RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 52-1241835)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349306655
Schema version
2010v3.4
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)
Timestamp2011-11-15T13:33:32-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 AVENUE STE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521241835EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTHCARE ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
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)
NameWADE BROUGHMANName
TitleEVP/CFOTitle
Phone7578752041Phone
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3412901024Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWade D BroughmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1
CityNewport NewsCity
StateVAState
ZIP Code236084487ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24012457GrossReceipts
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 Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees81TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year300000ContributionsGrantsPriorYear
Contributions Grants Current Year300000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20582467ProgramServiceRevenuePriorYear
Program Service Revenue CY15695413ProgramServiceRevenueCY
Investment Income Prior Year11795728InvestmentIncomePriorYear
Investment Income Current Year5518055InvestmentIncomeCurrentYear
Other Revenue Prior Year2772457OtherRevenuePriorYear
Other Revenue Current Year-237179OtherRevenueCurrentYear
Total Revenue Prior Year35450652TotalRevenuePriorYear
Total Revenue Current Year21276289TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year81250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY533GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3100522SalariesEtcPriorYear
Salaries Etc Current Year3278758SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19267821OtherExpensePriorYear
Other Expenses Current Year12683896OtherExpensesCurrentYear
Total Expenses Prior Year22449593TotalExpensesPriorYear
Total Expenses Current Year15963187TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13001059RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5313102RevenuesLessExpensesCY
Total Assets BOY251172479TotalAssetsBOY
Total Assets EOY251369129TotalAssetsEOY
Total Liabilities BOY145939726TotalLiabilitiesBOY
Total Liabilities EOY137123202TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY105232753NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY114245927NetAssetsOrFundBalancesEOY
Mission DescriptionEMPOWER CARING PEOPLE, TO SAVE LIVES, TO IMPROVE HEALTH AND TO ENHANCE WELL-BEING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12690381Expense
Grants533Grants
Revenue20976289Revenue
DescriptionFINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. DISREGARDED ENTITY PROVIDES GENERAL HOSPITAL SERVICES TO THE COMMUNITY. DURING 2010, 255 PERSONS WERE BENEFITED WITH QUANTIFIABLE COMMUNITY BENEFITS OF $492,925.Description
Total Program Service Expense12690381TotalProgramServiceExpense
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 AttachedfalseFinancialStmtAttached
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees81NumberOfEmployees
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 Members26NbrVotingGoverningBodyMembers
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Alan Witt
Chairman1.0X000
Anne Sullivan
Board Member1.0X000
Barry Gross
EVP/CMO RHS1.0X058182619836
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
Kendall Jones
Board Member1.0X000
McKinley Price
Vice Chairman1.0X000
Paul Trible
Board Member1.0X000
Phillip Dennis
Board Member1.0X000
Regina Brayboy
Board Member1.0X000
Richard Pearce
CFO/President RHS1.0X0107953316764
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
Thomas Snead
Board Member1.0X000
Wade Broughman
EVP/CFO RHS1.0X058691127543X
Courtney Detwiler
38.0X11896305725
James Dudley
Board Chairman1.0X027884227701
Thomas Splan
Cheif Medical Officer1.0X000
Patrick Parcells
SR VP, ADMINISTRATOR RRMC1.0053704627546X
William Downey
EVP, COO RHS & SECRETARY1.0063581232946X
Lindsay Enzor
45.014724507397X
FieldValueIRS element (for citing)
Total Reportable Comp From Org266208TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3699970TotalReportableCompFrmRltdOrgs
Total Other Compensation165458TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonGresham Smith PartnersNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 440029AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code372440029ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesProfessionalDescriptionOfServices
Compensation118958Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations300000RelatedOrganizations
Total Contributions300000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE REVENUEDescription
Business Code541610BusinessCode
Total Revenue Column15695413TotalRevenueColumn
Related Or Exempt Function Income15695413RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15695413TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5518055TotalRevenueColumn
Related Or Exempt Function Income5518055RelatedOrExemptFunctionIncome

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)
Real2441822Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2736168Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-294346Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-294346TotalRevenueColumn
Related Or Exempt Function Income-312750RelatedOrExemptFunctionIncome
Exclusion$18,404ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SPECIAL FUNCTIONS900099-31-31
SVC FROM AFFILIATES9000992367523675
FEES9000993352333523
FieldValueIRS element (for citing)
Total Other Revenue57167TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21276289TotalRevenueColumn
Related Or Exempt Function Income20957885RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$18,404ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total533Total
Program Services533ProgramServices

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)
Total124688Total
Program Services124688ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2817261Total
Program Services2589555ProgramServices
Management And General227706ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total87757Total
Management And General87757ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total36129Total
Program Services15225ProgramServices
Management And General20904ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total212923Total
Program Services197553ProgramServices
Management And General15370ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total342Total
Program Services342ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51230Total
Program Services4ProgramServices
Management And General51226ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31232Total
Management And General31232ManagementAndGeneral

