HOLZER HEALTH SYSTEM: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HOLZER HEALTH SYSTEM (EIN 31-1156690)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201901309349302455
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T07:54:04-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S HIGH ST SUITE 100 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311156690 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLZER HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLZ | BusinessNameControlTxt |
| Phone | 7404465060 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 JACKSON PIKE | AddressLine1Txt |
| City | GALLIPOLIS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45631 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL HAYNES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7404465060 | PhoneNum |
| Signature | 2019-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BERNIE OSTROWSKI | PreparerPersonNm |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2019-03-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.33 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-01 | IPDt |
| IP Tm | 09:11:58 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 710E608B753FF23705D991DE9B0A45A0C58E6BDA | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL CANADY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 JACKSON PIKE | AddressLine1Txt |
| City | GALLIPOLIS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $121,098,738 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOLZER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | THE PRIMARY EXEMPT PURPOSE OF HOLZER HEALTH SYSTEM IS TO ACT AS THE MANAGING PARENT, SOLE VOTING MEMBER OF THE FOLLOWING 501(C)(3) ENTITIES, WHOSE PRIMARY PURPOSES ARE TO MEET THE HEALTHCARE NEEDS OF THEIR COMMUNITIES: HOLZER HOSPITAL FOUNDATION, HOLZER MEDICAL CENTER-JACKSON, HOLZER SENIOR CARE CENTER, HOLZER ASSISTED LIVING-GALLIPOLIS, HOLZER ASSISTED LIVING-JACKSON, HOLZER FOUNDATION AND HOLZER VANGUARD, A FOR-PROFIT SUBSIDIARY (COLLECTIVELY REFERRED TO AS CONSOLIDATED). | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 706 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $115,232,328 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,917,659 | CYProgramServiceRevenueAmt |
| PY Investment Income | $256,174 | PYInvestmentIncomeAmt |
| CY Investment Income | $159,551 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,532 | PYOtherRevenueAmt |
| CY Other Revenue | $17,332 | CYOtherRevenueAmt |
| PY Total Revenue | $115,508,034 | PYTotalRevenueAmt |
| CY Total Revenue | $121,094,542 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $82,827,747 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $89,775,890 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,570 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,973,066 | PYOtherExpensesAmt |
| CY Other Expenses | $72,369,882 | CYOtherExpensesAmt |
| PY Total Expenses | $157,800,813 | PYTotalExpensesAmt |
| CY Total Expenses | $162,145,772 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$42,292,779 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$41,051,230 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $166,772,470 | TotalAssetsBOYAmt |
| Total Assets EOY | $166,770,527 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $155,753,169 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $157,085,875 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,019,301 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,684,652 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FRIENDLY VISITS, EXCELLENT CARE; EVERY PATIENT, EVERY TIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,447,558 | RevenueAmt |
| Desc | HOLZER HEALTH SYSTEM PROVIDED MANAGEMENT SERVICES/REAL ESTATE TO ITS SUBSIDIARIES WHOSE EXEMPT PURPOSES ARE TO MEET THE HEALTHCARE NEEDS OF THEIR COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,221,500 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $976,755 | RevenueAmt |
| Desc | HOLZER DENTAL CLINIC-JACKSON STRIVES TO IMPROVE THE DENTAL HEALTH STATUS OF THE PEOPLE AND COMMUNITIES WE SERVE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $97,443,616 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $123,388,462 | RevenueAmt |
