RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349304903
Schema version
2012v2.1
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)
Timestamp2013-11-15T10:56:58-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET BLVD SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521241835EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTHCARE ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% VP OF FINANCE - RHA INCInCareOfName
Name ControlRIVENameControl
Phone7578757838Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1608 Denbigh Blvd Suite 800AddressLine1
Address Line2SuiteAddressLine2
CityNewport NewsCity
StateVAState
ZIP Code236084487ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM AUSTIN JRName
TitleSenior VP/CFOTitle
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901024Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam DowneyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code236084487ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23339463GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteRiversideonline.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionFINANCIAL COORDINATIONActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees107TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2866983ContributionsGrantsPriorYear
Contributions Grants Current Year16500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13679949ProgramServiceRevenuePriorYear
Program Service Revenue CY15430981ProgramServiceRevenueCY
Investment Income Prior Year4921184InvestmentIncomePriorYear
Investment Income Current Year5716728InvestmentIncomeCurrentYear
Other Revenue Prior Year4286OtherRevenuePriorYear
Other Revenue Current Year507720OtherRevenueCurrentYear
Total Revenue Prior Year21472402TotalRevenuePriorYear
Total Revenue Current Year21671929TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY700GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3685204SalariesEtcPriorYear
Salaries Etc Current Year4195920SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11517331OtherExpensePriorYear
Other Expenses Current Year11160870OtherExpensesCurrentYear
Total Expenses Prior Year15204535TotalExpensesPriorYear
Total Expenses Current Year15357490TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6267867RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6314439RevenuesLessExpensesCY
Total Assets BOY338231642TotalAssetsBOY
Total Assets EOY330349481TotalAssetsEOY
Total Liabilities BOY224318143TotalLiabilitiesBOY
Total Liabilities EOY210245454TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY113913499NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY120104027NetAssetsOrFundBalancesEOY
Mission DescriptionTo care for others as we would care for those we love - to enhance their well-being and improve their health.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14250585Expense
Grants700Grants
Revenue21650675Revenue
DescriptionFINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2012, 249 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $859,295.Description
Total Program Service Expense14250585TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees107NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonVP OF FINANCE - RHA INCNamePerson
Telephone Number7578757838TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1RVS HEALTHCARE ASSOCIATION INCAddressLine1
CityNEWPORT NEWSCity
StateVAState
ZIP Code23608ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployee
ALAN WITT
CHAIRMAN, RHA INC.1.0X000
ALFRED POOLE
BOARD MEMBER, RHA INC.1.0X000
ANNE SULLIVAN
BOARD MEMBER, RHA INC.1.0X000
BARRY GROSS
EXEC VP/CMO RHS, RHA INC.1.0X06827093054239.0
CARAMINE KELLAM
BOARD MEMBER, RHA INC.1.0X000
CHARLES REVERE
BOARD MEMBER, RHA INC.1.0X000
CONWAY SHEILD
BOARD MEMBER, RHA INC.1.0X000
DON WILSON
BOARD MEMBER, LTACH LLC1.0X000
GEORGE GOODSON
BOARD MEMBER, RHA INC.1.0X000
GORDON GENTRY
BOARD MEMBER, RHA INC.1.0X000
HUGH BARLOW
SECRETARY, LTACH LLC1.0X000
JASON HOUSER
VP, LEGAL AFFAIRS, RHA INC.1.0X03426233810239.0
JEROLD ALLEN
VICE CHAIRMAN, RHA INC.1.0X000
JULIE RAUTIO
BOARD MEMBER, RHA INC.1.0X000
KAREN MAGILL
VICE CHAIRMAN, LTACH LLC1.0X000
PAUL TRIBLE
BOARD MEMBER, RHA INC.1.0X000
PHILLIP DENNIS
BOARD MEMBER, LTACH LLC1.0X000
REGINA BRAYBOY
BOARD MEMBER, RHA INC.1.0X000
RICHARD PEARCE
CEO RHS, RHA INC.1.0X011085963359239.0
ROBERT GORDON
BOARD MEMBER, RHA INC.1.0X000
ROBERT LEATHERBY
BOARD MEMBER, RHA INC.1.0X000
ROBERT MARBLE
BOARD MEMBER, RHA INC.1.0X000
SCOTT STABLER
BOARD MEMBER, RHA INC.1.0X000
SUSAN MURRAY
CHAIRMAN, LTACH LLC1.0X000
THADDEUS HOLLOMAN
BOARD MEMBER, RHA INC.1.0X000
THOMAS REAGAN
BOARD MEMBER, RHA INC.1.0X000
WADE BROUGHMAN
EXEC VP,CFO RHS, LTACH LLC1.0X07567493873739.0X
WILLIAM DOWNEY
PRESIDENT,COO RHS/SECRETARY, R1.0X010682873849639.0X
COURTNEY DETWILER
ADMINISTRATOR, LTACH LLC40.015345708631X
PATRICK PARCELLS
SR VP, ADMINISTRATOR RRMC, RHA1.006482983030539.0X
TERRIS KENNEDY
VP/SYSTEM CNO, RHA INC.1.003861712225139.0X
JAMES DUDLEY
RMG BOARD CHAIRMAN,EX OFFICIO,1.003705064084939.0X
FieldValueIRS element (for citing)
Total Reportable Comp From Org153457TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5363939TotalReportableCompFrmRltdOrgs
Total Other Compensation281505TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Gresham Smith Partners
PO Box 440029NASHVILLETN372440029Consulting191269
WVS Kiniry Willowwood Partners
PO BOX 8029RICHMONDVA232238029Consulting370579
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants16500GovernmentGrants
Total Contributions16500TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE REVENUEDescription
Business Code541610BusinessCode
Total Revenue Column15430981TotalRevenueColumn
Related Or Exempt Function Income15430981RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15430981TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5717665TotalRevenueColumn
Related Or Exempt Function Income5717665RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2145337Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1666597Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real478740Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column478740TotalRevenueColumn
Related Or Exempt Function Income473049RelatedOrExemptFunctionIncome
Exclusion$5,691ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other937Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-937Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-937TotalRevenueColumn
Exclusion-$937ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SVC FROM AFFILIATES9000992640126401
MANAGEMENT FEES90009925792579
FieldValueIRS element (for citing)
Total Other Revenue28980TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21671929TotalRevenueColumn
Related Or Exempt Function Income21650675RelatedOrExemptFunctionIncome
Exclusion$4,754ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total700Total
Program Services700ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total162087Total
Program Services162087ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3441899Total
Program Services3113948ProgramServices
Management And General327951ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total142993Total
Program Services142993ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total186856Total
Program Services122526ProgramServices
Management And General64330ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total262085Total
Program Services242164ProgramServices
Management And General19921ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total342Total
Management And General342ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61957Total
Management And General61957ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6147Total
Management And General6147ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25598Total
Program Services14020ProgramServices
Management And General11578ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31489Total
Program Services4269ProgramServices
Management And General27220ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1888467Total
Program Services1888467ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total227772Total
Management And General227772ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1043228Total
Program Services1043228ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6449Total
Program Services617ProgramServices
Management And General5832ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3566858Total
Program Services3566858ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2058128Total
Program Services1546662ProgramServices
Management And General511466ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total114256Total
Program Services114256ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-802398Total
Management And General-802398ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL SERVICES17143291078209636120
BAD DEBT EXPENSE571051571051
TAXES15107111363971
LOSS ON BOND REFINANCING6320906273944696

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15357490Total
Program Services14250585ProgramServices
Management And General1106905ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16208673BOY
EOY51423286EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69522103BOY
EOY95020433EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY16969009BOY
EOY9353746EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3503707BOY
EOY3414740EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138588135LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9240947LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96077321BOY
EOY129347188EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY139570777BOY
EOY35731963EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY4860023BOY
EOY4860023EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY-8479971BOY
EOY1198102EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY338231642BOY
EOY330349481EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4575248BOY
EOY13336272EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY13512095BOY
EOY15146527EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY192243483BOY
EOY168185000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13987317BOY
EOY13577655EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY224318143BOY
EOY210245454EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY113913499BOY
EOY120104027EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113913499BOY
EOY120104027EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY338231642BOY
EOY330349481EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6314439ReconcilationRevenueExpenses
Reconciliation Unrealized Invest273641ReconciliationUnrealizedInvest
Reconcilation Other Changes-397552ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (11 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
FRANCIS N SANDERS NURSING HOME INC
54068317409false$0
PATRICK HENRY HOSPITAL INC
54060180303false$0
REHABILITATION INSTITUTE OF VIRGINIA INC
52143226903false$0
RIVERSIDE BEHAVIORAL CENTER INC
54197932103false$0
RIVERSIDE CONVALESCENT CENTERS INC
52127632303false$0
RIVERSIDE HOSPITAL INC
52124574603false$0
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
52124183603false$0
RIVERSIDE TAPPAHANNOCK HOSPITAL INC
54148941003false$0
SANDERS COMMON LTD
52423303009false$0
SHORE HEALTH SERVICES INC
54056050003false$0
DOCTOR'S HOSPITAL OF WILLIAMSBURG
27154026703false$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs11TotalNumberOfSupportedOrgs
General ExplanationRiverside Healthcare Association provides non-monetary support in the form of financial coordination services for its affiliates. Monetary support is not required to be a supporting organization.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis78120547OtherCostOrOtherBasis
Book Value78120547BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis57948719OtherCostOrOtherBasis
Depreciation7882885Depreciation
Book Value50065834BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1827720OtherCostOrOtherBasis
Depreciation698020Depreciation
Book Value1129700BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis691149OtherCostOrOtherBasis
Depreciation660042Depreciation
Book Value31107BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings129347188TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FUNDED DEPRECIATION5002C
MANAGED CARE14345299C
OTHER20893084C
STOCKS488578C
FieldValueIRS element (for citing)
Total Of Book Value Securities35731963TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
OTHER$986
DERIVITIVE 2004$13,226,669
CONTINGENT LIABILITY$350,000
FieldValueIRS element (for citing)
Total Of Amounts13577655TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionNorth AmericaRegion
Number Of Offices0NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvided
Total Expenditures7341413TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent7341413SubtotalAmountSpent
Total Amount Spent7341413TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served6PersonsServed
Total Community Benefit Expense242322TotalCommunityBenefitExpense
Net Community Benefit Expense242322NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served13PersonsServed
Total Community Benefit Expense552117TotalCommunityBenefitExpense
Direct Offsetting Revenue298460DirectOffsettingRevenue
Net Community Benefit Expense253657NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served19PersonsServed
Total Community Benefit Expense794439TotalCommunityBenefitExpense
Direct Offsetting Revenue298460DirectOffsettingRevenue
Net Community Benefit Expense495979NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served19PersonsServed
Total Community Benefit Expense794439TotalCommunityBenefitExpense
Direct Offsetting Revenue298460DirectOffsettingRevenue
Net Community Benefit Expense495979NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$571,051BadDebtExpenseAmount
Amount Reimbursed By Medicare5950876AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6341234CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-390358MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hampton Roads Specialty HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1245 Chesapeake AveAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code23607ZIPCode
FieldValueIRS element (for citing)
Website Addresshttp://www.riversideonline.com/hrsh/WebsiteAddress
Licensed HospitalXLicensedHospital
OtherLong Term Acute CareOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Hampton Roads Specialty HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSchedule H, Part VI, Line 1Identifier