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)
Total512463Total
Program Services42469ProgramServices
Management And General469994ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total-86365Total
Program Services4230ProgramServices
Management And General-90595ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2178042Total
Program Services2178042ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total171012Total
Management And General171012ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total764683Total
Program Services414698ProgramServices
Management And General349985ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2863Total
Program Services1640ProgramServices
Management And General1223ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total4706764Total
Program Services4294043ProgramServices
Management And General412721ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1478371Total
Program Services1051264ProgramServices
Management And General427107ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total98703Total
Program Services98703ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total19452Total
Management And General19452ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL SERVICES16995851364005335580
BAD DEBT EXPENSE742132742132
TAXES313387313387

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15963187Total
Program Services12690381ProgramServices
Management And General3272806ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9805487BOY
EOY1088816EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY111665091BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY-11073320BOY
EOY100740844EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY13023726BOY
EOY11979033EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4638868BOY
EOY4637284EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis101277306LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15381646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY82715020BOY
EOY85895660EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY44172036BOY
EOY45941660EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY4860023EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY-3774429BOY
EOY-3774191EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY251172479BOY
EOY251369129EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8714837BOY
EOY8029961EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY24057544BOY
EOY18784822EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY105439433BOY
EOY100996881EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7727912BOY
EOY9311538EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY145939726BOY
EOY137123202EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY105232753BOY
EOY114245927EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY105232753BOY
EOY114245927EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY251172479BOY
EOY251369129EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5313102ReconcilationRevenueExpenses
Reconcilation Other Changes3700072ReconcilationOtherChanges
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 DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
FRANCIS N SANDERS NURSING HOME INC
54068317409falsefalsetrue$0
PATRICK HENRY HOSPITAL INC
54060180303falsefalsetrue$0
REHABILITATION INSTITUTE OF VIRGINIA INC
52143226903falsefalsetrue$0
RIVERSIDE BEHAVIORAL CENTER INC
54197932103falsefalsetrue$0
RIVERSIDE CONVALESCENT CENTERS INC
52127632303falsefalsetrue$0
RIVERSIDE HOSPITAL INC
52124574603falsefalsetrue$532
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
52124183603falsefalsetrue$0
RIVERSIDE TAPPAHANNOCK HOSPITAL INC
54148941003falsefalsetrue$0
SANDERS COMMON LTD
52423303009falsefalsetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts532SumOfAmounts

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
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38265778OtherCostOrOtherBasis
Depreciation13467373Depreciation
Book Value24798405BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1684872OtherCostOrOtherBasis
Depreciation1166563Depreciation
Book Value518309BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61328656OtherCostOrOtherBasis
Depreciation747710Depreciation
Book Value60580946BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings85897660TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FUNDED DEPRECIATION2486939
MANAGED CARE21618279C
DEFERRED FINANCING COSTS634440C
OTHER20923202
STOCKS278800C
FieldValueIRS element (for citing)
Total Of Book Value Securities45941660TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
OTHER$34,183
OBLIGATION UNDER CAPITAL 1$206,987
OBLIGATION UNDER CAPITAL 2$1,638,800
UNASSERTED CLAIMS$106,000
DERIVITIVE 2004$6,975,568
CONTINGENT LIABILITY$350,000
FieldValueIRS element (for citing)
Total Of Amounts9311538TotalOfAmounts

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 Expenditures5127507TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent5127507SubtotalAmountSpent
Total Amount Spent5127507TotalAmountSpent
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
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
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)
Total Community Benefit Expense132048TotalCommunityBenefitExpense
Net Community Benefit Expense132048NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served17PersonsServed
Total Community Benefit Expense789270TotalCommunityBenefitExpense
Direct Offsetting Revenue473397DirectOffsettingRevenue
Net Community Benefit Expense315873NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served17PersonsServed
Total Community Benefit Expense921318TotalCommunityBenefitExpense
Direct Offsetting Revenue473397DirectOffsettingRevenue
Net Community Benefit Expense447921NetCommunityBenefitExpense
Percent Of Total Expense0.02950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served17PersonsServed
Total Community Benefit Expense921318TotalCommunityBenefitExpense
Direct Offsetting Revenue473397DirectOffsettingRevenue
Net Community Benefit Expense447921NetCommunityBenefitExpense
Percent Of Total Expense0.02950PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$284,597BadDebtExpenseAmount
Amount Reimbursed By Medicare5476305AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5666498CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-190193MedicareSurplusOrShortfall

