Civic Intelligence

Adena Fayette Medical Center

EIN 85-2985806 • 501(c)3 • Chillicothe, OH

Profile

Called to serve our communities

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

30th percentile

0.08x

Higher debt load relative to assets than 30% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

9th percentile

0.02x

Higher debt load relative to revenue than 9% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

68th percentile

13%

Higher net margin than 68% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

93rd percentile

$1,548,750

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

3rd percentile

-29%

Faster asset growth than 3% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

65th percentile

16%

Faster revenue growth than 65% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$18,838,917

Down $7,860,578 (-29%) from 2023

Liabilities

Down

$1,555,955

Down $5,433,102 (-78%) from 2023

Net Assets

Down

$17,282,962

Down $2,427,476 (-12%) from 2023

Revenue

Up

$73,730,683

Up $10,001,971 (+16%) from 2023

Expenses

Up

$64,299,024

Up $7,131,206 (+12%) from 2023

Net Income

Up

$9,431,659

Up $2,870,765 (+44%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2021: $42,268,764Liabilities 2021: $10,264,051Net Assets 2021: $32,004,7132021Assets 2022: $30,488,041Liabilities 2022: $8,832,542Net Assets 2022: $21,655,4992022Assets 2023: $26,699,495Liabilities 2023: $6,989,057Net Assets 2023: $19,710,4382023Assets 2024: $18,838,917Liabilities 2024: $1,555,955Net Assets 2024: $17,282,9622024

Highlighted filing

2024

Assets$18,838,917
Liabilities$1,555,955
Net Assets$17,282,962

Operations Trend

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

$80M$60M$40M$20M$0Revenue 2021: $48,722,818Expenses 2021: $40,185,219Net Income 2021: $8,537,5992021Revenue 2022: $67,442,333Expenses 2022: $65,416,537Net Income 2022: $2,025,7962022Revenue 2023: $63,728,712Expenses 2023: $57,167,818Net Income 2023: $6,560,8942023Revenue 2024: $73,730,683Expenses 2024: $64,299,024Net Income 2024: $9,431,6592024

Highlighted filing

2024

Revenue$73,730,683
Expenses$64,299,024
Net Income$9,431,659

Filings

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
$73,730,683
Mission and Program Overview

Mission

Called to serve our communities

Adena fayette medical center is a critical access hospital and a member of the adena health system that provides healthcare to citizens in fayette county.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$14,602,033$8,339,505▼ $6,262,528
Land, Buildings, and Equipment, Net$8,638,770$7,780,478▼ $858,292
Inventories for Sale or Use$1,698,026$1,409,747▼ $288,279
Cash and Non-Interest-Bearing Accounts$1,334,172$1,071,190▼ $262,982
Pledges and Grants Receivable$0$122,592▲ $122,592
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$26,699,495$18,838,917▼ $7,860,578
Other Assets Total$426,494$115,405▼ $311,089
Liabilities
Accounts Payable and Accrued Expenses$2,747,332$1,155,285▼ $1,592,047
Other Liabilities$3,926,495$348,674▼ $3,577,821
Mortgage Notes Payable Secured by Investment Property$315,230$51,996▼ $263,234
Total Liabilities$6,989,057$1,555,955▼ $5,433,102
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$19,274,706$16,842,919▼ $2,431,787
Net Assets With Donor Restrictions$435,732$440,043▲ $4,311
Total Net Assets Fund Balance$19,710,438$17,282,962▼ $2,427,476
Total Liabilities and Net Assets / Fund Balance$26,699,495$18,838,917▼ $7,860,578

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,275,715$2,757,974$8,033,689
Equipment$1,572,718$3,490,431$5,063,149
Land$860,000-$860,000
Other Land Buildings$72,045$284,374$356,419
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jenny BreedloveVice Chair/physician-$580,023$399,436$979,459
Tammie WilsonDirector of NursingFT$180,829$36,071$216,900
Carolyn WallinDirector Operations Critical AccessFT$156,746$30,834$187,580
Melissa LemlePharmacistFT$153,303$30,287$183,590
Dorothy SowdersNurse Staff RnFT$82,766$69,746$152,512
Bethany KirkTl Nurse BsnFT$136,469$1,334$137,803

Board Members and Trustees

NameTitle
Brian ReamChair
Donald DienerPresident Armc
Carla MelvinTrustee
Chelsie BakerTrustee
Chiquita NashTrustee
Dianna WayneTrustee
Douglas BoedekerTrustee
Jeff FunariTrustee
Mary KingTrustee
Robyn HaddenTrustee
Jeff GrahamAhs CEO
James McmanusAhs CFO
Katherine EdringtonAhs COO
Josh MccoyWest Mkt VP/senior Ops Executive

Highest Paid Contractors

ContractorServicesLocationCompensation
Ensemble Health Partners Holdings LLCRevenue Cycle Management11511 Reed Hartman Hwy, Suite 600, Cincinnati, OH 45241$3,112,736
Apogee Medical ManagementapPhysician Services15059 N Scottsdale Rd, scottsdale, OH 85254$1,291,037
MeDefis IncManagement Solutions2121 N 117th Ave Ste 200, Omaha, NE 68164$1,215,478
OSU Physicians IncPhysician ServicesAckerman Place 700 Ackerman Rd, Columbus, OH 43202$1,176,000
Captive Radiology LLCMri Services6273 FRANK AVE NW, North Canton, OH 44720$627,650
Revenue and Support

Revenue Composition

Contributions and Grants
$23,710
Program Service Revenue
$73,395,282
Investment Income
$4,311
Other Revenue
$307,380
All Other Contributions
$23,710
Change in Net Assets
$9,431,659
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,906,679
Salaries, Compensation, and Employee Benefits$20,392,345
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,878,047$2,036,301-$14,914,348
Fees for Services Other$1,503,033$6,391,472$0$7,894,505
Other Employee Benefits$2,683,520$374,422-$3,057,942
Occupancy$1,494,382$396,052-$1,890,434
Depreciation Depletion$878,168$318,816-$1,196,984
Payroll Taxes$895,460$124,940-$1,020,400
Current Officers, Directors, Trustees, and Key Employees$845,731$133,728-$979,459
Information Technology$539,521--$539,521
Pension Plan Contributions$368,746$51,450-$420,196
Insurance$149,650$47,717-$197,367
Office Expenses$179,585$8,716-$188,301
Other Expenses$110,502$5,363-$115,865
All Other Expenses$77,209$21,001$0$98,210
Conferences and Meetings$39,951$26,636-$66,587
Travel$16,754$11,170-$27,924
Interest$2,966$663-$3,629
Advertising$35$68-$103
Total Functional Expenses$53,285,844$11,013,180$0$64,299,024
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$233,269
Cost Report Settlement Payable$115,405
Right of Use Liabilities-
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 adena fayette medical center 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

The 990 is provided to the adena health system board members for review and approval before filing. Adena health system is the sole member and the return is availabile via the board portal.

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. Front line supervisors up through the ceo, advanced practice clinicians, 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 top management official at adena greenfield 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.

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

EMS INCOME - Total Revenue: 15997, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 15997;

Filing and Contact Details

Filer

Filer Name
Adena Fayette Medical Center
EIN
85-2985806
Phone
7403351210
Address
272 HOSPITAL ROAD, CHILLICOTHE, OH 45601-9031

Signing Officer

Name
Jeff Graham
Title
Ahs CEO
Phone
7403351210
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2021
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
9
Employees
326
Volunteers
22

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: 2202442, Program Service Expense: 758376, Management and General Expenses: 1444066, Fundraising Expenses: ; CONSULTANT FEES - Total Expense: 2162599, Program Service Expense: 744657, Management and General Expenses: 1417942, Fundraising Expenses: ; REVENUE CYCLE MANAGEMENT - Total Expense: 3529464, Program Service Expense: , Management and General Expenses: 3529464, Fundraising Expenses: ;

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

TRANSFERS (TO) FROM RELATED ORGANIZATION - -11859135; Total - -11859135;

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. Fayette medical center is part of adena health system's consolidated audit.

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IRS990/Desc0Adena Fayette Medical Center is a 25-bed critical access hospital that has served the health needs of Fayette County for 70 years. Since 1950, Adena Fayette Medical Center, formerly known as Fayette County Memorial Hospital, has served the healthcare needs of our community. Our tradition of providing compassionate care continues to help thousands of people each year. While AFMC has grown in size and services, we have retained the personal touch that is our trademark. Our team consists of more than 300 highly skilled, compassionate healthcare professionals dedicated to delivering personal care. EMERENCY SERVICES ARE PROVIDED 24 HOURS A DAY, SEVEN DAYS A WEEK. IN 2024, THERE WERE 14,365 EMERGENCY ROOM VISTS TO THE HOSPITAL. THE INPATIENT UNIT SERVES GENERAL ADULT ACUTE AND SKILLED CARE WITH AN AVERAGE LENGTH OF STAY OF 4.18 DAYS. IN 2024, THERE WERE 949 INPATIENT DISCHARGES. PHYSICIANS AFFILIATED WITH OUT HOSPITAL ARE TRAINED IN A NUMBER OF SPECIALTIES, AND THEY, ALONG WITH OUR NURSE PRACTITIONERS, LOOK FORWARD TO ESTABLISHING LONG-TERM RELATIONSHIPS WITH OUR PATIENTS AND THEIR FAMILIES. COMPREHENSIVE CARE AND SERVICES PATENTIENTS AND VISTORS TO ADENA FAYETTE MEDICAL CENTER CAN EXPECT A FULL RANGE OF MEDICAL SERVICES AS WELL AS PERSONAL CARE FROM OUR DEDICATED PROVIDERS AND CAREGIVERS.
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