STRATEGY STUDIO / PUBLIC DATA EXPLORER

NRV NURSING CENTER INCORPORATED: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NRV NURSING CENTER INCORPORATED (EIN 31-1583073)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-11
IRS object ID
202322239349301767
Schema version
2021v4.2
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)
Return2023-08-11T12:01:01-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS 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 Begin2021-10-01TaxPeriodBeginDt

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
Signature2023-08-09SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2023-08-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
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$11,295,272GrossReceiptsAmt
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$3,484PYContributionsGrantsAmt
CY Contributions Grants$576,187CYContributionsGrantsAmt
PY Program Service Revenue$10,160,192PYProgramServiceRevenueAmt
CY Program Service Revenue$10,719,085CYProgramServiceRevenueAmt
PY Investment Income$1,141PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,164,817PYTotalRevenueAmt
CY Total Revenue$11,295,272CYTotalRevenueAmt
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$9,548,452PYOtherExpensesAmt
CY Other Expenses$9,590,957CYOtherExpensesAmt
PY Total Expenses$9,548,452PYTotalExpensesAmt
CY Total Expenses$9,590,957CYTotalExpensesAmt
PY Revenues Less Expenses$616,365PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,704,315CYRevenuesLessExpensesAmt
Total Assets BOY$7,964,954TotalAssetsBOYAmt
Total Assets EOY$8,984,955TotalAssetsEOYAmt
Total Liabilities BOY$9,504,855TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,820,541TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,539,901NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$164,414NetAssetsOrFundBalancesEOYAmt
MissionLONG-TERM INTERMEDIATE CARE NURSING HOME FACILITY WITH SOME SKILLED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,580,342ExpenseAmt
Revenue$10,719,085RevenueAmt
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$8,580,342TotalProgramServiceExpensesAmt
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 Document5IRPDocumentCnt
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 EmployeeHighestCompensatedEmployeeInd
ED SPENCER
CHAIR0.503.50Yes (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
HING-HAR LO
SECRETARY0.503.50Yes (X)$0$0$0
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
TOMMY MCDEEARIS
DIRECTOR0.503.50Yes (X)$0$0$0
BRIDGET MCMAHON
DIRECTOR0.503.50Yes (X)$0$0$0
CRAIG PARRENT
DIRECTOR0.503.50Yes (X)$0$0$0
THOMAS PIERCE
DIRECTOR0.503.50Yes (X)$0$0$0
RICHARD SHEPHERD
DIRECTOR0.503.50Yes (X)$0$0$0
MIKE SPEARS
DIRECTOR0.503.50Yes (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
BRAD DALTON
PRESIDENT AND CEO0.5040.00$0$168,773$3,750Yes (X)
MOLLY NEVITT
CFO0.5040.00$0$118,303$6,517Yes (X)
HEATHER GEARHEART
VICE-PRESIDENT0.5040.00$0$128,255$3,850Yes (X)
KORIE FLANNAGAN
NURSING HOME ADMIN0.5040.00$0$116,370$0Yes (X)
TAMBRA DIXON
DIRECTOR OF MARKETING0.5040.00$0$106,528$4,701Yes (X)
KEVIN SANDS
DIRECTOR OF QA & EDU0.5040.00$0$100,250$4,566Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$738,479TotReportableCompRltdOrgAmt
Total Other Compensation$23,384TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
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 200KNOXVILLETN37932THERAPEUTIC SERVICES$1,145,277
REMEDI SENIOR CARE OF VA LLC
PO BOX 75700BALTIMOREMD21275PHARMACEUTICAL SERVICES$196,878
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$9,123RelatedOrganizationsAmt
Government Grants$567,064GovernmentGrantsAmt
Total Contributions$576,187TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$10,696,366$10,696,366
CABLE TV, INTERNET, PHONE REVENUE623000$22,719$22,719
FieldValueIRS element (for citing)
Total Program Service Revenue$10,719,085TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,295,272TotalRevenueColumnAmt
Related Or Exempt Func Income$10,719,085RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$870,699TotalAmt
Management And General$870,699ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt

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$1,312,643TotalAmt
Program Services$1,312,643ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$519,064TotalAmt
Program Services$514,789ProgramServicesAmt
Management And General$4,275ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$215TotalAmt
Management And General$215ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$287,312TotalAmt
Program Services$287,312ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$236,018TotalAmt
Program Services$236,018ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$395,326TotalAmt
Program Services$395,326ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$123,376TotalAmt
Management And General$123,376ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SHARED SERVICES$5,455,327$5,455,327
FOOD$378,927$378,927

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,590,957TotalAmt
Program Services$8,580,342ProgramServicesAmt
Management And General$1,010,615ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,034,131BOYAmt
EOY$1,649,267EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$990,632BOYAmt
EOY$1,186,172EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,068,487LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,430,971LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,898,356BOYAmt
EOY$5,637,516EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,835BOYAmt
EOY$512,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,964,954BOYAmt
EOY$8,984,955EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$559,193BOYAmt
EOY$801,626EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$670,547BOYAmt
EOY$118,155EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$13,855BOYAmt
EOY$19,590EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,888,304BOYAmt
EOY$6,623,251EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,372,956BOYAmt
EOY$1,257,919EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,504,855BOYAmt
EOY$8,820,541EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,539,901BOYAmt
EOY$164,414EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,539,901BOYAmt
EOY$164,414EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,964,954BOYAmt
EOY$8,984,955EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,704,315ReconcilationRevenueExpnssAmt
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$555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,605CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,484CurrentTaxYearMinus1YearAmt
Current Tax Year$576,187CurrentTaxYearAmt
Total$638,831TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,848,934CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,838,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,282,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,160,192CurrentTaxYearMinus1YearAmt
Current Tax Year$10,719,085CurrentTaxYearAmt
Total$50,849,684TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,849,489CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,863,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,316,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,163,676CurrentTaxYearMinus1YearAmt
Current Tax Year$11,295,272CurrentTaxYearAmt
Total$51,488,515TotalAmt

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$51,488,515PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,321CurrentTaxYearMinus3YearsAmt
Total$4,363TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,321CurrentTaxYearMinus3YearsAmt
Total$4,363TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,852,531CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,865,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,316,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,163,676CurrentTaxYearMinus1YearAmt
Current Tax Year$11,295,272CurrentTaxYearAmt
Total$51,492,878TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
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$10,467,920OtherCostOrOtherBasisAmt
Depreciation$5,756,956DepreciationAmt
Book Value$4,710,964BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$735,970OtherCostOrOtherBasisAmt
Depreciation$404,755DepreciationAmt
Book Value$331,215BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$489,597OtherCostOrOtherBasisAmt
Depreciation$269,260DepreciationAmt
Book Value$220,337BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,637,516TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescREPLACEMENT RESERVESDesc
Book Value$512,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$512,000TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$1,257,919Amt
FieldValueIRS element (for citing)
Total Liability$1,257,919TotalLiabilityAmt

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
TitlePRESIDENT AND CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$168,533CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$240OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$3,750NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$172,523TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,312,643. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,312,643.
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$1,257,919InvolvedAmt
Method Of Amount DeterminationBOOKMethodOfAmountDeterminationTxt