FURP.ORG / PUBLIC DATA EXPLORER

RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349315137
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T15:50:11-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 YARD STREET SUITE 200AddressLine1Txt
CityGRANDVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43212ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521241835EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonW WILLIAM AUSTIN JRPersonNm
Person TitleSR VP/CFOPersonTitleTxt
Phone7578757838PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANE L BEANPreparerPersonNm
PTINP00104972PTIN
Phone6142325678PhoneNum
Preparation2017-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id31499120173195000017FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id582F47EFACDD6166E52205D1FBFEA2601660FA18AtSubmissionCreationDeviceId
At Submission Filing Device Id0C6C8F7C1C22E68F83DAB8678A3CDB7085AC22F8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam DowneyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1Txt
CityNewport NewsCityNm
State AbbreviationVAStateAbbreviationCd
ZIP236084487ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,500,003GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRiversideonline.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionFINANCIAL COORDINATIONActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee83TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$52,776TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$11,792,401PYProgramServiceRevenueAmt
CY Program Service Revenue$9,060,964CYProgramServiceRevenueAmt
PY Investment Income$8,279,706PYInvestmentIncomeAmt
CY Investment Income$9,105,325CYInvestmentIncomeAmt
PY Other Revenue$750,083PYOtherRevenueAmt
CY Other Revenue$195,160CYOtherRevenueAmt
PY Total Revenue$20,822,190PYTotalRevenueAmt
CY Total Revenue$18,361,449CYTotalRevenueAmt
PY Grants And Similar Paid$600PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,436,585PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,348,826CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,747,471PYOtherExpensesAmt
CY Other Expenses$9,700,944CYOtherExpensesAmt
PY Total Expenses$15,184,656PYTotalExpensesAmt
CY Total Expenses$14,050,370CYTotalExpensesAmt
PY Revenues Less Expenses$5,637,534PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,311,079CYRevenuesLessExpensesAmt
Total Assets BOY$452,186,386TotalAssetsBOYAmt
Total Assets EOY$483,597,122TotalAssetsEOYAmt
Total Liabilities BOY$321,955,095TotalLiabilitiesBOYAmt
Total Liabilities EOY$332,336,646TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$130,231,291NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$151,260,476NetAssetsOrFundBalancesEOYAmt
MissionTO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,191,710ExpenseAmt
Grant$600GrantAmt
Revenue$18,308,561RevenueAmt
DescFINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2016, 244 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $658,916.Desc
Total Program Service Expenses$12,191,710TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee83EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALAN WITT
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
ALFRED POOLE
BOARD MEMBER1.00.0Yes (X)$0$0$0
ANNE SULLIVAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
BARRY GROSS
EXEC VP/CMO RHS1.039.0Yes (X)$0$751,318$39,100
CARAMINE KELLAM
BOARD MEMBER1.00.0Yes (X)$0$0$0
CLYDE DAVIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
CONWAY SHEILD
BOARD MEMBER1.00.0Yes (X)$0$0$0
DANIEL SHERLOCK
BOARD MEMBER1.00.0Yes (X)$0$0$0
DON WILSON
BOARD MEMBER1.00.0Yes (X)$0$0$0
FRANCES ELLIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
GORDON GENTRY
BOARD MEMBER1.00.0Yes (X)$0$0$0
HUGH BARLOW
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
JEROLD ALLEN
VICE CHAIRMAN1.00.0Yes (X)$0$0$0
JULIE RAUTIO
BOARD MEMBER1.00.0Yes (X)$0$0$0
KAREN MAGILL
VICE CHAIRMAN1.00.0Yes (X)$0$0$0
PAUL TRIBLE
BOARD MEMBER1.00.0Yes (X)$0$0$0
PHILLIP DENNIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
REGINA BRAYBOY
BOARD MEMBER1.00.0Yes (X)$0$0$0
RICHARD CROWDER
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROBERT BRYANT
SR VP, LHARS1.039.0Yes (X)$0$756,902$25,723
ROBERT HARDING
BOARD MEMBER1.039.0Yes (X)$0$337,022$33,442
SCOTT STABLER
BOARD MEMBER1.00.0Yes (X)$0$0$0
SUSAN MURRAY
BOARD MEMBER1.00.0Yes (X)$0$0$0
THADDEUS HOLLOMAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS1.039.0Yes (X)Yes (X)$0$1,341,551$34,785
JASON HOUSER
VP, LEGAL AFFAIRS1.039.0Yes (X)$0$446,675$43,629
NANCY LITTLEFIELD
SR VP/CNO1.039.0Yes (X)$0$382,912$5,174
WADE BROUGHMAN
EXEC VP/COO RHS & SECRETARY1.039.0Yes (X)$0$851,612$35,376
WALTER AUSTIN
SR VP,CFO RHS & TREASURER1.039.0Yes (X)$0$593,189$20,496
COURTNEY DETWILER
ADMINISTRATOR40.00.0$164,668$0$7,405Yes (X)
KIARA STONER
PHARMACIST LEAD38.00.0$103,955$0$26,806Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$268,623TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,461,181TotReportableCompRltdOrgAmt
Total Other Compensation$271,936TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WVS Kiniry Willowwood Partners
PO BOX 8029RICHMONDVA232238029Consulting$1,276,225
DPR CONSTRUCTION
1450 VETERANS BLVDREDWOODCA94063CONSULTING$2,016,475
Reese Lower Patric Scott
250 ValleyBrook DrLANCASTERPA17601Consulting$893,334
Michael T Green
408 Campton PlaceNEWPORT NEWSVA23608Consulting$321,328
Square 1 Roofing LLC
5812 Mooretown Rd Ste KWILLIAMSBURGVA23188Consulting$247,771
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE REVENUEDesc
Business541610BusinessCd
Total Revenue Column$9,060,964TotalRevenueColumnAmt
Related Or Exempt Func Income$9,060,964RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,060,964TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,614,788TotalRevenueColumnAmt
Related Or Exempt Func Income$8,562,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$52,776UnrelatedBusinessRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,012,155RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$7,911,284RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$100,871RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,872TotalRevenueColumnAmt
Related Or Exempt Func Income$100,760RelatedOrExemptFuncIncomeAmt
Exclusion$112ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,717,807OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,227,270OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$490,537OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$490,537TotalRevenueColumnAmt
Related Or Exempt Func Income$490,537RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SVC FROM AFFILIATES900099$28,787$28,787
MANAGEMENT FEES900099$65,501$65,501
FieldValueIRS element (for citing)
Other Revenue Total$94,288OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,361,449TotalRevenueColumnAmt
Related Or Exempt Func Income$18,308,561RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$52,776UnrelatedBusinessRevenueAmt
Exclusion$112ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Program Services$600ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$172,073TotalAmt
Program Services$172,073ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,442,498TotalAmt
Program Services$3,130,783ProgramServicesAmt
Management And General$311,715ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$197,815TotalAmt
Program Services$197,815ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$273,203TotalAmt
Program Services$231,561ProgramServicesAmt
Management And General$41,642ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$263,237TotalAmt
Program Services$241,391ProgramServicesAmt
Management And General$21,846ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total-$40,019TotalAmt
Management And General-$40,019ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,848TotalAmt
Management And General$8,848ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,700TotalAmt
Management And General$59,700ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,528TotalAmt
Program Services$1,528ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,481TotalAmt
Program Services$664ProgramServicesAmt
Management And General$817ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,151TotalAmt
Program Services$1,151ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$270,184TotalAmt
Program Services$2,710ProgramServicesAmt
Management And General$267,474ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,366,881TotalAmt
Program Services$1,366,881ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,881TotalAmt
Program Services$1,073ProgramServicesAmt
Management And General$808ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,184,258TotalAmt
Program Services$3,184,258ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,017,950TotalAmt
Program Services$1,587,694ProgramServicesAmt
Management And General$430,256ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$290,333TotalAmt
Program Services$290,333ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$129,819TotalAmt
Management And General-$129,819ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL SERVICES$1,303,052$425,245$877,807
BAD DEBT EXPENSE$11,793$11,793
TAXES$12,373$12,058$315
MEDICAL SUPPLIES$1,339,369$1,332,099$7,270

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,050,370TotalAmt
Program Services$12,191,710ProgramServicesAmt
Management And General$1,858,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,486,295BOYAmt
EOY$11,226,491EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$121,620,791BOYAmt
EOY$93,774,635EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$119,988,658BOYAmt
EOY$156,052,929EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,741,677BOYAmt
EOY$4,818,768EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,203,880BOYAmt
EOY$3,132,682EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$192,219,255LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,053,349LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$149,471,484BOYAmt
EOY$164,165,906EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$41,672,933BOYAmt
EOY$43,568,685EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,860,024BOYAmt
EOY$4,860,023EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,140,644BOYAmt
EOY$1,997,003EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$452,186,386BOYAmt
EOY$483,597,122EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,211,829BOYAmt
EOY$15,369,071EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,382,160BOYAmt
EOY$10,007,545EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$272,855,000BOYAmt
EOY$265,640,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$7,414,664BOYAmt
EOY$20,260,068EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,091,442BOYAmt
EOY$21,059,962EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$321,955,095BOYAmt
EOY$332,336,646EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$130,231,291BOYAmt
EOY$151,260,476EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,231,291BOYAmt
EOY$151,260,476EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$452,186,386BOYAmt
EOY$483,597,122EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,311,079ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$391,895NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$16,326,211OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$16,500TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,605,298CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,474,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,355,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,924,422CurrentTaxYearMinus1YearAmt
Current Tax Year$17,167,407CurrentTaxYearAmt
Total$94,527,288TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,621,798CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,474,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,355,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,924,422CurrentTaxYearMinus1YearAmt
Current Tax Year$17,167,407CurrentTaxYearAmt
Total$94,543,788TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$94,543,788PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,717,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,050,829CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,542,844CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,644,644CurrentTaxYearMinus1YearAmt
Current Tax Year$8,614,788CurrentTaxYearAmt
Total$36,570,770TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,717,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,050,829CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,542,844CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,644,644CurrentTaxYearMinus1YearAmt
Current Tax Year$8,614,788CurrentTaxYearAmt
Total$36,570,770TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,339,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,525,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,898,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,569,066CurrentTaxYearMinus1YearAmt
Current Tax Year$25,782,195CurrentTaxYearAmt
Total$131,114,558TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.72108PublicSupportCY509Pct
Public Support PY5090.74564PublicSupportPY509Pct
Investment Income CY0.27892InvestmentIncomeCYPct
Investment Income PY0.25436InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,868,556OtherCostOrOtherBasisAmt
Book Value$69,868,556BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,256,425OtherCostOrOtherBasisAmt
Depreciation$23,198,467DepreciationAmt
Book Value$87,057,958BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,635,755OtherCostOrOtherBasisAmt
Depreciation$1,059,915DepreciationAmt
Book Value$575,840BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,458,520OtherCostOrOtherBasisAmt
Depreciation$3,794,968DepreciationAmt
Book Value$6,663,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$164,165,906TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MANAGED CARE$16,406,817C
OTHER$19,534,830C
STOCKS$7,627,038C
FieldValueIRS element (for citing)
Total Book Value Securities$43,568,685TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OTHER$620,923
DERIVITIVE 2004$9,788,059
CONTINGENT LIABILITY$701,801
CNU OBLIGATION$9,949,179
FieldValueIRS element (for citing)
Total Liability$21,059,962TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionNorth AmericaRegionTxt
Offices1OfficesCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvidedTxt
Region Total Expenditures$8,393,154RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Total Office1TotalOfficeCnt
Subtotal Spent$8,393,154SubtotalSpentAmt
Total Spent$8,393,154TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served46PersonsServedCnt
Total Community Benefit Expns$308,654TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$308,354NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served21PersonsServedCnt
Total Community Benefit Expns$475,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,927DirectOffsettingRevenueAmt
Net Community Benefit Expns$293,249NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served67PersonsServedCnt
Total Community Benefit Expns$783,830TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,927DirectOffsettingRevenueAmt
Net Community Benefit Expns$601,603NetCommunityBenefitExpnsAmt
Total Expense0.04290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,953TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,953NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,328TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,328NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,281TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,281NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served67PersonsServedCnt
Total Community Benefit Expns$793,111TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,927DirectOffsettingRevenueAmt
Net Community Benefit Expns$610,884NetCommunityBenefitExpnsAmt
Total Expense0.04350TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$11,793BadDebtExpenseAmt
Reimbursed By Medicare$5,569,158ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,605,397CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$36,239MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1245 Chesapeake AveAddressLine1Txt
CityNewport NewsCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23607ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.riversideonline.com/hrsh/WebsiteAddressTxt
State LicenseH1925StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherLong Term Acute CareOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Hampton Roads Specialty HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Sec. COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Sec. CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Sec. CFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Sec. CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart VFormAndLineReferenceDesc
ExplanationLine 5: In the 2016 CHNA process, three Riverside Health System hospitals worked together to conduct a CHNA for the Peninsula region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, Riverside worked with Sentara Health System to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 120 (13%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the two area health departments as well as the first responders in the various localities). A full list of the organizations 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: 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: 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.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule H, Part VIFormAndLineReferenceDesc
ExplanationLine 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 $11,793. 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 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. Line 5: In 1916 Riverside was founded by the community in order to serve the community. In the 100 years since then, Riverside 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. Each hospital as well as Riverside Medical Group and Riverside Lifelong Health has a community-based board of directors. These boards all report up through the Riverside Health System Board of Directors. This community-based leadership is important as in many of the communities, Riverside provides the only hospital either in the area or within at least 30 miles. Similarly, Riverside Behavioral Health Center and Riverside Rehabilitation Institute are the only inpatient psychiatric and rehabilitation facilities on the Virginia Peninsula. And, Riverside Regional Medical Center is the only Level 2 trauma center between Richmond and Norfolk. These hospitals provide critical services to individual patients, but also serve as key community resources in responding to a regional disaster. This has been demonstrated in Riversides emergency department responding to small communities hit by a tornado, and in performing drills to prepare for mass casualty events at Newport News Shipbuilding. The importance of a local Emergency Department open 24/7 is crucial for the communities it serves. As a part ofExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY GROSS
EXEC VP/CMO RHS$0$510,709$0$129,194$0$111,415$0$32,281$0$6,819$0$790,418$0$0
COURTNEY DETWILER
ADMINISTRATOR$129,035$0$16,231$0$19,402$0$0$0$7,405$0$172,073$0$0$0
JASON HOUSER
VP, LEGAL AFFAIRS$0$327,504$0$65,390$0$53,781$0$22,644$0$20,985$0$490,304$0$0
NANCY LITTLEFIELD
SR VP/CNO$0$272,249$0$66,099$0$44,564$0$4,369$0$805$0$388,086$0$0
ROBERT BRYANT
SR VP, LHARS$0$168,422$0$40,881$0$547,599$0$18,974$0$6,749$0$782,625$0$0
ROBERT HARDING
BOARD MEMBER$0$219,097$0$48,644$0$69,281$0$32,281$0$1,161$0$370,464$0$0
WADE BROUGHMAN
EXEC VP/COO RHS & SECRETARY$0$564,417$0$143,904$0$143,291$0$21,319$0$14,057$0$886,988$0$0
WALTER AUSTIN
SR VP,CFO RHS & TREASURER$0$434,350$0$88,099$0$70,740$0$6,625$0$13,871$0$613,685$0$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS$0$857,061$0$285,863$0$198,627$0$22,644$0$12,141$0$1,376,336$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch J, Part 1, Line 4bBarry Gross $ 77,554 Jason Houser $ 37,741 Nancy Littlefield $ 30,937 Robert Bryant $ 34,763 Wade Broughman $ 86,384 Walter Austin $ 50,851 William Downey $173,250 Total $491,480 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 1, Line 4aSeverance Payment Robert Bryant $495,767

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Economic Development Authority of the City of Newp
A5212908590000000002011-12-20$31,580,0002011B issue refunding 1998 SERIESfalsefalsefalse
Economic Development Authority of the City of Newp
B5212908590000000002011-12-20$64,305,0002011C issue refunding 2004 SERIESfalsefalsefalse
Economic Development Authority of the City of Newp
C5212908590000000002012-12-20$75,000,000Construction OF Surgical Pavilionfalsefalsefalse
INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN
D5417377150000000002015-07-22$100,000,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$15,595,000$0$31,580,000$0$0$0$214,583$0$0$0$31,365,417$02012Yes (true)falseYes (true)Yes (true)
B$9,650,000$0$64,305,000$0$0$0$430,645$0$0$0$63,874,355$02012Yes (true)falseYes (true)Yes (true)
C$4,800,000$0$75,000,000$0$0$0$618,200$0$0$74,381,800$0$02012falsefalseYes (true)Yes (true)
D$0$0$100,586,873$0$0$0$0$0$0$31,946,081$0$68,640,792falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A0
B0falsefalsefalsefalseYes (true)falsefalseYes (true)
C0falsefalsefalsefalseYes (true)falsefalseYes (true)
D0falsefalseYes (true)Yes (true)Yes (true)falsefalseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalseYes (true)falsefalsefalsefalsefalse0Yes (true)
0
BfalseYes (true)falsefalseYes (true)Yes (true)false0Yes (true)falsefalse
0
CfalseYes (true)falsefalsefalsefalsefalse0Yes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBond DisclosureFormAndLineReferenceDesc
ExplanationThe 2011A, B and 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. Patriots Colony (A subsidiary of Riverside Health System) is one of the borrowers along with Riverside Health System, and it holds the liability for the 2011A Bond Series that was issued on 12/20/2011 for $24,570,000. The debt is therefore included on the Schedule K on the RHA Group Form 990 which includes Patriots Colony. The 2015 A and B are issued as Health System Revenue Bonds under the parent Riverside Health System. Therefore, Riverside Health System (The Parent) is listed as the issurer on the 8038 form filed with the IRS. PART I, COLUMN F, 2015 A & B BONDS - Construction of specific RIVERSIDE Facilities. Part II, Line 3 includes investment earnings of $586,873.15 for 2015A and $133,843.00 for 2015B.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITY CITY NNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN541737715BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-07-22BondIssuedDt
Issue Price$25,000,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$200,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$25,133,843TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$25,133,843UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JULIE RAUTIO
SEE PART V$100,200SEE PART Vfalse
PHILLIP DENNIS
SEE PART V$31,500SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Julie RautioSchedule L, Part IV Julie Rautio is a partner in a firm that contracts with Riverside.
Phillip DennisSchedule L, Part IV Phillip Dennis-Chief Medical Officer

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule OFormAndLineReferenceDesc
ExplanationPart VI, Sec A, Line 2 Alan Witt, Gordon Gentry and Bill Downey serve together on a Board of Directors of a local entity. Part VI, Sec B, Line 11b On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee reviews key data from the Form 990. Part VI, Sec B, Line 12c All Board Members, Officers, Directors and Key Employees complete an annual Conflict of Interest questionnaire. A report of potential Conflicts of Interest is reviewed by the Compliance Officer. Further concern, as reflected in the Conflict of Interest, Financial Disclosure, and Compliance Certification Questionnaire is reviewed by the Riverside Health System President to determine if additional follow-up is necessary. If a conflict presents, Board Members are required by the By-Laws, to disclose the conflict to the full Board and recuse themselves from voting on a case by case basis. Part VI, Sec B, Line 15A The Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee determines the compensation of the President and Senior Executives. The Committee relies on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. Part VI, Sec B, Line 15B Compensation for all other officers and key employees, is determined and reviewed by senior executives with reliance on market comparative information provided by a reputable independent third party expert to establish 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 Eq Adj $ 1,306,963 Distribution of Equity-Medinsur $15,019,247 Rounding $ 1 ___________ Part XI Line 9 $16,326,211 ============ExplanationTxt

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LTACH AT RIVERSIDE LLC
608 Denbigh Blvd St 800Newport NewsVA23608743135196HospitalVA$9,618,868$3,932,580RivHCAssc
QUARTERPATH WILLIAMSBURG LLC
608 Denbigh Blvd St 800Newport NewsVA23608473606366REAL ESTATEVA$0$3,780,536RivHCAssc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
AtHomePtr
608 Denbigh Blvd Ste 800Newport NewsVA23608472999121ManagementVARivRetSvcEXCLUDED
Michumi PLLC
12997 Warwick BlvdNewport NewsVA23602201318732Pt ServicesVARivPhysSvEXCLUDED

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Peninsula Hospital Services
608 Denbigh Blvd Ste 800Newport NewsVA23608540991295LaundryVACOOPfalse
RHS Medinsur LTD
521241835InsuranceC CorpfalseCraig Appin HouseWesley StreetHamiltonBDBD
Riverside Medical Equipment Center Inc
608 Denbigh Blvd Ste 800Newport NewsVA23608541325596BillingVAC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRIVERSIDE HEALTHCARE ASSOC. GROUPFormAndLineReferenceDesc
ExplanationRVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY Ownership Abbreviation Key: Riverside Healthcare Assocation, Inc. RivHCAssc Riverside Healthcare Foundation, Inc. RivHCFnd Riverside Hospital, Inc. RivHosp Riverside Physican Services, Inc. RivPhysSv Riverside Retirement Services, Inc. RivRetSvc Shore Health Services, Inc. ShoreHSvcExplanationTxt