2013-09-27T11:34:37-05:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1556 MORGANTOWN WV 265071556 990 2012-01-01 550329724 ELKINS REGIONAL CONVALESCENT CENTERINC ELKI 3046361391 1175 BEVERLY PIKE ELKINS WV 26241 DENISE L CAMPBELL 3046361391 2013-09-25 1 SUSAN S DULL P00233523 3042927343 2012 2016-02-25 16:41:14Z ELKINS REHABILITATION AND CARE CENTER DENISE L CAMPBELL 1175 BEVERLY PIKE ELKINS WV 26241 9373221 0 X WWW.ERCC.BIZ X 1953 WV PROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING 14 13 229 40 0 0 38296 510 8688221 9221952 36870 60997 23932 60345 8787319 9343804 5211 8650 0 0 5092128 5125129 0 0 0 3256008 3301946 8353347 8435725 433972 908079 5859252 6865146 3849222 3899187 2010030 2965959 X WE ARE COMMITTED TO PROVIDING EACH RESIDENT WITH SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING THAT WELCOMES FAMILY PARTICIPATION. 0 0 4724390 8650 4839221 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. 1122602 1432957 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, FEEING TUBES, CATHETERS, WOUND CARE, VACCINATIONS OR OTHER TREATMENTS AND DAILY LIVING SUCH AS EATING, DRESSING AND BATHING. 601137 2949774 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. 478521 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. 478521 6926650 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 20 0 229 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X BETSY L JONES CFO 3046361391 1175 BEVERLY PIKE ELKINS WV 26241 GARY SCHOONOVER 1.00 X X 0 0 0 BARRY BAND 1.00 X 0 0 0 RACHEL PINGLEY 1.00 X X 0 0 0 MAXINE COOPER 1.00 X 0 0 0 MATTHEW CUPP 1.00 X 0 0 0 CHARLES FRIDDLE III 1.00 X X 0 0 0 JUDITH GUYE SWANSON 1.00 X 0 0 0 BASIL HENSLEY 7.00 X 23000 0 0 MICHAEL TAYLOR 1.00 X X 0 0 0 STEPHEN HIGH 1.00 X 0 0 0 REBECCA POE 1.00 X 0 0 0 DONALD MEGERT 1.00 X 0 0 0 BONNIE SERRETT 1.00 X 0 0 0 HERK KESSLER 1.00 X 0 0 0 LONNIE WOLFE 1.00 X 0 0 0 BETSY JONES 40.00 X 58427 0 6151 DENISE CAMPBELL 40.00 X 93036 0 6650 DIANA L CRICKARD 40.00 X 16478 0 1037 190941 0 13838 0 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 572354 CONTINUUMCARE PHARMACY PO BOX 245 BARBOURSVILLE WV 25504 PHARMACY SERVICES 246733 US FOODSERVICE PO BOX 644540 PITTSBURGH PA 15264 FOOD AND SUPPLIES 229621 SIMPLEX GRINNELL LP DEPT CH 10320 PALATINE IL 600550320 SPRINKLER/FIRE ALARM SERVICES 131700 SENECA MEDICAL INC PO BOX 415000 NASHVILLE TN 372415000 NURSING SUPPLIES 104548 5 510 510 SKILLED/INTER. CARE 623000 9221952 9221952 9221952 62864 62864 27550 29417 -1867 -1867 -1867 60345 60345 60345 9343804 9280430 0 62864 8650 8650 204779 23000 181779 3791559 3192595 598964 66424 55931 10493 1038738 874645 164093 23629 19896 3733 19238 19238 73356 73356 2171 2171 751801 633037 118764 43448 36584 6864 1064575 896401 168174 64682 54464 10218 352066 296449 55617 5039 4243 796 130235 109661 20574 323893 272727 51166 131902 111065 20837 PROVIDER/OTHER TAXES 325370 325370 EDUCATION AND TRAINING 2785 2345 440 11385 9587 1798 8435725 6926650 1509075 0 1002262 702 157300 2100597 1110136 1145306 11564 16194 151406 231739 7401378 5373654 2223989 2027724 550307 624090 652288 718794 5859252 6865146 584810 785085 3246684 3095000 17728 19102 3849222 3899187 X 2010030 2965959 2010030 2965959 5859252 6865146 908079 47848 0 X 1 X 1 X 0 0 X 0 0 0 0 0 0 0 0 1 2172 2172 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 287874 287874 4769200 3541930 1227270 1913354 1413325 500029 430950 418399 12551 2027724 BOND ISSUE COSTS, NET-2010 40637 DEBT SERVICE RESERVE - 2010 334320 BOND PRINCIPAL & INTEREST FUNDS - 2010 267033 OTHER RECEIVABLE - MEDICARE BAD DEBT 13745 OTHER ASSETS 63059 718794 PATIENT TRUST FUND 19102 19102 X 9393518 47847 47847 9345671 -1867 -1867 9343804 8437592 1867 1867 8435725 0 8435725 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. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. A RANDOLPH COUNTY BUILDING COMMISSION 556000391 752606BD4 2010-11-10 3345000 REFUND 1998 ISSUE 0 0 0 A 3277698 3277698 3345000 66500 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 REV BASIL HENSLEY CHAPLAIN 23000 CHAPLAIN AGREEMENT 0 FORM 990, PART VI, SECTION B, LINE 11 DURING 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 12C DURING 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 15 AN 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 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.