STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOLZER HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HOLZER HEALTH SYSTEM (EIN 31-1156690)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202131379349302463
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-05-17T09:55:18-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311156690EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLZER HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLZBusinessNameControlTxt
Phone7404465060PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 JACKSON PIKEAddressLine1Txt
CityGALLIPOLISCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45631ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL HAYNESPersonNm
Person TitleCFOPersonTitleTxt
Phone7404465060PhoneNum
Signature2021-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2021-05-07PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL CANADYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 JACKSON PIKEAddressLine1Txt
CityGALLIPOLISCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45631ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$120,650,027GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOLZER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE 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 Body22VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee795TotalEmployeeCnt
Total Volunteers101TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$25CYContributionsGrantsAmt
PY Program Service Revenue$126,670,705PYProgramServiceRevenueAmt
CY Program Service Revenue$120,029,090CYProgramServiceRevenueAmt
PY Investment Income-$16,331PYInvestmentIncomeAmt
CY Investment Income$190,141CYInvestmentIncomeAmt
PY Other Revenue$17,325PYOtherRevenueAmt
CY Other Revenue$26,167CYOtherRevenueAmt
PY Total Revenue$126,671,699PYTotalRevenueAmt
CY Total Revenue$120,245,423CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$90,054,684PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$89,059,468CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,160CYTotalFundraisingExpenseAmt
PY Other Expenses$72,531,326PYOtherExpensesAmt
CY Other Expenses$70,606,405CYOtherExpensesAmt
PY Total Expenses$162,586,010PYTotalExpensesAmt
CY Total Expenses$159,665,873CYTotalExpensesAmt
PY Revenues Less Expenses-$35,914,311PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$39,420,450CYRevenuesLessExpensesAmt
Total Assets BOY$170,186,750TotalAssetsBOYAmt
Total Assets EOY$165,436,816TotalAssetsEOYAmt
Total Liabilities BOY$159,131,290TotalLiabilitiesBOYAmt
Total Liabilities EOY$158,053,155TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,055,460NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,383,661NetAssetsOrFundBalancesEOYAmt
MissionFRIENDLY VISITS, EXCELLENT CARE; EVERY PATIENT, EVERY TIME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,292,927ExpenseAmt
Grant$0GrantAmt
Revenue$3,510,597RevenueAmt
DescHOLZER 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

FieldValueIRS element (for citing)
Expense$833,920ExpenseAmt
Grant$0GrantAmt
Revenue$724,578RevenueAmt
DescHOLZER DENTAL CLINIC-JACKSON STRIVES TO IMPROVE THE DENTAL HEALTH STATUS OF THE PEOPLE AND COMMUNITIES WE SERVE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$90,667,592ExpenseAmt
Grant$0GrantAmt
Revenue$115,793,915RevenueAmt
DescHOLZER CLINIC, LLC IS A MULTIPLE DISCIPLINE HEALTH CARE SYSTEM OF OVER 160 PROVIDERS PROVIDING CARE IN MORE THAN THIRTY-FOUR AREAS OF EXPERTISE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$98,794,439TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee795EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL HAYNES CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7404465060PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 JACKSON PIKEAddressLine1Txt
CityGALLIPOLISCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45631ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
DR STEVEN CONLEY
PHYSICIAN50.000.00Yes (X)$1,225,063$0$0
DEAN SICILIANO
PHYSICIAN50.000.00Yes (X)$1,070,025$0$0
NIRAV PAREKH
PHYSICIAN50.000.00Yes (X)$978,688$0$0
DR ROBERT BRADLEY
PHYSICIAN50.000.00Yes (X)$883,433$0$0
SANTPAL MAVI
PHYSICIAN50.000.00Yes (X)$832,032$0$0
DR PHIL LONG
TRUSTEE49.001.00$734,673$0$0Yes (X)
DR MICHAEL CANADY
CEO46.004.00$648,610$0$0Yes (X)Yes (X)
DR RODNEY STOUT
TRUSTEE - CMO49.001.00$454,546$0$0Yes (X)
BRENT SAUNDERS
CHAIRMAN46.004.00$446,228$0$1,719Yes (X)Yes (X)
DR LOUIS WICKAS
TRUSTEE50.000.00$423,852$0$0Yes (X)
LISA HALLEY
TRUSTEE - CAO50.000.00$374,001$0$1,517Yes (X)
ELLEN GARLING
TRUSTEE50.000.00$374,000$0$0Yes (X)
TROY MILLER
TRUSTEE50.000.00$374,000$0$0Yes (X)
MICHAEL HAYNES
CFO46.004.00$374,000$0$0Yes (X)Yes (X)
TODD FOWLER
TRUSTEE - EVP AMBULARTORY50.000.00$374,000$0$0Yes (X)
DR DANIELLE CAPPELLETTI
TRUSTEE49.001.00$354,778$0$0Yes (X)
DR LANCE BROY
TRUSTEE49.001.00$341,356$0$0Yes (X)
DR JARED SHEETS
TRUSTEE49.001.00$304,622$0$0Yes (X)
DR SCOTT DAVIS
TRUSTEE50.000.00$295,209$0$0Yes (X)
DR RENUKA KANDULA
TRUSTEE49.001.00$265,971$0$0Yes (X)
JOHN CUNNINGHAM
TRUSTEE - EVP POPULATION (PART YEAR)50.000.00$257,006$0$0Yes (X)
LISA DETTY
TRUSTEE - CNO50.000.00$250,773$0$0Yes (X)
LARRY KIDD
TREASURER1.003.00$24,000$0$0Yes (X)Yes (X)
BOB GRILLO
TRUSTEE1.003.00$24,000$0$0Yes (X)
STEVE CHAPMAN
TRUSTEE1.003.00$24,000$0$0Yes (X)Yes (X)
TOM WISEMAN
TRUSTEE1.003.00$24,000$0$0Yes (X)
DANNY HOLSCHUH
TRUSTEE1.003.00$24,000$0$0Yes (X)
GARY ROACH
TRUSTEE1.003.00$24,000$0$0Yes (X)
PAUL REED
TRUSTEE1.003.00$24,000$0$0Yes (X)
BRAD MUNN
TRUSTEE1.003.00$24,000$0$0Yes (X)
ROBBIE PUGH
TRUSTEE1.003.00$24,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,852,866TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,236TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K179IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OHIO VALLEY PHYSICIANS INC
PO BOX 390HUNTINGTONWV25708EMERGENCY DEPT. STAFFING$16,808,527
NTHRIVE
PO BOX 733492DALLASTX753733492MEDICAL CODING & MANAGEMENT SERVICES$1,863,538
JACKSON & COKER LOCUMTENENS LLC
PO BOX 277638ATLANTAGA303847638PHYSICIAN STAFFING$586,034
MARSHALL HEALTH
PO BOX 1896HUNTINGTONWV257191896ORTHOPEDICS CONSULTING$245,000
KIDNEY & HYPERTENSION CENTER OF DELAWARE
36 TROY ROADDELAWAREOH43015NEPHROLOGIST$217,063
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
All Other Contributions$25AllOtherContributionsAmt
Total Contributions$25TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$114,124,990$114,124,990
RENTAL INCOME531120$3,431,749$3,431,749
MANAGEMENT FEES561000$2,527,913$2,527,913
INVESTMENTS IN JVS523930-$55,562-$55,562
FieldValueIRS element (for citing)
Total Program Service Revenue$120,029,090TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$221,434TotalRevenueColumnAmt
Exclusion$221,434ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$21,528RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,203RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,325RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,325TotalRevenueColumnAmt
Exclusion$17,325ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$269,108SecuritiesAmt
Other$100,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$295,425SecuritiesAmt
Other$104,976OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$26,317SecuritiesAmt
Other-$4,976OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$31,293TotalRevenueColumnAmt
Exclusion-$31,293ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescVENDOR REBATEDesc
Business900099BusinessCd
Total Revenue Column$8,842TotalRevenueColumnAmt
Exclusion$8,842ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,842OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,245,423TotalRevenueColumnAmt
Related Or Exempt Func Income$120,029,090RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$216,308ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,270,643TotalAmt
Management And General$6,270,643ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$69,110,112TotalAmt
Program Services$50,837,475ProgramServicesAmt
Management And General$18,272,637ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,878,579TotalAmt
Program Services$2,740,761ProgramServicesAmt
Management And General$7,137,818ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,800,134TotalAmt
