STRATEGY STUDIO / PUBLIC DATA EXPLORER

ELKINS REGIONAL CONVALESCENT CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ELKINS REGIONAL CONVALESCENT CENTER INC (EIN 55-0329724)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-09
IRS object ID
202003149349303265
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-09T14:31:17-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11410 SPRING HILL ROAD SUITE 500AddressLine1Txt
CityTYSONSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP221023056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550329724EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELKINS REGIONAL CONVALESCENT CENTERINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELKIBusinessNameControlTxt
Phone3046361391PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1Txt
CityELKINSCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26241ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARA SHAVERPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone3046361391PhoneNum
Signature2020-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone7039700400PhoneNum
Preparation2020-11-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.83.8.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-03IPDt
IP Tm14:06:56IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id839A658C77C9BD915FB92B1F12127266767FB63CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ELKINS REHABILITATION AND CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTARA SHAVERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1Txt
CityELKINSCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26241ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,408,251GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ERCC.BIZWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionPROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee203TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,242PYContributionsGrantsAmt
CY Contributions Grants$2,143CYContributionsGrantsAmt
PY Program Service Revenue$12,327,545PYProgramServiceRevenueAmt
CY Program Service Revenue$13,192,082CYProgramServiceRevenueAmt
PY Investment Income$79,264PYInvestmentIncomeAmt
CY Investment Income$105,152CYInvestmentIncomeAmt
PY Other Revenue$69,673PYOtherRevenueAmt
CY Other Revenue$107,522CYOtherRevenueAmt
PY Total Revenue$12,477,724PYTotalRevenueAmt
CY Total Revenue$13,406,899CYTotalRevenueAmt
PY Grants And Similar Paid$6,837PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,165CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,745,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,134,648CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,445,951PYOtherExpensesAmt
CY Other Expenses$6,775,214CYOtherExpensesAmt
PY Total Expenses$12,197,922PYTotalExpensesAmt
CY Total Expenses$12,919,027CYTotalExpensesAmt
PY Revenues Less Expenses$279,802PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$487,872CYRevenuesLessExpensesAmt
Total Assets BOY$10,020,599TotalAssetsBOYAmt
Total Assets EOY$10,169,770TotalAssetsEOYAmt
Total Liabilities BOY$4,314,472TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,901,804TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,706,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,267,966NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE COMMITTED TO PROVIDING EACH RESIDENT WITH SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING THAT WELCOMES FAMILY PARTICIPATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,563,250ExpenseAmt
Grant$9,165GrantAmt
Revenue$8,069,947RevenueAmt
DescINTERMEDIATE CARE - THE ORGANIZATION IS A 111 BED DUALLY-CERTIFIED NURSING HOME, PROVIDING 24-HOUR INTERMEDIATE CARE TO RESIDENTS OF THE COMMUNITY AND SURROUNDING COUNTIES. THE ORGANIZATION EMPLOYS OVER 150 EMPLOYEES, WHO ARE INVOLVED IN COMMUNITY PROGRAMS HELPING TO PROMOTE CARE FOR THE ELDERLY AND THOSE WITH EXTENDED CARE NEEDS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,001,969ExpenseAmt
Revenue$1,335,978RevenueAmt
