2019-11-14T13:58:41-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC % VP OF FINANCE-RHA INC RIVE 7578757838 608 Denbigh Blvd Suite 800 Newport News VA 236084487 W WILLIAM AUSTIN JR SR VP/CFO 7578757838 2019-11-12 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.254 31499120193185000004 2019-11-14 P 47CCE9F19DA6832300AFC0DC75FEB109EC0143B4 047C777BBD395ADD529156C75D94AFF56594489C 2018 2020-03-31 21:24:44Z William Downey Same as C above Newport News VA 236084487 32761490 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 13 0 0 49592 0 6281516 5694674 11088266 9218328 13189796 -296781 60965 14616221 30620543 0 0 0 0 2189576 0 0 0 0 8726587 17198450 10916163 17198450 3700058 13422093 593777144 620653074 427284829 422591899 166492315 198061175 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 15579947 19942706 FINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. 15579947 true true false false false false false false false false true false false false true false 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 38 0 true 0 true true true BD false false false false false false false false false true false X 17 13 true false false false false false false true true false true true false true true true true true false false true true X VP OF FINANCE-RHA INC 7578757838 608 DENBIGH BLVD 800 NEWPORT NEWS VA 23608 ALAN STEVEN WITT CHAIRMAN 1.0 0.0 X X 0 0 0 CONWAY HOWARD SHEILD III BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL J SHERLOCK BOARD MEMBER 1.0 0.0 X 0 0 0 FRANCES HUNDLEY ELLIS BOARD MEMBER 1.0 0.0 X 0 0 0 GABRIEL A MORGAN BOARD MEMBER 1.0 0.0 X 0 0 0 GORDON LEWELLYN GENTRY JR BOARD MEMBER 1.0 0.0 X 0 0 0 JEROLD WAYNE ALLEN VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JULIE KEY RAUTIO BOARD MEMBER 1.0 0.0 X 0 0 0 REGINA PAGE BRAYBOY BOARD MEMBER 1.0 0.0 X 78000 0 0 RICHARD FREDERICK CROWDER MD BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT PATRICK LALOR Board Member 1.0 0.0 X 0 0 0 ROBERT R HARDING MD BOARD MEMBER 1.0 23.0 X 0 258510 39762 SCOTT STABLER BOARD MEMBER 1.0 0.0 X 0 0 0 THADDEUS BAILEY HOLLOMAN SR BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS BYRD BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM BURNS DOWNEY PRESIDENT,CEO RHS 1.0 39.0 X X 0 1194260 60572 WILLIAM L BRAUER BOARD MEMBER 1.0 0.0 X 0 0 0 JASON O HOUSER VP, LEGAL AFFAIRS & SECRETARY 1.0 39.0 X 0 415346 64699 MICHAEL DACEY MD EVP/CCOO 1.0 39.0 X 0 660790 10691 NANCY WICK LITTLEFIELD EVP/CNO 1.0 39.0 X 0 388156 21827 WALTER WILLIAM AUSTIN JR SR VP, CFO & TREASURER 1.0 39.0 X 0 569337 33105 BARBARA LABONTE DIRECTOR SYSTEM 1.0 39.0 X 0 245537 32445 78000 3731936 263101 0 false true false DPR CONSTRUCTION 1450 VETERANS BLVD REDWOOD CITY CA 94063 PROFESSIONAL 30123049 BRASFIELD GORRIE LLC PO BOX 11407 BIRMINGHAM AL 352460351 PROFESSIONAL 10268690 WVS KINIRY WILLOWWOOD PARTNERS PO BOX 8029 RICHMOND VA 232238029 Consulting 2221548 SKYTRON LLC PO BOX 675164 DETROIT MI 482675164 PROFESSIONAL 736769 YORK RIVER FLOORING LLC 100 NEWSOME DRIVE SUITE B YORKTOWN VA 23692 PROFESSIONAL 425878 7 1904376 4377140 6281516 SERVICE REVENUE 541610 1742105 1742105 AFFILIATE C(3) RENTAL INCOME 532000 9346161 9346161 11088266 12464473 8772760 49592 3642121 0 0 28877 28877 0 28877 28877 2866270 2140947 725323 725323 725323 0 0 0 0 0 0 0 0 0 MANAGEMENT FEES 900099 32088 32088 32088 30620543 19893114 49592 4396321 0 0 0 0 0 0 0 0 0 0 32822 32822 0 0 14092 14092 0 0 0 0 900 900 0 -1632913 -1632913 91296 91296 0 4151099 4151099 0 0 0 5781245 5781245 0 7240767 7240767 99813 99813 PROFESSIONAL SERVICES 1419517 38849 1380668 TAXES -188 -188 17198450 15579947 1618503 0 14842924 27660135 84676443 32643899 0 0 254967670 240498839 0 0 0 0 3873431 2900666 0 0 3044982 2975778 291646845 40207909 167563057 251438936 0 17035187 17197812 16619859 31130529 13934413 0 0 16480296 14945362 593777144 620653074 9016243 16169668 0 0 10381545 10058545 321208429 312307217 0 0 0 0 50000000 50000000 18197212 17657715 18481400 16398754 427284829 422591899 X 166492315 198061175 0 0 0 0 166492315 198061175 593777144 620653074 X 13422093 18146767 X false true X true false X 0 0 0 6281516 6281516 21355289 19924422 17167407 14372920 11120354 83940392 0 0 0 21355289 19924422 17167407 14372920 17401870 90221908 0 0 0 90221908 6542844 6644644 8614788 9344186 12464473 43610935 0 6542844 6644644 8614788 9344186 12464473 43610935 0 0 27898133 26569066 25782195 23717106 29866343 133832843 0.67414 0.69430 0.32586 0.30570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 67288320 67288320 209683476 34296030 175387446 2168433 446189 1722244 12506616 5465690 7040926 251438936 0 2004 BOND SWAP DERIVATIVE 7186962 CNU LEASE OBLIGATION 9211792 16398754 North America 1 Program Services CAPTIVE INSURANCE 7909540 1 1 7909540 7909540 true false true false false false Part V The organization uses the accrual method of accounting to account for its foreign expenditures. X X X X X false true false false false false false false false BARBARA LABONTE DIRECTOR SYSTEM 0 185648 0 58651 0 1238 0 31636 0 809 0 277982 0 0 JASON O HOUSER VP, LEGAL AFFAIRS & SECRETARY 0 339836 0 20867 0 54643 0 29934 0 34765 0 480045 0 0 MICHAEL DACEY MD EVP/CCOO 0 551566 0 0 109224 0 755 0 9936 0 671481 0 0 NANCY WICK LITTLEFIELD EVP/CNO 0 313049 0 17521 0 57586 0 12119 0 9708 0 409983 0 0 ROBERT R HARDING MD BOARD MEMBER 0 162084 0 21913 0 74513 0 38563 0 1199 0 298272 0 0 WALTER WILLIAM AUSTIN JR SR VP, CFO & TREASURER 0 459984 0 28140 0 81213 0 12375 0 20730 0 602442 0 0 WILLIAM BURNS DOWNEY PRESIDENT,CEO RHS 0 894126 0 87840 0 212294 0 35434 0 25138 0 1254832 0 0 Sch J, Part 1, Line 4B Jason Houser $ 42,761 Michael Dacey $ 93,600 Nancy Littlefield $ 39,493 Walter Austin $ 63,431 William Downey $189,000 ------------------------------- Total $428,285 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 of the City of Newp 521290859 000000000 2011-12-20 31580000 2011B issue refunding 1998 SERIES false false false B Economic Development Authority of the City of Newp 521290859 000000000 2012-12-20 75000000 2012 Construct. Surgical Pavilion false false false C INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 100000000 2015A CONSTRUCTION RHS FACILITIES false false false D INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 25000000 2015B Construction RHS Facilities false false false A 24807082 0 31580000 0 0 0 214583 0 0 0 31365417 0 1992 true false true true B 7125000 0 75000000 0 0 0 618200 0 0 74381800 0 0 2012 false false true true C 0 0 100957481 0 0 0 0 0 0 100957481 0 0 2019 false false false true D 600000 0 25530452 0 0 0 0 0 0 25530452 0 0 2019 false false false true A 0 B false false false false 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 false true false false false 0 false 0 false true C false true false false 0 false 0 false true D false true 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 $1,045,578.59 FOR 2017A. A Industrial Development Authority City NN 541737715 652264AB8 2017-08-18 51409500 2017A Construction RHS Facilities false false false B economic Development Authority City NN 521290859 65226DAA0 2017-09-07 68555000 2017B REF 2011A/2011C-97/04/02/91 false false false A 0 0 52455079 0 0 0 0 0 0 19811180 0 32643899 false false false true B 3885000 0 68555000 0 0 0 447 0 0 0 68554553 0 true false true true A false false true true true true 0 false false false true B false false true true true true 0 false false false true A false true false false false false 0 false 0 false true B false true false false true true DEUTSCHE BANK AG NY 29. false false false 0 false true A true B true Schedule O Part VI, Sec A, Line 2 Alan Witt, Gordon Gentry and Bill Downey serve on THE Board of Directors of a local entity. Part VI, Sec B, Line 11b On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee reviews key data from the Form 990. 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. Further concern, as reflected in the Conflict of Interest, Financial Disclosure, and Compliance Certification Questionnaire is reviewed by the Riverside Health System President to determine if additional follow-up is 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, Sec B, Line 15A The Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee determines the compensation of the President and Senior Executives. The Committee relies on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. Part VI, Sec B, Line 15B Compensation for all other officers and key employees is determined and reviewed by senior executives with reliance on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. 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 IX, Line 13 System-wide vendor rebates for purchasing bulk amount of supplies totaling $1,707,967. Part XI Line 9 2004 Bond Swap Equity Adj $ 1,703,683 Equity adj for divestitures $20,175,000 Other Change in Fund Balance $(3,731,916) Rounding $ 2 ================ Total $18,146,767 QUARTERPATH WILLIAMSBURG LLC 608 Denbigh Blvd St 800 Newport News VA 23608 473606366 REAL ESTATE VA 8250 4698040 RivHCAssc Center for Excellence In Aging 608 Denbigh Blvd St 800 Newport News VA 23608 061644517 Research VA 501(C)(3) 7 RivRetSvc true Charlottesville Area Retirement Svcs Inc 608 Denbigh Blvd St 800 Newport News VA 23608 454854018 Pt Services VA 501(c)(3) 10 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 Hospital 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 III-FI RivHCAssc true Riverside Healthcare Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241839 Management VA 501(C)(3) 12 III-FI 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) 12 III-FI 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) 12 III-FI 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 Fitness 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) 12 III-FI 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) 12I RivRetSvc true AtHomePtr 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 RHS Medinsur LTD Craig Appin House Wesley Street Hamilton BD 521241835 Insurance BD NA C Corp 3442333 42655882 1.00000 true Riverside Medical Equipment Center Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA NA C corp 0 0 false false false true false false false false false false false false false false false false false false false false RIVERSIDE HOSPITAL INC c 564378 DONATION RIVERSIDE LIFELONG HEALTH & AGING C 164481 DONATION RIVERSIDE DOCTORS HOSPITAL OF WILLIAMSBURG C 117540 DONATION RIVERSIDE SHORE MEMORIAL HOSPITAL C 483003 DONATION RIVERSIDE TAPPAHANNOCK HOSPITAL C 164703 DONATION RIVERSIDE MIDDLE PENINSULA HOSPITAL C 355941 DONATION RIVERSIDE HEALTHCARE ASSOC. GROUP RVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY Ownership Abbreviation Key: Riverside Healthcare Assocation, Inc. RivHCAssc Riverside Healthcare Foundation, Inc. RivHCFnd Riverside Hospital, Inc. RivHosp Riverside Physican Services, Inc. RivPhysSv Riverside Retirement Services, Inc. RivRetSvc Shore Health Services, Inc. ShoreHSvc