RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201603199349312450
Schema version: 2015v2.1
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
Form 990
Schedule A
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T20:46:07-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 YARD STREET SUITE 200	AddressLine1Txt
City	GRANDVIEW HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43212	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	521241835	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE HEALTHCARE ASSOCIATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% VP OF FINANCE-RHA INC	InCareOfNm
Business Name Control	RIVE	BusinessNameControlTxt
Phone	7578757838	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 Denbigh Blvd Suite 800	AddressLine1Txt
City	Newport News	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	236084487	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WALTER AUSTIN JR	PersonNm
Person Title	SR VP/CFO	PersonTitleTxt
Phone	7578757838	PhoneNum
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DIANE L BEAN	PreparerPersonNm
PTIN	P00104972	PTIN
Phone	6142325678	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	William Downey	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Same as C above	AddressLine1Txt
City	Newport News	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	236084487	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$28,376,683	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	Riversideonline.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	FINANCIAL COORDINATION	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	85	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$13,678,869	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,792,401	CYProgramServiceRevenueAmt
PY Investment Income	$2,833,891	PYInvestmentIncomeAmt
CY Investment Income	$8,279,706	CYInvestmentIncomeAmt
PY Other Revenue	$291,056	PYOtherRevenueAmt
CY Other Revenue	$750,083	CYOtherRevenueAmt
PY Total Revenue	$16,803,816	PYTotalRevenueAmt
CY Total Revenue	$20,822,190	CYTotalRevenueAmt
PY Grants And Similar Paid	$800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$600	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,470,823	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,436,585	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,762,336	PYOtherExpensesAmt
CY Other Expenses	$10,747,471	CYOtherExpensesAmt
PY Total Expenses	$17,233,959	PYTotalExpensesAmt
CY Total Expenses	$15,184,656	CYTotalExpensesAmt
PY Revenues Less Expenses	-$430,143	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,637,534	CYRevenuesLessExpensesAmt
Total Assets BOY	$328,117,620	TotalAssetsBOYAmt
Total Assets EOY	$452,186,386	TotalAssetsEOYAmt
Total Liabilities BOY	$200,975,968	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$321,955,095	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$127,141,652	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$130,231,291	NetAssetsOrFundBalancesEOYAmt
Mission	TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$13,246,321	ExpenseAmt
Grant	$600	GrantAmt
Revenue	$20,820,796	RevenueAmt
Desc	FINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2015, 252 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $482,696.	Desc
Total Program Service Expenses	$13,246,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	45	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	85	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	27	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	VP OF FINANCE-RHA INC	PersonNm
Phone	7578757838	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 DENBIGH BLVD 800	AddressLine1Txt
City	NEWPORT NEWS	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23608	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALAN WITT
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
ALFRED POOLE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ANNE SULLIVAN
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
BARRY GROSS
EXEC VP/CMO RHS	1.0	39.0	Yes (X)	$0	$734,253	$40,942
CARAMINE KELLAM
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES REVERE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
CLYDE DAVIS
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
CONWAY SHEILD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DON WILSON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
GORDON GENTRY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
HUGH BARLOW
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0
JEROLD ALLEN
VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
JULIE RAUTIO
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
KAREN MAGILL
VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
PAUL TRIBLE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
PHILLIP DENNIS
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
REBECCA MCCOY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
REGINA BRAYBOY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD CROWDER