DescSKILLED CARE - THE ORGANIZATION'S NURSING STAFF INCLUDES MORE THAN 75 PROFESSIONALS WHO WORK WITH PHYSICIANS TO PROVIDE A FULL RANGE OF SKILLED AND DAILY CARE. THE ORGANIZATION PROVIDES 24-HOUR SKILLED CARE TO RESIDENTS OF THE COMMUNITY AND SURROUNDING COUNTIES. CURRENTLY, THE ORGANIZATION IS THE ONLY NURSING HOME IN RANDOLPH COUNTY THAT ACCEPTS SKILLED MEDICARE RESIDENTS. THE ORGANIZATION PROVIDES RESIDENTS WITH IV THERAPIES, FEEDING TUBES, CATHETERS, WOUND CARE, VACCINATIONS OR OTHER TREATMENTS AND DAILY LIVING SUCH AS EATING, DRESSING AND BATHING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$803,698ExpenseAmt
Revenue$3,784,805RevenueAmt
DescREHABILITATION - THE OUTPATIENT DEPARTMENT CONTINUES ITS SERVICES TO ASSIST THE RESIDENTS AND OUTPATIENTS WITH ISSUES OF INCONTINENCE AND TO PROVIDE SERVICES SUCH AS E-STIM AND NAUTILUS EQUIPMENT TO IMPROVE BALANCE, GAIT, AND STRENGTH. THE ORGANIZATION USES A MEDICAL RECORDS SYSTEM WHICH ELECTRONICALLY RECORDS DOCUMENTATION OF DIRECT PATIENT CARE BY THE CERTIFIED NURSING AIDES TO BETTER BENEFIT THE RESIDENTS AND STAFF. THE ACTIVITIES DEPARTMENT HAS CONTINUED TO INCREASE INVOLVEMENT OF THE RESIDENTS IN COMMUNITY ACTIVITIES SUCH AS ATTENDING CONCERTS AT THE LOCAL COMMUNITY ARTS CENTER, THE FOREST FESTIVAL PARADE, ARTS AND CRAFTS SHOW, SYMPHONY CONCERT, TRAIN RIDES ON THE LOCAL TRAIN SERVICE, AND LOCAL HIGH SCHOOL SPORTING EVENTS. THE ORGANIZATION PROVIDES PET THERAPY FOR RESIDENTS AS WELL AS ALLOWS A LOCAL BOY'S SCHOOL TO VISIT WEEKLY TO PLAY BOARD GAMES AND BINGO WITH RESIDENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,028,861ExpenseAmt
Revenue$107,522RevenueAmt
DescTHE STAFF PARTICIPATE IN LOCAL HEALTH FAIRS, RELAY FOR LIFE, ALZHEIMER'S WALK, RECRUITMENT FAIRS AT LOCAL COLLEGES, AND VARIOUS CIVIC ORGANIZATIONS SUCH AS ROTARY, WOMAN'S CLUB, WV CENTER FOR NURSING, WV HEALTH CARE ASSOCIATION, ETC.THE ORGANIZATION OFFERS THE USE OF CLASSROOM AND CONFERENCE ROOMS TO HOLD FUNCTIONS FOR COMMUNITY ORGANIZATIONS AND FAMILY GATHERINGS AT NO CHARGE. THESE ORGANIZATIONS INCLUDE QUILTING GUILD, WOMAN'S CLUB, AND HOMEOWNER'S ASSOCIATION. THE QUILTING GUILD AND A LOCAL CHURCH MAKE LAP ROBES FOR RESIDENTS. THE RESIDENTS HAVE COLLECTED SODA CAN TABS FOR DONATION TO THE RONALD MCDONALD HOUSE AND NEWSPAPERS FOR DONATION TO THE LOCAL ANIMAL SHELTER. THE ORGANIZATION ALSO ALLOWS COUNTY VO-TECH AND LOCAL COLLEGE NURSING DEPARTMENTS TO HAVE THEIR CLINICAL EXPERIENCE AT THE ORGANIZATION'S FACILITIES.ERCC IS PROUD TO OFFER NEW PROGRAMS FOR OUR RESIDENTS AND OUTPATIENT SERVICES: WE OFFER A FUNCTIONAL MAINTENANCE PROGRAM (FMP) AS PART OF OUR INPATIENT SERVICES. THIS NEW PROGRAMOFFERS A UNIQUE OPPORTUNITY FOR EVERY RESIDENT OF THIS FACILITY TO BE PRESENTED WITH CHOICES THAT MEET THEIR INDIVIDUAL NEEDS/PREFERENCES TO MAXIMIZE THEIR PARTICIPATION IN DAILY ACTIVITIES AND INCREASE THEIR QUALITY OF LIFE, WHILE RESIDING IN THIS FACILITY. WE ARE THE ONLY FACILITY IN THE AREA THAT OFFERS TWO SPECIALIZED TREATMENT PROGRAMS FOR PEOPLE SUFFERING FROM PARKINSON'S DISEASE-LSVT BIG AND LSVT LOUD. SUCCESS RATE OF THESE PROGRAMS INCREASES WHEN ADMINISTERED SIMULTANEOUSLY. OFFERED TO INPATIENTS AND OUTPATIENTS.. BIG TREATS THROUGH A PROCESS WHERE SMALLER MOVEMENTS ARE MADE BIG. LOUD TREATS PARKINSON'S DISEASE THROUGH A PROCESS WHERE VOICE VOLUME IS INCREASED.ERCC OFFERS RESPITE CARE SERVICES IN CONJUNCTION WITH HOSPICE FOR AT-HOME CAREGIVERS WHO MAY NEED AN EXTRA HAND. THROUGH THIS PROGRAM, WE ARE ABLE TO PROVIDE COMPLETE COMPASSIONATE CARE TO YOUR LOVED ONE SO THAT YOU MAY HAVE A WELL-DESERVED AND MUCH NEEDED REST.ERCC IS PROUD TO HAVE THE OLD BRICK PLAYHOUSE COMPANY, A LOCAL ARTIST COMPANY IN ELKINS WV PROVIDE ART THERAPY TO OUR RESIDENTS. MERRILY WE GO ALONG AIMS TO CONNECT OLDER ADULTS WITH YOUTH WHILE OFFERING THEM ACCESS TO PARTICIPATE IN AND EXPERIENCE THE ARTS. ACTIVITIES ALSO INCLUDE MUSIC AND MEMORIES, THIS IS YOUR LIFE, ART SHARE, LIBRARY TIME, SHOW BIZ, SING-A-LONGS, CREATIVE GIVING AND SENSORY CORPS. ERCC HAS THE TRADITIONAL CHRISTMAS CANDLELIGHT SERVICES FOR OUR RESIDENTS HERE AT THE