Adams County Regional Medical Center

Nonprofit profile at a glance

EIN
812817266
IRS 990 coverage
2019–2024
Official website data refreshed
Aug 2026
Forms available
Form 990 2024, Form 990-N 2018
Location
Seaman, Ohio, US
Phone
937-386-3400
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$49,934,516
Expenses
$50,266,707
Assets
$48,742,786
Liabilities
$31,800,410

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • ALAN BIRD (CEO)

Highest reported compensation

  • JOHN DEBANTO MD (GASTROENTEROLOGIST): $461,208 total reported compensation
  • HANNAH HOPKINS MD (DOCTOR): $391,902 total reported compensation
  • KRISHNA REDDY MD (ORTHOPEDIC SURGEON): $371,285 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide quality health care close to home. To meet the community's needs, to excel at customer service and to be your first choice for healthcare needs.

What it reported doing in 2024

Acrmc has six locations and provides a wide range of services to meet the healthcare needs of adams county and its surrounding communities. Health care services provided include, but are not limited to: surgical, orthopedic, women's health, rehabilitation, senior life solutions, sleep lab, advanced imaging and cardio/pulmonary. It is a critical access hospital with 25 beds and 24/7/365 emergency department and online care. The cost of charity care was approximately $183,000 for the year. An annual health fair provides affordable health screenings and an opportunity for community members to share feedback on their thoughts and desires regarding the health and well-being of their communities, through a survey.

Operating model

Revenue model
Earned-program. 95% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 60
  • Transparency & Controls: 74
  • Accountability: 95
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 67.3%; rating input score 67
  • Program expense ratio: 68%; rating input score 68
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.7%; rating input score 28; 28th percentile among comparable filings
  • Total-asset coverage ratio: 0.97; rating input score 35; 35th percentile among comparable filings
  • Liabilities to assets ratio: 0.65; rating input score 20; 20th percentile among comparable filings
  • Officer compensation ratio: 4.4%; rating input score 56; 56th percentile among comparable filings

Growth

  • Program expense growth: 19.4% per year; rating input score 100; 89th percentile among comparable filings
  • Revenue growth: 17.9% per year; rating input score 100; 90th percentile among comparable filings
  • Asset growth: 4.5% per year; rating input score 100; 32nd percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 8 operating locations identified
  • Where the money goes: 67.3% of revenue deployed · 68% of spending went to programs
  • Governance: 7 of 7 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $34.2M in reported program spending
  • Leadership: top reported pay $461K · 14 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.2M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 5 filing years from 2019 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 28/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
  • Review — Accountability: Governance controls: Whistleblower policy not reported.
  • High — Sustainability: Liabilities to assets ratio scored 20/100.
  • Review — Sustainability: Officer compensation ratio scored 56/100.