| Desc | HOLZER CLINIC, LLC IS A MULTIPLE DISCIPLINE HEALTH CARE SYSTEM OF OVER 143 BOARD CERTIFIED PHYSICIANS PROVIDING CARE IN MORE THAN THIRTY AREAS OF EXPERTISE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $98,665,116 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 84 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 706 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL HAYNES CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7404465060 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 JACKSON PIKE | AddressLine1Txt |
| City | GALLIPOLIS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45631 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVE CHAPMAN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | Yes (X) | $24,000 | $0 | $0 | ||
| BRENT SAUNDERS | |||||||||
| CHAIRMAN | 36.00 | 4.00 | Yes (X) | Yes (X) | $405,662 | $0 | $1,719 | ||
| LARRY KID | |||||||||
| TREASURER | 1.00 | 3.00 | Yes (X) | Yes (X) | $24,000 | $0 | $0 | ||
| DR MICHAEL CANADY | |||||||||
| CEO | 36.00 | 4.00 | Yes (X) | Yes (X) | $528,737 | $0 | $0 | ||
| DANNY HOLSCHUH | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| GARY ROACH | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| PAUL REED | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| BOB GRILLO | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| DR RODNEY STOUT | |||||||||
| TRUSTEE - CMO | 39.00 | 1.00 | Yes (X) | $362,051 | $0 | $0 | |||
| DR LANCE BROY | |||||||||
| TRUSTEE | 39.00 | 1.00 | Yes (X) | $348,103 | $0 | $0 | |||
| DR DANIELLE CAPPELLETTI | |||||||||
| TRUSTEE | 39.00 | 1.00 | Yes (X) | $402,134 | $0 | $0 | |||
| DR SCOTT DAVIS | |||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $285,029 | $0 | $0 | |||
| DR RENUKA KANDULA | |||||||||
| TRUSTEE | 39.00 | 1.00 | Yes (X) | $403,101 | $0 | $0 | |||
| DR PHIL LONG | |||||||||
| TRUSTEE | 39.00 | 1.00 | Yes (X) | $743,200 | $0 | $0 | |||
| DR JARED SHEETS | |||||||||
| TRUSTEE | 39.00 | 1.00 | Yes (X) | $395,101 | $0 | $0 | |||
| DR LOUIS WICKAS | |||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $429,119 | $0 | $0 | |||
| JOHN CUNNINGHAM | |||||||||
| TRUSTEE - EVP POPULATION HEALTH MANAGEMENT | 40.00 | 0.00 | Yes (X) | $320,008 | $0 | $0 | |||
| STEPHEN DOYLE | |||||||||
| TRUSTEE - CNO | 40.00 | 0.00 | Yes (X) | $300,016 | $0 | $0 | |||
| TODD FOWLER | |||||||||
| TRUSTEE - EVP AMBULARTORY OPERATIONS | 40.00 | 0.00 | Yes (X) | $295,379 | $0 | $0 | |||
| BRAD MUNN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| ROBBIE PUGH | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $18,000 | $0 | $0 | |||
| TOM WISEMAN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $24,000 | $0 | $0 | |||
| MICHAEL HAYNES | |||||||||
| CFO | 36.00 | 4.00 | Yes (X) | $300,000 | $0 | $0 | |||
| DR FEGUENS BATAILLE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,011,037 | $0 | $0 | Yes (X) | |||
| DR ROBERT BRADLEY | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $943,629 | $0 | $0 | Yes (X) | |||
| DR STEVEN CONLEY | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $862,403 | $0 | $0 | Yes (X) | |||
| DR SANTPAL MAVI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $918,331 | $0 | $0 | Yes (X) | |||
| DR MATHEW COSENZA | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $824,494 | $0 | $0 | Yes (X) | |||
| DR CHRISTOPHER MEYER | |||||||||
| FORMER CEO - HHS | 36.00 | 4.00 | $519,686 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,807,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,719 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 186 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OHIO VALLEY PHYSICIANS INC | |||||
| PO BOX 390 | HUNTINGTON | WV | 25708 | EMERGENCY DEPT. STAFFING | $16,843,887 |
| NTHRIVE | |||||
| PO BOX 733492 | DALLAS | TX | 753733492 | MEDICAL CODING & MANAGEMENT SERVICES | $2,912,878 |
| COMFORCE | |||||
| 3492 MOMENTUM PLACE | CHICAGO | IL | 606895334 | MEDICAL CODING SERVICES | $625,619 |
| EDGEWATER CONSTRUCTION OF ROSS CO LLC | |||||
| 1957 US HWY 23 | WAVERLY | OH | 45690 | CONTRACTORS | $516,466 |
| VIRTUAL RADIOLOGIC CORPORATION | |||||
| 25983 NETWORK PLACE | CHICAGO | IL | 606731259 | RADIOLOGY PHYSICIAN SERVICES | $467,561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $115,006,352 | $115,006,352 |
| RENTAL INCOME | 531120 | $3,431,749 | $3,431,749 |
| MANAGEMENT FEES | 561000 | $2,568,128 | $2,568,128 |
| INVESTMENTS IN JVS | 523930 | -$88,570 | -$88,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,917,659 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,686 | TotalRevenueColumnAmt |
| Exclusion | $141,686 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,528 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,196 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,332 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,332 | TotalRevenueColumnAmt |
| Exclusion | $17,332 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,925 | SecuritiesAmt |
| Other | $940 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,925 | SecuritiesAmt |
| Other | $940 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,865 | TotalRevenueColumnAmt |
| Exclusion | $17,865 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,094,542 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120,917,659 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $176,883 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,746,749 | TotalAmt |
| Management And General | $5,746,749 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,335,401 | TotalAmt |
| Program Services | $55,040,462 | ProgramServicesAmt |
| Management And General | $16,294,939 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,210,028 | TotalAmt |
| Program Services | $4,170,172 | ProgramServicesAmt |
| Management And General | $5,039,856 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,483,712 | TotalAmt |
| Program Services | $2,064,331 | ProgramServicesAmt |
| Management And General | $1,419,381 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,188,526 | TotalAmt |
| Program Services | $1,502,039 | ProgramServicesAmt |
| Management And General | $686,487 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,001 | TotalAmt |
| Management And General | $145,001 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,290 | TotalAmt |
| Management And General | $276,290 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,916,742 | TotalAmt |
| Program Services | $17,154,061 | ProgramServicesAmt |
| Management And General | $11,762,681 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,570 | TotalAmt |
| Fundraising | $2,570 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,453,497 | TotalAmt |
| Program Services | $3,325,353 | ProgramServicesAmt |
| Management And General | $2,128,144 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,260,350 | TotalAmt |
| Program Services | $57,452 | ProgramServicesAmt |
| Management And General | $6,202,898 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,098 | TotalAmt |
| Program Services | $381,756 | ProgramServicesAmt |
| Management And General | $178,342 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $733,263 | TotalAmt |
| Program Services | $288,559 | ProgramServicesAmt |
| Management And General | $444,704 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,129,483 | TotalAmt |
| Program Services | $311,580 | ProgramServicesAmt |
| Management And General | $9,817,903 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,941,363 | TotalAmt |
| Program Services | $302,864 | ProgramServicesAmt |
| Management And General | $2,638,499 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,587,051 | TotalAmt |
| Program Services | $1,481,354 | ProgramServicesAmt |
| Management And General | $105,697 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $11,654,366 | $11,654,366 | |
| MEDICAL SUPPLIES | $893,697 | $893,312 | $385 |
| DUES AND MEMBERSHIPS | $170,817 | $170,817 | |
| PROPERTY TAX | $158,901 | $1,753 | $157,148 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,867 | TotalAmt |
| Program Services | $35,702 | ProgramServicesAmt |
| Management And General | $262,165 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,145,772 | TotalAmt |
| Program Services | $98,665,116 | ProgramServicesAmt |
| Management And General | $63,478,086 | ManagementAndGeneralAmt |
| Fundraising | $2,570 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,231,497 | BOYAmt |
