Civic Intelligence

Holzer Hospital Foundation

990 • Fiscal year 2014 • EIN 31-4379491

Jul 01, 2013 to Jun 30, 2014 • Filed on Nov 20, 2015

100 Jackson Pike45631

(740) 446-5060

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$105,476,713

Flat from 2014

Net Assets

Flat

$62,347,967

Flat from 2014

Liabilities

Flat

$43,128,746

Flat from 2014

Revenue And Expenses

Revenue

Flat

$154,345,587

Flat from 2014

Expenses

Flat

$131,036,945

Flat from 2014

Net Income

Flat

$23,308,642

Flat from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$150M$100M$50M$0Assets 2010: $84,287,923Liabilities 2010: $26,648,001Net Assets 2010: $57,639,9222010Assets 2011: $87,049,156Liabilities 2011: $28,220,286Net Assets 2011: $58,828,8702011Assets 2013: $104,179,192Liabilities 2013: $33,305,526Net Assets 2013: $70,873,6662013Assets 2014: $105,476,713Liabilities 2014: $43,128,746Net Assets 2014: $62,347,9672014Assets 2014: $105,476,713Liabilities 2014: $43,128,746Net Assets 2014: $62,347,9672014Assets 2015: $100,160,275Liabilities 2015: $43,275,747Net Assets 2015: $56,884,5282015Assets 2016: $94,722,058Liabilities 2016: $37,728,011Net Assets 2016: $56,994,0472016Assets 2018: $103,143,721Liabilities 2018: $41,910,533Net Assets 2018: $61,233,1882018Assets 2019: $105,476,903Liabilities 2019: $38,298,956Net Assets 2019: $67,177,9472019Assets 2022: $152,039,972Liabilities 2022: $67,705,242Net Assets 2022: $84,334,7302022Assets 2024: $159,058,144Liabilities 2024: $80,273,961Net Assets 2024: $78,784,1832024

Highlighted filing

2014

Assets$105,476,713
Liabilities$43,128,746
Net Assets$62,347,967

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0Expenses 2010: $119,215,6402010Expenses 2011: $116,218,7452011Expenses 2013: $128,651,3092013Revenue 2014: $154,345,587Expenses 2014: $131,036,945Net Income 2014: $23,308,6422014Revenue 2014: $154,345,587Expenses 2014: $131,036,945Net Income 2014: $23,308,6422014Revenue 2015: $176,174,062Expenses 2015: $147,802,005Net Income 2015: $28,372,0572015Revenue 2016: $170,617,650Expenses 2016: $140,162,330Net Income 2016: $30,455,3202016Revenue 2018: $193,454,436Expenses 2018: $152,466,349Net Income 2018: $40,988,0872018Revenue 2019: $187,852,884Expenses 2019: $149,205,057Net Income 2019: $38,647,8272019Revenue 2022: $212,026,911Expenses 2022: $169,212,932Net Income 2022: $42,813,9792022Revenue 2024: $245,265,071Expenses 2024: $206,595,913Net Income 2024: $38,669,1582024

Highlighted filing

2014

Revenue$154,345,587
Expenses$131,036,945
Net Income$23,308,642
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Nov 20, 2015
Return Version
2013v4.0
Gross Receipts
$154,388,987
Mission and Program Overview

Mission

Friendly visits, excellent care; every patient, every time.

To encourage wellness and strive to improve the health status of the people and communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$35,284,791$40,213,252▲ $4,928,461
Accounts Receivable$15,712,402$22,163,367▲ $6,450,965
Savings and Temporary Cash Investments$10,640,195$12,111,736▲ $1,471,541
Investments in Publicly Traded Securities$7,082,210$7,120,700▲ $38,490
Inventories for Sale or Use$2,312,009$6,971,519▲ $4,659,510
Prepaid Expenses and Deferred Charges$1,333,199$824,932▼ $508,267
Cash and Non-Interest-Bearing Accounts$105,776$125,090▲ $19,314
Other Notes and Loans Receivable, Net$8,985,606$-570,415▼ $9,556,021
Total Assets$104,179,192$105,476,713▲ $1,297,521
Other Assets Total$22,723,004$16,516,532▼ $6,206,472
Liabilities
Accounts Payable and Accrued Expenses$20,903,246$29,084,402▲ $8,181,156
Mortgage Notes Payable Secured by Investment Property$8,600,626$11,662,424▲ $3,061,798
Tax Exempt Bond Liabilities$2,016,233$2,016,233→ $0
Other Liabilities$1,785,421$365,687▼ $1,419,734
Total Liabilities$33,305,526$43,128,746▲ $9,823,220
Net Assets / Fund Balance
Unrestricted Net Assets$70,792,234$62,293,987▼ $8,498,247
Temporarily Rstr Net Assets$81,432$53,980▼ $27,452
Total Net Assets Fund Balance$70,873,666$62,347,967▼ $8,525,699
Total Liabilities and Net Assets / Fund Balance$104,179,192$105,476,713▲ $1,297,521

