2022-11-15T21:53:42-06:00 2021-12-31 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2021-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC % B LABONTE AVP-TAX RIVE 7578757545 608 Denbigh Blvd Suite 800 Newport News VA 236084487 W WILLIAM AUSTIN JR EVP,CFO/Treasurer 7578757545 2022-11-18 true W WILLIAM AUSTIN JR 999009999 ABBEY E LEIBEL P01517527 5136121400 2 2021 2022-09-23 18:48:47Z Riverside Health System William Downey CEO 608 DENBIGH BLVD SUITE 800 Newport News VA 236084487 53691290 false X WWW.Riversideonline.com X 1982 VA Healthcare system parent organization that oversees, manages, and provides financial and programmatic coordination for all related tax exempt affiliates. 15 12 0 0 196513 124554 0 220 17677947 19113201 18818946 18226855 95190 91758 36592083 37432034 0 21189 0 0 0 0 0 0 0 35429453 41845785 35429453 41866974 1162630 -4434940 660049352 768817114 477307644 578638882 182741708 190178232 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 38134044 0 30742717 OVERSEES AND COORDINATES THE DEVELOPMENT AND CONTINUED PROVISION OF QUALITY HEALTHCARE SERVICES THROUGH RELATED NON-PROFIT GENERAL HOSPITAL, LONG TERM CARE AND PHYSICIAN SERVICES TO LOCAL COMMUNITIES. 38134044 true false false false false false false false false false true false false false true true false true false false true false false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true 27 0 true 0 true true true BD false false false false false false false false false true false X 15 12 false false true false false false false true true false true true true true true true true true true true true true X B LABONTE AVP-TAX 7578757545 608 DENBIGH BLVD 800 NEWPORT NEWS VA 23608 X WILLIAM BURNS DOWNEY CEO, RHS 1.0 39.0 X X 0 1495936 62904 MICHAEL DACEY MD PRESIDENT/COO, RHS 1.0 39.0 X 0 975037 20487 WALTER WILLIAM AUSTIN JR EVP, CFO & TREASURER 1.0 39.0 X 0 695102 28051 NANCY WICK LITTLEFIELD EVP/CNO, RHS 1.0 39.0 X 0 604315 26892 JASON O HOUSER GENERAL COUNSEL/SECRETARY, RHS 1.0 39.0 X 0 500738 75385 DAVID F JONES MD BOARD MEMBER/RMG PHYSICIAN 1.0 39.0 X 0 359479 41597 Barbara Labonte Associate Vice President Budge 1.0 39.0 X 0 251489 53430 REGINA PAGE BRAYBOY BOARD MEMBER 1.0 0.0 X 0 72000 0 WILLIAM L BRAUER BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS BYRD VICE CHAIRMAN 1.0 0.0 X X 0 0 0 ROBERT D CROCKETT BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD FREDERICK CROWDER MD BOARD MEMBER 1.0 0.0 X 0 0 0 GEORGE ROYDEN GOODSON III BOARD MEMBER 1.0 0.0 X 0 0 0 GABRIEL A MORGAN CHAIRMAN 1.0 0.0 X X 0 0 0 CONWAY HOWARD SHEILD III BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL J SHERLOCK BOARD MEMBER 1.0 0.0 X 0 0 0 CONWAY W SMITH III BOARD MEMBER 1.0 0.0 X 0 0 0 SCOTT STABLER BOARD MEMBER 1.0 0.0 X 0 0 0 ALEXIS SWANN BOARD MEMBER 1.0 0.0 X 0 0 0 JORGE YINAT BOARD MEMBER 1.0 0.0 X 0 0 0 0 4954096 308746 0 false true false DPR CONSTRUCTION 5500 Cox Road Suite M GLEN ALLEN VA 23060 NONEMPLOYEE COMPENS 2870556 WVS KINIRY WILLOWWOOD PARTNERS PO BOX 8029 RICHMOND VA 232238029 NONEMPLOYEE COMPENS 900619 YORK RIVER FLOORING LLC 111 Seaford Road Suite A SEAFORD VA 23696 NONEMPLOYEE COMPENS 719872 AKF GROUP LLC P O Box 786906 PHILADELPHIA PA 19178 NONEMPLOYEE COMPENS 204350 PRICE STUDIOS LLC P O Box 14837 RICHMOND VA 23221 NONEMPLOYEE COMPENS 110534 6 220 220 AFFILIATE INCOME C(3) 532000 19113201 19113201 19113201 15651416 11561948 196513 3892955 0 0 24190 24190 0 24190 24190 457199 18377496 0 16259256 457199 2118240 2575439 2575439 0 0 0 0 0 0 0 0 0 OTHER OPERATING REVENUE 900099 67568 67568 67568 37432034 30742717 196513 6492584 0 0 21189 21189 0 0 0 0 0 0 0 44958 44958 0 0 18936 18936 0 0 0 4133 4133 0 2020627 58554 1962073 0 0 9160 9160 0 84792 84792 0 0 5573103 3911322 1661781 0 0 0 0 15388106 15350954 37152 0 0 13347757 13275833 71924 0 97795 97795 0 MEDICAL SUPPLIES 139948 139948 0 DEBT EXTINGUISHMENT FEES 5116470 5116470 41866974 38134044 3732930 0 220437334 112805925 24991255 45405447 0 0 59544548 295134434 0 0 0 0 810000 986400 0 0 3175167 3608502 342661628 78675832 279759005 263985796 16965970 11583601 20962012 4943576 19780899 18639063 0 0 13623162 11724370 660049352 768817114 23246065 36055238 0 0 10406545 0 295365652 