ELKINS REGIONAL CONVALESCENT CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ELKINS REGIONAL CONVALESCENT CENTER INC (EIN 55-0329724)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-07-09
- IRS object ID
- 201821909349300217
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-09T09:40:30-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1Txt |
| City | MORGANTOWN | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550329724 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELKINS REGIONAL CONVALESCENT CENTERINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELKI | BusinessNameControlTxt |
| Phone | 3046361391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1175 BEVERLY PIKE | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TARA SHAVER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3046361391 | PhoneNum |
| Signature | 2018-06-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3042927343 | PhoneNum |
| Preparation | 2018-06-26 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELKINS REHABILITATION AND CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TARA SHAVER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1175 BEVERLY PIKE | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,282,348 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ERCC.BIZ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 220 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,549 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,053 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,620,409 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,143,967 | CYProgramServiceRevenueAmt |
| PY Investment Income | $113,423 | PYInvestmentIncomeAmt |
| CY Investment Income | $57,548 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,971 | PYOtherRevenueAmt |
| CY Other Revenue | $54,114 | CYOtherRevenueAmt |
| PY Total Revenue | $10,778,352 | PYTotalRevenueAmt |
| CY Total Revenue | $12,263,682 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,329 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,457 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,520,200 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,469,801 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,097,284 | PYOtherExpensesAmt |
| CY Other Expenses | $4,728,322 | CYOtherExpensesAmt |
| PY Total Expenses | $10,626,813 | PYTotalExpensesAmt |
| CY Total Expenses | $11,204,580 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $151,539 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,059,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,532,514 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,180,278 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,153,126 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,684,722 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,379,388 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,495,556 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,426,128 | ExpenseAmt |
| Grant | $6,457 | GrantAmt |
| Revenue | $7,808,988 | RevenueAmt |
| Desc | INTERMEDIATE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,125,364 | ExpenseAmt |
| Revenue | $1,650,767 | RevenueAmt |
| Desc | SKILLED 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $768,071 | ExpenseAmt |
| Revenue | $2,684,212 | RevenueAmt |
| Desc | REHABILITATION - 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $899,601 | ExpenseAmt |
| Revenue | $54,114 | RevenueAmt |
| Desc | THE 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $899,601 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $54,114 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,219,164 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 220 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY L JONES CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3046361391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1175 BEVERLY PIKE | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| GARY SCHOONOVER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY BAND | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RACHEL PINGLEY | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DONALD MEGERT | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BONNIE SERRETT | ||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HERK KESSLER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CAROLYN CAPELLI | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DOROTHY H WAMSLEY | ||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KURT GAINER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK TOMBLYN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM RIFFEE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW DAVIS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RAYMOND GODWIN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT WILMOTH | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BETSY JONES | ||||||
| CFO | 40.00 | $68,832 | $0 | $25,353 | Yes (X) | |
| PATRICIA SUMMERFIELD | ||||||
| ADMINISTRATOR | 40.00 | $108,483 | $0 | $23,985 | Yes (X) | |
| TARA SHAVER | ||||||
| ADMINISTRATOR | 40.00 | $80,289 | $0 | $2,600 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $257,604 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $51,938 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ODYSSEY REHABILITATION | |||||
| 415 BENEDUM DR | BRIDGEPORT | WV | 26330 | PT, OT, ST SERVICES | $999,428 |
| OMNICARE INC | |||||
| PO BOX 715268 | COLUMBUS | OH | 432715268 | PHARMACY SERVICES | $223,714 |
| DIXON HUGHES GOODMAN PLLC | |||||
| PO BOX 602828 | CHARLOTTE | NC | 282602828 | AUDITS, COST REPORTS, TAX RETURNS | $108,111 |
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 82674 | LINCOLN | NE | 685012674 | CONTRACT NURSING STAFF | $100,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $8,053 | AllOtherContributionsAmt |
| Total Contributions | $8,053 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SKILLED/INTER. CARE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $12,143,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,143,967 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,143,967 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,214 | TotalRevenueColumnAmt |
| Exclusion | $76,214 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,666 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$18,666 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$18,666 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,114 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $54,114 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,263,682 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,179,415 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $76,214 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,457 | TotalAmt |
| Program Services | $6,457 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,543 | TotalAmt |
| Management And General | $309,543 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,182,340 | TotalAmt |
| Program Services | $3,559,665 | ProgramServicesAmt |
| Management And General | $622,675 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,765 | TotalAmt |
| Program Services | $27,036 | ProgramServicesAmt |
| Management And General | $4,729 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,921,407 | TotalAmt |
| Program Services | $1,635,344 | ProgramServicesAmt |
| Management And General | $286,063 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,746 | TotalAmt |
| Program Services | $21,062 | ProgramServicesAmt |
| Management And General | $3,684 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,984 | TotalAmt |
| Management And General | $55,984 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,111 | TotalAmt |
| Management And General | $98,111 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,724 | TotalAmt |
| Management And General | $1,724 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,524,303 | TotalAmt |
| Program Services | $1,297,362 | ProgramServicesAmt |
| Management And General | $226,941 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,821 | TotalAmt |
| Program Services | $12,614 | ProgramServicesAmt |
| Management And General | $2,207 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,246 | TotalAmt |
| Program Services | $641,952 | ProgramServicesAmt |
| Management And General | $112,294 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,870 | TotalAmt |
| Program Services | $89,257 | ProgramServicesAmt |
| Management And General | $15,613 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,637 | TotalAmt |
| Program Services | $266,942 | ProgramServicesAmt |
| Management And General | $46,695 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,631 | TotalAmt |
| Program Services | $8,197 | ProgramServicesAmt |
| Management And General | $1,434 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,321 | TotalAmt |
| Program Services | $156,028 | ProgramServicesAmt |
| Management And General | $27,293 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,924 | TotalAmt |
| Program Services | $454,432 | ProgramServicesAmt |
| Management And General | $79,492 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,227 | TotalAmt |
| Program Services | $123,605 | ProgramServicesAmt |
| Management And General | $21,622 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVIDER/OTHER TAXES | $522,974 | $522,974 | |
| MEDICAL SUPPLIES | $444,831 | $378,604 | $66,227 |
| EDUCATION AND TRAINING | $13,190 | $11,226 | $1,964 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,528 | TotalAmt |
| Program Services | $6,407 | ProgramServicesAmt |
| Management And General | $1,121 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,204,580 | TotalAmt |
| Program Services | $9,219,164 | ProgramServicesAmt |
| Management And General | $1,985,416 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $701 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,855,472 | BOYAmt |
| EOY | $2,926,352 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,435,865 | BOYAmt |
| EOY | $1,397,599 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,180 | BOYAmt |
| EOY | $19,815 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,460 | BOYAmt |
| EOY | $205,269 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,439,532 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,066,943 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,799,796 | BOYAmt |
| EOY | $4,372,589 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $618,841 | BOYAmt |
| EOY | $707,090 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,200 | BOYAmt |
| EOY | $550,863 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,532,514 | BOYAmt |
| EOY | $10,180,278 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,602 | BOYAmt |
| EOY | $704,441 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,369,062 | BOYAmt |
| EOY | $3,964,487 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,462 | BOYAmt |
| EOY | $15,794 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,153,126 | BOYAmt |
| EOY | $4,684,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,379,388 | BOYAmt |
| EOY | $5,495,556 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,379,388 | BOYAmt |
| EOY | $5,495,556 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,532,514 | BOYAmt |
| EOY | $10,180,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,059,102 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $57,066 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,724 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,724 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $287,874 | OtherCostOrOtherBasisAmt |
| Book Value | $287,874 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,965,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,809,640 | DepreciationAmt |
| Book Value | $3,156,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,185,978 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,257,303 | DepreciationAmt |
| Book Value | $928,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,372,589 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEBT SERVICE RESERVE - 2010 | $334,500 |
| BOND PRINCIPAL & INTEREST FUNDS - 2010 | $210,175 |
| A/R MEDICARE BAD DEBTS | $6,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $550,863 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT TRUST FUND | Desc |
| Amt | $15,794 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,794 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,339,414 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $57,066 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $57,066 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,282,348 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$18,666 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$18,666 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,263,682 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,223,246 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $18,666 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $18,666 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,204,580 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,204,580 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2017 OR DECEMBER 31, 2016. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GAIN ON SALE OR DISPOSAL OF ASSETS -18,666. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | GAIN ON SALE OR DISPOSAL OF ASSETS 18,666. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| RANDOLPH COUNTY BUILDING COMMISSION | ||||||||
| A | 556000391 | 752606BD4 | 2010-11-10 | $3,345,000 | REFUND 1998 ISSUE | 0 | 0 | 0 |
| RANDOLPH COUNTY BUILDING COMMISSION | ||||||||
| B | 556000391 | 2014-04-11 | $2,500,000 | THERAPY ADDITION AND OTHER IMPROVEMENTS | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $3,277,698 | $3,345,000 | $66,500 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $2,481,150 | $18,850 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $2,481,150 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BRENDA ROMINE | |||
| SISTER OF BETSY JONES, CFO | $37,382 | COMPENSATION FOR IT SPECIALIST | 0 |
| WILLIAM M JONES | |||
| BROTHER-IN-LAW OF BETSY JONES, CFO | $34,305 | COMPENSATION FOR MAINTENANCE ASSISTANT | 0 |
| MASON SCHOONOVER | |||
| GRANDCHILD OF GARY SCHOONOVER, BOARD MEMBER | $13,830 | COMPENSATION FOR MAINTENANCE ASSISTANT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | DURING THE BOARD OF DIRECTORS MEETING, THE 990 IS PRESENTED AND REVIEWED BY SUSAN DULL, CPA FROM DIXON HUGHES GOODMAN WITH ALL MEMBERS ATTENDING THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | AS 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 15 | AN 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 FOR REVIEW BY THE BOARD OR MANAGEMENT IN FULFILLING THE POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 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 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 1,297,362. MANAGEMENT AND GENERAL EXPENSES 226,941. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,524,303. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR |