Critical access hospital · Waverly, Ohio · 25 beds · CMS certification number 361334
Adena Pike 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. Twenty years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $21.6M in its first year on file (2006) to $36.4M in 2025.
- Its result from patient care: $4.2M (2023), $2.2M (2024), $2.7M (2025).
- 4 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
- Medicaid paid for 1.6% of its inpatient days and Medicare for 37.3%.
- ADENA HEALTH SYSTEM holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
Twenty years of filings
Net patient revenue against operating expenses, each year as filed.
settled with audit
settled with audit
settled with audit
settled with audit
settled with audit
settled
settled
reopened
settled
reopened
reopened
settled with audit
settled
settled
settled
settled
reopened
settled
as submitted
as submitted
Beside its peers
Critical access hospitals in Ohio with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Adena Pike Medical Center | 25 | $36,371,343 | $33,687,013 | 7.4% |
| Adena Greenfield Medical Center, Greenfield | 25 | $28,374,813 | $27,355,203 | 3.6% |
| Hardin Memorial Hospital, Kenton | 30 | $42,288,102 | $36,697,252 | 13.2% |
| Paulding County Hospital, Paulding | 25 | $38,567,719 | $33,054,362 | 14.3% |
| Twin City Medical Center, Dennison | 25 | $21,202,938 | $26,760,697 | −26.2% |
| Uh Geneva Medical Center, Geneva | 25 | $79,328,497 | $71,363,243 | 10.0% |
Patients and payers
- Discharges
- 759S-3 line 14, col 15
- Inpatient days
- 6,403S-3 line 14, col 8
- Beds in use, on an average day
- 17.6days ÷ days in year
- Occupancy
- 70.2%days ÷ bed days
- Medicare share of days
- 37.3%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.6%S-3 cols 7 ÷ 8
Who owns it
- ADENA HEALTH SYSTEM100%
Related organizations on its own cost report: ADENA HEALTH SYSTEM, healthcare.
Other hospitals with the same owner: Adena Greenfield Medical Center (OH), Adena Fayette Medical Center (OH).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by PIKE HEALTH SERVICES INC (employer identification number 311072406) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,961,036 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $0 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,951,056 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,951,056 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $9,980 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1085 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202403209349310520. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by PIKE HEALTH SERVICES INC (employer identification number 311072406) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ANTHONY FISH | TRUSTEE/CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| BRANDY STRAIN | DIRECTOR OF NURSING | Highest-compensated employee | $127,552 | $0 | $28,994 |
| CHERYL SMITH | PHARMACIST | Highest-compensated employee | $198,386 | $0 | $12,650 |
| CHRISTOPHER BANKS | MGR REHAB OPERATIONS | Highest-compensated employee | $120,428 | $0 | $8,414 |
| CONNIE SHELLEY | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| DAVE ZANNI | SENIOR OPERATIONS EXECUTIVE OFFICER | Officer | $207,513 | $0 | $26,743 |
| DAVID KESSLER | TRUSTEE/CHIEF OF STAFF-FORMER | Former | $0 | $318,460 | $18,692 |
| JAMES MCMANUS | AHS CHIEF FINANCIAL OFFICER | Officer | $0 | $621,511 | $125,944 |
| JASON LOUTSENHIZER | TEAM LEAD PHARMACIST | Highest-compensated employee | $178,612 | $0 | $30,820 |
| JEFF GRAHAM | AHS PRESIDENT & CEO | Officer | $0 | $1,010,366 | $58,200 |
| JOSH REMY | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JUDY SCHMITT | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JUSTIN SMITH | TRUSTEE-CHIEF OF STAFF/PHYSICIAN | Trustee/director | $497,231 | $0 | $44,062 |
| KATHERINE EDRINGTON | AHS CHIEF OPERATING OFFICER | Officer | $0 | $621,194 | $32,774 |
| KIM ROE | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| LISA CARLSON | AHS CFO-FORMER | Former | $0 | $270,056 | $1,020 |
| RENEA GREGORY | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| STACY BOLTE | COORD PATIENT CARE | Highest-compensated employee | $134,630 | $0 | $35,378 |
| VAL FRANCIS | TRUSTEE/VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202403209349310520. The IRS archive it was read from.
Follow this hospital, free
We send this record now and tell you when it files again.
More critical access hospitals in Ohio
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 361334. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 26, 2026.