220815144 0 0 0 0 108881246 304778437 3995789 323733 35412347 16666330 477307644 578638882 X 182741708 190178232 0 0 182741708 190178232 660049352 768817114 X -4434940 3524625 8346839 X false true X true false X X 13 CENTER FOR EXCELLENCE IN AGING AND GERIATRIC HEALTH 061544517 7 false 0 0 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 3 false 0 0 RIVERSIDE HOSPITAL INC 521245746 3 false 0 0 RIVERSIDE CONVALESCENT CENTERS INC 521276323 3 false 0 0 THE REHABILITATION INSTITUTE OF VIRGINIA INC 521432269 3 false 0 0 PATRICK HENRY HOSPITAL INC 540601803 3 false 0 0 FRANCIS N SANDERS NURSING HOME INC 540683174 10 false 0 0 RIVERSIDE WELLNESS AND FITNESS CENTERS INC 541318861 10 false 0 0 RIVERSIDE RETIREMENT SERVICES INC 541348674 10 false 0 0 PATRIOTS COLONY INC 541680163 10 false 0 0 RIVERSIDE HEALTH SYSTEM FOUNDATION INC 541994013 7 false 0 0 DOCTORS' HOSPITAL OF WILLIAMSBURG 271540267 3 false 0 0 SHORE HEALTH SERVICES INC 540560500 3 false 0 0 13 0 0 false false false false true true false false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 The articles of incorporation of Riverside Healthcare Association, Inc. (RHA) provide that the purpose of the organization is to operate exclusively for charitable purposes within the meaning of Section 501(c)(3), and for the benefit of, to perform the functions of, or carry out the purposes of the Corporation's affiliated healthcare organizations described in Sections 509(a)(1) and 509(a()2), under provisions of Section 509(a)(3) of the Internal Revenue Code. Schedule A, Part IV, Section A, Line 5A To better serve the Northern Neck community, as the sole member of Riverside Tappahannock Hospital, Inc. EIN 54-1489410, Riverside Healthcare Association, Inc. sold 100% of its membership on January 1, 2021. Schedule A, Part IV, Section C, Line 1 Riverside Healthcare Association, Inc. (RHA) is supervised or controlled in connection with its supported organizations because control and management of RHA is vested in the same persons that control and manage its supported organizations by virtue of majority overlap of the officers of RHA and its supported organizations. RHA is responsive to each of the supported organizations and maintains involvement in each of the supported organizations' operations through its role as the parent organization of this integrated health system. 62527406 62527406 266105107 70208915 195896192 603241 454344 148897 13425874 8012573 5413301 263985796 0 LEASE OBLIGATION 7939567 INTEREST RATE SWAP AGREEMENTS 8689811 ACCRUED INTEREST PAYABLE 36952 16666330 X Schedule D, Part X, Line 2 The footnote on the consolidated financial statements of Riverside Healthcare Association, Inc. and its subsidiaries reads: The System has received a group exemption letter from the Internal Revenue Service (IRS) under the corporation name Riverside Healthcare Association, Inc. recognizing each of its wholly owned subsidiaries, except for Riverside Medical Equipment Company, Inc., Newport News General and Non-Sectarian Hospital Association, Inc., Shore Health Services, Inc., Shore Life Care, Inc., Tilden and Virginia Davis Support Foundation, Inc., and Peninsula Hospital Services, Inc. stating they are exempt from income taxes pursuant to Section 501(c)(3) of the IRC, except for unrelated business income. Newport News General and Non-Sectarian Hospital Association, Inc. has retained its determination letter from the IRS stating it is exempt from income taxes pursuant to IRC Section 501(c)(2). Shore Health Services, Inc., Shore Life Care, Inc., and Tilden and Virginia Davis Support Foundation, Inc. have retained their determination letters stating they are exempt from income taxes pursuant to IRC Section 501(c)(3). No provision for income taxes was required for the years ended December 31, 2021 and 2020. As of December 31, 2021 and 2020, there were no uncertain tax positions. North America 1 0 Investments 947692 1 0 1 0 947692 947692 true false true false false false X X X X X false true false false false false false false false WALTER WILLIAM AUSTIN JR EVP, CFO & TREASURER 0 523277 0 86939 0 84886 0 12950 0 15101 0 723153 0 0 MICHAEL DACEY MD PRESIDENT/COO, RHS 0 713399 0 139313 0 122325 0 12950 0 