2022-08-11T15:58:48-05:00 2021-09-30 560574444 CHERRY BEKAERT LLP 222 CENTRAL PARK AVE STE 1400 VIRGINIA BEACH VA 23462 990 2020-10-01 311583073 NRV NURSING CENTER INC NRVN 5405529176 2607 WARM HEARTH DRIVE NO 100 BLACKSBURG VA 24060 MOLLY NEVITT CFO 5405529176 2022-08-09 1 MOLLY NEVITT 999009999 AMANDA ADAMS P00748038 7574562400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRAD DALTON 2607 WARM HEARTH DRIVE NO 100 BLACKSBURG VA 24060 10164817 0 X WWW.RETIRE.ORG X 1996 VA LONG-TERM INTERMEDIATE CARE NURSING HOME FACILITY WITH SOME SKILLED CARE. 17 17 0 0 0 0 33605 3484 10282712 10160192 0 1141 0 0 10316317 10164817 0 0 0 0 0 0 0 0 0 10264705 9548452 10264705 9548452 51612 616365 7794967 7964954 9951233 9504855 -2156266 -1539901 LONG-TERM INTERMEDIATE CARE NURSING HOME FACILITY WITH SOME SKILLED CARE. 0 0 8623547 10160192 THE 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 FOR CARE OF PATIENTS WITH ALZHEIMER'S (14 BEDS). 8623547 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X MARY KEFFER 5404433423 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 ED SPENCER CHAIR 0.50 3.50 X X 0 0 0 WILLIAM PRICE VICE CHAIRMAN 0.50 3.50 X X 0 0 0 HING-HAR LO SECRETARY 0.50 3.50 X X 0 0 0 JASON POSPICHAL VICE CHAIRMAN/TREASURER 0.50 3.50 X X 0 0 0 KATHERINE ALLEN DIRECTOR 0.50 3.50 X 0 0 0 ALLAN BOOKOUT DIRECTOR 0.50 3.50 X 0 0 0 TARA FRENCH DIRECTOR 0.50 3.50 X 0 0 0 CHARLES JOHNSON DIRECTOR 0.50 3.50 X 0 0 0 TOMMY MCDEARIS DIRECTOR 0.50 3.50 X 0 0 0 BRIDGET MCMAHON DIRECTOR 0.50 3.50 X 0 0 0 CRAIG PARRENT DIRECTOR 0.50 3.50 X 0 0 0 THOMAS PIERCE DIRECTOR 0.50 3.50 X 0 0 0 RICHARD SHEPHERD DIRECTOR 0.50 3.50 X 0 0 0 MIKE SPEARS DIRECTOR 0.50 3.50 X 0 0 0 MEG STONE DIRECTOR 0.50 3.50 X 0 0 0 PAMELA TEASTER DIRECTOR 0.50 3.50 X 0 0 0 TRACY VOSBURGH DIRECTOR 0.50 3.50 X 0 0 0 MOLLY NEVITT CFO 0.50 40.00 X 0 119106 9323 FERNE MOSCHELLA FORMER PRESIDENT / CEO 0.50 40.00 X 0 183833 14503 BRAD DALTON CURRENT PRESIDENT / CEO 0.50 40.00 X 0 45041 1218 HEATHER GEARHART VP HEALTH & WELLNESS 0.50 40.00 X 0 126208 3775 TAMBRA DIXON DIRECTOR OF MARKETING & DE 0.50 40.00 X 0 104095 10182 GLADYS MARQUEZ DIRECTOR OF NURSING 2.00 38.00 X 0 112970 10620 0 691253 49621 0 0 1 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 THERAPEUTIC SERVICES 880839 REMEDI SENIOR CARE OF VA LLC PO BOX 75700 BALTIMORE MD 21275 PHARMACEUTICAL SERVICES 149757 2 3484 3484 PATIENT SERVICE REVENUE 623000 10155887 10155887 4305 4305 10160192 1141 0 1141 1141 1141 10164817 10160192 0 1141 X 819787 819787 1326609 1326609 422354 418304 4050 242428 242428 243891 243891 449152 449152 101068 101068 SHARED SERVICES 5211002 5211002 SUPPLIES 400945 400945 FOOD AND RECREATION 327922 327922 3294 3294 9548452 8623547 924905 0 760866 1034131 880064 990632 11934002 6035646 6154037 5898356 0 41835 7794967 7964954 653846 559193 201040 670547 13074 13855 7145502 6888304 493503 1444268 1372956 9951233 9504855 X -2156266 -1539901 -2156266 -1539901 7794967 7964954 616365 0 X 0 1 X 1 0 X 25000 555 25000 33605 3484 87644 9998616 9848934 9838761 10282712 10160192 50129215 10023616 9849489 9863761 10316317 10163676 50216859 0 0 0 50216859 3474 3042 1321 7837 3474 3042 1321 7837 10027090 9852531 9865082 10316317 10163676 50224696 0.99980 0.99980 0.00020 0.00020 X 0 1 X 375000 375000 10416629 5245090 5171539 680352 430154 250198 462021 360402 101619 5898356 DUE TO AFFILIATES 1372956 1372956 PART IV, LINE 2B: THE 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. 0 0 0 0 0 0 0 0 0 FERNE MOSCHELLA FORMER PRESIDENT / CEO 0 183833 0 0 0 0 0 5489 0 9014 0 198336 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CENTER HAS AN AGREEMENT WITH WARM HEARTH INC, A RELATED ORGANIZATION, TO PROVIDE THE FOLLOWING MANAGEMENT SERVICES: 1. DEVELOPMENT AND IMPLEMENTATION OF FINANCIAL, ADMINISTRATIVE, 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 ARRANGEMENTS 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 11B A 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 REGULARLY 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 12C THE 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 REELECTION TO A NEW TERM. FORM 990, PART VI, SECTION B, LINE 15 WARM 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 19 GOVERNING DOCUMENTS ARE AVAILABLE TO BE VIEWED IN CARSON LIBRARY UPON WRITTEN REQUEST ADDRESSED TO THE CHIEF FINANCIAL OFFICER. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,326,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,326,609. WARM HEARTH INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 237378103 HOUSING VA 501(C)(3) LINE 10 N/A 0 SHOWALTER CENTER INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 541185223 HOUSING VA 501(C)(3) LINE 10 N/A 0 TROLINGER HOUSE INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 521224684 HOUSING VA 501(C)(3) LINE 10 N/A 0 NEW RIVER HOUSE INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 521257779 HOUSING VA 501(C)(3) LINE 10 N/A 0 FOUNDER'S FOREST 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 541185224 HOUSING VA 501(C)(4) N/A 0 NEW CENTURY HOUSING INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 311788636 HOUSING VA 501(C)(4) N/A 0 WARM HEARTH AT HOME INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 464213353 HOME CARE VA 501(C)(3) LINE 10 N/A 0 WARM HEARTH FOUNDATION INC 2607 WARM HEARTH DRIVE SUITE 100 BLACKSBURG VA 24060 541639629 SUPPORT VA 501(C)(3) LINE 12B, II 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 FOUNDER'S FOREST INC E 1372956 BOOK