2021-11-15T18:12:59-06:00 2020-12-31 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2020-01-01 901000718 Riverside Healthcare Association Inc Group % B LABONTE AVP-TAX RIVE 7578757545 608 Denbigh Blvd Suite 800 Newport News VA 23608 W WILLIAM AUSTIN JR EVP AND CFO 7578757545 2021-11-15 true W WILLIAM AUSTIN JR 999009999 ABBEY E LEIBEL P01517527 5136121400 2 2020 2022-09-23 18:48:47Z WILLIAM DOWNEY CEO RHS 608 DENBIGH BLVD STE 800 NEWPORT NEWS VA 23608 1771423736 true true 5701 X RIVERSIDEONLINE.COM X PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY. 194 155 10923 567 275467 0 7157691 59364863 1258603102 1262210595 12661651 3497665 424327804 444066008 1702750248 1769139131 550060 352480 0 0 720777075 768266474 0 0 39498 968646372 1006874335 1689973507 1775493289 12776741 -6354158 955792442 1138202405 498263539 697742942 457528903 440459463 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 1387371633 352480 1690653888 General hospital, Long-Term Care and physician services provided to the community: 2,381,939 persons were benefited in 2020 with quantifiable community benefits of $84,644,081. 1387371633 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true true true false false false false false false false true true false false false true true true true false false true 602 0 true 10923 true true true false false false false false false false false false false false false X 194 155 true false false false true true true true true false false false true true true true true false false true true VA X B LABONTE AVP-TAX 7578757545 608 DENBIGH BLVD 800 NEWPORT NEWS VA 23608 DEAN KOSTOV PHYSICIAN 40.0 0.0 X 2338234 0 61912 WILLIAM H MCALLISTER MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 2155692 0 66641 MATTHEW REED PHYSICIAN 40.0 0.0 X 1741803 0 30008 ROMNEY ANDERSEN PHYSICIAN 40.0 0.0 X 1730098 0 13698 WILLIAM BURNS DOWNEY CEO, RHS 40.0 0.0 X X 1442295 0 51449 BRIAN KEEL PHYSICIAN 40.0 0.0 X 1358198 0 30716 JACKSON SALVANT PHYSICIAN 40.0 0.0 X 1310408 0 37290 MICHAEL DACEY MD PRESIDENT/COO, RHS 40.0 0.0 X X 925821 0 17140 DAVID COHEN RRMC-VP CMO 40.0 0.0 X 714566 0 44771 MICHAEL JOSEPH DOUCETTE PRESIDENT, RRMC 40.0 0.0 X 674404 0 65249 SCOTT BURGESS RMG-BOARD MBR/RMG Physician 40.0 0.0 X 664937 0 66317 W WILLIAM AUSTIN JR SVP, CFO & TREASURER 40.0 0.0 X 674413 0 27602 MELVIN D SCHURSKY JR MD RWRH-CMO, RWRH 40.0 0.0 X 590418 0 42784 CHARLES FRAZIER RRMC-VP MD 40.0 0.0 X 541657 0 75436 SALLY HARTMAN SENIOR VP 40.0 0.0 X 558247 0 46964 NANCY WICK LITTLEFIELD EVP/CNO, RHS 40.0 0.0 X X 582860 0 21648 CHRISTOPHER PATRICK STOLLE MD VP MEDICAL AFFAIRS 40.0 0.0 X 565980 0 31078 ROSS YOUNGER SENIOR VP 40.0 0.0 X 513417 0 70732 CARRIE R MOSS MD RDHW-BD MBR/RMG Physician 40.0 0.0 X 542931 0 38854 JASON O HOUSER GENERAL COUNSEL/SECRETARY,RHS 40.0 0.0 X 509624 0 57906 CHARLES GRAHAM VP 40.0 0.0 X 480141 0 50774 JAMES C SPILLER RRMC-MED STAFF PRES/RMG Phys 40.0 0.0 X 484144 0 39558 JOSEPH CONVERSE RDHW-MED STAFF PRES/RMG Phys 32.0 0.0 X 456967 0 52386 CATHERINE LINTZENICH MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 465007 0 35711 JAMES W MCCORRY DO RDHW-CMO/RMG Physician 40.0 0.0 X 444553 0 33463 DWIGHT C HERBERT MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 426668 0 45926 ELIZABETH J MARTIN PRESIDENT, RTH 40.0 0.0 X 404852 0 50849 LISA A CASANOVA MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 377772 0 57194 ESTHER M DESIMINI PRESIDENT, RWRH 40.0 0.0 X 389286 0 41866 JEFF T SENSENIG RWRH-MED STAFF PRES/RMG Phys 36.0 0.0 X 366360 0 54016 REGINALD K MASON RTH-MED STAFF PRES/RMG Phys 40.0 0.0 X 378959 0 39741 CYNTHIA WILLIAMS VP 40.0 0.0 X 384721 0 27011 THERESA SIEVERS SENIOR VP 40.0 0.0 X 383414 0 13155 SALLY RYAN VP/COO, RMG 40.0 0.0 X 371274 0 25224 NEHEMIAH THRASH MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 337256 0 51863 EDWARD G HECKLER VP, LIFELONG HEALTH 40.0 0.0 X 322517 0 53473 ELENA GARRETT MD RMG-BOARD MBR/RMG Physician 32.0 0.0 X 336780 0 33301 DAVID F JONES MD RMG-CHAIRMAN/RMG Physician 40.0 0.0 X X 322099 0 47422 JOHN MINCKS RDHW-FMR MEDSTAFFPRES/RMG Phys 40.0 0.0 X 309444 0 59626 JASON KILGORE VP RESULTS MGT AND ANALYTI 40.0 0.0 X 287965 0 56259 LISA SALSBERRY Officer Corp Audit & Comp/ 40.0 0.0 X 282569 0 61626 ADRIA NICOLE VANHOOZIER PRESIDENT, RDHW 40.0 0.0 X 315012 0 23717 BRADEN MILLER RMG-CHIEF FINANCIAL OFFICER/AV 40.0 0.0 X 300346 0 35095 MICHAEL FRANCIS RTH-FMR MEDSTAFFPRES/RMG Phys 28.0 0.0 X 298158 0 35859 SHEBA MOHSIN MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 267564 0 57729 EILEEN VARNSON VP 40.0 0.0 X 285412 0 39181 JESSE GOODRICH VP 40.0 0.0 X 284073 0 38625 THOMAS KAYROUZ RMG-PRESIDENT CMO RMG 40.0 0.0 X 301662 0 12367 SADIE THURMAN RRMC-VP CNO 40.0 0.0 X 272689 0 30686 RICHARD K DUNN MD RMG-BOARD MBR/RMG Physician 40.0 0.0 X 245059 0 57588 LISA MARIE DODD RTH-BOARD MEMBER/RMG Physician 25.0 0.0 X 269717 0 12137 ROBERT CROSS RMG-BOARD MBR/RMG Physician 31.0 0.0 X 243871 0 36875 BARBARA LABONTE AVP BUDGET TAX & REIMBURSEMENT 40.0 0.0 X 233946 0 45994 ROBERT R HARDING MD RMG-BOARD MBR/RMG Physician 26.0 0.0 X 238501 0 38925 SANDRA SNAPP ASSOCIATE VICE PRESIDENT SERVI 40.0 0.0 X 238911 0 32864 DOUGLAS CULBERT ASSOCIATE VICE PRESIDENT SERVI 40.0 0.0 X 213790 0 55646 DAVID INABINET CHIEF INFORMATION SECURITY OFF 40.0 0.0 X 240729 0 27154 LINWOOD NELSON LLH-CHIEF FINANCIAL OFFICER/AV 40.0 0.0 X 213690 0 52570 VERNEETA L WILLIAMS MD RHSF-BOARD MBR/RMG Physician 40.0 0.0 X 217944 0 45615 MARK RATH ASSOCIATE VICE PRESIDENT 40.0 0.0 X 224439 0 28001 MICHAEL KEESEE AVP CLINICAL & REVENUE CYCLE S 40.0 0.0 X 223004 0 26028 LINDA MCKEE ASSOCIATE VICE PRESIDENT SERVI 40.0 0.0 X 226337 0 18206 MARGARET LEMLEY PAT-EXECUTIVE DIRECTOR 40.0 0.0 X 219628 0 20625 STACEY JOHNSON RRMC-VP 40.0 0.0 X 221962 0 17698 CHERYL ANGE RMG-DIRECTOR SR SPECIALITIES 40.0 0.0 X 198051 0 30405 ERIC STONE RRMC-FMR VP CLIN OPS/RMG Phys 40.0 0.0 X 212701 0 9253 LISA SHANNON DIRECTOR SYSTEM 40.0 0.0 X 194571 0 24090 TIMOTHY EMONS CORPORATE CONTROLLER AVP 40.0 0.0 X 188336 0 28888 JESSICA MACALINO ASSOCIATE VICE PRESIDENT SERVI 40.0 0.0 X 194531 0 16532 SHELLY JOHNSON PRESIDENT ASSOCIATE VICE 40.0 0.0 X 173881 0 27741 SANDRA HURLEY RWRH-CHIEF NURSING OFFICER 40.0 0.0 X 184375 0 15313 ANDREA STASKIEL RRS-EXECUTIVE DIRECTOR 40.0 0.0 X 176370 0 18757 JUDITH MATTHEWS RTH-CHIEF NURSING OFFICER 40.0 0.0 X 172210 0 22181 DELVIN PEEKS AVP ENTERPRISE RESOURCE & WORK 40.0 0.0 X 155892 0 37470 KELLY COOPER RMG-DIRECTOR SR RMG 40.0 0.0 X 166326 0 25798 MARGARET ATKINS RDHW-CHIEF NURSING OFFICER 40.0 0.0 X 161876 0 19926 STEVEN MINTER LLH-ADMINISTRATOR 40.0 0.0 X 159578 0 18604 LISA KIRBY RRI-DIRECTOR EXECUTIVE LLH NUR 40.0 0.0 X 157430 0 13670 KRISTEN WITT RHSF-EXECUTIVE DIRECTOR 40.0 0.0 X 150062 0 14691 TERESA K THOMPSON NP RMG-BOARD MBR/RMG Physician 34.0 0.0 X 111470 0 15364 SHAWN A FLANAGAN RDHW-BOARD MEMBER/RMG 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47092350 0 110856791 110856791 1683040 1489442 193598 0 21724 8971 12753 12598098 6896132 5701966 0 54961355 46070061 8891294 91457794 6475640 84982154 PROFESSIONAL SERVICES 182343812 182343812 MEDICAL SUPPLIES 243879059 243879059 BAD DEBT EXPENSES 28910945 28910945 MEDICAID ASSESSMENT 28837240 28837240 9007095 8596517 410578 1775493289 1387371633 388082158 39498 16091059 28053998 373720398 512234594 0 0 40538584 66201233 0 0 0 0 0 0 23517421 32520409 17162381 15027892 1048339053 651172264 401323515 397166789 0 0 0 0 42955772 46514178 40483312 40483312 0 0 955792442 1138202405 232772097 385914898 0 0 6181255 7091834 0 0 0 0 0 0 0 0 0 0 259310187 304736210 498263539 697742942 X 439155636 419381063 18373267 21078400 457528903 440459463 955792442 1138202405 X -6354158 23411971 126490 -7896550 -26357193 X false true X true true true X 3 RIVERSIDE HOSPITAL INC 521245746 3 true 0 0 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 3 true 0 0 RIVERSIDE REHABILITATION INSTITUTE 521432269 3 true 0 0 3 2004962 3327791 3265075 1605113 1456417 11659358 0 0 2004962 3327791 3265075 1605113 1456417 11659358 0 11659358 10944 11996 283370 93 899 307302 0 3233478 157475 99009 1744442 1787206 7021610 18988270 313990117 0.61403 0.61870 X 0 29493 31543 0 0 61036 110067150 162557613 148919430 154453978 159395355 735393526 0 0 0 110067150 162587106 148950973 154453978 159395355 735454562 0 88414861 144067109 232481970 88414861 144067109 232481970 502972592 36502 -1095619 -3719539 1298816 108483 -3371357 0 36502 -1095619 -3719539 1298816 108483 -3371357 0 13785249 18170944 30662630 692452 761616 64072891 123888901 179662431 175894064 156445246 160265454 796156096 0.63175 0.78555 0.00424 0.00008 X true true false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 2 Riverside Healthcare Foundation, which is controlled by Riverside Healthcare Association, Inc., has determined that its hospital supported organizations qualify as public charities under Section 509(a)(1) as entities described in Section 170(b)(1)(A)(iii). They have not received separate IRS determination letters as they are part of the group ruling. PART IV, SECTION B, LINE 2 Riverside Healthcare Foundation also supported its other supported organizations within the Riverside Health System. That support carried out the purposes of Riverside Healthcare Association, Inc. (RHA) by strengthening the ability of the Foundation's supported organizations to provide quality health care and improve the health of citizens in RHA's community. PART I, LINES 12 and 12a RIVERSIDE HEALTHCARE FOUNDATION IS A SUBORDINATE WITHIN THE GROUP THAT IS RECOGNIZED BY THE IRS AS A 509(a)(3) TYPE I SUPPORTING ORGANIZATION. ACCORDINGLY, PART IV, SECTIONS A AND B HAVE BEEN COMPLETED. SCHEDULE A, PART 1 Public Charity Status of Subordinates Name of Subordinate EIN Type Center for Excellence in Aging/Geriatric Health 06-1544517 7 Riverside Middle Peninsula Hospital, Inc. 52-1241836 3 Riverside Healthcare Services, Inc. 52-1241839 10 Riverside Management Services, Inc. 52-1241840 10 Riverside Healthcare Foundation, Inc. 52-1241989 12 I Riverside Hospital, Inc. 52-1245746 3 Riverside Convalescent Centers, Inc. 52-1276323 3 The Rehabilitation Institute of Virginia, Inc. 52-1432269 3 Sanders Common, LTD 52-4233030 10 Patrick Henry Hospital, Inc. 54-0601803 3 Francis N. Sanders Nursing Home, Inc. 54-0683174 10 Riverside Wellness and Fitness Centers, Inc. 54-1318861 10 Riverside Retirement Services, Inc. 54-1348674 10 Riverside Tappahannock Hospital, Inc. 54-1489410 3 Riverside Physician Services, Inc. 54-1519724 3 Patriots Colony, Inc. 54-1680163 10 Riverside Health System Foundation, Inc. 54-1994013 7 Doctors Hospital of Williamsburg 27-1540267 3 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 162721 162721 false Other Advocacy Activities Salary and Expenses $126,396 Dues $ 36,325 ---------------------------- Total $162,721 Advocates on issues related to certificates of public need and all issues affecting healthcare such as hospitals, patients, physicians, and health insurance. 1285336 176649 28200 1433785 1223034 146702 84400 1285336 1385267 -26248 1359019 1241004 144263 1385267 1175020 65984 1241004 1.00000 false false 13959371 13959371 452187966 227899428 224288538 548180620 404205128 143975492 34011096 19067708 14943388 397166789 0 OTHER CURRENT LIABILITIES 2241444 OBLIGATION UNDER CAPITAL LEASE 28801268 NOTE PAYABLE-CURRENT 978000 CONTINGENT LIABILITY 455873 OTHER NON-CURRENT LIABILITIES 272259625 304736210 X Schedule D Part V Line 4 Endowment funds are used for scholarships Schedule D - Part X, Line 2 Riverside Healthcare Association Group 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., 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. true true X true X true X true true true false true true 25814273 25814273 0.01480 142960066 174393296 168774339 174393296 25814273 0.01480 2947214 2947214 0.00170 26878352 13161647 13716704 0.00790 2177254 2106831 70423 0.00000 2156472 2156472 0.00120 34159292 15268478 18890813 0.01080 202933631 189661774 44705086 0.02560 false 29059214 293455695 304335476 -10879781 X true true 6 1 Riverside Regional Medical Center 500 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 www.riversideonline.com/rrmc/ H 1887 Riverside Hospital Inc 521245746 X X X X X Inpat Psychiatric A 2 Riverside Walter Reed Hospital 7519 HOSPITAL DRIVE GLOUCESTER VA 23061 www.riversideonline.com/rwrh/ H 1890 Riverside Middle Peninsula H 521241836 X X X A 3 Riverside Tappahannock Hospital 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 www.riversideonline.com/rth/ H 1889 Riverside Tapahannock Hospit 541489410 X X X A 4 Riverside Doctors Hosp Williamsburg 1500 Commonwealth Avenue Williamsburg VA 23185 www.riversideonline.com/rdhw/ H 1937 Doctors' Hospital of William 271540267 X X X A 5 Riverside Rehabilitation Hospital 250 Josephs Drive Yorktown VA 23693 www.riverside-rehabilitation.com H 1888 Coastal Virginia Rehabilitat 821270202 X inpat rehabilitation 6 Select Specialty Hospital-Hampton Rds 500 J Clyde Morris Blvd Newport News VA 23601 hamptonroads.selectspecialtyhospitals.co H 1925 LTACH Riverside LLC 743135196 X Long Term Acute Care Riverside Rehabilitation Hospital 5 false false true X X X X X X X X X 19 true false false true X See Part V, Section C X X true 19 true See Part V, Section C false true X 200. 