2013-11-15T10:56:58-06:00 2012-12-31 ERNST & YOUNG US LLP 190 CARONDELET BLVD SUITE 1300 CLAYTON MO 63105 990 2012-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC % VP OF FINANCE - RHA INC RIVE 7578757838 608 Denbigh Blvd Suite 800 Suite Newport News VA 236084487 WILLIAM AUSTIN JR 2013-11-14 3142901024 2012 2016-03-07 17:11:31Z William Downey Same as C above Newport News VA 236084487 23339463 false X Riversideonline.com X 1982 VA FINANCIAL COORDINATION 28 21 107 0 0 2866983 16500 13679949 15430981 4921184 5716728 4286 507720 21472402 21671929 2000 700 0 0 3685204 4195920 0 0 0 11517331 11160870 15204535 15357490 6267867 6314439 338231642 330349481 224318143 210245454 113913499 120104027 To care for others as we would care for those we love - to enhance their well-being and improve their health. false false 14250585 700 21650675 FINANCIAL 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. 14250585 true false false false false false false false false false true true false false true false false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 39 0 true 107 true false true BD false false false false false false false false false X 28 21 true false false false false false false true true false true true false true true true true true false false false X VP OF FINANCE - RHA INC 7578757838 RVS HEALTHCARE ASSOCIATION INC NEWPORT NEWS VA 23608 X ALAN WITT 1.0 X 0 0 0 ALFRED POOLE 1.0 X 0 0 0 ANNE SULLIVAN 1.0 X 0 0 0 BARRY GROSS 1.0 39.0 X 0 682709 30542 CARAMINE KELLAM 1.0 X 0 0 0 CHARLES REVERE 1.0 X 0 0 0 CONWAY SHEILD 1.0 X 0 0 0 DON WILSON 1.0 X 0 0 0 GEORGE GOODSON 1.0 X 0 0 0 GORDON GENTRY 1.0 X 0 0 0 HUGH BARLOW 1.0 X 0 0 0 JASON HOUSER 1.0 39.0 X 0 342623 38102 JEROLD ALLEN 1.0 X 0 0 0 JULIE RAUTIO 1.0 X 0 0 0 KAREN MAGILL 1.0 X 0 0 0 PAUL TRIBLE 1.0 X 0 0 0 PHILLIP DENNIS 1.0 X 0 0 0 REGINA BRAYBOY 1.0 X 0 0 0 RICHARD PEARCE 1.0 39.0 X 0 1108596 33592 ROBERT GORDON 1.0 X 0 0 0 ROBERT LEATHERBY 1.0 X 0 0 0 ROBERT MARBLE 1.0 X 0 0 0 SCOTT STABLER 1.0 X 0 0 0 SUSAN MURRAY 1.0 X 0 0 0 THADDEUS HOLLOMAN 1.0 X 0 0 0 THOMAS REAGAN 1.0 X 0 0 0 WADE BROUGHMAN 1.0 39.0 X X 0 756749 38737 WILLIAM DOWNEY 1.0 39.0 X X 0 1068287 38496 COURTNEY DETWILER 40.0 X 153457 0 8631 PATRICK PARCELLS 1.0 39.0 X 0 648298 30305 TERRIS KENNEDY 1.0 39.0 X 0 386171 22251 JAMES DUDLEY 1.0 39.0 X 0 370506 40849 153457 5363939 281505 1 false true false Gresham Smith Partners PO Box 440029 NASHVILLE TN 372440029 Consulting 191269 WVS Kiniry Willowwood Partners PO BOX 8029 RICHMOND VA 232238029 Consulting 370579 2 16500 16500 SERVICE REVENUE 541610 15430981 15430981 15430981 5717665 5717665 0 0 2145337 1666597 478740 0 478740 473049 5691 937 -937 -937 -937 0 0 0 SVC FROM AFFILIATES 900099 26401 26401 MANAGEMENT FEES 900099 2579 2579 28980 21671929 21650675 4754 700 700 0 0 0 162087 162087 0 3441899 3113948 327951 142993 142993 186856 122526 64330 262085 242164 19921 342 342 61957 61957 6147 6147 0 0 0 25598 14020 11578 31489 4269 27220 1888467 1888467 227772 227772 0 1043228 1043228 6449 617 5832 0 0 3566858 3566858 2058128 1546662 511466 114256 114256 -802398 -802398 PROFESSIONAL SERVICES 1714329 1078209 636120 BAD DEBT EXPENSE 571051 571051 TAXES 15107 11136 3971 LOSS ON BOND REFINANCING 632090 627394 4696 15357490 14250585 1106905 0 16208673 51423286 0 0 0 0 69522103 95020433 0 0 0 0 16969009 9353746 0 0 3503707 3414740 138588135 9240947 96077321 129347188 0 0 139570777 35731963 0 0 4860023 4860023 -8479971 1198102 338231642 330349481 4575248 13336272 13512095 15146527 0 0 192243483 168185000 0 0 0 0 0 0 0 0 13987317 13577655 224318143 210245454 X 113913499 120104027 0 0 0 0 113913499 120104027 338231642 330349481 X 6314439 273641 -397552 X false true X true false X X X false false false FRANCIS N SANDERS NURSING HOME INC 540683174 09 false 0 PATRICK HENRY HOSPITAL INC 540601803 03 false 0 REHABILITATION INSTITUTE OF VIRGINIA INC 521432269 03 false 0 RIVERSIDE BEHAVIORAL CENTER INC 541979321 03 false 0 RIVERSIDE CONVALESCENT CENTERS INC 521276323 03 false 0 RIVERSIDE HOSPITAL INC 521245746 03 false 0 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 03 false 0 RIVERSIDE TAPPAHANNOCK HOSPITAL INC 541489410 03 false 0 SANDERS COMMON LTD 524233030 09 false 0 SHORE HEALTH SERVICES INC 540560500 03 false 0 DOCTOR'S HOSPITAL OF WILLIAMSBURG 271540267 03 false 0 11 Riverside 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. 78120547 78120547 57948719 7882885 50065834 1827720 698020 1129700 691149 660042 31107 129347188 FUNDED DEPRECIATION 5002 C MANAGED CARE 14345299 C OTHER 20893084 C STOCKS 488578 C 35731963 0 OTHER 986 DERIVITIVE 2004 13226669 CONTINGENT LIABILITY 350000 13577655 North America 0 1 Program Services CAPTIVE INSURANCE 7341413 0 1 0 1 7341413 7341413 true false true false false false true true X true X 250. false true true false true true 1 6 242322 242322 0.01640 1 13 552117 298460 253657 0.01720 2 19 794439 298460 495979 0.03360 2 19 794439 298460 495979 0.03360 true 571051 5950876 6341234 -390358 X true true 1 1 Hampton Roads Specialty Hospital

245 Chesapeake Ave Newport News VA 23607

http://www.riversideonline.com/hrsh/ X Long Term Acute Care Hampton Roads Specialty Hospital 1 false true true 250. false true X X X X true true X X X X true false X X X X false X X false false Schedule H, Part VI, Line 1 Schedule 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. X X X X X false true false false false false false false false BARRY GROSS 0 467423 0 123036 0 92250 0 22897 0 7645 0 713251 0 0 COURTNEY DETWILER 116513 0 18887 0 18057 0 0 0 8631 0 162088 0 0 0 JAMES DUDLEY 0 209275 0 1500 0 159731 0 20112 0 20737 0 411355 0 0 JASON HOUSER 0 247352 0 54281 0 40990 0 20112 0 17990 0 380725 0 0 PATRICK PARCELLS 0 463199 0 100274 0 84825 0 20112 0 10193 0 678603 0 0 RICHARD PEARCE 0 608837 0 346500 0 153259 0 22897 0 10695 0 1142188 0 0 TERRIS KENNEDY 0 245096 0 52697 0 88378 0 17774 0 4477 0 408422 0 0 WADE BROUGHMAN 0 500483 0 127411 0 128855 0 18862 0 19875 0 795486 0 0 WILLIAM DOWNEY 0 656762 0 211750 0 199775 0 25112 0 13384 0 1106783 0 0 Sch J, Part 1, Line 4b Patrick 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 482,950 A Economic Development Authority of the City of Newp 521290859 2011-12-20 31580000 2011B issue refunding of 1998 outs false false false B Economic Development Authority of the City of Newp 521290859 2011-12-20 64305000 2011C issue refunding of 2004 outs false false false C Economic Development Authority of the City of Newp 521290859 2012-12-20 75000000 2012 issue construction of new Sur false false false A 0 0 31580000 0 0 31365417 214583 0 0 0 0 0 true false true true B 0 0 64305000 0 0 63874355 430645 0 0 0 0 0 true false true true C 0 0 75000000 0 0 0 618200 0 0 74381800 0 0 2013 false false true true A 0.00000 0.00000 0.00000 0.00000 B false false false false 0 true false false true C false false false false 0 true false false true A false true true false false 0 false 0 false true B false true true true true Deutsche Bank AG NY 29. false false false 0 false true C false true true false false 0 false 0 false true A true B true C true Bond Disclosure Schedule K, Part I The 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. Part VI, Sec A, Line 2 (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. 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Laundry VA RVA Health C Corp 3649006 3772316 0.60460 true false false false false false false false false false false false false false false true false false false false RIVERSIDE HEALTHCARE ASSOC. GROUP RVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY