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← HOLZER HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by HOLZER HOSPITAL FOUNDATION.

Totals

Total revenue
$220,846,143
Total expenses
$181,493,807
Contributions and grants received
$3,810,804
Grants paid
$0
Program service revenue
$215,402,601
Investment income
$400,210
Other revenue
$1,232,528
Total assets, end of year
$136,639,968
Total liabilities, end of year
$52,162,117
Net assets or fund balances, end of year
$84,477,851
Program services expenses (Part IX)
$167,927,593
Management and general expenses
$13,566,214
Fundraising expenses
$0
Program service expenses (Part III)
$167,927,593

Program services were 92.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $3,807,804

  • 1f · All other contributions, gifts and grants

    $3,000

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $213,785,238 · related or exempt $213,785,238

  • 2b · Program service revenue: HCAP

    total $1,501,411 · related or exempt $1,501,411

  • 2c · Program service revenue: LIFELINE INCOME

    total $115,952 · related or exempt $115,952

  • 3 · Investment income

    total $380,192 · excluded $380,192

  • 6a · Gross rents

    real property $182,164

  • 6b · Less rental expenses

    real property $43,400

  • 6c · Rental income or loss

    real property $138,764

  • 6d · Net rental income or loss

    total $138,764 · excluded $138,764

  • 7a · Gross sales of assets other than inventory

    securities $58,864 · other assets $13,988

  • 7b · Less cost or other basis and sales expenses

    securities $52,834 · other assets $0

  • 7c · Gain or loss

    securities $6,030 · other assets $13,988

  • 7d · Net gain or loss

    total $20,018 · excluded $20,018

  • 11a · Other revenue: CAFETERIA SALES

    total $552,587 · unrelated business $313 · excluded $552,274

  • 11b · Other revenue: GIFT SHOP SALES

    total $417,894 · excluded $417,894

  • 11c · Other revenue: SECURITY REVENUE

    total $35,770 · excluded $35,770

  • 11d · All other revenue

    total $87,513 · excluded $87,513

  • 11e · Other revenue, total

    $1,093,764

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $59,572,207 · program services $51,760,303 · management and general $7,811,904

  • 8 · Pension plan contributions

    total $637,395 · program services $553,935 · management and general $83,460

  • 9 · Other employee benefits

    total $16,282,801 · program services $14,156,432 · management and general $2,126,369

  • 10 · Payroll taxes

    total $4,461,769 · program services $3,877,548 · management and general $584,221

  • 11a · Fees: management

    total $194,553 · program services $194,553

  • 11c · Fees: accounting

    total $940,932 · program services $940,657 · management and general $275

  • 11g · Fees: other

    total $24,594,136 · program services $24,511,069 · management and general $83,067

  • 13 · Office expenses

    total $4,462,053 · program services $4,050,231 · management and general $411,822

  • 14 · Information technology

    total $239,026 · program services $223,974 · management and general $15,052

  • 16 · Occupancy

    total $2,604,281 · program services $2,197,801 · management and general $406,480

  • 17 · Travel

    total $1,499,100 · program services $1,084,742 · management and general $414,358

  • 20 · Interest

    total $705,825 · program services $613,405 · management and general $92,420

  • 22 · Depreciation, depletion and amortization

    total $6,247,501 · program services $5,429,457 · management and general $818,044

  • 23 · Insurance

    total $1,098,734 · program services $954,866 · management and general $143,868

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $42,821,736 · program services $42,555,603 · management and general $266,133

  • 24b · Other expenses: BAD DEBTS

    total $8,243,113 · program services $8,243,113

  • 24c · Other expenses: FRANCHISE FEE

    total $5,424,927 · program services $5,424,927

  • 24d · Other expenses: HCAP ASSESSMENT

    total $993,048 · program services $993,048

  • 24e · All other expenses

    total $470,670 · program services $161,929 · management and general $308,741

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $207,095 · end of year $209,554

  • 2 · Savings and temporary cash investments

    beginning of year $50,064,212 · end of year $15,508,161

  • 4 · Accounts receivable

    beginning of year $25,148,639 · end of year $31,684,971

  • 7 · Other notes and loans receivable

    beginning of year $911,571 · end of year $1,442,019

  • 8 · Inventories for sale or use

    beginning of year $7,253,699 · end of year $8,814,636

  • 9 · Prepaid expenses and deferred charges

    beginning of year $971,533 · end of year $1,254,869

  • 10a · Land, buildings and equipment: cost or other basis

    $225,421,223

  • 10b · Land, buildings and equipment: accumulated depreciation

    $195,824,694

  • 10c · Land, buildings and equipment, net

    beginning of year $26,655,352 · end of year $29,596,529

  • 11 · Investments: publicly traded securities

    beginning of year $9,604,467 · end of year $11,736,492

  • 15 · Other assets

    beginning of year $31,223,404 · end of year $36,392,737

  • 17 · Accounts payable and accrued expenses

    beginning of year $28,172,625 · end of year $27,409,998

  • 19 · Deferred revenue

    beginning of year $18,712,454 · end of year $3,105,910

  • 23 · Secured mortgages and notes payable

    beginning of year $13,308,289 · end of year $14,886,060

  • 25 · Other liabilities

    beginning of year $7,511,874 · end of year $6,760,149

  • 27 · Net assets without donor restrictions

    beginning of year $84,173,683 · end of year $84,302,885

  • 28 · Net assets with donor restrictions

    beginning of year $161,047 · end of year $174,966

Mission and programs · 2022

Mission

FRIENDLY VISITS, EXCELLENT CARE; EVERY PATIENT, EVERY TIME.

Activities or mission (Part I)

TO ENCOURAGE WELLNESS AND STRIVE TO IMPROVE THE HEALTH STATUS OF THE PEOPLE AND COMMUNITIES WE SERVE.

  • THE 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.

    Expenses $167,927,593 · Revenue $215,402,601

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Adam Ritchie MD

    TRUSTEE - MEDICAL STAFF PRESIDENT

    Total calculated
    $502,229
    From this org
    $0
    From related orgs
    $493,916
    Other
    $8,313
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,916 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,313 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $502,229 related

  • Brent Saunders

    TRUSTEE

    Total calculated
    $452,413
    From this org
    $0
    From related orgs
    $446,232
    Other
    $6,181
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $446,232 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,462 related
    Nontaxable benefits
    $0 + $1,719 related
    Filer's total
    $0 + $452,413 related

  • Steve Chapman

    CHAIR

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Tom Wiseman

    VICE CHAIR

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Larry Kidd

    TREASURER

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Gary Roach

    SECRETARY

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Brad Munn

    TRUSTEE

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Bob Grillo

    TRUSTEE

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Paul Reed

    TRUSTEE

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Danny Holschuh

    TRUSTEE - PART YEAR

    Total calculated
    $6,000
    From this org
    $0
    From related orgs
    $6,000
    Other
    $0
    Hours/week
    1 + 3 related

  • Michael Canady MD

    CEO - HHS

    Total calculated
    $677,833
    From this org
    $0
    From related orgs
    $665,820
    Other
    $12,013
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $665,820 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $12,013 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $677,833 related

  • Michael Haynes

    CFO - HHS

    Total calculated
    $383,708
    From this org
    $0
    From related orgs
    $376,851
    Other
    $6,857
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $376,851 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,857 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $383,708 related

  • James Miller

    VP-AMBULATORY SERVICES

    Total calculated
    $196,340
    From this org
    $192,490
    From related orgs
    $0
    Other
    $3,850
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $192,490
    Bonus
    $0
    Other
    $0
    Deferred
    $3,850
    Nontaxable benefits
    $0
    Filer's total
    $196,340

  • David Carr Jr

    PHARMACIST

    Total calculated
    $196,037
    From this org
    $171,957
    From related orgs
    $0
    Other
    $24,080
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $171,957
    Bonus
    $0
    Other
    $0
    Deferred
    $3,439
    Nontaxable benefits
    $20,641
    Filer's total
    $196,037

  • Thomas Moore

    VP-AMBULATORY OPERATIONS

    Total calculated
    $194,846
    From this org
    $191,346
    From related orgs
    $0
    Other
    $3,500
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $191,346
    Bonus
    $0
    Other
    $0
    Deferred
    $3,500
    Nontaxable benefits
    $0
    Filer's total
    $194,846

  • Lori Cremeans

    VP-OPERATIONS JACKSON

    Total calculated
    $191,429
    From this org
    $186,306
    From related orgs
    $0
    Other
    $5,123
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $186,306
    Bonus
    $0
    Other
    $0
    Deferred
    $3,726
    Nontaxable benefits
    $1,397
    Filer's total
    $191,429

  • Robert Massie

    VP-POST ACUTE CARE SERVICE

    Total calculated
    $175,452
    From this org
    $172,306
    From related orgs
    $0
    Other
    $3,146
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $172,306
    Bonus
    $0
    Other
    $0
    Deferred
    $3,146
    Nontaxable benefits
    $0
    Filer's total
    $175,452

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION PAID TO THE ORGANIZATION'S CEO IS ESTABLISHED BY A RELATED ORGANIZATION, HOLZER HEALTH SYSTEM, AND INCLUDES USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HOLZER VANGUARD

    C · STOCK HOLDING COMPANY · OH · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
23 April 2024
IRS schema version
2022v5.0
Source object
202401209349300925

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