Program Services$1,407,498ProgramServicesAmt
Management And General$2,392,636ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,361,200TotalAmt
Program Services$1,222,070ProgramServicesAmt
Management And General$4,139,130ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$282,609TotalAmt
Program Services$213,093ProgramServicesAmt
Management And General$69,516ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$498,569TotalAmt
Program Services$200,204ProgramServicesAmt
Management And General$298,365ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,265,873TotalAmt
Program Services$18,463,195ProgramServicesAmt
Management And General$8,802,678ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,160TotalAmt
Fundraising$1,160FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,327,496TotalAmt
Program Services$3,447,745ProgramServicesAmt
Management And General$1,879,751ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,048,037TotalAmt
Program Services$84,601ProgramServicesAmt
Management And General$4,963,436ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$595,293TotalAmt
Program Services$423,444ProgramServicesAmt
Management And General$171,849ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$683,973TotalAmt
Program Services$286,453ProgramServicesAmt
Management And General$397,520ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,866,449TotalAmt
Program Services$7,596,098ProgramServicesAmt
Management And General$2,270,351ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,997,063TotalAmt
Program Services$106,973ProgramServicesAmt
Management And General$2,890,090ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,520,682TotalAmt
Program Services$1,339,639ProgramServicesAmt
Management And General$181,043ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$9,295,170$9,295,170
MEDICAL SUPPLIES$1,054,107$1,049,607$4,500
DUES AND MEMBERSHIPS$345,999$69,159$276,840
PROPERTY TAX$193,496$772$192,724

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$269,229TotalAmt
Program Services$10,482ProgramServicesAmt
Management And General$258,747ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$159,665,873TotalAmt
Program Services$98,794,439ProgramServicesAmt
Management And General$60,870,274ManagementAndGeneralAmt
Fundraising$1,160FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,509,146BOYAmt
EOY$13,533,137EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,717,575BOYAmt
EOY$18,325,066EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,397,260BOYAmt
EOY$1,634,422EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$100,475,076LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,793,027LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,765,036BOYAmt
EOY$72,682,049EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,577,378BOYAmt
EOY$4,636,219EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$569,112BOYAmt
EOY$513,570EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,904,000BOYAmt
EOY$3,904,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$18,812,055BOYAmt
EOY$18,812,055EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,935,188BOYAmt
EOY$31,396,298EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$170,186,750BOYAmt
EOY$165,436,816EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,768,856BOYAmt
EOY$28,965,174EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,263,631EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,115,712BOYAmt
EOY$112,839,470EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,183,105BOYAmt
EOY$4,709,287EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,063,617BOYAmt
EOY$10,275,593EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$159,131,290BOYAmt
EOY$158,053,155EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,055,460BOYAmt
EOY$7,383,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,055,460BOYAmt
EOY$7,383,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$170,186,750BOYAmt
EOY$165,436,816EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$39,420,450ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,863NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$35,737,788OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
HOLZER HOSPITAL FOUNDATION
3143794913Yes (1)$0$32,605,036
HOLZER MEDICAL CENTER-JACKSON
3117240853Yes (1)$0$3,737,000
HOLZER SENIOR CARE CENTER
31153405110Yes (1)$0$0
HOLZER HERITAGE FOUNDATION
3109274827Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$36,342,036OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,321OtherActivitiesAmt
Total Lobbying Expenditures$3,321TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION ARE CONSIDERED LOBBYING ACTIVITIES. IN TOTAL $56,286 WERE PAID TO OHA OF WHICH $3,321 ARE CONSIDERED LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,672,087OtherCostOrOtherBasisAmt
Book Value$6,672,087BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,223,824OtherCostOrOtherBasisAmt
Depreciation$25,052,799DepreciationAmt
Book Value$60,171,025BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,099,781OtherCostOrOtherBasisAmt
Depreciation$2,729,235DepreciationAmt
Book Value$5,370,546BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$479,384OtherCostOrOtherBasisAmt
Depreciation$10,993DepreciationAmt
Book Value$468,391BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,682,049TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
RELATED PARTY RECEIVABLES$13,478,749
FUNDS HELD BY TRUSTEES UNDER BOND INDENTURE$17,917,549
FieldValueIRS element (for citing)
Total Book Value Other Assets$31,396,298TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLESDesc
Amt$10,275,593Amt
FieldValueIRS element (for citing)
Total Liability$10,275,593TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR STEVEN CONLEY
PHYSICIAN$1,225,063$0$0$0$0$0$0$0$0$0$1,225,063$0$0$0
DEAN SICILIANO
PHYSICIAN$1,070,025$0$0$0$0$0$0$0$0$0$1,070,025$0$0$0
NIRAV PAREKH
PHYSICIAN$978,688$0$0$0$0$0$0$0$0$0$978,688$0$0$0
DR ROBERT BRADLEY
PHYSICIAN$883,433$0$0$0$0$0$0$0$0$0$883,433$0$0$0
SANTPAL MAVI
PHYSICIAN$832,032$0$0$0$0$0$0$0$0$0$832,032$0$0$0
DR PHIL LONG
TRUSTEE$734,673$0$0$0$0$0$0$0$0$0$734,673$0$0$0
DR MICHAEL CANADY
CEO$590,145$0$58,465$0$0$0$0$0$0$0$648,610$0$0$0
DR RODNEY STOUT
TRUSTEE - CMO$420,246$0$34,300$0$0$0$0$0$0$0$454,546$0$0$0
BRENT SAUNDERS
CHAIRMAN$405,662$0$40,566$0$0$0$0$0$1,719$0$447,947$0$0$0
DR LOUIS WICKAS
TRUSTEE$423,852$0$0$0$0$0$0$0$0$0$423,852$0$0$0
LISA HALLEY
TRUSTEE - CAO$340,001$0$34,000$0$0$0$0$0$1,517$0$375,518$0$0$0
ELLEN GARLING
TRUSTEE$340,000$0$34,000$0$0$0$0$0$0$0$374,000$0$0$0
TROY MILLER
TRUSTEE$340,000$0$34,000$0$0$0$0$0$0$0$374,000$0$0$0
MICHAEL HAYNES
CFO$340,000$0$34,000$0$0$0$0$0$0$0$374,000$0$0$0
TODD FOWLER
TRUSTEE - EVP AMBULARTORY$340,000$0$34,000$0$0$0$0$0$0$0$374,000$0$0$0
DR DANIELLE CAPPELLETTI
TRUSTEE$354,778$0$0$0$0$0$0$0$0$0$354,778$0$0$0
DR LANCE BROY
TRUSTEE$341,356$0$0$0$0$0$0$0$0$0$341,356$0$0$0
DR JARED SHEETS
TRUSTEE$304,622$0$0$0$0$0$0$0$0$0$304,622$0$0$0
DR SCOTT DAVIS
TRUSTEE$295,209$0$0$0$0$0$0$0$0$0$295,209$0$0$0
DR RENUKA KANDULA
TRUSTEE$265,971$0$0$0$0$0$0$0$0$0$265,971$0$0$0
JOHN CUNNINGHAM
TRUSTEE - EVP POPULATION (PART YEAR)$257,006$0$0$0$0$0$0$0$0$0$257,006$0$0$0
LISA DETTY
TRUSTEE - CNO$230,773$0$20,000$0$0$0$0$0$0$0$250,773$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBONUS AMOUNTS ARE BASED ON MEETING THRESHOLDS INCLUDED IN CONTRACTS AND ARE ULTIMATELY AT THE BOARD'S DISCRETION.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF GALLIA OHIO- BONDS SERIES 2012 A2012 SERIES BBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN316400068BondIssuerEIN
CUSIP36381PAP2CUSIPNum
Bond Issued2012-03-27BondIssuedDt
Issue Price$155,315,000IssuePriceAmt
PurposeSEE SCHEDULE OPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$155,315,478TotalProceedsAmt
In Reserve Fund$11,135,117InReserveFundAmt
Issuance Costs From Proceeds$3,087,477IssuanceCostsFromProceedsAmt
Capital Expenditures$106,281,906CapitalExpendituresAmt
Other Spent Proceeds$3,817,000OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IFormAndLineReferenceDesc
ExplanationDESCRIPTION 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE 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 2019 AS THERE WERE NO EXECUTIVE COMPENSATION CHANGES NECESSARY IN 2020.
