FURP.ORG / PUBLIC DATA EXPLORER

RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period
2017-01-01 to 2017-12-31
Filed
2019-01-25
IRS object ID
201940259349300014
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-01-25T17:15:08-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521241835EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTHCARE ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% VP OF FINANCE-RHA INCInCareOfNm
Business Name ControlRIVEBusinessNameControlTxt
Phone7578757838PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1608 Denbigh Blvd Suite 800AddressLine1Txt
CityNewport NewsCityNm
State AbbreviationVAStateAbbreviationCd
ZIP236084487ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonW WILLIAM AUSTIN JRPersonNm
Person TitleSR VP/CFOPersonTitleTxt
Phone7578757838PhoneNum
Signature2019-01-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id31499120190255000005FederalOriginalSubmissionId
Federal Original Submission Id2019-01-25FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id582F47EFACDD6166E52205D1FBFEA2601660FA18AtSubmissionCreationDeviceId
At Submission Filing Device IdD7645E384763AEB8339B885771554B833BC3ADBEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam DowneyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1Txt
CityNewport NewsCityNm
State AbbreviationVAStateAbbreviationCd
ZIP236084487ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,832,706GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.Riversideonline.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionFINANCIAL COORDINATIONActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee49TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,060,964PYProgramServiceRevenueAmt
CY Program Service Revenue$5,694,674CYProgramServiceRevenueAmt
PY Investment Income$9,105,325PYInvestmentIncomeAmt
CY Investment Income$9,218,328CYInvestmentIncomeAmt
PY Other Revenue$195,160PYOtherRevenueAmt
CY Other Revenue-$296,781CYOtherRevenueAmt
PY Total Revenue$18,361,449PYTotalRevenueAmt
CY Total Revenue$14,616,221CYTotalRevenueAmt
PY Grants And Similar Paid$600PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,348,826PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,189,576CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,700,944PYOtherExpensesAmt
CY Other Expenses$8,726,587CYOtherExpensesAmt
PY Total Expenses$14,050,370PYTotalExpensesAmt
CY Total Expenses$10,916,163CYTotalExpensesAmt
PY Revenues Less Expenses$4,311,079PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,700,058CYRevenuesLessExpensesAmt
Total Assets BOY$483,597,122TotalAssetsBOYAmt
Total Assets EOY$593,777,144TotalAssetsEOYAmt
Total Liabilities BOY$332,336,646TotalLiabilitiesBOYAmt
Total Liabilities EOY$427,284,829TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$151,260,476NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$166,492,315NetAssetsOrFundBalancesEOYAmt
MissionTO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,787,296ExpenseAmt
Revenue$14,616,221RevenueAmt
DescFINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2017, 96 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $491,347.Desc
Total Program Service Expenses$8,787,296TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee49EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonVP OF FINANCE-RHA INCPersonNm
Phone7578757838PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1608 DENBIGH BLVD 800AddressLine1Txt
CityNEWPORT NEWSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23608ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
ALAN WITT
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
BARRY GROSS
EXEC VP/CMO RHS1.039.0Yes (X)Yes (X)$0$759,104$48,524
CONWAY SHEILD
BOARD MEMBER1.00.0Yes (X)$0$0$0
DANIEL SHERLOCK
BOARD MEMBER1.00.0Yes (X)$0$0$0
DON WILSON
BOARD MEMBER1.00.0Yes (X)$0$0$0
EDWARD HECKLER
BOARD MEMBER/VP LHARS1.039.0Yes (X)Yes (X)$0$266,085$46,095
FRANCES ELLIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
GORDON GENTRY
BOARD MEMBER1.00.0Yes (X)$0$0$0
HUGH BARLOW
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
JEROLD ALLEN
VICE CHAIRMAN1.00.0Yes (X)$0$0$0
JULIE RAUTIO
BOARD MEMBER1.00.0Yes (X)$0$0$0
KAREN MAGILL
VICE CHAIRMAN1.00.0Yes (X)$0$0$0
PAUL TRIBLE
BOARD MEMBER1.00.0Yes (X)$0$0$0
REGINA BRAYBOY
BOARD MEMBER1.00.0Yes (X)$0$72,000$0
RICHARD CROWDER
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROBERT HARDING
BOARD MEMBER1.039.0Yes (X)$0$264,020$35,405
ROBERT LALOR
Board Member1.00.0Yes (X)$0$0$0
SCOTT STABLER
BOARD MEMBER1.00.0Yes (X)$0$0$0
THADDEUS HOLLOMAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
WILLIAM BRAUER
BOARD MEMBER1.00.0Yes (X)$0$0$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS, Secretary1.039.0Yes (X)Yes (X)$0$1,308,513$53,959
JASON HOUSER
VP, LEGAL AFFAIRS1.039.0Yes (X)$0$464,004$59,485
NANCY LITTLEFIELD
SR VP/CNO1.039.0Yes (X)$0$376,085$20,600
WALTER AUSTIN
SR VP, CFO & TREASURER1.039.0Yes (X)$0$596,660$30,649
WADE BROUGHMAN
EVP0.040.0Yes (X)$0$1,614,434$27,837
BARBARA LABONTE
DIRECTOR SYSTEM1.039.0$0$213,602$25,998Yes (X)
COURTNEY DETWILER
ADMINISTRATOR19.00.0$89,032$0$3,327Yes (X)
TRACEY DOWLING
DIRECTOR SYSTEM1.039.0$0$179,978$33,250Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,114,485TotReportableCompRltdOrgAmt
Total Other Compensation$385,129TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DPR CONSTRUCTION
1450 VETERANS BLVDREDWOODCA94063Consulting$9,406,299
WVS KINIRY WILLOWWOOD PARTNERS
PO BOX 8029RICHMONDVA232238029CONSULTING$2,363,448
Square 1 Roofing LLC
5812 Mooretown Rd Ste KWILLIAMSBURGVA23188Consulting$502,517
Reese Lower Patric Scott
250 ValleyBrook DrLANCASTERPA17601Consulting$343,453
MCQUIREWOODS LLP
800 E CANAL STREETRICHMONDVA232193916Consulting$213,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE REVENUEDesc
Business541610BusinessCd
Total Revenue Column$5,694,674TotalRevenueColumnAmt
Related Or Exempt Func Income$5,694,674RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,694,674TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,344,186TotalRevenueColumnAmt
Related Or Exempt Func Income$9,344,186RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,598,095RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$8,975,027RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$376,932RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$376,932TotalRevenueColumnAmt
Related Or Exempt Func Income-$376,932RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,115,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,241,458OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$125,858OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$125,858TotalRevenueColumnAmt
Related Or Exempt Func Income-$125,858RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SVC FROM AFFILIATES900099$8,788$8,788
MANAGEMENT FEES900099$71,363$71,363
FieldValueIRS element (for citing)
Other Revenue Total$80,151OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,616,221TotalRevenueColumnAmt
Related Or Exempt Func Income$14,616,221RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$92,359TotalAmt
Program Services$92,359ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,739,464TotalAmt
Program Services$1,481,752ProgramServicesAmt
Management And General$257,712ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$83,708TotalAmt
Program Services$83,708ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$156,951TotalAmt
Program Services$146,189ProgramServicesAmt
Management And General$10,762ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$117,094TotalAmt
Program Services$104,825ProgramServicesAmt
Management And General$12,269ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$966TotalAmt
Management And General$966ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$91,789TotalAmt
Management And General$91,789ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,550TotalAmt
Management And General$28,550ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$107,905TotalAmt
Program Services$107,905ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,040TotalAmt
Program Services$1,040ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total-$487,676TotalAmt
Program Services-$487,676ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$151,482TotalAmt
Program Services$823ProgramServicesAmt
Management And General$150,659ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,109,406TotalAmt
Program Services$1,109,406ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$162TotalAmt
Program Services$162ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,595,709TotalAmt
Program Services$4,595,709ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$205,455TotalAmt
Program Services$205,455ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$162,563TotalAmt
Management And General$162,563ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL SERVICES$1,893,358$755,084$1,138,274
MEDICAL EXPENSES$582,190$581,289$901
BAD DEBT EXPENSE$4,542$4,542$0
TAXES$4,973$4,724$249

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$274,173TotalAmt
Management And General$274,173ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,916,163TotalAmt
Program Services$8,787,296ProgramServicesAmt
Management And General$2,128,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,226,491BOYAmt
EOY$14,842,924EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$93,774,635BOYAmt
EOY$84,676,443EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$156,052,929BOYAmt
EOY$254,967,670EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,818,768BOYAmt
EOY$3,873,431EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,132,682BOYAmt
EOY$3,044,982EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$200,530,199LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,967,142LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$164,165,906BOYAmt
EOY$167,563,057EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$43,568,685BOYAmt
EOY$48,328,341EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,860,023BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,997,003BOYAmt
EOY$16,480,296EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$483,597,122BOYAmt
EOY$593,777,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,369,071BOYAmt
EOY$9,016,243EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,007,545BOYAmt
EOY$10,381,545EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$265,640,000BOYAmt
EOY$321,208,429EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$50,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$20,260,068BOYAmt
EOY$18,197,212EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,059,962BOYAmt
EOY$18,481,400EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$332,336,646BOYAmt
EOY$427,284,829EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$151,260,476BOYAmt
EOY$166,492,315EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$151,260,476BOYAmt
EOY$166,492,315EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$483,597,122BOYAmt
EOY$593,777,144EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,700,058ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,059,057NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,472,724OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,474,872CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,355,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,924,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,167,407CurrentTaxYearMinus1YearAmt
Current Tax Year$14,372,920CurrentTaxYearAmt
Total$91,294,910TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,474,872CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,355,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,924,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,167,407CurrentTaxYearMinus1YearAmt
Current Tax Year$14,372,920CurrentTaxYearAmt
Total$91,294,910TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$91,294,910PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,050,829CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,542,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,644,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,614,788CurrentTaxYearMinus1YearAmt
Current Tax Year$9,344,186CurrentTaxYearAmt
Total$40,197,291TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,050,829CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,542,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,644,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,614,788CurrentTaxYearMinus1YearAmt
Current Tax Year$9,344,186CurrentTaxYearAmt
Total$40,197,291TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,525,701CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,898,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,569,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,782,195CurrentTaxYearMinus1YearAmt
Current Tax Year$23,717,106CurrentTaxYearAmt
Total$131,492,201TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.69430PublicSupportCY509Pct
Public Support PY5090.72108PublicSupportPY509Pct
Investment Income CY0.30570InvestmentIncomeCYPct
Investment Income PY0.27892InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,966,260OtherCostOrOtherBasisAmt
Book Value$68,966,260BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,846,804OtherCostOrOtherBasisAmt
Depreciation$28,161,450DepreciationAmt
Book Value$90,685,354BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,230,389OtherCostOrOtherBasisAmt
Depreciation$207,322DepreciationAmt
Book Value$2,023,067BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,486,746OtherCostOrOtherBasisAmt
Depreciation$4,598,370DepreciationAmt
Book Value$5,888,376BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$167,563,057TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MANAGED CARE$18,197,812C
OTHER$20,826,257C
STOCKS$9,304,272C
FieldValueIRS element (for citing)
Total Book Value Securities$48,328,341TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DERIVITIVE 2004$8,890,645
CNU OBLIGATION$9,590,755
CONTINGENT LIABILITY$0
OTHER$0
FieldValueIRS element (for citing)
Total Liability$18,481,400TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionNorth AmericaRegionTxt
Offices1OfficesCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvidedTxt
Region Total Expenditures$9,791,613RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Total Office1TotalOfficeCnt
Subtotal Spent$9,791,613SubtotalSpentAmt
Total Spent$9,791,613TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$183,363TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$183,363NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,054TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,272NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$344,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$270,635NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$344,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$270,635NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,542BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,172,599ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,388,768CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$216,169MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hampton Roads Specialty HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1245 Chesapeake AveAddressLine1Txt
CityNewport NewsCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23607ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.riversideonline.com/hrsh/WebsiteAddressTxt
State LicenseH 1925StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherLong Term Acute CareOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Hampton Roads Specialty HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Sec. COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Sec. CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Sec. CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Sec. CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Sec. CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart VFormAndLineReferenceDesc
ExplanationLine 5. In the 2016 CHNA process, three Riverside Health System hospitals worked together to conduct a CHNA for the Peninsula region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, Riverside worked with Sentara Health System to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 120 (13%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the two area health departments as well as the first responders in the various localities). A full list of the organizations can be found on pages 97-98 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results. This group prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics and the VA Medical Center, the Community Services Board, local non-profit groups such as the United Way and members of the local business community. The administrators of the three Riverside hospitals in the region also participated in this group. Line 6a. Hampton Roads Specialty Hospital worked with Riverside Regional Medical Center and Riverside Rehabilitation Institute on the 2016 CHNA process. While the CHNAs were not conducted jointly, Hampton Roads Specialty Hospital also worked with Riverside Rehabilitation Institute, Riverside Regional Medical Center, Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 7a. riversideonline.com/about_riverside/community-health-needs.cfm Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request the facility, Riverside has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. riversideonline.com/about_riverside/community-health-needs.cfm Line 11. Through the CHNA process Riverside identified many significant needs in the community. Through meetings with community leaders, Riverside determined to focus its efforts on addressing five main areas of issues: 1) Mental Health 2) Healthy Lifestyle / Heart Healthy / Obesity / Diabetes; 3) Housing; 4) Vulnerable Populations and 5) Health Insurance and Access. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue working on mental health issues through direct clinical inpatient and outpatient services. Additionally, Riverside will continue to work with other partner organizations such as the VA Medical Center, the Community Services Board and first responders. In response to the ongoing opiate addiction crisis, Riverside will continue its work with the Hampton Roads Working Group on Heroin and partnering with other local organizations to address the issue from multiple angles. For Healthy Lifestyle issues, Riverside will continue to focus on community education as well as partnering with other local health care organizations and public health leaders to address the issue of healthy nutrition in the region. For Access and Insurance, Riverside will continue to support the United Way as it re-establishes itself in the community as the lead organization for connecting individuals to services across the region. Riverside will also work to address transportation solutions. For Safety Net issues, Riverside will continue to provide care to individuals in accordance with its Financial Assistance Policy as well as to work closely with safety net providers including free clinics in the region to ensure high quality care is provided across the region. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Chronic Respiratory Conditions, Stroke, Cancer, Reproductive Health, Infant Mortality, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. riversideonline.com/patients_guests/financial-assistance.cfm Line 16b. riversideonline.com/patients_guests/financial-assistance.cfm Line 16c. riversideonline.com/patients_guests/financial-assistance.cfmExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule H, Part VIFormAndLineReferenceDesc
ExplanationLine 1: Part I Line 3c: Free care uses 200% and discounted care uses 400% of FPG. Line 1: Part I, Line 6a: Hampton Roads Specialty Hospital worked with Riverside Regional Medical Center and Riverside Rehabilitation Institute on the 2016 CHNA process. While the CHNAs were not conducted jointly, Hampton Roads Specialty Hospital also worked with Riverside Rehabilitation Institute, Riverside Regional Medical Center, Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. The group than came together from across the Peninsula to determine a joint implementation plan included hospital facilities as well as local health departments, first responders, government officials and non- profits such as the United Way and the Foodbank. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $4,542. Line 1: Part I Line 7A: The cost to charge ratio calculated on worksheet 2 was used for the charity expense calculation. Line 1: Part I Line 7B: Medicaid cost and net revenue are directly from the Medicaid cost report. Line 1: Part III Line 2: 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 3: Patients eligible under the financial assistance policy were provided 100% discount and therefore were not included in bad debt expense. Line 1: Part III Line 4: Footnote 4 of the Audited Financial Statements states: Patient accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the System records a provision for bad debts in the period of service on the basis of its past experience. The difference between standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible amounts. 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. Line 1: Part III, Line 9b: Patients eligible under the written Financial Assistance Policy were provided 100% discount and were therefore excluded from debt collection processes. Line 2: Riverside 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: Riverside makes available the Financial Assistance Policy and plain language summary to patients and answers questions patients have about it via our call center. Riverside also screens patients for Medicare, Medicaid and commercial insurances. We will also assist in filling out Medicaid applications and submit retro-authorizations when applicable to assist patients in getting their bill paid or adjusted. 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. Located on the eastern tip of the Virginia Peninsula on the Chesapeake Bay, HRSH mainly serves the Virginia Peninsula, including James City County, York County, New Kent County, Isle of Wight County and the cities of Williamsburg, Newport News, Poquoson and Hampton. It also cares for patients from the broader Hampton Roads region to include Virginia Beach, Norfolk, Portsmouth and Chesapeake, as well as Riversides more rural regions on the Middle Peninsula and the Northern Neck further up the Chesapeake. The entire Peninsula region, including James City County, Williamsburg, Newport News, 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 communitys 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 traditionally been defined as a blue-collar community. More than one third of adults over age 25 have high school or less as the highest level of educational attainment. Line 5: In 1916 Riverside was founded by the community in order to serve the community. In the 100 years since then, Riverside has taken pride in caring for each community it serves. While people initially think of Riverside caring for patients one at a time in one of the many hospitals or physician offices, Riverside works to promote the health of its communities in many ways. This passion for meeting the individual needs of its communities is driven by the community-based boards of directors. These individuals help advocate for the needs of the local communities, ensuring that each Riverside facility is positioned to care for the unique needs of each community. HRSH was developed when just such a need was identified in the region. As a part of the commitment to community, Riverside believes in continual investment in the education of fuExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARBARA LABONTE
DIRECTOR SYSTEM$0$175,989$0$26,873$0$10,740$0$25,483$0$515$0$239,600$0$0
BARRY GROSS
EXEC VP/CMO RHS$0$523,653$0$92,169$0$143,282$0$34,986$0$13,538$0$807,628$0$0
COURTNEY DETWILER
ADMINISTRATOR$57,819$0$20,091$0$11,122$0$0$0$0$0$89,032$0$0$0
EDWARD HECKLER
BOARD MEMBER/VP LHARS$0$210,439$0$23,859$0$31,787$0$25,553$0$20,542$0$312,180$0$0
JASON HOUSER
VP, LEGAL AFFAIRS$0$337,468$0$49,819$0$76,717$0$26,812$0$32,673$0$523,489$0$0
NANCY LITTLEFIELD
SR VP/CNO$0$287,223$0$41,087$0$47,775$0$11,471$0$9,129$0$396,685$0$0
ROBERT HARDING
BOARD MEMBER$0$165,784$0$28,888$0$69,348$0$34,184$0$1,221$0$299,425$0$0
TRACEY DOWLING
DIRECTOR SYSTEM$0$151,857$0$21,574$0$6,547$0$17,607$0$15,643$0$213,228$0$0
WALTER AUSTIN
SR VP, CFO & TREASURER$0$455,949$0$65,903$0$74,808$0$12,150$0$18,499$0$627,309$0$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS, Secretary$0$896,511$0$206,400$0$205,602$0$32,212$0$21,747$0$1,362,472$0$0
WADE BROUGHMAN
EVP$0$158,297$0$102,664$0$1,353,473$0$22,762$0$5,075$0$1,642,271$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch J, Part 1, Line 4BBarry Gross $ 79,880 Jason Houser $ 41,516 Nancy Littlefield $ 34,031 Wade Broughman $ 88,975 Walter Austin $ 54,919 William Downey $180,600 Edward Heckler $ 4,039 Total $394,985 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.
Sch J, Part I, Line 4ASEVERANCE PAYMENT WADE BROUHGMAN $1,140,709

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Economic Development Authority of the City of Newp
A5212908590000000002011-12-20$31,580,0002011B issue refunding 1998 SERIESfalsefalsefalse
Economic Development Authority of the City of Newp
B5212908590000000002012-12-20$75,000,0002012 Construct. Surgical Pavilionfalsefalsefalse
INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN
C5417377150000000002015-07-22$100,000,0002015A CONSTRUCTION RHS FACILITIESfalsefalsefalse
INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN
D5417377150000000002015-07-22$25,000,0002015B Construction RHS Facilitiesfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$20,997,082$0$31,580,000$0$0$0$214,583$0$0$0$31,365,417$02012Yes (true)falseYes (true)Yes (true)
B$6,000,000$0$75,000,000$0$0$0$618,200$0$0$74,381,800$0$02012falsefalseYes (true)Yes (true)
C$0$0$100,944,860$0$0$0$0$0$0$93,174,707$0$7,770,153falsefalsefalseYes (true)
D$400,000$0$25,394,725$0$0$0$0$0$0$0$0$25,394,725falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A0
B0falsefalsefalsefalseYes (true)falsefalseYes (true)
C0falsefalseYes (true)Yes (true)Yes (true)falsefalseYes (true)Yes (true)Yes (true)
D0falsefalseYes (true)Yes (true)Yes (true)falsefalseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBond DisclosureFormAndLineReferenceDesc
ExplanationALL 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 $944,860.50 FOR 2015A AND $394,724.61 FOR 2015B.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Industrial Development Authority City NN
A541737715652264AB82017-08-18$51,409,5002017A Construction RHS Facilitiesfalsefalsefalse
economic Development Authority City NN
B52129085965226DAA02017-09-07$68,555,0002017B REF 2011A/2011C-97/04/02/91falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$51,511,118$0$0$0$0$0$0$0$0$51,511,118falsefalsefalseYes (true)
B$0$0$68,555,000$0$0$0$447$0$0$0$68,554,553$0Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndAny Lease ArrangementsAnyLeaseArrangementsInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)0Yes (true)falsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)0Yes (true)falsefalseYes (true)false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationALL 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 $101,618 FOR 2017A.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule OFormAndLineReferenceDesc
ExplanationPart VI, Sec A, Line 2 Alan Witt, Gordon Gentry and Bill Downey have a business relationship. 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 XI Line 9 2004 Bond Swap Equity Adj $ 897,414 Distribution of Equity-Medinsur $ 5,000,000 Distribution of Equity-LTACH $ 9,435,333 Purchased Equity-LTACH $(4,860,023) ================ Total $10,472,724 Tax Relief for Victims of Hurricane Florence in Virginia The Organization was impacted by the declared major disaster in Virginia caused by Hurricane Florence. The IRS issued a tax relief notice for victims of Hurricane Florence in Virginia. Newport News was one of the counties mentioned as qualifying for tax relief. Specifically, the notice provides tax relief to extend the filing deadline to January 31, 2019 for impacted organizations. The Organizations books and records and all financial information to prepare this Form 990 are located within the Newport News disaster area and were impacted by the major disaster. As a result, the Organization is filing the Form 990 by the extended January 31, 2019 deadline. The Organization is hereby requesting the waiving of any late filing penalties per the notice.ExplanationTxt

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
QUARTERPATH WILLIAMSBURG LLC
608 Denbigh Blvd St 800Newport NewsVA23608473606366REAL ESTATEVA$0$4,698,040RivHCAssc
LTACH at Riverside LLC
608 Denbigh Blvd St 800Newport NewsVA23608743135196HospitalVA$3,270,142$914,823RivHCAssc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Center for Excellence In Aging
608 Denbigh Blvd St 800Newport NewsVA23608061644517ResearchVA501(C)(3)7RivRetSvcYes (true)
Charlottesville Area Retirement Svcs Inc
608 Denbigh Blvd St 800Newport NewsVA23608454854018Pt ServicesVA501(c)(3)10RivRetSvcYes (true)
Doctors' Hospital of Williamsburg
608 Denbigh Blvd St 800Newport NewsVA23608271540267HospitalVA501(C)(3)3RivHCAsscYes (true)
Francis N Sanders Nursing Home Inc
608 Denbigh Blvd St 800Newport NewsVA23608540683174Nursing CareVA501(c)(3)10RivHCAsscYes (true)
Newport News General & Nonsectarian Hosp
608 Denbigh Blvd St 800Newport NewsVA23608540505934Holding CompVA501(c)(2)RivHCAsscYes (true)
Patrick Henry Hospital Incorporated
608 Denbigh Blvd Ste 800Newport NewsVA23608540610803Nursing CareVA501(C)(3)3RivHCAsscYes (true)
Patriots Colony Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541680163Ret CommunityVA501(C)(3)10RivHCAsscYes (true)
Rehabilitation Institute of Va Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521432269HospitalVA501(C)(3)3RivHCAsscYes (true)
Riverside Convalescent Centers Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521276323Nursing CareVA501(C)(3)3RivHCAsscYes (true)
Riverside Health System Foundation Inc
608 Denbigh Blvd Ste 800Newport NewsVA23602541994013FoundationVA501(C)(3)7RivHCAsscYes (true)
Riverside Healthcare Foundation Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521241989FoundationVA501(C)(3)12cRivHCAsscYes (true)
Riverside Healthcare Services Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521241839ManagementVA501(C)(3)12cRivHCAsscYes (true)
Riverside Hospital Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521245746HospitalVA501(C)(3)3RivHCAsscYes (true)
Riverside Management Services Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521241840MANAGEMENTVA501(C)(3)12cRivHCAsscYes (true)
Riverside Middle Peninsula Hospital Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608521241836HospitalVA501(C)(3)3RivHCAsscYes (true)
Riverside Physician Services Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541519724PT SERVICESVA501(C)(3)12cRivHCAsscYes (true)
Riverside Retirement Services Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541348674Ret CommunityVA501(C)(3)10RivHCAsscYes (true)
Riverside Tappahannock Hospital Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541489410HospitalVA501(C)(3)3RivHCAsscYes (true)
Riverside Wellness & Fitness Centers Inc
608 Denbigh Blvd Ste 800Newport NewsVA23602541318861FitnessVA501(C)(3)10RivHCAsscYes (true)
Sanders Common LTD
608 Denbigh Blvd Ste 800Newport NewsVA23608524233030Nursing CareVA501(C)(3)12cRivHCAsscYes (true)
Shore Health Services Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608540560500HospitalVA501(C)(3)3RivHCAsscYes (true)
Shore Life Care Inc
608 Denbigh Blvd Ste 800Newport NewsVA23602541876370Nursing CareVA501(C)(3)10ShoreHSvcYes (true)
Tilden and Virginia Davis Support
608 Denbigh Blvd Ste 800Newport NewsVA23608541527703FoundationVA501(C)(3)12ARivRetSvcYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
AtHomePtr
608 Denbigh Blvd Ste 800Newport NewsVA23608472999121ManagementVARivRetSvcEXCLUDED
Coastal Virginia Rehabilitation LLC
4714 Gettysburg RoadMechanicsburgPA17055821270202HospitalVARehabinstEXCLUDED$0$0falsefalse0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Peninsula Hospital Services
608 Denbigh Blvd Ste 800Newport NewsVA23608540991295LaundryVANACOOP
RHS Medinsur LTD
521241835InsuranceNAC CorpCraig Appin HouseWesley StreetHamiltonBDBD$3,235,598$36,190,1611.00000Yes (true)
Riverside Medical Equipment Center Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541325596BillingVANAC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRIVERSIDE HEALTHCARE ASSOC. GROUPFormAndLineReferenceDesc
ExplanationRVS 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. ShoreHSvcExplanationTxt