Adena Health System

Tax-deductible

Chillicothe, OH501(c)(3)Since 1895HospitalsEIN 31-4379443Revenue $704.4M in FY2024

On file with the IRSadena.org272 Hospital Rd, 45601-9031 · Chillicothe, OHTax-exempt since Sep 1951Hospital or medical research org — 170(b)(1)(A)(iii)

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The reporting organization is a regional healthcare System with one hospital and several ambulatory centers, in addition to multiple physician practices. Ahs offers a wide scope of diagnostic and rehabilitative services both for inpatients and outpatients, including comprehensive cardiology and cancer care. Furthermore, ahs is the sole member of two critical access hospitals, Adena pike medical center and Adena greenfield medical center, that file separately. Adena Health System served as the regional leader for the southern district as hospitals organized under governor dewine's request for hospitals to unite to support each other and better serve their communities as the covid-19 pandemic disrupted services for significant portions of ohio in 2020 & 2021.

501(c)(3) charity; gifts are tax-deductible.
83¢ of each $1 spent went to programs.
Run by 173 volunteers and 4,336 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
4 of 5
filings with a surplus
Average surplus $19.3M a year · 3% of revenue · last 5 filings
Fine: a surplus in 4 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
83%
of spending
Looks good: 83% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$13.8M
to officers and key staff · 2% of spending
Top officer’s pay higher than 76% of similar orgs
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
<1 mo
of spending, in cash
Concern: 0.0 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $77K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$374.5M
47% of total assets
Looks good: liabilities are 47% of assets; 50% or less.
Pt X · Ln 26
Independent board members
12
of 14 voting members
Looks good: 12 of 14 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$704.4M
+5% vs prior year
Spent
$676.6M
To programs
83%
Net assets
$423.8M
By yearFY2020–FY2024
Revenue
$704.4M
FY2024▲ +5%
Tap a bar for its year
Revenue by fiscal year
FY2020$590.6M
FY2021$680.8M
FY2022$678.6M
FY2023$670.0M
FY2024$704.4M
Expenses
$676.6M
FY2024▼ -1%
Tap a bar for its year
Expenses by fiscal year
FY2020$550.8M
FY2021$645.8M
FY2022$670.4M
FY2023$684.5M
FY2024$676.6M
Net assets
$423.8M
FY2024▲ +8%
Tap a bar for its year
Net assets by fiscal year
FY2020$416.8M
FY2021$446.1M
FY2022$365.5M
FY2023$391.0M
FY2024$423.8M

From the FY2024 Form 990 · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Sep 1951.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

83 cents of each dollar spent went to programs.

Program services 83% · $561.7M Management & general 17% · $114.9M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

32 people listed on the 990; $13.8M paid to officers and key staff.

Part VII, Section A · reportable compensation
$1,633,780Pt VII · Sec A
Physician
$1,275,336Pt VII · Sec A
$1,180,581Pt VII · Sec A
Physician
$1,122,665Pt VII · Sec A
Physician
$1,105,896Pt VII · Sec A
Physician
$1,054,887Pt VII · Sec A
Chief Clinical Officer
$742,685Pt VII · Sec A
$738,566Pt VII · Sec A

Roger Wiltfong’s $1.6M as Physician is at the 76th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
Brian Cohen———$987,422$2,531,520
Roger Wiltfong$1,633,780$1,399,401$1,296,420$1,278,180$1,081,343
Atiq Rehman—$1,571,885$1,311,559——
Hafeez Hassan$1,275,336————
Jeff Graham$1,180,581$1,010,366$1,178,750$1,123,172$1,269,939
Mark Tawil$1,122,665————
James Fleming$1,105,896$1,120,385$974,450$1,090,777—
Waheed Gul$1,054,887$967,011———

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides comprehensive inpatient, outpatient, emergency, and specialized medical care through a regional network of hospitals, urgent care centers, and physician clinics in Ohio.

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Provided by the organization

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1 program · $561.7M · in their own filed words · FY2024
01

Health Care Programs, General/Other

Routine hospital services. Adena regional medical center provided care for 13,356 inpatients. Emergency services - treatment of emergency accident and illness as well as less urgent conditions in the absence of a family physician. There were 41,425 emergent visits in 2024.