FORM 990, PART VI, SECTION C, LINE 19THE 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 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 17,810,175. MANAGEMENT AND GENERAL EXPENSES 6,299,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,109,452. FOOD: PROGRAM SERVICE EXPENSES 12,566. MANAGEMENT AND GENERAL EXPENSES 161,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,785. RECRUITMENT: PROGRAM SERVICE EXPENSES 501,182. MANAGEMENT AND GENERAL EXPENSES 109,683. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 610,865. LICENSURE FEES: PROGRAM SERVICE EXPENSES 70,159. MANAGEMENT AND GENERAL EXPENSES 273,071. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 343,230. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 69,113. MANAGEMENT AND GENERAL EXPENSES 1,959,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,028,541.
FORM 990, PART XI, LINE 9:TRANSFERS TO/FROM AFFILIATES 35,737,788.
FORM 990, PART XI, LINE 2CTHE AUDIT OVERSIGHT PROCESS AND THE PROCESS OF SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VI, LINE 16THE 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HOLZER DENTAL CLINIC JACKSON
100 JACKSON PIKEGALLIPOLISOH45631275346256HEALTHCAREOH$724,578$1,204,721HOLZER HEALTH SYSTEM
HOLZER CLINIC LLC
90 JACKSON PIKEGALLIPOLISOH45631310917085PHYSICIAN PRACTICESOH$115,794,310$26,730,195HOLZER HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HOLZER HERITAGE FOUNDATION
100 JACKSON PIKEGALLIPOLISOH45631310927482CONTINUING ADVANCEMENT OF HEALTH AND MEDICAL CAREOH501(C)(3)LINE 10HOLZER HEALTH SYSTEMYes (1)
HOLZER MEDICAL CENTER - JACKSON
100 JACKSON PIKEGALLIPOLISOH45631311724085HEALTH CAREOH501(C)(3)LINE 3HOLZER HEALTH SYSTEMYes (1)
HOLZER SENIOR CARE CENTER
380 COLONIAL DRIVEBIDWELLOH45614311534051SKILLED NURSING FACILITYOH501(C)(3)LINE 10HOLZER HEALTH SYSTEMYes (1)
HOLZER HOSPITAL FOUNDATION
100 JACKSON PIKEGALLIPOLISOH45631314379491HEALTH CAREOH501(C)(3)LINE 3HOLZER HEALTH SYSTEMYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOLZER VANGUARD INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 JACKSON PIKEAddressLine1Txt
CityGALLIPOLISCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45631ZIPCd
FieldValueIRS element (for citing)
EIN311192567EIN
Primary ActivitiesSTOCK HOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOLZER HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOLZER HOSPITAL FOUNDATION
L$32,496,860ACCRUAL TRANSACTION
HOLZER MEDICAL CENTER- JACKSON
L$3,737,000ACCRUAL TRANSACTION
HOLZER HOSPITAL FOUNDATION
J$557,629ACCRUAL TRANSACTION
HOLZER HOSPITAL FOUNDATION
K$108,176ACCRUAL TRANSACTION