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ELKINS REGIONAL CONVALESCENT CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ELKINS REGIONAL CONVALESCENT CENTER INC (EIN 55-0329724)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-27
IRS object ID
201332709349300513
Schema version
2012v2.1
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)
Timestamp2013-09-27T11:34:37-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1556AddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071556ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550329724EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELKINS REGIONAL CONVALESCENT CENTERINCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELKINameControl
Phone3046361391Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENISE L CAMPBELLName
TitleCEOTitle
Phone3046361391Phone
Date Signed2013-09-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN S DULLName
PTINP00233523PTIN
Phone3042927343Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ELKINS REHABILITATION AND CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENISE L CAMPBELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9373221GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ERCC.BIZWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTINGActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees229TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year38296ContributionsGrantsPriorYear
Contributions Grants Current Year510ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8688221ProgramServiceRevenuePriorYear
Program Service Revenue CY9221952ProgramServiceRevenueCY
Investment Income Prior Year36870InvestmentIncomePriorYear
Investment Income Current Year60997InvestmentIncomeCurrentYear
Other Revenue Prior Year23932OtherRevenuePriorYear
Other Revenue Current Year60345OtherRevenueCurrentYear
Total Revenue Prior Year8787319TotalRevenuePriorYear
Total Revenue Current Year9343804TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5211GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8650GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5092128SalariesEtcPriorYear
Salaries Etc Current Year5125129SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3256008OtherExpensePriorYear
Other Expenses Current Year3301946OtherExpensesCurrentYear
Total Expenses Prior Year8353347TotalExpensesPriorYear
Total Expenses Current Year8435725TotalExpensesCurrentYear
Revenues Less Expenses Prior Year433972RevenuesLessExpensesPriorYear
Revenues Less Expenses CY908079RevenuesLessExpensesCY
Total Assets BOY5859252TotalAssetsBOY
Total Assets EOY6865146TotalAssetsEOY
Total Liabilities BOY3849222TotalLiabilitiesBOY
Total Liabilities EOY3899187TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2010030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2965959NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO PROVIDING EACH RESIDENT WITH SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING THAT WELCOMES FAMILY PARTICIPATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4724390Expense
Grants8650Grants
Revenue4839221Revenue
DescriptionINTERMEDIATE 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1122602Expense
Revenue1432957Revenue
DescriptionSKILLED 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, FEEING TUBES, CATHETERS, WOUND CARE, VACCINATIONS OR OTHER TREATMENTS AND DAILY LIVING SUCH AS EATING, DRESSING AND BATHING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense601137Expense
Revenue2949774Revenue
DescriptionREHABILITATION - 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense478521Expense
DescriptionTHE 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp478521TotalOfOtherProgramServiceExp
Total Program Service Expense6926650TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees229NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETSY L JONES CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3046361391TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11175 BEVERLY PIKEAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GARY SCHOONOVER
CHAIRMAN1.00XX000
BARRY BAND
BOARD MEMBER1.00X000
RACHEL PINGLEY
SECRETARY1.00XX000
MAXINE COOPER
BOARD MEMBER1.00X000
MATTHEW CUPP
BOARD MEMBER1.00X000
CHARLES FRIDDLE III
TREASURER1.00XX000
JUDITH GUYE SWANSON
BOARD MEMBER1.00X000
BASIL HENSLEY
BOARD MEMBER/CHAPLAIN7.00X2300000
MICHAEL TAYLOR
VICE CHAIRMAN1.00XX000
STEPHEN HIGH
BOARD MEMBER1.00X000
REBECCA POE
BOARD MEMBER1.00X000
DONALD MEGERT
BOARD MEMBER1.00X000
BONNIE SERRETT
BOARD MEMBER1.00X000
HERK KESSLER
BOARD MEMBER1.00X000
LONNIE WOLFE
BOARD MEMBER1.00X000
BETSY JONES
CFO40.00X5842706151
DENISE CAMPBELL
ADMINISTRATOR40.00X9303606650
DIANA L CRICKARD
ASST. ADMINISTRATOR40.00X1647801037
FieldValueIRS element (for citing)
Total Reportable Comp From Org190941TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13838TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902THERAPY SERVICES572354
CONTINUUMCARE PHARMACY
PO BOX 245BARBOURSVILLEWV25504PHARMACY SERVICES246733
US FOODSERVICE
PO BOX 644540PITTSBURGHPA15264FOOD AND SUPPLIES229621
SIMPLEX GRINNELL LP
DEPT CH 10320PALATINEIL600550320SPRINKLER/FIRE ALARM SERVICES131700
SENECA MEDICAL INC
PO BOX 415000NASHVILLETN372415000NURSING SUPPLIES104548
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions510AllOtherContributions
Total Contributions510TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSKILLED/INTER. CAREDescription
Business Code623000BusinessCode
Total Revenue Column9221952TotalRevenueColumn
Related Or Exempt Function Income9221952RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9221952TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62864TotalRevenueColumn
Exclusion$62,864ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other27550Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other29417Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1867Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1867TotalRevenueColumn
Related Or Exempt Function Income-1867RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column60345TotalRevenueColumn
Related Or Exempt Function Income60345RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue60345TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9343804TotalRevenueColumn
Related Or Exempt Function Income9280430RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$62,864ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8650Total
Program Services8650ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total204779Total
Program Services23000ProgramServices
Management And General181779ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3791559Total
Program Services3192595ProgramServices
Management And General598964ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total66424Total
Program Services55931ProgramServices
Management And General10493ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1038738Total
Program Services874645ProgramServices
Management And General164093ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23629Total
Program Services19896ProgramServices
Management And General3733ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19238Total
Management And General19238ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73356Total
Management And General73356ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2171Total
Management And General2171ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total751801Total
Program Services633037ProgramServices
Management And General118764ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total43448Total
Program Services36584ProgramServices
Management And General6864ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1064575Total
Program Services896401ProgramServices
Management And General168174ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total64682Total
Program Services54464ProgramServices
Management And General10218ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total352066Total
Program Services296449ProgramServices
Management And General55617ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5039Total
Program Services4243ProgramServices
Management And General796ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total130235Total
Program Services109661ProgramServices
Management And General20574ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total323893Total
Program Services272727ProgramServices
Management And General51166ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total131902Total
Program Services111065ProgramServices
Management And General20837ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER/OTHER TAXES325370325370
EDUCATION AND TRAINING27852345440

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11385Total
Program Services9587ProgramServices
Management And General1798ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8435725Total
Program Services6926650ProgramServices
Management And General1509075ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1002262BOY
EOY702EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY157300BOY
EOY2100597EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1110136BOY
EOY1145306EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11564BOY
EOY16194EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY151406BOY
EOY231739EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7401378LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5373654LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2223989BOY
EOY2027724EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY550307BOY
EOY624090EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY652288BOY
EOY718794EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5859252BOY
EOY6865146EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY584810BOY
EOY785085EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3246684BOY
EOY3095000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17728BOY
EOY19102EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3849222BOY
EOY3899187EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2010030BOY
EOY2965959EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2010030BOY
EOY2965959EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5859252BOY
EOY6865146EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses908079ReconcilationRevenueExpenses
Reconciliation Unrealized Invest47848ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,172OtherActivitiesAmount
Total Lobbying Expenditures IIB2172TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis287874OtherCostOrOtherBasis
Book Value287874BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4769200OtherCostOrOtherBasis
Depreciation3541930Depreciation
Book Value1227270BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1913354OtherCostOrOtherBasis
Depreciation1413325Depreciation
Book Value500029BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis430950OtherCostOrOtherBasis
Depreciation418399Depreciation
Book Value12551BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2027724TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS, NET-201040637
DEBT SERVICE RESERVE - 2010334320
BOND PRINCIPAL & INTEREST FUNDS - 2010267033
OTHER RECEIVABLE - MEDICARE BAD DEBT13745
OTHER ASSETS63059
FieldValueIRS element (for citing)
Total Book Value Other Assets718794TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT TRUST FUNDDescription
Amount$19,102Amount
FieldValueIRS element (for citing)
Total Of Amounts19102TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt9393518TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments47847NetUnrealizedGainsInvestments
Revenue Not Rptd F99047847RevenueNotRptdF990
Revenue Subtotal9345671RevenueSubtotal
Other Revenues Not Included-1867OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1867RevenueNotRptdOnFinStmt
Total Revenue Per Form9909343804TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8437592TotExpensesEtcAuditedFinclStmt
Other Expenses Included1867OtherExpensesIncluded
Expenses Not Rptd F9901867ExpensesNotRptdF990
Expenses Subtotal8435725ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908435725TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2012 OR DECEMBER 31, 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON SALE OR DISPOSAL OF ASSETS -1,867.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OR DISPOSAL OF ASSETS 1,867.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: EFFECTIVE MARCH 2011, MANAGEMENT REPORTS ALL DONATIONS OF $100 OR MORE TO THE FINANCE COMMITTEE AND ALL DONATIONS OF $500 OR MORE MUST BE APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. RECORDS ARE MAINTAINED IN ASSOCIATION WITH THE GENERAL LEDGER RELATED TO CONTRIBUTIONS MADE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RANDOLPH COUNTY BUILDING COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN556000391IssuerEIN
CUSIP Number752606BD4CUSIPNumber
Date Issued2010-11-10DateIssued
Issue Price3345000IssuePrice
Description Of PurposeREFUND 1998 ISSUEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired3277698AmountRetired
Amount Bond Defeased3277698AmountBondDefeased
Total Proceeds3345000TotalProceeds
Issuance Costs From Proceeds66500IssuanceCostsFromProceeds
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonREV BASIL HENSLEYNamePerson
FieldValueIRS element (for citing)
RelationshipCHAPLAINRelationship
Amount Of Transaction23000AmountOfTransaction
Description Of TransactionCHAPLAIN AGREEMENTDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11DURING THE FINANCE COMMITTEE MEETING THE 990 IS PRESENTED AND REVIEWED BY JIM POLING, CPA FROM DIXON HUGHES GOODMAN WITH ALL MEMBERS ATTENDING THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CDURING THE YEARLY AUDIT PROCESS, THE CONFLICT OF INTEREST POLICY IS MAILED TO THE BOARD MEMBERS FOR REVIEW AND REQUIRES THEIR SIGNATURE AND DISCLOSURE OF ANY CONFLICTS. THE POLICY IS ALSO EXPLAINED AND REINFORCED DURING THE BOARD MEETING WHEN THE FORM 990 IS REVIEWED BY THE BOARD.
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 WVHCA AND COMPLIED BY ARNETT AND FOSTER, CPA'S, PPLC 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 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.