RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349309169
Schema version
2011v1.3
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)
Timestamp2012-11-15T17:28:00-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 FINANCEInCareOfName
Name ControlRIVENameControl
Phone7578757838Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1608 Denbigh BlvdAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code236084487ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM AUSTIN JRName
TitleSenior VP/CFOTitle
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam Austin JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code236084487ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27574319GrossReceipts
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 Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees97TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year300000ContributionsGrantsPriorYear
Contributions Grants Current Year2866983ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15695413ProgramServiceRevenuePriorYear
Program Service Revenue CY13679949ProgramServiceRevenueCY
Investment Income Prior Year5518055InvestmentIncomePriorYear
Investment Income Current Year4921184InvestmentIncomeCurrentYear
Other Revenue Prior Year-237179OtherRevenuePriorYear
Other Revenue Current Year4286OtherRevenueCurrentYear
Total Revenue Prior Year21276289TotalRevenuePriorYear
Total Revenue Current Year21472402TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year533GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3278758SalariesEtcPriorYear
Salaries Etc Current Year3685204SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12683896OtherExpensePriorYear
Other Expenses Current Year11517331OtherExpensesCurrentYear
Total Expenses Prior Year15963187TotalExpensesPriorYear
Total Expenses Current Year15204535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5313102RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6267867RevenuesLessExpensesCY
Total Assets BOY251369129TotalAssetsBOY
Total Assets EOY338231642TotalAssetsEOY
Total Liabilities BOY137123202TotalLiabilitiesBOY
Total Liabilities EOY224318143TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114245927NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY113913499NetAssetsOrFundBalancesEOY
Mission DescriptionEMPOWER CARING PEOPLE, TO SAVE LIVES, TO IMPROVE HEALTH AND TO ENHANCE WELL-BEING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13266526Expense
Grants2000Grants
Revenue18593913Revenue
DescriptionFINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2011, 235 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $851,070.Description
Total Program Service Expense13266526TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees97NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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 FINANCENamePerson
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 (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Alan Witt
Chairman1.0X000
Anne Sullivan
Board Member1.0X000
Barry Gross
EVP/CMO RHS1.0X056723116568
Caramine Kellam
Board Member1.0X000
Charles Revere
Board Member1.0X000
Conway Sheild
Board Member1.0X000
Don Wilson
Board Member1.0X000
George Goodson
Board Member1.0X000
Hugh Barlow
Secretary1.0X000
Jerold Allen
Board Member1.0X000
Julie Rautio
Board Member1.0X000
Karen Magill
Vice Chairman1.0X000
Paul Trible
Board Member1.0X000
Phillip Dennis
Board Member1.0X000
Regina Brayboy
Board Member1.0X000
Richard Pearce
CEO RHS1.0X0133425518555
Robert Gordon
Board Member1.0X000
Robert Marble
Board Member1.0X000
Scott Stabler
Board Member1.0X000
Susan Murray
Chairman1.0X000
Thaddeus Holloman
Board Member1.0X000
Thomas Reagan
Board Member1.0X000
Wade Broughman
EVP/CFO RHS1.0X057136037513X
James Dudley
Board Chairman1.0X027677937102
Thomas Splan
Chief Medical Officer1.0X000
Gordon Gentry
Board Member1.0X000
Robert Leatherby
Board Membre1.0X000
Patrick Parcells
SR VP, ADMINISTRATOR RRMC1.0052335431081X
William Downey
President, COO RHS & SECRETARY1.0076480546843X
Courtney Detwiler
Administrator40.012933709298X
Terris Kennedy
VP/System CNO1.0029225116915X
FieldValueIRS element (for citing)
Total Reportable Comp From Org129337TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4330035TotalReportableCompFrmRltdOrgs
Total Other Compensation213875TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Gresham Smith Partners
PO Box 440029NASHVILLETN372440029Consulting569639
WVS Kiniry Willowwood Partners
PO BOX 8029RICHMONDVA232238029Consulting444500
Kaufman Canoles PC
PO Box 3037NORFOLKVA23514Consulting112939
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants70640GovernmentGrants
All Other Contributions2796343AllOtherContributions
Noncash Contributions1189339NoncashContributions
Total Contributions2866983TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE REVENUEDescription
Business Code541610BusinessCode
Total Revenue Column13679949TotalRevenueColumn
Related Or Exempt Function Income13679949RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13679949TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5040694TotalRevenueColumn
Related Or Exempt Function Income5040694RelatedOrExemptFunctionIncome

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)
Real2559690Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2799509Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-239819Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-239819TotalRevenueColumn
Related Or Exempt Function Income-251325RelatedOrExemptFunctionIncome
Exclusion$11,506ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3182898Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3302408Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-119510Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-119510TotalRevenueColumn
Related Or Exempt Function Income-119510RelatedOrExemptFunctionIncome

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
FEES900099215516215516
SVC FROM AFFILIATES9000992858928589
FieldValueIRS element (for citing)
Total Other Revenue244105TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21472402TotalRevenueColumn
Related Or Exempt Function Income18593913RelatedOrExemptFunctionIncome
Exclusion$11,506ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2000Total
Program Services2000ProgramServices

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)
Total138636Total
Program Services138636ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3201457Total
Program Services2945524ProgramServices
Management And General255933ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total66502Total
Management And General66502ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34973Total
Program Services16118ProgramServices
Management And General18855ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total243636Total
Program Services226814ProgramServices
Management And General16822ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total343Total
Program Services343ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76606Total
Program Services37ProgramServices
Management And General76569ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total929Total
Management And General929ManagementAndGeneral

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)
Total409380Total
Program Services28570ProgramServices
Management And General380810ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4546Total
Program Services3265ProgramServices
Management And General1281ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1989330Total
Program Services1989330ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total184128Total
Management And General184128ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1003092Total
Program Services1003092ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2376Total
Program Services2261ProgramServices
Management And General115ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total4163928Total
Program Services3994579ProgramServices
Management And General169349ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1953782Total
Program Services1396037ProgramServices
Management And General557745ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total96745Total
Program Services96745ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-1287740Total
Management And General-1287740ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL SERVICES19353751411163524212
BAD DEBT EXPENSE584382584382
TAXES563431201244331
ABANDONED CAPITAL COSTS343786343786

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15204535Total
Program Services13266526ProgramServices
Management And General1938009ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1088816BOY
EOY16208673EOY

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)
BOY100740844BOY
EOY69522103EOY

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)
BOY11979033BOY
EOY16969009EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4637284BOY
EOY3503707EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis108829936LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12752615LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY85895660BOY
EOY96077321EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY45941660BOY
EOY139570777EOY

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-3774191BOY
EOY-8479971EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY251369129BOY
EOY338231642EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8029961BOY
EOY4575248EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY18784822BOY
EOY13512095EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY100996881BOY
EOY192243483EOY

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)
BOY9311538BOY
EOY13987317EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY137123202BOY
EOY224318143EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY114245927BOY
EOY113913499EOY

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)
BOY114245927BOY
EOY113913499EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY251369129BOY
EOY338231642EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6267867ReconcilationRevenueExpenses
Reconcilation Other Changes-6600295ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 (9 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$378
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
52124183603false$0
RIVERSIDE TAPPAHANNOCK HOSPITAL INC
54148941003false$0
SANDERS COMMON LTD
52423303009false$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts378SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis77765475OtherCostOrOtherBasis
Book Value77765475BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28453561OtherCostOrOtherBasis
Depreciation10767230Depreciation
Book Value17686331BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1803902OtherCostOrOtherBasis
Depreciation1224510Depreciation
Book Value579392BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis806997OtherCostOrOtherBasis
Depreciation760875Depreciation
Book Value46123BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings96077321TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FUNDED DEPRECIATION97863844C
MANAGED CARE21933888C
DEFERRED FINANCING COSTS575574C
OTHER19544026C
STOCKS-346555C
FieldValueIRS element (for citing)
Total Of Book Value Securities139570777TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
OTHER$70,092
UNASSERTED CLAIMS$800,000
DERIVITIVE 2004$12,767,225
CONTINGENT LIABILITY$350,000
FieldValueIRS element (for citing)
Total Of Amounts13987317TotalOfAmounts

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 Expenditures5181802TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent5181802SubtotalAmountSpent
Total Amount Spent5181802TotalAmountSpent
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 Expense264607TotalCommunityBenefitExpense
Net Community Benefit Expense264607NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served16PersonsServed
Total Community Benefit Expense451983TotalCommunityBenefitExpense
Direct Offsetting Revenue271596DirectOffsettingRevenue
Net Community Benefit Expense180387NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served22PersonsServed
Total Community Benefit Expense716590TotalCommunityBenefitExpense
Direct Offsetting Revenue271596DirectOffsettingRevenue
Net Community Benefit Expense444994NetCommunityBenefitExpense
Percent Of Total Expense0.03040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served11097PersonsServed
Total Community Benefit Expense1341TotalCommunityBenefitExpense
Net Community Benefit Expense1341NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served10998PersonsServed
Total Community Benefit Expense295TotalCommunityBenefitExpense
Net Community Benefit Expense295NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served22095PersonsServed
Total Community Benefit Expense1636TotalCommunityBenefitExpense
Net Community Benefit Expense1636NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served22117PersonsServed
Total Community Benefit Expense718226TotalCommunityBenefitExpense
Direct Offsetting Revenue271596DirectOffsettingRevenue
Net Community Benefit Expense446630NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served199998PersonsServed
Total Community Building Expense1395TotalCommunityBuildingExpense
Net Community Building Expense1395NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served199998PersonsServed
Total Community Building Expense1395TotalCommunityBuildingExpense
Net Community Building Expense1395NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$239,800BadDebtExpenseAmount
Amount Reimbursed By Medicare5357022AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5630808CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-273786MedicareSurplusOrShortfall

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)
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
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
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 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 7e Community health improvement is actual cost accumulated by the individuals participating in the activities. Schedule H Part I, Line 7f Bad Debt expense removed from total expense in Line 7 Column F is $584,382. Schedule H Part I, Line 7i Cash and in kind contributions are the actual dollar value of cash or items given. Schedule H, Part II In 2011 Hampton Roads Specialty Hospital partnered with local organizations to support community programs including career development for under-privileged youth; science and space education; and investment in capital improvements designed to enhance quality of life and health on the Virginia Peninsula. 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. For Part VI, Part III, line 4 the cost to charge ratio calculated on worksheet 2 was used to calculate the bad debt expense. 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 financial statements is bad debt charges written off. On the audited statements bad debt at cost is in the notes' section Community Benefit 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 charity programs. Even if a charity status is not known but a charity 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 Medicare costs are determined using the Medicare Cost Report. Direct expenses are identified by cost center and separated between allowable and non-allowable cost centers. Reclasses are made to move expense among cost centers. Cost centers may provide services to other cost centers or part of the expense is for a non-allowed cost center so it needs to be reclassed. Adjustments are made to remove non-allowed expense; these are expenses Medicare does not deem necessary for the patient such as television, telephone, and advertising and offset of non-patient revenue. Expenses are allocated to cost centers using relevant statistics. The total expense is divided by revenue to calculate a cost to charge ratio. This ratio is multiplied by the program charges, which results in Medicare cost. Schedule H Part III, Line 9b There is a policy that states how patients known to qualify for charity care or financial assistance are handled. Even if a charity status is not known but a charity 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." Riverside has a catastrophic charity policy for people who exhaust their health care benefits. Schedule H Part V, Section B, Line 10 Our policies do not include "discounted" care. Schedule H Part V, Section B, Line 13g A summary is provided to patients. Schedule H Part V, Section B, Line 15e Hampton Roads Specialty Hospital does not take any of the actions listed. Schedule H Part V, Section B, Line 19d 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, what 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 Hampton Roads Specialty Hospital has created a brochure to educate patients on our financial assistance program. This brochure is available at all acute registration locations as well as its content is on our website. Patient statements invite uninsured patients to contact us regarding our financial assistance programs. We also send the brochure out each January to 30 community service organizations to ensure our program is well publicized. 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 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 500,000 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 78% 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. 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. Schedule H, Part VI, Line 6 The hospital administrator, medical director and director of nursing manage the day-to-day operations of Hampton Roads Specialty Hospital. 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 7 CommunExplanation

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 (7 entries)

Base 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
04235880575240861190801208556058379900
Patrick Parcells
0401135041923080296016586014495055443500
Richard Pearce
088845302300000215802080120105430135281000
Wade Broughman
0433801059568077991015361022152060887300
William Downey
05234890629040178412021486025357081164800
James Dudley
018663200090147016586020516031388100
Terris Kennedy
02167040527907026801237704538030916600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part 1, Line 4bIdentifier
ExplanationPatrick Parcells $ 48,230 William Downey 86,873 Wade Broughman 66,096 Richard Pearce 189,000 Terris Kennedy 25,025 Barry Gross 63,828 Total 479,052Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Economic Development Authority of the City of Newp
5212908592011-12-2064305000Refund Outstanding Principle of Olfalsefalsefalse
Economic Development Authority of the City of Newp
5212908592011-12-2031580000Refund Outstanding Principle of Olfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00643050000063874355430645000002037truefalsetruetrue
00315800000031365417214583000002037truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000false
falsefalsefalsefalse0.000000.000000.00000false

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateGross Proceeds Invested In GICGrossProceedsInvestedInGIC
0
falsetruefalse0falsefalse
0
falsetruefalse0falsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901189339NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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. Part XI Line 5 Unrealized Gains (629,250.00) 2004 Bond Swap Eq Adj (5,971,043.00) Rounding Adj (2.00) Part XI Line 5 ($6,600,295.00)
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Barry Gross TITLE:EVP/CMO RHS HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Richard Pearce TITLE:CEO RHS HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Wade Broughman TITLE:EVP/CFO RHS HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James Dudley TITLE:Board Chairman HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Patrick Parcells TITLE:SR VP, ADMINISTRATOR RRMC HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:William Downey TITLE:President, COO RHS & SECRETARY HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Terris Kennedy TITLE:VP/System CNO HOURS:39FORM 990 PART VII

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 Income8438666TotalIncome
EOY Assets1112346EOYAssets

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)(3)3RHA INCtrue
Tilden and Virginia Davis Support
608 Denbigh Blvd St 800Newport NewsVA23608541527703Nursing CareVA501(c)(3)11aRVS Healthtrue
Center for Excellence in Aging
608 Denbigh Blvd St 800Newport NewsVA23608061644517Elderly SvcVA501(c)(3)7RHA INCtrue
Shore Rehabilitation Services Inc
608 Denbigh Blvd St 800Newport NewsVA23608541823669SpecialtyVA501(c)(3)3SHS 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 PartnerGeneralOrManagingPartner
RVSUVA
500 J Clyde Morris BlvdNewport NewsVA23602542152920OP SvcsVARVS Hosp IncEXCLUDED15451543997267false$2,230false
Pen Radiosurgery
500 J Clyde Morris BlvdNewport NewsVA23602030596051Surg Cntr MngVARvs Hosp IncEXCLUDED15451543997267false$2,230false

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 OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Riverside Medical Equipment Center Inc
608 Denbigh Blvd St 800Newport NewsVA23608541325596Other Acct SvVARHA INCC Corp4937688153011.00000
RHS Medinsur LTD
521241835ReinsuranceRHA INCC Corp2896460335339551.00000Craig Appin House 8 Wesley StreetHamiltonBDBD
Peninsula Hospital Services
608 Denbigh Blvd St 800Newport NewsVA23608540991295Comm. LaundryVARVA HealthC Corp367257945784590.62270
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
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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