BOARD MEMBER	1.0	39.0	Yes (X)	$0	$325	$1,302
ROBERT BRYANT
SR VP, LHARS	1.0	39.0	Yes (X)	$0	$394,927	$53,507
ROBERT GORDON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT HARDING
BOARD MEMBER	1.0	39.0	Yes (X)	$0	$332,070	$51,400
SCOTT STABLER
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
SUSAN MURRAY
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
THADDEUS HOLLOMAN
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS REAGAN
BOARD MEMBER	1.0	39.0	Yes (X)	$0	$80,730	$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS	1.0	39.0	Yes (X)	$0	$1,265,805	$44,600	Yes (X)
JASON HOUSER
VP, LEGAL AFFAIRS	1.0	39.0		$0	$414,784	$45,791	Yes (X)
NANCY LITTLEFIELD
SR VP/CNO	1.0	39.0		$0	$306,159	$9,624	Yes (X)
WADE BROUGHMAN
EXEC VP/COO RHS, SECRETARY	1.0	39.0		$0	$816,769	$43,281	Yes (X)
WALTER AUSTIN
EXEC VP/CFO RHS,TREASURER	1.0	39.0		$0	$552,764	$23,178	Yes (X)
COURTNEY DETWILER
ADMINISTRATOR	40.0	0.0		$157,251	$0	$11,030		Yes (X)
JUNE JAVIER
DEPT DIRECTOR	39.0	0.0		$121,853	$0	$18,845			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$279,104	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,898,586	TotReportableCompRltdOrgAmt
Total Other Compensation	$343,500	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DPR CONSTRUCTION
1450 VETERANS BLVD	REDWOOD CITY	CA	94063	PROFESSIONAL	$2,232,985
WVS Kiniry Willowwood Partners
PO BOX 8029	RICHMOND	VA	232238029	Consulting	$1,044,082
CAIN BROTHERS COMPANY LLC
360 MADISON AVE 5TH FLOOR	NEW YORK	NY	10017	CONSULTING	$887,531
REESE LOWER PATRICK SCOTT
250 VALLEYBROOK DRIVE	LANCASTER	PA	17601	PROFESSIONAL	$507,977
GRESHAM SMITH AND PARTNERS
PO Box 440029	NASHVILLE	TN	37244	Consulting	$374,548

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SERVICE REVENUE	Desc
Business	541610	BusinessCd
Total Revenue Column	$11,792,401	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,792,401	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,792,401	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,644,644	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,644,644	RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,064,473	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,381,938	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$682,535	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$682,535	TotalRevenueColumnAmt
Related Or Exempt Func Income	$681,141	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,394	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,462,507	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$172,555	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,289,952	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,635,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,635,062	RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SVC FROM AFFILIATES	900099	$25,821	$25,821
MANAGEMENT FEES	900099	$41,727	$41,727

Field	Value	IRS element (for citing)
Other Revenue Total	$67,548	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,822,190	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,820,796	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,394	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$600	TotalAmt
Program Services	$600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$168,281	TotalAmt
Program Services	$168,281	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,479,344	TotalAmt
Program Services	$3,126,790	ProgramServicesAmt
Management And General	$352,554	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$243,327	TotalAmt
Program Services	$243,327	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$284,940	TotalAmt
Program Services	$227,410	ProgramServicesAmt
Management And General	$57,530	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$260,693	TotalAmt
Program Services	$239,130	ProgramServicesAmt
Management And General	$21,563	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,400	TotalAmt
Management And General	$7,400	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$63,854	TotalAmt
Management And General	$63,854	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,984	TotalAmt
Management And General	$10,984	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,262	TotalAmt
Program Services	$39,262	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,524	TotalAmt
Program Services	$1,779	ProgramServicesAmt
Management And General	$745	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$333,628	TotalAmt
Program Services	$333,628	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$252,354	TotalAmt
Program Services	$4,173	ProgramServicesAmt
Management And General	$248,181	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,299,861	TotalAmt
Program Services	$1,299,861	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,473	TotalAmt
Program Services	$1,678	ProgramServicesAmt
Management And General	$1,795	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,500,571	TotalAmt
Program Services	$4,500,571	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$2,342,074	TotalAmt
