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      <ReconcilationRevenueExpenses>388</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>8477</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>0</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
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        </Name>
        <EIN>550392395</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>1094</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>1094</SumOfAmounts>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Contributions>48611</Contributions>
        <EndOfYearBalance>208225</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <Contributions>159614</Contributions>
        <EndOfYearBalance>159614</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Equipment>
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        <Depreciation>5953</Depreciation>
        <BookValue>15056</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>15056</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Note Receivable - HHA</Description>
        <BookValue>235000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercompany Receivable</Description>
        <BookValue>9001</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>244001</TotalBookValueOtherAssets>
      <TotRevenueEtcAuditedFinclStmt>19273</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>8477</NetUnrealizedGainsInvestments>
      <OtherRevenues>26299</OtherRevenues>
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      <ExpensesSubtotal>32720</ExpensesSubtotal>
      <OtherExpensesNotIncluded>2500</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>2500</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>35220</TotalExpensesPerForm990>
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        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>Funds are held to be used for a build-out of the 4th floor of the new hospital building in Kanawha City.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Fundraising expenses netted against fundraising income on 990 26,299.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Temporarily restricted donations 48,611. Expense netted against revenue on financial statements 2,500.</Explanation>
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        <Explanation>Fundraising expenses netted against revenue on 990 26,299.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Expense netted against revenue on financial statements 2,500.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
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        <NameOfEvent1>Gala and Building Fund</NameOfEvent1>
        <GrossReceiptsEvent1>35473</GrossReceiptsEvent1>
        <GrossRevenueEvent1>35473</GrossRevenueEvent1>
        <FoodAndBeverageEvent1>5963</FoodAndBeverageEvent1>
        <EntertainmentEvent1>3730</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>7910</OtherDirectExpensesEvent1>
        <NameOfEvent2>Art Auction</NameOfEvent2>
        <GrossReceiptsEvent2>14898</GrossReceiptsEvent2>
        <GrossRevenueEvent2>14898</GrossRevenueEvent2>
        <FoodAndBeverageEvent2>3606</FoodAndBeverageEvent2>
        <EntertainmentEvent2>2500</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>2590</OtherDirectExpensesEvent2>
        <GrossReceiptsTotal>50371</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>50371</GrossRevenueTotalEvents>
        <FoodAndBeverageTotalEvents>9569</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>6230</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>10500</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>26299</DirectExpenseSummaryEvents>
        <NetIncomeSummary>24072</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>David M McWatters III</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>209918</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6938</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>216856</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The 990 is available through direct inquiry of the fiscal office of the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Clarification of 'No' response</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Highland Behavioral Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 56th St</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25304</ZIPCode>
        </AddressUS>
        <EIN>550777789</EIN>
        <PrimaryActivities>Psychiatric Treatment</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HHA Inc</BusinessNameLine1>
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        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Highland Hospital Association</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 56th St</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25304</ZIPCode>
        </AddressUS>
        <EIN>550392395</EIN>
        <PrimaryActivities>Psychiatric Treatment</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Highland Health Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 56th St</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25304</ZIPCode>
        </AddressUS>
        <EIN>205948175</EIN>
        <PrimaryActivities>Patient Treatment</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HHA Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 56th St</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25304</ZIPCode>
        </AddressUS>
        <EIN>550705453</EIN>
        <PrimaryActivities>Parent Company</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>West Virginia Home Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1418 MacCorkle Ave SW</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25303</ZIPCode>
        </AddressUS>
        <EIN>061687784</EIN>
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        <LegalDomicileState>WV</LegalDomicileState>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>