Civic Intelligence

Pike Health Services Inc

EIN 31-1072406 • 501(c)3 • Waverly, OH

Profile

Called to serve our communities

100 Dawn LaneWaverly, OH 45690

www.adena.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

40th percentile

0.13x

Higher debt load relative to assets than 40% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

15th percentile

0.05x

Higher debt load relative to revenue than 15% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

57th percentile

7.3%

Higher net margin than 57% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$1,548,750

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 4.4% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

9th percentile

-8.5%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2024

Revenue Growth

51st percentile

7.3%

Faster revenue growth than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2024

Assets

Up

$13,666,492

Up $340,235 (+2.6%) from 2023

Liabilities

Up

$1,793,132

Up $175,432 (+11%) from 2023

Net Assets

Up

$11,873,360

Up $164,803 (+1.4%) from 2023

Revenue

Up

$35,114,677

Up $711,486 (+2.1%) from 2023

Expenses

Up

$32,565,764

Up $3,885,798 (+14%) from 2023

Net Income

Down

$2,548,913

Down $3,174,312 (-55%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $13,573,166Liabilities 2010: $10,456,285Net Assets 2010: $3,116,8812010Assets 2011: $12,322,628Liabilities 2011: $9,950,904Net Assets 2011: $2,371,7242011Assets 2012: $15,732,254Liabilities 2012: $9,872,430Net Assets 2012: $5,859,8242012Assets 2013: $14,931,356Liabilities 2013: $1,074,831Net Assets 2013: $13,856,5252013Assets 2014: $15,899,206Liabilities 2014: $1,153,571Net Assets 2014: $14,745,6352014Assets 2015: $12,946,176Liabilities 2015: $908,805Net Assets 2015: $12,037,3712015Assets 2016: $13,541,381Liabilities 2016: $2,006,243Net Assets 2016: $11,535,1382016Assets 2017: $14,784,509Liabilities 2017: $761,970Net Assets 2017: $14,022,5392017Assets 2018: $15,792,103Liabilities 2018: $3,181,004Net Assets 2018: $12,611,0992018Assets 2019: $15,049,767Liabilities 2019: $3,062,291Net Assets 2019: $11,987,4762019Assets 2020: $15,216,800Liabilities 2020: $5,168,167Net Assets 2020: $10,048,6332020Assets 2021: $15,323,530Liabilities 2021: $5,046,754Net Assets 2021: $10,276,7762021Assets 2022: $16,326,389Liabilities 2022: $4,347,386Net Assets 2022: $11,979,0032022Assets 2023: $13,326,257Liabilities 2023: $1,617,700Net Assets 2023: $11,708,5572023Assets 2024: $13,666,492Liabilities 2024: $1,793,132Net Assets 2024: $11,873,3602024

Highlighted filing

2024

Assets$13,666,492
Liabilities$1,793,132
Net Assets$11,873,360

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $23,120,2632010Expenses 2011: $23,294,3472011Expenses 2012: $21,572,2572012Revenue 2013: $19,861,830Expenses 2013: $23,937,822Net Income 2013: -$4,075,9922013Revenue 2014: $19,584,101Expenses 2014: $21,718,995Net Income 2014: -$2,134,8942014Revenue 2015: $19,744,786Expenses 2015: $19,374,802Net Income 2015: $369,9842015Revenue 2016: $17,856,862Expenses 2016: $18,609,123Net Income 2016: -$752,2612016Revenue 2017: $15,602,097Expenses 2017: $17,945,240Net Income 2017: -$2,343,1432017Revenue 2018: $17,946,029Expenses 2018: $18,912,154Net Income 2018: -$966,1252018Revenue 2019: $21,053,650Expenses 2019: $21,520,627Net Income 2019: -$466,9772019Revenue 2020: $25,723,816Expenses 2020: $24,261,081Net Income 2020: $1,462,7352020Revenue 2021: $30,767,806Expenses 2021: $28,068,866Net Income 2021: $2,698,9402021Revenue 2022: $30,476,338Expenses 2022: $29,354,624Net Income 2022: $1,121,7142022Revenue 2023: $34,403,191Expenses 2023: $28,679,966Net Income 2023: $5,723,2252023Revenue 2024: $35,114,677Expenses 2024: $32,565,764Net Income 2024: $2,548,9132024

Highlighted filing

2024

Revenue$35,114,677
Expenses$32,565,764
Net Income$2,548,913

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.7$1.79$11.9$35.1$32.6$2.55
2023Detailed filing. Detailed filing data is available for this year.$13.3$1.62$11.7$34.4$28.7$5.72
2022Detailed filing. Detailed filing data is available for this year.$16.3$4.35$12.0$30.5$29.4$1.12
2021Detailed filing. Detailed filing data is available for this year.$15.3$5.05$10.3$30.8$28.1$2.70
2020Detailed filing. Detailed filing data is available for this year.$15.2$5.17$10.0$25.7$24.3$1.46
2019Detailed filing. Detailed filing data is available for this year.$15.0$3.06$12.0$21.1$21.5$0.47
2018Detailed filing. Detailed filing data is available for this year.$15.8$3.18$12.6$17.9$18.9$0.97
2017Detailed filing. Detailed filing data is available for this year.$14.8$0.76$14.0$15.6$17.9$2.34
2016Detailed filing. Detailed filing data is available for this year.$13.5$2.01$11.5$17.9$18.6$0.75
2015Detailed filing. Detailed filing data is available for this year.$12.9$0.91$12.0$19.7$19.4$0.37
2014Detailed filing. Detailed filing data is available for this year.$15.9$1.15$14.7$19.6$21.7$2.13
2013Detailed filing. Detailed filing data is available for this year.$14.9$1.07$13.9$19.9$23.9$4.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.7$9.87$5.86$21.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.3$9.95$2.37$23.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.6$10.5$3.12$23.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$35,114,677
Mission and Program Overview

