Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $291,325

• 1e · Government grants (contributions)

  $70,805

• 1f · All other contributions, gifts and grants

  $539,213

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $624,745,239 · related or exempt $624,745,239

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $63,061 · excluded $63,061

• 6a · Gross rents

  real property $141,492

• 6b · Less rental expenses

  real property $14,524

• 6c · Rental income or loss

  real property $126,968 · personal property $0

• 6d · Net rental income or loss

  total $126,968 · excluded $126,968

• 7a · Gross sales of assets other than inventory

  securities $306,567,645 · other assets $13,686

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

  securities $264,472,402 · other assets $0

• 7c · Gain or loss

  securities $42,095,243 · other assets $13,686

• 7d · Net gain or loss

  total $42,108,929 · excluded $42,108,929

• 11a · Other revenue: OUTPATIENT PHARMACY SALES

  total $28,948,914 · related or exempt $28,948,914

• 11b · Other revenue: Joint Venture

  total $2,970,000 · related or exempt $2,970,000

• 11c · Other revenue: CAFETERIA REVENUE

  total $2,456,229 · excluded $2,456,229

• 11d · All other revenue

  total $2,114,286 · related or exempt $0 · unrelated business $87,558 · excluded $2,026,728

• 11e · Other revenue, total

  $36,489,429

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $843,042 · program services $843,042

• 5 · Compensation of officers, directors and key employees

  total $9,442,310 · program services $8,153,123 · management and general $1,289,187 · fundraising $0

• 7 · Other salaries and wages

  total $261,318,816 · program services $225,640,177 · management and general $35,678,639

• 8 · Pension plan contributions

  total $9,608,717 · program services $8,432,202 · management and general $1,176,515

• 9 · Other employee benefits

  total $1,704,581 · program services $1,495,868 · management and general $208,713

• 10 · Payroll taxes

  total $42,398,711 · program services $37,207,307 · management and general $5,191,404

• 11b · Fees: legal

  total $1,788,639 · management and general $1,788,639

• 11c · Fees: accounting

  total $331,457 · management and general $331,457

• 11g · Fees: other

  total $84,909,680 · program services $34,216,071 · management and general $50,693,609 · fundraising $0

• 12 · Advertising and promotion

  total $774,103 · program services $266,550 · management and general $507,553

• 13 · Office expenses

  total $4,945,431 · program services $4,716,521 · management and general $228,910

• 16 · Occupancy

  total $36,119,860 · program services $28,552,636 · management and general $7,567,224

• 17 · Travel

  total $475,994 · program services $285,596 · management and general $190,398

• 19 · Conferences, conventions and meetings

  total $956,124 · program services $573,650 · management and general $382,474

• 20 · Interest

  total $11,679,417 · program services $9,545,940 · management and general $2,133,477

• 22 · Depreciation, depletion and amortization

  total $24,324,512 · program services $17,845,697 · management and general $6,478,815

• 23 · Insurance

  total $3,067,847 · program services $2,326,122 · management and general $741,725

• 24a · Other expenses: MEDICAL EQUIPMENT & SUPPLIES

  total $116,165,630 · program services $116,165,630

• 24b · Other expenses: BAD DEBT EXPENSE

  total $43,780,379 · program services $43,780,379

• 24c · Other expenses: HCAP ASSESSMENT

  total $16,381,682 · program services $16,381,682

• 24d · Other expenses: CAFETERIA/CATERING

  total $3,085,994 · program services $2,943,152 · management and general $142,842 · fundraising $0

• 24e · All other expenses

  total $2,516,134 · program services $2,329,978 · management and general $186,156 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $15,373 · end of year $15,637

• 2 · Savings and temporary cash investments

  beginning of year $4,100,406 · end of year $2,499,922

• 4 · Accounts receivable

  beginning of year $100,949,597 · end of year $91,867,060

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 7 · Other notes and loans receivable

  beginning of year -$73 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $14,404,163 · end of year $14,778,908

• 9 · Prepaid expenses and deferred charges

  beginning of year $8,046,860 · end of year $5,470,969

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

  $587,094,803

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

  $327,834,730

• 10c · Land, buildings and equipment, net

  beginning of year $270,344,254 · end of year $259,260,073

• 11 · Investments: publicly traded securities

  beginning of year $359,318,889 · end of year $368,919,236

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $515,580 · end of year $446,042

• 15 · Other assets

  beginning of year $48,795,487 · end of year $55,083,467

• 17 · Accounts payable and accrued expenses

  beginning of year $70,077,880 · end of year $60,522,275

• 19 · Deferred revenue

  beginning of year $3,214,874 · end of year $2,864,971

• 20 · Tax-exempt bond liabilities

  beginning of year $276,163,714 · end of year $267,648,648

• 22 · Loans and payables to officers and key people

  end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $19,700,000 · end of year $0

• 25 · Other liabilities

  beginning of year $46,284,990 · end of year $43,481,964

• 27 · Net assets without donor restrictions

  beginning of year $386,794,840 · end of year $420,702,847

• 28 · Net assets with donor restrictions

  beginning of year $4,254,238 · end of year $3,120,610

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

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.

Schedule J, Part I, Line 4a Severance or change-of-control payment

MOLLY GROOMS RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $247,411. TY MCBEE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $156,061.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2024: JAMES MCMANUS, $56,375 SERP EARNINGS SHAHEED KOURY, $55,414 SERP EARNINGS CRAIG BABBITT, $45,920 SERP EARNINGS RICHARD MIZER, $41,406 SERP EARNING KRISTIN BOGGS, $37,686 SERP EARNINGS JAMIE SMITH, $32,606 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. SHAHEED KOURY, $62,951 SERP ACCRUALS JAMES MCMANUS, $62,812 SERP ACCRUALS CRAIG BABBITT, $56,516 SERP ACRRUALS JAMIE SMITH, $43,060 SERP ACCRUALS KRISTIN BOGGS, $38,256 SERP ACCRUALS

Schedule J, Part I, Line 7 Non-fixed payments

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 $106,547,905 · assets $9,683,519

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOSPICE LLC

  HEALTHCARE PROVIDERS · OH · income $5,409,494 · assets $722,496

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOME HEALTH

  HEALTHCARE PROVIDERS · OH · income $3,678,922 · assets $221,312

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HOME INFUSIONHOME RESPIRATORY

  HEALTHCARE PROVIDERS · OH · income $2,963,618 · assets $3,235,778

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA PHARMACY

  HEALTHCARE PROVIDERS · OH · income $24,927,739 · assets $3,587,840

  Directly controlled by ADENA HEALTH SYSTEM

• MAXIMUM PROPERTIES LLC

  PROPERTY HOLDING · OH · income $0 · assets $0

  Directly controlled by ADENA HEALTH SYSTEM

• ADENA HEALTHCARE COLLABORATIVE

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

  Directly controlled by ADENA HEALTH SYSTEM

Related corporations and trusts

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

• ADENA CARE

  C Corporation · SEE SCHEDULE R, PART VII · OH · share of income -$1,324 · controlled entity

  Directly controlled by ADENA HEALTH SYSTEM