Totals
- Total revenue
- $67,442,333
- Total expenses
- $65,416,537
- Contributions and grants received
- $1,638,693
- Grants paid
- $0
- Program service revenue
- $65,558,125
- Investment income
- $81,558
- Other revenue
- $163,957
- Total assets, end of year
- $30,488,041
- Total liabilities, end of year
- $8,832,542
- Net assets or fund balances, end of year
- $21,655,499
- Program services expenses (Part IX)
- $56,770,334
- Management and general expenses
- $8,646,203
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $56,770,334
Program services were 86.8% 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)
$1,637,234
-
1f · All other contributions, gifts and grants
$1,459
-
2a · Program service revenue: NET PATIENT SVC REV
total $65,558,125 · related or exempt $65,558,125
-
3 · Investment income
total $81,558 · excluded $81,558
-
6a · Gross rents
real property $36,282
-
6b · Less rental expenses
real property $248,630
-
6c · Rental income or loss
real property -$212,348
-
6d · Net rental income or loss
total -$212,348 · excluded -$212,348
-
11a · Other revenue: PHARMACY
total $208,578 · excluded $208,578
-
11b · Other revenue: CAFETERIA
total $133,242 · excluded $133,242
-
11c · Other revenue: INCENTIVE PAYMENTS
total $34,485 · excluded $34,485
-
11e · Other revenue, total
$376,305
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $14,315,654 · program services $11,595,680 · management and general $2,719,974
-
8 · Pension plan contributions
total $530,484 · program services $429,162 · management and general $101,322
-
9 · Other employee benefits
total $3,527,161 · program services $2,853,473 · management and general $673,688
-
10 · Payroll taxes
total $1,050,778 · program services $850,079 · management and general $200,699
-
11g · Fees: other
total $6,457,703 · program services $2,813,242 · management and general $3,644,461
-
12 · Advertising and promotion
total $3,637 · program services $1,580 · management and general $2,057
-
13 · Office expenses
total $419,236 · program services $395,052 · management and general $24,184
-
14 · Information technology
total $664,858 · program services $626,505 · management and general $38,353
-
16 · Occupancy
total $2,608,320 · program services $2,071,135 · management and general $537,185
-
17 · Travel
total $2,254 · program services $1,173 · management and general $1,081
-
19 · Conferences, conventions and meetings
total $78,469 · program services $40,845 · management and general $37,624
-
20 · Interest
total $18,784 · program services $15,291 · management and general $3,493
-
22 · Depreciation, depletion and amortization
total $2,049,177 · program services $1,494,269 · management and general $554,908
-
23 · Insurance
total $274,646 · program services $206,694 · management and general $67,952
-
24a · Other expenses: MEDICAL EQUIPMENT & SUP
total $24,375,054 · program services $24,375,054
-
24b · Other expenses: PROVISION FOR BAD DEBTS
total $6,382,744 · program services $6,382,744
-
24c · Other expenses: HCAP ASSESSMENT
total $2,028,812 · program services $2,028,812
-
24d · Other expenses: CAFETERIA/CATERING
total $219,295 · program services $203,694 · management and general $15,601
-
24e · All other expenses
total $409,471 · program services $385,850 · management and general $23,621
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $15,526,598 · end of year $4,009,757
-
4 · Accounts receivable
beginning of year $14,041,651 · end of year $14,831,714
-
8 · Inventories for sale or use
beginning of year $1,565,343 · end of year $1,666,102
-
9 · Prepaid expenses and deferred charges
beginning of year $24,677 · end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$12,868,729
-
10b · Land, buildings and equipment: accumulated depreciation
$3,688,875
-
10c · Land, buildings and equipment, net
beginning of year $9,793,183 · end of year $9,179,854
-
15 · Other assets
beginning of year $1,317,312 · end of year $800,614
-
17 · Accounts payable and accrued expenses
beginning of year $6,194,852 · end of year $6,606,233
-
23 · Secured mortgages and notes payable
beginning of year $966,634 · end of year $591,344
-
25 · Other liabilities
beginning of year $3,102,565 · end of year $1,634,965
-
27 · Net assets without donor restrictions
beginning of year $31,568,264 · end of year $21,222,800
-
28 · Net assets with donor restrictions
beginning of year $436,449 · end of year $432,699
Mission and programs · 2022
Mission
CALLED TO SERVE OUR COMMUNITIES
Activities or mission (Part I)
ADENA FAYETTE MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL THAT HAS SERVES THE HEALTH NEEDS OF FAYETTE COUNTY.
-
ADENA 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.PHYSICIANS AFFILIATED WITH OUR 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 SERVICESPATIENTS AND VISITORS TO ADENA FAYETTE MEDICAL CENTER CAN EXPECT A FULL RANGE OF MEDICAL SERVICES AS WELL AS PERSONAL CARE FROM OUR DEDICATED PROVIDERS AND CAREGIVERS.SERVICES AT ADENA FAYETTE MEDICAL CENTERCANCERCARDIOPULMONARYDIAGNOSTIC TESTINGEMERGENCY SERVICESFOOD SERVICESGASTROENTEROLOGYLAB SERVICESNEPHROLOGYOCCUPATIONAL HEALTHOPHTHALMOLOGYORTHOPEDICSOUTPATIENT SERVICESPRIMARY CAREPULMONOLOGYREHABILITATION SERVICESSENIOR LIFE SOLUTIONSSLEEPSTROKESURGICAL SERVICESURGENT CARE AND WALK-IN CLINICWOMEN'S HEALTH
Expenses $56,770,334 · Revenue $65,558,125
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
JENNY BREEDLOVE
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
MYRON PRIEST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
BRIAN REAM
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
MARK RICHARDS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
RALPH STEGBAUER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
JEFF GRAHAM
AHS CEO
- Total calculated
- $1,267,669
- From this org
- $0
- From related orgs
- $1,178,750
- Other
- $88,919
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $925,582 related
- Bonus
- $0 + $250,303 related
- Other
- $0 + $2,865 related
- Deferred
- $0 + $24,920 related
- Nontaxable benefits
- $0 + $63,999 related
- Filer's total
- $0 + $1,267,669 related
-
KATHERINE EDRINGTON
AHS COO
- Total calculated
- $737,829
- From this org
- $0
- From related orgs
- $696,085
- Other
- $41,744
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $561,061 related
- Bonus
- $0 + $132,159 related
- Other
- $0 + $2,865 related
- Deferred
- $0 + $15,921 related
- Nontaxable benefits
- $0 + $25,823 related
- Filer's total
- $0 + $737,829 related
-
LISA CARLSON
AHS CFO-PART YEAR
- Total calculated
- $670,099
- From this org
- $0
- From related orgs
- $619,618
- Other
- $50,481
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $415,123 related
- Bonus
- $0 + $136,007 related
- Other
- $0 + $68,488 related
- Deferred
- $0 + $18,980 related
- Nontaxable benefits
- $0 + $31,501 related
- Filer's total
- $0 + $670,099 related
-
JAMES MCMANUS
AHS CFO
- Total calculated
- $333,825
- From this org
- $0
- From related orgs
- $314,210
- Other
- $19,615
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $291,710 related
- Bonus
- $0 + $22,500 related
- Other
- $0
- Deferred
- $0 + $7,246 related
- Nontaxable benefits
- $0 + $12,369 related
- Filer's total
- $0 + $333,825 related
-
DONALD DIENER
ADMINISTRATOR
- Total calculated
- $348,219
- From this org
- $304,128
- From related orgs
- $0
- Other
- $44,091
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $258,843
- Bonus
- $40,761
- Other
- $4,524
- Deferred
- $14,253
- Nontaxable benefits
- $29,838
- Filer's total
- $348,219
-
CAROLYN WALLIN
DIRECTOR OF OPERATIONS
- Total calculated
- $190,696
- From this org
- $174,254
- From related orgs
- $0
- Other
- $16,442
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $149,632
- Bonus
- $24,622
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $16,442
- Filer's total
- $190,696
-
TAMMY WILSON
DIRECTOR OF NURSING
- Total calculated
- $183,862
- From this org
- $176,795
- From related orgs
- $0
- Other
- $7,067
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $160,979
- Bonus
- $15,816
- Other
- $0
- Deferred
- $4,920
- Nontaxable benefits
- $2,147
- Filer's total
- $183,862
-
MELISSA LEMLE
PHARMACIST
- Total calculated
- $186,951
- From this org
- $176,351
- From related orgs
- $0
- Other
- $10,600
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $176,351
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $10,600
- Filer's total
- $186,951
-
DOROTHY SOWDERS
NURSE STAFF RN
- Total calculated
- $173,140
- From this org
- $140,092
- From related orgs
- $0
- Other
- $33,048
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $129,732
- Bonus
- $10,000
- Other
- $360
- Deferred
- $7,111
- Nontaxable benefits
- $25,937
- Filer's total
- $173,140
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
- 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 3
- EXECUTIVE LEADERSHIP AT ADENA FAYETTE MEDICAL CENTER HAS THEIR COMPENSATION REVIEWED EVERY 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 ADENA FAYETTE MEDICAL CENTER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA.
- PART I, LINE 4B
- ADENA HEALTH SYSTEM 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 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 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.
-
501(C)(3) · FUNDRAISING · OH · controlled entity
Directly controlled by ADENA HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · OH
-
GREENFIELD AREA MEDICAL CENTER
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by ADENA HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by ADENA HEALTH SYSTEM
-
SOUTHERN OHIO HEALTHCARE NETWORK
501(C)(3) · FIBEROPTIC NETWORK GRANTS · OH · controlled entity
Directly controlled by ADENA HEALTH SYSTEM
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.
-
C · SEE SCHEDULE R, PART VII · OH · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349310920
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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