Program Services	$1,900,385	ProgramServicesAmt
Management And General	$441,689	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$290,307	TotalAmt
Program Services	$290,307	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$123,856	TotalAmt
Management And General	$123,856	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROFESSIONAL SERVICES	$1,278,025	$320,872	$957,153
BAD DEBT EXPENSE	$13,081	$13,081
TAXES	-$337,710	$11,259	-$348,969
MEDICAL SUPPLIES	$523,927	$523,927

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,184,656	TotalAmt
Program Services	$13,246,321	ProgramServicesAmt
Management And General	$1,938,335	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$38,438,356	BOYAmt
EOY	$3,486,295	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$121,620,791	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$79,045,483	BOYAmt
EOY	$119,988,658	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,637,159	BOYAmt
EOY	$5,741,677	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,269,609	BOYAmt
EOY	$3,203,880	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$172,492,338	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$23,020,854	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$155,529,697	BOYAmt
EOY	$149,471,484	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$39,331,055	BOYAmt
EOY	$41,672,933	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,860,023	BOYAmt
EOY	$4,860,024	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,006,238	BOYAmt
EOY	$2,140,644	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$328,117,620	BOYAmt
EOY	$452,186,386	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,442,122	BOYAmt
EOY	$11,211,829	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,449,160	BOYAmt
EOY	$8,382,160	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$154,750,000	BOYAmt
EOY	$272,855,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$10,484,225	BOYAmt
EOY	$7,414,664	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,850,461	BOYAmt
EOY	$22,091,442	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$200,975,968	BOYAmt
EOY	$321,955,095	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,141,652	BOYAmt
EOY	$130,231,291	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$127,141,652	BOYAmt
EOY	$130,231,291	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$328,117,620	BOYAmt
EOY	$452,186,386	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,637,534	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$711,782	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,836,113	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,866,983	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$2,883,483	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,483,744	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,605,298	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,474,872	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,355,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,924,422	CurrentTaxYearAmt
Total	$93,843,625	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,350,727	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,621,798	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,474,872	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,355,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,924,422	CurrentTaxYearAmt
Total	$96,727,108	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$96,727,108	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,040,694	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,717,665	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,050,829	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,542,844	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,644,644	CurrentTaxYearAmt
Total	$32,996,676	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,040,694	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,717,665	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,050,829	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,542,844	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,644,644	CurrentTaxYearAmt
Total	$32,996,676	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,391,421	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,339,463	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,525,701	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,898,133	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,569,066	CurrentTaxYearAmt
Total	$129,723,784	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.74564	PublicSupportCY509Pct
Public Support PY509	0.74938	PublicSupportPY509Pct
Investment Income CY	0.25436	InvestmentIncomeCYPct
Investment Income PY	0.25062	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,731,089	OtherCostOrOtherBasisAmt
Book Value	$70,731,089	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,945,610	OtherCostOrOtherBasisAmt
Depreciation	$18,991,512	DepreciationAmt
