STRATEGY STUDIO / PUBLIC DATA EXPLORER

NRV NURSING CENTER INCORPORATED: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NRV NURSING CENTER INCORPORATED (EIN 31-1583073)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-07-17
IRS object ID
202431999349301453
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-07-17T14:26:30-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311583073EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NRV NURSING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNRVNBusinessNameControlTxt
Phone5405529176PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12607 WARM HEARTH DRIVE NO 100AddressLine1Txt
CityBLACKSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24060ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMOLLY J NEVITTPersonNm
Person TitleCFOPersonTitleTxt
Phone5405529176PhoneNum
Signature2024-07-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMOLLYPersonFirstNm
Person LastNEVITTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2024-06-19PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM LESTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12607 WARM HEARTH DRIVE NO 100AddressLine1Txt
CityBLACKSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24060ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,613,367GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RETIRE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionLONG-TERM INTERMEDIATE CARE NURSING HOME FACILITY WITH SOME SKILLED CARE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$576,187PYContributionsGrantsAmt
CY Contributions Grants$35,350CYContributionsGrantsAmt
PY Program Service Revenue$10,719,085PYProgramServiceRevenueAmt
CY Program Service Revenue$11,557,417CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$20,600CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,295,272PYTotalRevenueAmt
CY Total Revenue$11,613,367CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,590,957PYOtherExpensesAmt
CY Other Expenses$10,643,072CYOtherExpensesAmt
PY Total Expenses$9,590,957PYTotalExpensesAmt
CY Total Expenses$10,643,072CYTotalExpensesAmt
PY Revenues Less Expenses$1,704,315PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$970,295CYRevenuesLessExpensesAmt
Total Assets BOY$8,984,955TotalAssetsBOYAmt
Total Assets EOY$9,155,554TotalAssetsEOYAmt
Total Liabilities BOY$8,820,541TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,020,845TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$164,414NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,134,709NetAssetsOrFundBalancesEOYAmt
MissionLONG-TERM INTERMEDIATE CARE NURSING HOME FACILITY WITH SOME SKILLED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,524,894ExpenseAmt
Revenue$11,557,417RevenueAmt
DescTHE CORPORATION PROVIDES LONG-TERM INTERMEDIATE CARE NURSING HOME SERVICES TO THE GENERAL PUBLIC. THE CORPORATION BEGAN PROVIDING NURSING CARE TO A MIX OF PRIVATE PAY AND MEDICAID PATIENTS ON JANUARY 3, 2000. THE NURSING CENTER HAS 120 AVAILABLE BEDS IN THREE WINGS CONSISTING OF ONE WING FOR INTERMEDIATE NURSING CARE (60 BEDS), ONE WING FOR ASSISTED LIVING CARE (44 BEDS), AND ONE WING OF PATIENTS WITH ALZHEIMER'S (14 BEDS).Desc
Total Program Service Expenses$9,524,894TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLLY J NEVITTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5404433403PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12607 WARM HEARTH DRIVEAddressLine1Txt
CityBLACKSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24060ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KATHERINE ALLEN
DIRECTOR0.503.50Yes (X)$0$0$0
ALLAN BOOKOUT
DIRECTOR0.503.50Yes (X)$0$0$0
TARA FRENCH
DIRECTOR0.503.50Yes (X)$0$0$0
CHARLES JOHNSON
DIRECTOR0.503.50Yes (X)$0$0$0
HING-HAR LO
SECRETARY0.503.50Yes (X)$0$0$0
TOMMY MCDEEARIS
DIRECTOR0.503.50Yes (X)$0$0$0
BRIDGET MCMAHON
DIRECTOR0.503.50Yes (X)$0$0$0
THOMAS PIERCE
DIRECTOR0.504.00Yes (X)$0$0$0
JASON POSPICHAL
VICE CHAIRMAN / TREASURER0.503.50Yes (X)$0$0$0
WILLIAM PRICE
VICE CHAIRMAN0.503.50Yes (X)$0$0$0
RICHARD SHEPHERD
DIRECTOR0.503.50Yes (X)$0$0$0
MIKE SPEARS
DIRECTOR0.504.00Yes (X)$0$0$0
ED SPENCER
CHAIR0.503.50Yes (X)$0$0$0
MEG STONE
DIRECTOR0.503.50Yes (X)$0$0$0
PAMELA TEASTER
DIRECTOR0.503.50Yes (X)$0$0$0
TRACY VOSBURGH
DIRECTOR0.503.50Yes (X)$0$0$0
LESTER LUTHER
PRESIDENT AND CEO (START 07/2022)0.5039.50$0$66,775$2,001Yes (X)
MOLLY NEVITT
CFO0.5039.50$0$127,688$3,814Yes (X)
HEATHER GEARHART