| EOY | $11,538,729 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,399,965 | BOYAmt |
| EOY | $18,388,568 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,255,588 | BOYAmt |
| EOY | $1,830,936 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $98,417,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,991,711 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,550,367 | BOYAmt |
| EOY | $76,426,007 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,445,839 | BOYAmt |
| EOY | $4,459,151 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,933 | BOYAmt |
| EOY | $955,403 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,904,000 | BOYAmt |
| EOY | $3,904,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,812,055 | BOYAmt |
| EOY | $18,812,055 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,129,226 | BOYAmt |
| EOY | $30,455,678 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,772,470 | BOYAmt |
| EOY | $166,770,527 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,301,853 | BOYAmt |
| EOY | $30,166,400 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,171,642 | BOYAmt |
| EOY | $117,224,276 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,048,385 | BOYAmt |
| EOY | $3,913,803 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,231,289 | BOYAmt |
| EOY | $5,781,396 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,753,169 | BOYAmt |
| EOY | $157,085,875 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,019,301 | BOYAmt |
| EOY | $9,684,652 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,019,301 | BOYAmt |
| EOY | $9,684,652 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,772,470 | BOYAmt |
| EOY | $166,770,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$41,051,230 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$35,338 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $39,751,919 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 4 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (4 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| HOLZER HOSPITAL FOUNDATION | ||||
| 314379491 | 3 | Yes (1) | $0 | $31,249,628 |
| HOLZER MEDICAL CENTER-JACKSON | ||||
| 311724085 | 3 | Yes (1) | $0 | $8,516,096 |
| HOLZER SENIOR CARE CENTER | ||||
| 311534051 | 10 | Yes (1) | $0 | $0 |
| HOLZER HERITAGE FOUNDATION | ||||
| 310927482 | 7 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 4 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $39,765,724 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART 1, LINE 11: | HOLZER HEALTH SYSTEM PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A: | HOLZER HEALTH SYSTEM IS THE SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B: | DECISIONS MADE BY THE BOARD OF DIRECTORS OF EACH SUPPORTED ORGANIZATION CAN BE OVERRULED BY THE BOARD OF DIRECTORS OF HOLZER HEALTH SYSTEM. |
| SCHEDULE A, PART IV, SECTION D, LINE 3: | HOLZER HEALTH SYSTEMS' BOARD OVERLAPS WITH THE BOARD OF THE SUPPORTING ORGANIZATION. THIS OVERLAP CAUSES THE SUPPORTED ORGANIZATION TO HAVE A SIGNIFICANT VOICE OVER THE HOLZER HEALTH SYSTEMS. |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,574 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,574 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION ARE CONSIDERED LOBBYING ACTIVITIES. IN TOTAL $55,966 WERE PAID TO OHA OF WHICH $2,574 ARE CONSIDERED LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,699,795 | OtherCostOrOtherBasisAmt |
| Book Value | $6,699,795 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,255,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,492,688 | DepreciationAmt |
| Book Value | $65,762,858 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,982,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,496,824 | DepreciationAmt |
| Book Value | $3,486,169 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $479,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,199 | DepreciationAmt |
| Book Value | $477,185 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $76,426,007 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED PARTY RECEIVABLES | $17,410,720 |
| FUNDS HELD BY TRUSTEES UNDER BOND INDENTURE | $13,044,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,455,678 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLES | Desc |
