Civic Intelligence

Adams County Regional Medical Center

EIN 81-2817266 • 501(c)3 • Seaman, OH

View Organization Page

Profile

To provide quality health care close to home. To meet the community's needs, to excel at customer service and to be your first choice for healthcare needs.

230 Medical Center DrSeaman, OH 45679

acrmc.com

Siviq Scores

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

Liabilities / Assets

81st percentile

0.65x

Higher debt load relative to assets than 81% of similar nonprofits.

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

Liabilities / Revenue

70th percentile

0.64x

Higher debt load relative to revenue than 70% of similar nonprofits.

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

Net Margin

32nd percentile

-0.7%

Higher net margin than 32% of similar nonprofits.

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

Top Officer Pay

80th percentile

$461,208

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

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

Asset Growth

43rd percentile

3.2%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets81st percentile

Assets

Up

$48,742,786

Up $1,509,032 (+3.2%) from 2023

Liabilities

Up

$31,800,410

Up $3,014,257 (+10%) from 2023

Net Assets

Down

$16,942,376

Down $1,505,225 (-8.2%) from 2023

Operations
Liabilities / Revenue70th percentileNet Margin32nd percentile

Revenue

Up

$49,934,516

Up $6,112,859 (+14%) from 2023

Expenses

Up

$50,266,707

Up $6,423,214 (+15%) from 2023

Net Income

Down

-$332,191

Down $310,355 (-1421%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth43rd percentile

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

$60M$40M$20M$0Assets 2019: $36,797,475Liabilities 2019: $28,780,820Net Assets 2019: $8,016,6552019Assets 2020: $44,624,639Liabilities 2020: $35,399,708Net Assets 2020: $9,224,9312020Assets 2021: $45,874,339Liabilities 2021: $31,444,839Net Assets 2021: $14,429,5002021Assets 2022: $47,297,565Liabilities 2022: $28,828,216Net Assets 2022: $18,469,3492022Assets 2023: $47,233,754Liabilities 2023: $28,786,153Net Assets 2023: $18,447,6012023Assets 2024: $48,742,786Liabilities 2024: $31,800,410Net Assets 2024: $16,942,3762024

Highlighted filing

2024

Assets$48,742,786
Liabilities$31,800,410
Net Assets$16,942,376
Open 2024 Filing

Operations Trend

Revenue Growth63rd percentile

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

$60M$40M$20M$0-$20MRevenue 2019: $8,529,651Expenses 2019: $8,076,978Net Income 2019: $452,6732019Revenue 2020: $38,670,161Expenses 2020: $37,513,356Net Income 2020: $1,156,8052020Revenue 2021: $42,992,770Expenses 2021: $37,790,842Net Income 2021: $5,201,9282021Revenue 2022: $46,714,071Expenses 2022: $42,658,824Net Income 2022: $4,055,2472022Revenue 2023: $43,821,657Expenses 2023: $43,843,493Net Income 2023: -$21,8362023Revenue 2024: $49,934,516Expenses 2024: $50,266,707Net Income 2024: -$332,1912024

Highlighted filing

2024

Revenue$49,934,516
Expenses$50,266,707
Net Income-$332,191
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$48,742,786
Liabilities
$31,800,410
Net assets
$16,942,376
Revenue
$49,934,516
Expenses
$50,266,707
Net income
-$332,191
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$48.7$31.8$16.9$49.9$50.3$0.33
2023Detailed filing. Detailed filing data is available for this year.$47.2$28.8$18.4$43.8$43.8$0.02
2022Detailed filing. Detailed filing data is available for this year.$47.3$28.8$18.5$46.7$42.7$4.06
2021Detailed filing. Detailed filing data is available for this year.$45.9$31.4$14.4$43.0$37.8$5.20
2020Detailed filing. Detailed filing data is available for this year.$44.6$35.4$9.22$38.7$37.5$1.16
2019Detailed filing. Detailed filing data is available for this year.$36.8$28.8$8.02$8.53$8.08$0.45
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$49,934,516
Mission and Program Overview

Mission

To provide quality health care close to home. To meet the community's needs, to excel at customer service and to be your first choice for healthcare needs.

To provide quality health care close to home and to meet community's needs, excel at customer service and be the first choice for healthcare needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$22,584,707$23,005,064▲ $420,357
Savings and Temporary Cash Investments$7,864,412$10,324,951▲ $2,460,539
Cash and Non-Interest-Bearing Accounts$7,554,856$6,245,742▼ $1,309,114
Accounts Receivable$5,429,279$5,335,755▼ $93,524
Investments Program Related$2,642,972$1,499,812▼ $1,143,160
Investments Other Securities$61,275$1,027,305▲ $966,030
Prepaid Expenses and Deferred Charges$359,753$460,001▲ $100,248
Inventories for Sale or Use$365,096$362,443▼ $2,653
Intangible Assets$41,082$6,565▼ $34,517
Total Assets$47,233,754$48,742,786▲ $1,509,032
Other Assets Total$330,322$475,148▲ $144,826
Liabilities
Tax Exempt Bond Liabilities$23,531,681$24,740,255▲ $1,208,574
Accounts Payable and Accrued Expenses$4,594,402$4,989,447▲ $395,045
Other Liabilities$660,070$2,070,708▲ $1,410,638
Total Liabilities$28,786,153$31,800,410▲ $3,014,257
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,435,223$16,929,907▼ $1,505,316
Net Assets With Donor Restrictions$12,378$12,469▲ $91
Total Net Assets Fund Balance$18,447,601$16,942,376▼ $1,505,225
Total Liabilities and Net Assets / Fund Balance$47,233,754$48,742,786▲ $1,509,032

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$18,468,329$3,484,658$21,952,987
Equipment$2,947,748$4,304,071$7,251,819
Other Land Buildings$1,588,987$259,300$1,848,287
Compensation and Service Providers
Top Officer Pay80th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
John Debanto MdGastroenterologistFT$429,357$31,851$461,208
Hannah Hopkins MdDoctorFT$260,000$131,902$391,902
Krishna Reddy MdOrthopedic SurgeonFT$365,623$5,662$371,285
Ali Alalwan MdPhysicianFT$305,000$38,406$343,406
Jon Moore MdPodiatristFT$200,000$94,485$294,485
Pete DagenbachCFOFT$200,833$57,272$258,105
Alan BirdCEOFT$103,703$6,811$110,514

Board Members and Trustees

NameTitle
Jack MccoyChairman
Roy Spud GustinVice-chair
Dane ClarkMember
Darrin SchneiderMember
Matthew Armstrong MdMember
Peggy Chalker PhdMember
Chad WilsonSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Emergency Professional Services INCStaffing Er PhysiciansPO BOX 634850, Cincinnati, OH 45263-4850$797,648
Cps Rehabilitation Services LLCContracted Therpay Services655 METRO PLACE SOUTH, Dublin, OH 43017$713,705
RdiIt Support4350 GLANDALE-MILFORD RD SUITE 250, Cincinnati, OH 45242$679,108
Rhg Consolidated LLCHospital Management Company4770 N BELLVIEW AVE SUITE 205, Kansas City, MO 64116$618,263
Psychiatric Medical Care INCPsychiatric ServicesPO BOX 734606, Dallas, TX 75373$419,576
Revenue and Support

Revenue Composition

Contributions and Grants
$24,526
Program Service Revenue
$47,542,241
Investment Income
$860,858
Other Revenue
$1,506,891
All Other Contributions
$24,526
Change in Net Assets
$-332,191

Audited Revenue Reconciliation

Revenue per Audited Statements
$43,398,020
Revenue Not Reported on Financial Statements
$6,536,496
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$6,536,496
Total Revenue per Audited Statements
$43,398,020
Total Revenue per Form 990
$49,934,516
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,969,125
Salaries, Compensation, and Employee Benefits$23,297,582
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,387,932$7,930,019-$19,317,951
Fees for Services Other$5,779,837$2,611,819-$8,391,656
Office Expenses$1,557,456$1,085,919-$2,643,375
Other Employee Benefits$1,200,671$836,091-$2,036,762
Interest$1,004,042$699,167-$1,703,209
Depreciation Depletion$951,425$662,528-$1,613,953
Payroll Taxes$928,020$646,230-$1,574,250
Occupancy$378,062$263,265-$641,327
Insurance$264,542$184,214-$448,756
Current Officers, Directors, Trustees, and Key Employees$217,301$151,318-$368,619
All Other Expenses$210,302$146,443-$356,745
Other Expenses$147,771$102,901-$250,672
Advertising-$140,935-$140,935
Fees for Services Accounting-$108,999-$108,999
Travel$60,003$41,783-$101,786
Fees for Services Legal-$64,230-$64,230
Total Functional Expenses$34,157,514$16,109,193$0$50,266,707

