2024-11-01T08:23:03-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 383643733 HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION HIGH 9373936100 1275 N HIGH ST HILLSBORO OH 451338512 MEGHANN ACKLEY VP FINANCE 9378406617 2024-11-01 1 0 TYLER K GREENE CPA P00057872 3176334705 2024-11-01 2023 2024-10-15 13:58:12Z TIM PARRY 1275 N HIGH ST HILLSBORO OH 451338512 632487 0 X HDH.ORG/FOUNDATION/ X 2001 OH TO SUPPORT THE MISSION OF HIGHLAND DISTRICT HOSPITAL 14 14 0 14 0 0 86386 479089 0 0 2541 4923 60039 110920 148966 594932 0 12421 0 0 0 0 0 0 55757 33140 55757 33140 68178 115826 526754 410849 978738 0 25243 410849 953495 THE MISSION OF HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION IS TO COMMUNICATE THE VISION OF HIGHLAND DISTRICT HOSPITAL TO OUR COMMUNITY AND FRIENDS WHO ARE WILLING TO INVEST THROUGH DEDICATED CHARITABLE GIVING TO SUPPORT THE PROGRAMS AND SERVICES. 0 0 12421 12421 HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION SUPPORTS THE MISSION AND VALUES OF HIGHLAND COUNTY JOINT TOWNSHIP DISTRICT HOSPITAL, A TOWNSHIP HOSPITAL. 12421 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 1 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 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X MEGHANN ACKLEY 9373936100 1275 N HIGH ST HILLSBORO OH 451338512 VICKI RHUDE CHAIR 0.50 0.00 X X 0 0 0 SUE DAVIS THOMPSON VICE-CHAIR 0.50 0.00 X X 0 0 0 PAM LIMES SECRETARY 0.50 0.00 X X 0 0 0 KATI BURWINKEL TREASURER 0.50 0.00 X X 0 0 0 LARRY E BURNS JR DIRECTOR 0.50 0.00 X 0 0 0 CRAIG EDGINGTON DIRECTOR 0.50 0.00 X 0 0 0 RICHARD GRAVES DIRECTOR 0.50 0.00 X 0 0 0 AMY HAMILTON DIRECTOR 0.50 0.00 X 0 0 0 TODD HESKETT DIRECTOR 0.50 0.00 X 0 0 0 JENNY HILTERBRAN DIRECTOR 0.50 0.00 X 0 0 0 MAGGI HORST DIRECTOR 0.50 0.00 X 0 0 0 DEB KOEHL DIRECTOR 0.50 0.00 X 0 0 0 PETE PENCE DIRECTOR 0.50 0.00 X 0 0 0 STEVE ROUSH DIRECTOR 0.50 0.00 X 0 0 0 ERIN RICHMOND FOUNDATION MANAGER 20.00 20.00 X 0 81803 53125 TIMOTHY PARRY CEO 1.00 39.00 X 0 372159 94745 MEGHANN ACKLEY VP FINANCE 1.00 39.00 X 0 172173 61310 0 626135 209180 0 0 1 0 0 21717 457372 479089 4923 4923 118418 21717 25233 93185 93185 30057 12322 17735 17735 594932 17735 0 98108 X 12421 12421 39277 39277 9464 9464 282 282 MINOR EQUIPMENT 5300 5300 1434 1434 68178 12421 0 55757 109739 154784 301110 402026 30676 49551 0 341701 410849 978738 9280 0 15963 0 25243 X 109739 551469 301110 402026 410849 953495 410849 978738 526754 15892 0 X 0 1 X 1 0 X X 1 HIGHLAND DISTRICT HOSPITAL 310653685 6 1 12421 0 1 12421 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51583 812 52395 62453 -10870 51583 67473 -5020 62453 67473 67473 67473 67473 0.00000 1.00000 0.00000 0 0 0 OTHER INVESTMENTS 49551 C 49551 OTHER RECEIVABLES 341701 341701 DUE TO HIGHLAND DISTRICT HOSPITAL 15963 15963 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE TO BE USED FOR FUTURE EQUIPMENT PURCHASES FOR HIGHLAND DISTRICT HOSPITAL. PART X, LINE 2: HIGHLAND COUNTY JOINT TOWNSHIP DISTRICT HOSPITAL, AS A POLITICAL SUBDIVISION OF THE STATE OF OHIO, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 115 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. PSC, HDH FOUNDATION, AND HJTDH FOUNDATION ARE EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PSC, HDH FOUNDATION, AND HJTDH FOUNDATION ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. DURING THE CALENDAR YEARS ENDING DECEMBER 31, 2023 AND 2022, THE ENTITIES DID NOT REPORT ANY UNRELATED BUSINESS INCOME. HOLIDAY BALL 123775 16624 107151 4000 7722 9006 400 GOLF OUTING 16360 5093 11267 300 3307 498 140135 21717 118418 300 4000 11029 9504 400 25233 93185 0 HIGHLAND DISTRICT HOSPITAL 1275 N HIGH STREET HILLSBORO OH 45133 310653685 501C3 12421 0 SUPPORT PROGRAMS OF HIGHLAND DISTRICT HOSPITAL 1 0 0 0 0 0 0 0 0 0 TIMOTHY PARRY CEO 0 369745 0 1955 0 459 0 46200 0 48545 0 466904 0 0 MEGHANN ACKLEY VP FINANCE 0 170067 0 1955 0 151 0 17815 0 43495 0 233483 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY A RELATED NONPROFIT ORGANIZATION, HIGHLAND DISTRICT HOSPITAL, USING THE FOLLOWING METHODS: -COMPENSATION SURVEY -APPROVAL BY THE BOARD FORM 990, PART VI, SECTION A, LINE 2 TIM PARRY, MEGHANN ACKLEY, AND ERIN RICHMOND HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF GOVERNORS OF HIGHLAND DISTRICT HOSPITAL ARE THE MEMBERS OF HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE MEMBERS OF HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION, THE BOARD OF GOVERNORS OF HIGHLAND DISTRICT HOSPITAL HAS THE POWER TO APPROVE OR REQUEST CANDIDATES TO THE BOARD OF HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 8B THE BOARD DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE VP OF FINANCE FOR FINAL REVIEW PRIOR TO THE PRESENTATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN REVIEWS AND APPROVES THE FINAL VERSION. THE BOARD APPROVED FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENT COVERS ALL INTERESTED PERSONS OF THE ORGANIZATION. THIS INCLUDES ANY DIRECTOR OR PRINCIPAL OFFICER. THESE INDIVIDUALS MUST ANNUALLY AFFIRM THEY HAVE RECEIVED A COPY OF THE CURRENT CONFLICT OF INTEREST STATEMENT, HAVE READ AND UNDERSTOOD THE POLICY AND AGREE TO COMPLY WITH THE POLICY. IN THE EVENT OF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AS SOON AS IT IS KNOWN. UPON DISCLOSURE, THE REMAINING BOARD MEMBERS DISCUSS AND VOTE TO DETERMINE IF A CONFLICT EXISTS. IN THE EVENT OF A CONFLICT, THE INTERESTED PERSON WILL ABSTAIN FROM ANY BUSINESS DECISION RELATED TO THE CONFLICT. IF IT IS DETERMINED THAT AN INDIVIDUAL HAS VIOLATED THE CONFLICT OF INTEREST POLICY, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. A NOTICE IS PLACED IN THE NEWSPAPER AFTER THE AUDIT IS COMPLETED AND APPROVED BY THE STATE OF OHIO AUDITOR. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 38,397. TOTAL EXPENSES 38,397. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 880. TOTAL EXPENSES 880. HIGHLAND DISTRICT HOSPITAL 1275 N HIGH STREET HILLSBORO OH 45133 310653685 HOSPITAL OH 501(C)(3) LINE 6 N/A 0 HIGHLAND DISTRICT HOSPITAL FOUNDATION 1275 N HIGH STREET HILLSBORO OH 45133 311666318 FOUNDATION OH 501(C)(3) LINE 7 HIGHLAND DISTRICT HOSPITAL 0 HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORP 1275 N HIGH STREET HILLSBORO OH 45133 311674981 MEDICAL SERVICES OH 501(C)(3) LINE 12A, I HIGHLAND DISTRICT HOSPITAL 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0