2019-01-25T17:15:08-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 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 2019-01-24 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.253 31499120190255000005 2019-01-25 P 582F47EFACDD6166E52205D1FBFEA2601660FA18 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z William Downey Same as C above Newport News VA 236084487 25832706 false X WWW.Riversideonline.com X 1982 VA FINANCIAL COORDINATION 21 15 49 0 0 0 0 0 9060964 5694674 9105325 9218328 195160 -296781 18361449 14616221 600 0 0 0 4348826 2189576 0 0 0 9700944 8726587 14050370 10916163 4311079 3700058 483597122 593777144 332336646 427284829 151260476 166492315 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 8787296 14616221 FINANCIAL 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. 8787296 true false false false false false false false false false true true false false true false false true false false true false false false false false true true 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 49 true true true true BD false false false false false false false false false X 21 15 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 WITT CHAIRMAN 1.0 0.0 X X 0 0 0 BARRY GROSS EXEC VP/CMO RHS 1.0 39.0 X X 0 759104 48524 CONWAY SHEILD BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL SHERLOCK BOARD MEMBER 1.0 0.0 X 0 0 0 DON WILSON BOARD MEMBER 1.0 0.0 X 0 0 0 EDWARD HECKLER BOARD MEMBER/VP LHARS 1.0 39.0 X X 0 266085 46095 FRANCES ELLIS BOARD MEMBER 1.0 0.0 X 0 0 0 GORDON GENTRY BOARD MEMBER 1.0 0.0 X 0 0 0 HUGH BARLOW SECRETARY 1.0 0.0 X X 0 0 0 JEROLD ALLEN VICE CHAIRMAN 1.0 0.0 X 0 0 0 JULIE RAUTIO BOARD MEMBER 1.0 0.0 X 0 0 0 KAREN MAGILL VICE CHAIRMAN 1.0 0.0 X 0 0 0 PAUL TRIBLE BOARD MEMBER 1.0 0.0 X 0 0 0 REGINA BRAYBOY BOARD MEMBER 1.0 0.0 X 0 72000 0 RICHARD CROWDER BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT HARDING BOARD MEMBER 1.0 39.0 X 0 264020 35405 ROBERT LALOR Board Member 1.0 0.0 X 0 0 0 SCOTT STABLER BOARD MEMBER 1.0 0.0 X 0 0 0 THADDEUS HOLLOMAN BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM BRAUER BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM DOWNEY PRESIDENT,CEO RHS, Secretary 1.0 39.0 X X 0 1308513 53959 JASON HOUSER VP, LEGAL AFFAIRS 1.0 39.0 X 0 464004 59485 NANCY LITTLEFIELD SR VP/CNO 1.0 39.0 X 0 376085 20600 WALTER AUSTIN SR VP, CFO & TREASURER 1.0 39.0 X 0 596660 30649 WADE BROUGHMAN EVP 0.0 40.0 X 0 1614434 27837 BARBARA LABONTE DIRECTOR SYSTEM 1.0 39.0 X 0 213602 25998 COURTNEY DETWILER ADMINISTRATOR 19.0 0.0 X 89032 0 3327 TRACEY DOWLING DIRECTOR SYSTEM 1.0 39.0 X 0 179978 33250 89032 6114485 385129 0 false true false DPR CONSTRUCTION 1450 VETERANS BLVD REDWOOD CA 94063 Consulting 9406299 WVS KINIRY WILLOWWOOD PARTNERS PO BOX 8029 RICHMOND VA 232238029 CONSULTING 2363448 Square 1 Roofing LLC 5812 Mooretown Rd Ste K WILLIAMSBURG VA 23188 Consulting 502517 Reese Lower Patric Scott 250 ValleyBrook Dr LANCASTER PA 17601 Consulting 343453 MCQUIREWOODS LLP 800 E CANAL STREET RICHMOND VA 232193916 Consulting 213667 6 0 SERVICE REVENUE 541610 5694674 5694674 5694674 9344186 9344186 0 0 8598095 8975027 -376932 0 -376932 -376932 2115600 2241458 -125858 -125858 -125858 0 0 0 0 0 0 0 0 0 SVC FROM AFFILIATES 900099 8788 8788 MANAGEMENT FEES 900099 71363 71363 80151 14616221 14616221 0 0 0 0 92359 92359 0 1739464 1481752 257712 83708 83708 156951 146189 10762 117094 104825 12269 966 966 91789 91789 28550 28550 0 0 0 107905 107905 1040 1040 -487676 -487676 151482 823 150659 0 1109406 1109406 162 162 0 0 4595709 4595709 0 205455 205455 162563 162563 PROFESSIONAL SERVICES 1893358 755084 1138274 MEDICAL EXPENSES 582190 581289 901 BAD DEBT EXPENSE 4542 4542 0 TAXES 4973 4724 249 274173 274173 10916163 8787296 2128867 0 11226491 14842924 93774635 84676443 0 0 156052929 254967670 0 0 0 0 4818768 3873431 0 0 3132682 3044982 200530199 32967142 164165906 167563057 0 0 43568685 48328341 0 0 4860023 0 1997003 16480296 483597122 593777144 15369071 9016243 0 0 10007545 10381545 265640000 321208429 0 0 0 0 0 50000000 20260068 18197212 21059962 18481400 332336646 427284829 X 151260476 166492315 0 0 0 0 151260476 166492315 483597122 593777144 X 3700058 1059057 10472724 X false true X true false X 0 0 0 0 0 0 18474872 21355289 19924422 17167407 14372920 91294910 0 0 0 18474872 21355289 19924422 17167407 14372920 91294910 0 0 0 91294910 9050829 6542844 6644644 8614788 9344186 40197291 0 9050829 6542844 6644644 8614788 9344186 40197291 0 0 27525701 27898133 26569066 25782195 23717106 131492201 0.69430 0.72108 0.30570 0.27892 X 68966260 68966260 118846804 28161450 90685354 2230389 207322 2023067 10486746 4598370 5888376 167563057 MANAGED CARE 18197812 C OTHER 20826257 C STOCKS 9304272 C 48328341 0 DERIVITIVE 2004 8890645 CNU OBLIGATION 9590755 CONTINGENT LIABILITY 0 OTHER 0 18481400 North America 1 Program Services CAPTIVE INSURANCE 9791613 1 1 9791613 9791613 true false true false false false true true X true X true X true true false true true 183363 183363 0.01680 161054 73782 87272 0.00800 344417 73782 270635 0.02480 344417 73782 270635 0.02480 false 4542 0 2172599 2388768 -216169 X true true 1 1 Hampton Roads Specialty Hospital 245 Chesapeake Ave Newport News VA 23607 http://www.riversideonline.com/hrsh/ H 1925 X Long Term Acute Care Hampton Roads Specialty Hospital 1 false false true X X X X X X X X X 16 true true false true X See Part V, Sec. C X X true 16 true See Part V, Sec. C false true X 200. 400. X X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X See Part V, Sec. C X X X X X true X false X X X X true X false false Part V Line 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.cfm Schedule H, Part VI Line 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 fu X X X X X X true true false false false false false false false BARBARA LABONTE DIRECTOR SYSTEM 0 175989 0 26873 0 10740 0 25483 0 515 0 239600 0 0 BARRY GROSS EXEC VP/CMO RHS 0 523653 0 92169 0 143282 0 34986 0 13538 0 807628 0 0 COURTNEY DETWILER ADMINISTRATOR 57819 0 20091 0 11122 0 0 0 0 0 89032 0 0 0 EDWARD HECKLER BOARD MEMBER/VP LHARS 0 210439 0 23859 0 31787 0 25553 0 20542 0 312180 0 0 JASON HOUSER VP, LEGAL AFFAIRS 0 337468 0 49819 0 76717 0 26812 0 32673 0 523489 0 0 NANCY LITTLEFIELD SR VP/CNO 0 287223 0 41087 0 47775 0 11471 0 9129 0 396685 0 0 ROBERT HARDING BOARD MEMBER 0 165784 0 28888 0 69348 0 34184 0 1221 0 299425 0 0 TRACEY DOWLING DIRECTOR SYSTEM 0 151857 0 21574 0 6547 0 17607 0 15643 0 213228 0 0 WALTER AUSTIN SR VP, CFO & TREASURER 0 455949 0 65903 0 74808 0 12150 0 18499 0 627309 0 0 WILLIAM DOWNEY PRESIDENT,CEO RHS, Secretary 0 896511 0 206400 0 205602 0 32212 0 21747 0 1362472 0 0 WADE BROUGHMAN EVP 0 158297 0 102664 0 1353473 0 22762 0 5075 0 1642271 0 0 Sch J, Part 1, Line 4B Barry 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 4A SEVERANCE PAYMENT WADE BROUHGMAN $1,140,709 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 20997082 0 31580000 0 0 0 214583 0 0 0 31365417 0 2012 true false true true B 6000000 0 75000000 0 0 0 618200 0 0 74381800 0 0 2012 false false true true C 0 0 100944860 0 0 0 0 0 0 93174707 0 7770153 false false false true D 400000 0 25394725 0 0 0 0 0 0 0 0 25394725 false false false true A 0 B false false false false 0 true false false true C false false true true true true 0 true false false true D false false true true true true 0 true 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 false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Bond Disclosure ALL OUTSTANDING BOND ISSUES LISTED ON THE RIVERSIDE HEALTHCARE ASSOCIATION SCHEDULE K ARE ISSUED AS HEALTH SYSTEM REVENUE BONDS UNDER THE PARENT RIVERSIDE HEALTH SYSTEM. THEREFORE, RIVERSIDE HEALTH SYSTEM (THE PARENT) IS LISTED AS THE ISSUER ON THE 8038 FORM FILED WITH THE IRS. Part II, Line 3 INCLUDES INVESTMENT EARNINGS OF $944,860.50 FOR 2015A AND $394,724.61 FOR 2015B. 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 51511118 0 0 0 0 0 0 0 0 51511118 false false false true B 0 0 68555000 0 0 0 447 0 0 0 68554553 0 true false true true A false true true true true 0 true false false true B false false true true true true 0 true false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SUPPLEMENTAL INFORMATION 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 $101,618 FOR 2017A. Schedule O Part 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. QUARTERPATH WILLIAMSBURG LLC 608 Denbigh Blvd St 800 Newport News VA 23608 473606366 REAL ESTATE VA 0 4698040 RivHCAssc LTACH at Riverside LLC 608 Denbigh Blvd St 800 Newport News VA 23608 743135196 Hospital VA 3270142 914823 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 540610803 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) 12c RivHCAssc true Riverside Healthcare Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241839 Management VA 501(C)(3) 12c 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) 12c 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) 12c 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) 12c 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) 12A RivRetSvc true AtHomePtr 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED 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 RHS Medinsur LTD Craig Appin House Wesley Street Hamilton BD 521241835 Insurance BD NA C Corp 3235598 36190161 1.00000 true Riverside Medical Equipment Center Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA NA C corp false false false false false false false false false false false false false false false false false false false 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