400. X X X true true X X X true X See Part V, Sect. C X See Part V, Sect. C X See Part V, Sect. C X X X X X true X false X X false X X false false Select Specialty Hospital-Hampton Rds 6 false false true X X X X X X X X X 19 true false false true X See Part V, Section C X X true 19 true See Part V, Section C false true X 200. 400. X X X true true X X X true X See Part V, Sect. C X See Part V, Sect. C X See Part V, Sect. C X X X X X true X false X X true X false false A 14 false false true X X X X X X X X X 19 true false false true X See Part V, Section C X X true 19 true See Part V, Section C false true X 200. 400. X X X true true X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X true X false X X X X true X false false Riverside Rehabilitation Hospital Line 3E. The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and May 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each system's website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDC's WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7 a: https://www.riversideonline.com/about/community/community-health-needs-ass essments Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10a: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/commun ity-health-needs-assessment/ Line 11: As explained in the CHNA, the significant needs to be addressed include: Behavioral/Mental Health and Substance Abuse: In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc.) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Neoplasms of the Lung: Riverside offers low -dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of pocket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents' class and rookie dads. Riverside also offers bereavement and post-partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. Colon Cancer: Riverside plans to roll out awareness campaigns in March 2020, particularly focusing on minority groups. Aging Services focused on Alzheimer's and Dementia Riverside's Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the Caring for You / Caring for me program. With the limits of the COVID-19 pandemic, Riverside had to pivot some of the initial plans. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 16 a: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financ ial-assistance/ Line 16 b: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financ ial-assistance/ Line 16 c: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financ ial-assistance/ Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospital's best efforts. Line 20 d: Presumptive eligibility is not used. Due to the limited number of patients and applicants for financial assistance, personnel work with patients to complete the application. Presumptive eligibility is not used. Select Specialty Hospital-Hampton Roads Line 3E. The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and May 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each system's website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDC's WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7 a: https://resources.selectmedical.com/communications/select-specialty-hospit al-hampton-roads/2019-CHNA-SSH-Hampton-Roads.pdf Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10a: https://resources.selectmedical.com/communications/select-specialty-hospit al-hampton-roads/2019-CHNA-SSH-Hampton-Roads.pdf Line 11: As explained in the CHNA, the significant needs to be addressed include: Behavioral/Mental Health and Substance Abuse: In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc.) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Neoplasms of the Lung: Riverside offers low -dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of pocket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents' class and rookie dads. Riverside also offers bereavement and post-partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. Colon Cancer: Riverside plans to roll out awareness campaigns in March 2020, particularly focusing on minority groups. Aging Services focused on Alzheimer's and Dementia Riverside's Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the Caring for You / Caring for me program. With the limits of the COVID-19 pandemic, Riverside had to pivot some of the initial plans. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 16 a: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-ne ws/hampton-roads/ Line 16 b: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-n ws/hampton-roads/ Line 16 c: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-ne ws/hampton-roads/ Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospital's best efforts. Line 20 d: Presumptive models are not used. A Line 3E: The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and May 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each system's website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDC's WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7A: HTTPS://RIVERSIDEONLINE.COM/ABOUT_RIVERSIDE/COMMUNITY/COMMUNITY-HEALTH-NEE DS.CFM Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10a: HTTPS://RIVERSIDEONLINE.COM/ABOUT_RIVERSIDE/COMMUNITY/COMMUNITY-HEALTH-NEE DS-ASSESSMENTS.CFM Line 11: Riverside Regional Medical Center As explained in the CHNA, the significant needs to be addressed include: Behavioral / Mental Health and Substance Abuse: In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc.) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. During the pandemic, the local foodbank became an even more vital resource. In addition to the regular corporate funding, RRMC participated in food drives to support the surge in demand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Issues around access to care were uniquely challenging in 2020. In addition to the normal work to help individuals get access to federal and state assistance, Riverside also worked diligently to address concerns about SAFE access to care in the pandemic. Specifically, there were major community education campaigns around 'Don't Delay Care' for emergencies such as heart attack and stroke. Additionally, Riverside worked closely with local and state leaders to ensure rapid access to vaccines once they were available. In fact, Riverside was one of the first health systems in the state to have the infrastructure to receive the vaccines. Not only did we receive and distribute vaccines to our own regions, but we also served to support other area hospitals who did not have the deep freezer infrastructure. Neoplasms of the Lung: Riverside offers low -dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of picket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents' class and rookie dads. Riverside also offers bereavement and post-partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. The education and outreach initiatives had to get creative in 2020, but a tremendous number of classes were held online for all of these areas. Colon Cancer: As seen across the country, the suspension of elective procedures due to PPE shortages and the decreased demand for screening by community members concerned about being exposed to COVID-19 led to decreased colonoscopies. 'Don't Delay Care' messaging was created specifically around cancer screenings, and in March 2021 there is a strong campaign planned for colon cancer awareness. Aging Services focused on Alzheimer's and Dementia Riverside's Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the 'Caring for You/Caring for Me' program. This was an incredibly challenging area for 2020, as caregivers for loved ones with dementia were incredibly isolated during the pandemic. Online support groups and private social media groups were created to help support these important individuals. Additionally, online course material was developed to help families cope during such a difficult time. Additionally, the large number of individuals in Riverside memory care facilities were supported by staff during the long months that family and loved ones were unable to visit. Staff facilitated virtual visits, but those types of interactions were often very challenging for dementia patients. Hopefully, as the community opens up once again in 2021 there will be an increased ability to provide support for this special population of patients and caregivers. With the limits of the COVID-19 pandemic, Riverside had to pivot some of the initial plans. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 11: Walter Reed Hospital As explained in the CHNA, the significant needs to be addressed include: Aging Services: Through Riverside's Center for Excellence in Aging and Lifelong Health (CEALH and the Riverside Wellness Center, there will be multiple courses available to the community, including Riverside's Introduction to Supervised Exercise (RISE) program, FAMILIES, Advance Care Planning and Memory Caf. This was an incredibly challenging area for 2020, as caregivers for loved ones with dementia were incredibly isolated during the pandemic. Online support groups and private social media groups were created to help support these important individuals. Additionally, online course material was developed to help families cope during such a difficult time. Additionally, the large number of individuals in Riverside memory care facilities were supported by staff during the long months that that family and loved ones were unable to visit. Staff facilitated virtual visits, but those types of interactions were often very challenging for dementia patients. Hopefully, as the community opens up once again 10 The Gardens at Warwick Forest 1000 Old Denbigh Blvd Newport News VA 23602 Convalescent Services Nursing Home Riverside Rehabilitation Center Hampton 414 Algonquin Rd Hampton VA 23661 Convalescent Services Nursing Home Riverside Rehabilitation Center Orchard 20 Delfae Drive Warsaw VA 22572 Convalescent Services Nursing Home Patriots Colony 6000 Patriots Colony Dr Williamsburg VA 23188 Retirement Center Sanders Retirement Village 7385 Walker Ave Gloucester VA 23061 Retirement Center Riverside Rahabilitation Center West Pt 2960 Chelsea Road West Point VA 23181 Convalescent Services Nursing Home Riverisde Convalescent Center Mathews 603 Main Street Mathews VA 23109 Convalescent Services Nursing Home Riverside Convalescent Saluda 672 Gloucester Road Saluda VA 23149 Convalescent Services Nursing Home Riverside Healthy Living Community Smith 101 John Rolfe Drive Smithfield VA 23430 Convalescent Services Nursing Home Warwick Forest Retirement Community 886 Old Denbihg Blvd Newport News VA 23602 Retirement Center Part VI Line 1: Part I Line 3c: Riverside does not use any other asset threshold in determining financial eligibility. Riverside only uses FPL in determining FAP-eligibility. FREE CARE USES 200% AND DISCOUNTED CARE USES 400% OF THE FPG. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $28,910,945. Line 1: Part I Line 7A: The cost to charge ratio calculated on worksheet 2 was used for the charity expense. Line 1: Part I Line 7B: Medicaid cost and net revenue are directly from the Medicaid cost report. Line 1: Part I Line 7E: Community health improvement is actual cost accumulated by the individuals participating in the activities. Line 1: Part I Line 7F: Health Professions Education cost is from the 2020 Medicare Cost Report plus overhead calculated from the Medicare Cost 2020 Report. Line 1: Part I Line 7H: Research costs are expenses less any funding received. Line 1: Part I Line 7I: Cash and in kind contributions are the actual 2020 dollar value of the cash or items given. Line 1: Part III Line 2: (Riverside Health System) Bad debt is the amount remaining on a patient's account after cash payments, third party payer contractual adjustments and hospital discounts have