2014-08-11T05:59:42-05:00 2013-09-30 550486667 Arnett Foster Toothman PLLC P O Box 2629 Charleston WV 25329 990 2012-10-01 550777789 Highland Behavioral Health Services Inc HIGH 3043481288 1418 MacCorkle Avenue SW Charleston WV 25303 Lisa Layden 3043481288 2014-08-01 1 Harry C Harless P01042847 3043460441 2012 2015-11-30 17:44:51Z Process Strategies and Advance Pharm James H Dissen 1418 MacCorkle Avenue SW Charleston WV 25303 10005752 0 X N/A X 2000 WV The organization operates outpatient clinics that provide psychological, psychiatric, and behavioral health care to residents of Charleston, West Virginia and surrounding communities. 5 0 134 0 0 0 0 0 10139854 9877923 1806 6 72349 127823 10214009 10005752 0 0 0 0 5019778 5379790 0 0 0 5604294 5175114 10624072 10554904 -410063 -549152 1744987 1770402 2567852 3142419 -822865 -1372017 The organization operates outpatient clinics that provide psychological, psychiatric, and behavioral health care to residents of Charleston, West Virginia and surrounding communities. 0 0 8169438 9877923 The organization operates outpatient clinics that provide psychological, psychiatric, and behavioral health care to residents of Charleston, West Virginia and surrounding communities. 8169438 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 134 1 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Lisa Layden 3043481010 1418A MacCorkle Avenue SW Charleston WV 25303 Marilou Patalinjug-Tyner MD FAPA 40.00 X 183508 0 5991 James Dissen 1.00 45.00 X X 0 33779 795 Lisa Layden 2.00 44.00 X X 0 120542 1722 Ted Thornton 40.00 X 184966 0 6198 Kiran Devaraj MD 1.00 45.00 X 0 0 0 David McWatters III 0.00 42.00 X 0 209918 6801 Gina Puzzuoli 40.00 X 462464 0 5660 Nohl Braun Jr 20.00 21.00 X 305322 0 10261 Jeffrey Priddy 40.00 X 151662 0 5991 Amy Wehrle 40.00 X 157466 0 5077 Alexandria Schcik 40.00 X 173486 0 11279 1618874 364239 59775 12 0 1 0 Association Community MHMR Programs WV 405 Capitol Street Suite 800 Charleston WV 25301 Benefit Plan 600622 Charleston Area Medical Center 501 Morris Street Charleston WV 25301 Building Rent 122269 2 Patient services 621110 9868419 9868419 Pharmacy Revenue 621110 9504 9504 9877923 6 6 Miscellaneous income 900099 85823 85823 Management services 561000 42000 42000 127823 10005752 9877923 0 127829 397134 253927 143207 4354351 2784172 1570179 4941 3159 1782 312450 199781 112669 310914 198798 112116 126600 126600 13050 13050 129710 82937 46773 28827 18432 10395 157132 100470 56662 239252 152978 86274 41623 26614 15009 2313 1479 834 3974 2541 1433 39715 25394 14321 128339 82060 46279 Medical Supplies 3953088 3953088 Bad debts 234468 234468 Misc Expenses 21897 13893 8004 Taxes & Licenses 20000 12788 7212 35126 22459 12667 10554904 8169438 2385466 0 167596 32487 824363 1226916 298159 311728 13275 19682 527300 347711 213934 179589 227660 0 1744987 1770402 771262 807179 1586 1556 1795004 2333684 2567852 3142419 X -822865 -1372017 -822865 -1372017 1744987 1770402 -549152 0 X X 0 1 X 0 0 X 8481004 8234674 9629243 10139854 9877923 46362698 8481004 8234674 9629243 10139854 9877923 46362698 0 0 0 46362698 61157 3211 32 6 6 64412 61157 3211 32 6 6 64412 62824 106749 80713 72349 127823 450458 8604985 8344634 9709988 10212209 10005752 46877568 0.98900 0.98900 0.00140 0.00290 X 6450 5805 645 194091 80356 113735 326759 261550 65209 179589 Due to related parties 2333684 2333684 9771284 -234468 -234468 10005752 0 10005752 10320436 0 10320436 234468 234468 10554904 Part XI, Line 2d - Other Adjustments: Bad debt netted against income on financial statement Part XII, Line 4b - Other Adjustments: Bad debt netted against income on financial statement X X X 0 0 0 0 0 0 0 0 0 Marilou Patalinjug-Tyner MD FAPA 183508 0 0 0 0 0 0 0 6477 0 189985 0 0 0 Ted Thornton 184966 0 0 0 0 0 0 0 8487 0 193453 0 0 0 David McWatters III 0 209918 0 0 0 0 0 0 0 6938 0 216856 0 0 Gina Puzzuoli 462464 0 0 0 0 0 0 0 6146 0 468610 0 0 0 Nohl Braun Jr 305322 0 0 0 0 0 0 0 10261 0 315583 0 0 0 Jeffrey Priddy 151662 0 0 0 0 0 0 0 6477 0 158139 0 0 0 Amy Wehrle 157466 0 0 0 0 0 0 0 5563 0 163029 0 0 0 Alexandria Schcik 173486 0 0 0 0 0 0 0 11279 0 184765 0 0 0 Form 990, Part VI, Section A, line 6 HHA, Inc. is a member because 1) it nominates annually the board of directors, 2) amending the organization's articles of incorporation and by-laws is subject to prior written approval of HHA, Inc., and 3) the articles of incorporation provide that upon dissolution of the organization, its assets shall be distributed to HHA, Inc. Form 990, Part VI, Section A, line 7a The Board of Directors of this corporation are nominated annually by HHA, Inc., a West Virginia non-stock, nonprofit corporation. Form 990, Part VI, Section A, line 7b Amendments to the articles of incorporation and by-laws of the organization are subject to prior written approval of HHA, Inc. 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 Quality Management Director keeps a copy of the policy on file and secures the signatures of the board members every year. If situations arise, 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 Risk Manager in a meeting with the board members to ensure there are no conflicts at voting times. Form 990, Part VI, Section B, line 15 The organization reviews compensation levels on a comparative basis. The CEO must approve all salary increases whether by job type, or individually. The CEO's salary which is paid by a related company, is negotiated with and approved by that organization's Board of Directors. The Data Blue Market Watch Survey is used to compare and provide guidance in compensation decisions. Form 990, Part VI, Section C, line 18 The Form 990, the conflict of interest policy, the organization's governing documents, and financial statements are available through direct inquiry of the fiscal office of the organization. Form 990, Part VI, Section C, line 19 The Form 990, the conflict of interest policy, the organization's governing documents, and financial statements are 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 Behavioral Health Services, Inc. Highland Hospital Association 300 56th Street Charleston WV 25304 550392395 Psychiatric Hospital WV 501(c)(3) 3 N/A 0 Highland Health Center Inc 300 56th Street Charleston WV 25304 205948175 Patient Treatment WV 501(c)(3) 3 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 HHA Inc 300 56th Street Charleston WV 25304 550392395 Parent Company WV 501(c)(3) 3 N/A 0 Highland Hospital Foundation Inc 300 56th Street Charleston WV 25304 550705451 Foundation 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 N/A 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0