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$50,266,707
Expenses per Audited Statements$43,730,211
Total Expenses per Audited Statements$43,730,211
Expenses Not Reported on Financial Statements$6,536,496
Other Expense Adjustments$6,536,496
Expenses Not Reported on Form 990$0
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
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease Obligations$2,070,708

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Adams Oh Series 2019 Bonds2019-09-27$25,400,000To finance acquisition of existing hospital facilities in adams county, oh

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$24,892,000-$1,025,000$508,000

Bond Financing Compliance

No rebate due
No
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
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
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The 990 will be distributed to all board members. It will be presented and discussed at a board of trustees meeting after the completion of form 990.”

Form 990, Part VI, Section B, Line 12C

“Acrmc conflict of interest policy requires that all personnel shall upon hire and annually thereafter sign a statement which affirms the person's understanding and adherence to the policy. The compliance committee meets each quarter and the him director performs hipaa audits.”

Form 990, Part VI, Section B, Line 15

“Salary surveys and recommendations from the ceo are used to determine the organization's officers or key employees salaries. The salary recommendations are reviewed and approved by the ceo.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents, policies and financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
Adams County Regional Medical Center
EIN
81-2817266
Phone
8778295500
Address
230 MEDICAL CENTER DR, SEAMAN, OH 45679

Signing Officer

Name
Pete R Dagenbach
Title
CFO
Phone
9373863001
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pete R Dagenbach
Formed
2016
Legal Domicile
Oh
Voting Board Members
7
Independent Board Members
7
Employees
453
Volunteers
8

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
101 WASHINGTON STREET EAST, CHARLESTON, WV 25301
Preparer
Dolores Rose
Phone
3043460441
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Maintenance contracts: program service expenses 866,801. Management and general expenses 603,599. Fundraising expenses 0. Total expenses 1,470,400. Other purchased services: program service expenses 2,883,911. Management and general expenses 2,008,220. Fundraising expenses 0. Total expenses 4,892,131. Contracted medical services: program service expenses 2,029,125. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,029,125.”

FORM 990, PART XI, LINE 9:

“Change in equity of non-controlling interest in sub 0. Increase in temp restricted assets 91. Loss on refinancing of debt -1,173,125.”

Financial Statement Notes

PART X, LINE 2:

“The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (code) and has been recognized as tax exempt under section 501(a) of the code. Accordingly, no provision for income taxes has been provided. The center follows the guidance for accounting for uncertainty in income taxes recognized in a company's consolidated financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Generally, tax returns for years ended december 31, 2021, and thereafter remain subject to examination by federal and state tax authorities.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense 6,536,496.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense 6,536,496.”

Raw XML AppendixShowing 400 of 856 raw XML fields

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/ActivityOrMissionDesc0TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME AND TO MEET COMMUNITY'S NEEDS, EXCEL AT CUSTOMER SERVICE AND BE THE FIRST CHOICE FOR HEALTHCARE NEEDS.
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IRS990/Desc0ACRMC HAS SIX LOCATIONS AND PROVIDES A WIDE RANGE OF SERVICES TO MEET THE HEALTHCARE NEEDS OF ADAMS COUNTY AND ITS SURROUNDING COMMUNITIES. HEALTH CARE SERVICES PROVIDED INCLUDE, BUT ARE NOT LIMITED TO: SURGICAL, ORTHOPEDIC, WOMEN'S HEALTH, REHABILITATION, SENIOR LIFE SOLUTIONS, SLEEP LAB, ADVANCED IMAGING AND CARDIO/PULMONARY. IT IS A CRITICAL ACCESS HOSPITAL WITH 25 BEDS AND 24/7/365 EMERGENCY DEPARTMENT AND ONLINE CARE. THE COST OF CHARITY CARE WAS APPROXIMATELY $183,000 FOR THE YEAR. AN ANNUAL HEALTH FAIR PROVIDES AFFORDABLE HEALTH SCREENINGS AND AN OPPORTUNITY FOR COMMUNITY MEMBERS TO SHARE FEEDBACK ON THEIR THOUGHTS AND DESIRES REGARDING THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES, THROUGH A SURVEY.
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