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ELKINS REGIONAL CONVALESCENT CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ELKINS REGIONAL CONVALESCENT CENTER INC (EIN 55-0329724)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201132279349302278
Schema version
2010v3.4
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)
Timestamp2011-08-15T12:14:01-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKARISSA COSTName
Phone3042927343Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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 Receipts8681963GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees214TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8141ContributionsGrantsPriorYear
Contributions Grants Current Year4148ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8452508ProgramServiceRevenuePriorYear
Program Service Revenue CY8627227ProgramServiceRevenueCY
Investment Income Prior Year36819InvestmentIncomePriorYear
Investment Income Current Year-91505InvestmentIncomeCurrentYear
Other Revenue Prior Year9166OtherRevenuePriorYear
Other Revenue Current Year14517OtherRevenueCurrentYear
Total Revenue Prior Year8506634TotalRevenuePriorYear
Total Revenue Current Year8554387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3100GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6556GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5375903SalariesEtcPriorYear
Salaries Etc Current Year5467365SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2966408OtherExpensePriorYear
Other Expenses Current Year3153134OtherExpensesCurrentYear
Total Expenses Prior Year8345411TotalExpensesPriorYear
Total Expenses Current Year8627055TotalExpensesCurrentYear
Revenues Less Expenses Prior Year161223RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-72668RevenuesLessExpensesCY
Total Assets BOY5765361TotalAssetsBOY
Total Assets EOY5603528TotalAssetsEOY
Total Liabilities BOY4181463TotalLiabilitiesBOY
Total Liabilities EOY4012246TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1583898NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1591282NetAssetsOrFundBalancesEOY
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
Expense6789039Expense
Grants6556Grants
Revenue8641744Revenue
DescriptionTHE ORGANIZATION IS AN 111 BED DUALLY-CERTIFIED NURSING HOME, PROVIDING 24-HOUR SKILLED AND INTERMEDIATE 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 EMPLOYS OVER 150 EMPLOYEES, WHO ARE INVOLVED IN COMMUNITY PROGRAMS HELPING TO PROMOTE CARE FOR THE ELDERLY AND THOSE WITH EXTENDED CARE NEEDS. 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 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.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 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
Total Program Service Expense6789039TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Organizations0GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees214NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GARY SCHOONOVER
CHAIRMAN1.00XX000
JOHN HENNING
VICE CHAIRMAN1.00XX000
LAWRENCE BETLER
TREASURER1.00XX000
RACHEL PINGLEY
SECRETARY1.00XX000
RONALD LANEVE
CEO/BOARD MEMBER40.00XX9289704931
CAROL MORRIS
ADMINISTRATOR/BD MEMBER40.00XX10087301396
MAXINE COOPER
BOARD MEMBER1.00X000
MATTHEW CUPP
BOARD MEMBER1.00X000
CHARLES FRIDDLE III
BOARD MEMBER1.00X000
JUDITH GUYE SWANSON
BOARD MEMBER1.00X000
BASIL HENSLEY
BOARD MEMBER7.00X000
MICHAEL ROSS
BOARD MEMBER1.00X000
RONALD SELDERS
BOARD MEMBER1.00X000
MICHAEL TAYLOR
BOARD MEMBER1.00X000
STEPHEN HIGH
BOARD MEMBER1.00X000
PHOEBE JOHNKOSKI
BOARD MEMBER1.00X000
ROBERT MAXWELL
BOARD MEMBER1.00X000
REBECCA POE
BOARD MEMBER1.00X000
BETSY JONES
CFO40.00X5045301762
DENISE CAMPBELL
ADMINISTRATOR40.00X9265501340
FieldValueIRS element (for citing)
Total Reportable Comp From Org336878TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation9429TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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 SERVICES438632
US FOODSERVICE
PO BOX 644540PITTSBURGHPA15264FOOD AND SUPPLIES205276
CONTINUUMCARE PHARMACY
PO BOX 245BARBOURSVILLEWV25504PHARMACY SERVICES181765
CLASSIC FLOOR COVERINGS
RT4 BOX 262ELKINSWV26241FLOORING & INSTALLATION131557
DIXON HUGHES GOODMAN PLLC
48 DONLEY STREET SUITE 600 MARINA TMORGANTOWNWV26501ACCOUNTING/AUDITING SERVICES121315
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions4148AllOtherContributions
Total Contributions4148TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSKILLED/INTER. CAREDescription
Business Code623000BusinessCode
Total Revenue Column8627227TotalRevenueColumn
Related Or Exempt Function Income8627227RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8627227TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32880TotalRevenueColumn