ExplanationSchedule H, Part I, Line 3c Free care uses 250% of the FPG. Hampton Roads Specialty Hospital's policies do not include "discounted" care. Schedule H, Part I, Line 6a The community needs assessment is done for all facilities of Riverside Healthcare Association. Schedule H Part I, Line 7a The cost to charge ratio calculated on Worksheet 2 was used for the charity expense calculation. Schedule H Part I, Line 7b Medicaid cost and net revenue are directly from the Medicaid cost report. Schedule H Part I, Line 7 Column F Bad debt of $571,051 was removed from the total expense of $15,357,490 to determine expense to calculate programs percent of total expense. Schedule H Part III, Line 3 Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore were not included in bad debt expense. Schedule H 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. The system's financial statements do not contain a footnote specifically for bad debt. Bad debt is referenced in Note 4 Community Benefit Expense. It 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 benefit. 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." Schedule H 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 long term acute care services are provided for the population's health. Schedule H Part III, Line 9b Patients eligible under the Financial Assistance Policy were provided 100% discount and were therefore excluded from debt collection processes per the written FAP policy. Schedule H Part V, Line 11 Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore FPG was not used to determine eligibility for discounted care. Schedule H Part V, Section B, Line 20d The current FAP only discounts 100%. Schedule H, Part VI, Line 2 Hampton Roads Specialty Hospital in conjunction with Riverside Health System identifies unmet community health needs using the database of the Virginia Atlas of Community Health. The database contains county and zip code level data for 240 population, economic, and health indicators. It can produce maps to illustrate the health of a community. The data contains an additional 32 "Adult Health Behavior" data points that include county-level estimates of people with chronic diseases. Using the community needs index, Hampton Roads Specialty Hospital (HRSH) makes internal decisions for resource allocation. Risk factors and high-risk groups are identified with the key issues, which are barriers to obtaining desired results. HRSH documents its investment in the community of the key groups, which programs are funded and how service lines address the health needs of the community. After analyzing the information Riverside recommends action and sets future goals in each identified area of health related needs. Schedule H, Part VI, 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. Schedule H, Part VI, Line 4 Hampton Roads Specialty Hospital primarily serves the residents of the Virginia Peninsula, which 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 other than 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. The hospital was formed to provide specialized care for patients who have medically complex conditions and require longer than expected stays in a more cost-effective setting than an acute care hospital. The primary service area of 480,000 people is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. Drugs, crime and poverty negatively impact the more densely populated areas of the community. Demographically and occupationally, the Hampton Roads Specialty Hospital service area is primarily a blue-collar community. The largest employer is Northrop Grumman Newport News Shipbuilding. There is a strong military presence in the region in the form of six major bases within a twenty-mile radius. Over 40% of households within the geographic region have incomes below 200% of the Federal Poverty Guideline. Our charity mission is strong and ongoing. Approximately 70% of all patients at Hampton Roads Specialty Hospital are Medicare recipients. Inpatient Medicaid patients account for 5% of patients. The area's population is comprised of 12.9% aged 65 and over. The percent of the population under the poverty guideline is approximately 11.4% while the per capita income is $27,466. The median income is $49,554. Schedule H, Part VI, Line 5 Hampton Roads Specialty Hospital has served the Virginia Peninsula since 2005. Prior to its opening there was no long-term acute care facility in the geographic area. Patients come from traditional hospitals and medical centers, where they have received short term acute care, more invasive procedures and testing, and have healed beyond the unstable phase of their illness and are moving into their transition to the recuperative stage. The overall leadership and guidance comes from a voluntary Board of Managers, comprised of community leaders. Hampton Roads Specialty Hospital has an open medical staff. To apply, physicians must be board certified or board eligible. Schedule H, Part VI, Line 6 The hospital administrator, medical director and director of clinical services manage the day-to-day operations of Hampton Roads Specialty Hospital. Schedule H, Part VI, Line 7 Community Benefit reports are filed in the Commonwealth of Virginia.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARRY GROSS
EXEC VP/CMO RHS, RHA INC.0467423012303609225002289707645071325100
COURTNEY DETWILER
ADMINISTRATOR, LTACH LLC11651301888701805700086310162088000
JAMES DUDLEY
RMG BOARD CHAIRMAN,EX OFFICIO,0209275015000159731020112020737041135500
JASON HOUSER
VP, LEGAL AFFAIRS, RHA INC.0247352054281040990020112017990038072500
PATRICK PARCELLS
SR VP, ADMINISTRATOR RRMC, RHA04631990100274084825020112010193067860300
RICHARD PEARCE
CEO RHS, RHA INC.0608837034650001532590228970106950114218800
TERRIS KENNEDY
VP/SYSTEM CNO, RHA INC.024509605269708837801777404477040842200
WADE BROUGHMAN
EXEC VP,CFO RHS, LTACH LLC050048301274110128855018862019875079548600
WILLIAM DOWNEY
PRESIDENT,COO RHS/SECRETARY, R0656762021175001997750251120133840110678300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part 1, Line 4bIdentifier
ExplanationPatrick Parcells $ 50,644 William Downey 115,500 Wade Broughman 68,835 Richard Pearce 126,000 Terris Kennedy 27,375 Barry Gross 66,472 Jason Houser 28,125 Total 482,950Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Economic Development Authority of the City of Newp
A5212908592011-12-20315800002011B issue refunding of 1998 outsfalsefalsefalse
Economic Development Authority of the City of Newp
B5212908592011-12-20643050002011C issue refunding of 2004 outsfalsefalsefalse
Economic Development Authority of the City of Newp
C5212908592012-12-20750000002012 issue construction of new Surfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
A0031580000003136541721458300000truefalsetruetrue
B0064305000006387435543064500000truefalsetruetrue
C0075000000000618200007438180000falsefalsetruetrue2013

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePrcntge Bond Financed PropPrcntgeBondFinancedPropOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0.000000.000000.000000.00000
B0falsefalsefalsefalsetruefalsefalsetrue
C0falsefalsefalsefalsetruefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
Afalsetruetruefalsefalsefalse0falsetrue
Deutsche Bank AG NY
Bfalsetruetruetruetruefalse0falsetrue29.falsefalse
0
Cfalsetruetruefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierBond DisclosureIdentifier
Return ReferenceSchedule K, Part IReturnReference
ExplanationThe 2011A, B, C 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierPart VI, Sec A, Line 2Identifier
Explanation(1) Alan Witt, Conway Shield, Bill Downey, and Richard Pearce have a business relationship. (2) Regina Brayboy and Thad Holloman have a business relationship. (3) Alan Witt, Bill Downey, and Gordon Gentry 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 A report of potential Conflicts of Interest are 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. Part VI, Sec B, Line 15 A 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 15 B 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 (459,444.00) Prior Year Correction 61,890.00 Rounding Adj 2.00 ------------ Part XI Line 9 ($397,552.00) ============Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LTACH AT RIVERSIDE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1608 Denbigh BlvdAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code23608ZIPCode
FieldValueIRS element (for citing)
EIN743135196EIN
Primary ActivitiesAcute CarePrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income9616222TotalIncome
EOY Assets2090597EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RHA INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Shore Health Services Inc
608 Denbigh Blvd St 800Newport NewsVA23608540560500General MedVA501(c)(3)3RHA INCtrue
Shore Life Care Inc
608 Denbigh Blvd St 800Newport NewsVA23608541876370Nursing CareVA501(c)(3)3SHORE HS INCtrue
Newport News General & Nonsectarian Hosp
608 Denbigh Blvd St 800Newport NewsVA23608540505934Office HoldVA501(c)(2)NARHA INCtrue
Tilden and Virginia Davis Support
608 Denbigh Blvd St 800Newport NewsVA23608541527703Nursing CareVA501(c)(3)11aRVS Healthtrue
Charlottesville Area Retirement Svcs
608 Denbigh Blvd St 800Newport NewsVA23608454854018Retire Comm.VA501(c)(3)11aRVS Healthtrue
Shore Rehabilitation Services Inc
608 Denbigh Blvd St 800Newport NewsVA23608541823669SpecialtyVA501(c)(3)3Shore HS Inctrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
RVSUVA
500 J Clyde Morris BlvdNewport NewsVA23602542152920OP SvcsVARVS Hosp IncEXCLUDED12129565423175false$1,943false0.50000
Pen Radiosurgery
500 J Clyde Morris BlvdNewport NewsVA23602030596051Surg Cntr MngVARvs Hosp IncEXCLUDED12129565423175false$1,943false0.93319

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Riverside Medical Equipment Center Inc
608 Denbigh Blvd St 800Newport NewsVA23608541325596Other Acct SvVARHA INCC Corp4546773109241.00000true
RHS Medinsur LTD
521241835InsuranceRHA INCC Corp1750376378171321.00000trueCraig Appin House 8 Wesley StreetHamiltonBDBD
Peninsula Hospital Services
608 Denbigh Blvd St 800Newport NewsVA23608540991295Comm. LaundryVARVA HealthC Corp364900637723160.60460true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRIVERSIDE HEALTHCARE ASSOC. GROUPIdentifier
ExplanationRVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANYExplanation

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