2021-11-15T16:40:39-06:00 2020-12-31 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2020-01-01 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 & Treasur 7578757545 2021-11-15 true W WILLIAM AUSTIN JR 999009999 ABBEY E LEIBEL P01517527 5136121400 2 2020 2022-09-23 18:48:47Z Riverside Health System William Downey 608 DENBIGH BLVD SUITE 800 Newport News VA 236084487 38195231 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. 17 14 0 0 0 0 0 0 10285049 17677947 18671613 18818946 71066 95190 29027728 36592083 0 0 0 0 0 0 0 0 0 31821401 35429453 31821401 35429453 -2793673 1162630 581178175 660049352 405283648 477307644 175894527 182741708 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 33645310 0 36131237 FINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. 33645310 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 30 0 true 0 true true true BD false false false false false false false false false true false X 17 14 true false false 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 1442295 51449 MICHAEL DACEY MD PRESIDENT/COO, RHS 1.0 39.0 X 0 925821 17140 W WILLIAM AUSTIN JR SR VP, CFO & TREASURER 1.0 39.0 X 0 674413 27602 NANCY WICK LITTLEFIELD EVP/CNO, RHS 1.0 39.0 X 0 582860 21648 JASON O HOUSER GENERAL COUNSEL/SECRETARY, RHS 1.0 39.0 X 0 509624 57906 BARBARA LABONTE AVP BUDGET TAX & REIMBURSEMENT 1.0 39.0 X 0 233947 45994 ROBERT R HARDING MD BD MBR/RMG Physician 1.0 25.0 X 0 238501 38925 REGINA PAGE BRAYBOY BOARD MEMBER 1.0 0.0 X 0 72000 0 ALAN STEVEN WITT CHAIRMAN 1.0 0.0 X X 0 0 0 ALEXIS SWANN BOARD MEMBER 1.0 0.0 X 0 0 0 CONWAY HOWARD SHEILD III BOARD MEMBER 1.0 0.0 X 0 0 0 CONWAY W SMITH III BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL J SHERLOCK BOARD MEMBER 1.0 0.0 X 0 0 0 GABRIEL A MORGAN VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JEROLD WAYNE ALLEN BOARD MEMBER 1.0 0.0 X 0 0 0 JULIE KEY RAUTIO BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD A FARMAR III BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD FREDERICK CROWDER MD BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT D CROCKETT BOARD MEMBER 1.0 0.0 X 0 0 0 SCOTT STABLER BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS BYRD BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM L BRAUER BOARD MEMBER 1.0 0.0 X 0 0 0 0 4679461 260664 0 false true false DPR CONSTRUCTION 37421 CENTRALMONT PLACE FREMONT CA 94536 NONEMPLOYEE COMPENS 8533871 WVS KINIRY WILLOWWOOD PARTNERS PO BOX 8029 RICHMOND VA 232238029 NONEMPLOYEE COMPENS 535045 SQUARE 1 ROOFING LLC 5812 MOORETOWN ROAD STE K WILLIAMSBURG VA 23188 NONEMPLOYEE COMPENS 533657 EXCEL ENERGY CONSULTING LLC 4805 CONSTITUTION WILLIAMSBURG VA 23188 NONEMPLOYEE COMPENS 403008 SKYTRON LLC PO BOX 675164 DETROIT MI 482675164 NONEMPLOYEE COMPENS 369715 7 0 AFFILIATE C(3) RENTAL INCOME 532000 17677947 17677947 17677947 18487358 12586162 5901196 0 0 26206 26206 0 26206 26206 363780 1570956 1603148 363780 -32192 331588 331588 0 0 0 0 0 0 0 0 0 VENDOR REBATES 900099 68984 68984 68984 36592083 30333093 6258990 0 0 0 0 0 0 0 0 0 0 43330 43330 0 27178 27178 16482 16482 0 0 10612 10612 3120 3120 220 220 961801 961801 87408 87408 0 4895559 4895559 0 0 0 14208878 14208878 0 13554118 13554118 57925 57925 PROFESSIONAL SERVICES 1562822 11002 1551820 35429453 33645310 1784143 0 2062811 220437334 27138812 24991255 0 0 208887230 59544548 0 0 0 0 1899506 810000 0 0 3180897 3175167 345087080 65328075 272203647 279759005 16451814 16965970 18886795 20962012 15876301 19780899 0 0 14590362 13623162 581178175 660049352 24735397 23246065 0 0 8826545 10406545 303242645 295365652 0 0 0 0 50000000 108881246 568926 3995789 17910135 35412347 405283648 477307644 X 175894527 182741708 0 0 175894527 182741708 581178175 660049352 X 1162630 1803088 3881463 X false true X true false X X 14 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 RIVERSIDE TAPPAHANNOCK HOSPITAL INC 541489410 3 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 14 false false false false false 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 provide hospital and other institutional facilities and services to the general public and to make such facilities available to indigent or needy patients. The governing documents provide that RHA shall be operated in support of affiliated non-profit, charitable healthcare organizations. The class of supported organizations carry out the organization's purpose described above. This accomplishes RHA's objective of providing hospital facilities and services to the general public including the indigent and needy patients as part of the integrated health system and fulfills its mission of caring for others by overseeing, managing and providing financial and programmatic coordination for all related tax-exempt affiliates. 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. 65370538 65370538 266640073 57408262 209231811 569853 479074 90779 12506616 7440739 5065877 279759005 0 2004 BOND SWAP DERIVATIVE 11015701 WARWICK MEDICAL OFFICE LEASE OBLIGATION 8387479 OTHER CURRENT 16009167 35412347 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., and Tilden and Virginia Davis Support Foundation, 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, 2020 and 2019. As of December 31, 2020 and 2019, there were no uncertain tax positions. North America 1 0 Investments 3904598 1 0 1 0 3904598 3904598 true false true false false false X X X X X false true false false false false false false false JASON O HOUSER GENERAL COUNSEL/SECRETARY, RHS 0 356915 0 77106 0 75603 0 32590 0 25316 0 567530 0 0 MICHAEL DACEY MD PRESIDENT/COO, RHS 0 651263 0 159258 0 115300 0 8149 0 8991 0 942961 0 0 NANCY WICK LITTLEFIELD EVP/CNO, RHS 0 391010 0 96642 0 95208 0 7806 0 13842 0 604508 0 0 ROBERT R HARDING MD BD MBR/RMG Physician 0 183351 0 21712 0 33438 0 38238 0 687 0 277426 0 0 W WILLIAM AUSTIN JR SR VP, CFO & TREASURER 0 488543 0 103828 0 82042 0 12825 0 14777 0 702015 0 0 WILLIAM BURNS DOWNEY CEO, RHS 0 904125 0 316971 0 221199 0 38290 0 13159 0 1493744 0 0 BARBARA LABONTE AVP BUDGET TAX & REIMBURSEMENT 0 195937 0 34720 0 3290 0 30334 0 15660 0 279941 0 0 Sch J, Part 1, Line 4B Jason Houser $ 44,881 Michael Dacey $ 96,408 Nancy Littlefield $ 58,503 Walter Austin $ 66,479 William Downey $193,725 ------------------------------- Total $459,996 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 Economic Development Authority City NN 521290859 000000000 2012-12-20 75000000 2012 Construct. Surgical Pavilion false false false B INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 100000000 2015A CONSTRUCTION RHS FACILITIES false false false C INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 25000000 2015B Construction RHS Facilities false false false D INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 652264AB8 2017-08-18 51409500 2017A Construction RHS Facilities false false false A 9455000 0 75000000 0 0 0 618200 0 0 74381800 0 0 2012 false false true true B 0 0 100957481 0 0 0 0 0 0 100957481 0 0 2019 false false true true C 1000000 0 25530452 0 0 0 0 0 0 25530452 0 0 2019 false false true true D 0 0 53193397 0 0 0 0 0 0 53193397 0 0 2019 false false true true A false false false false 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 true false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 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. A Economic Development Authority City NN 521290859 65226DAA0 2017-09-07 68555000 2017B REF 2011A/2011C-97/04/02/91 false false false A 11905000 0 68555000 0 0 0 447 0 0 68554553 0 0 2004 true false true true A false false true true true true 0 false false false true A false true false false true true Deutsche Bank AG NY 29. false false false 0 false true A true Schedule O Part VI, Sec A, Line 2 Alan Witt and William Downey serve together on a regional advisory board for a local community bank. 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. 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 VII, Sec B For Riverside Healthcare Association, Inc. and certain subsidiaries, Forms 1099 and 1096 are filed under Riverside Healthcare Association, Inc. The number listed in question 1a represents the Forms 1099 filed for those subsidiaries and includes more than just independent contractors of Riverside Healthcare Association, Inc. Part VIII, Line 11D $925,846 of the amount reported on line 11D is a reclass of certain funds to cover specific program costs for related organizations. Part IX, Line 24G $925,846 of the amount reported on line 24G is a reclass of certain funds to cover specific program costs for related organizations. Part XI, Line 9 Change in FV of interest rate swap agreements $-1,916,682 Transfer of Excess Revenue from related 501(c)(2) entity $ 5,798,145 ============ Total $ 3,881,463 QUARTERPATH WILLIAMSBURG LLC 608 Denbigh Blvd St 800 Newport News VA 23608 473606366 REAL ESTATE VA 0 7157073 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 Incorporated 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 Tappahannock Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541489410 Hospital VA 501(C)(3) 3 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 Coastal Virginia Rehabilitation LLC 4714 Gettysburg Road Mechanicsburg PA 17055 821270202 Hospital VA Rehabinst EXCLUDED 0 0 false false 0.51000 Peninsula Hospital Services 608 Denbigh Blvd Ste 800 Newport News VA 23608 540991295 Laundry VA NA COOP 0 0 0.61000 true RHS Medinsur LTD Craig Appin House Wesley Street Hamilton BD 521241835 Insurance BD NA C Corp 10024979 48641295 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 true true true false false false false false true Riverside Doctors Hospital of Williamsburg M 158724 MARKET VALUE Riverside Middle Peninsula Hospital Inc K 2626404 MARKET VALUE Riverside Middle Peninsula Hospital Inc M 2107560 MARKET VALUE Riverside Hospital Inc K 15051543 MARKET VALUE Riverside Hospital Inc M 9537026 MARKET VALUE Francis N Sanders Nursing Home Inc M 506857 MARKET VALUE Patriots Colony Inc M 221945 MARKET VALUE Riverside Healthcare Services Inc L 104189 MARKET VALUE Riverside Hospital Inc L 124236 MARKET VALUE Newport News General and Nonsectarian Hosp S 5798145 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