7537 0 995524 0 0 WILLIAM BURNS DOWNEY CEO, RHS 0 1007061 0 265669 0 223206 0 49401 0 13503 0 1558840 0 0 JASON O HOUSER GENERAL COUNSEL/SECRETARY, RHS 0 378465 0 64155 0 58118 0 49280 0 26105 0 576123 0 0 DAVID F JONES MD BOARD MEMBER/RMG PHYSICIAN 0 164986 0 51358 0 143135 0 26544 0 15053 0 401076 0 0 Barbara Labonte Associate Vice President Budge 0 211949 0 28898 0 10642 0 37514 0 15916 0 304919 0 0 NANCY WICK LITTLEFIELD EVP/CNO, RHS 0 419821 0 102449 0 82045 0 12950 0 13942 0 631207 0 0 Sch J, Part 1, Line 4B Jason Houser $ 45,891 Michael Dacey $103,638 Nancy Littlefield $ 62,598 Walter Austin $ 68,407 William Downey $199,537 ------------------------------- Total $480,071 Riverside has established this SERP to provide retirement benefits to certain executive employees to supplement the retirement benefits to be received from Riverside and Social Security. Although the employee is fully vested in these funds, he/she will not have the right to withdraw these funds until the later of the employee reaching age 62 or separation from service with Riverside. A INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 2015-07-22 100000000 2015A Construction RHS Facilities false false false B INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 2015-07-22 25000000 2015B Construction RHS Facilities false false false C Industrial Development Authority City NN 541737715 652264AB8 2017-08-18 51409500 2017A Construction RHS Facilities false false false D Economic Development Authority City NN 521290859 65226DAAO 2017-09-07 68555000 2017B REF 2011A/2011C-97/04/02/91 false false false A 0 0 100957481 0 0 0 0 0 0 100957481 0 0 2019 false false true true B 2000000 0 25530452 0 0 0 0 0 0 25530452 0 0 2019 false false true true C 0 0 53193397 0 0 0 0 0 0 53193397 0 0 2019 false false true true D 20353886 0 68555000 0 0 0 447 0 0 0 68554553 0 2004 true false true true A false false true true true true 0 false false false true B false false true true true true 0 false false false true C false false true true true true 0 false false false true D false false true true true true 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false true true Deutsche Bank AGNY 29. false false false 0 false true A true B true C true D true Bond Disclosure ALL OUTSTANDING BOND ISSUES LISTED ON THE RIVERSIDE HEALTHCARE ASSOCIATION SCHEDULE K ARE ISSUED AS HEALTH SYSTEM REVENUE BONDS UNDER THE PARENT RIVERSIDE HEALTH SYSTEM. THEREFORE, RIVERSIDE HEALTH SYSTEM (THE PARENT) IS LISTED AS THE ISSUER ON THE 8038 FORM FILED WITH THE IRS. Part II, Line 3 INCLUDES INVESTMENT EARNINGS OF $957,480.58 FOR 2015A AND $530,451.60 FOR 2015B. Part II, Line 3 INCLUDES INVESTMENT EARNINGS OF $1,783,897.07 FOR 2017A. Part IV Arbitrage line 2c - rebate calculations were completed August 21, 2020. Part VI, Sec A, Line 4 The organization's articles of incorporation were amended to update the required language related to its supported organizations. Part VI, Sec B, Line 11b On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Compensation Committee reviews the Form 990. The entire Form 990 was reviewed by an independent accounting firm before filing and is provided to the Riverside Healthcare Association, Inc. Board of Directors for review. Part VI, Sec B, Line 12c All Board Members, Officers, Directors and Key Employees complete an annual Conflict of Interest questionnaire. A report of potential Conflicts of Interest is reviewed by the Compliance Officer. The Compliance Officer consults with the Riverside Health System CEO regarding identified conflicts of interest as necessary. If a conflict presents, Board Members are required by the By-Laws, to disclose the conflict to the full Board and recuse themselves from voting on a case by case basis. Part VI, Section B, Line 15 A&B The Riverside Healthcare Association, Inc. Board of Directors compensation committee reviews and approves the compensation for top management using independent consultants and surveys. The review of the data provided by the independent consultants for 2021 top management salaries was conducted by the compensation committee on December 3, 2020. Part VI, Sec C, Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon written request. Part XI, Line 9 Interest Rate Swap Agreements $2,345,880 Equity Transfer $ 914,822 Transfer Excess Revenue from Related 501(c)2 Entity $5,086,137 =========== Total $8,346,839 QUARTERPATH WILLIAMSBURG LLC 608 Denbigh Blvd St 800 Newport News VA 23608 473606366 REAL ESTATE VA 0 8242097 RivHCAssc Center for Excellence In Aging 608 Denbigh Blvd St 800 Newport News VA 23608 061644517 Research VA 501(C)(3) 7 RivRetSvc true Doctors' Hospital of Williamsburg 608 Denbigh Blvd St 800 Newport News VA 23608 271540267 Hospital VA 501(C)(3) 3 RivHCAssc true Francis N Sanders Nursing Home Inc 608 Denbigh Blvd St 800 Newport News VA 23608 540683174 Nursing Care VA 501(c)(3) 10 RivHCAssc true Newport News General & Nonsectarian Hosp 608 Denbigh Blvd St 800 Newport News VA 23608 540505934 Holding Comp VA 501(c)(2) RivHCAssc true Patrick Henry Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 540601803 Nursing Care VA 501(C)(3) 3 RivHCAssc true Patriots Colony Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541680163 Ret Community VA 501(C)(3) 10 RivHCAssc true Rehabilitation Institute of Va Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521432269 Holding Comp VA 501(C)(3) 3 RivHCAssc true Riverside Convalescent Centers Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521276323 Nursing Care VA 501(C)(3) 3 RivHCAssc true Riverside Health System Foundation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541994013 Foundation VA 501(C)(3) 7 RivHCAssc true Riverside Healthcare Foundation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241989 Foundation VA 501(C)(3) 12 I RivHCAssc true Riverside Healthcare Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241839 Management VA 501(C)(3) 10 RivHCAssc true Riverside Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521245746 Hospital VA 501(C)(3) 3 RivHCAssc true Riverside Management Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241840 MANAGEMENT VA 501(C)(3) 10 RivHCAssc true Riverside Middle Peninsula Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241836 Hospital VA 501(C)(3) 3 RivHCAssc true Riverside Physician Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541519724 PT SERVICES VA 501(C)(3) 3 RivHCAssc true Riverside Retirement Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541348674 Ret Community VA 501(C)(3) 10 RivHCAssc true Riverside Wellness & Fitness Centers Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541318861 Wellness VA 501(C)(3) 10 RivHCAssc true Sanders Common LTD 608 Denbigh Blvd Ste 800 Newport News VA 23608 524233030 Nursing Care VA 501(C)(3) 10 RivHCAssc true Shore Health Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 540560500 Hospital VA 501(C)(3) 3 RivHCAssc true Shore Life Care Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541876370 Nursing Care VA 501(C)(3) 10 ShoreHSvc true Tilden and Virginia Davis Support 608 Denbigh Blvd Ste 800 Newport News VA 23608 541527703 Foundation VA 501(C)(3) 12 I RivRetSvc true At Home Partners LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED 0 0 false true 0.80000 Peninsula Hospital Services 608 Denbigh Blvd Ste 800 Newport News VA 23608 540991295 Laundry VA NA COOP 0 0 1.00000 true RHS Medinsur LTD Craig Appin House Wesley Street Hamilton BD 521241835 Insurance BD NA C Corp 11064021 52332033 1.00000 true Riverside Medical Equipment Company Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA NA C corp 0 0 false false false false false false false false false false true false false true false false false false false true Newport News General and Nonsectarian Hosp S 5086137 MARKET VALUE Riverside Hospital Inc J 24937481 MARKET VALUE Riverside Hospital Inc M 84792 MARKET VALUE Riverside Middle Peninsula Hospital Inc J 5643216 MARKET VALUE Patrick Henry Hospital Inc J 217884 MARKET VALUE Francis N Sanders Nursing Home Inc J 496677 INTEREST Patriots Colony Inc J 101708 MARKET VALUE Riverside Healthcare Services Inc M 86503 MARKET VALUE RIVERSIDE HEALTHCARE ASSOC. GROUP RVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY Ownership Abbreviation Key: Riverside Healthcare Association, Inc. RivHCAssc Riverside Retirement Services, Inc. RivRetSvc Shore Health Services, Inc. ShoreHSvc