2017-11-15T15:55:22-06:00 2016-12-31 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 COLUMBUS OH 43212 990 2016-01-01 901000718 Riverside Healthcare Association Inc Group % VP OF FINANCE RIVE 7578757838 608 Denbigh Blvd Suite 800 Newport News VA 23608 W WILLIAM AUSTIN JR SR VP AND CFO 7578757838 2017-11-14 true Diane L Bean P00104972 6142325678 2017-11-07 164.57.159.253 31499120173195000016 2017-11-15 P 582F47EFACDD6166E52205D1FBFEA2601660FA18 0C6C8F7C1C22E68F83DAB8678A3CDB7085AC22F8 2016 2017-02-10 21:41:12Z WILLIAM DOWNEY CEOPRESIDENT 608 DENBIGH BLVD STE 800 NEWPORT NEWS VA 23608 1587791813 true true 5701 X RIVERSIDEONLINE.COM X PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY. 191 145 11190 763 351359 3711 3426178 4487330 1135098703 1167452966 11523663 10401291 347569593 377873994 1497618137 1560215581 7600821 13719845 0 0 594112471 624015219 0 0 144561 882002764 942506147 1483716056 1580241211 13902081 -20025630 895801617 898602871 355646528 360260136 540155089 538342735 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 1234036029 13719845 1530878723 General hospital services provided to the community: 2,576,246 persons were benefited in 2016 with quantifiable community benefits of $160,521,443. 1234036029 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false true true true true false false true X 976 0 true 11190 true true true false false false false false false false false false false X 191 145 true false false false true true true true true false false false true true true true true false false true true VA X VP OF FINANCE 7578757838 608 DENBIGH BLVD 800 NEWPORT NEWS VA 23608 ALAN WITT BOARD MEMBER 1.0 0.0 X 0 0 0 ALEXANDER DILLARD BOARD MEMBER 1.0 0.0 X 0 0 0 ALFRED POOLE CHAIRMAN 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895801617 898602871 305069567 308971771 0 0 2176509 2421714 19485000 17995000 0 0 0 0 0 0 0 0 28915452 30871651 355646528 360260136 X 530945442 528399954 9109647 9842781 100000 100000 540155089 538342735 895801617 898602871 X -20025630 18213276 X false true X true false X RIVERSIDE HEALTHCARE ASSOCIATION INC 521241835 10 true 0 0 RIVERSIDE HOSPITAL INC 521245746 3 true 0 0 WALTER REED MEMORIAL HOSPITAL 521241836 3 true 0 0 RIVERSIDE REHABILITATION INSTITUTE 521432269 3 true 0 0 4 false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 2 Riverside Healthcare Foundation, which is controlled by Riverside Healthcare Association, Inc., has determined that its hospital supported organizations, which qualify under 170(b)(1)(A)(iii), also qualify as public charities under section 509(a)(2)). PART IV, SECTION B, LINE 2 Riverside Healthcare Foundation also supported its other supported organizations within the Riverside Health System. That support carried out the purposes of Riverside Healthcare Association, Inc. (RHA) by strengthening the ability of the Foundations supported organizations to provide quality health care and improve the health of citizens in RHAs community. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 51364 false false true 114947 166311 false Other Advocacy Activities Salary and Expenses $114,947. Dues $ 51,364. Advocates on issues related to certificates of public need and all issues affecting healthcare such as hospitals, patients, physicians, and health insurance. 1175020 65984 1241004 1186469 -11449 1175020 1269006 46463 129000 1186469 1305166 77915 114075 1269006 1208060 149106 52000 1305166 1.00000 false false 12511847 12511847 334089051 164419173 169669878 429413206 324281269 105131937 19152034 13676359 5475675 292789337 0 OTHER CURRENT LIABILITIES 4373507 OBLIGATION UNDER CAPITAL LEASE 25660325 NOTE PAYABLE-CURRENT 651830 CONTINGENT LIABILITY 185989 30871651 Schedule D Part V Line 4 Endowment funds are used for scholarships true true X true X 250. false false true true false true true 5 26279 24944854 24944854 0.01700 11 41815 51238230 46192821 5045409 0.00340 16 68094 76183084 46192821 29990263 0.02040 24 1695231 1695231 0.00120 7 391 22073882 10540885 11532997 0.00790 754374 754374 0.00050 102 3572464 3572464 0.00240 133 391 28095951 10540885 17555066 0.01200 149 68485 104279035 56733706 47545329 0.03240 true 112203877 247028197 270930295 -23902098 X true true 5 1 Riverside Regional Medical Center 500 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 www.riversideonline.com/rrmc/ H1887 RIVERSIDE HOSPITAL INC 521245746 X X X X X Inpat Psychiatric 2 Riverside Walter Reed Hospital 7519 HOSPITAL DRIVE GLOUCESTER VA 23061 www.riversideonline.com/rwrh/ H1890 RIVERSIDE MIDDLE PENINSULA H 521241836 X X X 3 Riverside Tappahannock Hospital 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 www.riversideonline.com/rth/ H1889 RIVERSIDE TAPPAHANNOCK HOSPI 541489410 X X X 4 Riverside Rehabilitation Institute 245 CHESAPEAKE AVENUE NEWPORT NEWS VA 23607 www.riversideonline.com/rri/ H1888 THE REHABILITATION INSTITUTE 521432269 X Inpat Rehabilitation 5 Riverside Doctors Hosp Williamsburg 1500 Commonwealth Avenue Williamsburg VA 23185 www.riversideonline.com/rdhw/ H1937 DOCTORS' HOSPITAL OF WILLIAM 271540267 X X X Riverside Regional Medical Center 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 250. 0. X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X X X true X false X X X true X false false Riverside Walter Reed Hospital 2 false false true X X X X X X X X X 16 true true false true X See Part V, Sec. C X true 16 true See Part V, Sec. C false true X 250. 0. X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X X X true X false X X X true X false false Riverside Tappahannock Hospital 3 false false true X X X X X X X X X 16 true true false true X See Part V, Sec. C X true 16 true See Part V, Sec. C false true X 250. 0. X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X X X true X false X X X true X false false Riverside Rehabilitation Institute 4 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 250. 0. X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X X X true X false X X X false X X false false Riverside Doctors Hosp Williamsburg 5 false false true X X X X X X X X X 16 true true false true X See Part V, Sec. C X true 16 true See Part V, Sec. C false true X 250. 0. X X true true X X X true X See Part V, Sec. C X See Part V, Sec. C X X X true X false X X X true X false false Riverside Regional Medical Center 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 surveyed 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: Riverside Regional Medical Center worked with Riverside Rehabilitation Institute and Hampton Roads Specialty Hospital on the 2016 CHNA process. While the CHNAs were not conducted jointly, Riverside Regional Medical Center also worked with Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 7a: www.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: www.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 13h: 1) Scheduled for or have received services at Riverside Acute or Riverside Medical Group. 2) Provide valid Social Security number. 3) Be uninsured. 4) Have low credit (defined as having less than $1000 of available line of credit). 5) Be not likely to pay (defined as a credit score of less than 550). 6) Do not have liquid assets to meet their healthcare financial obligation. 7) Spousal information will be included for services over $10,000. 8) Medicaid Spend Down amounts do not qualify for financial assistance. Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16f: Financial Assistance information has always been available without charge when requested but the process was not well known. In FY 2017 steps were taken to standardize the process in all business offices and to publicize the process to business office employees to improve the accessibility of Financial Assistance information. Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00. Riverside Walter Reed Hospital Line 5: In the 2016 CHNA process, two Riverside Health System hospitals (Riverside Walter Reed Hospital and Riverside Tappahannock Hospital) worked together to conduct their CHNAs for the Middle Peninsula and Northern Neck regions. While each hospital developed their own CHNA, the Implementation Plan was developed jointly as the markets overlap with so many existing organizations such as the Three Rivers Health District, the Community Services Board and the Bay Area Aging organization. Both hospitals utilized the consulting group Community Health Solutions to conduct a survey of community stakeholders. The RWRH survey was sent to 156 individuals across the area, of which 49 (31%) 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 Bay 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 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 Three Rivers Health Department as well as the first responders in the various localities). A full list of the organizations surveyed can be found on pages 62-63 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results for both Riverside Walter Reed Hospital and Riverside Tappahannock Hospital. This group met multiple times and 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, the Community Services Board and local non-profit groups. The administrators of the two Riverside hospitals in the region also participated in this group. Line 6a: Riverside Walter Reed Hospital worked with Riverside Tappahannock Hospital to prioritize the needs and develop a joint implementation plan. Line 7a: www.riversideonline.com/about_riverside/community-health-needs.cfm Line 10a: www.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 / Obesity / Diabetes; 3) Healthy Aging; 4) Housing and 5) Transportation. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue partnering with the local community services board, as well as provide clinical care. Additionally, Riverside will work through the Middle Peninsula Northern Neck Regional Resource Council to find areas of collaboration and communication. For Healthy Lifestyle work, Riverside will collaborate with local organizations around the issue of nutrition education, access to healthy food and healthy lifestyle habits. Overall, the local organizations identified that many groups were already working to address many of the identified focus areas, and asked that Riverside focus its efforts on capacity building through strengthening the Middle Peninsula Northern Neck Regional Resource Council as a means of connecting existing interventions. This was identified for all of the identified priority needs. 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, Hypertension, 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 13h: 1) Scheduled for or have received services at Riverside Acute or Riverside Medical Group. 2) Provide valid Social Security number. 3) Be uninsured. 4) Have low credit (defined as having less than $1000 of available line of credit). 5) Be not likely to pay (defined as a credit score of less than 550). 6) Do not have liquid assets to meet their healthcare financial obligation. 7) Spousal information will be included for services over $10,000. 8) Medicaid Spend Down amounts do not qualify for financial assistance. Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16f: Financial Assistance information has always been available without charge when requested but the process was not well known. In FY 2017 steps were taken to standardize the process in all business offices and to publicize the process to business office employees to improve the accessibility of Financial Assistance information. Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00. Riverside Tappahannock Hospital Line 5: In the 2016 CHNA process, two Riverside Health System hospitals (Riverside Walter Reed Hospital and Riverside Tappahannock Hospital) worked together to conduct their CHNAs for the Middle Peninsula and Northern Neck regions. While each hospital developed their own CHNA, the Implementation Plan was developed jointly as the markets overlap with so many existing organizations such as the Three Rivers Health District, the Community Services Board and the Bay Area Aging organization. Both hospitals utilized the consulting group Community Health Solutions to conduct a survey of community stakeholders. The RTH survey was sent to 213 individuals across the area, of which 47 (22%) 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 Bay 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 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 Three Rivers Health Department as well as the first responders in the various localities). A full list of the organizations surveyed can be found on pages 62-63 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results for both Riverside Walter Reed Hospital and Riverside Tappahannock Hospital. This group met multiple times and 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, the Community Services Board and local non-profit groups. The administrators of the two Riverside hospitals in the region also participated in this group. Line 6a: Riverside Walter Reed Hospital worked with Riverside Tappahannock Hospital to prioritize the needs and develop a joint implementation plan. Line 7a: www.riversideonline.com/about_riverside/community-health-needs.cfm Line 10a: www.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 / Obesity / Diabetes; 3) Healthy Aging; 4) Housing and 5) Transportation. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue partnering with the local community services board, as well as provide clinical care. Additionally, Riverside will work through the Middle Peninsula Northern Neck Regional Resource Council to find areas of collaboration and communication. For Healthy Lifestyle work, Riverside will collaborate with local organizations around the issue of nutrition education, access to healthy food and healthy lifestyle habits. Overall, the local organizations identified that many groups were already working to address many of the identified focus areas, and asked that Riverside focus its efforts on capacity building through strengthening the Middle Peninsula Northern Neck Regional Resource Council as a means of connecting existing interventions. This was identified for all of the identified priority needs. 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, Hypertension, 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 13h: 1) Scheduled for or have received services at Riverside Acute or Riverside Medical Group. 2) Provide valid Social Security number. 3) Be uninsured. 4) Have low credit (defined as having less than $1000 of available line of credit). 5) Be not likely to pay (defined as a credit score of less than 550). 6) Do not have liquid assets to meet their healthcare financial obligation. 7) Spousal information will be included for services over $10,000. 8) Medicaid Spend Down amounts do not qualify for financial assistance. Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16f: Financial Assistance information has always been available without charge when requested but the process was not well known. In FY 2017 steps were taken to standardize the process in all business offices and to publicize the process to business office employees to improve the accessibility of Financial Assistance information. Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00. Riverside Rehabilitation Institute 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 surveyed 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: Riverside Rehabilitation Institute worked with Riverside Regional Medical Center and Hampton Roads Specialty Hospital on the 2016 CHNA process. While the CHNAs were not conducted jointly, Riverside Rehabilitation Institute also worked with Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 7a: www.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: www.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 13h: 1) Scheduled for or have received services at Riverside Acute or Riverside Medical Group. 2) Provide valid Social Security number. 3) Be uninsured. 4) Have low credit (defined as having less than $1000 of available line of credit). 5) Be not likely to pay (defined as a credit score of less than 550). 6) Do not have liquid assets to meet their healthcare financial obligation. 7) Spousal information will be included for services over $10,000. 8) Medicaid Spend Down amounts do not qualify for financial assistance. Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16f: Financial Assistance information has always been available without charge when requested but the process was not well known. In FY 2017 steps were taken to standardize the process in all business offices and to publicize the process to business office employees to improve the accessibility of Financial Assistance information. Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00. Riverside Doctors Hosp Williamsburg Line 5: In the 2016 CHNA process, Riverside Doctors Hospital Williamsburg worked to conduct a CHNA for the Williamsburg 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 114 (12.4%) 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 local health department as well as the first responders in the various localities). A full list of the organizations surveyed can be found on page 68 of the CHNA. While Riverside Doctors Hospital of Williamsburg did not work with Sentara Williamsburg Regional Medical Center to conduct its CHNA, the two facilities worked closely together to prioritize the needs and create an implementation plan. Once that plan had been prepared, it was reviewed and approved by the Williamsburg Chronic Care Collaborative, a group of local safety net / free clinic providers that meets with the Williamsburg Health Foundation. Line 6a: Riverside Doctors Hospital of Williamsburg created its own CHNA, but worked with Sentara Williamsburg Regional Medical Center to develop prioritized needs and create an implementation plan. Additionally, RDHW worked with Riverside Regional Medical Center, Riverside Rehabilitation Institute, Hampton Roads Specialty Hospital, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 7a: www.riversideonline.com/about_riverside/community-health-needs.cfm Line 10a: www.riversideonline.com/about_riverside/community-health-needs.cfm Line 11: Through the CHNA process Riverside identified many significant needs in the community. Through meetings between Riverside Doctors Hospital Williamsburg and Sentara Williamsburg Regional Medical Center, the two facilities identified Heart Disease as the priority health need to be addressed. As noted in more detail in the Implementation Plan the plan is to work to make Williamsburg a Heart Safe community. This will be done through efforts around education & prevention, screening and clinical care. Both facilities will also work with other local organizations such as the American Heart Association, the Chamber of Commerce and area free clinics to work on the issue. 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: Cancer, Mental Health, Chronic Respiratory Conditions, Stroke, Reproductive Health, Infant Mortality, Hypertension, 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 13h: 1) Scheduled for or have received services at Riverside Acute or Riverside Medical Group. 2) Provide valid Social Security number. 3) Be uninsured. 4) Have low credit (defined as having less than $1000 of available line of credit). 5) Be not likely to pay (defined as a credit score of less than 550). 6) Do not have liquid assets to meet their healthcare financial obligation. 7) Spousal information will be included for services over $10,000. 8) Medicaid Spend Down amounts do not qualify for financial assistance. Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16f: Financial Assistance information has always been available without charge when requested but the process was not well known. In FY 2017 steps were taken to standardize the process in all business offices and to publicize the process to business office employees to improve the accessibility of Financial Assistance information. Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00. 41 Brentwood Medical Education 10510 Jefferson Avenue Newport News VA 23601 Physician Clinic PCI-Newport News 12100 Warwick Blvd Newport News VA 23601 Infusion Therapy Center Riverside Cancer Institute Ctr-Va Beach 1200 First Colonial Rd 204A Virginia Beach VA 23455 Infusion Therapy Center Riverside Cancer Institute Ctr-Chesapeak 110 Wimbledon Square Ste E1 Chesapeake VA 23320 Infusion Therapy Center Riverside Cancer Institute Ctr-Suffolk 5835 Harbor View Blvd Ste C1 Suffolk VA 23435 Infusion Therapy Center Riverside Diagnostic & Breast Imaging Ct 895 City Center Blvd Ste 104 Newport News VA 23606 Diagnostic Center Riverside Home Care 856 J Clyde Morris Blvd Newport News VA 23601 Home Health Agency PACE-Hampton 4107 West Mercury Blvd Hampton VA 23666 Elderly Care Services Shore Cancer Center 10085 William F Bernart Circle Nassawasox VA 23413 Cancer Center PACE-Mactavish 1300 Mactavish Avenue Richmond VA 23230 Elderly Care Services Patriots Colony 6000 Patriots Colony Williamsburg VA 23188 Retirement Center Riverside Cancer Institute Ctr-Gloucest 7544 Medical Center Gloucester VA 23061 Infusion Therapy Center Riverside Radiation Oncology-Wmbg 3901 Treyburn Drive Williamsburg VA 23085 Radiation Oncology Center Hampton Surgery Center 850 Enterprise Parkway Ste 100 Hampton VA 23666 Surgery Center Riverside Diagnostic Ctr-Hampton 850 Enterprise Parkway Ste 1500 Hampton VA 23666 Diagnostic Center Riverside Radiaton Oncology-Npt News 12100 Warwick Blvd Newport News VA 23601 Radiation Oncology Center Riverside Convalescent-Warwick Forest 1000 Old Denbigh Blvd Newport News VA 23602 Nursing Home/Convalescent Svcs Riverside Convalescent-Hampton 414 Algonquin Road Hampton VA 23661 Nursing Home/Convalescent Svcs Riverside Convalescent-Mathews Route 611 PO Box 370 Mathews VA 23109 Nursing Home/Convalescent Svcs Riverside Convalescent-Saluda 672 Gloucester Road Saluda VA 23149 Nursing Home/Convalescent Svcs Riverside Convalescent-Smithfield 200 Lumar Road Smithfield VA 23430 Nursing Home/Convalescent Svcs Riverside Convalescent-West Point 2960 Chelsa Road West Point VA 23181 Nursing Home/Convalescent Svcs Sanders Retirement Center 7385 Walker Avenue Gloucester VA 23061 Retirement Services Riverside Convalescent-Orchard 20 Delfae Drive Warsaw VA 22572 Nursing Home/Convalescent Svcs Riverside Cancer Institute Ctr-Wmbg 120 Kings Way Williamsburg VA 23185 Infusion Therapy Center Riverside Diagnostic Center-Williamsburg 120 Kings Way Ste 1200 Williamsburg VA 23185 Diagnostic Center Riverside Radiation Oncology-Gloucester 7544 Medical Drive Ste A Gloucester VA 23061 Radiation Oncology Center PACE-Newport News 439 C Oriana Road Newport News VA 23608 Elderly Care Services Riverside Convalescent-Regional 1000 Old Denbigh Blvd Newport News VA 23602 Nursing Home/Convalescent Svcs Riverside Diagnostic Center Smithfield 202 Gumwood Drive Smithfield VA 23430 Diagnostic Center Riverside Diagnostic Center Mt Clement 300 Mount Clement Park Ste A2 Tappahannock VA 22560 Diagnostic Center Riverside Neurology Ctr 12200 Warwick Blvd Ste 110 Newport News VA 23608 Neurology Center Peninisula GastroRiverside Endoscopy Ct 101 Phillip Roth Street Ste B Newport News VA 23606 Gastroenterology/Endoscopy Ct Riverside Physical Therapy-Hampton 850 Enterprise Parkway Ste 2100 Hampton VA 23666 Physical Therapy Riverside Physical Therapy-Denbigh 12650 Jefferson Ave Ste 100 Newport News VA 23602 Physical Therapy Riverside Pulmonary and Sleep Center 12200 Warwick Blvd Ste 210 Newport News VA 23601 Pulmonary and Sleep Center Riverside Diabetes Services 12200 Warwick Blvd Ste 590A Newport News VA 23601 Diabetes Services Riverside Physical Therapy-Mt Clement 300 Mt Clement Park Ste D Tappahannock VA 22560 Physical Therapy Riverside Physical Therapy-Hayes 2656 George Washington Mem Hwy Ste Hayes VA 23072 Physical Therapy Riverside Hayes Diagnostic Imaging Ctr 2246 George Washington Mem Hwy Hayes VA 23072 Diagnostic Imaging Center Riverside Rehab Outpatient Therapy-Wlbg 120 Monticello Ave Ste 200 Williamsburg VA 23185 Outpatient Therapy Part VI Line 1: Part I Line 3c: Free care uses 250% of the FPG. Our policies do not include discounted care. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $112,203,877. 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 I Line 7E: Community health improvement is actual cost accumulated by the individuals participating in the activities. Line 1: Part I Line 7I: Cash and in-kind contributions are the actual dollar value of cash or items given. 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, volunteer 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. The broader Virginia Peninsula area encompassing James City County, York County, New Kent County, Isle of Wight County and the cities of Williamsburg, Newport News, Poquoson and Hampton, has a projected population of approximately 540,000 persons. Riverside Regional Medical Center in Newport News is the only trauma center (Level II) located in this area. The Virginia Peninsula is bordered on the east by the Chesapeake Bay and Hampton Roads, 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 one bridge north across the York. Numerous waterways, inlets and marshland 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 Riverside Regional Medical Center to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). Some 150,000 cars travel along this interstate corridor daily per the 2012 VDOT study. Riverside owns and operates several diagnostic centers throughout its service area. The hospital facilities operate outpatient programs in addition to those in freestanding ambulatory centers. Reasons behind this outpatient reach include: the lack of interconnected public transportation; the traffic congestion on interstates and urban roadways; and the significant elderly population in the service area. Many of the senior citizens, particularly in outlying areas, rely on friends and family members to transport them to appointments. Surplus funds are used to promote and improve access to services in the areas close to where residents live. This Peninsula area is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. With the relative exception of the City of Williamsburg, drugs, crime and poverty negatively impact the more densely populated areas of the communities. In terms of demographics and occupations, the Riverside service area is primarily what has traditionally been defined as a blue-collar community. Between the large military presence and the supporting defense industry, almost 50 percent of the economy is connected to defense. The largest private employer is Huntington Ingalls Newport News Shipbuilding with more than 20,000 local workers. 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. The per capita income is just under $30,000, so Riversides charity mission is strong and ongoing with a concerted effort directed to children at risk. 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. There is strong competition within 60 miles of Riverside Regional Medical Center. Within seven miles on each side and 20 miles north there are three medical surgical hospitals and within 20 to 60 miles across the Hampton Roads harbor there are six facilities. Riverside Rehabilitation Institute is the only service providers of inpatient physical rehabilitation on the Peninsula. The Middle Peninsula, mainly composed of the counties of Essex, Gloucester, King & Queen, Mathews and Middlesex, is located between the Virginia Peninsula to the south and the Northern Neck to the north. The Middle Peninsula is bordered on the north by the Rappahannock River and the south by the York River. Eastward is the Chesapeake Bay. Again, numerous waterways restrict direct travel in certain areas. The primary service area of approximately 65,000 is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. Riverside Walter Reed Hospital on the Middle Peninsula is approximately 30 miles from the closest hospital. Two of the four closest hospitals are Riverside facilities. 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 21.3 percent of the population. Per capita income is just over $30,000, so Riversides charity mission is strong and ongoing with a concer true American Diabetes Association 1701 N Beauregard Street Alexandria VA 22311 131623888 501(c)(3) 5200 2016 Tour de Cure American Cancer Society 2730 Ellsmere Ave Norfolk VA 23513 131788491 501(c)(3) 27500 2016 Sponsor Mem Dnr March of Dimes 25392 Cherry Hill Road Parklsey VA 23421 131846366 501(c)(3) 14600 2016 Sponsor - Babies American Heart Association Inc 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 22333 Sponsor 2016 Virginia Center for Inclusive Communities 5511 Staples Mill Road Richmond VA 23228 203188273 501(c)(3) 6500 Sponsorship Hampton Roads Community Action Program Inc PO Box 37 Suite 202 Newport News VA 23607 237014485 501(c)(3) 100773 SPONSORSHIP Beyond Boobs Inc PO BOX 443 Toano VA 23168 260606190 501(c)(3) 22000 SPONSORSHIP Flat-Out Events LLC 11843 Canon Blvd Newport News VA 23606 271675755 20000 Sponshp 2016 Flatout Community Free Clinic of Newport News 727 25th Street Suite B Newport News VA 23607 273510814 501(c)(3) 135417 INSTALLMENT Newport News Police Foundation PO Box 11092 Newport News VA 23601 273564101 501(c)(3) 15000 2016 Sponsorship-007 Ferguson Center for the Arts Foundation 1 Avenue of the Arts Newport News VA 23606 320232687 501(c)(3) 15475 Sponsorship Fear 2 Freedom Inc PO Box 6104 Newport News VA 23606 452143034 501(c)(3) 15000 2016 Spons-Gala 120515 Peninsula Agency On Aging 739 Thimble Shoals Blvd Newport News VA 23606 510151069 501(c)(3) 10250 2016 Spons Part w/Ride HRSH - Riverside Health System 608 Denbigh Blvd Ste 1006 Newport News VA 23608 521245746 501(c)(3) 1854000 SPONSORSHIP Hospice Support Care of Williamsburg Incorporated 4445 Powhatan Parkway Williamsburg VA 23188 521289657 501(c)(3) 12500 ECA Sponsor 2016 Virginia Chamber of Commerce 919 E Main Street Richmond VA 23219 540421190 501(c)(6) 15000 2016 Sponsor/Dues Peninsula Metropolitan YMCA 41 Old Oyster Point Road Ste 900 Newport News VA 23602 540524905 501(c)(3) 9750 2016 Sponsor-First Tee Walsingham Academy 1100 Jamestown Road Suite C Williamsburg VA 23185 540592702 501(c)(3) 6000 2016 Spons Game On Peninsula Emergency Medical Services Council Inc 6898 Main Street Gloucester VA 23061 541064500 501(c)(3) 30000 SPONSORSHIP Christopher Newport University Education Foundatio One University Place Newport News VA 23606 541156248 501(c)(3) 148000 SPONSOSHIP/SCHLARSHIP An Achievable Dream Foundation Inc 10858 Warwick Blvd Newport News VA 23601 541621932 501(c)(3) 30000 TB16 (TB=Tennis Ball) Virginia Health Care Foundation 707 East Main Street Ste A Richmond VA 23219 541639924 501(c)(3) 20000 2nd of 3yr Pledge 2016 Dream Catchers PO Box 1261 Room 1350 Williamsburg VA 23187 541692709 501(c)(3) 15000 Bridles and Bow Ties sponsorship Virginia Nurses Foundation 6912 Three Chopt Rd Richmond VA 23226 541788059 501(c)(3) 8000 Sponsor 2016-Gala/Gold Olivet Medical Ministry dba Lackey Free Clinic 1620 Old Williamsburg Road Ste H Yorktown VA 23690 541850915 501(c)(3) 20000 Indig PT Support Peninsula Community Foundation of Virginia Inc 1 Enterprise Parkway Hampton VA 23666 542057957 501(c)(3) 50000 Sponsorship-IMAX2016 College of William & Mary PO Box 8795 RM/Ste 130 Williamsburg VA 23187 546001718 Govt Entity 18000 2016 Sponsorship City of Newport News 2400 Washington Ave Newport News VA 23607 546022059 Govt Entity 31000 2016 Sponsor One City Marathon Medical College of VA Foundation PO Box 980234 Richmond VA 23298 546053660 501(c)(3) 50000 Leadership Endowment Virginia Living Museum Inc 524 J Clyde Morris Blvd Newport News VA 23601 546055922 501(c)(3) 18000 2016 Sponsor Enchanted RX Drug Access Partnership 2924 Emerywood Parkway Richmond VA 23294 571186937 501(c)(3) 8000 Sponsorship 27 5 Grant Explanation A fund distribution form is completed and signed by an authorized administrator of the benefiting facility. Requests are approved according to the specifics of the fund's governing charter. If a fund request doesn't comply the money is not distributed. true true false false false false false false false BARRY GROSS EXEC VP/CMO RHS 510709 0 129194 0 111415 0 32281 0 6819 0 790418 0 0 0 CANDICE CARROLL NURSE EXECUTIVE, RRMC 196063 0 2500 0 292 0 5042 0 7614 0 211511 0 0 0 CARRIE MOSS BOARD MEMBER 214136 0 143521 0 69517 0 22644 0 512 0 450330 0 0 0 CHARLES FRAZIER VP, CLINICAL INNOVATION 351968 0 87634 0 69563 0 22644 0 25436 0 557245 0 0 0 CHARLES GRAHAM VP REVENUE CYCLE 328443 0 76060 0 64013 0 20986 0 18069 0 507571 0 0 0 CHRISTOPHER STOLLE VP MEDICAL AFFAIRS 340292 0 70123 0 71942 0 22644 0 1646 0 506647 0 0 0 CYNTHIA WILLIAMS VP PHARMACY 244249 0 63861 0 42549 0 5615 0 11740 0 368014 0 0 0 DAVID GORE BOARD MEMBER 319098 0 165669 0 56232 0 22644 0 14134 0 577777 0 0 0 DAVID JONES BOARD MEMBER 121249 0 30468 0 151859 0 22644 0 23853 0 350073 0 0 0 DAVID MURON PRESIDENT, MEDICAL STAFF 598017 0 198075 0 18774 0 1112 0 26564 0 842542 0 0 0 DEBBIE CAMPBELL ADMINISTRATOR RBHC 139584 0 16608 0 14663 0 10998 0 6717 0 188570 0 0 0 DEBORAH ATKINSON EXEC DIRECTOR 135245 0 5917 0 1981 0 17114 0 400 0 160657 0 0 0 DENNIS LOFTUS SR VP, CHIEF INFORMATION OFFIC 297121 0 74219 0 62002 0 18880 0 17534 0 469756 0 0 0 DIANA LOVECCHIO VP, CONSTR MGMT & SHARED SVS 214966 0 53869 0 49930 0 22053 0 14036 0 354854 0 0 0 DWIGHT HERBERT BOARD MEMBER 138974 0 112524 0 56960 0 16019 0 25164 0 349641 0 0 0 ELISABETH WILLIAMS VP, MARKETING, STRATEGY & DEVE 204465 0 38987 0 45024 0 6625 0 15947 0 311048 0 0 0 ELIZABETH MARTIN SVP QUALITY 276255 0 62138 0 60343 0 22644 0 16015 0 437395 0 0 0 EMMELINE GASINK BOARD MEMBER 170019 0 21250 0 69190 0 17385 0 436 0 278280 0 0 0 ERIC STONE VP CLINICAL OPERATIONS 290805 0 59779 0 44416 0 6625 0 525 0 402150 0 0 0 ESTHER DESIMINI VP/ADMINISTRATOR RWRH 226793 0 14963 0 41338 0 0 0 10510 0 293604 0 0 0 FAYE GARGIULO VP RESEARCH/DISCOVERY & PHY DE 243578 0 43173 0 45261 0 22644 0 7668 0 362324 0 0 0 GEORGE KANNARKAT BOARD MEMBER 677875 0 182578 0 31101 0 21648 0 22220 0 935422 0 0 0 JAMES DUDLEY SERVICE LINE CHIEF 278496 0 17320 0 67272 0 22102 0 22797 0 407987 0 0 0 JAMES LESNICK SVP 461593 0 106300 0 89803 0 21319 0 11824 0 690839 0 0 0 JAMES MCCORRY SERVICE LINE CHIEF, RDHW 242035 0 17320 0 132574 0 22644 0 554 0 415127 0 0 0 JAMES MULLINS BOARD MEMBER 267202 0 0 0 0 0 32232 0 6325 0 305759 0 0 0 JASON HOUSER VP, LEGAL AFFAIRS 327504 0 65390 0 53781 0 22644 0 20985 0 490304 0 0 0 JEFFREY HASKINS BOARD MEMBER 202133 0 0 2043 0 3106 0 7644 0 214926 0 0 0 JEFFREY HENKE BOARD MEMBER 321160 0 17320 0 91677 0 22644 0 21308 0 474109 0 0 0 JOEL JONES MEDICAL STAFF PRESIDENT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN GRETES BOARD MEMBER 233111 0 85497 0 17663 0 22644 0 14917 0 373832 0 0 0 JOHN GUARNIERI PRESIDENT, MEDICAL STAFF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN ROWE EXEC DIR, PACW 153347 0 31400 0 9535 0 5024 0 26261 0 225567 0 0 0 KARL GEDDES BOARD MEMBER 211129 0 39269 0 30004 0 22518 0 25943 0 328863 0 0 0 KEITH PERCIC VP FINANCE 248345 0 44120 0 55499 0 32281 0 18195 0 398440 0 0 0 KYLE ALLEN VP CLINICAL INTEGRATION&MED DI 417562 0 60253 0 64238 0 19365 0 21346 0 582764 0 0 0 LISA SALSBERRY Officer Corp Audit & Comp/Priv 219386 0 10000 0 41816 0 21796 0 25839 0 318837 0 0 0 MARSHALL CROSS CHAIRMAN OF RRMC OPERS COUNCIL 425812 0 100405 0 25014 0 22644 0 18631 0 592506 0 0 0 MEGAN KLECKNER VP/ADMINISTRATOR 230750 0 53659 0 43460 0 20660 0 12061 0 360590 0 0 0 MICHAEL DOUCETTE SVP RRMC OPERATIONS 432342 0 91775 0 108640 0 22644 0 20913 0 676314 0 0 0 NANCY LITTLEFIELD SR VP/CNO 272249 0 66099 0 44564 0 4369 0 805 0 388086 0 0 0 PATRICIA RUSSO VP CARE MANAGEMENT 121952 0 47996 0 64687 0 17436 0 7730 0 259801 0 0 0 RICHARD DUNN BOARD MEMBER 174744 0 27152 0 2114 0 4668 0 30888 0 239566 0 0 0 ROBERT BRYANT SR VP, LHARS 168422 0 40881 0 547599 0 18974 0 6749 0 782625 0 0 0 ROBERT HARDING CHAIRMAN 219097 0 48644 0 69281 0 32281 0 1161 0 370464 0 0 0 SALLY HARTMAN SR VP, HUMAN RESOURCES 361664 0 82765 0 59672 0 22644 0 6297 0 533042 0 0 0 SALLY RYAN VP PHYSICIAN SERVICES 236689 0 52525 0 39898 0 6622 0 15968 0 351702 0 0 0 STANLEY YEATTS BOARD MEMBER 261697 0 0 0 41677 0 16019 0 16600 0 335993 0 0 0 STEPHEN MCCARY VP/ADMINISTRATOR RDHW 169208 0 52824 0 82504 0 22045 0 11901 0 338482 0 0 0 VERNEETA WILLIAMS BOARD MEMBER 212049 0 0 479 0 18329 0 17053 0 247910 0 0 0 WADE BROUGHMAN EXEC VP/COO RHS & SECRETARY 564417 0 143904 0 143291 0 21319 0 14057 0 886988 0 0 0 WALTER AUSTIN SR VP,CFO RHS & TREASURER 434350 0 88099 0 70740 0 6625 0 13871 0 613685 0 0 0 WILLIAM DOWNEY PRESIDENT,CEO RHS 857061 0 285863 0 198627 0 22644 0 12141 0 1376336 0 0 0 WILLIAM MCALLISTER BOARD MEMBER 969001 0 337482 0 10911 0 22644 0 29187 0 1369225 0 0 0 DEAN KOSTOV PHYSICIAN 595190 0 890841 0 152890 0 22644 0 26606 0 1688171 0 0 0 AMY SKORUPA PHYSICIAN 710776 0 530147 0 24790 0 22644 0 1646 0 1290003 0 0 0 MASHOUR YOUSEF PHYSICIAN 942407 0 280254 0 20897 0 22644 0 34121 0 1300323 0 0 0 ROBERT CULLOM PHYSICIAN 488694 0 718776 0 1677 0 600 0 24499 0 1234246 0 0 0 TYLER WIND PHYSICIAN 770028 0 304122 0 351 0 6625 0 29795 0 1110921 0 0 0 Schedule J, Part I, Line 3 The compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys. Schedule J, Part 1, Line 4b BARRY GROSS $77,554 CHARLES FRAZIER $43,367 CHARLES GRAHAM $40,761 CHRISTOPHER STOLLE $41,165 CYNTHIA WILLIAMS $29,999 DENNIS LOFTUS $35,624 DIANA LOVECCHIO $26,302 ELIZABETH WILLIAMS $25,024 ELIZABETH MARTIN $33,979 ERIC STONE $33,046 ESTHER DESIMINI $28,501 FAYE GARGIULO $29,250 JAMES LESNICK $56,375 JASON HOUSER $37,741 KEITH PERCIC $30,810 KYLE ALLEN $51,236 LISA SALSBERRY $21,000 MEGAN KLECKNER $27,901 MICHAEL DOUCETTE $50,110 NANCY LITTLEFIElD $30,937 PATRICIA RUSSO $27,683 ROBERT BRYANT $34,763 SALLY HARTMAN $42,000 SALLY RYAN $27,956 STEPHEN MCCARY $26,115 WADE BROUGHMAN $86,384 WALTER AUSTIN $50,851 WILLIAM DOWNEY $173,250 TOTAL $1,219,684 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. Schedule J, Part 1, Line 4a Severance Payment Robert Bryant $495,767 A Economic Development Authority City NN 521290859 000000000 2011-12-20 24570000 2011A ISSUE REFUNDING 1997 SERIES false false false A 6575000 0 24570000 0 0 0 170000 0 0 0 24400000 0 2012 true false true true A 0 A false true true false true false 0 false 0 false true A true Bond Information The 2011 A, B & the 2012 Bond Series 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. Patriot's Colony (A subsidiary of Riverside Health System) is one of the borrowers along with Riverside Health System, and it holds the liability for the 2011 A Bond Series that was issued on 12/20/2011 for $24,570,000. The debt is therefore included on the schedule K on this Group Form 990 that includes Patriot's Colony. WADE BROUGHMAN SEE PART V 149793 SEE PART V false GEORGE KANNARKAT SEE PART V 426779 SEE PART V false LINDA PHILLIPS SEE PART V 137990 SEE PART V false JEFF HENKE SEE PART V 246097 SEE PART V false WADE BROUGHMAN Schedule L, Part IV Wade Broughman's family members are employed by Riverside Hospital, Inc. GEORGE KANNARKAT Schedule L, Part IV George Kannarkat's family member is employed by Riverside Physician Services,Inc. LINDA PHILLIPS Schedule L, Part IV Linda Phillips' family members own a firm that contracts with Riverside. Jeff Henke Jeff Henke is a member of a legal entity that leases property to Riverside. SCHEDULE O Part V, Line 3A Riverside Hospital, Inc. EIN 52-1245746, a subordinate company, had unrelated business income greater than $1,000 and 990-T was filed. Part VI, Section A, Line 2 William Downey and Gordon Gentry serve together on a Board of Directors of a local entity. Alan Witt and William Downey serve together on a Board of Directors of a local entity. William Downey and Herbert Kelly serve together on a Board of Directors of a local entity. John Ishon and Eugene Jordan have a family relationship. Part VI, Section A, Line 6 The Organization is a not for profit corporation with members. The members have the right to participate in the Organization's governance, including electing members of the governing body and to approve significant decisions of the governing body. Part VI, Section A, Line 7a Members of the governing body are subject to approval by the Member. Part VI, Section A, Line 7b Significant items such as merger, amendment of charter documents, and appointment of Board members requires the approval of the member corporation. Part VI, Section B, Line 11B On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee reviews key data from the Form 990. The entire Form 990 was reviewed by an independent accounting firm before filing. Part VI, Section B, line 12c All Board Members, Officers, Directors and Key Employees complete an annual Conflict of Interest questionnaire. A report of potential Conflicts of Interest is reviewed by the Compliance Officer. 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, Section B, Line 15 A&B 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, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon request. Part XI Line 9: Pension Adjustment $11,363,961 Other Change in Fund $6,849,315 Other Change in Fund $6,849,315 Virginia Surgical Management LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 542057012 Management VA 61 2554737 RivHosp Peninsula Cancer Institute LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 201872200 PT Services VA 13582275 71190692 RivPhysSv PENINSULA RADIOSURGERY ASSOCIATES LLC 608 Denbigh Blvd Ste 800 NEWPORT NEWS VA 23608 454854018 PT Services VA 1734305 6680239 RivHosp Shore Health Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 540560500 Hospital VA 501(c)(3) 3 RivHCAssc true Shore Life Care inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541876370 Nursing Care VA 501(c)(3) 10 ShoreHSvc true Charlottesville Area Retirement Svc Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 454854018 Pt Services VA 501(c)(3) 10 RivRetSvc true Newport News General & Nonsectarian 608 Denbigh Blvd Ste 800 Newport News VA 23608 540505934 Holding Corp VA 501(c)(2) N/A RivHCAssc true Riverside Healthcare Assocation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241835 Parent Comp. VA 501(c)(3) 10 N/A false Tilden and Va Davis Suport Found Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541527703 Foundation VA 501(c)(3) 12A RivRetSvc true AtHomePtr 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED -130031 false true 0.80000 Michumi PLLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 200318732 Pt Services VA RivPhysSv Excluded false true 1.00000 Peninsula Hospital Services 608 Denbigh Blvd Suite 800 Newport News VA 23608 540991295 Laundry VA RivHCAssc COOP 4057159 3688692 0.60670 true RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 521241835 Insurance BD RivHCAssc C Corp 2540436 33078728 1.00000 true Riverside Medical Equipment 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA RivHCAssc C Corp 0 0 1.00000 true false false false false false false false false true true true true true false false false false false Newport News General & Nonsectarian Hosp Inc j 19068372 MARKET VALUE Newport News General & Nonsectarian Hosp Inc L 708667 MARKET VALUE