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$27,349,050$105,427,648$132,776,698
Buildings$11,954,692$28,074,664$40,029,356
Other Land Buildings$458,054$3,211,199$3,669,253
Land$451,456-$451,456
Other Assets Org$15,169,356--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brent SaundersChairman of Hhs Board-$239,077$21,844$260,921
Shane E EphlinPharmacistFT$152,303$35,647$187,950
Jim PhillippeTrusteeFT$169,057$16,854$185,911
Kenneth G PayneCFO- Hhs 7/1/13-3/31/14FT$167,706$16,719$184,425
Jill D StrauchPharmacistFT$148,425$18,935$167,360
Terry J SpurlinPharmacistFT$141,972$23,545$165,517
Elaine K BrownPharmacistFT$150,246$12,996$163,242
Charles T MeadowsPharmacistFT$146,388$14,639$161,027
Alan StockmeisterVice Chair--$18,000$18,000
Bob GrilloTrustee--$18,000$18,000
Brad MunnTrustee--$18,000$18,000
Danny HolschuhTrustee--$18,000$18,000
Gary RoachSecretary--$18,000$18,000
Larry KiddTreasurer--$18,000$18,000
Paul ReedTrustee--$18,000$18,000
Steve Chapman CPAChairman--$18,000$18,000

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Alternate Solutions Healthcare SystemHome Care Management-$791,637
Geiger BrothersContractors-$737,012
TridentCath Lab Outside Services-$384,117
Executive Health Resources INCCompliance Services-$373,485
Radon Medical Imaging Corporation WvMedical Imaging-$287,262
Revenue and Support

Revenue Composition

Contributions and Grants
$1,525
Program Service Revenue
$152,937,374
Investment Income
$106,574
Other Revenue
$1,300,114
All Other Contributions
$1,525
Change in Net Assets
$23,308,642
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$72,237,211
Salaries, Compensation, and Employee Benefits$58,799,734
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$34,172,772$9,138,726-$43,311,498
Fees for Services Other$7,352,731$9,231,950-$16,584,681
Depreciation Depletion$8,429,119$936,569-$9,365,688
Other Employee Benefits$6,986,101$1,868,273-$8,854,374
Office Expenses$5,496,880$184,532-$5,681,412
Payroll Taxes$3,093,802$827,366-$3,921,168
Pension Plan Contributions$2,140,316$572,378-$2,712,694
Occupancy$1,795,015$199,446-$1,994,461
Other Expenses$1,602,851--$1,602,851
Information Technology$1,126,840$309,357-$1,436,197
Insurance$722,439$80,271-$802,710
Travel$551,752$151,475-$703,227
Interest$502,703$55,856-$558,559
Fees for Services Accounting-$227,620-$227,620
All Other Expenses$187,183--$187,183
Fees for Services Management-$167,500-$167,500
Fees for Services Legal-$12,462-$12,462
Total Functional Expenses$107,073,164$23,963,781$0$131,036,945
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Cost Report Settlements$296,726
Related Party Payable$68,961
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Holzer health system is the sole member of the organization.

Form 990, Part VI, Section A, Line 7B

Holzer hospital foundation decisions that are made by their board of directors can be overruled by holzer health system's board of directors.

Form 990, Part VI, Section B, Line 11

The controller and the cfo of holzer health system review form 990. A copy will be provided to all board members prior to filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest statements are completed annually 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 2014.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

EIN
31-4379491
Phone
7404465060

Signing Officer

Name
Brent Saunders
Title
Chairman
Phone
7404465060
Signed
2015-11-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wayne Munro Md
Formed
1910
Legal Domicile
Oh
Voting Board Members
16
Independent Board Members
2
Employees
1,486
Volunteers
30

Preparer

Preparer
Bernie Ostrowski
Phone
6148493000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Medical departmental contracted services: program service expenses 4,682,855. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,682,855. Administrative and patient records/care contracted services: program service expenses 566,304. Management and general expenses 9,231,950. Fundraising expenses 0. Total expenses 9,798,254. Pharmacy contracted services: program service expenses 478,303. Management and general expenses 0. Fundraising expenses 0. Total expenses 478,303. Laboratory contracted services: program service expenses 1,625,269. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,625,269.

FORM 990, PART XI, LINE 9:

Intercompnay trans (rent,svcs,fees) part ix not recorded on financial -31,885,392. Change in temporarily restricted net assets -27,452.

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, PAGE 1, PART C:

Doing business as: holzer medical center holzer medical center - gallipolis

FORM 990, AUDITED FINANCIAL STATEMENTS ATTACHMENT:

The return was prepared using draft financial statements. The expected issuance of the audited financial statements is july 2015. The form 990 will be amended to include a copy of the finalized financial statements.

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the system and recognize a tax liability if the system has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service or other applicable taxing authorities. Management has analyzed tax positions taken by the system and has concluded that as of june 30, 2014, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The system is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The system files federal and state tax returns and believes it is no longer subject to federal, state, or local income tax examinations by tax authorities for the years before fiscal year 2011.

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IRS990/Desc0THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL COMPARES INCURRED CHARGES WITH GENERALLY RECOGNIZED POVERTY INCOME LEVELS AND THE PATIENT'S FINANCIAL RESOURCES. BECAUSE THE HOSPITAL DOES NOT EXPECT TO RECEIVE PAYMENT FOR AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUES. CONSISTENT WITH ITS MISSION, THE HOSPITAL PROVIDES COMMUNITY SERVICES INTENDED TO BENEFIT THE UNDERSERVED AND ENHANCE THE HEALTH STATUS OF THE COMMUNITY. THE HOSPITAL OPERATES A 24 HOUR PER DAY, 7 DAY PER WEEK EMERGENCY ROOM PROVIDING CARE TO ALL PATIENTS. THE HOSPITAL OPERATES HOLZER HOSPICE.CONTINUING EDUCATION, CERTIFICATION PROGRAMS, AND INFORMATIONAL SEMINARS ARE CONDUCTED FOR BOTH HOSPITAL AND MEDICAL STAFF. HEALTH FAIRS ARE CONDUCTED AT NO CHARGE. ADDITIONALLY, THE HOSPITAL'S MOBILE UNIT IS TAKEN TO COMMUNITY EVENTS TO PERFORM FREE SCREENINGS, AND DISPENSE EDUCATIONAL MATERIALS. HOSPITAL STAFF ALSO RESPONDS TO REQUESTS FROM EMPLOYERS AND COMMUNITY GROUPS, ALONG WITH SENIOR CITIZEN CENTERS, FOR SCREENINGS AND INFORMATIONAL PROGRAMS. EDUCATIONAL SUPPORT GROUPS, SUCH AS DIABETES AND CANCER, AND AN EDUCATIONAL GROUP MEETING FOR STROKES, ARE SPONSORED BY THE HOSPITAL. THE HOSPITAL'S MEETING ROOMS ARE MADE AVAILABLE TO ORGANIZATIONS AT NO CHARGE FOR HEALTH-RELATED PROGRAMMING AND MEETINGS. ADDITIONALLY, CIVIC AND PROFESSIONAL ORGANIZATIONS ARE INVITED TO THE HOSPITAL REGULARLY FOR PROGRAMS THAT ARE EDUCATIONAL AND INFORMATIONAL ON HEALTH CARE SERVICES AS DEVELOPED.SPEAKERS FROM THE HOSPITAL STAFF ARE AVAILABLE AND RESPOND TO SPEAKING INVITATIONS FOR GROUPS AND ORGANIZATIONS IN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL OFFERS MANY SERVICES TO THE COMMUNITY AT NOMINAL OR NO CHARGE, INCLUDING BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS, CHOLESTEROL CHECKS, HEMOGLOBIN, PULSE OXIMETRY, PROSTATE CHECKS, BONE DENSITY, AND TUMOR REGISTRY. THE PEDIATRIC UNIT WORKS IN CONJUNCTION WITH THE GALLIA COUNTY HEALTH DEPARTMENT IN PROMOTING FREE IMMUNIZATIONS. THE HOSPITAL ALSO PROVIDES EDUCATIONAL PROGRAMS AND SCREENINGS, AND DISCOUNTS AT THE HOSPITAL'S GIFT SHOP, CAFETERIA, AND PHARMACY IN CONJUNCTION WITH ITS MAXWELL 50 PROGRAM. ASSISTANCE IS ALSO PROVIDED TO SENIOR CITIZENS AND OTHER PATIENTS AND THEIR FAMILIES WITH THE SUBMISSIONS OF FORMS FOR INSURANCE, FINANCIAL COUNSELING, AND APPLICATION TO THE MEDICARE AND MEDICAID PROGRAMS FOR HEALTH SERVICE COVERAGE. COSTS ASSOCIATED WITH THESE PROGRAMS ARE INCLUDED IN THE HOSPITAL'S EXPENSES.
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