Book Value	$70,954,098	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,573,247	OtherCostOrOtherBasisAmt
Depreciation	$1,032,064	DepreciationAmt
Book Value	$541,183	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,242,392	OtherCostOrOtherBasisAmt
Depreciation	$2,997,278	DepreciationAmt
Book Value	$7,245,114	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$149,471,484	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MANAGED CARE	$15,587,643	C
OTHER	$20,372,326	C
STOCKS	$5,712,964	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$41,672,933	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OTHER	$6,442
DERIVITIVE 2004	$11,095,022
CONTINGENT LIABILITY	$701,801
CNU OBLIGATION	$10,288,177

Field	Value	IRS element (for citing)
Total Liability	$22,091,442	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America	RegionTxt
Offices	1	OfficesCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$6,305,541	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Total Office	1	TotalOfficeCnt
Subtotal Spent	$6,305,541	SubtotalSpentAmt
Total Spent	$6,305,541	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	7	PersonsServedCnt
Total Community Benefit Expns	$95,082	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,082	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$625,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$267,645	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$720,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$362,727	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,271	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,271	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,271	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,271	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$724,406	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366,998	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,081	BadDebtExpenseAmt
Reimbursed By Medicare	$5,779,715	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,840,825	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,061,110	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Hampton Roads Specialty Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	245 Chesapeake Ave	AddressLine1Txt
City	Newport News	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23607	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.riversideonline.com/hrsh/	WebsiteAddressTxt
State License	H 1925	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	Long Term Acute Care	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Hampton Roads Specialty Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.riversideonline.com/community_benefit/	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	false	IncludesPublicityMeasuresInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V	FormAndLineReferenceDesc
Explanation	Line 5: In the 2013 CHNA process, five Riverside Health System hospitals worked together to conduct a CHNA for the Peninsula and Williamsburg area. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Through the consulting group Community Health Solutions, the survey was sent to 158 individuals across the area, of which 83 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 intellectual disabilities (such as The Arc of the Virginia Peninsula), 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 of the 83 respondents to the initial survey can be found on page five 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 met multiple times and included individuals from local governments, sheriffs, public health and free clinics, the Community Services Board, local nonprofit groups and members of the local business community. The administrators of the five Riverside hospitals in the region also participated in this group. Line 6a: Hampton Roads Specialty Hospital worked with Riverside Regional Medical Center, Riverside Rehabilitation Institute, Riverside Behavioral Health Center, and Riverside Doctors Hospital Williamsburg on the 2013 CHNA process. Line 7a: www.riversideonline.com/community_benefit/ Line 11: Through the CHNA process, many areas were identified as concerns in the community, including high blood pressure, adult obesity, cancer, heart disease and stroke, diabetes, mental health and substance abuse. However, the group determined that trying to build public health responses to all of these disease states at once was unrealistic. Through the community action planning process, the team worked through the key issues and identified one area to address directly as well as several underlying / foundational needs that could impact multiple issues. There were four main categories of needs identified through the CHNA process: 1) services for the elderly; 2) healthy lifestyle, nutrition and wellness; 3) awareness and navigation of resources; and 4) behavioral health. By addressing the foundational issues, Riverside can impact multiple diseases / problems that were noted as concerns in the community. Overall, there are three main ways Riverside has been addressing these areas: 1) addressing them through services Riverside offers; 2) working with other community partners to address these issues jointly; and 3) providing financial and in-kind donations to support other organizations that are addressing these problems. Examples include: Riverside expanding its services focused on the aging population; expanding wellness services; Riverside partnering with Newport News City Schools to provide a health care clinic within the Achievable Dream School; and Riversides support of community events such as the Out of the Darkness Walk in support of suicide prevention. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). 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

