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Nonprofiteer
← PIKE HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by PIKE HEALTH SERVICES INC.

Totals

Total revenue
$34,403,191
Total expenses
$28,679,966
Contributions and grants received
$349,663
Grants paid
$0
Program service revenue
$33,951,951
Investment income
$907
Other revenue
$100,670
Total assets, end of year
$13,326,257
Total liabilities, end of year
$1,617,700
Net assets or fund balances, end of year
$11,708,557
Program services expenses (Part IX)
$25,016,198
Management and general expenses
$3,663,768
Fundraising expenses
$0
Program service expenses (Part III)
$25,016,198

Program services were 87.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $349,663

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

    total $33,951,951 · related or exempt $33,951,951

  • 3 · Investment income

    total $907 · excluded $907

  • 6a · Gross rents

    real property $6,612

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $6,612

  • 6d · Net rental income or loss

    total $6,612 · related or exempt $6,612

  • 11a · Other revenue: CAFETERIA REVENUE

    total $94,058 · excluded $94,058

  • 11e · Other revenue, total

    $94,058

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $504,494 · program services $420,328 · management and general $84,166

  • 7 · Other salaries and wages

    total $10,073,737 · program services $8,393,103 · management and general $1,680,634

  • 9 · Other employee benefits

    total $2,160,754 · program services $1,848,591 · management and general $312,163

  • 10 · Payroll taxes

    total $591,669 · program services $506,191 · management and general $85,478

  • 11g · Fees: other

    total $923,697 · program services $911,723 · management and general $11,974

  • 16 · Occupancy

    total $476,433 · program services $377,043 · management and general $99,390

  • 17 · Travel

    total $8,100 · program services $4,561 · management and general $3,539

  • 22 · Depreciation, depletion and amortization

    total $997,098 · program services $731,958 · management and general $265,140

  • 23 · Insurance

    total $121,706 · program services $92,070 · management and general $29,636

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $5,358,499 · program services $5,045,967 · management and general $312,532

  • 24b · Other expenses: CORPORATE OVERHEAD ALLO

    total $4,476,564 · program services $4,215,471 · management and general $261,093

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,373,531 · program services $1,373,531

  • 24d · Other expenses: FRANCHISE FEES

    total $982,387 · program services $925,090 · management and general $57,297

  • 24e · All other expenses

    total $631,297 · program services $170,571 · management and general $460,726

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,844,047 · end of year $578,724

  • 4 · Accounts receivable

    beginning of year $4,562,325 · end of year $3,443,339

  • 7 · Other notes and loans receivable

    beginning of year $355,374 · end of year $289,831

  • 8 · Inventories for sale or use

    beginning of year $686,153 · end of year $701,626

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

    $17,703,656

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

    $10,993,919

  • 10c · Land, buildings and equipment, net

    beginning of year $7,233,490 · end of year $6,709,737

  • 15 · Other assets

    beginning of year $1,645,000 · end of year $1,603,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,391,849 · end of year $988,403

  • 19 · Deferred revenue

    beginning of year $885,826 · end of year $282,617

  • 25 · Other liabilities

    beginning of year $2,069,711 · end of year $346,680

  • 27 · Net assets without donor restrictions

    beginning of year $11,975,930 · end of year $11,705,484

  • 28 · Net assets with donor restrictions

    beginning of year $3,073 · end of year $3,073

Mission and programs · 2023

Mission

CALLED TO SERVE OUR COMMUNITIES

Activities or mission (Part I)

ADENA PIKE MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL AND A MEMBER OF THE ADENA HEALTH SYSTEM THAT PROVIDES HEALTHCARE TO CITIZENS IN PIKE COUNTY.

  • PIKE HEALTH SERVICES, INC. IS A 25- BED CRITICAL ACCESS HOSPITAL LOCATED IN PIKE COUNTY IN THE STATE OF OHIO. IN 2023, PIKE HEALTH SERVICES, INC. HAD 624 INPATIENT DISCHARGES AND 11,280 EMERGENCY ROOM PATIENTS. DURING THE YEAR, PIKE HEALTH SERVICES, INC PARTICIPATED IN HEALTH FAIRS OFFERING SCREENING AND EDUCATION FOR DIABETES, CHOLESTEROL AND ARTHRITIS FOR BOTH ADULTS AND CHILDREN.PIKE HEALTH SERVICES MAINTAINS CLINIC OFFICE SPACE FOR PHYSICIAN SPECIALISTS FROM ADENA HEALTH SYSTEM TO SEE PATIENTS AT A DESTINATION CLOSER TO THEIR HOMES. THESE INCLUDE GENERAL SURGEONS, UROLOGISTS, AND GYNECOLOGISTS.

    Expenses $25,016,198 · Revenue $33,958,563

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Justin Smith

    TRUSTEE-CHIEF OF STAFF/PHYSICIAN

    Total calculated
    $541,293
    From this org
    $497,231
    From related orgs
    $0
    Other
    $44,062
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $256,097
    Bonus
    $179,530
    Other
    $61,604
    Deferred
    $7,263
    Nontaxable benefits
    $36,799
    Filer's total
    $541,293

  • Anthony Fish

    TRUSTEE/CHAIR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Val Francis

    TRUSTEE/VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Renea Gregory

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Josh Remy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Kim Roe

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Judy Schmitt

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Connie Shelley

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Jeff Graham

    AHS PRESIDENT & CEO

    Total calculated
    $1,068,566
    From this org
    $0
    From related orgs
    $1,010,366
    Other
    $58,200
    Hours/week
    1 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $956,818 related
    Bonus
    $0 + $39,688 related
    Other
    $0 + $13,860 related
    Deferred
    $0 + $23,080 related
    Nontaxable benefits
    $0 + $35,120 related
    Filer's total
    $0 + $1,068,566 related

  • James McManus

    AHS CHIEF FINANCIAL OFFICER

    Total calculated
    $747,455
    From this org
    $0
    From related orgs
    $621,511
    Other
    $125,944
    Hours/week
    1 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $547,954 related
    Bonus
    $0 + $35,472 related
    Other
    $0 + $38,085 related
    Deferred
    $0 + $74,012 related
    Nontaxable benefits
    $0 + $51,932 related
    Filer's total
    $0 + $747,455 related

  • Katherine Edrington

    AHS CHIEF OPERATING OFFICER

    Total calculated
    $653,968
    From this org
    $0
    From related orgs
    $621,194
    Other
    $32,774
    Hours/week
    1 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $605,161 related
    Bonus
    $0 + $13,933 related
    Other
    $0 + $2,100 related
    Deferred
    $0 + $17,691 related
    Nontaxable benefits
    $0 + $15,083 related
    Filer's total
    $0 + $653,968 related

  • Dave Zanni

    SENIOR OPERATIONS EXECUTIVE OFFICER

    Total calculated
    $234,256
    From this org
    $207,513
    From related orgs
    $0
    Other
    $26,743
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $199,815
    Bonus
    $0
    Other
    $7,698
    Deferred
    $10,655
    Nontaxable benefits
    $16,088
    Filer's total
    $234,256

  • Cheryl Smith

    PHARMACIST

    Total calculated
    $211,036
    From this org
    $198,386
    From related orgs
    $0
    Other
    $12,650
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $163,883
    Bonus
    $0
    Other
    $34,503
    Deferred
    $9,936
    Nontaxable benefits
    $2,714
    Filer's total
    $211,036

  • Jason Loutsenhizer

    TEAM LEAD PHARMACIST

    Total calculated
    $209,432
    From this org
    $178,612
    From related orgs
    $0
    Other
    $30,820
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $158,381
    Bonus
    $0
    Other
    $20,231
    Deferred
    $9,255
    Nontaxable benefits
    $21,565
    Filer's total
    $209,432

  • Stacy Bolte

    COORD PATIENT CARE

    Total calculated
    $170,008
    From this org
    $134,630
    From related orgs
    $0
    Other
    $35,378
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $84,326
    Bonus
    $0
    Other
    $50,304
    Deferred
    $7,158
    Nontaxable benefits
    $28,220
    Filer's total
    $170,008

  • Brandy Strain

    DIRECTOR OF NURSING

    Total calculated
    $156,546
    From this org
    $127,552
    From related orgs
    $0
    Other
    $28,994
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $126,152
    Bonus
    $0
    Other
    $1,400
    Deferred
    $5,370
    Nontaxable benefits
    $23,624
    Filer's total
    $156,546

  • Christopher Banks

    MGR REHAB OPERATIONS

    Total calculated
    $128,842
    From this org
    $120,428
    From related orgs
    $0
    Other
    $8,414
    Hours/week
    50

  • David Kessler

    TRUSTEE/CHIEF OF STAFF-FORMER

    Total calculated
    $337,152
    From this org
    $0
    From related orgs
    $318,460
    Other
    $18,692
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $177,893 related
    Bonus
    $0 + $89,319 related
    Other
    $0 + $51,248 related
    Deferred
    $0 + $15,935 related
    Nontaxable benefits
    $0 + $2,757 related
    Filer's total
    $0 + $337,152 related

  • Lisa Carlson

    AHS CFO-FORMER

    Total calculated
    $271,076
    From this org
    $0
    From related orgs
    $270,056
    Other
    $1,020
    Hours/week
    1 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $28,082 related
    Bonus
    $0 + $291 related
    Other
    $0 + $241,683 related
    Deferred
    $0 + $931 related
    Nontaxable benefits
    $0 + $89 related
    Filer's total
    $0 + $271,076 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
DAVE ZANNI HAS MEMBERSHIP IN ROTARY. PURPOSE IS TO ENHANCE PIKE'S ENGAGEMENT IN THE ACTIVITES OF WAVERLY AND SURROUNDING COMMUNITIES. DAVE ZANNI IS REIMBURSED FOR HIS ROTARY CLUB DUES. THIS IS NOT TREATED AS TAXABLE COMPENSATION.
PART I, LINE 3
EXECUTIVE LEADERSHIP AT PIKE HEALTH SERVICES HAS THEIR COMPENSATION REVIEWED EVERY OTHER YEAR BY ADENA HEALTH SYSTEM, A RELATED PARTY. THE SYSTEM UTILIZES A SEPARATE COMPENSATION CONSULTING FIRM THAT USES SEVERAL AVAILABLE MARKET STUDIES FOR APPLICABLE POSITIONS IN COMPARABLE MARKETS. OTHER PIKE HEALTH SERVICES MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA.
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 2023: LISA CARLSON $241,505 SERP EARNINGS JAMES MCMANUS $29,615 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $60,232 SERP ACCRUAL
PART I, LINE 7
MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER A 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

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

  • ADENA CARE

    C · SEE SCHEDULE R, PART VII · OH · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403209349310520

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