FACILITY. FIRST UNITED METHODIST CHURCH IN ELKINS BRINGS THEIR CHOIR AND HAND BELL ASSEMBLE IN FULL ROBE TO HAVE CHRISTMAS SERVICES TO ALL RESIDENTS AND FAMILIES THAT WANT TO ATTEND. OUR CHAPLAIN, REV. BASIL HENSLEY GIVES THE SERMON. OUR OTHER LOCAL CHURCHES BRINGS SONGS AND SERMONS TO OUR RESIDENTS WEEKLY AND THROUGHOUT THE YEAR WITH SPECIAL SERVICES AT CHRISTMAS.ERCC'S ACTIVITIES DEPARTMENT HAS SPECIAL PERFORMERS FOR THE RESIDENT'S ENJOYMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,028,861TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$107,522TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$10,397,778TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETSY L JONES CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3046361391PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1Txt
CityELKINSCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26241ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
WILLIAM RIFFEE
BOARD MEMBER1.00Yes (X)$0$0$0
MATTHEW DAVIS
BOARD MEMBER1.00Yes (X)$0$0$0
CHAD SHOEMAKER
BOARD MEMBER1.00Yes (X)$0$0$0
SANDRA ELZA
BOARD MEMBER1.00Yes (X)$0$0$0
MARK TOMBLYN
BOARD MEMBER1.00Yes (X)$0$0$0
KURT GAINER
BOARD MEMBER1.00Yes (X)$0$0$0
BARRY BAND
BOARD MEMBER1.00Yes (X)$0$0$0
DONALD MEGERT
BOARD MEMBER1.00Yes (X)$0$0$0
TERRI PHIPPS
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT WILMOTH
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
DOTTIE WAMSLEY
VICE CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
RAYMOND GODWIN
TREASURER1.00Yes (X)$0$0$0Yes (X)
HERK KESSLER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
TARA SHAVER
ADMINISTRATOR40.00$117,929$0$3,740Yes (X)
DEBRA DEAN
ASSISTANT ADMINISTRATOR40.00$37,359$0$974Yes (X)
BETSY JONES
CFO40.00$76,168$0$25,741Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$231,456TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$30,455TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRIME TIME HEALTH LLC
15380 WEIR STOMAHANE68137CONTRACT NSG. SERVICES, RN LPN C.N.A$1,649,908
ODYSSEY REHABILITATION
415 BENEDUM DRBRIDGEPORTWV26330CONTRACT THERAPY SERVICES: PT,OT,ST$1,171,265
THE CHIPS NETWORK
12978 GARRETT HWY SUITE 200OAKLANDMD21550CONTRACT IT FIRM$223,845
DIXON HUGHES GOODMAN PLLC
PO BOX 602828CHARLOTTENC282602828AUDITING/ACCT/TAX/ COST REPORT$115,060
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,143AllOtherContributionsAmt
Total Contributions$2,143TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSKILLED/INTER. CAREDesc
Business623000BusinessCd
Total Revenue Column$13,192,082TotalRevenueColumnAmt
Related Or Exempt Func Income$13,192,082RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,192,082TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,504TotalRevenueColumnAmt
Exclusion$106,504ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,352OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,352OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,352TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,352RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$107,522TotalRevenueColumnAmt
Related Or Exempt Func Income$107,522RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$107,522OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,406,899TotalRevenueColumnAmt
Related Or Exempt Func Income$13,298,252RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$106,504ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,165TotalAmt
Program Services$9,165ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$261,910TotalAmt
Management And General$261,910ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,049,948TotalAmt
Program Services$3,458,477ProgramServicesAmt
Management And General$591,471ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,526TotalAmt
Program Services$24,466ProgramServicesAmt
Management And General$1,060ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,774,185TotalAmt
Program Services$1,453,925ProgramServicesAmt
Management And General$320,260ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,079TotalAmt
Program Services$18,643ProgramServicesAmt
Management And General$4,436ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$44,812TotalAmt
Management And General$44,812ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$115,310TotalAmt
Management And General$115,310ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,792TotalAmt
Management And General$1,792ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,195,523TotalAmt
Program Services$2,660,086ProgramServicesAmt
Management And General$535,437ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,635TotalAmt
Program Services$42,127ProgramServicesAmt
Management And General$8,508ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$806,384TotalAmt
Program Services$670,523ProgramServicesAmt
Management And General$135,861ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$200,256TotalAmt
Program Services$166,608ProgramServicesAmt
Management And General$33,648ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$299,647TotalAmt
Program Services$249,299ProgramServicesAmt
Management And General$50,348ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,107TotalAmt
Program Services$10,073ProgramServicesAmt
Management And General$2,034ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$157,578TotalAmt
Program Services$91,781ProgramServicesAmt
Management And General$65,797ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$525,199TotalAmt
Program Services$305,903ProgramServicesAmt
Management And General$219,296ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$219,737TotalAmt
Program Services$182,816ProgramServicesAmt
Management And General$36,921ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROVIDER/OTHER TAXES$698,629$681,489$17,140
MEDICAL SUPPLIES$429,140$357,034$72,106
EDUCATION AND TRAINING$14,696$12,227$2,469
ALL OTHER EXPENSES$3,769$3,136$633

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,919,027TotalAmt
Program Services$10,397,778ProgramServicesAmt
Management And General$2,521,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$720BOYAmt
EOY$700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,918,544BOYAmt
EOY$3,162,702EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,320,699BOYAmt
EOY$1,271,784EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,059BOYAmt
EOY$30,844EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$205,947BOYAmt
EOY$250,660EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,863,297LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,752,047LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,307,223BOYAmt
EOY$4,111,250EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$670,153BOYAmt
EOY$779,051EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$574,254BOYAmt
EOY$562,779EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,020,599BOYAmt
EOY$10,169,770EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$722,025BOYAmt
EOY$759,513EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,574,690BOYAmt
EOY$3,119,629EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,757BOYAmt
EOY$22,662EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,314,472BOYAmt
EOY$3,901,804EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,706,127BOYAmt
EOY$6,267,966EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,706,127BOYAmt
EOY$6,267,966EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,020,599BOYAmt
EOY$10,169,770EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$487,872ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$73,967NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,792OtherActivitiesAmt
Total Lobbying Expenditures$1,792TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS DUES TO THE WEST VIRGINIA HEALTH CARE ASSOCIATION (WVHCA) AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). WVHCA AND AHCA REPORT THE PERCENTAGE OF THE DUES USED FOR LOBBYING PURPOSES REGARDING HEALTH CARE ISSUES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$594,027OtherCostOrOtherBasisAmt
Book Value$594,027BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,050,220OtherCostOrOtherBasisAmt
