Civic Intelligence

Holzer Hospital Foundation

990 • Fiscal year 2015 • EIN 31-4379491

Jul 01, 2014 to Jun 30, 2015 • Filed on May 13, 2016

Refreshing map…

100 Jackson PikeGallipolis, OH 45631

(740) 446-5060

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

61st percentile

0.43x

Higher debt load relative to assets than 61% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Liabilities / Revenue

27th percentile

0.25x

Higher debt load relative to revenue than 27% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

76th percentile

16%

Higher net margin than 76% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

61st percentile

$590,452

Higher top officer pay than 61% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

14th percentile

-5.0%

Faster asset growth than 14% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

77th percentile

14%

Faster revenue growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Assets

Down

$100,160,275

Down $5,316,438 (-5.0%) from 2014

Net Assets

Down

$56,884,528

Down $5,463,439 (-8.8%) from 2014

Liabilities

Up

$43,275,747

Up $147,001 (+0.3%) from 2014

Revenue

Up

$176,174,062

Up $21,828,475 (+14%) from 2014

Expenses

Up

$147,802,005

Up $16,765,060 (+13%) from 2014

Net Income

Up

$28,372,057

Up $5,063,415 (+22%) 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 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

2015

Assets$100,160,275
Liabilities$43,275,747
Net Assets$56,884,528

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 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

2015

Revenue$176,174,062
Expenses$147,802,005
Net Income$28,372,057
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 13, 2016
Return Version
2014v6.0
Gross Receipts
$176,217,462
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$40,213,252$35,176,924▼ $5,036,328
Accounts Receivable$22,163,367$19,997,542▼ $2,165,825
Savings and Temporary Cash Investments$12,111,736$11,070,778▼ $1,040,958
Investments in Publicly Traded Securities$7,120,700$7,130,372▲ $9,672
Inventories for Sale or Use$6,971,519$6,252,303▼ $719,216
Prepaid Expenses and Deferred Charges$824,932$4,412,569▲ $3,587,637
Cash and Non-Interest-Bearing Accounts$125,090$142,393▲ $17,303
Other Notes and Loans Receivable, Net$-570,415$-501,180▲ $69,235
Total Assets$105,476,713$100,160,275▼ $5,316,438
Other Assets Total$16,516,532$16,478,574▼ $37,958
Liabilities
Accounts Payable and Accrued Expenses$29,084,402$28,117,866▼ $966,536
Mortgage Notes Payable Secured by Investment Property$11,662,424$11,508,711▼ $153,713
Tax Exempt Bond Liabilities$2,016,233$2,016,233→ $0
Other Liabilities$365,687$1,632,937▲ $1,267,250
Total Liabilities$43,128,746$43,275,747▲ $147,001
Net Assets / Fund Balance
Unrestricted Net Assets$62,293,987$56,822,277▼ $5,471,710
Temporarily Rstr Net Assets$53,980$62,251▲ $8,271
Total Net Assets Fund Balance$62,347,967$56,884,528▼ $5,463,439
Total Liabilities and Net Assets / Fund Balance$105,476,713$100,160,275▼ $5,316,438

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$23,279,710$115,381,124$138,660,834
Buildings$11,031,741$29,520,444$40,552,185
Other Land Buildings$414,017$3,276,196$3,690,213
Land$451,456-$451,456
Other Assets Org$14,295,113--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Donald Michael RoachManager-anesthesiaFT$250,089$8,970$259,059
Douglas R JonesPhysicianFT$226,159$20,948$247,107
Robert TownsendCrnaFT$229,392$8,497$237,889
Angelia SlackCrnaFT$223,252$8,137$231,389
Vernon RoushCrnaFT$222,696$8,229$230,925
Bob GrilloTrustee--$18,000$18,000
Brad MunnTrustee--$18,000$18,000
Danny HolschuhVice Chairman--$18,000$18,000
Gary RoachSecretary--$18,000$18,000
Larry KiddTreasurer--$18,000$18,000
Paul ReedTrustee--$18,000$18,000
Steve ChapmanChairman--$18,000$18,000
Alan StockmeisterTrustee--$12,000$12,000
Tom WisemanTrustee--$10,000$10,000

Board Members and Trustees

NameTitle
Bashar Atai MdTrustee
Brent SaundersTrustee
Jim PhillippeTrustee
Suzanne Mize MdTrustee
Thomas TopeTrustee
Christopher MeyerCEO - Hhs
Wayne MunroCEO - Hhs Through 12/31/14
Dan JanicakCFO - Hhs
Kenneth G PayneCFO - Hhs Through 3/31/14

Highest Paid Contractors

ContractorServicesLocationCompensation
Alternate Solutions Healthcare SystemConsulting/staffing Firm1251 EAST DOROTHY LANE, Kettering, OH 45419$1,068,954
Diamond Healthcare WestMedical StaffingPO BOX 85050, Richmond, VA 23285$800,726
Scioto Services LLCCleaning Services405 S OAK ST, Marysville, OH 43040$555,349
TridentCath Lab Outside Services1022 MAIN STREET, Dunedin, FL 34698$412,518
Radon Medical Imaging Corporation WvMedical Imaging3254 US ROUTE 60 E, Ona, WV 25545$373,721
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$172,775,383
Investment Income
$941,420
Other Revenue
$2,457,259
Change in Net Assets
$28,372,057
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$74,629,473
Salaries, Compensation, and Employee Benefits$73,172,532
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$51,944,627$1,663,935-$53,608,562
Other Employee Benefits$14,181,488$452,640-$14,634,128
Depreciation Depletion$11,527,718--$11,527,718
Fees for Services Other$10,085,476$1,026,868-$11,112,344
Information Technology$4,129,468$452,634-$4,582,102
Office Expenses$4,125,609$415,227-$4,540,836
Payroll Taxes$4,069,545$137,363-$4,206,908
Occupancy$2,857,449--$2,857,449
Other Expenses$2,409,119$-205,630-$2,203,489
Insurance$1,148,856--$1,148,856
Travel$494,757$288,565-$783,322
Interest$758,079--$758,079
Pension Plan Contributions$699,329$23,605-$722,934
Fees for Services Management$262,772--$262,772
Advertising-$3,746-$3,746
Fees for Services Legal-$-2,291-$-2,291
Total Functional Expenses$143,545,343$4,256,662$0$147,802,005
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$1,688,242
Related Party Payable$-55,305
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
No
Other officer compensation reviewed
No
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 2015.

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. Form 990, part vii, section a: holzer health system pays berkeley research group, llc for cfo services by dan janicak. The contract with the management company is $35,000 per month starting may 2014.

Filing and Contact Details

Filer

Filer Name
Holzer Hospital Foundation
EIN
31-4379491
Phone
7404465060
Address
100 JACKSON PIKE, GALLIPOLIS, OH 45631
Doing Business As
Holzer

Signing Officer

Name
Dan Janicak
Title
CFO
Phone
7404465060
Signed
2016-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher Meyer
Formed
1910
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
9
Employees
1,962
Volunteers
16

Preparer

Firm
Plante & Moran Pllc
Address
65 EAST STATE STREET SUITE 600, COLUMBUS, OH 43215
Preparer
Bernie Ostrowski
Phone
6148493000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Equity transfers -33,843,767. Change in temporarily restricted net assets 8,271.

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 holzer

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, 2015, 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 2012.

Raw XML AppendixShowing 400 of 1,048 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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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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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $100M-$250M nonprofits