| Amt | $5,781,396 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,781,396 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRENT SAUNDERS | ||||||||||||||
| CHAIRMAN | $405,662 | $0 | $0 | $0 | $0 | $0 | $1,719 | $0 | $0 | $0 | $407,381 | $0 | $0 | $0 |
| DR MICHAEL CANADY | ||||||||||||||
| CEO | $528,737 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $528,737 | $0 | $0 | $0 |
| DR RODNEY STOUT | ||||||||||||||
| TRUSTEE - CMO | $362,051 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $362,051 | $0 | $0 | $0 |
| DR LANCE BROY | ||||||||||||||
| TRUSTEE | $348,103 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $348,103 | $0 | $0 | $0 |
| DR DANIELLE CAPPELLETTI | ||||||||||||||
| TRUSTEE | $402,134 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $402,134 | $0 | $0 | $0 |
| DR SCOTT DAVIS | ||||||||||||||
| TRUSTEE | $285,029 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $285,029 | $0 | $0 | $0 |
| DR RENUKA KANDULA | ||||||||||||||
| TRUSTEE | $403,101 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $403,101 | $0 | $0 | $0 |
| DR PHIL LONG | ||||||||||||||
| TRUSTEE | $743,200 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $743,200 | $0 | $0 | $0 |
| DR JARED SHEETS | ||||||||||||||
| TRUSTEE | $395,101 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $395,101 | $0 | $0 | $0 |
| DR LOUIS WICKAS | ||||||||||||||
| TRUSTEE | $429,119 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $429,119 | $0 | $0 | $0 |
| JOHN CUNNINGHAM | ||||||||||||||
| TRUSTEE - EVP POPULATION HEALTH MANA | $320,008 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $320,008 | $0 | $0 | $0 |
| STEPHEN DOYLE | ||||||||||||||
| TRUSTEE - CNO | $250,016 | $0 | $50,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $300,016 | $0 | $0 | $0 |
| TODD FOWLER | ||||||||||||||
| TRUSTEE - EVP AMBULARTORY OPERATIONS | $295,379 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $295,379 | $0 | $0 | $0 |
| MICHAEL HAYNES | ||||||||||||||
| CFO | $300,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $300,000 | $0 | $0 | $0 |
| DR FEGUENS BATAILLE | ||||||||||||||
| PHYSICIAN | $1,011,037 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,011,037 | $0 | $0 | $0 |
| DR ROBERT BRADLEY | ||||||||||||||
| PHYSICIAN | $943,629 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $943,629 | $0 | $0 | $0 |
| DR STEVEN CONLEY | ||||||||||||||
| PHYSICIAN | $862,403 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $862,403 | $0 | $0 | $0 |
| DR SANTPAL MAVI | ||||||||||||||
| PHYSICIAN | $918,331 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $918,331 | $0 | $0 | $0 |
| DR MATHEW COSENZA | ||||||||||||||
| PHYSICIAN | $814,494 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $824,494 | $0 | $0 | $0 |
| DR CHRISTOPHER MEYER | ||||||||||||||
| FORMER CEO - HHS | $0 | $0 | $0 | $0 | $519,686 | $0 | $0 | $0 | $0 | $0 | $519,686 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | DURING THE YEAR CHRISTOPHER MEYER RECEIVED SEVERAL INSTALLMENT PAYMENTS FOR SEVERANCE TOTALING $519,686. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF GALLIA OHIO- BONDS SERIES 2012 A20 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316400068 | BondIssuerEIN |
| CUSIP | 36381PAP2 | CUSIPNum |
| Bond Issued | 2012-03-27 | BondIssuedDt |
| Issue Price | $155,315,000 | IssuePriceAmt |
| Purpose | SEE SCHEDULE O | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $155,315,478 | TotalProceedsAmt |
| In Reserve Fund | $11,058,627 | InReserveFundAmt |
| Issuance Costs From Proceeds | $3,087,477 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $106,281,906 | CapitalExpendituresAmt |