$561.7Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 1 funder$77K
Grants paid · 125 grants · $5.1M · 2020–2024
Ross County Health DistrictFY2024$64,794
Union-Scioto Local School DistrictFY2024$50,500
Hope Partnership ProjectOH · FY2024$46,162
The Buck Fifty INCOH · FY2024$35,000
Wellston City SchoolsFY2024$27,000
Waverly City Board of EducationFY2024$25,500
Zane Trace Local School DistrictFY2024$25,000
Washington Court House City SchoolsFY2024$25,000
Southeastern Local School DtisrictFY2024$25,000
Scioto Valley Local School DistrictFY2024$25,000
Miami Trace Local School DistrictFY2024$25,000
Huntington Local Board of EducationFY2024$25,000
Greenfield Exempted Village SchoolFY2024$25,000
Chillicothe City SchoolsFY2024$25,000
See all 125 grants →

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$704.4M
Ln 12
Fees for servicesLn 2g$624.7M
Investment incomeLn 3$42.2M
Other incomeLn 4–11$36.6M
Money outPt IX
$676.6M
Ln 25
Programscol B$561.7M
Managementcol C$114.9M
Owns and owesPt X
$423.8M
net assets · Ln 32
Cash and savingsLn 1–2$2.5M
Total assetsLn 16$798.3M
LiabilitiesLn 26$374.5M
PeoplePt VI, VII
32
listed · VII A
PaidVII A20
Voting boardVI 1a14
IndependentVI 1b12
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$901K
Government grantsLn 1e$71K
Fees for servicesLn 2g$624.7M
Investment incomeLn 3$42.2M
Other incomeLn 4–11$36.6M
Gains on assetsLn 7$42.1M
Total revenueLn 12$704.4M
Assets in detailPt X, end of year
CashLn 1$16K
SavingsLn 2$2.5M
Cash and savings togetherLn 1–2$2.5M
InvestmentsLn 11–13$369.4M
Land, buildings, equipmentLn 10c$259.3M
Other assetsLn 15$55.1M
Total assetsLn 16$798.3M
LiabilitiesLn 26$374.5M
Net assetsLn 32$423.8M
OperationsPt I, VI
EmployeesI 54,336
VolunteersI 6173
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$4.1M$2.5M
InvestmentsLn 11–13$359.8M$369.4M
Land, buildings, equipmentLn 10c$270.3M$259.3M
Total assetsLn 16$806.5M$798.3M
LiabilitiesLn 26$415.4M$374.5M
Net assetsLn 32$391.0M$423.8M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$843K$843K
Pay of current officers, directors and key staffLn 5$9.4M$8.2M$1.3M$0
Other salaries and wagesLn 7$261.3M$225.6M$35.7M
Pension plan contributionsLn 8$9.6M$8.4M$1.2M
Other employee benefitsLn 9$1.7M$1.5M$209K
Payroll taxesLn 10$42.4M$37.2M$5.2M
Legal feesLn 11b$1.8M$1.8M
Accounting feesLn 11c$331K$331K
Other fees for servicesLn 11g$84.9M$34.2M$50.7M$0
Advertising and promotionLn 12$774K$267K$508K
Office expensesLn 13$4.9M$4.7M$229K
OccupancyLn 16$36.1M$28.6M$7.6M
TravelLn 17$476K$286K$190K
Conferences, conventions and meetingsLn 19$956K$574K$382K
InterestLn 20$11.7M$9.5M$2.1M
Depreciation, depletion and amortizationLn 22$24.3M$17.8M$6.5M
InsuranceLn 23$3.1M$2.3M$742K
Other expenses (24a–d)Ln 24$179.4M$179.3M$143K$0
All other expensesLn 24e$2.5M$2.3M$186K$0
Total functional expensesLn 25$676.6M$561.7M$114.9M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest Viewing $704.4M$676.6M$27.8M$423.8M 990 PDF
FY2023 $670.0M$684.5M−$14.4M$391.0M 990 PDF
FY2022 $678.6M$670.4M$8.1M$365.5M 990 PDF
FY2021 $680.8M$645.8M$35.0M$446.1M 990 PDF
FY2020 $590.6M$550.8M$39.8M$416.8M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2024 990 (6 parts)
Part I · Summary $704,434,969 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $3,465,419$901,343
I-9 Program service revenuePrior year $623,884,851$624,745,239
I-10 Investment incomePrior year $16,094,218$42,171,990
I-11 Other revenuePrior year $26,591,977$36,616,397
I-12 Total revenuePrior year $670,036,465$704,434,969
I-13 Grants and similar amounts paidPrior year $1,643,732$843,042
I-14 Benefits paid to members$0
I-15 Salaries and benefitsPrior year $357,304,948$324,473,135
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $325,505,620$351,302,883
I-18 Total expensesPrior year $684,454,300$676,619,060
I-19 Revenue less expensesPrior year −$14,417,835$27,815,909
Part VI · Governance 12 of 14 board members independent, 1 to look at
VI-1a Voting members of the governing body14
VI-1b Independent voting members12
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $704,434,969 across 10 lines filed
Lines not itemized here account for $2,114,286 of total revenue; see the IRS return.
VIII-1d Related organizations$291,325
VIII-1e Government grants$70,805
