Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $81,434

• 1e · Government grants (contributions)

  $6,663,479

• 1f · All other contributions, gifts and grants

  $462,482

• 2a · Program service revenue: NET PATIENT SVC REV

  total $607,647,900 · related or exempt $607,647,900

• 3 · Investment income

  total $6,188,458 · excluded $6,188,458

• 6a · Gross rents

  real property $191,118

• 6b · Less rental expenses

  real property $33,346

• 6c · Rental income or loss

  real property $157,772

• 6d · Net rental income or loss

  total $157,772 · excluded $157,772

• 7a · Gross sales of assets other than inventory

  securities $192,131,715

• 7b · Less cost or other basis and sales expenses

  securities $161,342,577 · other assets $46,050

• 7c · Gain or loss

  securities $30,789,138 · other assets -$46,050

• 7d · Net gain or loss

  total $30,743,088 · excluded $30,743,088

• 11a · Other revenue: OUTPATIENT PHARMACY SALES

  total $15,540,835 · related or exempt $15,488,170 · unrelated business $52,665

• 11b · Other revenue: CAFETERIA REVENUE

  total $6,266,837 · excluded $6,266,837

• 11c · Other revenue: DAVITA DIALYSIS

  total $727,516 · excluded $727,516

• 11d · All other revenue

  total $4,076,418 · excluded $4,076,418

• 11e · Other revenue, total

  $26,611,606

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $1,101,195 · program services $1,101,195

• 5 · Compensation of officers, directors and key employees

  total $3,009,424 · program services $2,436,187 · management and general $573,237

• 7 · Other salaries and wages

  total $289,458,468 · program services $234,322,274 · management and general $55,136,194

• 9 · Other employee benefits

  total $43,112,612 · program services $34,863,123 · management and general $8,249,489

• 10 · Payroll taxes

  total $17,442,981 · program services $14,105,311 · management and general $3,337,670

• 11b · Fees: legal

  total $1,789,930 · management and general $1,789,930

• 11c · Fees: accounting

  total $406,340 · management and general $406,340

• 11g · Fees: other

  total $79,111,663 · program services $54,173,872 · management and general $24,937,791

• 12 · Advertising and promotion

  total $1,571,166 · program services $682,602 · management and general $888,564

• 13 · Office expenses

  total $6,241,469 · program services $5,881,424 · management and general $360,045

• 16 · Occupancy

  total $34,852,270 · program services $27,674,429 · management and general $7,177,841

• 17 · Travel

  total $585,199 · program services $304,611 · management and general $280,588

• 19 · Conferences, conventions and meetings

  total $1,537,805 · program services $800,467 · management and general $737,338

• 20 · Interest

  total $11,139,237 · program services $9,068,092 · management and general $2,071,145

• 22 · Depreciation, depletion and amortization

  total $24,519,659 · program services $17,879,841 · management and general $6,639,818

• 23 · Insurance

  total $3,761,995 · program services $2,831,208 · management and general $930,787

• 24a · Other expenses: MEDICAL EQUIPMENT & SUP

  total $96,623,460 · program services $96,623,460

• 24b · Other expenses: BAD DEBT EXPENSE

  total $33,712,059 · program services $33,712,059

• 24c · Other expenses: HCAP ASSESSMENT

  total $14,223,535 · program services $14,223,535

• 24d · Other expenses: CAFETERIA/CATERING

  total $3,454,284 · program services $3,253,937 · management and general $200,347

• 24e · All other expenses

  total $2,767,426 · program services $2,531,831 · management and general $235,595

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $14,943 · end of year $14,824

• 2 · Savings and temporary cash investments

  beginning of year $70,469,096 · end of year $4,288,560

• 4 · Accounts receivable

  beginning of year $83,407,749 · end of year $111,146,126

• 5 · Loans and receivables from officers and key people

  beginning of year $47,196

• 7 · Other notes and loans receivable

  beginning of year $3,078,563 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $13,459,701 · end of year $14,015,914

• 9 · Prepaid expenses and deferred charges

  beginning of year $9,712,110 · end of year $6,583,860

• 10a · Land, buildings and equipment: cost or other basis

  $553,424,768

• 10b · Land, buildings and equipment: accumulated depreciation

  $281,175,089

• 10c · Land, buildings and equipment, net

  beginning of year $271,655,105 · end of year $272,249,679

• 11 · Investments: publicly traded securities

  beginning of year $377,393,138 · end of year $318,325,126

• 13 · Investments: program-related

  beginning of year $561,637 · end of year $572,359

• 15 · Other assets

  beginning of year $58,766,374 · end of year $49,934,850

• 17 · Accounts payable and accrued expenses

  beginning of year $73,892,604 · end of year $65,531,350

• 19 · Deferred revenue

  beginning of year $30,522,253 · end of year $2,964,494

• 20 · Tax-exempt bond liabilities

  beginning of year $293,702,676 · end of year $283,223,781

• 23 · Secured mortgages and notes payable

  end of year $15,000,000

• 25 · Other liabilities

  beginning of year $44,309,946 · end of year $44,927,139

• 27 · Net assets without donor restrictions

  beginning of year $441,778,706 · end of year $361,285,245

• 28 · Net assets with donor restrictions

  beginning of year $4,359,427 · end of year $4,199,289

The filer's explanations (Part III)

PART I, LINE 1A

ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES.

PART I, LINE 4B

THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2022: LISA CARLSON $259,980 SERP ACCRUAL KRISTIN BOGGS $40,632 SERP ACCRUAL CRAIG BABBITT $43,483 SERP ACCRUAL MOLLY GROOMS $35,100 SERP ACCRUAL JAMES MCMANUS $32,295 SERP ACCRUAL THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN.

PART I, LINE 7

MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER AN INDUSTRY STANDARD 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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• ADENA MEDICAL GROUP LLC

  HEALTHCARE PROVIDERS · OH · income $97,244,897 · assets $10,670,248

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOSPICE LLC

  HEALTHCARE PROVIDERS · OH · income $5,474,969 · assets $845,969

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOME HEALTH

  HEALTHCARE PROVIDERS · OH · income $4,785,368 · assets $859,149

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOME INFUSIONHOME RESPIRATORY

  HEALTHCARE PROVIDERS · OH · income $2,805,342 · assets $1,481,855

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA PHARMACY

  HEALTHCARE PROVIDERS · OH · income $9,763,565 · assets $1,236,876

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HEALTHCARE COLLABORATIVE

  HEALTHCARE PROVIDERS · OH · income $0 · assets $0

  Directly controlled by ADENA HEALTH SYSTEM

• MAXIMUM PROPERTIES LLC

  PROPERTY HOLDING · OH · income $0 · assets $5,927,801

  Directly controlled by ADENA HEALTH SYSTEM

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• ADENA CARE

  C · SEE SCHEDULE R, PART VII · OH · 100% owned · share of income -$85,206 · controlled entity

  Directly controlled by ADENA HEALTH SYSTEM