2018-07-09T09:40:30-05:00 2017-12-31 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1556 MORGANTOWN WV 26507 990 2017-01-01 550329724 ELKINS REGIONAL CONVALESCENT CENTERINC ELKI 3046361391 1175 BEVERLY PIKE ELKINS WV 26241 TARA SHAVER ADMINISTRATOR 3046361391 2018-06-27 1 SUSAN S DULL P00233523 3042927343 2018-06-26 2017 2022-09-23 18:48:47Z ELKINS REHABILITATION AND CARE CENTER TARA SHAVER 1175 BEVERLY PIKE ELKINS WV 26241 12282348 0 X WWW.ERCC.BIZ X 1953 WV PROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING 14 14 220 40 0 0 1549 8053 10620409 12143967 113423 57548 42971 54114 10778352 12263682 9329 6457 0 0 6520200 6469801 0 0 0 4097284 4728322 10626813 11204580 151539 1059102 9532514 10180278 5153126 4684722 4379388 5495556 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 6426128 6457 7808988 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. 1125364 1650767 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. 768071 2684212 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. 899601 54114 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. 899601 54114 9219164 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 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 37 0 220 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 BOARD MEMBER 1.00 X 0 0 0 BARRY BAND BOARD MEMBER 1.00 X 0 0 0 RACHEL PINGLEY SECRETARY 1.00 X X 0 0 0 DONALD MEGERT TREASURER 1.00 X X 0 0 0 BONNIE SERRETT CHAIRPERSON 1.00 X X 0 0 0 HERK KESSLER BOARD MEMBER 1.00 X 0 0 0 CAROLYN CAPELLI BOARD MEMBER 1.00 X 0 0 0 DOROTHY H WAMSLEY VICE CHAIRPERSON 1.00 X X 0 0 0 KURT GAINER BOARD MEMBER 1.00 X 0 0 0 MARK TOMBLYN BOARD MEMBER 1.00 X 0 0 0 WILLIAM RIFFEE BOARD MEMBER 1.00 X 0 0 0 MATTHEW DAVIS BOARD MEMBER 1.00 X 0 0 0 RAYMOND GODWIN BOARD MEMBER 1.00 X 0 0 0 ROBERT WILMOTH BOARD MEMBER 1.00 X 0 0 0 BETSY JONES CFO 40.00 X 68832 0 25353 PATRICIA SUMMERFIELD ADMINISTRATOR 40.00 X 108483 0 23985 TARA SHAVER ADMINISTRATOR 40.00 X 80289 0 2600 257604 0 51938 4 0 0 0 ODYSSEY REHABILITATION 415 BENEDUM DR BRIDGEPORT WV 26330 PT, OT, ST SERVICES 999428 OMNICARE INC PO BOX 715268 COLUMBUS OH 432715268 PHARMACY SERVICES 223714 DIXON HUGHES GOODMAN PLLC PO BOX 602828 CHARLOTTE NC 282602828 AUDITS, COST REPORTS, TAX RETURNS 108111 FUSION MEDICAL STAFFING LLC PO BOX 82674 LINCOLN NE 685012674 CONTRACT NURSING STAFF 100248 4 8053 8053 SKILLED/INTER. CARE 623000 12143967 12143967 12143967 76214 76214 18666 -18666 -18666 -18666 54114 54114 54114 12263682 12179415 0 76214 X 6457 6457 309543 309543 4182340 3559665 622675 31765 27036 4729 1921407 1635344 286063 24746 21062 3684 55984 55984 98111 98111 1724 1724 1524303 1297362 226941 14821 12614 2207 754246 641952 112294 104870 89257 15613 313637 266942 46695 9631 8197 1434 183321 156028 27293 533924 454432 79492 145227 123605 21622 PROVIDER/OTHER TAXES 522974 522974 MEDICAL SUPPLIES 444831 378604 66227 EDUCATION AND TRAINING 13190 11226 1964 7528 6407 1121 11204580 9219164 1985416 0 700 701 1855472 2926352 1435865 1397599 20180 19815 207460 205269 11439532 7066943 4799796 4372589 618841 707090 594200 550863 9532514 10180278 760602 704441 4369062 3964487 23462 15794 5153126 4684722 X 4379388 5495556 4379388 5495556 9532514 10180278 1059102 57066 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1724 1724 0 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 REGARDING HEALTH CARE ISSUES. 287874 287874 7965680 4809640 3156040 3185978 2257303 928675 4372589 DEBT SERVICE RESERVE - 2010 334500 BOND PRINCIPAL & INTEREST FUNDS - 2010 210175 A/R MEDICARE BAD DEBTS 6188 550863 PATIENT TRUST FUND 15794 15794 X 12339414 57066 57066 12282348 -18666 -18666 12263682 11223246 18666 18666 11204580 0 11204580 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. A RANDOLPH COUNTY BUILDING COMMISSION 556000391 752606BD4 2010-11-10 3345000 REFUND 1998 ISSUE 0 0 0 B RANDOLPH COUNTY BUILDING COMMISSION 556000391 2014-04-11 2500000 THERAPY ADDITION AND OTHER IMPROVEMENTS 0 0 0 A 3277698 3345000 66500 2010 0 0 1 1 B 2481150 18850 2481150 2014 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 BRENDA ROMINE SISTER OF BETSY JONES, CFO 37382 COMPENSATION FOR IT SPECIALIST 0 WILLIAM M JONES BROTHER-IN-LAW OF BETSY JONES, CFO 34305 COMPENSATION FOR MAINTENANCE ASSISTANT 0 MASON SCHOONOVER GRANDCHILD OF GARY SCHOONOVER, BOARD MEMBER 13830 COMPENSATION FOR MAINTENANCE ASSISTANT 0 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