2020-08-17T12:31:45-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 901 EAST CARY STREET SUITE 1000 RICHMOND VA 23219 990 2018-10-01 540534606 RICHFIELD LIVING RICH 5403806597 3615 W MAIN STREET SALEM VA 24153 CHERIE GRISSO CEO 5403806597 2020-08-17 1 LAKRISHA J WATSON P01677333 8042827636 2020-08-13 141.152.52.24 2020-08-17 09:44:03 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F5546B5B7CD38A446598DAD023256886AFA7EE0D 2018 2020-09-23 17:36:50Z CHERIE GRISSO 3615 W MAIN STREET SALEM VA 24153 32815929 0 X WWW.RICHFIELDLIVING.COM X 1937 VA HELPING INDIVIDUALS EXPERIENCE LIFE TO THE FULLEST, THROUGH EVERY PHASE OF THEIR JOURNEY, BY PROVIDING HIGH-QUALITY SKILLED NURSING CARE, REHABILITATIVE NURSING CARE, ASSISTED LIVING HOUSING AND SERVICES AND INDEPENDENT LIVING COMMUNITIES. 13 13 625 160 0 0 1281467 109934 31484512 30189122 318229 722329 851337 792800 33935545 31814185 17895 29545 0 0 17681656 16476595 0 0 0 15768792 15711140 33468343 32217280 467202 -403095 30604062 109503845 15873293 95054384 14730769 14449461 HELPING INDIVIDUALS EXPERIENCE LIFE TO THE FULLEST, THROUGH EVERY PHASE OF THEIR JOURNEY, BY PROVIDING HIGH-QUALITY SKILLED NURSING CARE, REHABILITATIVE NURSING CARE, ASSISTED LIVING HOUSING AND SERVICES AND INDEPENDENT LIVING COMMUNITIES. 0 0 25879098 29545 30189122 OPERATIONS OF AN INTEGRATED LIFE CARE COMMUNITY INCLUDING SKILLED NURSING CARE, REHABILITATIVE NURSING CARE, ASSISTED AND INDEPENDENT LIVING, HOUSING, AND SERVICES. 25879098 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 53 0 1 625 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X CHERIE GRISSO 5403804500 PO BOX 3240 SALEM VA 24153 DR MARTHA ANDERSON CHAIR 1.00 3.00 X X 0 0 0 KIRTESH PATEL VICE CHAIR 1.00 3.00 X X 0 0 0 MELINDA PAYNE SECRETARY 1.00 3.00 X X 0 0 0 DONNOVAN YOUNG TREASURER 1.00 3.00 X X 0 0 0 W STEWART BRUCE JR DIRECTOR 1.00 3.00 X 0 0 0 DR WARREN G CLARK DIRECTOR 1.00 3.00 X 0 0 0 DR NATHANIEL BISHOP DIRECTOR 1.00 3.00 X 0 0 0 DR WILLIAM HASTY DIRECTOR 1.00 3.00 X 0 0 0 LEAH KELLER DIRECTOR 1.00 3.00 X 0 0 0 SYDNEY NORDT DIRECTOR 1.00 3.00 X 0 0 0 DR EDWIN J POLVERINO DIRECTOR 1.00 3.00 X 0 0 0 KATHERINE F STRICKLAND DIRECTOR 1.00 3.00 X 0 0 0 DAVID THORNHILL DIRECTOR 1.00 3.00 X 0 0 0 GEORGE CHILD CEO THROUGH 9/30/19 2.00 42.00 X 199955 0 22298 CHERIE GRISSO CFO THROUGH 9/30/19 2.00 42.00 X 183967 0 20914 TONYA WOOLWINE EXECUTIVE/CORPORATE SECRETARY 2.00 42.00 X 68556 0 17605 SUSAN LAFAVE CHIEF HEALTH SERVICES OFFICER 2.00 42.00 X 167522 0 19508 WILLIAM JONES ADMINISTRATOR 2.00 42.00 X 127720 0 24732 SUSAN WOODIE-WILLIAMS SENIOR VICE PRESIDENT 2.00 42.00 X 105512 0 9556 JENNIFER JARVIS DIRECTOR OF NURSING RRCC 2.00 42.00 X 101901 0 15583 YOLANDA DAVIS LPN 2.00 42.00 X 100093 0 15848 1055226 0 146044 8 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 303682289 DIETARY 3968324 SELECT REHABILITATION INC 2600 COMPASS RD GLENVIEW IL 60026 THERAPY 2468197 POPE ARCHITECTS 1295 BANDANA BLVD N SUITE 20 ST PAUL MN 551082735 CONSTRUCTION ARCHITECTURE SERVICES 1920758 REMEDI SENIOR CARE OF VA PO BOX 75700 BALTIMORE MD 242755700 PHARMACY 677557 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 HOUSEKEEPING 662692 20 109934 109934 PATIENT SERVICE 623000 30113779 30113779 MANAGEMENT FEES 623000 75343 75343 30189122 474073 474073 1250000 9936 991808 -9936 258192 248256 248256 OTHER RESIDENT SERVICES 623000 370483 370483 OTHER REVENUE 623000 279370 279370 MEALS 623000 142947 142947 792800 31814185 30189122 0 1515129 29545 29545 513295 513295 12481608 10913583 1568025 192493 140626 51867 2288681 699907 1588774 1000518 852564 147954 84903 84903 55588 55588 14086 14086 442171 442171 385087 385087 1285758 1171366 114392 48657 1330 47327 507923 431735 76188 1948823 1656500 292323 361390 361390 PURCHASED SERVICES 6493981 6425599 68382 OTHER EXPENSES 1734347 1379695 354652 FOOD 925903 925903 SUPPLIES 917660 803765 113895 504863 446980 57883 32217280 25879098 6338182 0 3043359 4195063 36658 3066383 3102645 49442 107670 332295 356655 67704959 34058837 21883096 33646122 1770389 67715140 459098 343892 30604062 109503845 3776840 4052848 300470 491113 2540000 0 9032751 90251988 223232 258435 15873293 95054384 X 14707671 14357741 23098 91720 14730769 14449461 30604062 109503845 -403095 121787 0 X X 0 1 X 1 0 X 26478 10000 10000 1281467 109934 1437879 30867868 31922026 31853726 31484512 30189122 156317254 1216061 706944 786808 851337 792800 4353950 32110407 32638970 32650534 33617316 31091856 162109083 0 0 0 162109083 37469 30387 38221 46341 474073 626491 37469 30387 38221 46341 474073 626491 32147876 32669357 32688755 33663657 31565929 162735574 0.99620 0.99850 0.00380 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1110259 1110259 33568561 21144033 12424528 1968096 311917 1656179 29211358 11650254 17561104 1846685 952633 894052 33646122 RESIDENT FUNDS AND DEPOSITS 191356 DUE TO THIRD PARTY PAYORS 67079 258435 X PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2019. 1 ASSISTANCE FOR CNA CLASS 35 27950 PART I, LINE 2: THE SCHOLARSHIPS FOR INDIVIDUALS ARE PAID DIRECTLY TO THE RECIPIENTS. X X 0 0 0 0 0 0 0 0 0 GEORGE CHILD CEO THROUGH 9/30/19 199955 0 0 0 0 0 6075 0 16223 0 222253 0 0 0 CHERIE GRISSO CFO THROUGH 9/30/19 183967 0 0 0 0 0 5571 0 15343 0 204881 0 0 0 SUSAN LAFAVE CHIEF HEALTH SERVICES OFFICER 167522 0 0 0 0 0 5100 0 14408 0 187030 0 0 0 WILLIAM JONES ADMINISTRATOR 127720 0 0 0 0 0 1582 0 23150 0 152452 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO COMPLETE A WRITTEN QUESTIONNAIRE DISCLOSING POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR HIRING, EVALUATING AND TERMINATING THE CEO. THE COMMITTEE WORKS WITH HUMAN RESOURCES TO DETERMINE THE CEO POSITION'S BENCHMARK COMPENSATION RANGE. THE COMMITTEE MEETS AT LEAST ANNUALLY TO EVALUATE THE CEO AND ADJUST HIS/HER SALARY-BASED COMPENSATION WITHIN THE SALARY RANGE. THE COMMITTEE ALSO SETS ANNUAL PERFORMANCE GOALS (KEY RESULT AREAS - KRAS) THAT ARE USED TO DETERMINE VARIABLE COMPENSATION FOR THE CEO AND MEETS IN OCTOBER TO DETERMINE IF THOSE WERE MET AND THEN RECOMMENDS VARIABLE COMPENSATION ACCORDINGLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. RIDGECREST AT RICHFIELD PO BOX 3240 SALEM VA 24153 260821403 HOUSING FOR THE ELDERLY VA 501(C)(3) LINE 11 0 RICHFIELD FOUNDATION PO BOX 3240 SALEM VA 24153 510190110 SUPPORT ORGANIZATION VA 501(C)(3) LINE 12B, II 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0