Holzer Health System

Nonprofit profile at a glance

EIN
311156690
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Gallipolis, OH, USA
Phone
1-855-4-HOLZER (1-855-446-5937)
Rating
62
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Community Health Systems

Official website

Reported finances

Revenue
$138,182,504
Expenses
$183,425,747
Assets
$121,011,473
Liabilities
$132,733,253

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • DR RODNEY STOUT (CEO)

Highest reported compensation

  • DR DEAN SICILIANO (PHYSICIAN): $2,240,336 total reported compensation
  • DR STEVEN CONLEY (PHYSICIAN): $2,214,460 total reported compensation
  • DR CHARLES BISHOP (PHYSICIAN): $1,187,811 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Holzer Health System is a community-owned, not-for-profit healthcare network serving southeastern Ohio and western West Virginia.

What it reported doing in 2024

Holzer health system provided management services/real estate to its subsidiaries whose exempt purposes are to meet the healthcare needs of their communities.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 78
  • Accountability: 42
  • Sustainability: 10
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 79.3%; rating input score 79
  • Program expense ratio: 59.9%; rating input score 60
  • Fundraising efficiency: $4.55 raised per $1 spent on fundraising; rating input score 18; 18th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 55.4%; rating input score 55; 11th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -32.7%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 0.66; rating input score 26; 26th percentile among comparable filings
  • Liabilities to assets ratio: 1.1; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 8%; rating input score 5; 5th percentile among comparable filings

Growth

  • Program expense growth: -0.2% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: 4.6% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 1.9% per year; rating input score 100; 14th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 79.3% of revenue deployed · 59.9% of spending went to programs
  • Governance: 0 of 24 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $109.9M in reported program spending
  • Leadership: top reported pay $2.2M · 29 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $22.1M reported
  • Consistency: 33 of 34 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 38 filed money-flow records
  • Related organizations: 18 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 18/100.
  • Review — Transparency & Controls: Grant itemization coverage scored 55/100.
  • High — Sustainability: Operating margin scored 2/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 26/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • High — Sustainability: Officer compensation ratio scored 5/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.