2024-05-09T09:27:09-05:00 2023-09-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2022-10-01 273128197 HIGHLAND-CLARKSBURG HOSPITAL INC HIGH 3049693100 3 HOSPITAL PLAZA CLARKSBURG WV 26301 WHITNEY PATTERSON CFO CEO 3049693100 2024-04-24 1 WHITNEY PATTERSON CFO 999009999 0 J RYAN LINDSAY P01835061 3043459400 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z VICTORIA JONES 3 HOSPITAL PLAZA CLARKSBURG WV 26301 24133926 0 X WWW.HIGHLANDCLARKSBURGHOSPITAL.COM X 2010 WV HIGHLAND-CLARKSBURG HOSPITAL'S MISSION IS TO PROVIDE QUALITY BEHAVIORAL HEALTH SERVICES TO ADULTS AND CHILDREN. 7 6 333 0 0 0 215603 1892037 20277352 21846328 0 0 206183 395561 20699138 24133926 0 0 0 0 11753598 10639001 0 0 0 8388111 11426924 20141709 22065925 557429 2068001 41312199 42122212 31634339 30376351 9677860 11745861 TO PROVIDE PSYCHIATRIC CARE TO ADULTS AND CHILDREN. 0 0 15753334 21964716 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 CHILDREN, ADOLESCENTS AND ADULTS. 15753334 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 333 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WHITNEY PATTERSON CFO 3049693143 3 HOSPITAL PLAZA CLARKSBURG WV 26301 JILL RICE CHAIRMAN 1.00 X X 0 0 0 SHAWN MILLER VICE CHAIRMAN 1.00 X X 0 0 0 DUSTIN FERSHOUR TREASURER 1.00 X X 0 0 0 JOHNATHON FISCHER SECRETARY 1.00 X X 0 0 0 JOE ELLIOTT BOARD MEMBER 1.00 X 0 0 0 TERRI DODRILL BOARD MEMBER 1.00 X 0 0 0 VICTORIA JONES CHIEF EXECUTIVE OFFICER 40.00 X X 116629 73516 0 WHITNEY PATTERSON CHIEF FINANCIAL OFFICER 40.00 X 71576 55892 0 TONI BGOODYKOONTZ MD CHIEF MEDICAL OFFICER 40.00 X 361257 148644 0 GREGORY ROCK DIRECTOR OF PHARMACY 40.00 X 140060 0 0 CAITLIN CORBITT PSYCHIATRIST 40.00 X 102172 0 0 KELLY SUE COBURN REGISTERED NURSE 40.00 X 101712 0 0 NICOLE RAE MILLS REGISTERED NURSE 40.00 X 117403 0 0 TAMMY LEA VARNER REGISTERED NURSE 40.00 X 101276 0 0 JORDAN GWINN NURSE PRACTITIONER 40.00 X 78227 50886 0 JULIE BOZARTH CHIEF NURSING OFFICER 40.00 X 72797 51592 0 RACHEL GREGIS ADVANCED PRACTICAL NURSE 40.00 X 64985 44533 0 1328094 425063 0 11 0 1 0 MONONGALIA GENERAL HOSPITALS 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 MANAGEMENT AND CONTRACTED EMPLOYEES 1859075 QUALIVIS 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 STAFFING AND RECRUTING 1223620 MAXIM HEALTHCARE 900 VIRGINIA ST E SUITE 500 CHARLESTON WV 25301 STAFFING AND RECRUTING 972686 REINHART 226 EAST VIEW DRIVE MT PLEASANT PA 15666 FOOD SERVICES 358303 ALPHA TECHNOLOGIES PO BOX 1114 SCOTT DEPOT WV 25560 IT CONSULTING 352964 22 1892037 1892037 PATIENT SERVICES 322110 21846328 21846328 21846328 118388 0 118388 118388 118388 REBATES & OTHER 900099 225303 0 225303 COMMISSARY REVENUE 722514 28725 0 28725 OTHER 900099 23145 0 23145 277173 24133926 21964716 0 277173 8935211 7168714 1766497 500 405 95 1054912 856530 198382 648378 526447 121931 307863 307863 499648 499648 67136 67136 4428743 4037908 390835 24825 24825 325820 217941 107879 1370442 561081 809361 6425 3019 3406 979427 343681 635746 1343332 471373 871959 127966 113343 14623 FOOD PREP 639320 451165 188155 HEALTHCARE PROVIDER TAX 535385 535385 0 MEDICAL SUPPLIES 275591 275591 0 REPAIRS AND MAINTENANCE 255973 89821 166152 239028 100930 138098 22065925 15753334 6312591 0 612682 1341977 3046069 3664861 69160 65919 369117 296489 48439604 12478027 37164761 35961577 50410 791389 41312199 