2015-08-17T11:45:06-05:00 2014-09-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2013-10-01 550705451 Highland Hospital Foundation Inc HIGH 3049254756 300 56th Street Charleston WV 25304 Christopher Miller Interim CFO 3049254756 2015-08-17 1 Harry C Harless P01042847 3043460441 2013 2016-02-25 16:41:14Z Cynthia Persily 300 56th Street Charleston WV 25304 158582 0 X N/A X 1991 WV 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. 16 12 0 0 0 0 10705 81174 0 0 831 10108 24072 48334 35608 139616 1094 22516 0 0 0 30654 11625 7237 7237 22501 31984 35220 92391 388 47225 631278 678153 2140 554 629138 677599 None 0 0 47574 Provided financial support services for Highland Hospital Association. Support included receiving gifts, grants, contributions, bequests and making distributions of such funds. 22516 22516 Reimburse Highland Behavioral Health Services for 2 low income individuals' care. 70090 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WV X Christopher Miller 3043481426 1418 MacCorkle Avenue SW Charleston WV 25303 R Terrance Rodgers Chairman 2.00 3.00 X 0 0 0 Mike Casdorph Vice Chairman 2.00 43.00 X 0 69685 0 T William Signorelli Secretary 2.00 X 0 0 0 Robin Baldwin Trustee 2.00 X 0 0 0 Lisa Layden Treasurer, COO/CFO 2.00 44.00 X X 0 136822 0 Michelle Easton Trustee 2.00 2.00 X 0 0 0 Sam Fox Trustee 2.00 X 0 0 0 James Owrey Trustee 2.00 X 0 0 0 Praveen Srinivasan Trustee 2.00 X 0 0 0 David Townsend Trustee 2.00 X 0 0 0 Matt Coleman Trustee 2.00 2.00 X 0 0 0 Cynthia Persily President/CEO 5.00 37.00 X X 0 46528 0 J Thomas Clark Trustee 2.00 X 0 0 0 Cary Levenson Trustee 2.00 X 0 0 0 Karen Hamrick Miller Trustee 2.00 X 0 0 0 Elizabeth Liz Weisberg Trustee 2.00 X 0 0 0 David M McWatters III CEO 1.00 X 0 45153 0 Christopher Miller Interim CFO 2.00 X 0 0 0 0 298188 0 0 0 0 0 0 21324 59850 1250 81174 10108 10108 67300 21324 18966 48334 48334 139616 0 0 58442 22516 22516 25374 22754 2620 4159 3730 429 1121 1005 116 1797 1797 4399 4399 7237 7237 3395 3395 157 141 16 2420 2170 250 1659 1488 171 3180 2852 328 942 845 97 165 148 17 4202 3768 434 23 21 2 Miscellaneous expense 9645 8652 993 92391 70090 15064 7237 29398 5883 239796 278326 103027 121744 21009 10155 15056 10854 244001 261346 631278 678153 2140 554 2140 554 X 420913 441942 208225 235657 629138 677599 631278 678153 47225 1236 0 X X 0 1 X 0 0 X X X 0 0 0 Highland Hospital Association 550392395 3 1 1 1 22516 1 22516 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208225 27432 235657 159614 48611 208225 159614 159614 1.00000 0 0 21009 10155 10854 10854 Note Receivable - HHA 175000 Intercompany Receivable 86346 261346 113420 1236 1236 112184 27432 27432 139616 92391 0 92391 0 92391 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. Gala and Building Fund 67300 67300 8513 Inside the Huddle 21324 21324 10453 88624 21324 67300 18966 18966 48334 0 Highland Hospital Association - Process Strategies 300 56th St Charleston WV 25304 550392395 501(c)(3) 22516 To further support organizations mission to provide psychiatric care to adults and children. 1 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. 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 N/A 0 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 N/A 0 West Virginia Home Health Services Inc 1418 MacCorkle Ave SW Charleston WV 25303 061687784 Home Health Provider WV 501(c)(3) 3 N/A 0 Highland-Clarksburg Hospital Inc 1418A MacCorkle Avenue SW Charleston WV 25303 273128197 Patient Treatment WV 501(c)(3) 3 Highland Hospital Association 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0