Exclusion$32,880ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3191Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other127576Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-124385Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-124385TotalRevenueColumn
Exclusion-$124,385ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column14517TotalRevenueColumn
Related Or Exempt Function Income14517RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14517TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8554387TotalRevenueColumn
Related Or Exempt Function Income8641744RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$91,505ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6556Total
Program Services6556ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total363303Total
Program Services23000ProgramServices
Management And General340303ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3603201Total
Program Services2968097ProgramServices
Management And General635104ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36000Total
Program Services29655ProgramServices
Management And General6345ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1443159Total
Program Services1188786ProgramServices
Management And General254373ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21702Total
Program Services17877ProgramServices
Management And General3825ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13692Total
Management And General13692ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121315Total
Management And General121315ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1861Total
Management And General1861ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total630320Total
Program Services519219ProgramServices
Management And General111101ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12679Total
Program Services10444ProgramServices
Management And General2235ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total995243Total
Program Services819819ProgramServices
Management And General175424ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34911Total
Program Services28758ProgramServices
Management And General6153ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total336763Total
Program Services277405ProgramServices
Management And General59358ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8851Total
Program Services7291ProgramServices
Management And General1560ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total223797Total
Program Services184350ProgramServices
Management And General39447ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total255479Total
Program Services210448ProgramServices
Management And General45031ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total110407Total
Program Services90947ProgramServices
Management And General19460ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER/OTHER TAXES399722399722
EDUCATION AND TRAINING889732157

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7205Total
Program Services5933ProgramServices
Management And General1272ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8627055Total
Program Services6789039ProgramServices
Management And General1838016ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1403530BOY
EOY1005677EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY146571BOY
EOY125702EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY882366BOY
EOY1165005EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5141BOY
EOY9909EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105089BOY
EOY109120EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6888062LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4807501LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2049354BOY
EOY2080561EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1137617BOY
EOY555635EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35693BOY
EOY551919EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5765361BOY
EOY5603528EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY677847BOY
EOY567292EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3478324BOY
EOY3430000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25292BOY
EOY14954EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4181463BOY
EOY4012246EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1583898BOY
EOY1591282EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1583898BOY
EOY1591282EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5765361BOY
EOY5603528EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-72668ReconcilationRevenueExpenses
Reconcilation Other Changes80052ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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$1,861OtherActivitiesAmount
Total Lobbying Expenditures IIB1861TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 Basis4664187OtherCostOrOtherBasis
Depreciation3514476Depreciation
Book Value1149711BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1781531OtherCostOrOtherBasis
Depreciation1293025Depreciation
Book Value488506BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis154470OtherCostOrOtherBasis
Book Value154470BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2080561TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS, NET-2010149685
DEBT SERVICE RESERVE - 2010334320
BOND PRINCIPAL & INTEREST FUNDS - 201067894
ESCROW ACCOUNT - 2010 ISSUE20
FieldValueIRS element (for citing)
Total Book Value Other Assets551919TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT TRUST FUNDDescription
Amount$14,954Amount
FieldValueIRS element (for citing)
Total Of Amounts14954TotalOfAmounts
Total Revenue8554387TotalRevenue
Total Expenses8627055TotalExpenses
Excess Or Deficit For Year-72668ExcessOrDeficitForYear
Net Unrealized GL On Investments80052NetUnrealizedGLOnInvestments
Total Adjustments80052TotalAdjustments
Excess Or Deficit Per FS7384ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8758824TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments80052NetUnrealizedGainsInvestments
Revenue Not Rptd F99080052RevenueNotRptdF990
Revenue Subtotal8678772RevenueSubtotal
Other Revenues Not Included-124385OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-124385RevenueNotRptdOnFinStmt
Total Revenue Per Form9908554387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8751440TotExpensesEtcAuditedFinclStmt
Other Expenses Included124385OtherExpensesIncluded
Expenses Not Rptd F990124385ExpensesNotRptdF990
Expenses Subtotal8627055ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908627055TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON SALE OF ASSETS INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS LOSS ON EARLY EXTINGISHMENT OF DEBT
PART XIII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OF ASSETS INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS LOSS ON EARLY EXTINGISHMENT OF DEBT
PART X, LINE 2: EFFECTIVE JANUARY 1, 2009, THE ORGANIZATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF UNCERTAINTIES IN INCOME TAXES FOR ENTITES INCLUDING NOT-FOR-PROFIT ORGANIZATIONS. IN ACCORDANCE WITH THE PROVISIONS OF ASC 740, INCOME TAXES, AS AMENDED BY ACCOUNTING STANDARDS UPDATE 2009-6, IMPLEMENTATION GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND DISCLOSURE AMENDMENTS FOR NONPUBLIC ENTITES, THE ORGANIZATION'S TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. TAX POSITIONS INCLUDE, AMONG OTHER THINGS, THE ORGANIZATION'S STATUS AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION AND WHETHER ALL OF THE ORGANIZATION'S INCOME IS EXEMPT FROM INCOME TAX. THE ADOPTION OF THIS ACCOUNTING STANDARD DID NOT HAVE A MATERIAL IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2009.

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: WHILE THE CEO POSITION EXISTED, THE CEO WAS MADE AWARE OF SUGGESTIONS FOR CONTRIBUTIONS. THE CEO, IN CONSULTATION WITH VARIOUS BOARD MEMBERS, CONSIDERED THE SUGGESTIONS AND MADE A DETERMINATION WHETHER OR NOT TO MAKE THE CONTRIBUTION. CONTRIBUTIONS MADE WERE REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. EFFECTIVE MARCH 2011, THE PROCEDURE WAS CHANGED. 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationCAROL MORRIS: $40,685.83Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RANDOLPH COUNTY BUILDING COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN556000391IssuerEIN
CUSIP Number752606BD4CUSIPNumber
Date Issued1920-11-10DateIssued
Issue Price3345000IssuePrice
Description Of PurposeREFUND 1998 ISSUEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired3277698AmountRetired
Amount Bond Defeased3277698AmountBondDefeased
Total Proceeds3345000TotalProceeds
Issuance Costs From Proceeds66500IssuanceCostsFromProceeds
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
REV BASIL HENSLEY
CHAPLAIN23000CHAPLAIN AGREEMENT0
MARY S BOYD MD
MEDICAL DIRECTOR6300MEDICAL DIRECTOR AGREEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11AN ELECTRONIC COPY OF THE FORM IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. IMPORTANT ITEMS AND ELEMENTS CHANGED FROM PRIOR YEAR ARE HIGHLIGHTED. APPROXIMATELY ONE WEEK IS PROVIDED FOR BOARD MEMBERS TO REVIEW AND SUBMIT QUESTIONS AND CONCERNS VIA TELEPHONE OR E-MAIL. WHEN ALL QUESTIONS AND CONCERNS HAVE BEEN ADDRESSED AND ANY RESULTING CHANGES HAVE BEEN MADE, THE RETURN IS FINALIZED.
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 12C
ARNETT & FOSTER CPAS, PLLC PERFORMS AN ANALYSIS COMPARING FACILITY WAGES WITH WAGE INFORMATION PROVIDED BY STATE SURVEY OF WAGE SCALES AND AREA/INDUSTRY INFORMATION PROVIDED BY THE WEST VIRGINIA HEALTH CARE ASSOCIATION. BASED ON THIS ANALYSIS, THE ORGANIZATION'S FINANCE COMMITTEE MAKES A RECOMMENDATION OF ANY COMPENSATION CHANGES TO THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND VOTES.FORM 990, PART VI, SECTION B, LINE 15
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 80,052.FORM 990, PART XI, LINE 5: