2012-11-15T17:28:00-06:00 2011-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC % VP OF FINANCE RIVE 7578757838 608 Denbigh Blvd Newport News VA 236084487 WILLIAM AUSTIN JR 2012-11-15 true 3142901000 2011 2016-02-24 21:20:13Z William Austin Jr Same as C above Newport News VA 236084487 27574319 false X Riversideonline.com X 1982 VA FINANCIAL COORDINATION 25 20 97 0 300000 2866983 15695413 13679949 5518055 4921184 -237179 4286 21276289 21472402 533 2000 0 0 3278758 3685204 0 0 0 12683896 11517331 15963187 15204535 5313102 6267867 251369129 338231642 137123202 224318143 114245927 113913499 EMPOWER CARING PEOPLE, TO SAVE LIVES, TO IMPROVE HEALTH AND TO ENHANCE WELL-BEING. false false 13266526 2000 18593913 FINANCIAL 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. 13266526 true true 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 true false false false true true true true true false true 49 0 true 97 true false true BD false false false false false false false false X 25 20 true false false false false false false true true false true true true true true true true true false false false X VP OF FINANCE 7578757838 RVS HEALTHCARE ASSOCIATION INC NEWPORT NEWS VA 23608 X Alan Witt 1.0 X 0 0 0 Anne Sullivan 1.0 X 0 0 0 Barry Gross 1.0 X 0 567231 16568 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 Hugh Barlow 1.0 X 0 0 0 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 X 0 1334255 18555 Robert Gordon 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 X X 0 571360 37513 James Dudley 1.0 X 0 276779 37102 Thomas Splan 1.0 X 0 0 0 Gordon Gentry 1.0 X 0 0 0 Robert Leatherby 1.0 X 0 0 0 Patrick Parcells 1.0 X 0 523354 31081 William Downey 1.0 X 0 764805 46843 Courtney Detwiler 40.0 X 129337 0 9298 Terris Kennedy 1.0 X 0 292251 16915 129337 4330035 213875 1 false true false Gresham Smith Partners PO Box 440029 NASHVILLE TN 372440029 Consulting 569639 WVS Kiniry Willowwood Partners PO BOX 8029 RICHMOND VA 232238029 Consulting 444500 Kaufman Canoles PC PO Box 3037 NORFOLK VA 23514 Consulting 112939 3 70640 2796343 1189339 2866983 SERVICE REVENUE 541610 13679949 13679949 13679949 5040694 5040694 0 0 2559690 2799509 -239819 -239819 -251325 11506 3182898 3302408 -119510 -119510 -119510 0 0 0 FEES 900099 215516 215516 SVC FROM AFFILIATES 900099 28589 28589 244105 21472402 18593913 11506 2000 2000 0 0 0 138636 138636 0 3201457 2945524 255933 66502 66502 34973 16118 18855 243636 226814 16822 343 343 76606 37 76569 929 929 0 0 0 409380 28570 380810 4546 3265 1281 1989330 1989330 184128 184128 0 1003092 1003092 2376 2261 115 0 0 4163928 3994579 169349 1953782 1396037 557745 96745 96745 -1287740 -1287740 PROFESSIONAL SERVICES 1935375 1411163 524212 BAD DEBT EXPENSE 584382 584382 TAXES 56343 12012 44331 ABANDONED CAPITAL COSTS 343786 343786 15204535 13266526 1938009 0 1088816 16208673 0 0 0 0 100740844 69522103 0 0 0 0 11979033 16969009 0 0 4637284 3503707 108829936 12752615 85895660 96077321 0 0 45941660 139570777 0 0 4860023 4860023 -3774191 -8479971 251369129 338231642 8029961 4575248 18784822 13512095 0 0 100996881 192243483 0 0 0 0 0 0 0 0 9311538 13987317 137123202 224318143 X 114245927 113913499 0 0 0 0 114245927 113913499 251369129 338231642 X 6267867 -6600295 X false true true X 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 378 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 03 false 0 RIVERSIDE TAPPAHANNOCK HOSPITAL INC 541489410 03 false 0 SANDERS COMMON LTD 524233030 09 false 0 9 378 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77765475 77765475 28453561 10767230 17686331 1803902 1224510 579392 806997 760875 46123 96077321 FUNDED DEPRECIATION 97863844 C MANAGED CARE 21933888 C DEFERRED FINANCING COSTS 575574 C OTHER 19544026 C STOCKS -346555 C 139570777 0 OTHER 70092 UNASSERTED CLAIMS 800000 DERIVITIVE 2004 12767225 CONTINGENT LIABILITY 350000 13987317 North America 0 1 Program Services CAPTIVE INSURANCE 5181802 0 1 0 1 5181802 5181802 true false true false false false true true X true X 250. false true true false true true 1 6 264607 264607 0.01810 1 16 451983 271596 180387 0.01230 2 22 716590 271596 444994 0.03040 3 11097 1341 1341 0.00010 2 10998 295 295 5 22095 1636 1636 0.00010 7 22117 718226 271596 446630 0.03050 2 199998 1395 1395 0.00010 2 199998 1395 1395 0.00010 true 239800 5357022 5630808 -273786 X true true 1 1 Hampton Roads Specialty Hospital

