Velarion Records

Critical access hospital · Seaman, Ohio · 25 beds · CMS certification number 361326

Adams County Regional Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 26, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$42.5M
$42,523,557 · G-3 line 3
Operating expenses
$43.7M
$43,749,722 · G-3 line 4
Result from patient care
−$1.2M
−$1,226,165 · G-3 line 5
Margin on patient care
−2.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.9M in its first year on file (2004) to $42.5M in 2025.
  • Its result from patient care: −$2.5M (2023), −$3.6M (2024), −$1.2M (2025).
  • 1 of the 5 critical access hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 2.2% of its inpatient days and Medicare for 41.5%.

Every statement is drawn from figures on this page; nothing is estimated.

22 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2004
settled
$4.9M
$5.0M
2005
settled with audit
$20.9M
$20.9M
2006
settled
$22.5M
$23.8M
2007
settled with audit
$18.5M
$22.6M
2008
settled with audit
$22.8M
$26.3M
2009
settled with audit
$23.9M
$27.3M
2010
reopened
$23.0M
$26.1M
2011
reopened
$27.5M
$29.1M
2012
settled
$26.4M
$29.8M
2013
settled
$23.8M
$26.4M
2014
settled with audit
$22.1M
$23.8M
2015
settled with audit
$22.9M
$23.3M
2016
settled
$23.1M
$23.4M
2017
settled
$26.0M
$28.3M
2018
settled
$26.5M
$29.9M
2019
settled
$12.3M
$7.2M
2020
settled with audit
$24.4M
$28.6M
2021
settled with audit
$33.2M
$32.8M
2022
settled
$36.0M
$37.2M
2023
settled
$36.6M
$39.1M
2024
as submitted
$41.2M
$44.8M
2025
as submitted
$42.5M
$43.7M

Beside its peers

Critical access hospitals in Ohio with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Adams County Regional Medical Center25$42,523,557$43,749,722−2.9%
Adena Greenfield Medical Center, Greenfield25$28,374,813$27,355,2033.6%
Hardin Memorial Hospital, Kenton30$42,288,102$36,697,25213.2%
Paulding County Hospital, Paulding25$38,567,719$33,054,36214.3%
Twin City Medical Center, Dennison25$21,202,938$26,760,697−26.2%
Uh Geneva Medical Center, Geneva25$79,328,497$71,363,24310.0%

Patients and payers

Discharges
340
S-3 line 14, col 15
Inpatient days
2,381
S-3 line 14, col 8
Beds in use, on an average day
6.5
days ÷ days in year
Occupancy
26.1%
days ÷ bed days
Medicare share of days
41.5%
S-3 cols 6 ÷ 8
Medicaid share of days
2.2%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ADAMS COUNTY REGIONAL MEDICAL CENTER (employer identification number 812817266) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$3,696,634IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$3,696,634IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$3,696,634IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0939IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202422369349300037. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ADAMS COUNTY REGIONAL MEDICAL CENTER (employer identification number 812817266) for tax year 2023. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
ALAN BIRDCEOOfficer$0$0$0
AMBER THIELNPHighest-compensated employee$133,606$0$17,177
CHAD WILSONSECRETARYTrustee/director, Officer$0$0$0
DANE CLARKMEMBERTrustee/director$0$0$0
DARRIN SCHNEIDERMEMBERTrustee/director$0$0$0
HANNAH HOPKINS MDDOCTORHighest-compensated employee$392,013$0$19,218
JACK MCCOYCHAIRMANTrustee/director, Officer$0$0$0
JOHN DEBANTO MDGASTROENTEROLOGISTHighest-compensated employee$189,238$0$6,362
KRISHNA REDDY MDORTHOPEDIC SURGEONHighest-compensated employee$171,554$0$0
MATTHEW ARMSTRONG MDMEMBERTrustee/director$0$0$0
PEGGY CHALKER PHDMEMBERTrustee/director$0$0$0
PETE DAGENBACHCFOOfficer$194,631$0$51,631
RACHEL D CUMMINGSCNOHighest-compensated employee$192,277$0$4,359
ROY SPUD GUSTINVICE-CHAIRTrustee/director, Officer$0$0$0

E-file object id 202422369349300037. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 361326. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 26, 2026.