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H, Part VI	FormAndLineReferenceDesc
Explanation	Line 1: Part I Line 3c: To qualify, patients must meet the following guidelines: 1. Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. 2. Provide valid Social Security number 3. Be uninsured. 4. Have a Federal Poverty Level percentage of 0- 250%. Federal Poverty Guidelines can be found at the following link: http://aspe.hhs.gov/poverty/12poverty.shtml (hold control and click on link). 5. Have "low credit" (defined as having less than $1000 of available line of credit). 6. Be likely to pay" (defined as a credit score of less than 550). 7. Do not have liquid assets to meet their healthcare financial obligation. 8. Spousal financial information will be included for services over $10,000 9. Medicaid Spend Down amounts do not qualify for financial assistance. " Uninsured patients can be qualified for financial assistance through presumptive charity using third party credit scoring software." Credit scores are used to determine patient's historical ability to pay now-healthcare expenses. Available credit is reviewed to determine spend down capabilities of patient. " If a (insured or uninsured) patient's available credit or credit score disqualifies them from financial assistance and are unable to make a payment plan agreement due to income restraints, a 4506T IRS form may be requested in order to determine financial assistance eligibility. The results will be used to clarify the patient's FPL; if 250% or less and no other assets are found the patient will qualify for financial assistance. This process is completed by Financial Counselors and/or the Customer Service Call Center team. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $13,081. Line 1: Part I Line 7A: The cost to charge ratio calculated using worksheet 2 methodology was used for the charity expense calculation. Line 1: Part I Line 7B: Medicaid cost and net revenue are directly from the Medicaid cost report. Line 1: Part III Line 2: Bad debt is the amount remaining on a patient's account after cash payments, third party payer contractual adjustments and hospital discounts have been taken. Before the amount is written off to bad debt the account is sent to a collection agency which returns the account when they have exhausted all possible effort. Upon return the account balance is written off to bad debt. Line 1: Part III Line 3: Patients eligible under the financial assistance policy were provided 100% discount and therefore were not included in bad debt expense. Line 1: Part III Line 4: 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. As part of the Riverside Healthcare Association, Hampton Roads Specialty Hospital is consolidated with all facilities on the audited financial statements. Bad debt is referenced in Note 3 Net Patient Service Revenues and Note 4 Community Benefit Expense. Note 3 discusses the allowance for uncollectible accounts as follows: "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." Note 4 states "Distinguishing uncollected patient revenue between charity and bad debt requires full consideration of both the financial and non-financial circumstances of the patient, which are not always available to the organization. Therefore, both traditional charity care and bad debt are included as a component of benefits for the indigent." The bad debt expense on the audited system financial statements is bad debt charges written off. This amount is considered a community expense. No expense is listed for line 3. We do not take any patients to bad debt if we know they qualify for one of our financial assistance programs. Even if a charity status is not known but a financial assistance application is pending we do not send the patient's account to bad debt. The policy states "If a patient has completed a hospital's application for financial assistance that account should not be advanced for collection pending determination of eligibility." 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 & diagnoses trends across the Riverside service areas. 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: Patients are notified of the FAP while in the hospital, notice is included on the patient statement, and patients are educated directly by customer service agents when they inquire about their bill. They are also contacted for assistance in screening for eligibility for federal, state, and local government programs. 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 2015 census 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 a	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY GROSS
