ELKINS REGIONAL CONVALESCENT CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ELKINS REGIONAL CONVALESCENT CENTER INC (EIN 55-0329724)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-07-06
IRS object ID: 201701879349301150
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-07-06T15:47:50-05:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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	PATRICIA SUMMERFIELD	PersonNm
Person Title	DIRECTOR	PersonTitleTxt
Phone	3046361391	PhoneNum
Signature	2017-06-27	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	2017-06-27	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	204.15.98.225	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-06-27	IPDt
IP Tm	13:25:53	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B67898B6CC3E49A2C09A42D35EB7EBC02AF9DF2F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B67898B6CC3E49A2C09A42D35EB7EBC02AF9DF2F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	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	PATRICIA SUMMERFIELD	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	$10,781,705	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	220	TotalEmployeeCnt
Total Volunteers	40	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,126	PYContributionsGrantsAmt
CY Contributions Grants	$1,549	CYContributionsGrantsAmt
PY Program Service Revenue	$10,589,580	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,620,409	CYProgramServiceRevenueAmt
PY Investment Income	$99,684	PYInvestmentIncomeAmt
CY Investment Income	$113,423	CYInvestmentIncomeAmt
PY Other Revenue	$50,016	PYOtherRevenueAmt
CY Other Revenue	$42,971	CYOtherRevenueAmt
PY Total Revenue	$10,742,406	PYTotalRevenueAmt
CY Total Revenue	$10,778,352	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,989	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,329	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,350,920	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,520,200	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,961,091	PYOtherExpensesAmt
CY Other Expenses	$4,097,284	CYOtherExpensesAmt
PY Total Expenses	$10,321,000	PYTotalExpensesAmt
CY Total Expenses	$10,626,813	CYTotalExpensesAmt
PY Revenues Less Expenses	$421,406	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$151,539	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,673,375	TotalAssetsBOYAmt
Total Assets EOY	$9,532,514	TotalAssetsEOYAmt
Total Liabilities BOY	$5,392,456	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,153,126	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,280,919	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,379,388	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	$6,430,588	ExpenseAmt
Grant	$9,329	GrantAmt
Revenue	$6,841,618	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	$925,761	ExpenseAmt
Revenue	$1,311,753	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	$794,745	ExpenseAmt
Revenue	$2,463,685	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	$513,946	ExpenseAmt
Revenue	$42,971	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	$513,946	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$42,971	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$8,665,040	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	24	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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 (15 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)
REBECCA POE
BOARD MEMBER, RSGN 3/31/16	1.00	Yes (X)	$0	$0	$0
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
LONNIE WOLFE
BOARD MEMBER, RSGN 6/30/16	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
BETSY JONES
CFO	40.00		$67,948	$0	$25,011	Yes (X)
PATRICIA SUMMERFIELD
ADMINISTRATOR	40.00		$103,661	$0	$25,853	Yes (X)
TARA SHAVER
ASST. ADMINISTRATOR	40.00		$67,745	$0	$1,969	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$239,354	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$52,833	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 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	$708,892
OMNICARE INC
PO BOX 715268	COLUMBUS	OH	432715268	PHARMACY SERVICES	$182,344

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,549	AllOtherContributionsAmt
Total Contributions	$1,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SKILLED/INTER. CARE	Desc
Business	623000	BusinessCd
Total Revenue Column	$10,620,409	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,620,409	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,620,409	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,776	TotalRevenueColumnAmt
Exclusion	$116,776	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,353	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$3,353	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,353	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$3,353	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,971	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,971	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$42,971	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,778,352	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,660,027	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$116,776	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,329	TotalAmt
Program Services	$9,329	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$292,188	TotalAmt
Management And General	$292,188	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,204,818	TotalAmt
Program Services	$3,531,377	ProgramServicesAmt
Management And General	$673,441	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$32,647	TotalAmt
Program Services	$27,418	ProgramServicesAmt
Management And General	$5,229	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,985,129	TotalAmt
Program Services	$1,667,192	ProgramServicesAmt
Management And General	$317,937	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,418	TotalAmt
Program Services	$4,550	ProgramServicesAmt
Management And General	$868	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$16,169	TotalAmt
Management And General	$16,169	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$97,722	TotalAmt
Management And General	$97,722	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,272	TotalAmt
Management And General	$2,272	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$887,839	TotalAmt
Program Services	$745,643	ProgramServicesAmt
Management And General	$142,196	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$24,732	TotalAmt
Program Services	$20,771	ProgramServicesAmt
Management And General	$3,961	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$835,002	TotalAmt
Program Services	$701,269	ProgramServicesAmt
Management And General	$133,733	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$96,220	TotalAmt
Program Services	$80,809	ProgramServicesAmt
Management And General	$15,411	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$314,702	TotalAmt
Program Services	$264,300	ProgramServicesAmt
Management And General	$50,402	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,383	TotalAmt
Program Services	$10,400	ProgramServicesAmt
Management And General	$1,983	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$188,900	TotalAmt
Program Services	$158,646	ProgramServicesAmt
Management And General	$30,254	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$536,251	TotalAmt
Program Services	$450,365	ProgramServicesAmt
Management And General	$85,886	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$132,986	TotalAmt
Program Services	$111,687	ProgramServicesAmt
Management And General	$21,299	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVIDER/OTHER TAXES	$509,913	$509,913
MEDICAL SUPPLIES	$426,780	$358,427	$68,353
EDUCATION AND TRAINING	$9,940	$8,348	$1,592

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,473	TotalAmt
Program Services	$4,596	ProgramServicesAmt
Management And General	$877	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,626,813	TotalAmt
Program Services	$8,665,040	ProgramServicesAmt
Management And General	$1,961,773	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$700	BOYAmt
EOY	$700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,848,676	BOYAmt
EOY	$1,855,472	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,179,615	BOYAmt
EOY	$1,435,865	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,721	BOYAmt
EOY	$20,180	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$217,844	BOYAmt
EOY	$207,460	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$11,381,436	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,581,640	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,151,744	BOYAmt
EOY	$4,799,796	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$600,999	BOYAmt
EOY	$618,841	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$656,076	BOYAmt
EOY	$594,200	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,673,375	BOYAmt
EOY	$9,532,514	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$618,360	BOYAmt
EOY	$760,602	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,744,127	BOYAmt
EOY	$4,369,062	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,969	BOYAmt
EOY	$23,462	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,392,456	BOYAmt
EOY	$5,153,126	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,280,919	BOYAmt
EOY	$4,379,388	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,280,919	BOYAmt
EOY	$4,379,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,673,375	BOYAmt
EOY	$9,532,514	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$151,539	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$53,070	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	$2,272	OtherActivitiesAmt
Total Lobbying Expenditures	$2,272	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	$7,979,612	OtherCostOrOtherBasisAmt
Depreciation	$4,482,589	DepreciationAmt
Book Value	$3,497,023	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,113,950	OtherCostOrOtherBasisAmt
Depreciation	$2,099,051	DepreciationAmt
Book Value	$1,014,899	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,799,796	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DEBT SERVICE RESERVE - 2010	$334,500
BOND PRINCIPAL & INTEREST FUNDS - 2010	$259,700

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$594,200	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PATIENT TRUST FUND	$18,855
LOAN PAYABLE	$4,607

Field	Value	IRS element (for citing)
Total Liability	$23,462	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$10,728,635	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$53,070	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$53,070	RevenueNotReportedAmt
Revenue Subtotal	$10,781,705	RevenueSubtotalAmt
Other Revenues Not Included	-$3,353	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$3,353	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$10,778,352	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$10,630,166	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,353	OtherExpensesIncludedAmt
Expenses Not Reported	$3,353	ExpensesNotReportedAmt
Expenses Subtotal	$10,626,813	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$10,626,813	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, 2016 OR DECEMBER 31, 2015.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN ON SALE OR DISPOSAL OF ASSETS -3,353.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GAIN ON SALE OR DISPOSAL OF ASSETS 3,353.

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	$35,826	COMPENSATION FOR IT SPECIALIST	0
WILLIAM M JONES
BROTHER-IN-LAW OF BETSY JONES, CFO	$28,930	COMPENSATION FOR MAINTENANCE ASSISTANT	0
MASON SCHOONOVER
GRANDCHILD OF GARY SCHOONOVER, BOARD MEMBER	$12,582	COMPENSATION FOR MAINTENANCE ASSISTANT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 XII, LINE 2C:	NO CHANGE FROM PRIOR YEAR
FORM 990, PART X , LINE 15 AND LINE 20	THE AUDITED FINANCIAL STATEMENTS INCLUDE A RETROSPECTIVE ADJUSTMENT FOR $75,923 AFFECTING DECEMBER 31, 2015. EFFECTIVE JANUARY 1, 2016, ELKINS REGIONAL CONVALESCENT CENTER HAS ADOPTED ASU 2015-03 WHICH AMENDS THE CURRENT PRESENTATION GUIDANCE BY REQUIRING DEBT ISSUANCE COSTS RELATED TO A RECOGNIZED DEBT LIABILITY BE PRESENTED IN THE STATEMENT OF FINANCIAL POSITION AS A DIRECT DEDUCTION FROM THE CARRYING AMOUNT OF THAT DEBT LIABILITY, CONSISTENT WITH DEBT DISCOUNTS. THE RETROSPECTIVE ADJUSTMENT AFFECTS BOND ISSUE COSTS LOCATED WITHIN OTHER ASSETS, LONG-TERM BONDS PAYABLE AND LONG-TERM LIABILITIES LOCATED WITHIN OTHER LIABILIES.
FORM 900, PART VII	THE AMOUNTS REPORTED IN OTHER COMPENSATION FOR THE CFO AND ADMINISTRATOR INCLUDES HEALTHCARE INSURANCE PREMIUMS.