Civic Intelligence

Adena Health System

EIN 31-4379443 • 501(c)3 • Chillicothe, OH

Profile

To heal, to educate, to care.

272 Hospital RoadChillicothe, OH 45601-9031

www.adena.org

Siviq Scores

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

Liabilities / Assets

65th percentile

0.47x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

53rd percentile

0.53x

Higher debt load relative to revenue than 53% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

52nd percentile

3.9%

Higher net margin than 52% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

30th percentile

1.4%

Faster asset growth than 30% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

31st percentile

1.9%

Faster revenue growth than 31% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Down

$798,341,314

Down $8,149,222 (-1.0%) from 2023

Liabilities

Down

$374,517,858

Down $40,923,600 (-9.9%) from 2023

Net Assets

Up

$423,823,457

Up $32,774,379 (+8.4%) from 2023

Revenue

Up

$704,434,969

Up $34,398,504 (+5.1%) from 2023

Expenses

Down

$676,619,060

Down $7,835,240 (-1.1%) from 2023

Net Income

Up

$27,815,909

Up $42,233,744 (+293%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0B$500M$0Assets 2010: $419,282,931Liabilities 2010: $227,217,017Net Assets 2010: $192,065,9142010Assets 2011: $410,696,244Liabilities 2011: $227,847,622Net Assets 2011: $182,848,6222011Assets 2012: $423,361,896Liabilities 2012: $230,072,795Net Assets 2012: $193,289,1012012Assets 2013: $437,413,995Liabilities 2013: $221,591,606Net Assets 2013: $215,822,3892013Assets 2014: $454,365,729Liabilities 2014: $223,567,717Net Assets 2014: $230,798,0122014Assets 2015: $474,400,163Liabilities 2015: $230,428,958Net Assets 2015: $243,971,2052015Assets 2016: $485,156,474Liabilities 2016: $228,637,469Net Assets 2016: $256,519,0052016Assets 2017: $565,089,403Liabilities 2017: $280,319,022Net Assets 2017: $284,770,3812017Assets 2018: $568,360,487Liabilities 2018: $283,618,878Net Assets 2018: $284,741,6092018Assets 2019: $738,150,495Liabilities 2019: $396,487,306Net Assets 2019: $341,663,1892019Assets 2020: $876,980,484Liabilities 2020: $460,216,466Net Assets 2020: $416,764,0182020Assets 2021: $888,565,612Liabilities 2021: $442,427,479Net Assets 2021: $446,138,1332021Assets 2022: $777,131,298Liabilities 2022: $411,646,764Net Assets 2022: $365,484,5342022Assets 2023: $806,490,536Liabilities 2023: $415,441,458Net Assets 2023: $391,049,0782023Assets 2024: $798,341,314Liabilities 2024: $374,517,858Net Assets 2024: $423,823,4572024

Highlighted filing

2024

Assets$798,341,314
Liabilities$374,517,858
Net Assets$423,823,457

Operations Trend

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

$800M$600M$400M$200M$0-$200MExpenses 2010: $354,895,3952010Expenses 2011: $380,072,7482011Expenses 2012: $401,789,7172012Revenue 2013: $420,904,777Expenses 2013: $395,579,164Net Income 2013: $25,325,6132013Revenue 2014: $429,107,367Expenses 2014: $407,271,346Net Income 2014: $21,836,0212014Revenue 2015: $437,996,915Expenses 2015: $425,972,558Net Income 2015: $12,024,3572015Revenue 2016: $422,937,856Expenses 2016: $413,817,933Net Income 2016: $9,119,9232016Revenue 2017: $469,880,689Expenses 2017: $444,082,725Net Income 2017: $25,797,9642017Revenue 2018: $519,459,247Expenses 2018: $492,588,775Net Income 2018: $26,870,4722018Revenue 2019: $566,176,672Expenses 2019: $547,412,523Net Income 2019: $18,764,1492019Revenue 2020: $590,625,475Expenses 2020: $550,828,673Net Income 2020: $39,796,8022020Revenue 2021: $680,770,407Expenses 2021: $645,785,101Net Income 2021: $34,985,3062021Revenue 2022: $678,556,219Expenses 2022: $670,422,177Net Income 2022: $8,134,0422022Revenue 2023: $670,036,465Expenses 2023: $684,454,300Net Income 2023: -$14,417,8352023Revenue 2024: $704,434,969Expenses 2024: $676,619,060Net Income 2024: $27,815,9092024

Highlighted filing

2024

Revenue$704,434,969
Expenses$676,619,060
Net Income$27,815,909

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$798$375$424$704$677$27.8
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$806$415$391$670$684$14.4
2022Detailed filing. Detailed filing data is available for this year.$777$412$365$679$670$8.13
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$889$442$446$681$646$35.0
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$877$460$417$591$551$39.8
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$738$396$342$566$547$18.8
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$568$284$285$519$493$26.9
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$565$280$285$470$444$25.8
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$485$229$257$423$414$9.12
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$474$230$244$438$426$12.0
2014Detailed filing. Detailed filing data is available for this year.$454$224$231$429$407$21.8
2013Detailed filing. Detailed filing data is available for this year.$437$222$216$421$396$25.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$423$230$193$402
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$411$228$183$380
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$419$227$192$355
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
$968,921,895
Mission and Program Overview

Mission

To care, to heal, to educate.

The reporting organization is a regional healthcare system consisting of a hospital, several ambulatory centers, and a large multispecialty physician practice. Ahs offers a wide array of diagnostic, treatment, and rehabilitative services both for inpatients and outpatients, including comprehensive orthopedic, cardiology and oncology. Furthermore, ahs is the sole member of three critical access hospitals, adena pike medical center, adena greenfield medical center, and adena fayette medical center that file separately.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$359,318,889$368,919,236▲ $9,600,347
Land, Buildings, and Equipment, Net$270,344,254$259,260,073▼ $11,084,181
Accounts Receivable$100,949,597$91,867,060▼ $9,082,537
Inventories for Sale or Use$14,404,163$14,778,908▲ $374,745
Prepaid Expenses and Deferred Charges$8,046,860$5,470,969▼ $2,575,891
Savings and Temporary Cash Investments$4,100,406$2,499,922▼ $1,600,484
Investments Program Related$515,580$446,042▼ $69,538
Cash and Non-Interest-Bearing Accounts$15,373$15,637▲ $264
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Loans From Officers Directors-$0-
Other Notes and Loans Receivable, Net$-73$0▲ $73
Total Assets$806,490,536$798,341,314▼ $8,149,222
Other Assets Total$48,795,487$55,083,467▲ $6,287,980
Liabilities
Tax Exempt Bond Liabilities$276,163,714$267,648,648▼ $8,515,066
Accounts Payable and Accrued Expenses$70,077,880$60,522,275▼ $9,555,605
Other Liabilities$46,284,990$43,481,964▼ $2,803,026
Unsecured Notes Loans Payable$19,700,000$0▼ $19,700,000
Deferred Revenue$3,214,874$2,864,971▼ $349,903
Total Liabilities$415,441,458$374,517,858▼ $40,923,600
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$386,794,840$420,702,847▲ $33,908,007
Net Assets With Donor Restrictions$4,254,238$3,120,610▼ $1,133,628
Total Net Assets Fund Balance$391,049,078$423,823,457▲ $32,774,379
Total Liabilities and Net Assets / Fund Balance$806,490,536$798,341,315▼ $8,149,221

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$188,880,002$153,334,962$342,214,964
Equipment$44,074,403$166,571,151$210,645,554
Other Land Buildings$17,686,910$7,828,721$25,515,631
Land$8,576,779-$8,576,779
Leasehold Improvements$41,979$99,896$141,875
Other Assets Org$1,226,815--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,404,020-▲ $75,437-$1,479,457
2023$1,240,821-▲ $163,199-$1,404,020
2022$1,693,379-▼ $452,558-$1,240,821
2021$1,691,757$1,622--$1,693,379
2020$1,663,413$38,177▼ $9,710$123$1,691,757
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Roger WiltfongPhysicianFT$387,154$1,288,503$1,675,657
Jeff GrahamAhs CEOFT$977,033$571,717$1,548,750
Hafeez HassanPhysicianFT$730,226$586,286$1,316,512
Mark TawilPhysicianFT$816,918$343,892$1,160,810
James FlemingPhysicianFT$486,236$663,808$1,150,044
Waheed GulPhysicianFT$663,072$435,923$1,098,995
James McmanusCFOFT$560,539$431,422$991,961
Dr Shaheed KouryChief Clinical OfficerFT$568,926$387,982$956,908
Craig BabbittChief Legal OfficerFT$485,631$442,256$927,887
Heather SpragueChroFT$394,894$277,505$672,399
Katherine EdringtonCOOFT$306,628$326,386$633,014
Justin SmithMedical Staff Trustee/physicianFT$263,934$287,135$551,069
Kristin BoggsChief Compliance OfficerFT$221,299$275,462$496,761
John GabisPresident of AmgFT$364,957$114,132$479,089
Stathish JettyMedical Staff Trustee/physicianFT$122,896$301,301$424,197
Molly GroomsChief Nursing OfficerFT$71,749$333,573$405,322
Donald DienerPresident of ArmcPT$295,121$87,547$382,668
Jeffrey CraftVP System FinanceFT$282,148$83,834$365,982
Richard MizerPresident of AmgFT$284,008$76,660$360,668
Ty McbeeVP Strategic Operations - Part YearFT$83,030$162,605$245,635

Board Members and Trustees

NameTitle
Ron CoffeyAgmc Chair
Anthony FishApmc Chair
Steve HirschChair
Jennifier MckellTrustee/ Vice Chair
Robert FrenchVice Chair
Bill KnolesTrustee
Carvel SimmonsTrustee
Jim CrabtreeTrustee
Sean KallnerTrustee
Sheilah GrayTrustee
Brian ReamSecretary
Kevin ShoemakerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Health Partners Holdings LLCRevenue Cycle Management11511 Reed Hartman Hwy, Suite 600, Cincinnati, OH 45241$36,720,355
Inspirity Health Partners LLCConsulting200 1st St SW, Rochester, MN 55905$10,520,809
Apogee Medical ManagementPhysician Services15059 N Scottsdale Rd, scottsdale, AZ 85254$8,071,945
MeDefis IncManagement Solutions2121 N 117th Ave Ste 200, Omaha, NE 68164$6,998,913
Trimedx Holdings LLCCybersecurity5451 Lakeview Pkwy Dr S, Indianapolis, IN 46268$5,226,886
Revenue and Support

Revenue Composition

Contributions and Grants
$901,343
Program Service Revenue
$624,745,239
Investment Income
$42,171,990
Other Revenue
$36,616,397
All Other Contributions
$539,213
Change in Net Assets
$27,815,909

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$351,302,883
Salaries, Compensation, and Employee Benefits$324,473,135
Grants and Similar Amounts Paid$843,042
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$225,640,177$35,678,639-$261,318,816
Fees for Services Other$34,216,071$50,693,609$0$84,909,680
Payroll Taxes$37,207,307$5,191,404-$42,398,711
Occupancy$28,552,636$7,567,224-$36,119,860
Depreciation Depletion$17,845,697$6,478,815-$24,324,512
Interest$9,545,940$2,133,477-$11,679,417
Pension Plan Contributions$8,432,202$1,176,515-$9,608,717
Current Officers, Directors, Trustees, and Key Employees$8,153,123$1,289,187$0$9,442,310
Office Expenses$4,716,521$228,910-$4,945,431
Other Expenses$2,943,152$142,842$0$3,085,994
Insurance$2,326,122$741,725-$3,067,847
All Other Expenses$2,329,978$186,156$0$2,516,134
Fees for Services Legal-$1,788,639-$1,788,639
Other Employee Benefits$1,495,868$208,713-$1,704,581
Conferences and Meetings$573,650$382,474-$956,124
Grants to Domestic Orgs$843,042--$843,042
Advertising$266,550$507,553-$774,103
Travel$285,596$190,398-$475,994
Fees for Services Accounting-$331,457-$331,457
Total Functional Expenses$561,701,323$114,917,737$0$676,619,060

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
The Garden Family Advocacy CenterChillicothe, OH115Community Improvement Initiative$65,375
Ross County Health DistrictChillicothe, OH115Community Improvement Initiative$64,794
Ross County Community ActionChillicothe, OH501 C (3)Community Improvement Initiative$60,425
Union-scioto Local School DistrictChillicothe, OH115Community Improvement Initiative$50,500
Hope Partnership ProjectsChillicothe, OH501 C (3)Community Improvement Initiative$46,162
The Buck Fifty IncChillicothe, OH501 C (3)Community Improvement Initiative$35,000
Ross County YmcaChillicothe, OH501 C (3)Community Improvement Initiative$33,180
United WayChillicothe, OH501 C (3)Job Development Initiative$31,500
Wellston City SchoolsWellston, OH115Community Improvement Initiative$27,000
Waverly City Board of EducationWaverly, OH115Community Improvement Initiative$25,500
Adena Local School DistrictFrankfort, OH115Community Improvement Initiative$25,000
Chillicothe City SchoolsChillicothe, OH115Community Improvement Initiative$25,000
Greenfield Exempted Village SchoolGreenfield, OH115Community Improvement Initiative$25,000
Huntington Local Board of EducationChillicothe, OH115Community Improvement Initiative$25,000
Miami Trace Local School DistrictWashington Court House, OH115Community Improvement Initiative$25,000
Scioto Valley Local School DistrictPiketon, OH115Community Improvement Initiative$25,000
Southeastern Local School DtisrictChillicothe, OH115Community Improvement Initiative$25,000
Washington Court House City SchoolsWashington Court House, OH115Community Improvement Initiative$25,000
Zane Trace Local School DistrictChillicothe, OH115Community Improvement Initiative$25,000
Ross County Agricultural SocietyChillicothe, OH501 C (3)Community Improvement Initiative$20,000
Ohio State UniversityColumbus, OH115Community Improvement Initiative$18,885
Fayette County YmcaWashington Court House, OH115Community Improvement Initiative$15,000
Pickaway Addiction Action CoalitionCircleville, OH501 C (3)Community Improvement Initiative$15,000
Pike County Agricultural SocietyPiketon, OH501 C (3)Community Improvement Initiative$15,000
WHERE WAZ EYE CHERYL'S HOUSE OF HOPEChillicothe, OH501 C (3)Community Improvement Initiative$15,000
Chillicothe Farmers Market AssociationChillicothe, OH501 C (4)Community Improvement Initiative$13,184
Jackson Area Festivals & EventsJackson, OH115Community Improvement Initiative$12,000
Chillicothe Rotary FoundationChillicothe, OH115Community Improvement Initiative$10,000
Shine on ChillicotheChillicothe, OH115Community Improvement Initiative$10,000
Chillicothe Ross Chamber of CommerceChillicothe, OH501 C (3)Community Improvement Initiative$7,500
The Scioto Society IncChillicothe, OH115Community Improvement Initiative$7,500
Downtown ChillicotheChillicothe, OH115Community Improvement Initiative$7,000
Circleville Pumpkin Show IncCircleville, OH501 C (3)Community Improvement Initiative$6,537
The Ohio State University FoundationColumbus, OH501 C (3)Community Improvement Initiative$6,000
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Son of Trustee Robert FrenchEmployee CompensationNo$64,607

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$18,743,664
Deferred Compensation Liability$10,811,026
Accrued Malpractice Insurance - Lt$5,444,984
Obligation$4,413,129
Capital Lease Obligation$3,215,139
Intercompany Payable$854,022
Cost Report Payable-

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Chillicothe Ohio2017-06-22$161,095,326Advance refunding of 2008 issue and finance emergency room
BCounty of Ross Ohio2019-06-19$83,270,000Finance ortho-robotic center
CCounty of Ross Ohio2021-05-13$30,000,000Finance hospital facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$164,402,962$121,977,262$8,735,000$1,777,526
B$99,845,477$23,486,711$8,950,000$964,347
C$30,060,426-$3,805,000$117,290

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
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
Yes
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 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS

Katherine edrington (chief operating officer) and kristin boggs (chief integrity & compliance officer) are siblings. Adena has implemented a mechanism for triaging any underlying concerns involving either party directly to the chro as well as both parties shall recuse themselves from any decisions involving the other party.

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

The organization is composed of 9 member churches. All of the churches are in the chillicothe, ohio area. 1. First presbyterian church 2. Freedom house of chilicothe 3. Orchard hill united church of christ 4. Tabernacle baptist church 5. St. Mary's catholic church 6. Trinity united methodist church 7. St. Paul's episcopal church 8. Walnut street united methodist church 9. St. Peter's catholic church

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

The corporate member churches may nominate a board member, but the board of directors of ahs reserves the final approval. The corporate member churches may only elect one person per church to act as their trustee. The trustees at large get appointed as follows. Section 3.03 of the code of regulations of ahs - "the board shall elect six (6) at-large trustee positions. Two of these positions shall be filled with physicians who are members of the active medical staff recommended by the medical staff in accordance with the medical staff bylaws. When a vacancy occurs among the four (4) at large trustees, with the exception of members eligible for reappointment, the trustee committee shall nominate to the board a candidate for the vacant position."

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Section 2.04 rights of the corporate members: (a) the right to elect nine trustees of the corporation as specified in these bylaws. (b) the right to approve any lease, sale exchange, transfer, or other disposition of all or substantially all of the assets of the corporation. (c) the right to approve any proposed merger or consolidation of the corporation. (d) the right to approve any proposed dissolution of the corporation. (e) the right to approve any proposed change to the fundamental purpose of the corporation as stated in section 1.01. (f) the right to approve any proposed amendments to the code of regulations.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Copies of the 990 are sent to board members via the sercure information portal provided by adena health system.

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

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. Advanced practice clinicians, front line supervisors up through the ceo, and board members are subject to the conflict of interest policy.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The executive compensation committee of the board of directors retains an independent compensation consultant, to evaluate the total compensation for executive leadership. The independent compensation consultant utilizes the compensation philosophy to conduct the evaluation. Each position is compared to peer data of organizations of similar size and complexity. The data analysis covers cash compensation (base salary), total cash compensation (base salary and incentives, both paid and opportunity), and total compensation (base salary, incentives and all benefits). The executive compensation committee meets with the independent compensation consultant regularly to review and monitor all total compensation for the executive leadership. Other management wages are reviewed internally using market data. Compensation was last reviewed in 2023.

Form 990, Part VI, Line 19 Required documents available to the public

The articles of incorporation are available thru ohio secretary of state website. As a result of having issued public debt, the audited financials for adena health system are available for viewing at emmr.msrb.org. Copies of most recent 990 is available upon request by contacting administration at adena health system, prior 990s are available for viewing at guidestar.com.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

CHARITY CARE - Total Revenue: 1246333, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1246333; DAVITA DIALYSIS - Total Revenue: 638086, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 638086; CONSULTING FEES - Total Revenue: 259633, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 259633; BORROWED FUNDS - Total Revenue: 250455, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 250455; NON-PATIENT PHARMACY SALES - Total Revenue: 87558, Related or Exempt Function Revenue: , Unrelated Business Revenue: 87558, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 83929, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 83929; MERCER ACTIVITY - Total Revenue: -451708, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -451708;

Filing and Contact Details

Filer

Filer Name
Adena Health System
EIN
31-4379443
Phone
7407994481
Address
272 HOSPITAL ROAD, CHILLICOTHE, OH 45601-9031
Doing Business As
Adena Regional Medical Center

Signing Officer

Name
Jeffrey J Graham
Title
Adena Health Systems CEO
Phone
7403351210
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
1895
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
12
Employees
3,562
Volunteers
106

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 IX, Line 11G Other Fees

CONTRACT STAFFING - Total Expense: 23326979, Program Service Expense: 23315096, Management and General Expenses: 11883, Fundraising Expenses: ; CONSULTANT FEES - Total Expense: 1440543, Program Service Expense: 1439809, Management and General Expenses: 734, Fundraising Expenses: ; NON-PHYSICIAN HEALTHCARE SERVICES - Total Expense: 27476688, Program Service Expense: 9461166, Management and General Expenses: 18015522, Fundraising Expenses: ; REVENUE CYCLE MANAGEMENT - Total Expense: 32665470, Program Service Expense: , Management and General Expenses: 32665470, Fundraising Expenses: ;

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

TRANSFERS TO/FROM RELATED - 17447748; INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION - 165699; Total - 17613447;

Form 990, Part XII, Line 2C

The 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.

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE/ VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt5APMC CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9MEDICAL STAFF TRUSTEE/PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt10AGMC CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13MEDICAL STAFF TRUSTEE/PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF CLINICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt16AHS CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17COO
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19PRESIDENT OF ARMC
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHRO
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP SYSTEM FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt22PRESIDENT OF AMG
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF COMPLIANCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt25PRESIDENT OF AMG
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP STRATEGIC OPERATIONS - PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt28PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt29PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt30PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt31PHYSICIAN
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