EXEC VP/CMO RHS	$0	$513,075	$0	$103,502	$0	$117,676	$0	$31,684	$0	$9,258	$0	$775,195	$0	$0
COURTNEY DETWILER
ADMINISTRATOR	$126,675	$0	$12,607	$0	$17,969	$0	$0	$0	$11,030	$0	$168,281	$0	$0	$0
JASON HOUSER
VP, LEGAL AFFAIRS	$0	$308,922	$0	$49,250	$0	$56,612	$0	$24,998	$0	$20,793	$0	$460,575	$0	$0
NANCY LITTLEFIELD
SR VP/CNO	$0	$243,562	$0	$20,000	$0	$42,597	$0	$8,542	$0	$1,082	$0	$315,783	$0	$0
ROBERT BRYANT
SR VP, LHARS	$0	$282,260	$0	$32,231	$0	$80,436	$0	$30,298	$0	$23,209	$0	$448,434	$0	$0
ROBERT HARDING
BOARD MEMBER	$0	$222,609	$0	$35,266	$0	$74,195	$0	$31,684	$0	$19,716	$0	$383,470	$0	$0
WADE BROUGHMAN
EXEC VP/COO RHS, SECRETARY	$0	$567,747	$0	$114,173	$0	$134,849	$0	$23,673	$0	$19,608	$0	$860,050	$0	$0
WALTER AUSTIN
EXEC VP/CFO RHS,TREASURER	$0	$417,842	$0	$64,009	$0	$70,913	$0	$9,275	$0	$13,903	$0	$575,942	$0	$0
WILLIAM DOWNEY
PRESIDENT,CEO RHS	$0	$850,507	$0	$232,125	$0	$183,173	$0	$30,298	$0	$14,302	$0	$1,310,405	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch J, Part 1, Line 4b	FormAndLineReferenceDesc
Explanation	Barry Gross $ 75,660 Jason Houser $ 34,625 Nancy Littlefield $ 28,750 Robert Bryant $ 33,750 Wade Broughman $ 83,460 Walter Austin $ 45,000 William Downey $157,500 Total $458,745 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 from the plan until the later of the employee reaching age 62 or separation from service with Riverside.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Economic Development Authority of the City of Newp
A	521290859	2011-12-20	$31,580,000	2011B issue refunding 1998 SERIES	false	false	false
Economic Development Authority of the City of Newp
B	521290859	2011-12-20	$64,305,000	2011C issue refunding 2004 SERIES	false	false	false
Economic Development Authority of the City of Newp
C	521290859	2012-12-20	$75,000,000	Construction OF Surgical Pavilion	false	false	false
INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN
D	541737715	2015-07-22	$100,000,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,965,000	$0	$31,580,000	$0	$0	$214,583	$0	$0	$0	$0	$31,365,417	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$7,465,000	$0	$64,305,000	$0	$0	$430,645	$0	$0	$0	$0	$63,874,355	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$3,600,000	$0	$75,000,000	$0	$0	$618,200	$0	$0	$0	$74,381,800	$0	$0	2012	false	false	Yes (true)	Yes (true)
D	$0	$0	$100,050,114	$0	$0	$0	$0	$0	$0	$3,449,127	$0	$96,600,987		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
Deutsche Bank AG NY
B	false	Yes (true)	Yes (true)		Yes (true)	Yes (true)	false	0	false	Yes (true)	29.	false	false
0
C	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Bond Disclosure	FormAndLineReferenceDesc
Explanation	The 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 $50,114.03 for 2015A and $19,803.56 for 2015B.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	541737715	BondIssuerEIN
Bond Issued	2015-07-22	BondIssuedDt
Issue Price	$25,000,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$25,019,804	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$25,019,804	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule O	FormAndLineReferenceDesc
Explanation	Part VI, Sec A, Line 2 (1) Alan Witt, Gordon Gentry and Bill Downey have a business relationship. (2) Jason Houser and Paul Trible have a business relationship. Part VI, Sec B, Line 11b On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee reviews key data from the Form 990. Part VI, Sec B, Line 12c All Board Members, Officers, Directors and Key Employees complete an annual Conflict of Interest questionnaire. A report of potential Conflicts of Interest is reviewed by the Compliance Officer. Further concern, as reflected in the Conflict of Interest, Financial Disclosure, and Compliance Certification Questionnaire is reviewed by the Riverside Health System President to determine if additional follow-up is necessary. If a conflict presents, Board Members are required by the By-Laws, to disclose the conflict to the full Board and recuse themselves from voting on a case by case basis. Part VI, Sec B, Line 15A The Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee determines the compensation of the President and Senior Executives. The Committee relies on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. Part VI, Sec B, Line 15B Compensation for all other officers and key employees, is determined and reviewed by senior executives with reliance on market comparative information provided by a reputable independent third party expert to establish 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 $( 208,261) Distribution of Equity-RPOS Closing $(1,627,851) Rounding $ (1) ------------ Part XI Line 9 $(1,836,113) ============	ExplanationTxt

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LTACH AT RIVERSIDE LLC
608 Denbigh Blvd	Newport News	VA	23608	743135196	Hospital	VA	$9,065,219	$3,843,503	RivHCAssc
QUARTERPATH WILLIAMSBURG LLC
608 Denbigh Blvd	Newport News	VA	23608	473606366	REAL ESTATE	VA	$0	$3,133,741	RivHCAssc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Center for Excellence In Ag
608 Denbigh Blvd St 800	Newport News	VA	23608	061644517	Research	VA	501(C)(3)	7	RivHCAssc	Yes (true)
Charlottesville Area Retirement Svcs Inc
608 Denbigh Blvd St 800	Newport News	VA	23608	454854018	Pt Services	VA	501(c)(3)	9	RivRetSvc	Yes (true)
Doctors' Hospital of Williamsburg
608 Denbigh Blvd St 800	Newport News	VA	23608	271540267	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Francis N Sanders Nursing Home Inc
608 Denbigh Blvd St 800	Newport News	VA	23608	540683174	Nursing Care	VA	501(c)(3)	9	RivHCAssc	Yes (true)
Newport News General & Nonsectarian Hosp
608 Denbigh Blvd St 800	Newport News	VA	23608	540505934	Holding Comp	VA	501(c)(2)		RivHCAssc	Yes (true)
Parker and Mary West Hosp Fund
608 Denbigh Blvd Ste 800	Newport News	VA	23608	540797108	Foundation	VA	501(C)(3)	11c	RivHosp	Yes (true)
Patrick Henry Hospital Incorporated
608 Denbigh Blvd Ste 800	Newport News	VA	23608	540610803	Nursing Care	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Patriots Colony Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541680163	Ret Community	VA	501(C)(3)	9	RivHCAssc	Yes (true)
Rehabilitation Institute of Va Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521432269	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Behavioral Center Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541979321	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Convalescent Centers Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521276323	Nursing Care	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Health System Foundation Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23602	541994013	Foundation	VA	501(C)(3)	7	RivHCAssc	Yes (true)
Riverside Healthcare Foundation Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521241989	Foundation	VA	501(C)(3)	11c	RivHCAssc	Yes (true)
Riverside Healthcare Services Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521241839	Management	VA	501(C)(3)	11c	RivHCAssc	Yes (true)
Riverside Hospital Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521245746	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Management Services Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521241840	MANAGEMENT	VA	501(C)(3)	11c	RivHCAssc	Yes (true)
Riverside Middle Peninsula Hospital Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	521241836	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Physician Services Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541519724	PT SERVICES	VA	501(C)(3)	11c	RivHCAssc	Yes (true)
Riverside Retirement Services Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541348674	Ret Community	VA	501(C)(3)	9	RivHCAssc	Yes (true)
Riverside Tappahannock Hospital Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541489410	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Riverside Wellness & Fitness Centers Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23602	541318861	Fitness	VA	501(C)(3)	9	RivHCAssc	Yes (true)
Sanders Common LTD
608 Denbigh Blvd Ste 800	Newport News	VA	23608	524233030	Nursing Care	VA	501(C)(3)	11c	RivHCAssc	Yes (true)
Shore Health Services Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23608	540560500	Hospital	VA	501(C)(3)	3	RivHCAssc	Yes (true)
Shore Life Care Inc
608 Denbigh Blvd Ste 800	Newport News	VA	23602	541876370	Nursing Care	VA	501(C)(3)	9	ShoreHSvc	Yes (true)
Tilden and Virginia Davis Support
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541527703	Foundation	VA	501(C)(3)	11A	RivRetSvc	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
AtHomePtr
608 Denbigh Blvd Ste 800	Newport News	VA	23608	472999121	Management	VA	RivRetSvc	EXCLUDED
Michumi P
12997 Warwick Blvd	Newport News	VA	23602	201318732	Pt Services	VA	RivPhysSv	EXCLUDED

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Peninsula Hospital Services
608 Denbigh Blvd Ste 800	Newport News	VA	23608	540991295	Laundry	VA	COOP	false
RHS Medinsur LTD
				521241835	Insurance		C Corp	false	Craig Appin House	8 Wesley Street	Hamilton	BD	BD
Riverside Medical Equipment
608 Denbigh Blvd Ste 800	Newport News	VA	23608	541325596	Billing	VA	C corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	RIVERSIDE HEALTHCARE ASSOC. GROUP	FormAndLineReferenceDesc
Explanation	RVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY Ownership Abbreviation Key: Riverside Healthcare Assocation, Inc. RivHCAssc Riverside Healthcare Foundation, Inc. RivHCFnd Riverside Hospital, Inc. RivHosp Riverside Physican Services, Inc. RivPhysSv Riverside Retirement Services, Inc. RivRetSvc Shore Health Services, Inc. ShoreHSvc	ExplanationTxt