2024-11-01T07:55:17-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 311666318 HIGHLAND 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 TIMOTHY PARRY 1275 N HIGH ST HILLSBORO OH 451338512 2650480 0 X N/A X 2001 OH TO CONDUCT THE STRATEGIC HEALTH CARE PLANNING, TO PROMOTE HEALTH IN HIGHLAND COUNTY AND IN AREAS SERVICED BY THE CORPORATION, AND TO OWN, LEASE, OPERATE, AND/OR PROVIDE HEALTH CARE FACILITIES FOR THE EXCLUSIVE BENEFIT OF HIGHLAND DISTRICT HOSPITAL, A JOINT TOWNSHIP DISTRICT HOSPITAL. 8 8 0 8 0 0 1500000 2600000 0 0 1924 16873 3127 11108 1505051 2627981 1500000 2600000 0 0 0 0 0 0 0 0 0 1500000 2600000 5051 27981 1154576 1182557 0 0 1154576 1182557 X TO CONDUCT THE STRATEGIC HEALTH CARE PLANNING, TO PROMOTE HEALTH IN HIGHLAND COUNTY AND IN AREAS SERVICED BY THE CORPORATION, AND TO OWN, LEASE, OPERATE, AND/OR PROVIDE HEALTH CARE FACILITIES FOR THE EXCLUSIVE BENEFIT OF HIGHLAND DISTRICT HOSPITAL, A JOINT TOWNSHIP DISTRICT HOSPITAL. 0 0 2600000 2600000 TO CONDUCT THE STRATEGIC HEALTH CARE PLANNING, TO PROMOTE HEALTH IN HIGHLAND COUNTY AND IN AREAS SERVICED BY THE CORPORATION, AND TO OWN, LEASE, OPERATE, AND/OR PROVIDE HEALTH CARE FACILITIES FOR THE EXCLUSIVE BENEFIT OF HIGHLAND DISTRICT HOSPITAL, A JOINT TOWNSHIP DISTRICT HOSPITAL. 2600000 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 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 LARRY E BURNS JR CHAIRMAN 0.25 1.75 X X 0 0 0 LARRY PARKER TREASURER 0.25 0.25 X X 0 0 0 BILL COUCH SECRETARY 0.25 0.25 X X 0 0 0 PHILLIP WILSON PHD DIRECTOR 0.25 0.25 X 0 0 0 DWIGHT CREEK DIRECTOR 0.25 0.25 X 0 0 0 GINA EARLEY DIRECTOR 0.25 0.25 X 0 0 0 RINDY MATTHEWS DC DIRECTOR 0.25 0.25 X 0 0 0 BRIAN SETTY DIRECTOR 0.25 0.25 X 0 0 0 TIMOTHY PARRY CEO 1.00 39.00 X 0 372159 94745 MEGHANN ACKLEY CFO 1.00 39.00 X 0 172173 61310 0 544332 156055 0 0 1 0 0 2600000 2600000 16873 16873 33607 22499 11108 11108 11108 2627981 11108 0 16873 2600000 2600000 2600000 2600000 0 0 4046 38054 437976 454447 796899 106843 712554 690056 1154576 1182557 0 0 X 1154576 1182557 1154576 1182557 1154576 1182557 27981 0 X 0 1 X 1 0 X 1400000 1750000 900000 1500000 2600000 8150000 1400000 1750000 900000 1500000 2600000 8150000 8150000 30269 38331 33976 34871 16873 154320 8304320 0.98140 0.96940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 250000 250000 546899 106843 440056 690056 X 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. 0 HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION 1275 N HIGH ST HILLSBORO OH 45133 311674981 501C3 2600000 0 SUPPORT MISSION OF HDH PROFESSIONAL SERVICES CORPORATION 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 CFO 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 TIMOTHY PARRY AND MEGHANN ACKLEY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 HIGHLAND DISTRICT HOSPITAL FOUNDATION'S MEMBERS INCLUDE: (1) THE BOARD OF HOSPITAL GOVERNORS OF HIGHLAND DISTRICT HOSPITAL (2) COMMUNITY MEMBERS SERVING AS COMMUNITY TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF GOVERNORS OF HIGHLAND DISTRICT HOSPITAL APPOINTS ALL HOSPITAL TRUSTEES. THE COMMUNITY MEMBERS APPOINT ALL COMMUNITY TRUSTEES. FORM 990, PART VI, SECTION A, LINE 8B HIGHLAND DISTRICT HOSPITAL FOUNDATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE VP FINANCE; ONCE A FINAL DRAFT IS COMPLETED, THE BOARD OF DIRECTORS 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 STATEMENTS COVER ALL INTERESTED PERSONS OF THE ORGANIZATION. THIS INCLUDES ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS. THESE INDIVIDUALS MUST AFFIRM THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST STATEMENT, HAVE READY AND UNDERSTAND 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 PART OF 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 ACTION 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. HIGHLAND DISTRICT HOSPITAL 1275 N HIGH STREET HILLSBORO OH 45133 310653685 HOSPITAL OH 501(C)(3) LINE 6 0 HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORP 1275 N HIGH STREET HILLSBORO OH 45133 311674981 MEDICAL SERVICES OH 501(C)(3) LINE 12A, I 1 HIGHLAND JOINT TOWNSHIP DISTRICT HOSPITAL FOUNDATION 1275 N HIGH STREET HILLSBORO OH 45133 FOUNDATION OH 501(C)(3) LINE 12A, I 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0