Highland Hospital Foundation Inc: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Highland Hospital Foundation Inc (EIN 55-0705451)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-11
- IRS object ID
- 201422239349300502
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-08-11T05:59:42-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550486667 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett Foster Toothman PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550705451 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Highland Hospital Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HIGH | NameControl |
| Phone | 3049261600 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Layden | Name |
| Title | Chief Operating Officer | Title |
| Phone | 3049261600 | Phone |
| Date Signed | 2014-07-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harry C Harless | Name |
| PTIN | P01042847 | PTIN |
| Phone | 3043460441 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James H Dissen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 61907 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 292255 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10705 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 831 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 620 | OtherRevenuePriorYear |
| Other Revenue Current Year | 24072 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 292875 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35608 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 205000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1094 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 11625 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 16146 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27143 | OtherExpensePriorYear |
| Other Expenses Current Year | 22501 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 232143 | TotalExpensesPriorYear |
| Total Expenses Current Year | 35220 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 60732 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 388 | RevenuesLessExpensesCY |
| Total Assets BOY | 622712 | TotalAssetsBOY |
| Total Assets EOY | 631278 | TotalAssetsEOY |
| Total Liabilities BOY | 2439 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2140 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 620273 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 629138 | NetAssetsOrFundBalancesEOY |
| Mission Description | None | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13571 | Expense |
| Description | Provided financial support services for Highland Hospital Association. Support included receiving gifts, grants, contributions, bequests and making distributions of such funds. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1094 | Expense |
| Grants | 1094 | Grants |
| Description | Reimburse Highland Behavioral Health Services for 2 low income individuals' care. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 14665 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 0 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Lisa Layden | NamePerson |
| Telephone Number | 3043481010 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| R Terrance Rodgers | |||||||
| Chairman | 2.00 | 1.00 | X | 0 | 0 | 0 | |
| Mike Casdorph | |||||||
| Vice Chairman | 2.00 | 43.00 | X | 0 | 92173 | 0 | |
| T William Signorelli | |||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | ||
| John Adams | |||||||
| Trustee | 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 | 0 | 120542 | 0 | X |
| Mark Barnes | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Michelle Easton | |||||||
| Trustee | 2.00 | 2.00 | X | 0 | 0 | 0 | |
| Sam Fox | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Greg Moore | |||||||
| 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 | ||
| James W Strawn | |||||||
| Trustee | 40.00 | X | 0 | 66188 | 6235 | ||
| David Townsend | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Matt Coleman | |||||||
| Trustee | 2.00 | 2.00 | X | 0 | 0 | 0 | |
| James H Dissen | |||||||
| CEO/President | 2.00 | 44.00 | X | 0 | 33779 | 0 | X |
| David M McWatters III | |||||||
| CEO | 0.00 | 42.00 | 0 | 209918 | 6801 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 522600 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 13036 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 10705 | AllOtherContributions |
| Total Contributions | 10705 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 831 | TotalRevenueColumn |
| Exclusion | $831 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 50371 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 26299 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24072 | TotalRevenueColumn |
| Exclusion | $24,072 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35608 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $24,903 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1094 | Total |
| Program Services | 1094 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1323 | Total |
| Management And General | 1323 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11625 | Total |
| Fundraising | 11625 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 838 | Total |
| Management And General | 838 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5465 | Total |
| Program Services | 4688 | ProgramServices |
| Management And General | 777 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1193 | Total |
| Program Services | 1023 | ProgramServices |
| Management And General | 170 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23 | Total |
| Program Services | 20 | ProgramServices |
| Management And General | 3 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4202 | Total |
| Program Services | 3605 | ProgramServices |
| Management And General | 597 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Miscellaneous expense | Description |
| Total | 9457 | Total |
| Program Services | 4235 | ProgramServices |
| Management And General | 701 | ManagementAndGeneral |
| Fundraising | 4521 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35220 | Total |
| Program Services | 14665 | ProgramServices |
| Management And General | 4409 | ManagementAndGeneral |
| Fundraising | 16146 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139736 | BOY |
| EOY | 29398 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150875 | BOY |
| EOY | 239796 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 103027 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 21009 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5953 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19258 | BOY |
| EOY | 15056 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 312843 | BOY |
| EOY | 244001 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 622712 | BOY |
| EOY | 631278 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2439 | BOY |
| EOY | 2140 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2439 | BOY |
| EOY | 2140 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 460659 | BOY |
| EOY | 420913 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159614 | BOY |
| EOY | 208225 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 620273 | BOY |
| EOY | 629138 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 622712 | BOY |
| EOY | 631278 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 388 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8477 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Highland Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550392395 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $1,094 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1094 | SumOfAmounts |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 159614 | BeginningOfYearBalance |
| Contributions | 48611 | Contributions |
| End Of Year Balance | 208225 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 159614 | Contributions |
| End Of Year Balance | 159614 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21009 | OtherCostOrOtherBasis |
| Depreciation | 5953 | Depreciation |
| Book Value | 15056 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15056 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Note Receivable - HHA | 235000 |
| Intercompany Receivable | 9001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 244001 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 19273 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 8477 | NetUnrealizedGainsInvestments |
| Other Revenues | 26299 | OtherRevenues |
| Revenue Not Rptd F990 | 34776 | RevenueNotRptdF990 |
| Revenue Subtotal | -15503 | RevenueSubtotal |
| Other Revenues Not Included | 51111 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 51111 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 35608 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 59019 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 26299 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 26299 | ExpensesNotRptdF990 |
| Expenses Subtotal | 32720 | ExpensesSubtotal |
| Other Expenses Not Included | 2500 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2500 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 35220 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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 2d - Other Adjustments: | Fundraising expenses netted against fundraising income on 990 26,299. | |
| Part XI, Line 4b - Other Adjustments: | Temporarily restricted donations 48,611. Expense netted against revenue on financial statements 2,500. | |
| Part XII, Line 2d - Other Adjustments: | Fundraising expenses netted against revenue on 990 26,299. | |
| Part XII, Line 4b - Other Adjustments: | Expense netted against revenue on financial statements 2,500. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala and Building Fund | NameOfEvent1 |
| Gross Receipts Event1 | 35473 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 35473 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 5963 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 3730 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 7910 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Art Auction | NameOfEvent2 |
| Gross Receipts Event2 | 14898 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 14898 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 3606 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 2500 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 2590 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 50371 | GrossReceiptsTotal |
| Gross Revenue Total Events | 50371 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 9569 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 6230 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 10500 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 26299 | DirectExpenseSummaryEvents |
| Net Income Summary | 24072 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David M McWatters III | NamePerson |
| Title | CEO | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 209918 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 6938 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 216856 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | Clarification of 'No' response |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |