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      <FSAuditedInd>true</FSAuditedInd>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Uncertain Tax Liability</FormAndLineReferenceDesc>
        <ExplanationTxt>Newport News General and Nonsectarian Hospital Association, Inc. is included in the consolidated audited financial statements of Riverside Healthcare Association, Inc. and Subsidiaries. The footnote on the consolidated financial statements 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.</ExplanationTxt>
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        <PersonNm>MICHAEL DACEY MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM BURNS DOWNEY</PersonNm>
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        <PersonNm>JASON O HOUSER</PersonNm>
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        <PersonNm>Barbara Labonte</PersonNm>
        <TitleTxt>Associate Vice President Budge</TitleTxt>
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        <PersonNm>NANCY WICK LITTLEFIELD</PersonNm>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section A, Line 6 The Organization is a not for profit corporation with a single member. The member has the right to participate in the Organization's governance, including electing members of the governing body and to approve significant decisions of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the governing body are subject to approval by the Member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>Significant items such as merger, amendment of charter documents, and appointment of Board members requires the approval of the member corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer of Excess Revenue to related 501(c)(3) entity $-5,086,137 ============ Total $-5,086,137</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Center for Excellence in Aging</BusinessNameLine1Txt>
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          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>061644517</EIN>
        <PrimaryActivitiesTxt>Research</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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          <BusinessNameLine1Txt>Doctors' Hospital of Williamsburg</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Riverside Healthcare Association Inc</BusinessNameLine1Txt>
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        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>509379</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RIVERSIDE HEALTHCARE ASSOCIATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>4791501</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