245 Chesapeake Ave Newport News VA 23607

X Long Term Acute Care Hampton Roads Specialty Hospital 1 true true 250. false true X X X true true X X true false X X true 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 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 Commun X X X X X false true false false false false false false false Barry Gross 0 423588 0 57524 0 86119 0 8012 0 8556 0 583799 0 0 Patrick Parcells 0 401135 0 41923 0 80296 0 16586 0 14495 0 554435 0 0 Richard Pearce 0 888453 0 230000 0 215802 0 8012 0 10543 0 1352810 0 0 Wade Broughman 0 433801 0 59568 0 77991 0 15361 0 22152 0 608873 0 0 William Downey 0 523489 0 62904 0 178412 0 21486 0 25357 0 811648 0 0 James Dudley 0 186632 0 0 0 90147 0 16586 0 20516 0 313881 0 0 Terris Kennedy 0 216704 0 5279 0 70268 0 12377 0 4538 0 309166 0 0 Sch J, Part 1, Line 4b Patrick Parcells $ 48,230 William Downey 86,873 Wade Broughman 66,096 Richard Pearce 189,000 Terris Kennedy 25,025 Barry Gross 63,828 Total 479,052 Economic Development Authority of the City of Newp 521290859 2011-12-20 64305000 Refund Outstanding Principle of Ol false false false Economic Development Authority of the City of Newp 521290859 2011-12-20 31580000 Refund Outstanding Principle of Ol false false false 0 0 64305000 0 0 63874355 430645 0 0 0 0 0 2037 true false true true 0 0 31580000 0 0 31365417 214583 0 0 0 0 0 2037 true false true true false false false false 0.00000 0.00000 0.00000 false false false false false 0.00000 0.00000 0.00000 false false true false 0 0 false false false true false 0 false 0 false false X X 1 1189339 FMV 0 false true false 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 ORGANIZATION FORM 990 PART VII NAME:Barry Gross TITLE:EVP/CMO RHS HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard Pearce TITLE:CEO RHS HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Wade Broughman TITLE:EVP/CFO RHS HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James Dudley TITLE:Board Chairman HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patrick Parcells TITLE:SR VP, ADMINISTRATOR RRMC HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William Downey TITLE:President, COO RHS & SECRETARY HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Terris Kennedy TITLE:VP/System CNO HOURS:39 LTACH AT RIVERSIDE LLC 608 Denbigh Blvd Newport News VA 23608 743135196 Acute Care VA 8438666 1112346 RHA INC Shore Health Services Inc 608 Denbigh Blvd St 800 Newport News VA 23608 540560500 General Med VA 501(c)(3) 3 RHA INC true Shore Life Care Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541876370 Nursing Care VA 501(c)(3) 3 SHORE HS INC true Newport News General & Nonsectarian Hosp 608 Denbigh Blvd St 800 Newport News VA 23608 540505934 Office Hold VA 501(c)(3) 3 RHA INC true Tilden and Virginia Davis Support 608 Denbigh Blvd St 800 Newport News VA 23608 541527703 Nursing Care VA 501(c)(3) 11a RVS Health true Center for Excellence in Aging 608 Denbigh Blvd St 800 Newport News VA 23608 061644517 Elderly Svc VA 501(c)(3) 7 RHA INC true Shore Rehabilitation Services Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541823669 Specialty VA 501(c)(3) 3 SHS Inc true RVSUVA 500 J Clyde Morris Blvd Newport News VA 23602 542152920 OP Svcs VA RVS Hosp Inc EXCLUDED 1545154 3997267 false 2230 false Pen Radiosurgery 500 J Clyde Morris Blvd Newport News VA 23602 030596051 Surg Cntr Mng VA Rvs Hosp Inc EXCLUDED 1545154 3997267 false 2230 false Riverside Medical Equipment Center Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541325596 Other Acct Sv VA RHA INC C Corp 4937688 15301 1.00000 RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 521241835 Reinsurance BD RHA INC C Corp 2896460 33533955 1.00000 Peninsula Hospital Services 608 Denbigh Blvd St 800 Newport News VA 23608 540991295 Comm. Laundry VA RVA Health C Corp 3672579 4578459 0.62270 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