Adena Health System

Nonprofit profile at a glance

EIN
314379443
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Chillicothe, OH, USA
Phone
(740) 779-7500
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$704,434,969
Expenses
$676,619,060
Assets
$798,341,314
Liabilities
$374,517,858

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

Leadership & pay

32 people listed

Executive titles in this filing

  • JEFF GRAHAM (AHS CEO)
  • DONALD DIENER (PRESIDENT OF ARMC)
  • JOHN GABIS (PRESIDENT OF AMG)
  • RICHARD MIZER (PRESIDENT OF AMG)

Highest reported compensation

  • ROGER WILTFONG (PHYSICIAN): $1,675,657 total reported compensation
  • JEFF GRAHAM (AHS CEO): $1,548,750 total reported compensation
  • HAFEEZ HASSAN (PHYSICIAN): $1,316,512 total reported compensation

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

Overview

Mission

Adena Health System provides a wide range of diagnostic, treatment, and rehabilitative health care services for inpatients and outpatients. For pregnant individuals experiencing substance use disorder, our Adena Family Center for Recovery offers an outstanding, state-recognized, patient-centered program that provides prenatal and postpartum support and treatment for healthy pregnancies. Notable partnerships We are proud to receive the **Lifeline of Ohio Placental Donation Honor** for connecting women who wish to donate their placentas through Lifeline of Ohio. Adena has referred more than 300 expectant women to the program, which uses the typically discarded tissue to help in the healing of acute and chronic wounds, burns, skin cancer, scar revisions, ulcers, and more.

What it reported doing in 2024

Health care programs, general/other: routine hospital services. Adena regional medical center provided care for 13,356 inpatients. Emergency services - treatment of emergency accident and illness as well as less urgent conditions in the absence of a family physician. There were 41,425 emergent visits in 2024. Physician offices: there were 533,922 physician office visits and 91,749 urgent care visits in 2024.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating 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

STRONG - 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: 75
  • Transparency & Controls: 92
  • Accountability: 92
  • Sustainability: 48
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 84.8%; rating input score 85
  • Program expense ratio: 83%; rating input score 83
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • 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: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 85.7%; rating input score 86; 32nd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • 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: 3.9%; rating input score 52; 52nd percentile among comparable filings
  • Total-asset coverage ratio: 1.18; rating input score 45; 45th percentile among comparable filings
  • Liabilities to assets ratio: 0.47; rating input score 39; 39th percentile among comparable filings
  • Officer compensation ratio: 2.3%; rating input score 49; 49th percentile among comparable filings

Growth

  • Program expense growth: 4.9% per year; rating input score 100; 39th percentile among comparable filings
  • Revenue growth: 5% per year; rating input score 100; 42nd percentile among comparable filings
  • Asset growth: 6% per year; rating input score 100; 44th percentile among comparable filings

Details

  • What they do: 1 operating location identified
  • Where the money goes: 84.8% of revenue deployed · 83% of spending went to programs
  • Governance: 12 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $561.7M in reported program spending
  • Leadership: top reported pay $1.7M · 32 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $67.5M reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 54 filed money-flow records
  • Related organizations: 46 filed related-organization links
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

  • Review — Sustainability: Operating margin scored 52/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 45/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 39/100.
  • Moderate — Sustainability: Officer compensation ratio scored 49/100.