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule H, Part VI, Line 2Hampton 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 3Hampton 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 4Hampton 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 12.5% aged 65 and over. The percent of the population under the poverty guideline is approximately 7.9% while the per capita income is $27,466. Regional qualifies for disproportionate share reimbursement.
Schedule H, Part VI, Line 5Hampton 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 6The 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 Speciality Hospital, has an open medical staff. To apply, physicians must be board certified or board eligible
Schedule H, Part I, Line 6aRiverside Healthcare Association
Schedule H Part I, Line 7The amount of bad debt expense substracted from total expenses before calculating percentages is $742,132. 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 7bMedicaid cost and net revenue are directly from the Medicaid cost report
Schedule H Part I, Line 7eCommunity health improvement is actual cost accumulated by the individuals participating in the activities.
Schedule H Part I, Line 7iCash and in kind contributions are the actual dollar value of cash or items given.
Schedule H Part III, Line 4Bad 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 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 nonfinancial 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. 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 8Medicare 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 9bThere is a policy that states how patients known to qualify for charity care or financial assistance are handled. Even if a charity status in 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.
STATE FILING OF COMMUNITY BENEFIT REPORTVA,990 SCHEDULE H, PART VI

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
0392459010513408423308967010869060166200
Patrick Parcells
0367100091080078866017542010004056459200
Richard Pearce
06635910239395017654708967077970109629700
Wade Broughman
04021620108702076047015034012509061445400
William Downey
04248270114269096716020755012191066875800
Lindsay Enzor
12198602502523400073970154642000
James Dudley
018221402825093803017542010159030654300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part 1, Line 4bIdentifier
ExplanationPatrick Parcells $ 46,800 William Downey 67,473 Wade Broughman 64,152 Richard Pearce 149,745 Barry Gross 62,046Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Peninsula Ports Authority of VirginiaBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN237002328IssuerEIN
CUSIP Number707164CC1CUSIPNumber
Date Issued2004-05-20DateIssued
Issue Price83860000IssuePrice
Description Of PurposeFinance Renovations, Refund OutstnDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds83860000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow18860000RefundingEscrow
Issuance Costs From Proceeds725000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures64275000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSch K Part I (f)Identifier
ExplanationFinance Renovations, Refund Outstanding Bonds issued 9/5/91 & 8/29/02Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJulie Key RautioNamePerson
FieldValueIRS element (for citing)
RelationshipSee Schedule ORelationship
Amount Of Transaction114610AmountOfTransaction
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part VI, Sec A, Line 2Alan Witt, Conway Shield, and Richard Pearce 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 Reclass of 198 purchased Goodwill 4,860,023.00 Unrealized Gains 1,066,045.00 Distribution of Equity WF 9,880.00 Reclass of Pension Liability 35,713.00 2004 Bond Swap Eq Adj (2,271,592.00) Rounding Adj 3.00 Part XI Line 5 $3,700,072.00 Sch L Part IV Julie Key Rautio is a partner in Capital Results. Disregarded Entity Beginning of year amounts have been restated to include Disregarded Entity that is now owned by Riverside Healthcare Association, Inc.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James Dudley TITLE:Board Chairman HOURS:1FORM 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 Income10747835TotalIncome
EOY Assets70467EOYAssets

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/BusinessNameLine1
Shore Health Services Inc
608 Denbigh Blvd St 800Newport NewsVA23608540560500General MedVA501(C)(3)3RHA INC
Shore Life Care Inc
608 Denbigh Blvd St 800Newport NewsVA23608541876370Nursing CareVA501(C)(3)3SHORE HS INC
Newport News General & Nonsectarian Hosp
608 Denbigh Blvd St 800Newport NewsVA23608540505934Office HoldVA501(C)(3)3RHA INC
Tilden and Virginia Davis Support
608 Denbigh Blvd St 800Newport NewsVA23608541527703Nursing CareVA501(C)(3)11aRVS Health
Center for Excellence in Aging
608 Denbigh Blvd St 800Newport NewsVA23608061644517Elderly SvcVA501(C)(3)7RHA INC
Shore Rehabilitation Services Inc
608 Denbigh Blvd St 800Newport NewsVA23608541823669SpecialtyVA501(c)(3)3SHS Inc

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
1148 Old Denbigh blvdNewport NewsVA23602542152920OP SvcsVARVS Hosp IncEXCLUDED14863722717363false$7,553false
Pen Radiosurgery
1148 Old Denbigh blvdNewport NewsVA23602030596051Surg Cntr MngmtVARvs Hosp IncEXCLUDED14863722717363false$7,553false

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 SvcVARHA INCC Corp5257272737481.00000
RHS Medinsur LTD
521241835ReinsuranceRHA INCC Corp4604472260044051.00000Craig Appin House 8 Wesley StreetHamiltonBDBD
Peninsula Hospital Services
608 Denbigh Blvd St 800Newport NewsVA23608540991295Comm. LaundryVARVA HealthC Corp330007046591680.62270
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 ASSOC., INC. IS THE PARENT COMPANYExplanation

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