2011-11-15T13:33:32-06:00 2010-12-31 ERNST & YOUNG US LLP 190 CARONDELET AVENUE STE 1300 CLAYTON MO 63105 990 2010-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC RIVE 7578757838 608 Denbigh Blvd Newport News VA 236084487 WADE BROUGHMAN 7578752041 2011-11-15 3412901024 2010 2016-03-07 17:11:31Z Wade D Broughman Same as C above Newport News VA 236084487 24012457 false X Riversideonline.com X 1982 VA FINANCIAL COORDINATION 26 20 81 0 0 0 300000 300000 20582467 15695413 11795728 5518055 2772457 -237179 35450652 21276289 81250 533 0 0 3100522 3278758 0 0 0 19267821 12683896 22449593 15963187 13001059 5313102 251172479 251369129 145939726 137123202 105232753 114245927 EMPOWER CARING PEOPLE, TO SAVE LIVES, TO IMPROVE HEALTH AND TO ENHANCE WELL-BEING. false false 12690381 533 20976289 FINANCIAL 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. 12690381 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 false false false true true false false false false false false false false false true false false false false true true true true true false true 42 0 true 81 false true BD false false false false false false false false X 26 20 true false false false false false false true true false true true true true true true true true true true 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 581826 19836 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 Kendall Jones 1.0 X 0 0 0 McKinley Price 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 1079533 16764 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 Thomas Snead 1.0 X 0 0 0 Wade Broughman 1.0 X X 0 586911 27543 Courtney Detwiler 38.0 X 118963 0 5725 James Dudley 1.0 X 0 278842 27701 Thomas Splan 1.0 X 0 0 0 Patrick Parcells 1.0 X 0 537046 27546 William Downey 1.0 X 0 635812 32946 Lindsay Enzor 45.0 X 147245 0 7397 266208 3699970 165458 2 false true false Gresham Smith Partners PO Box 440029 NASHVILLE TN 372440029 Professional 118958 1 300000 300000 SERVICE REVENUE 541610 15695413 15695413 15695413 5518055 5518055 0 0 2441822 2736168 -294346 -294346 -312750 18404 0 0 0 0 SPECIAL FUNCTIONS 900099 -31 -31 SVC FROM AFFILIATES 900099 23675 23675 FEES 900099 33523 33523 57167 21276289 20957885 0 18404 533 533 0 0 0 124688 124688 0 2817261 2589555 227706 87757 87757 36129 15225 20904 212923 197553 15370 342 342 51230 4 51226 31232 31232 0 0 0 512463 42469 469994 -86365 4230 -90595 2178042 2178042 171012 171012 0 764683 414698 349985 2863 1640 1223 0 0 4706764 4294043 412721 1478371 1051264 427107 98703 98703 19452 19452 PROFESSIONAL SERVICES 1699585 1364005 335580 BAD DEBT EXPENSE 742132 742132 TAXES 313387 313387 15963187 12690381 3272806 0 9805487 1088816 111665091 0 -11073320 100740844 13023726 11979033 4638868 4637284 101277306 15381646 82715020 85895660 44172036 45941660 4860023 -3774429 -3774191 251172479 251369129 8714837 8029961 24057544 18784822 105439433 100996881 7727912 9311538 145939726 137123202 X 105232753 114245927 105232753 114245927 251172479 251369129 X 5313102 3700072 X false true true X false X X X false false false FRANCIS N SANDERS NURSING HOME INC 540683174 09 false false true 0 PATRICK HENRY HOSPITAL INC 540601803 03 false false true 0 REHABILITATION INSTITUTE OF VIRGINIA INC 521432269 03 false false true 0 RIVERSIDE BEHAVIORAL CENTER INC 541979321 03 false false true 0 RIVERSIDE CONVALESCENT CENTERS INC 521276323 03 false false true 0 RIVERSIDE HOSPITAL INC 521245746 03 false false true 532 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 03 false false true 0 RIVERSIDE TAPPAHANNOCK HOSPITAL INC 541489410 03 false false true 0 SANDERS COMMON LTD 524233030 09 false false true 0 9 532 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38265778 13467373 24798405 1684872 1166563 518309 61328656 747710 60580946 85897660 FUNDED DEPRECIATION 2486939 MANAGED CARE 21618279 C DEFERRED FINANCING COSTS 634440 C OTHER 20923202 STOCKS 278800 C 45941660 0 OTHER 34183 OBLIGATION UNDER CAPITAL 1 206987 OBLIGATION UNDER CAPITAL 2 1638800 UNASSERTED CLAIMS 106000 DERIVITIVE 2004 6975568 CONTINGENT LIABILITY 350000 9311538 North America 0 1 Program Services CAPTIVE INSURANCE 5127507 0 1 0 1 5127507 5127507 true false true false false false true true X true X true X true true false true true 132048 132048 0.00870 1 17 789270 473397 315873 0.02080 1 17 921318 473397 447921 0.02950 1 17 921318 473397 447921 0.02950 true 284597 5476305 5666498 -190193 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 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 12.5% 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 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 Speciality Hospital, has an open medical staff. To apply, physicians must be board certified or board eligible Schedule H, Part I, Line 6a Riverside Healthcare Association Schedule H Part I, Line 7 The 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 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 7i Cash and in kind contributions are the actual dollar value of cash or items given. 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 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 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 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 REPORT 990 SCHEDULE H, PART VI VA, X X X X X false true false false false false false false false Barry Gross 0 392459 0 105134 0 84233 0 8967 0 10869 0 601662 0 0 Patrick Parcells 0 367100 0 91080 0 78866 0 17542 0 10004 0 564592 0 0 Richard Pearce 0 663591 0 239395 0 176547 0 8967 0 7797 0 1096297 0 0 Wade Broughman 0 402162 0 108702 0 76047 0 15034 0 12509 0 614454 0 0 William Downey 0 424827 0 114269 0 96716 0 20755 0 12191 0 668758 0 0 Lindsay Enzor 121986 0 25 0 25234 0 0 0 7397 0 154642 0 0 0 James Dudley 0 182214 0 2825 0 93803 0 17542 0 10159 0 306543 0 0 Sch J, Part 1, Line 4b Patrick Parcells $ 46,800 William Downey 67,473 Wade Broughman 64,152 Richard Pearce 149,745 Barry Gross 62,046 Peninsula Ports Authority of Virginia 237002328 707164CC1 2004-05-20 83860000 Finance Renovations, Refund Outstn false false false 0 0 83860000 0 0 18860000 725000 0 0 64275000 0 0 2006 true false true true false false false false false 0.00000 0.00000 0.00000 false false true false false false false Sch K Part I (f) Finance Renovations, Refund Outstanding Bonds issued 9/5/91 & 8/29/02 Julie Key Rautio See Schedule O 114610 See Schedule O false Part VI, Sec A, Line 2 Alan 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 ORGANIZATION FORM 990 PART VII NAME:James Dudley TITLE:Board Chairman HOURS:1 LTACH AT RIVERSIDE LLC 608 Denbigh Blvd Newport News VA 23608 743135196 Acute Care VA 10747835 70467 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 Shore Life Care Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541876370 Nursing Care VA 501(C)(3) 3 SHORE HS INC Newport News General & Nonsectarian Hosp 608 Denbigh Blvd St 800 Newport News VA 23608 540505934 Office Hold VA 501(C)(3) 3 RHA INC Tilden and Virginia Davis Support 608 Denbigh Blvd St 800 Newport News VA 23608 541527703 Nursing Care VA 501(C)(3) 11a RVS Health Center for Excellence in Aging 608 Denbigh Blvd St 800 Newport News VA 23608 061644517 Elderly Svc VA 501(C)(3) 7 RHA INC Shore Rehabilitation Services Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541823669 Specialty VA 501(c)(3) 3 SHS Inc RVSUVA 1148 Old Denbigh blvd Newport News VA 23602 542152920 OP Svcs VA RVS Hosp Inc EXCLUDED 1486372 2717363 false 7553 false Pen Radiosurgery 1148 Old Denbigh blvd Newport News VA 23602 030596051 Surg Cntr Mngmt VA Rvs Hosp Inc EXCLUDED 1486372 2717363 false 7553 false Riverside Medical Equipment Center Inc 608 Denbigh Blvd St 800 Newport News VA 23608 541325596 Other Acct Svc VA RHA INC C Corp 5257272 73748 1.00000 RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 521241835 Reinsurance BD RHA INC C Corp 4604472 26004405 1.00000 Peninsula Hospital Services 608 Denbigh Blvd St 800 Newport News VA 23608 540991295 Comm. Laundry VA RVA Health C Corp 3300070 4659168 0.62270 false false false false false false false false false false true false false false false RIVERSIDE HEALTHCARE ASSOC. GROUP RVS HEALTHCARE ASSOC., INC. IS THE PARENT COMPANY