VICE PRESIDENT0.5039.50$0$105,613$2,282Yes (X)
TAMBRA DIXON
DIRECTOR OF MARKETING0.5039.50$0$110,451$2,966Yes (X)
KEVIN SANDS
RN DIRECTOR OF QA AND EDU0.5039.50$0$104,948$3,048Yes (X)
KORIE FLANNAGAN
NURSING HOME ADMIN0.5039.50$0$106,600$3,193Yes (X)
BRAD DALTON
FORMER PRES AND CEO (END 07/2022)0.5039.50$0$143,229$3,413Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$765,304TotReportableCompRltdOrgAmt
Total Other Compensation$20,717TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FUNCTIONAL PATHWAYS
10133 SHERRILL BLVD SUITE 200KNOXVILLETN37932REHABILITATION SERVICES$914,675
REMEDI SENIOR CARE OF VA LLC
4700 LAKEHURST CT STE 105PHILADELPHIAPA191715700PHARMACEUTICAL SERVICES$145,919
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$35,350RelatedOrganizationsAmt
Total Contributions$35,350TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$11,515,347$11,515,347
CABLE TV, INTERNET, PHONE REVENUE623000$42,070$42,070
FieldValueIRS element (for citing)
Total Program Service Revenue$11,557,417TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,600TotalRevenueColumnAmt
Exclusion$20,600ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,613,367TotalRevenueColumnAmt
Related Or Exempt Func Income$11,557,417RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$20,600ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$960,395TotalAmt
Management And General$960,395ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$638TotalAmt
Management And General$638ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,900TotalAmt
Management And General$11,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,337,689TotalAmt
Program Services$1,326,763ProgramServicesAmt
Management And General$10,926ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$390,073TotalAmt
Program Services$363,178ProgramServicesAmt
Management And General$26,895ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,816TotalAmt
Program Services$59ProgramServicesAmt
Management And General$32,757ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$318,796TotalAmt
Program Services$318,796ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,438TotalAmt
Program Services$2,191ProgramServicesAmt
Management And General$247ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$226,439TotalAmt
Program Services$226,439ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$434,920TotalAmt
Program Services$434,920ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$184,786TotalAmt
Program Services$183,786ProgramServicesAmt
Management And General$1,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SHARED SERVICES$6,178,512$6,105,092$73,420
FOOD$520,481$520,481
SERVICES$33,600$33,600
REPAIRS AND MAINTENANCE$9,589$9,589

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,643,072TotalAmt
Program Services$9,524,894ProgramServicesAmt
Management And General$1,118,178ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,649,267BOYAmt
EOY$1,615,256EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,186,172BOYAmt
EOY$1,675,909EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,527,119LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,130,055LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,637,516BOYAmt
EOY$5,397,064EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$512,000BOYAmt
EOY$467,325EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,984,955BOYAmt
EOY$9,155,554EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$801,626BOYAmt
EOY$879,530EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$118,155BOYAmt
EOY$169,700EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$19,590BOYAmt
EOY$6,983EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,623,251BOYAmt
EOY$6,348,636EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,257,919BOYAmt
EOY$615,996EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,820,541BOYAmt
EOY$8,020,845EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$164,414BOYAmt
EOY$1,134,709EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$164,414BOYAmt
EOY$1,134,709EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,984,955BOYAmt
EOY$9,155,554EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$970,295ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,484CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$576,187CurrentTaxYearMinus1YearAmt
Current Tax Year$35,350CurrentTaxYearAmt
Total$673,626TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,838,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,282,712CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,160,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,719,085CurrentTaxYearMinus1YearAmt
Current Tax Year$11,557,417CurrentTaxYearAmt
Total$52,558,167TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,863,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,316,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,163,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,295,272CurrentTaxYearMinus1YearAmt
Current Tax Year$11,592,767CurrentTaxYearAmt
Total$53,231,793TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$53,231,793PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,321CurrentTaxYearMinus4YearsAmt
Current Tax Year$20,600CurrentTaxYearAmt
Total$21,921TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,321CurrentTaxYearMinus4YearsAmt
Current Tax Year$20,600CurrentTaxYearAmt
Total$21,921TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,865,082CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,316,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,163,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,295,272CurrentTaxYearMinus1YearAmt
Current Tax Year$11,613,367CurrentTaxYearAmt
Total$53,253,714TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$375,000OtherCostOrOtherBasisAmt
Book Value$375,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,440,517OtherCostOrOtherBasisAmt
Depreciation$5,738,904DepreciationAmt
Book Value$4,701,613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$312,702OtherCostOrOtherBasisAmt
Depreciation$171,885DepreciationAmt
Book Value$140,817BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,900OtherCostOrOtherBasisAmt
Depreciation$219,266DepreciationAmt
Book Value$179,634BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,397,064TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
REPLACEMENT RESERVES$394,600
ROU ASSET$72,725
FieldValueIRS element (for citing)
Total Book Value Other Assets$467,325TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$543,271
LEASE LIABILITY$72,725
FieldValueIRS element (for citing)
Total Liability$615,996TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPORTED IN PART X FOR CUSTODIAL ACCOUNT LIABILITY CONSISTS OF RESIDENT TRUST FUNDS WHICH ARE FUNDED BY RESIDENTS AND INTENDED STRICTLY FOR THEIR USE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBRAD DALTONPersonNm
TitleFORMER PRES AND CEO (END 07/2022)TitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$113,229CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$30,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$3,413DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$146,642TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE CENTER HAS AN AGREEMENT WITH WARM HEARTH INC, A RELATED ORGANIZATION, TO PROVIDE THE FOLLOWING MANAGEMENT SERVIES: 1. DEVELOPMENT AND IMPLEMENTATION OF FINANCIAL, ADMINISTRATION, PROFESSIONAL, AND STAFFING CONTROLS AND PROCEDURES TO ACHIEVE THE ORDERLY OPERATION OF THE NURSING HOME FACILITY. 2. MANAGEMENT OF THE NURSING HOME FACILITY INCLUDING SERVING AS THE EMPLOYER OF ALL EMPLOYEES OF THE FACILITY AND PROVIDING OVERSIGHT OF SUCH EMPLOYEES, MAINTAINING ALL NECESSARY LICENSES, PURCHASING NECESSARY SUPPLIES AND EQUIPMENT, REVIEWING AND NEGOTIATING CONTRACTUAL ARRANGMENTS WITH INDEPENDENT CONTRACTORS, PREPARATION OF MONTHLY FINANCIAL, OPERATIONAL, AND MANAGEMENT STATUS REPORTS FOR THE CENTER, IMPLEMENTING REPAIRS AND MAINTENANCE OF ALL THE FACILITY'S EQUIPMENT, PLANT, AND BUILDINGS, COORDINATING ALL LEGAL MATTERS AND PROCEEDINGS WITH THE CENTER'S COUNSEL, AND IMPLEMENTING ALL POLICIES AND PROCEDURES RELATIVE TO THE OPERATION OF THE FACILITY. 3. MAINTENANCE OF FULL AND COMPLETE DOCUMENTATION REGARDING ALL OF ITS ACTIONS TAKEN TO FULFILL ITS MANAGEMENT DUTIES. INFORMATION REGARDING COMPENSATION PAID TO THE CENTER'S OFFICERS BY WARM HEARTH HAS BEEN REPORTED IN PART VII AND SCHEDULE J SINCE WARM HEARTH IS A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE RETURN IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE FINANCE COMMITTEE DISCUSSES THE 990 AT THEIR REGULAR SCHEDULED MEETING IN MAY OF EACH YEAR. THE FINANCE COMMITTEE IS RESPONSIBLE FOR RECEIVING THE AUDIT REPORTS OF THE INDEPENDENT AUDITOR AND REVIEWING THE FORM 990 PREPARED BY THE INDEPENDENT ACCOUNTANTS. THE FINANCE COMMITTEE REPORTS BACK TO THE BOARD OF DIRECTORS ANY RECOMMENDATIONS OR FINDINGS OF THEIR STUDY.
FORM 990, PART VI, SECTION B, LINE 12CTHE EMPLOYEE HANDBOOK HAS A STATEMENT OF THE CODE OF CONDUCT AND THE CONFLICT OF INTERESTS POLICY. THE BOARD MEMBER ORIENTATION MATERIALS INCLUDE THIS INFORMATION AS WELL. THE EMPLOYEES ARE ASKED TO REVIEW THIS POLICY AS A PART OF THEIR ANNUAL PERFORMANCE REVIEW AND BOARD MEMBERS ARE REQUESTED TO UPDATE THEIR COMMITMENT TO THIS POLICY UPON RE-ELECTION TO A NEW TERM.
FORM 990, PART VI, SECTION B, LINE 15WARM HEARTH, A RELATED ORGANIZATION, COMPENSATES THE ORGANIZATION'S OFFICERS AND EMPLOYEES. A COMMITTEE OF THE BOARD OF DIRECTORS IS APPOINTED TO REVIEW THE COMPENSATION LEVELS OF OFFICERS AND KEY EMPLOYEES AND FOR ESTABLISHING THE NEW PAY RATES OF THESE EMPLOYEES. COMPENSATION IS COMPARED WITH SALARY SURVEY INFORMATION AVAILABLE FROM NATIONAL TRADE ASSOCIATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION LEVEL IS DETERMINED BY CONSENSUS OF THE COMMITTEE AND REPORTED TO HUMAN RESOURCES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE TO BE VIEWED IN CARSON LIBRARY UPON WRITTEN REQUEST ADDRESSED TO THE CHIEF FINANCIAL OFFICER.
FORM 990, PART IX, LINE 11GCONTRACTED & CONSULTING: PROGRAM SERVICE EXPENSES 1,326,763. MANAGEMENT AND GENERAL EXPENSES 10,926. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,337,689.
FORM 990, PART IX LINE 11GCONTRACTED & CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,326,763. MANAGEMENT AND GENERAL EXPENSES 10,926. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,337,689.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
WARM HEARTH INC
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060237378013HOUSINGVA501(C)(3)LINE 10N/A0
SHOWALTER MEMORIAL HEALTH CENTER
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060541185223HOUSINGVA501(C)(3)LINE 10N/A0
TROLINGER HOUSE INC
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060521224684HOUSINGVA501(C)(3)LINE 10N/A0
NEW RIVER HOUSE INC
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060521257779HOUSINGVA501(C)(3)LINE 10N/A0
NEW CENTURY HOUSING INC
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060311788636HOUSINGVA501(C)(4)N/A0
WARM HEARTH AT HOME
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060464213353HOME CAREVA501(C)(3)LINE 10N/A0
WARM HEARTH FOUNDATION
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060541639629SUPPORTVA501(C)(3)LINE 12A, IN/A0
FOUNDERS FOREST
2607 WARM HEARTH DRIVE SUITE 100BLACKSBURGVA24060541185224HOUSINGVA501(C)(4)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FOUNDER'S FOREST INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeETransactionTypeTxt
Involved$543,271InvolvedAmt
Method Of Amount DeterminationBOOKMethodOfAmountDeterminationTxt