Adams County Regional Medical Center: 25-bed Critical Access Hospital Serving Rural Communities
ACRMC is a 25-bed critical access hospital near Seaman with a 24/7 emergency department, six physical sites, 413 staff and 2023 revenues of $43.82 million.

Adams County Regional Medical Center operates as a 25‑bed critical access hospital near Seaman, Ohio, with a 24/7 emergency department and online care that aims to serve Adams County and nearby rural communities. The hospital’s footprint includes a main campus near Seaman plus five family medicine clinic sites, a configuration reconciled from ACRMC listings and organizational materials.
ACRMC lists clinic locations with local contact details: Winchester at 19262 St Rt 136, Winchester, OH 45697 (phone (937) 550-3657); West Union at 11100 St Rt 41, West Union, OH 45693 (phone (937) 550-3657); Georgetown at 4881 OH-125, Georgetown, OH 45121 (phone (937) 550-3657); Mt. Orab at 217 Hughes Blvd, Mt. Orab, OH 45154 (phone (937) 550-3657); and Peebles at 154 Elliott Avenue, Peebles, OH 45660. The Seaman main campus phone is (937) 386-3400.
Clinical offerings span inpatient and outpatient care. Site materials and organizational profiles list emergency services, family medicine, pediatric care, cardiology and cardio/pulmonary services, gastroenterology (with physician John Debanto named as a gastroenterologist), imaging and advanced imaging, laboratory services, IV therapy, nephrology, nutrition therapy, orthopedics and sports medicine, outpatient specialty clinics, podiatry, rehabilitation and restorative rehabilitation, restorative pain care, urology, wound care, sleep studies, surgery, transitional care, and Senior Life Solutions. Careers materials state that “ACRMC offers medical care at 5 locations with thirty specialty programs and departments,” a figure reconciled with the hospital’s main campus plus five clinic sites to describe six physical locations.
Financial and staffing figures show ACRMC reported total revenues of $43,821,657 and total expenses of $43,843,493 for 2023, with total assets of $47,233,754 and 413 employees in 2023, according to Causeiq’s organizational extract. Those 2023 figures imply expenses exceeded revenues by $21,836. Causeiq also records that “the cost of charity care was approximately $156,000 for the year,” though the specific year for that figure is not specified in the source.

Leadership and payroll entries in the Causeiq data list Alan Bird as chief executive officer with compensation shown as $0 as of 2023-12-31; Pete R Dagenbach as chief financial officer with compensation of $194,631 dated 2024-08-23; Rachel D Cummings as chief nursing officer with $192,277 dated 2023-12-31; Amber Thiel, NP, with $133,606 dated 2023-12-31; and John Debanto, gastroenterologist, with $189,238 dated 2023-12-31.
ACRMC’s institutional history notes a period of financial hardship in 2015 when Rural Hospital Group assumed management, followed by a conversion to a 501(c)(3) nonprofit in October 2019. Community-facing programs include an annual health fair that offers affordable screenings and solicits community feedback via a survey, walk-in and same-day appointments, patient financial services, medical records request options, patient portals and COVID-19 vaccination, testing and visitor policy information on the hospital site.
Causeiq summarizes the hospital’s mission language: “Adams County Regional Medical Center strives to provide quality healthcare close to home, while meeting the community's needs and excelling at customer service to be the first choice for healthcare needs.” With 25 beds, a 24/7 emergency department, six physical sites and a 413-strong workforce, ACRMC remains the primary acute-care provider for Adams County even as its 2023 finances show a narrow operating gap and some charity care provided to the community.
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