| Other Spent Proceeds | $3,817,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF PURPOSE: (A) CURRENTLY REFUNDED THE ENTITY'S (I) SERIES 1998 BONDS ISSUED ON OCTOBER 1, 1998; (II) SERIES 2009 BONDS, ISSUED ON NOVEMBER 3, 2009, WHICH WERE A REISSUANCE OF THE SERIES 2005 BONDS ISSUES ON MARCH 10, 2005; AND (III) VARIOUS TAXABLE OBLIGATIONS; AND (B) ACQUISITION OF HOSPITAL FACILITIES INCLUDING A CLINIC AND FUTURE CAPITAL EQUIPMENT ACQUISITIONS AND FACILITY RENOVATIONS; AND CANCER CENTER PROJECT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CONTROLLER AND THE CFO REVIEW FORM 990 AND A COPY WILL BE PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION FOLLOWS THE ADOPTED POLICIES OF HOLZER MEDICAL CENTER- JACKSON AND HOLZER HOSPITAL FOUNDATION, RELATED TAX-EXEMPT ORGANIZATIONS. CONFLICT OF INTEREST STATEMENTS ARE COMPLETED ANNUALLY BY ALL BOARD MEMBERS AND OFFICERS, AND ARE REVIEWED BY THE CONFLICT OF INTEREST REVIEW COMMITTEE. MEMBERS OF THE BOARD ARE AWARE THAT THEY SHOULD DISCLOSE CONFLICTS WHEN THEY ARISE, AND MEMBERS ABSTAIN FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON MATTERS WHERE A CONFLICT IS PRESENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE HOLZER HEALTH SYSTEM BOARD APPROVES COMPENSATION OF THE CEO AND OTHER OFFICERS. THE BOARD UTILIZES WAGE RECOMMENDATIONS FROM AN UNRELATED CONSULTANT TO DETERMINE THE COMPENSATION. THE CEO MAY BE INVOLVED IN DETERMINING OTHER OFFICERS' COMPENSATION, HOWEVER THE ULTIMATE DECISION RESTS WITH THE BOARD. THE PROCESS WAS LAST UNDERTAKEN DURING MARCH 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT HAVE ITS OWN CONFLICT OF INTEREST POLICY. |
| FORM 990, PART IX, LINE 11G | OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 16,811,398. MANAGEMENT AND GENERAL EXPENSES 11,103,771. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,915,169. FOOD: PROGRAM SERVICE EXPENSES 13,389. MANAGEMENT AND GENERAL EXPENSES 259,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,818. RECRUITMENT: PROGRAM SERVICE EXPENSES 172,527. MANAGEMENT AND GENERAL EXPENSES 89,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 262,493. DUES AND MEMBERSHIPS: PROGRAM SERVICE EXPENSES 66,605. MANAGEMENT AND GENERAL EXPENSES 1,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,005. LICENSURE FEES: PROGRAM SERVICE EXPENSES 90,142. MANAGEMENT AND GENERAL EXPENSES 308,115. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 398,257. |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO/FROM AFFILIATES 39,751,919. |
| FORM 990, PART XI, LINE 2C | THE AUDIT OVERSIGHT PROCESS AND THE PROCESS OF SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART VI, LINE 16 | THE ORGANIZATION DOES NOT HAVE IN PLACE A WRITTEN POLICY TO EVALUATE ITS PARTICIPATION IN JOINT VENTURES, HOWEVER IT MAKES SURE TO TAKE THE NECESSARY PRECAUTIONS TO SAFEGUARD ITS TAX-EXEMPT STATUS. IN ADDITION, LEGAL COUNSEL IS CONSULTED BEFORE CONSIDERING A NEW JOINT VENTURE. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| HOLZER DENTAL CLINIC JACKSON | |||||||||
| 100 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 275346256 | HEALTHCARE | OH | $976,755 | $2,323,933 | HOLZER HEALTH SYSTEM |
| HOLZER CLINIC LLC | |||||||||
| 90 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 310917085 | PHYSICIAN PRACTICES | OH | $116,493,696 | $23,272,217 | HOLZER HEALTH SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOLZER HERITAGE FOUNDATION | ||||||||||
| 100 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 310927482 | CONTINUING ADVANCEMENT OF HEALTH AND MEDICAL CARE | OH | 501(C)(3) | LINE 10 | HOLZER HEALTH SYSTEM | Yes (1) |
| HOLZER MEDICAL CENTER - JACKSON | ||||||||||
| 100 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 311724085 | HEALTH CARE | OH | 501(C)(3) | LINE 3 | HOLZER HEALTH SYSTEM | Yes (1) |
| HOLZER SENIOR CARE CENTER | ||||||||||
| 380 COLONIAL DRIVE | BIDWELL | OH | 45614 | 311534051 | SKILLED NURSING FACILITY | OH | 501(C)(3) | LINE 10 | HOLZER HEALTH SYSTEM | Yes (1) |
| HOLZER HOSPITAL FOUNDATION | ||||||||||
| 100 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 314379491 | HEALTH CARE | OH | 501(C)(3) | LINE 3 | HOLZER HEALTH SYSTEM | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLZER VANGUARD INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 JACKSON PIKE | AddressLine1Txt |
| City | GALLIPOLIS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311192567 | EIN |
| Primary Activities | STOCK HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLZER HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOLZER HOSPITAL FOUNDATION | ||
| L | $31,708,106 | ACCRUAL TRANSACTION |
| HOLZER MEDICAL CENTER- JACKSON | ||
| L | $8,516,096 | ACCRUAL TRANSACTION |
| HOLZER HOSPITAL FOUNDATION | ||
| A | $557,629 | ACCRUAL TRANSACTION |
| HOLZER HOSPITAL FOUNDATION | ||
| K | $108,176 | ACCRUAL TRANSACTION |