2013-08-15T06:59:45-05:00 2012-09-30 550486667 Arnett Foster Toothman PLLC P O Box 2629 Charleston WV 25329 990 2011-10-01 550705451 Highland Hospital Foundation Inc HIGH 3049261600 300 56th Street Charleston WV 25304 Lisa Layden 3049261600 2013-08-12 1 Dale Carpenter P00189642 3043460441 2011 2016-02-24 21:20:13Z James H Dissen 300 56th Street Charleston WV 25304 343614 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. 17 13 0 0 0 0 4571 292255 0 0 1 0 30904 620 35476 292875 0 205000 0 0 0 0 0 0 0 622 27143 622 232143 34854 60732 560829 622712 1288 2439 559541 620273 None 0 0 174453 Provided financial support services for Highland Hospital Association. Support included receiving gifts, grants, contributions, bequests and making distributions of such funds. 34490 Raise funds to raise awareness of mission. 6518 Reimburse Highland Behavioral Health Services for 15 low income individuals' care. 215461 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 3 0 1 0 0 0 0 0 0 1 0 0 0 0 0 X 17 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WV X Lisa Layden 3043481010 1418 MacCorkle Avenue SW Charleston WV 25303 R Terrance Rodgers 1.00 X 0 0 0 Mike Casdorph 1.00 X 0 78066 0 T William Signorelli 1.00 X 0 0 0 John Adams 1.00 X 0 0 0 Robin Baldwin 1.00 X 0 0 0 David M McWatters III 2.00 X X 0 351337 6349 Lisa Layden 4.00 X X 0 100323 0 Mark Barnes 1.00 X 0 0 0 Michelle Easton 1.00 X 0 0 0 Sam Fox 1.00 X 0 0 0 Mike Gregg 1.00 X 0 0 0 Greg Moore 1.00 X 0 0 0 James Owrey 1.00 X 0 0 0 Praveen Srinivasan 1.00 X 0 0 0 James W Strawn 1.00 X 0 64159 9175 David Townsend 1.00 X 0 0 0 Matt Coleman 1.00 X 0 0 0 James H Dissen 1.00 X 0 0 0 0 593885 15524 0 0 1 0 0 240468 51787 292255 51359 240468 50739 620 620 292875 0 0 620 205000 205000 2681 2681 11502 4919 6583 1552 664 888 3355 1435 1920 506 216 290 8 3 5 1751 749 1002 Miscellaneous expense 5788 2475 3313 232143 215461 16682 0 219952 139736 150875 21009 1751 0 19258 340877 312843 560829 622712 1288 2439 1288 2439 X 559541 460659 159614 559541 620273 560829 622712 60732 0 X X 0 1 0 X 0 X X X 0 0 0 Highland Hospital Association 550392395 3 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 159614 159614 1.00000 0 0 21009 1751 19258 19258 Note Receivable - HHA 295000 Intercompany Receivable 17843 312843 292875 232143 60732 60732 184001 0 184001 108874 108874 292875 282883 50740 50740 232143 0 232143 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 XII, Line 4b - Other Adjustments: Temporarily restricted donations 159,614. Fundraising expenses netted against revenue on 990 -50,740. Part XIII, Line 2d - Other Adjustments: Fundraising expenses netted against revenue on 990 50,740. Gala and Building Fund 269921 240468 29453 6407 10000 1938 Art Auction 12506 12506 1621 500 20383 1 9400 9400 4961 2500 2429 291827 240468 51359 12989 13000 24750 50739 620 1 HHA Inc 300 56th St Charleston WV 25304 550705453 501(c)(3) 205000 To support organization in its tax-exempt purposes. 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The recipient organization is part of the same health system as the donee organization. 0 0 0 0 0 0 0 0 0 David M McWatters III 0 351337 0 0 0 0 0 0 0 9279 0 360616 0 0 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. Clarification of 'No' response 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