42122212 2077056 2050285 272244 0 29285039 27532631 0 793435 31634339 30376351 X 9677860 11745861 9677860 11745861 41312199 42122212 2068001 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 46790554 11230135 35560419 28026 28026 0 1321024 1219866 101158 35961577 FINANCING LEASE LIABILITY 203941 OPERATING LEASE LIABILITY 589494 793435 X 24133926 0 24133926 0 24133926 22065925 0 22065925 0 22065925 PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 0 0 535385 535385 0.02660 80515 80515 615900 80515 535385 0.02660 615900 80515 535385 0.02660 5735 5735 0.00030 5735 5735 0.00030 1 1809 1 1 1 1 HIGHLAND - CLARKSBURG HOSPITAL 3 HOSPITAL PLAZA CLARKSBURG WV 26301 X INPATIENT MENTAL HEALTH HIGHLAND - CLARKSBURG HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X HTTPS://WWW.HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTH-ASSESSMENT X 1 23 1 HTTPS://WWW.HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTH-ASSESSMENT 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X X 1 X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY X X X X X 1 X 0 X X X 1 X 0 0 HIGHLAND - CLARKSBURG HOSPITAL 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. 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: BEHAVIORAL HEALTH OUTREACH TO SCHOOLS AND OTHER REFERRAL SOURCES THROUGHOUT THE STATE; CRITICAL ACCESS HOSPITAL EMERGENCY ROOM PHYSICIAN MENTAL HEALTH TRAINING PROVIDED BY HCHI PSYCHIATRISTS.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: CLOTHING DRIVES AT HCHI, CHRISTMAS PRESENTS FOR PATIENTS, PATIENT TALENT SHOW, PATIENT TRICK OR TREATING, AND PATIENT ART SHOWS. 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 THE PROPORTION OF INDIVIDUALS AGED 65 AND OLDER IN WEST VIRGINIA, THIS AGE GROUP IS EXPERIENCING MORE RAPID GROWTH COMPARED TO YOUNGER SEGMENTS OF THE POPULATION. ACCORDING TO ESTIMATES FROM THE U.S. CENSUS BUREAU (2022), THIS TREND IS PREDICTED TO CONTINUE. WITH SUCH A SUBSTANTIAL 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 THE PER CAPITA INCOME IN WEST VIRGINIA AT AROUND $29,000, WHEREAS THE REST OF THE COUNTRY AVERAGES AROUND $37,000. A CONCERNING STATISTIC REVEALS THAT NEARLY 17% OF WEST VIRGINIA FAMILIES LIVE BELOW THE POVERTY LINE, IN CONTRAST TO THE NATIONAL AVERAGE OF 12%. (BUREAU, QUICK FACTS, 2022) IT IS IMPORTANT TO NOTE THAT A SIGNIFICANT MAJORITY OF THESE FAMILIES WITH CHILDREN ARE 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 STATECOULD 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. RECENTSTUDIES (KAISER FAMILY FOUNDATION, 2023) FIND THAT THE PERCENTAGE OF OBESE INDIVIDUALS INOUR REFERRAL REGION IS 39%, HIGHER THAN THE STATE AVERAGE OF 32% AND SLIGHTLY LOWER THANTHE US RATE OF 40 %. SIMILARLY, THE PERCENTAGE OF ADULTS WHO ARE NOTPHYSICALLY ACTIVE IS MUCH HIGHER FOR OUR PRIMARY REFERRAL AREA THAN FOR WV AND SLIGHTLYHIGHER 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 WIDELYACKNOWLEDGED. 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 THEEXTENT 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. X X X 0 0 0 0 0 0 0 0 0 TONI BGOODYKOONTZ MD CHIEF MEDICAL OFFICER 361257 148644 0 0 0 0 0 0 0 0 361257 148644 0 0 VICTORIA JONES CHIEF EXECUTIVE OFFICER 116629 73516 0 0 0 0 0 0 0 0 116629 73516 0 0 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 XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED.