outs of our IT systems, our best consultants, and our way of doing business. There is little to no ramp-up period. They are ‘fit to fight’ from their very first day onward.”

Dr. Trotter and his wife, who is a physician’s assistant in the ARMC Emergency Department, and a Chillicothe native, look forward to the next chapter of their lives and beyond in the area. “We really enjoy the community,” he said. “We want to stay involved in the community and live here.”

Dr. Trotter grew up on a farm in a small town in central Illinois and is excited about living in an area much like the one where he grew up. “I felt such a connection to the area where I grew up, and this community really plays into that,” he said.

“TO ME, THE REASON I STAYED IS BECAUSE OF HOW

STRONG THE PROGRAM IS, THE INTERACTION WE’VE

HAD, AND THE QUALITY OF EDUCATION WE’RE PROVIDED.”

– Dr. Benjamin Trotter

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Here. For People.Adena’s Pregnancy Centering Program, available for moms-to-be who are addicted to opiates, was highlighted at the national level. Adena’s success with the program was touted as something other hospitals in the country should look at and replicate.

In Ohio, the number of babies born addicted to narcotics increased by more than 600 percent between 2004 and 2011. U.S. Rep. Steve Stivers (R-OH), represents much of Adena’s service area and spoke about the success of the Health System’s program during a Capitol Hill speech. Rep. Stivers and Rep. Katherine Clark (D-MA) were co-sponsors of the bipartisan Protect Our Infants Act of 2015, making Neonatal Abstinence Abuse Syndrome (NAS) a national priority. Passed late in the year, the bill requires hospitals to take proactive steps in diagnosing and treating infants who are born addicted.

In his remarks on the floor of Congress, Stivers discussed how taking steps to address the impact of drugs on newborn babies is part of a multi-faceted solution. “Efforts are already underway in places like the Adena Health System in Chillicothe, which has recently made permanent a successful pilot program that treats pregnant women struggling with addiction. It’s a model many other communities can look to and replicate,” he said.

The Bill garnered the support of doctors and health care groups nationally who have advocated for the health and safety of children and mothers.

When a team of Adena leaders agreed to participate in community service as part of a learning experience, they never dreamed they would be publically recognized for it. But that is what happened for the group that was assigned to help out at Goodwill Industries, which awarded the team its Community Partner of the Year Award.

The team included: Holly Haynes, Karen Salib, Mark Shuter, Joe Timmons, Niki Taylor, Deborah Bagnall, Elisabeth Martin, Dennis Caldwell, Tiffany Colopy, and Kim Slopko. While there, they were tasked with taking incoming clothing donations, sorting, hanging and organizing them to go to the showroom floor.

According to Goodwill’s Volunteer Coordinator Joe Parker, Adena’s team was selected for the award because, “That group walked into our store that chilly morning ready to work, and eager to learn. The diversity of the group, which included CEO Mark Shuter, was also impressive. It was a true display that kindness and compassion in the community is truly a leadership quality.”

Ohio has one of the highest infant mortality rates in the nation at 7.57 deaths per 1,000 live births. In Ross County, that rate is higher at 8.8 deaths per 1,000. Both rates exceed the Healthy People 2020 goal rate of six deaths per 1,000 live births.

In 2015, the national Safe Sleep Hospital Certification Program recognized Adena as a Gold Safe Sleep Champion for our expertise and commitment to educating all parents about safe sleep practices. Adena was the first health system in Ohio to receive this distinction.

Adena helps every infant have a great start by going home with their own Halo Sleep Sack, which keeps babies on their back to sleep and helps eliminate blankets that can result in suffocation. The Sleep Sack program is just over a year old, and is made possible with the support of the Adena Health Foundation. Earlier in the year, the ARMC Women’s & Children’s Department expanded the program by offering free cribs to any family that did not have a safe sleep environment for their infant at home.

The National Safe Sleep Hospital Certification Program was created by Cribs for Kids, a Pittsburgh-based organization dedicated to preventing infant, sleep-related deaths due to accidental suffocation.

ADENA PROGRAM FOR ADDICTED MOMS AND BABIES PRAISED ON CAPITOL HILL

ADENA NAMED GOODWILL’S COMMUNITY PARTNER OF THE YEAR

ADENA HEALTH SYSTEM RECOGNIZED AS OHIO’S FIRST GOLD SAFE SLEEP CHAMPION

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2015 BOARD of TRUSTEES & LEADERSHIPExecutive Leadership MARK SHUTER President and CEO

TIMOTHY CAHILL General Counsel

ERIC CECAVA Chief Operating Officer

GAIL GAMES Chief Learning Officer

MICHAEL GLANZMAN Vice President, Adena Medical Group

JUDITH HENSON Chief Nursing Officer

BAMBI HUFFMAN, RN, BSN MS Vice President, Clinical Integration Executive Director Adena Healthcare Collaborative

MARTHA LIVINGSTON Chief Strategy Officer

ERIC PERDUE Chief Human Resource Officer

MICHAEL RHODES Vice President, Revenue Cycle

PAT ROAM Chief Compliance Officer

ROBERT ROSENBERGER Chief Financial Officer

LINN WEIMER Chief Strategic Information Officer

Medical Staff Leadership JOHN FORTNEY, MD Chief Medical Officer

JACK BERNO, MD Past Chief

L. WAYNE COATS, DO Division Chair, Inpatient Medicine

ANTHONY FREEMAN, DO Chief of Staff

JUDI HENSON Chief Nursing Officer

SATHISH JETTY, MD Division Chair, Women’s and Children’s

H. TAKAJI KITTAKA, MD Chief Transformational Officer

JAMES MANAZER, MD Division Chair, Surgical Services

KIRK TUCKER, MD Chief Quality Officer

Hospital Leadership NICK ALEXANDER Vice President, Adena Regional Medical Center

KATHY DYE Administrator, Adena Greenfield Medical Center

DAVID ZANNI Administrator, Adena Pike Medical Center

Board of Trustees STEVEN P. BURKHARDT, CHAIR At-Large

VIRGINIA WETTERSTEN, VICE CHAIR Orchard Hill United Church of Christ

JOSEPH SULZER, TREASURER St. Peter’s Catholic Church

TOM WHITE, SECRETARY At-Large

JACK BERNO, MD Trustee-at-Large

L. WAYNE COATS, DO Medical Staff Representative

RALPH D’ANTONI, JR. St. Mary’s Catholic Church

REV. JAMES GROVE First Presbyterian Church

MIKE LILLY At-Large

JERRY PHILLIPS Tabernacle Baptist Church

W. BILL SEVER, DO Medical Staff Trustee

DAVID STRICKLAND Guest of the Board

GAIL TAYLOR St. Paul’s Episcopal Church

JOSEPH WATSON Trinity United Methodist Church

NOBLE YOSHIDA Walnut Street UMC

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FINANCIALSRevenue and Expenses (unaudited)OUR TOTAL REVENUES: 2015 2014 2013

Bills submitted to Medicare, Medicaid, Individuals and commercial insurance companies for care we provided $1,140,798,405 $1,110,211,337 $1,007,665,765

Gain in market values of investments and income from non-patient care services $11,387,658 $17,458,390 $23,525,197

Funds drawn from prior year’s earnings — — —

FROM TOTAL EARNINGS, WE DEDUCTED:

Charges associated with providing care to patients who were unable to pay for their care (charity care) $17,803,323 $22,159,109 $39,730,478

Discounts to Medicare, Medicaid, etc. $665,486,138 $651,353,343 $539,750,176

Charges associated with patients who refused to pay (bad debt) $25,421,858 $19,087,178 $27,280,761

THE TOTAL FUNDS AVAILABLE WERE: $443,474,744 $435,070,097 $424,429,547

THESE FUNDS WERE USED:

To pay employees wages and benefits $248,738,656 $247,173,881 $228,088,048

To buy patient care and other supplies $75,492,620 $65,988,401 $64,927,712

To pay for utilities and similar expenses $74,363,819 $77,596,781 $74,872,898

To pay professional fees for services to patients $3,268,136 $1,944,824 $3,978,165

For depreciation of equipment, buildings and property $21,396,581 $21,388,610 $21,986,231

To pay interest expense and amortization $9,312,305 $9,409,455 $9,695,124

Debt-restructuring costs — — —

Decline in market values of investments $4,078,031 — —

To provide for future services to the community $6,824,596 $11,568,145 $20,881,369

THE TOTAL FUNDS APPLIED WERE: $443,474,744 $435,070,097 $424,429,547

Our Balance SheetASSETS 2015 2014 2013

Current assets $140,633,001 $126,669,736 $158,237,735

Other assets $364,769,441 $362,486,269 $315,077,789

TOTAL ASSETS $505,402,442 $489,156,005 $473,315,524

LIABILITY AND NET ASSETS

Current Liabilities $52,501,622 $50,329,249 $46,727,675

Long-Term Liabilities $177,779,561 $173,787,474 $175,977,406

Net Assets $275,121,259 $265,039,282 $250,610,443

TOTAL LIABILITIES AND NET ASSETS $505,402,442 $489,156,005 $473,315,524

272 Hospital Road, Chillicothe, OH 45601 adena.org