VIII-1f All other contributions, gifts and grants$539,213
VIII-1h Total contributions, gifts and grants$901,343
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $624,745,239$624,745,239
VIII-3 Investment incomeExcluded from tax $63,061$63,061
VIII-6 Net rental income or lossExcluded from tax $126,968$126,968
VIII-7 Net gain or loss on sales of assetsExcluded from tax $42,108,929$42,108,929
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $31,918,914 · Excluded from tax $2,456,229$34,375,143
VIII-12 Total revenueRelated to mission $656,664,153 · Unrelated business $87,558 · Excluded from tax $46,781,915$704,434,969
Part IX · Statement of functional expenses $676,619,060 across 19 lines filed
IX-1 Grants to domestic organizationsPrograms $843,042$843,042
IX-5 Pay of current officers, directors and key staffPrograms $8,153,123 · Management $1,289,187 · Fundraising $0$9,442,310
IX-7 Other salaries and wagesPrograms $225,640,177 · Management $35,678,639$261,318,816
IX-8 Pension plan contributionsPrograms $8,432,202 · Management $1,176,515$9,608,717
IX-9 Other employee benefitsPrograms $1,495,868 · Management $208,713$1,704,581
IX-10 Payroll taxesPrograms $37,207,307 · Management $5,191,404$42,398,711
IX-11b Legal feesManagement $1,788,639$1,788,639
IX-11c Accounting feesManagement $331,457$331,457
IX-11g Other fees for servicesPrograms $34,216,071 · Management $50,693,609 · Fundraising $0$84,909,680
IX-12 Advertising and promotionPrograms $266,550 · Management $507,553$774,103
IX-13 Office expensesPrograms $4,716,521 · Management $228,910$4,945,431
IX-16 OccupancyPrograms $28,552,636 · Management $7,567,224$36,119,860
IX-17 TravelPrograms $285,596 · Management $190,398$475,994
IX-19 Conferences, conventions and meetingsPrograms $573,650 · Management $382,474$956,124
IX-20 InterestPrograms $9,545,940 · Management $2,133,477$11,679,417
IX-22 Depreciation, depletion and amortizationPrograms $17,845,697 · Management $6,478,815$24,324,512
IX-23 InsurancePrograms $2,326,122 · Management $741,725$3,067,847
IX-24 Other expenses (24a–d)Programs $179,270,843 · Management $142,842 · Fundraising $0$179,413,685
IX-24e All other expensesPrograms $2,329,978 · Management $186,156 · Fundraising $0$2,516,134
IX-25 Total functional expensesPrograms $561,701,323 · Management $114,917,737 · Fundraising $0$676,619,060
Part X · Balance sheet $798,341,314 assets, 20 lines filed
X-1 Cash, non-interest-bearingStart of year $15,373$15,637
X-2 Savings and temporary cash investmentsStart of year $4,100,406$2,499,922
X-4 Accounts receivableStart of year $100,949,597$91,867,060
X-8 Inventories for sale or useStart of year $14,404,163$14,778,908
X-9 Prepaid expenses and deferred chargesStart of year $8,046,860$5,470,969
X-10c Land, buildings and equipment, netStart of year $270,344,254$259,260,073
X-11 Publicly traded securitiesStart of year $359,318,889$368,919,236
X-13 Program-related investmentsStart of year $515,580$446,042
X-15 Other assetsStart of year $48,795,487$55,083,467
X-16 Total assetsStart of year $806,490,536$798,341,314
X-17 Accounts payable and accrued expensesStart of year $70,077,880$60,522,275
X-19 Deferred revenueStart of year $3,214,874$2,864,971
X-20 Tax-exempt bond liabilitiesStart of year $276,163,714$267,648,648
X-24 Unsecured notes and loans payableStart of year $19,700,000$0
X-25 Other liabilitiesStart of year $46,284,990$43,481,964
X-26 Total liabilitiesStart of year $415,441,458$374,517,858
X-27 Net assets without donor restrictionsStart of year $386,794,840$420,702,847
X-28 Net assets with donor restrictionsStart of year $4,254,238$3,120,610
X-32 Total net assets or fund balancesStart of year $391,049,078$423,823,457
X-33 Total liabilities and net assetsStart of year $806,490,536$798,341,315
Part XI · Reconciliation of net assets $423,823,456 net assets at year end
XI-1 Total revenue$704,434,969
XI-2 Total expenses$676,619,060
XI-3 Revenue less expenses$27,815,909
XI-4 Net assets at start of year$391,049,078
XI-5 Net unrealized gains (losses) on investments−$12,654,977
XI-9 Other changes in net assets$17,613,447
XI-10 Net assets at end of year$423,823,456

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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