2017-08-15T12:42:47-05:00 2016-09-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2015-10-01 550777789 Highland Behavioral Health Services Inc HIGH 3043481288 1418 MacCorkle Avenue SW Charleston WV 25303 Chris Miller CFO 3049261600 2017-08-11 1 Dolores Rose P01286262 3043460441 2015 2021-01-29 14:40:06Z Process Strategies and Advance Pharm Cynthia Persily 1418 MacCorkle Avenue SW Charleston WV 25303 6088223 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. 3 0 155 0 0 0 0 0 9843795 5996916 16 21481 78042 66263 9921853 6084660 0 0 0 0 4981165 2622843 0 0 0 5722774 4245781 10703939 6868624 -782086 -783964 2178530 1873233 5206075 5684742 -3027545 -3811509 The organization operates outpatient clinics that provide psychological, psychiatric, and behavioral health care to residents of Charleston, West Virginia and surrounding communities. 0 0 5851478 6063179 The organization operates outpatient clinics that provide psychological, psychiatric, and behavioral health care to residents of Charleston, West Virginia and surrounding communities. 5851478 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 4 0 155 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Chris Miller 3049261600 1418A MacCorkle Avenue SW Charleston WV 25303 Kiran Devaraj MD Chairman 5.00 44.00 X X 0 343660 15036 James H Dissen Secretary/Treasurer 1.00 43.00 X X 0 40731 179 Cynthia A Persily President & CEO 15.00 30.00 X X 0 194103 0 Chris Miller CFO as of 10/26/16 11.00 29.00 X 0 86003 6198 Nohl A Braun Jr MD Board Member/Physician termed 8/2016 20.00 20.00 X 343574 0 11592 April M Baisden MD Psychiatrist/Physician 40.00 X 246551 0 0 Melissa Moody MD Psychiatrist/Physician 40.00 X 244996 0 558 Srikanth Challagundla MD Psychiatrist/Physician 40.00 X 202670 0 11275 Jessica Talley MD Psychiatrist/Physician 40.00 X 204588 0 4720 1242379 664497 49558 11 0 1 0 WV Behavioral Healthcare 405 Capitol Street Suite 900 Charleston WV 25301 Health Insurance 429119 Venable-Collins 226 Timber Trail Road Charleston WV 25301 Rent 202401 Express Services PO Box 535434 Atlanta GA 303535434 Personnel Services 102898 3 Patient services 621110 5996916 5996916 5996916 44 44 25000 3563 21437 21437 21437 Management services 561000 42000 42000 Miscellaneous income 900099 24263 24263 66263 6084660 6063179 0 21481 2148869 1786785 362084 284700 236728 47972 189274 157381 31893 431038 431038 13374 13374 2685 2685 232069 192965 39104 14057 11688 2369 45803 38085 7718 245933 204493 41440 10450 8689 1761 8573 7128 1445 26493 22029 4464 109110 90725 18385 Medical Supplies 2775282 2775282 Bad debts 263351 263351 Misc. Expense 20153 16727 3426 Dues and Subscriptions 18239 15166 3073 29171 24256 4915 6868624 5851478 1017146 0 235347 86408 16832 12630 1358670 1427438 420698 255826 16918 14906 427719 351694 130065 76025 2178530 1873233 723523 486233 86139 1431 4396413 5197078 5206075 5684742 X -3027545 -3811509 -3027545 -3811509 2178530 1873233 -783964 0 X X 0 1 X 0 0 X 10139854 9877923 9719600 9843795 5996916 45578088 10139854 9877923 9719600 9843795 5996916 45578088 0 0 0 45578088 6 6 3 16 44 75 6 6 3 16 44 75 72349 127823 82570 78042 66263 427047 10212209 10005752 9802173 9921853 6063223 46005210 0.99070 0.99110 0.00000 X 179319 128742 50577 248400 222952 25448 76025 Due to related parties 5197078 5197078 X 5821309 0 5821309 263351 263351 6084660 6605273 0 6605273 263351 263351 6868624 Part X, Line 2: HHA, Inc. and Subsidiaries are exempt from Federal and State income taxes under Section 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 management of the Association to evaluate tax positions taken by the Association. Management has evaluated the Association's tax positions and did not become aware of any course of action on services or events that might adversely affect the entities' tax status. Therefore, no provision or liability for income taxes has been included in the consolidated financial statements. The Association is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The management of the Association believes it is no longer subject to income tax examinations for years prior to the fiscal year ended September 30, 2013. Part XI, Line 4b - Other Adjustments: Bad Debt netted against income on financial statement 263,351. Part XII, Line 4b - Other Adjustments: Bad debt netted against income on financial statement 263,351. 0 0 0 0 0 0 0 0 0 Kiran Devaraj MD Chairman 0 343660 0 0 0 0 0 0 0 16782 0 360442 0 0 Cynthia A Persily President & CEO 0 194103 0 0 0 0 0 0 0 1498 0 195601 0 0 Nohl A Braun Jr MD Board Member/Physician termed 8/2016 343574 0 0 0 0 0 0 0 12920 0 356494 0 0 0 April M Baisden MD Psychiatrist/Physician 246551 0 0 0 0 0 0 0 1602 0 248153 0 0 0 Melissa Moody MD Psychiatrist/Physician 244996 0 0 0 0 0 0 0 2200 0 247196 0 0 0 Srikanth Challagundla MD Psychiatrist/Physician 202670 0 0 0 0 0 0 0 12580 0 215250 0 0 0 Jessica Talley MD Psychiatrist/Physician 204588 0 0 0 0 0 0 0 6088 0 210676 0 0 0 Part I, Line 3 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 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. 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 HHA Inc 0 Highland Health Center Inc 300 56th Street Charleston WV 25304 205948175 Patient Treatment WV 501(c)(3) 3 HHA Inc 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 HHA Inc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0