Mission

Pike health services, inc. Is high quality; compassionate healthcare; accessible to the community; committed to excellence; respectful of each individual; and founded on service to others.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,709,737$6,561,658▼ $148,079
Accounts Receivable$3,443,339$3,738,266▲ $294,927
Inventories for Sale or Use$701,626$777,198▲ $75,572
Cash and Non-Interest-Bearing Accounts$578,724$689,883▲ $111,159
Other Notes and Loans Receivable, Net$289,831$343,434▲ $53,603
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Prepaid Expenses and Deferred Charges$0$-4,947▼ $4,947
Total Assets$13,326,257$13,666,492▲ $340,235
Other Assets Total$1,603,000$1,561,000▼ $42,000
Liabilities
Accounts Payable and Accrued Expenses$988,403$1,256,358▲ $267,955
Other Liabilities$346,680$536,774▲ $190,094
Deferred Revenue$282,617$0▼ $282,617
Total Liabilities$1,617,700$1,793,132▲ $175,432
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$11,705,484$11,870,287▲ $164,803
Net Assets With Donor Restrictions$3,073$3,073→ $0
Total Net Assets Fund Balance$11,708,557$11,873,360▲ $164,803
Total Liabilities and Net Assets / Fund Balance$13,326,257$13,666,492▲ $340,235

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,508,120$6,988,525$8,496,645
Buildings$3,936,569$4,517,598$8,454,167
Other Land Buildings$766,969$381,630$1,148,599
Land$350,000-$350,000
Other Assets Org$1,561,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dave ZanniSenior Operations Executive OfficerFT$203,977$69,845$273,822
Cheryl SmithPharmacistFT$166,405$37,337$203,742
Jason LoutsenhizerTl PharmacistFT$163,026$36,171$199,197
Randall RatliffReg Nuc Med TechFT$107,792$59,072$166,864
Anita KohnStaff Nurse Rn BsnFT$97,269$68,727$165,996
Ladoska EvansStaff Nurse Rn BsnFT$131,025$34,830$165,855

Board Members and Trustees

NameTitle
Anthony FishTrustee/chair
Val FrancisTrustee/vice Chair
Connie ShelleyTrustee
Josh RemyTrustee
Judy SchmittTrustee
Kim RoeTrustee
Renea GregoryTrustee
Sara RamseyTrustee
Tony DixonTrustee
Jeff GrahamAhs CEO
James McmanusAhs CFO
Katherine EdringtonAhs COO
Justin SmithCOS/physician

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Health Partners Holdings LLCRevenue Cycle Management11511 REED HARTMAN HWY, Cincinnati, OH 45241$1,807,708
Premier Physician Services IncPhysician Services332 CONGRESS PARK DRIVE, dayton, OH 45459$1,188,423
Apogee Medical ManagementapPhysician ServicesSCOTTSDALE RD 600, Scottsdale, AZ 85254$759,978
Captive Radiology LLCMri Services6273 FRANK AVENUE NW, North Canton, OH 44720$609,917
MeDefis IncManagement Solutions2121 N 117th Ave Ste 200, Omaha, NE 68164$499,374
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$35,036,341
Investment Income
$309
Other Revenue
$78,027
Change in Net Assets
$2,548,913
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,645,366
Salaries, Compensation, and Employee Benefits$13,920,398
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,292,564$1,469,357-$10,761,921
Fees for Services Other$465,970$2,878,657$0$3,344,627
Other Employee Benefits$2,041,952$284,906-$2,326,858
Other Expenses$1,106,767$276,325-$1,106,767
Depreciation Depletion$688,025$249,785-$937,810
All Other Expenses$181,860$442,259$0$624,119
Payroll Taxes$489,499$68,298-$557,797
Occupancy$357,934$94,862-$452,796
Current Officers, Directors, Trustees, and Key Employees$236,436$37,386-$273,822
Insurance$69,981$22,314-$92,295
Travel$2,158$1,439-$3,597
Total Functional Expenses$26,740,176$5,825,588$0$32,565,764
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$445,006
Cost Report Settlements Payable$91,768
Capital Lease Obligation-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

The sole member of pike health services is adena health system.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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, Line 7B Decisions requiring approval by members or stockholders

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, Line 11B Review of form 990 by governing body

Copies of all forms 990 are made available to the parent governing board prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

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, Line 15A Process to establish compensation of top management official

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, Line 19 Required documents available to the public

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.

Filing and Contact Details

Filer

Filer Name
Pike Health Services Inc
EIN
31-1072406
Phone
7409472186
Address
100 DAWN LANE, WAVERLY, OH 45690
Doing Business As
Adena Pike Medical Center

Signing Officer

Name
Jeff Graham
Title
Ahs CEO
Phone
7409472186
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
1983
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
10
Employees
290
Volunteers
15

Preparer

Firm
Plante & Moran PLLC
Address
250 SOUTH HIGH ST SUITE 100, COLUMBUS, OH 43215
Preparer
Amy Ciminello CPA
Phone
6148493000
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A

A related organization, adena health system, issues the 1099s.

Form 990, Part IX, Line 11G Other Fees

CONTRACT STAFFING - Total Expense: 1353249, Program Service Expense: 465970, Management and General Expenses: 887279, Fundraising Expenses: ; REVENUE CYCLE MANAGEMENT - Total Expense: 1991378, Program Service Expense: , Management and General Expenses: 1991378, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFER (TO) FROM RELATED ORGANIZATION - -2384110; Total - -2384110;

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.

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