HIGHLAND-CLARKSBURG HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HIGHLAND-CLARKSBURG HOSPITAL INC (EIN 27-3128197)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-03-21
- IRS object ID
- 202640809349300314
- Schema version
- 2024v5.5
- 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 | 2026-03-21T11:26:12-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550621482 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY GRIFFITH & MAYS AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREETEASTSUITE 400 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253012711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273128197 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND-CLARKSBURG HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 3049693100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WHITNEY PATTERSON CFO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3049693100 | PhoneNum |
| Signature | 2026-03-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J RYAN LINDSAY | PreparerPersonNm |
| PTIN | P01835061 | PTIN |
| Phone | 3043459400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICTORIA JONES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,985,416 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HIGHLANDCLARKSBURGHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | HIGHLAND-CLARKSBURG HOSPITAL'S MISSION IS TO PROVIDE QUALITY BEHAVIORAL HEALTH SERVICES TO ADULTS AND CHILDREN | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 383 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,703,385 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,790,650 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,459,325 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,001,942 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $803,574 | PYOtherRevenueAmt |
| CY Other Revenue | $192,824 | CYOtherRevenueAmt |
| PY Total Revenue | $26,966,284 | PYTotalRevenueAmt |
| CY Total Revenue | $26,985,416 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,358,191 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,883,243 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,198,264 | PYOtherExpensesAmt |
| CY Other Expenses | $12,618,080 | CYOtherExpensesAmt |
| PY Total Expenses | $25,556,455 | PYTotalExpensesAmt |
| CY Total Expenses | $26,501,323 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,409,829 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $484,093 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,427,805 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,029,445 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,272,115 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,389,662 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,155,690 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,639,783 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADOLESCENTS, AND ADULTS IN A CARING ENVIRONMENT | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,123,804 | ExpenseAmt |
| Revenue | $25,001,942 | RevenueAmt |
| Desc | HIGHLAND-CLARKSBURG HOSPITAL, INC (HCHI) IS A NON-PROFIT ORGANIZATION WHICH BEGAN OPERATIONS IN 2011 TO DEVELOP AND OPERATE A BEHAVIORAL HEALTH HOSPITAL IN HARRISON COUNTY, WV. HCHI BEGAN GENERATING OPERATING REVENUES AFTER OCTOBER 29, 2013, THE DATE OF THE JOINT COMMISSION ACCREDIDATION. THE HOSPITAL PROVIDES PHYCHIATRIC CARE TO NORTH CENTRAL WEST VIRGINIA AND SURROUNDING COMMUNITIES. THE FACILITY HAS 115 INPATIENT BEDS SERVING YOUTH, ADULTS AND THE ADULT FORENSIC POPULATION. | Desc |
| Total Program Service Expenses | $20,123,804 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 383 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | Yes (1) | 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 |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITNEY PATTERSON CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3049693143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| VICTORIA JONES | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | Yes (X) | $0 | $239,051 | $8,172 | ||
| JILL RICE | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHAWN MILLER | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DUSTIN FRESHOUR | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERRI DODRILL | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOE ELLIOT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WHITNEY PATTERSON | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $0 | $176,997 | $9,134 | |||
| TONI B GOODYKOONTZ | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $202,950 | $452,437 | $10,632 | Yes (X) | |||
| JULIE BOZARTH | ||||||||
| CHIEF NURSING OFFICER | 40.00 | $0 | $172,611 | $9,457 | Yes (X) | |||
| MIKAELA WOOD | ||||||||
| NURSE PRACTITIONER | 40.00 | $0 | $122,341 | $6,921 | Yes (X) | |||
| JORDAN GWINN | ||||||||
| NURSE PRACTITIONER | 40.00 | $0 | $133,323 | $6,654 | Yes (X) | |||
| GREGORY ROCK | ||||||||
| DIRECTOR OF PHARMACY | 40.00 | $159,770 | $0 | $0 | Yes (X) | |||
| RUOSI LIU | ||||||||
| PSYCHIATRIST | 40.00 | $185,000 | $0 | $0 | Yes (X) | |||
| KELLY SUE COBURN | ||||||||
| REGISTERED NURSE | 40.00 | $124,292 | $0 | $0 | Yes (X) | |||
| SARA CHOWDHURY | ||||||||
| PSYCHIATRIST | 40.00 | $177,884 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $849,896 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,296,760 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,970 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIVIS | |||||
| 5930 CORNERSTONE COURT WEST SUITE | SAN DIEGO | CA | 92121 | STAFFING AND RECRUTING | $2,425,803 |
| MONONGALIA GENERAL HOSPITALS | |||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | MANAGEMENT AND CONTRACTED EMPLOYEES | $1,929,187 |
| REINHART | |||||
| 226 EAST VIEW DRIVE | MT PLEASANT | PA | 15666 | FOOD SERVICES | $410,521 |
| EXPRESS SCRIPTS | |||||
| 1 EXPRESS WAY | ST LOUIS | MO | 63121 | PHARMACEUTICAL SERVICES | $329,523 |
| CENCORA | |||||
| 1 WEST FIRST AVENUE | CONSHOHOCKEN | PA | 19428 | PHARMACEUTICAL DISTRIBUTION SERVICES | $308,218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,790,650 | GovernmentGrantsAmt |
| Total Contributions | $1,790,650 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 322110 | BusinessCd |
| Total Revenue Column | $25,001,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,001,942 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,001,942 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REBATES & OTHER | 900099 | $29,627 | $29,627 |
| OTHER | 900099 | $24,263 | $24,263 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,934 | TotalRevenueColumnAmt |
| Exclusion | $138,934 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $192,824 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,985,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,001,942 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $192,824 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,391,677 | TotalAmt |
| Program Services | $9,672,528 | ProgramServicesAmt |
| Management And General | $1,719,149 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,414 | TotalAmt |
| Program Services | $138,812 | ProgramServicesAmt |
| Management And General | $24,602 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,558 | TotalAmt |
| Program Services | $1,272,101 | ProgramServicesAmt |
| Management And General | $225,457 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,594 | TotalAmt |
| Program Services | $705,549 | ProgramServicesAmt |
| Management And General | $125,045 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,973 | TotalAmt |
| Management And General | $139,973 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,863 | TotalAmt |
| Management And General | $5,863 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,245 | TotalAmt |
| Management And General | $72,245 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,927,606 | TotalAmt |
| Program Services | $4,004,589 | ProgramServicesAmt |
| Management And General | $923,017 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,541 | TotalAmt |
| Management And General | $1,541 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,534 | TotalAmt |
| Program Services | $260,295 | ProgramServicesAmt |
| Management And General | $73,239 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,914 | TotalAmt |
| Program Services | $607,688 | ProgramServicesAmt |
| Management And General | $902,226 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,228 | TotalAmt |
| Program Services | $11,379 | ProgramServicesAmt |
| Management And General | $6,849 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,192 | TotalAmt |
| Program Services | $296,611 | ProgramServicesAmt |
| Management And General | $548,581 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,390,050 | TotalAmt |
| Program Services | $487,824 | ProgramServicesAmt |
| Management And General | $902,226 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,851 | TotalAmt |
| Program Services | $238,326 | ProgramServicesAmt |
| Management And General | $234,525 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TAXES AND LICENSES | $865,898 | $856,098 | $9,800 |
| HEALTHCARE PROVIDER TAX | $625,249 | $625,249 | |
| FOOD PREP | $463,885 | $444,066 | $19,819 |
| MEDICAL SUPPLIES | $359,491 | $359,491 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,560 | TotalAmt |
| Program Services | $143,198 | ProgramServicesAmt |
| Management And General | $443,362 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,501,323 | TotalAmt |
| Program Services | $20,123,804 | ProgramServicesAmt |
| Management And General | $6,377,519 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,346,405 | BOYAmt |
| EOY | $2,548,136 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,082,536 | BOYAmt |
| EOY | $3,855,751 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,834 | BOYAmt |
| EOY | $80,463 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,263 | BOYAmt |
| EOY | $229,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,908,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,984,301 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,812,706 | BOYAmt |
| EOY | $33,924,082 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,061 | BOYAmt |
| EOY | $391,109 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,427,805 | BOYAmt |
| EOY | $41,029,445 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,592 | BOYAmt |
| EOY | $2,363,389 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $24,369 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,591,110 | BOYAmt |
| EOY | $24,592,847 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $653,413 | BOYAmt |
| EOY | $409,057 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,272,115 | BOYAmt |
| EOY | $27,389,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,155,690 | BOYAmt |
| EOY | $13,639,783 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,155,690 | BOYAmt |
| EOY | $13,639,783 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,427,805 | BOYAmt |
| EOY | $41,029,445 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $484,093 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $300,000 | OtherCostOrOtherBasisAmt |
| Book Value | $300,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,071,080 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,638,555 | DepreciationAmt |
| Book Value | $33,432,525 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,026 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,509,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,317,720 | DepreciationAmt |
| Book Value | $191,557 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,924,082 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FINANCING LEASE LIABILITY | $79,065 |
| OPERATING LEASE LIABILITY | $329,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $409,057 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,985,416 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,985,416 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,985,416 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,501,323 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,501,323 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $26,501,323 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HCHI IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTIONS 501(C)(3)OF THE INTERNAL REVENUE CODE AND SIMILAR STATE STATUTES RELATING TO NOT-FOR-PROFIT ORGANIZATIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE MANGEMENT OF HCHI TO EVALUATE TAX POSITIONS TAKEN BY HCHI. MANAGEMENT HAS EVALUATED HCHI'S TAX POSITIONS AND DID NOT BECOME AWARE OF ANY COURSE OF ACTION ON SERVICES OR EVENTS THAT MIGHT ADVERSELY AFFECT THE ENTITY'S TAX STATUS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $617,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $617,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,902 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $103,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $721,220 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $721,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $721,220 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $721,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02720 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $545 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,967 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,116 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,628 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | -$94,223 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND - CLARKSBURG HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT MENTAL HEALTH | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND - CLARKSBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTH-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTH-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | HIGHLAND - CLARKSBURG HOSPITAL | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED WITH INTERNAL AND EXTERNAL STAKEHOLDERS AND INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: CHILD ADVOCACY CENTER, WVU AND PIERPONT COLLEGES, FAMILY MATTERS PSYCHOLOGICAL SERVICES, YMCA, WVU CANCER INSTITUTE, MUSTARD SEED COMMUNITY FOOD PANTRY, BECKLEY-RALEIGH HEALTH DEPARTMENT, EASTRIDGE HEALTH SERVICES, HEALTH ACCESS FREE CLINIC, UNITED WAY OF HARRISON AND DODDRIDGE COUNTIES, BERKELY-MORGAN HEALTH DEPARTMENT, COMMUNITY CORRECTIONS, HARRISON COUNTY, HEALTH ACCESS FREE CLINIC, WVU CARRUTH CENTER FOR COUNSELING, WILLIAM R. SHARPE HOSPITAL, STONEWALL JACKSON HOSPITAL, CAMDEN CLARK MEDICAL CENTER, WEST VIRGINIA 15TH JUDICIAL CIRCUIT, AND HARRISON-CLARKSBURG HEALTH DEPARTMENT. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT: PARTICIPATION IN THE HARRISON COUNTY CHAMBER OF COMMERCE.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HALLOWEEN, CHRISTMAS & EASTER PRESENTS FOR PATIENTS AND PATIENT ART SHOW.OTHER: EMPLOYEE APPRECIATION ACTIVITIES THROUGHOUT THE YEAR. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT AND ARE REPORTED ON PART III, LINE 2. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. |
| PART III, LINE 4: | HCHI RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICE RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HCHI RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HCHI'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS HCHI RECORDS A SIGNIFICANT PROVISION FOR IMPLICIT P.C. RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 9B: | FORMER PATIENTS WITH DELINQUENT PRIVATE PAY ACCOUNTS WILL BE NOTIFIED AND GIVEN THE OPTION OF PAYING THE ACCOUNT IN FULL OR PARTICIPATING IN A PREDEFINED MONTHLY PAYMENT PLAN. FORMER PATIENTS WILL BE NOTIFIED OF THEIR FINANCIAL OBLIGATION FOR SERVICES RENDERED BY RECEIVING MONTHLY STATEMENTS WITH BALANCE DUE. FORMER PATIENTS WHO DID NOT WISH TO APPLY DURING THEIR HOSPITALIZATION WILL BE GIVEN ANOTHER OPPORTUNITY TO APPLY FOR CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAM DURING THE COLLECTION PROCESS. ALL PRIVATE PAY ACCOUNTS WILL BE REVIEWED TO DETERMINE THE LAST DATE OF PAYMENT. THE COLLECTION SPECIALIST WILL ATTEMPT TO CONTACT THE DEBTOR BY PHONE TO SETUP A PAYMENT ARRANGEMENT. THE COLLECTION SPECIALIST WILL ALSO REMIND THE PATIENT OR RESPONSIBLE PARTY OF THE HOSPITAL CHARITY CARE AND SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS. THE COLLECTION SPECIALIST WILL DOCUMENT ALL CONVERSATIONS WITH THE DEBTOR IN THE PATIENT'S BILLING DATABASE. IF THE PATIENT SHOULD APPLY FOR THE CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS WITHIN 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT, AND IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR ONE OF THE ASSISTANCE PROGRAMS, THE HOSPITAL'S COLLECTION REPRESENTATIVE WILL CONTACT THE COLLECTION AGENCY AND INSTRUCT THAT THE ACCOUNT BE REMOVED FROM COLLECTION AND THAT THE CREDIT BUREAU BE NOTIFIED TO REMOVE THE BALANCE FROM THE PATIENT'S CREDIT REPORT. |
| PART VI, LINE 2: | OUR PRIMARY REFERRAL AREA SERVES AS OUR FOCUS AND INCLUDES BERKELEY, HARRISON, KANAWHA, LEWIS, MARSHALL, MERCER, MONONGALIA, PLEASANTS, RALEIGH, RANDOLPH, AND WOOD COUNTIES. WE FIRMLY ACKNOWLEDGE THE IMPERATIVE OF COLLABORATION BETWEEN BEHAVIORAL HEALTH CARE, PUBLIC HEALTH, AND SOCIAL SERVICES TO FOSTER AN ENVIRONMENT WHERE EVERYONE CAN ACCESS EQUITABLE OPPORTUNITIES FOR OPTIMAL HEALTH. HEALTH, IN ITS ENTIRETY, EXTENDS BEYOND HEALTHCARE AND IS INFLUENCED BY VARIOUS FACTORS SUCH AS HOUSING, EDUCATION, AND TRANSPORTATION. THIS HOLDS PARTICULARLY TRUE FOR INDIVIDUALS FACING UNMET HEALTH AND SOCIAL NEEDS. THE SOCIAL SERVICES DESIGNED TO HELP ARE OFTEN SEPARATED FROM MEDICAL SERVICES AND PUBLIC HEALTH PROGRAMS TASKED WITH IMPROVING HEALTH. THIS CHALLENGE HAS BECOME INCREASINGLY URGENT IN THE AFTERMATH OF THE COVID-19 PANDEMIC. |
| PART VI, LINE 3: | IT IS THE POLICY OF HIGHLAND-CLARKSBURG HOSPITAL TO MAKE FINANCIAL COUNSELING SERVICES AVAILABLE TO ALL PATIENTS, INCLUDING INFORMATION ABOUT CHARITY CARE AND SLIDING SCALE DISCOUNT POLICIES THAT ARE AVAILABLE TO QUALIFIED INDIVIDUALS. FINANCIAL COUNSELING IS NOT CONSIDERED A CONDITION OF ADMISSION. PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY EXAMINATION OR TREATMENT WILL BE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT WILL BE GIVEN THE OPPORTUNITY TO REQUEST A PATIENT ADVOCATE, DESIGNEE OR FAMILY MEMBER TO ASSIST IN THE FINANCIAL COUNSELING DISCUSSIONS. FINANCIAL COUNSELING MAY OCCUR AT ANY TIME FROM ADMISSION TO DISCHARGE AS LONG AS THE PATIENT'S CARE IS NOT INTERFERED WITH AND THE PATIENT CONSENTS TO THE DISCUSSIONS.PATIENTS WITH NO THIRD PARTY REIMBURSEMENT SOURCE WILL BE INFORMED OF PAYMENT RESPONSIBILITY PRIOR TO ADMISSION. PATIENTS WILL BE OFFERED THE SERVICES OF HOSPITAL'S DESIGNATED FINANCIAL COUNSELOR TO APPLY FOR OTHER FORMS OF ASSISTANCE SUCH AS WV MEDICAID OR OBTAINING COVERAGE THROUGH THE HEALTHCARE MARKET PLACE. |
| PART VI, LINE 4: | THERE ARE LARGE DIFFERENCES IN THE PERCENTAGE OF RACIAL MINORITIES BETWEEN WEST VIRGINIA AND THE REST OF THE UNITED STATES. OUR REFERRAL AREA AND WEST VIRGINIA ARE ABOUT 93% WHITE AND 4% BLACK. THE PERCENTAGE OF RESIDENTS REPRESENTING OTHER RACES IS ABOUT 3% IN OUR REFERRAL AREA AND WEST VIRGINIA. (BUREAU, QUICK FACTS, 2022) MOREOVER, THERE ARE FEW RESIDENTS WHO ARE FROM OTHER COUNTRIES, AS COMPARED TO THE REST OF THE UNITED STATES. (BUREAU, QUICK FACTS, 2022) THIS RELATIVELY HOMOGENEOUS LOCAL POPULATION MEANS THAT HIGHLAND CLARKSBURG HOSPITAL PRIORITIZES SERVICES FOR MINORITY POPULATIONS SO THAT THEY DO NOT FACE ANY DISPARITIES OR BARRIERS TO CARE. ALTHOUGH SOME GROUPS ARE UNDER-REPRESENTED IN WEST VIRGINIA, HIGHLAND-CLARKSBURG HOSPITAL IS READY TO ACCOMMODATE MEMBERS OF ANY GROUP AND HAS ACCESS TO TRANSLATORS FOR LANGUAGES OTHER THAN ENGLISH AND THE DEAF.WHEN EXAMINING INDIVIDUALS OF ALL AGE GROUPS IN WEST VIRGINIA, INDIVIDUALS AGED 65 AND OLDER IS EXPERIENCING RAPID GROWTH YEAR-OVER-YEAR COMPARED TO YOUNGER SEGMENTS OF THE POPULATION. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY, WEST VIRGINIA'S POPULATION AGED 65 YEARS AND ABOVE IS ABOUT 365,000 WHICH IS AROUND 20% OF THE ENTIRE POPULATION. THIS TREND IS PREDICTED TO CONTINUE, WITH PREDICTIONS THAT BY 2035, NEARLY ONE IN FOUR STATE RESIDENTS WILL BE OVER THE AGE OF 65 ACCORDING TO THE WV CENTER ON BUDGET AND POLICY (WVCBP). WITH SUCH ASUBSTANTIAL PROJECTED RISE IN THE PROPORTION OF INDIVIDUALS AGED 65 AND OLDER, IT IS CRUCIAL FOR BEHAVIORAL HEALTHCARE PROVIDERS TO POSSESS EXPERTISE IN GERIATRIC ISSUES AND BE ADEQUATELY EQUIPPED TO ADDRESS THE UNIQUE NEEDS OF THIS AGE GROUP. RECOGNIZING THE SIGNIFICANCE OF THIS DEMOGRAPHIC SHIFT, HIGHLAND CLARKSBURG HOSPITAL PRIORITIZES STAYING INFORMED ABOUT GERIATRIC CONCERNS, FOSTERING COLLABORATIONS WITH PARTNERS, AND TAILORING OUR SERVICES TO EFFECTIVELY MEET THE EVOLVING MENTAL HEALTH NEEDS OF OLDER ADULTS. BY DOING SO, WE CAN ENSURE THE DELIVERY OF COMPREHENSIVE AND EXCEPTIONAL BEHAVIORAL CARE TO THIS GROWING SEGMENT OF OUR STATE'S POPULATION.WEST VIRGINIA REMAINS AMONG THE MOST ECONOMICALLY DISADVANTAGED STATES IN THE NATION, WITH A PER CAPITA PERSONAL INCOME OF AROUND $33,000 FROM 2022 - 2023 (BUREAU, QUICK FACTS 2023), RANKING WEST VIRGINIA 49TH AMONG 50 STATES. THE REST OF THE COUNTRY HAD PER CAPITA PERSONAL INCOME OF AROUND $37,000. HOWEVER, ACCORDING TO STATISTICS FROM WEST VIRGINIA UNIVERSITY'S COLLEGE OF BUSINESS AND ECONOMICS, THERE HAVE BEEN SOME RECENT ECONOMIC IMPROVEMENTS THROUGHOUT THE STATE. AS OF THE LAST QUARTER OF 2023, WEST VIRGINIA COMPLETED ITS EMPLOYMENT RECOVERY AFTER LOSING OVER 80,000 JOBS IN EARLY 2020 DUE TO THE COVID-19 PANDEMIC ACCORDING TO THE SOURCE. ADDITIONALLY, GDP GROWTH IN THE STATE DOUBLED AT THE NATIONAL LEVEL IN 2023 WHICH HAS NOT OCCURRED FOR MORE THAN A DECADE. ALTHOUGH THERE WERE SOME ECONOMIC ADVANTAGES IN 2023, A LARGE PERCENTAGE OF OUR POPULATION STILL CONTINUES TO STRUGGLE WITH ABOUT 17% OF RESIDENTS LIVING BELOW THE POVERTY LINE IN 2023. IT IS IMPORTANT TO NOTE THAT A SIGNIFICANT MAJORITY OF THESE FAMILIES WITH CHILDREN CONTINUE TO BE AFFECTED BY THESE CIRCUMSTANCES.IT IS EVIDENT THAT WEST VIRGINIA EXPERIENCES A HIGHER PREVALENCE OF POVERTY COMPARED TO THE REST OF THE UNITED STATES. THIS ECONOMIC DISPARITY IS REFLECTED IN THE MEDIAN HOUSEHOLD INCOME FOR OUR REFERRAL AREA AND THE STATE OF WEST VIRGINIA, WHICH STANDS AT $51,766 AND $50,884 RESPECTIVELY. THESE FIGURES ARE CONSIDERABLY LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $69,021. (UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, 2020)LOW EDUCATIONAL ATTAINMENT IS CLOSELY ASSOCIATED WITH LOW ECONOMIC STANDING, DIRECTLY AFFECTING SOCIOECONOMIC WELL-BEING. IN COMPARISON TO THE REST OF THE UNITED STATES, WEST VIRGINIA BOASTS A RELATIVELY HIGH PERCENTAGE OF HIGH SCHOOL GRADUATES. HOWEVER, RESIDENTS IN OUR REFERRAL AREA ARE LESS LIKELY TO PURSUE COLLEGE OR ADVANCED DEGREES AS SHOWN IN FIGURE 8. (BUREAU, QUICK FACTS, 2022)IN BOTH THE STATE OF WEST VIRGINIA AND OUR REFERRAL AREA, TOBACCO USE IS VERY COMMON. BECAUSE CIGARETTE SMOKING IS THOUGHT TO BE THE CAUSE OF NUMEROUS CANCERS, CARDIOVASCULAR DISEASE, RESPIRATORY DISORDERS, AND LOW BIRTH WEIGHT, LOWERING THE PREVALENCE OF TOBACCO USE IN OUR STATE COULD POSITIVELY AFFECT THE OVERALL HEALTH OF OUR AREA. 24% OF OUR PRIMARY REFERRAL REGION RESIDENTS SMOKE, WHICH IS SIMILAR TO THE NATIONAL AVERAGE. (US NEWS AND WORLD REPORT, 2023) 27% OF RESPONDENTS TO OUR ONLINE POLL REPORT HAVING FAMILY MEMBERS WHO USE TOBACCO PRODUCTS, AND 47% OF THESE RESPONDENTS STATE THAT SOMEONE IN THEIR FAMILY NEEDS HELP TO QUIT. MOREOVER, A TOTAL OF 31% CONSIDER TOBACCO USE AND E-CIGARETTE USE TO BE SERIOUS PROBLEMS.A BODY MASS INDEX OF 30 OR MORE IS REGARDED AS ADULT OBESITY IN THE POPULATION. RECENT STUDIES (KAISER FAMILY FOUNDATION, 2023) FIND THAT THE PERCENTAGE OF OBESE INDIVIDUALS IN OUR REFERRAL REGION IS 39%, HIGHER THAN THE STATE AVERAGE OF 32% AND SLIGHTLY LOWER THAN THE US RATE OF 40 %. SIMILARLY, THE PERCENTAGE OF ADULTS WHO ARE NOT PHYSICALLY ACTIVE IS MUCH HIGHER FOR OUR PRIMARY REFERRAL AREA THAN FOR WV AND SLIGHTLY HIGHER THAN THE US.(US NEWS AND WORLD REPORT, 2023)THE SIGNIFICANCE OF SAFE, STABLE, AND NURTURING CHILDHOOD ENVIRONMENTS IN FOSTERING IMPROVED HEALTH OUTCOMES, ECONOMIC OPPORTUNITIES, AND OVERALL QUALITY OF LIFE IN ADULTHOOD IS WIDELY ACKNOWLEDGED. HOWEVER, DISTRESSINGLY, EVERY YEAR, A CONSIDERABLE NUMBER OF CHILDREN UNDER 18 UNDERGO TRAUMATIC EVENTS REFERRED TO AS ADVERSE CHILDHOOD EXPERIENCES (ACES). THESE EVENTS ENCOMPASS VARIOUS FORMS OF PHYSICAL AND EMOTIONAL ABUSE, NEGLECT, AND HOUSEHOLD DYSFUNCTION, LEADING TO LONG-LASTING IMPACTS ON THEIR HEALTH AND WELL-BEING. COMPARATIVELY, CHILDREN IN WEST VIRGINIA REPORT A SIGNIFICANTLY HIGHER NUMBER OF ADVERSE EVENTS COMPARED TO CHILDREN IN THE ENTIRE UNITED STATES. THIS DATA ON ACES HELPS SHED LIGHT ON THE EXTENT OF CHILDHOOD TRAUMA AND PROVIDES VALUABLE INSIGHTS TO DRIVE EFFORTS IN REDUCING THE PREVALENCE OF SUCH EXPERIENCES AMONG CHILDREN. (KAISER FAMILY FOUNDATION, 2023) AS A BEHAVIORAL HEALTH HOSPITAL, WE WILL WORKWITH OUR PARTNERS TO PROMOTE POSITIVE CHILDHOOD ENVIRONMENTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TONI B GOODYKOONTZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $202,950 | $452,437 | $0 | $0 | $0 | $0 | $0 | $10,632 | $0 | $0 | $202,950 | $463,069 | $0 | $0 |
| VICTORIA JONES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $239,051 | $0 | $0 | $0 | $0 | $0 | $8,172 | $0 | $0 | $0 | $247,223 | $0 | $0 |
| WHITNEY PATTERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $176,997 | $0 | $0 | $0 | $0 | $0 | $9,134 | $0 | $0 | $0 | $186,131 | $0 | $0 |
| RUOSI LIU | ||||||||||||||
| PSYCHIATRIST | $185,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $185,000 | $0 | $0 | $0 |
| JULIE BOZARTH | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $172,611 | $0 | $0 | $0 | $0 | $0 | $9,457 | $0 | $0 | $0 | $182,068 | $0 | $0 |
| SARA CHOWDHURY | ||||||||||||||
| PSYCHIATRIST | $177,884 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $177,884 | $0 | $0 | $0 |
| GREGORY ROCK | ||||||||||||||
| DIRECTOR OF PHARMACY | $159,770 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $159,770 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PROVIDED IN DRAFT FORM TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO, CMO, AND CFO USING A SEPARATE FINANCE COMMITTEE AND COMPARATIVE DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,004,589. MANAGEMENT AND GENERAL EXPENSES 923,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,927,606. |