Depreciation$5,411,432DepreciationAmt
Book Value$2,638,788BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,219,050OtherCostOrOtherBasisAmt
Depreciation$2,340,615DepreciationAmt
Book Value$878,435BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,111,250TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEBT SERVICE RESERVE - 2010$334,514
BOND PRINCIPAL & INTEREST FUNDS - 2010$200,298
BOND ISSUANCE COSTS 2010, NET OF A/A$18,520
BOND DISCOUNT, NET OF A/A$9,447
FieldValueIRS element (for citing)
Total Book Value Other Assets$562,779TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPATIENT TRUST FUNDDesc
Amt$22,662Amt
FieldValueIRS element (for citing)
Total Liability$22,662TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,482,218TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$73,967NetUnrealizedGainsInvstAmt
Revenue Not Reported$73,967RevenueNotReportedAmt
Revenue Subtotal$13,408,251RevenueSubtotalAmt
Other Revenues Not Included-$1,352OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,352RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,406,899TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,920,379TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,920,379ExpensesSubtotalAmt
Other Expenses Not Included-$1,352OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1,352ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,919,027TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2019 OR DECEMBER 31, 2018.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS -1,352.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS -1,352.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
RANDOLPH COUNTY BUILDING COMMISSION
A556000391752606BD42010-11-10$3,345,000REFUND 1998 ISSUE000
RANDOLPH COUNTY BUILDING COMMISSION
B5560003912014-04-11$2,500,000THERAPY ADDITION AND OTHER IMPROVEMENTS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$3,277,698$3,345,000$66,500201000Yes (1)Yes (1)
B$2,481,150$18,850201400Yes (1)Yes (1)$2,481,150

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)Yes (1)000Yes (1)
B00000Yes (1)Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRENDA ROMINE
SISTER OF BETSY JONES, CFO$40,969COMPENSATION FOR IT SPECIALIST0
WILLIAM M JONES
BROTHER-IN-LAW OF BETSY JONES, CFO$32,963COMPENSATION FOR MAINTENANCE ASSISTANT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BDURING THE BOARD OF DIRECTORS MEETING, THE 990 IS PRESENTED AND REVIEWED BY A REPRESENTATIVE FROM DIXON HUGHES GOODMAN WITH ALL MEMBERS ATTENDING THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CAS PART OF THE ANNUAL AUDIT PROCESS, THE CONFLICT OF INTEREST POLICY AND FORMS ARE DISTRIBUTED TO BOARD MEMBERS AT THE JANUARY MEETING. THE CONFLICT OF INTEREST POLICY IS EXPLAINED AND ANY QUESTIONS ARE ANSWERED. FULLY DISCLOSING ANY AND ALL CONFLICTS IS CONVEYED AND STRESSED TO ALL BOARD MEMBERS. FORMS ARE COMPLETED BY EACH BOARD MEMBER IN ATTENDANCE AND RETURNED TO GRACE ROY, DIRECTOR OF HUMAN RESOURCES. ANY BOARD MEMBER NOT IN ATTENDANCE WILL RECEIVE THE POLICY AND FORMS AT THE FEBRUARY MEETING. THE SAME PROCESS IS FOLLOWED AT THE FEBRUARY MEETING. ALL FORMS ARE GENERALLY COMPLETED NO LATER THAN MARCH OF EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15AN ANALYSIS IS DONE WITH WAGE INFORMATION PROVIDED BY STATE SURVEY VS. WAGE SCALES AND WAGES WITHIN THE AREA AND INDUSTRY, PROVIDED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE, AND THIS IS USED AS A GUIDELINE ALONG WITH EXPERIENCE OR REVIEW BY THE BOARD'S PERSONNEL COMMITTEE, THE BOARD OR MANAGEMENT IN FULFILLING THE POSITION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ON FILE WITH THE WEST VIRGINIA HEALTH CARE AUTHORITY AND ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO PUBLISHED IN THE LOCAL NEWSPAPERS.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 2,660,086. MANAGEMENT AND GENERAL EXPENSES 535,437. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,195,523.
FORM 990. PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.