been taken. Before the amount is written off to bad debt, the account is sent to a collection agency which returns the account when they have exhausted all possible effort. Upon return the account balance is written off to bad debt. Line 1: Part III Line 2: (Select Specialty Hospital) Hospital records uncollectible accounts that are not a result of credit worthiness as a direct offset to revenue in accordance with current GAAP revenue recognition standards. Hospital's methodology to record a reserve for uncollectible accounts is based on recording, on a monthly basis, a reserve which is equal to the % of write-offs to net patient revenue for the prior twelve calendar months multiplied by the current month's recorded patient revenue. Line 1: Part III Line 3: If the patient was uninsured and had a household income at or below 200% of the Federal Poverty Level or was insured and had a household income at or below 400% of the Federal Poverty Level the patient would qualify for 100% financial assistance write off and would not be included in bad debt. The only population that may fall into the bad debt is if the patient was uninsured with a household income between 201% and 400% of the Federal Poverty Level which received a 75% financial assistance write off of eligible billed charges. The patient would have a liability of 25% of the billed amount. If the patient did not pay the 25% amount, that liability could be sent to bad debt. The financial assistance write off of 75% is not applied to bad debt. However, our procedures for identifying FAP-eligible individuals are thorough, therefore we do not estimate any amount of bad debt to be attributable to FAP-eligible patients. Line 1: Part III Line 4: Footnote 3 of the Audited Financial Statements states: If the System identifies subsequent adjustments to the transaction price that would cause adverse changes in a patient or payor's ability to pay, the amounts are recorded as bad debt expense. Bad debt expense is included in operating expenses in the consolidated statement of operations. The amount included as bad debt expense for the year ended December 31, 2020 and 2019 was not material to the System. Line 1: Part III Line 8: The organization uses CMS cost reporting guidelines and methodology to determine allowable Medicare costs. The shortfall from Medicare should be recognized as a community benefit, since the patients are provided services at a loss for the facility. The Health System is assuring that these essential emergency and acute care services are provided for the population's health. Not included in this shortfall are costs that Medicare considers non allowable. Line 1: Part III Line 9b: Reasonable efforts will be made to determine whether a patient is eligible for financial assistance prior to sending an account to collections. If the patient qualifies for financial assistance the account is adjudicated based on their FAP eligibility. Patients may need to complete a financial assistance application to determine eligibility or may request reconsideration under this financial assistance policy by submitting a financial assistance application. Upon receipt of an application for financial assistance, collection actions are suspended until a final eligibility determination is made. If the patient is deemed eligible for financial assistance, the account will be returned from collections and all collection efforts will be reversed. Line 2: Riverside Health System has embraced the Community Health Needs Assessment process as the way to best assess the health care needs of the communities it serves. To supplement this data, Riverside also utilizes resources such as the Virginia Atlas of Community Health, demographic data, as well as observing utilization and diagnoses trends across the Riverside service areas and nationally. Finally, Riverside works closely with other community leaders to identify and respond to local needs. Having community-based boards also allows for continuous feedback from individuals living and working in the service area. Line 3: Notification about the financial assistance program include, but are not limited to, the publication of notices in patient bills, providing the Plain Language Summary of the Financial Assistance Policy in emergency rooms, admitting and registration departments, hospital business offices, patient financial services offices, and at other public places as Riverside Health System may elect. Riverside Health System also publishes and widely publicizes this financial assistance policy on the facility website. The plain language summary is also included with the billing statement 30 days prior to referring a patient's account to collections. Patients may obtain additional information and/or paper copies of any financial assistance policy, PLS or application in person by visiting any Riverside Hospital Department, by mail, via our website, or by calling our Customer Service Center. Line 4: The service area for Riverside Healthcare Association, dba Riverside Health System, covers a wide geographic area, from the Potomac River to south of the James River in southeastern Virginia. The entire Peninsula region, including James City County, Williamsburg (where RDHW is located), Newport News (where RRMC is located), Hampton, York and Poquoson has a 2020 forecasted population of approximately 555,000 people. The Virginia Peninsula is bordered on the east by the Chesapeake Bay, on the south by the James River and the north by the York River. Access to health care facilities not located on the Peninsula is restricted by tunnels and bridges, with three connections to various points across the James and the Bay, and one bridge north across the York. Numerous waterways, inlets and marshlands are prominent in the landscape and restrict traffic in certain areas, requiring a system of bridges or circuitous routes for local travel. Interstate 64 runs the length of the Peninsula, providing access some 75 miles from Newport News to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). The 2016 Virginia Department of Transportation study reports Average Annual Weekday Traffic counts of 163,000 along this corridor. The Virginia Peninsula region, per 2020 Census Projections, is approximately 52% White, 38% Black, and the remaining 10% a combination of Asian, Native American, Other and Two or More Races. While still a small overall percentage, the Hispanic community is growing, with 13% growth projected from 2015 to 2020. Median household income is projected to be $59,562 in 2020, with Per Capita Income projected to be at $30,503. The median age is projected to be 35.9 in 2020. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 14 percent of the population. Within the market, all of the localities with the exception of the city of Poquoson qualify for full or partial designation as Medically Underserved Service Areas. While the military only accounts for 10% of the direct employment in the region, the impact of the armed forces is much larger. With the largest private employer being Huntington Ingalls Newport News Shipbuilding (maker of nuclear powered aircraft carriers and submarines) with more than 20,000 local workers, and the many smaller contracting companies that support the Newport News Shipyard, local Navy bases and Langley AFB / NASA Langley, more than 50% of the regional economy is connected to the defense industry. It is also a popular destination for military retirees. In terms of demographics and occupations, the Riverside service area is primarily what has traditio true American Cancer Society 250 Williams Street 4th Floor Atlanta GA 30303 131788491 501(c)(3) 22000 RFL Sponsorship American Heart Association Inc 753 Thimble Shoals None Newport News VA 23606 135613797 501(c)(3) 30000 2020 Fall Walk Bay Rivers Telehealth 629 Hospital Road None Tappahannock VA 22560 204735093 501(c)(3) 35727 2020 RUS-DLT Program 100 Black Men of Virginia PO Box 2400 None Newport News VA 23609 241621828 501(c)(3) 43000 2020 Sponsorship Here For The Girls 1309 Jamestown Rd STE 204 Williamsburg VA 23185 260606190 501(c)(3) 25000 Pink Carpet Flat-Out Events LLC 744 City Center Blvd Suite 100 Newport News VA 23606 271675755 15000 Community Partnership Community Free Clinic of Newport News 727 25th Street None Newport News VA 23607 273510814 501(c)(3) 102083 Free Clinic Fear 2 Freedom Inc PO Box 6104 None Newport News VA 23606 452143034 501(c)(3) 10000 Educ & Sexual Assault Survival Kits Hospice Support Care 4445 Powhatan Pkwy None Williamsburg VA 23188 521289657 501(c)(3) 7500 ECA Sleep Easy Sponsorship Hampton University 114 Wigwam Building None Hampton VA 23668 540505990 501(c)(3) 10000 2020 RX@Home Sponsorship Athletics Sponsorship; Ferguson Ctr Dance Series; Riverside Medical Group Leadership CNU Education Foundation 1 Avenue of the Arts None Newport News VA 23606 540701501 501(c)(3) 12500 Riverside Performing Arts Peninsula EMS Council Inc PO Box 3648 None Williamsburg VA 23187 541064500 501(c)(3) 15000 2020 Platinum Partnership Christopher Newport University 1 Avenue of the Arts None Newport News VA 23606 541156248 501(c)(3) 12500 Insiders' Breakfast An Achievable Dream Foundation Inc 10858 Warwick Blvd Ste A Newport News VA 23601 541621932 501(c)(3) 25000 2020 Spon -Tennis Ball VA Health Care Foundation 707 East Main Street Suite 1350 Richmond VA 23219 541639924 501(c)(3) 25000 2019 Sponsorship Olde Towne Medical 5249 Olde Towne Road Suite D Williamsburg VA 23188 541663905 501(c)(3) 10000 2020 Free Clinic Support New Horizons Educational 520Butler Farm Road None Hampton VA 23666 541674644 501(c)(3) 10000 Sponsorship 2019-2020 Virginia Nurses Foundation 2819 N Parham Road Suite 230 Richmond VA 23294 541788059 501(c)(3) 15000 2020 Spon-Virtual Gala Olivet Medical Ministry Inc 1620 Old Williamsburg Road None Yorktown VA 23690 541850915 501(c)(3) 51000 Pledge Installment Silent Children's Garden Annual Senior Amateur Golf Classic Annual Senior Amateur Golf Classic Gloucester Matthews Clinic 6031 Industrial Drive None Gloucester VA 23061 541875619 501(c)(3) 25000 2020 Free Clinic Support Hampton University Foundation 100 E Queen Street None Hampton VA 23668 542026410 501(c)(3) 50000 Riverside School Peninsula Community Foundation 48 West Queens Way None Hampton VA 23669 542057957 501(c)(3) 10000 2020 Give757 Corp Part Team Virginia Symphony Orchestra 150 Boush Street Ste 201 Norfolk VA 23510 546000598 501(c)(3) 7500 2020 Sponsorship Gala City of Newport News 2400 Washington Avenue None Newport News VA 23607 546022059 Government 10000 Marathon Health & Wellness Expo Virginia Living Museum Inc 524 J Clyde Morris Blvd None Newport News VA 23601 546055922 501(c)(3) 13000 2020 Spon-Otter Ball 2019 Commemoration Inc PO Box 1607 None Williamsburg VA 23187 810703911 501(c)(3) 25000 2020 Sponsorship - Am. Evolution Lionsbridge Football Club LLC 701 Town Center Drive Ste 900 Newport News VA 23606 823032870 36750 2020 Spon-Partnership RIV Sports Medicine Team Scholarships 28200 25 2 Scholarships 62 28200 Grant Explanation A fund distribution form is completed and signed by an authorized administrator of the benefiting facility. Requests are approved according to the specifics of the requestor's governing charter. If a request doesn't comply the money is not distributed. Scholarship Eligibility and Requirements: Students must be enrolled or be an application to the nursing Program at the Riverside College of Health Careers. Applicants must demonstrate a cumulative GPA of 2.75 in prerequisite courses and enrolled students must have 3.0 in completed coursework. Applicants must also demonstrate financial need. false true false false false false false false false ADRIA NICOLE VANHOOZIER PRESIDENT, RDHW 226824 0 47554 0 40634 0 12444 0 11273 0 338729 0 0 0 ANDREA STASKIEL RRS-EXECUTIVE DIRECTOR 149331 0 18248 0 8791 0 8139 0 10618 0 195127 0 0 0 BARBARA LABONTE AVP BUDGET TAX & REIMBURSEMENT 195936 0 34720 0 3290 0 30334 0 15660 0 279940 0 0 0 BRADEN MILLER RMG-CHIEF FINANCIAL OFFICER/AV 236500 0 44038 0 19808 0 32556 0 2539 0 335441 0 0 0 BRIAN KEEL PHYSICIAN 288623 0 1066391 0 3184 0 600 0 30116 0 1388914 0 0 0 CARRIE R MOSS MD RDHW-BD MBR/RMG Physician 214136 0 242142 0 86653 0 38290 0 564 0 581785 0 0 0 CATHERINE LINTZENICH MD RMG-BOARD MBR/RMG Physician 404779 0 51751 0 8477 0 12825 0 22886 0 500718 0 0 0 CHARLES FRAZIER RRMC-VP MD 390324 0 83449 0 67884 0 38290 0 37146 0 617093 0 0 0 CHARLES GRAHAM VP 337715 0 72850 0 69576 0 32590 0 18184 0 530915 0 0 0 CHERYL ANGE RMG-DIRECTOR SR SPECIALITIES 182635 0 14789 0 627 0 22302 0 8103 0 228456 0 0 0 CHRISTOPHER PATRICK STOLLE MD VP MEDICAL AFFAIRS 411753 0 87971 0 66256 0 29574 0 1504 0 597058 0 0 0 CYNTHIA WILLIAMS VP 267375 0 57725 0 59621 0 12002 0 15009 0 411732 0 0 0 DAVID COHEN RRMC-VP CMO 482862 0 104135 0 127569 0 5700 0 39071 0 759337 0 0 0 DAVID INABINET CHIEF INFORMATION SECURITY OFF 189107 0 32391 0 19231 0 25989 0 1165 0 267883 0 0 0 DAVID F JONES MD RMG-CHAIRMAN/RMG Physician 166583 0 29646 0 125870 0 32590 0 14832 0 369521 0 0 0 DEAN KOSTOV PHYSICIAN 1651406 0 563901 0 122927 0 27828 0 34084 0 2400146 0 0 0 DELVIN PEEKS AVP ENTERPRISE RESOURCE & WORK 141996 0 6146 0 7750 0 7472 0 29998 0 193362 0 0 0 DOUGLAS CULBERT ASSOCIATE VICE PRESIDENT SERVI 175887 0 28918 0 8985 0 24928 0 30718 0 269436 0 0 0 DWIGHT C HERBERT MD RMG-BOARD MBR/RMG Physician 214641 0 100287 0 111740 0 31165 0 14761 0 472594 0 0 0 EDWARD G HECKLER VP, LIFELONG HEALTH 232243 0 40258 0 50016 0 31206 0 22267 0 375990 0 0 0 EILEEN VARNSON VP 203855 0 44025 0 37532 0 5700 0 33481 0 324593 0 0 0 ELENA GARRETT MD RMG-BOARD MBR/RMG Physician 220064 0 28440 0 88276 0 32467 0 834 0 370081 0 0 0 ELIZABETH J MARTIN PRESIDENT, RTH 288474 0 67593 0 48785 0 38290 0 12559 0 455701 0 0 0 ERIC STONE RRMC-FMR VP CLIN OPS/RMG Phys 168301 0 44400 0 0 8625 0 628 0 221954 0 0 0 ESTHER M DESIMINI PRESIDENT, RWRH 283243 0 56715 0 49328 0 12825 0 29041 0 431152 0 0 0 JACKSON SALVANT PHYSICIAN 789699 0 517097 0 3612 0 12825 0 24465 0 1347698 0 0 0 JAMES C SPILLER RRMC-MED STAFF PRES/RMG Phys 286509 0 57456 0 140179 0 38290 0 1268 0 523702 0 0 0 JAMES W MCCORRY DO RDHW-CMO/RMG Physician 267509 0 16222 0 160822 0 32590 0 873 0 478016 0 0 0 JASON KILGORE VP RESULTS MGT AND ANALYTI 202692 0 44025 0 41248 0 31072 0 25187 0 344224 0 0 0 JASON O HOUSER GENERAL COUNSEL/SECRETARY,RHS 356915 0 77106 0 75603 0 32590 0 25316 0 567530 0 0 0 JEFF T SENSENIG RWRH-MED STAFF PRES/RMG Phys 315580 0 0 50780 0 12825 0 41191 0 420376 0 0 0 JESSE GOODRICH VP 204977 0 43139 0 35957 0 30689 0 7936 0 322698 0 0 0 JESSICA MACALINO ASSOCIATE VICE PRESIDENT SERVI 159994 0 25772 0 8765 0 8877 0 7655 0 211063 0 0 0 JOHN MINCKS RDHW-FMR MEDSTAFFPRES/RMG Phys 259801 0 46500 0 3143 0 38290 0 21336 0 369070 0 0 0 JOSEPH CONVERSE RDHW-MED STAFF PRES/RMG Phys 332414 0 124508 0 45 0 32590 0 19796 0 509353 0 0 0 JUDITH MATTHEWS RTH-CHIEF NURSING OFFICER 142845 0 27987 0 1378 0 6269 0 15912 0 194391 0 0 0 KELLY COOPER RMG-DIRECTOR SR RMG 155991 0 7696 0 2639 0 22695 0 3103 0 192124 0 0 0 KRISTEN WITT RHSF-EXECUTIVE DIRECTOR 143417 0 6442 0 203 0 6891 0 7800 0 164753 0 0 0 LINDA MCKEE ASSOCIATE VICE PRESIDENT SERVI 184728 0 31852 0 9757 0 10266 0 7940 0 244543 0 0 0 LINWOOD NELSON LLH-CHIEF FINANCIAL OFFICER/AV 173579 0 31268 0 8843 0 25628 0 26942 0 266260 0 0 0 LISA KIRBY RRI-DIRECTOR EXECUTIVE LLH NUR 142568 0 3619 0 11243 0 5993 0 7677 0 171100 0 0 0 LISA SALSBERRY Officer Corp Audit & Comp/ 245261 0 186 0 37122 0 29079 0 32547 0 344195 0 0 0 LISA SHANNON DIRECTOR SYSTEM 164393 0 29130 0 1048 0 8819 0 15271 0 218661 0 0 0 LISA A CASANOVA MD RMG-BOARD MBR/RMG Physician 256960 0 103615 0 17197 0 37150 0 20044 0 434966 0 0 0 LISA MARIE DODD RTH-BOARD MEMBER/RMG Physician 195523 0 0 74194 0 12137 0 0 0 281854 0 0 0 MARGARET ATKINS RDHW-CHIEF NURSING OFFICER 129003 0 28144 0 4729 0 18408 0 1518 0 181802 0 0 0 MARGARET LEMLEY PAT-EXECUTIVE DIRECTOR 195602 0 13526 0 10500 0 19664 0 961 0 240253 0 0 0 MARK RATH ASSOCIATE VICE PRESIDENT 179472 0 37349 0 7618 0 25850 0 2151 0 252440 0 0 0 MATTHEW REED PHYSICIAN 187993 0 1553358 0 452 0 0 0 30008 0 1771811 0 0 0 MELVIN D SCHURSKY JR MD RWRH-CMO, RWRH 280432 0 176296 0 133690 0 11284 0 31500 0 633202 0 0 0 MICHAEL DACEY MD PRESIDENT/COO, RHS 651263 0 159258 0 115300 0 8149 0 8991 0 942961 0 0 0 MICHAEL FRANCIS RTH-FMR MEDSTAFFPRES/RMG Phys 286656 0 0 11502 0 13820 0 22039 0 334017 0 0 0 MICHAEL KEESEE AVP CLINICAL & REVENUE CYCLE S 185486 0 30915 0 6603 0 25500 0 528 0 249032 0 0 0 MICHAEL JOSEPH DOUCETTE PRESIDENT, RRMC 474256 0 119295 0 80853 0 38290 0 26959 0 739653 0 0 0 NANCY WICK LITTLEFIELD EVP/CNO, RHS 391010 0 96642 0 95208 0 7806 0 13842 0 604508 0 0 0 NEHEMIAH THRASH MD RMG-BOARD MBR/RMG Physician 288581 0 40708 0 7967 0 12565 0 39298 0 389119 0 0 0 REGINALD K MASON RTH-MED STAFF PRES/RMG Phys 376398 0 0 2561 0 12276 0 27465 0 418700 0 0 0 RICHARD K DUNN MD RMG-BOARD MBR/RMG Physician 147547 0 12363 0 85149 0 18342 0 39246 0 302647 0 0 0 ROBERT CROSS RMG-BOARD MBR/RMG Physician 199774 0 31969 0 12128 0 9348 0 27527 0 280746 0 0 0 ROBERT R HARDING MD RMG-BOARD MBR/RMG Physician 183351 0 21712 0 33438 0 38238 0 687 0 277426 0 0 0 ROMNEY ANDERSEN PHYSICIAN 1072000 0 574486 0 83612 0 12825 0 873 0 1743796 0 0 0 ROSS YOUNGER SENIOR VP 372318 0 79460 0 61639 0 32590 0 38142 0 584149 0 0 0 SADIE THURMAN RRMC-VP CNO 191324 0 43393 0 37972 0 25794 0 4892 0 303375 0 0 0 SALLY HARTMAN SENIOR VP 403144 0 85473 0 69630 0 38290 0 8674 0 605211 0 0 0 SALLY RYAN VP/COO, RMG 264143 0 61604 0 45527 0 12318 0 12906 0 396498 0 0 0 SANDRA HURLEY RWRH-CHIEF NURSING OFFICER 166953 0 16853 0 569 0 7212 0 8101 0 199688 0 0 0 SANDRA SNAPP ASSOCIATE VICE PRESIDENT SERVI 195640 0 33442 0 9829 0 32124 0 740 0 271775 0 0 0 SCOTT BURGESS RMG-BOARD MBR/RMG Physician 509658 0 149019 0 6260 0 32590 0 33727 0 731254 0 0 0 SHEBA MOHSIN MD RMG-BOARD MBR/RMG Physician 162789 0 96444 0 8331 0 30339 0 27390 0 325293 0 0 0 SHELLY JOHNSON PRESIDENT ASSOCIATE VICE 160038 0 5634 0 8209 0 20111 0 7630 0 201622 0 0 0 STACEY JOHNSON RRMC-VP 176284 0 35592 0 10086 0 10076 0 7622 0 239660 0 0 0 STEVEN MINTER LLH-ADMINISTRATOR 140829 0 6741 0 12008 0 7408 0 11196 0 178182 0 0 0 THERESA SIEVERS SENIOR VP 277061 0 55835 0 50518 0 11232 0 1923 0 396569 0 0 0 THOMAS KAYROUZ RMG-PRESIDENT CMO RMG 263399 0 0 38263 0 6390 0 5977 0 314029 0 0 0 TIMOTHY EMONS CORPORATE CONTROLLER AVP 175689 0 3853 0 8794 0 8707 0 20181 0 217224 0 0 0 VERNEETA L WILLIAMS MD RHSF-BOARD MBR/RMG Physician 217160 0 0 784 0 25504 0 20111 0 263559 0 0 0 W WILLIAM AUSTIN JR SVP, CFO & TREASURER 488543 0 103828 0 82042 0 12825 0 14777 0 702015 0 0 0 WILLIAM BURNS DOWNEY CEO, RHS 904125 0 316971 0 221199 0 38290 0 13159 0 1493744 0 0 0 WILLIAM H MCALLISTER MD RMG-BOARD MBR/RMG Physician 1443149 0 703111 0 9432 0 32590 0 34051 0 2222333 0 0 0 Schedule J, Part I, Line 3 The compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys. Schedule J, Part I, Line 4b ADRIA VANHOOZIER $28,820 CHARLES FRAZIER $53,431 CHARLES GRAHAM $42,404 CHRISTOPHER STOLLE $51,206 CYNTHIA WILLIAMS $33,600 DAVID COHEN $60,625 EDWARD G HECKLER $29,300 EILEEN VARNSON $25,626 ELIZABETH MARTIN $36,223 ESTHER DESIMINI $35,625 JASON KILGORE $25,626 JASON HOUSER $44,881 JESSE GOODRICH $25,110 LISA SALSBERRY $24,903 MICHAEL DACEY $96,408 MICHAEL DOUCETTE $64,643 NANCY LITTLEFIElD $58,503 ROSS YOUNGER $47,213 SADIE THURMAN $23,751 SALLY HARTMAN $54,727 SALLY RYAN $33,156 THERESA SIEVERS $35,750 WALTER AUSTIN $66,479 WILLIAM DOWNEY $193,725 --------------------------- TOTAL $1,191,735 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. PHILLIPS ENERGY INC SEE PART V 201635 SEE PART V false SANDY SANPP SEE PART V 72394 EMPLOYMENT false RICHARD DUNN SEE PART V 280911 EMPLOYMENT false LINDA PHILLIPS Schedule L, Part IV Linda Phillips' family members own Phillips Energy Inc. that contracts with Riverside. SANDY SNAPP Schedule L, Part IV Sandy Snapp's family member is employed by Riverside Hospital, Inc. RICHARD DUNN Schedule L, Part IV Richard Dunn's family member is employed by Riverside Physician Services, Inc. X Face masks 1 20717 FAIR MARKET VALUE X Stocks 1 9978 FAIR MARKET VALUE X 15 Google Pixel 3 phones 1 5985 FAIR MARKET VALUE X 2,160 meals 1 11707 FAIR MARKET VALUE X Masks, Button Connectors, Box lunches 1 18223 FAIR MARKET VALUE X 202 Shares of Rockwell 1 25400 FAIR MARKET VALUE X 18 Surface Pro Tablet/Laptops 1 5760 FAIR MARKET VALUE X 860 Turkey meals/paper products 1 18750 FAIR MARKET VALUE X 1260 Face Masks/1890 Headbands 1 15868 FAIR MARKET VALUE X 3,920 pounds of Raw Chicken 1 5880 FAIR MARKET VALUE X 2300 Pizzas 1 29877 FAIR MARKET VALUE X 5 Parcels of land 1 25000 FAIR MARKET VALUE X Various printed materials/cards 1 6326 FAIR MARKET VALUE X 600 Chicken Sandwiches 1 10800 FAIR MARKET VALUE X Gift Baskets, Drinks, Face Masks 1 6750 FAIR MARKET VALUE X 96 Shares of Coca Cola 1 5112 FAIR MARKET VALUE false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B). SCHEDULE O Part I, Lines 3 and 4/Part VI Lines 1a and 1b The number of voting members and independent voting members reported in Part I line 3 and 4/Part VI lines 1a and 1b is higher than the total count of board members reported in Part VII as several of the board members sit on several of the entities included within the Group return but have only been listed once. Part V, Line 3A Riverside Hospital, Inc. EIN 52-1245746, a subordinate company, had unrelated business income greater than $1,000 and 990-T was filed. Part VI, Section A, Line 2 Alan Witt and William Downey serve together on a regional advisory board for a local entity. Part VI, Section A, Line 6 The Organization is a group of not for profit corporations 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. Part VI, Section A, Line 7a Members of the governing body are subject to approval by the Member. Part VI, Section A, Line 7b Significant items such as merger, amendment of charter documents, and appointment of Board members requires the approval of the member corporation. Part VI, Section 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, Section 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 compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys. Part VI, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon request. Part VIII, Line 11D $7,622,944 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 $7,622,944 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 Pension Adjustment $-26,357,193 ----------------------------------------------------------------- Total $-26,357,193 Virginia Surgical Management LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 542057012 Management VA 0 2515472 RivHosp Peninsula Cancer Institute LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 201872200 PT Services VA 10675823 102684296 RivPhysSv PENINSULA RADIOSURGERY ASSOCIATES LLC 608 Denbigh Blvd Ste 800 NEWPORT NEWS VA 23608 030596051 PT Services VA 889522 8402561 RivHosp Michumi LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 200318732 PT Services VA 11974121 3964879 RivPhysSv 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 23608 541876370 Nursing Care VA 501(c)(3) 10 ShoreHSvc true Newport News General & Nonsectarian 608 Denbigh Blvd Ste 800 Newport News VA 23608 540505934 Holding Corp VA 501(c)(2) N/A RivHCAssc true Riverside Healthcare Assocation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241835 Parent Comp. VA 501(c)(3) 12 II N/A false Tilden and Va Davis Suport Found Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541527703 Foundation VA 501(c)(3) 12I RivRetSvc true At HomePartner 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED 30772 299734 false true 0.80000 Coastal Virginia Rehabilitation LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 200318732 Pt Services VA RehabInst EXCLUDED 1616749 1585787 false false 0.51000 Peninsula Hospital Services 608 Denbigh Blvd Suite 800 Newport News VA 23608 540991295 Laundry VA RivFound COOP 3120048 3217519 0.61000 true RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 521241835 Insurance BD RivHCAssc C Corp 3863970 48641295 1.00000 true Riverside Medical Equipment Company Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA RivHCAssc C Corp 0 0 1.00000 true false false false false false false false false false true true true true false true false false false false At Home Partners LLC O 89653 MARKET VALUE Newport News General & Nonsectarian Hospital M 753077 MARKET VALUE Riverside Healthcare Association Inc M 171605 MARKET VALUE Shore Health Services Inc K 729000 MARKET VALUE Shore Health Services Inc M 15990789 MARKET VALUE Shore Health Services Inc O 1840392 MARKET VALUE Newport News General & Nonsectarian Hospital J 18026460 MARKET VALUE At Home Partners LLC L 648394 MARKET VALUE RHS Medinsur LTD L 10024979 MARKET VALUE Riverside Healthcare Association Inc J 17677947 MARKET VALUE Riverside Healthcare Association Inc L 12586162 MARKET VALUE Shore Health Services Inc J 125808 MARKET VALUE Shore Health Services Inc L 412776 MARKET VALUE