Highland Hospital Foundation Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Highland Hospital Foundation Inc (EIN 55-0705451)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201532299349302523
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-17T11:45:06-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett Carbis Toothman LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2629 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550705451 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Highland Hospital Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 3049254756 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 56th Street | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christopher Miller | PersonNm |
| Person Title | Interim CFO | PersonTitleTxt |
| Phone | 3049254756 | PhoneNum |
| Signature | 2015-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Harry C Harless | PreparerPersonNm |
| PTIN | P01042847 | PTIN |
| Phone | 3043460441 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Cynthia Persily | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 56th Street | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $158,582 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | The purpose of the foundation is to solicit, raise, hold and invest endowment funds for the support of Highland Hospital, a 501(c)(3) organization. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,705 | PYContributionsGrantsAmt |
| CY Contributions Grants | $81,174 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $831 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,108 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,072 | PYOtherRevenueAmt |
| CY Other Revenue | $48,334 | CYOtherRevenueAmt |
| PY Total Revenue | $35,608 | PYTotalRevenueAmt |
| CY Total Revenue | $139,616 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,094 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $22,516 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,654 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $11,625 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $7,237 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,237 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,501 | PYOtherExpensesAmt |
| CY Other Expenses | $31,984 | CYOtherExpensesAmt |
| PY Total Expenses | $35,220 | PYTotalExpensesAmt |
| CY Total Expenses | $92,391 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $388 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $631,278 | TotalAssetsBOYAmt |
| Total Assets EOY | $678,153 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,140 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $554 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $629,138 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $677,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | None | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,574 | ExpenseAmt |
| Desc | Provided financial support services for Highland Hospital Association. Support included receiving gifts, grants, contributions, bequests and making distributions of such funds. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,516 | ExpenseAmt |
| Grant | $22,516 | GrantAmt |
| Desc | Reimburse Highland Behavioral Health Services for 2 low income individuals' care. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $70,090 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christopher Miller | PersonNm |
| Phone | 3043481426 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1418 MacCorkle Avenue SW | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25303 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| R Terrance Rodgers | |||||||
| Chairman | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Mike Casdorph | |||||||
| Vice Chairman | 2.00 | 43.00 | Yes (X) | $0 | $69,685 | $0 | |
| T William Signorelli | |||||||
| Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Robin Baldwin | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Layden | |||||||
| Treasurer, COO/CFO | 2.00 | 44.00 | Yes (X) | $0 | $136,822 | $0 | Yes (X) |
| Michelle Easton | |||||||
| Trustee | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Sam Fox | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| James Owrey | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Praveen Srinivasan | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| David Townsend | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Matt Coleman | |||||||
| Trustee | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Cynthia Persily | |||||||
| President/CEO | 5.00 | 37.00 | Yes (X) | $0 | $46,528 | $0 | Yes (X) |
| J Thomas Clark | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Cary Levenson | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Karen Hamrick Miller | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Liz Weisberg | |||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| David M McWatters III | |||||||
| CEO | 1.00 | $0 | $45,153 | $0 | Yes (X) | ||
| Christopher Miller | |||||||
| Interim CFO | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $298,188 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $21,324 | FundraisingAmt |
| All Other Contributions | $59,850 | AllOtherContributionsAmt |
| Noncash Contributions | $1,250 | NoncashContributionsAmt |
| Total Contributions | $81,174 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,108 | TotalRevenueColumnAmt |
| Exclusion | $10,108 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,300 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $21,324 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,966 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,334 | TotalRevenueColumnAmt |
| Exclusion | $48,334 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,616 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $58,442 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,516 | TotalAmt |
| Program Services | $22,516 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,374 | TotalAmt |
| Program Services | $22,754 | ProgramServicesAmt |
| Management And General | $2,620 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,159 | TotalAmt |
| Program Services | $3,730 | ProgramServicesAmt |
| Management And General | $429 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,121 | TotalAmt |
| Program Services | $1,005 | ProgramServicesAmt |
| Management And General | $116 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,797 | TotalAmt |
| Management And General | $1,797 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,399 | TotalAmt |
| Management And General | $4,399 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,237 | TotalAmt |
| Fundraising | $7,237 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,395 | TotalAmt |
| Management And General | $3,395 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157 | TotalAmt |
| Program Services | $141 | ProgramServicesAmt |
| Management And General | $16 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420 | TotalAmt |
| Program Services | $2,170 | ProgramServicesAmt |
| Management And General | $250 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,659 | TotalAmt |
| Program Services | $1,488 | ProgramServicesAmt |
| Management And General | $171 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,180 | TotalAmt |
| Program Services | $2,852 | ProgramServicesAmt |
| Management And General | $328 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942 | TotalAmt |
| Program Services | $845 | ProgramServicesAmt |
| Management And General | $97 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165 | TotalAmt |
| Program Services | $148 | ProgramServicesAmt |
| Management And General | $17 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,202 | TotalAmt |
| Program Services | $3,768 | ProgramServicesAmt |
| Management And General | $434 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23 | TotalAmt |
| Program Services | $21 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous expense | Desc |
| Total | $9,645 | TotalAmt |
| Program Services | $8,652 | ProgramServicesAmt |
| Management And General | $993 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,391 | TotalAmt |
| Program Services | $70,090 | ProgramServicesAmt |
| Management And General | $15,064 | ManagementAndGeneralAmt |
| Fundraising | $7,237 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,398 | BOYAmt |
| EOY | $5,883 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,796 | BOYAmt |
| EOY | $278,326 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,027 | BOYAmt |
| EOY | $121,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,009 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,155 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,056 | BOYAmt |
| EOY | $10,854 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,001 | BOYAmt |
| EOY | $261,346 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $631,278 | BOYAmt |
| EOY | $678,153 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,140 | BOYAmt |
| EOY | $554 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,140 | BOYAmt |
| EOY | $554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,913 | BOYAmt |
| EOY | $441,942 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,225 | BOYAmt |
| EOY | $235,657 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,138 | BOYAmt |
| EOY | $677,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $631,278 | BOYAmt |
| EOY | $678,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $47,225 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,236 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Highland Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550392395 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (1) | SupportedOrgNotifiedInd |
| US Organized | Yes (1) | USOrganizedInd |
| Support | $22,516 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $22,516 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $208,225 | BeginningYearBalanceAmt |
| Contributions | $27,432 | ContributionsAmt |
| End Year Balance | $235,657 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $159,614 | BeginningYearBalanceAmt |
| Contributions | $48,611 | ContributionsAmt |
| End Year Balance | $208,225 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $159,614 | ContributionsAmt |
| End Year Balance | $159,614 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,155 | DepreciationAmt |
| Book Value | $10,854 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,854 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Note Receivable - HHA | $175,000 |
| Intercompany Receivable | $86,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $261,346 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $113,420 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,236 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,236 | RevenueNotReportedAmt |
| Revenue Subtotal | $112,184 | RevenueSubtotalAmt |
| Other Revenues Not Included | $27,432 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,432 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $139,616 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $92,391 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $92,391 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $92,391 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Funds are held to be used for a build-out of the 4th floor of the new hospital building in Kanawha City. |
| Part XI, Line 4b - Other Adjustments: | Temporarily restricted donations 27,432. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala and Building Fund | NameOfEvent1Amt |
| Gross Receipts Event1 | $67,300 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $67,300 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $8,513 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Inside the Huddle | NameOfEvent2Amt |
| Gross Receipts Event2 | $21,324 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,324 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $10,453 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $88,624 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $21,324 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $67,300 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $18,966 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,966 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $48,334 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Highland Hospital Association - Process Strategies | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 56th St | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 550392395 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $22,516 | CashGrantAmt |
| Purpose Of Grant | To further support organizations mission to provide psychiatric care to adults and children. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The 990 is received from the accounting firm and reviewed by the CEO and CFO to make sure nothing is omitted. The CFO then signs the return and mails it to all regulatory and tax authorities. |
| Form 990, Part VI, Section B, line 12c | The organization keeps a copy of the policy on file and secures the signatures of the board members every year. If a situation arises, board members will excuse themselves from any vote in which they may have a conflict of interest. The conflict of interest policy is reviewed annually by the organization in a meeting with board members to ensure there are no conflicts at voting times. |
| Form 990, Part VI, Section B, line 15 | The CEO and CFO are compensated by a related organization. The related organization'a board of directors approves compensation for the CEO and CFO using a separate finance committee and comparative data. |
| Form 990, Part VI, Section C, line 19 | The 990 is available through direct inquiry of the fiscal office of the organization. |
| Form 990, Part XII, Line 2C | Highland Hospital Association, a related entity, has a separate finance committee, which oversees the audits of all of the members of Highland Health System, including Highland Hospital Foundation, Inc. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Highland Behavioral Health Services Inc | |||||||||||
| 300 56th St | Charleston | WV | 25304 | 550777789 | Psychiatric Treatment | WV | 501(c)(3) | 9 | HHA Inc | 0 | |
| Highland Hospital Association | |||||||||||
| 300 56th St | Charleston | WV | 25304 | 550392395 | Psychiatric Treatment | WV | 501(c)(3) | 3 | 0 | N/A | |
| Highland Health Center Inc | |||||||||||
| 300 56th St | Charleston | WV | 25304 | 205948175 | Patient Treatment | WV | 501(c)(3) | 3 | HHA Inc | 0 | |
| HHA Inc | |||||||||||
| 300 56th St | Charleston | WV | 25304 | 550705453 | Parent Company | WV | 501(c)(3) | 11, Type I | 0 | N/A | |
| West Virginia Home Health Services Inc | |||||||||||
| 1418 MacCorkle Ave SW | Charleston | WV | 25303 | 061687784 | Home Health Provider | WV | 501(c)(3) | 3 | 0 | N/A | |
| Highland-Clarksburg Hospital Inc | |||||||||||
| 1418A MacCorkle Avenue SW | Charleston | WV | 25303 | 273128197 | Patient Treatment | WV | 501(c)(3) | 3 | Highland Hospital Association | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |