RIVERSIDE HEALTHCARE ASSOCIATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: RIVERSIDE HEALTHCARE ASSOCIATION INC (EIN 90-1000718)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202333199349316708
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T13:45:00+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 EAST 4TH STREET	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	901000718	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Riverside Healthcare Association Inc Group	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RIVE	BusinessNameControlTxt
Phone	7578757545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 Denbigh Blvd 800	AddressLine1Txt
City	Newport News	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23608	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM DOWNEY	PersonNm
Person Title	CEO, RHS	PersonTitleTxt
Phone	7578757545	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	W WILLIAM	PersonFirstNm
Person Last	AUSTIN JR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Abbey E Leibel	PreparerPersonNm
PTIN	P01517527	PTIN
Phone	5136121400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM DOWNEY CEORHS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 Denbigh Blvd 800	AddressLine1Txt
City	Newport News	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23608	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,088,097,214	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5701	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	RIVERSIDEONLINE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY	ActivityOrMissionDesc
Voting Members Governing Body	167	VotingMembersGoverningBodyCnt
Voting Members Independent	130	VotingMembersIndependentCnt
Total Employee	10841	TotalEmployeeCnt
Total Volunteers	498	TotalVolunteersCnt
Total Gross UBI	$341,762	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,604,361	PYContributionsGrantsAmt
CY Contributions Grants	$31,123,606	CYContributionsGrantsAmt
PY Program Service Revenue	$1,845,535,203	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,033,664,333	CYProgramServiceRevenueAmt
PY Investment Income	$33,542,116	PYInvestmentIncomeAmt
CY Investment Income	$9,654,850	CYInvestmentIncomeAmt
PY Other Revenue	$30,293,342	PYOtherRevenueAmt
CY Other Revenue	$7,692,687	CYOtherRevenueAmt
PY Total Revenue	$1,934,975,022	PYTotalRevenueAmt
CY Total Revenue	$2,082,135,476	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,837,085	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,626,418	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$823,445,129	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$884,848,449	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,114,388	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,045,348,012	PYOtherExpensesAmt
CY Other Expenses	$1,192,444,188	CYOtherExpensesAmt
PY Total Expenses	$1,870,630,226	PYTotalExpensesAmt
CY Total Expenses	$2,078,919,055	CYTotalExpensesAmt
PY Revenues Less Expenses	$64,344,796	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,216,421	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,413,824,478	TotalAssetsBOYAmt
Total Assets EOY	$1,530,945,021	TotalAssetsEOYAmt
Total Liabilities BOY	$830,485,533	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$956,975,871	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$583,338,945	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$573,969,150	NetAssetsOrFundBalancesEOYAmt
Mission	TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,693,361,381	ExpenseAmt
Grant	$1,626,418	GrantAmt
Revenue	$2,024,318,620	RevenueAmt
Desc	GENERAL HOSPITAL, LONG-TERM CARE AND PHYSICIAN SERVICES PROVIDED TO THE COMMUNITY: 3,009,391 PERSONS WERE BENEFITED IN 2022 WITH QUANTIFIABLE COMMUNITY BENEFITS OF $222,197,933.	Desc
Total Program Service Expenses	$1,693,361,381	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	591	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10841	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	167	GoverningBodyVotingMembersCnt
Independent Voting Member	130	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	B LABONTE AVP-TAX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7578757545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 DENBIGH BLVD 800	AddressLine1Txt
City	NEWPORT NEWS	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23608	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (146 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BARBARA S HAYWOOD
VICE CHAIRMAN	0.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
CARRINGTON F RANDOLPH
VICE CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
CHARLENE E SMITH
VICE CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
CONWAY W SMITH III
CHAIRMAN	0.8	1.2	Yes (X)	Yes (X)	$0	$0	$0
DANIEL J SHERLOCK
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID F JONES MD
CHAIRMAN/Physician Specialty	38.0	2.0	Yes (X)	Yes (X)	$396,556	$0	$41,656
DWAYNE B BLAKE
VICE CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GABRIEL A MORGAN
CHAIRMAN	0.7	1.3	Yes (X)	Yes (X)	$0	$0	$0
GEORGE ROYDEN GOODSON III
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
HAROLD D JONES
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES C BURNETT CPA
CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JARED L BATES
VICE CHAIRMAN	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
JULIE M BADGER
VICE CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL DACEY MD
PRESIDENT/COO, RHS	37.5	2.5	Yes (X)	Yes (X)	$1,084,156	$0	$21,945
NANCY WICK LITTLEFIELD
Board Member/EVP/CNO, RHS	38.5	1.5	Yes (X)	Yes (X)	$488,776	$0	$28,119
NEHEMIAH THRASH MD
VICE CHAIRMAN/Physician Specialty	40.0	0	Yes (X)	Yes (X)	$372,749	$0	$59,629
THOMAS BYRD
VICE CHAIRMAN	0.7	1.3	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM BURNS DOWNEY
CEO, RHS	37.5	2.5	Yes (X)	Yes (X)	$1,596,820	$0	$68,521
WILLIAM L BRAUER
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ALFRED JOE POOLE III
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
APRIL TOWLER
BOARD MEMBER/Nurse Practitioner	40.0	0	Yes (X)		$144,279	$0	$15,084
BROOKE TILLER
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
CAROL U MEREDITH
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
Carrie R Moss MD
BOARD MEMBER	40.0	0	Yes (X)		$637,736	$0	$39,244
CATHERINE LINTZENICH MD
BOARD MEMBER/Physician Specialty	40.0	0	Yes (X)		$503,546	$0	$40,734
CELIA L ADOLPHI
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CHARLES G MINTER
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CHARVALLA WEST
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CONWAY HOWARD SHEILD III
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
DOUGLAS E NAGEL
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ELENA GARRETT MD
BOARD MEMBER/Physician Hourly	32.3	0	Yes (X)		$352,374	$0	$42,354
ELIZABETH DAWN HUNT DMD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ERIC M STONE
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
EUGENE M JORDAN ESQ
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
FAYE P GARGIULO
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
FREDRICK N ELOFSON
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
HALL RENFRO HOWARD MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
JAMES W MCCORRY DO
BOARD MEMBER/Physician Emergency Room RRMC	20.4	0	Yes (X)		$471,902	$0	$21,737
JEANNE ZEIDLER
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
JOHN T WHITE III
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
JOSEPH F VERSER
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
Joseph King
BOARD MEMBER/MEDICAL STAFF PRESIDENT	39.8	0	Yes (X)		$456,282	$0	$86,119
JOYCE JARRETT ALEWYNSE
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
KIRBY H SMITH
BOARD MEMBER	0.8	0.2	Yes (X)		$0	$0	$0
KRYSTAL AINSLEY MD
BOARD MEMBER/Physician Primary Care	40.0	0	Yes (X)		$456,319	$0	$43,940
LISA A CASANOVA MD
BOARD MEMBER/Physician Primary Care	40.0	0	Yes (X)		$564,993	$0	$66,079
MELVIN D SCHURSKY JR MD
BOARD MEMBER/Physician Specialty	40.0	0	Yes (X)		$573,093	$0	$68,018
MICHAEL T CHASE
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
MONILLA DENT
Board Member/Physician Primary Care	40.0	0	Yes (X)		$473,722	$0	$36,592
PATRICIA G BROWN
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
PATRICIA P BARRY MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
PAUL TREOLO
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
PHILIP G STOWELL
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
QUENTIN KIDD PHD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ROBERT J COURTER JR
BOARD MEMBER	2.0	0	Yes (X)		$0	$0	$0
ROBERT T DAVIS
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ROGER SCEARCE
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RONALD LEE SAUNDERS
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
SCOTT BURGESS
BOARD MEMBER/Physician Specialty	40.0	0	Yes (X)		$796,318	$0	$77,264
SCOTT F REED MD
BOARD MEMBER/Physician Specialty	40.0	0	Yes (X)		$431,824	$0	$52,216
SHAWN FLANAGAN
BOARD MEMBER	1.0	0	Yes (X)		$8,666	$0	$0
STEPHEN SILVASY JR
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
STEVE SPAIN
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
SUSANNA B HICKMAN
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
TERESA K THOMPSON NP
BOARD MEMBER/Nurse Practitioner	32.0	0	Yes (X)		$146,259	$0	$16,287
THERESA EMORY MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
THOMAS F MOREHOUSE III
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
TIMOTHY LARKIN II
BOARD MEMBER/Physician Primary Care	40.0	0	Yes (X)		$340,012	$0	$84,097
VERNEETA WILLIAMS
BOARD MEMBER AND PHYSICIAN	40.0	0	Yes (X)		$236,913	$0	$57,376
VIRGINIA M AMBLER
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
WALTER R CLEMONS PHD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
WANDA M AUSTIN
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
WILLIAM H MCALLISTER IV
BOARD MEMBER/Physician Specialty	40.0	0	Yes (X)		$2,090,240	$0	$73,941
WILLIAM M GRACE
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
WILLIAM S MASSEY
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ADRIA NICOLE VANHOOZIER
PRESIDENT, RDHW	40.0	0		Yes (X)	$386,620	$0	$24,208
Charles Frazier
Chief Medical Information & Innovation Officer/SVP	40.0	0		Yes (X)	$601,821	$0	$94,771
Christopher Stolle
VP MEDICAL AFFAIRS	40.0	0		Yes (X)	$636,006	$0	$35,459
CYNTHIA WILLIAMS
VP	40.0	0		Yes (X)	$456,349	$0	$38,697
Delvin Peeks
Enterprise Resource & Workforce Analytics/VP	40.0	0		Yes (X)	$248,749	$0	$43,503
EDWARD HECKLER
VP, LIFELONG HEALTH	39.8	0.2		Yes (X)	$402,219	$0	$66,439
EILEEN VARNSON
VP	40.0	0		Yes (X)	$370,067	$0	$74,178
ESTHER M DESIMINI
PRESIDENT, RWRH	40.0	0		Yes (X)	$438,434	$0	$38,403
Frankye Myers
Chief Nursing Officer/SVP	40.0	0		Yes (X)	$256,619	$0	$15,922
James Spiller
Physician Specialty/Interim VP/CMO	40.0	0		Yes (X)	$497,802	$0	$55,349
JASON KILGORE
VP RESULTS MGT AND ANALYTICS	40.0	0		Yes (X)	$318,161	$0	$77,869
JASON O HOUSER
GENERAL COUNSEL/SECRETARY, RHS	37.5	2.5		Yes (X)	$577,876	$0	$85,388
JESSE GOODRICH
VP	40.0	0		Yes (X)	$424,018	$0	$51,154
JOHN P PETERMAN
COO	39.0	0.0		Yes (X)	$466,888	$0	$46,733
LISA SALSBERRY
Officer Corp Audit & Comp/Priv	40.0	0		Yes (X)	$333,909	$0	$79,777
Michael Doucette
Support Services/VP	40.0	0		Yes (X)	$625,848	$0	$70,589
Michael Oshiki
Hospital President/SVP	40.0	0		Yes (X)	$398,619	$0	$17,856
NICOLAS CHUQUIN
Hospital President/VP	39.0	40.0		Yes (X)	$280,118	$0	$22,247
Ross Younger
SENIOR VP	40.0	0		Yes (X)	$574,895	$0	$85,430
SADIE THURMAN
VP CNO	40.0	0		Yes (X)	$323,416	$0	$41,094
SALLY HARTMAN
SENIOR VP	40.0	0		Yes (X)	$624,868	$0	$63,650
SALLY RYAN
VP/COO, RMG	40.0	0		Yes (X)	$436,001	$0	$19,599
Shelly Johnson
Hospital President/VP	40.0	0		Yes (X)	$263,939	$0	$37,945
Stacey Johnson
Hospital President/VP	40.0	0		Yes (X)	$303,219	$0	$22,916
THERESA SIEVERS
SENIOR VP	40.0	0		Yes (X)	$431,054	$0	$43,375
THOMAS KAYROUZ
PRESIDENT CMO RMG	40.0	0		Yes (X)	$783,555	$0	$32,081
Thomas Taghon
Hospital Chief Medical Officer/VP	40.0	0		Yes (X)	$263,439	$0	$13,198
WALTER WILLIAM AUSTIN JR
EVP, CFO & TREASURER	37.5	2.5		Yes (X)	$814,415	$0	$37,660
Barbara Labonte
Associate Vice President Budget Tax & Reimbursement	37.7	2.3			$304,303	$0	$52,141	Yes (X)
Braden Miller
Associate Vice President Chief Finance Officer RMG	40.0	0			$337,331	$0	$32,843	Yes (X)
Brenda Schoenherr
Regional Director of Homecare Operations	40.0	0			$179,319	$0	$20,982	Yes (X)
Cheryl Ange
Specialty Care Senior Director	40.0	0			$218,904	$0	$30,565	Yes (X)
Christine Morillo
Administrator LLH PCAW/WF/TGWF	40.0	0			$152,527	$0	$47,142	Yes (X)
David Inabinet
Associate Vice President Chief Information Security Officer	40.0	0			$282,179	$0	$28,229	Yes (X)
Douglas Culbert
Associate Vice President Service Line	40.0	0			$252,852	$0	$67,954	Yes (X)
Jason Villaflor
Rehab Services System Director	39.9	0.1			$195,635	$0	$49,204	Yes (X)
JEFF SENSENIG
MEDICAL STAFF PRESIDENT	40.0	0			$370,707	$0	$58,306	Yes (X)
Jessica Macalino
Associate Vice President Service Line	40.0	0			$250,316	$0	$19,469	Yes (X)
Julie Bayly
Executive Director LLH	38.8	0			$191,086	$0	$22,037	Yes (X)
Kelly Cooper
Primary Care Senior Director	40.0	0			$208,805	$0	$32,218	Yes (X)
Kimberly Healy
Associate Vice President Surgery and Anesthesia Services	40.0	0			$201,122	$0	$49,403	Yes (X)
Kristen Witt
EXECUTIVE DIRECTOR	40.0	0			$209,592	$0	$17,150	Yes (X)
Linda Mckee
Associate Vice President Service Line	39.0	1.0			$259,929	$0	$20,050	Yes (X)
Linwood Nelson
Associate Vice President Chief Finance Officer LLH	39.0	1.0			$281,898	$0	$66,361	Yes (X)
Lisa Kirby
Executive Director Nursing Homes LLH	40.0	0			$189,960	$0	$10,527	Yes (X)
Lisa Shannon
Associate Vice President Risk Management	40.0	0			$246,425	$0	$28,093	Yes (X)
Margaret Atkins
Associate Vice President Chief Nursing Information Officer	40.0	0			$231,705	$0	$38,404	Yes (X)
Mark Rath
Associate Vice President Support Operations	40.0	0			$278,195	$0	$22,066	Yes (X)
Maureen Thompson
Executive Director Home Care	40.0	0			$251,587	$0	$20,712	Yes (X)
Michael Keesee
Associate Vice President Clinical & Revenue Systems	40.0	0			$268,680	$0	$69,255	Yes (X)
Michelle Wooten
Chief Nursing Officer	40.0	0			$207,293	$0	$23,654	Yes (X)
Olukemi Olatunji
Pharmacy Senior Director	39.0	1.0			$218,533	$0	$8,129	Yes (X)
Sandra Snapp
Associate Vice President Service Line	26.2	0			$194,080	$0	$12,487	Yes (X)
Stacy Guzik
Administrator LLH PCAW/WF/TGWF	40.0	0			$151,584	$0	$19,012	Yes (X)
Steven Minter
Administrator LLH PCAW/WF/TGWF	39.9	0.1			$195,615	$0	$20,823	Yes (X)
Timothy Emons
Associate Vice President Corporate Controller	40.0	0			$257,945	$0	$30,301	Yes (X)
Toiya Sosa
Associate Vice President/Chief Diversity Officer	39.8	0			$192,805	$0	$16,708	Yes (X)
Winfred Guthrie
Associate Vice President IS Business Systems & Operational Support	40.0	0			$267,631	$0	$38,190	Yes (X)
Yvonne James
Financial Strategy Director	40.0	0			$158,337	$0	$36,298	Yes (X)
Anthony Farah
Physician Specialty	40.0	0			$1,685,110	$0	$52,882		Yes (X)
David Romano
Physician Specialty	40.0	0			$1,985,431	$0	$41,481		Yes (X)
Dean Kostov
Physician Specialty	40.0	0			$2,353,391	$0	$71,872		Yes (X)
Jacob Lantry
Physician Specialty	40.0	0			$1,745,619	$0	$19,755		Yes (X)
Romney Andersen
Physician Specialty	40.0	0			$2,314,470	$0	$10,799		Yes (X)
DEBRA CAMPBELL
FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director	40.0	0			$155,255	$0	$30,907			Yes (X)
DWIGHT C HERBERT MD
FORMER RMG-BOARD MEMBER/Physician Primary Care	40.0	0			$394,368	$0	$51,996			Yes (X)
ERIC STONE
FORMER VP CLINICAL OPERATIONS/Physician Primary Care	40.0	0			$277,451	$0	$11,861			Yes (X)
JOHN C MINCKS MD
FORMER BOARD MEMBER/Physician Hospitalist	40.0	0			$337,840	$0	$40,546			Yes (X)
Joseph Converse
FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty	39.5	0			$391,887	$0	$30,238			Yes (X)
JOY ELLIOTT
FORMER PRESIDENT, MEDICAL STAFF/Physician	40.0	0			$251,492	$0	$34,584			Yes (X)
PETER GALANTICH MD
FORMER PRESIDENT MEDICAL STAFF/Physician Specialty	35.8	0			$424,157	$0	$59,516			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$44,685,806	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,841,593	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1420	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Change Healthcare LLC
P O Box 98347	Chicago	IL	60693	Billing Services	$4,026,719
Eagle Telemed Holdings LLC
280 Interstate North Circle SE Suit	ATLANTA	GA	30339	Contract Labor - Fee Based	$2,545,467
Fresenius Medical Care
16343 Collection Center Drive	CHICAGO	IL	60693	Medical Services	$2,403,141
Quest Diagnostics
P O Box 912512	Pasadena	CA	91110	Medical Services	$2,384,431
Cloudmed Solutions Llc
P O Box 208272	Dallas	TX	75320	Service Contracts - Miscellaneous Data Processes	$1,911,492

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	96	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$22,166,532	GovernmentGrantsAmt
All Other Contributions	$8,957,074	AllOtherContributionsAmt
Noncash Contributions	$311,965	NoncashContributionsAmt
Total Contributions	$31,123,606	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PROGRAM SERVICE REVENUE	622110	$1,485,340,432	$1,484,998,670	$341,762	$0
AFFILIATE INCOME C(3)	622110	$440,512,197	$440,512,197	$0	$0
PHARMACY SERVICES	456110	$65,141,773	$51,572,152	$0	$13,569,621
RETIREMENT COMMUNITIES	623311	$28,569,757	$28,569,757	$0	$0
WELLNESS AND EDUCATION	611699	$7,307,230	$7,307,230	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,792,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,792,944	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,033,664,333	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,007,982	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$991,325	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,999,307	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,451,168	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,958,275	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,507,107	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,507,107	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,507,107	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,622,331	SecuritiesAmt
Other	$28,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$3,463	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,622,331	SecuritiesAmt
Other	$24,537	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,646,868	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,646,868	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$3,442,372	$0	$0	$3,442,372
TRANSITION SERVICES	900099	$2,311,825	$2,311,825	$0	$0
RESEARCH REVENUE	541715	$200,427	$0	$0	$200,427

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,245,170	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,245,170	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,199,794	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,082,135,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,024,318,620	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$341,762	UnrelatedBusinessRevenueAmt
Exclusion	$26,351,488	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,475,691	TotalAmt
Program Services	$1,475,691	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$150,727	TotalAmt
Program Services	$150,727	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$36,693,135	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$36,693,135	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$96,472	TotalAmt
Program Services	$96,472	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$701,775,561	TotalAmt
Program Services	$630,047,390	ProgramServicesAmt
Management And General	$70,603,983	ManagementAndGeneralAmt
Fundraising	$1,124,188	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$24,441,035	TotalAmt
Program Services	$21,000,754	ProgramServicesAmt
Management And General	$3,440,281	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$77,018,274	TotalAmt
Program Services	$65,701,314	ProgramServicesAmt
Management And General	$11,191,619	ManagementAndGeneralAmt
Fundraising	$125,341	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$44,823,972	TotalAmt
Program Services	$40,258,704	ProgramServicesAmt
Management And General	$4,485,429	ManagementAndGeneralAmt
Fundraising	$79,839	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$47,618,973	TotalAmt
Program Services	$21,016,856	ProgramServicesAmt
Management And General	$26,602,117	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$994,039	TotalAmt
Program Services	$178,934	ProgramServicesAmt
Management And General	$815,105	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,277,113	TotalAmt
Program Services	$1,146,697	ProgramServicesAmt
Management And General	$5,130,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$53,501	TotalAmt
Program Services	$53,501	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$125,101,160	TotalAmt
Program Services	$116,809,386	ProgramServicesAmt
Management And General	$8,013,047	ManagementAndGeneralAmt
Fundraising	$278,727	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,327,600	TotalAmt
Program Services	$855,959	ProgramServicesAmt
Management And General	$9,471,581	ManagementAndGeneralAmt
Fundraising	$60	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,252,817	TotalAmt
Program Services	$6,536,789	ProgramServicesAmt
Management And General	$3,366,937	ManagementAndGeneralAmt
Fundraising	$349,091	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$80,066,381	TotalAmt
Program Services	$28,717,772	ProgramServicesAmt
Management And General	$51,283,152	ManagementAndGeneralAmt
Fundraising	$65,457	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$141,931,517	TotalAmt
Program Services	$124,480,282	ProgramServicesAmt
Management And General	$17,410,098	ManagementAndGeneralAmt
Fundraising	$41,137	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,976,955	TotalAmt
Program Services	$1,655,486	ProgramServicesAmt
Management And General	$309,121	ManagementAndGeneralAmt
Fundraising	$12,348	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$93,551	TotalAmt
Program Services	$47,996	ProgramServicesAmt
Management And General	$43,000	ManagementAndGeneralAmt
Fundraising	$2,555	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,131,790	TotalAmt
Program Services	$6,358,587	ProgramServicesAmt
Management And General	$7,773,203	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$64,751,488	TotalAmt
Program Services	$58,098,841	ProgramServicesAmt
Management And General	$6,638,831	ManagementAndGeneralAmt
Fundraising	$13,816	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$105,065,234	TotalAmt
Program Services	$4,354,352	ProgramServicesAmt
Management And General	$100,710,882	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$286,174,767	$286,174,767	$0	$0
BAD DEBT EXPENSES	$46,591,499	$46,591,499	$0	$0
MEDICAID ASSESSMENT	$48,621,522	$48,621,522	$0	$0
SERVICES FROM AFFILIATES	$190,785,264	$172,139,616	$18,626,739	$18,909

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,629,017	TotalAmt
Program Services	$10,791,487	ProgramServicesAmt
Management And General	$834,610	ManagementAndGeneralAmt
Fundraising	$2,920	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,078,919,055	TotalAmt
Program Services	$1,693,361,381	ProgramServicesAmt
Management And General	$383,443,286	ManagementAndGeneralAmt
Fundraising	$2,114,388	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,339,477	BOYAmt
EOY	$1,105,877	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$627,149,314	BOYAmt
EOY	$471,893,788	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$78,134	BOYAmt
EOY	$54,001	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$215,062,076	BOYAmt
EOY	$261,521,098	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$32,152,546	BOYAmt
EOY	$31,015,473	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,247,828	BOYAmt
EOY	$32,871,240	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,151,677,766	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$672,623,939	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$387,187,267	BOYAmt
EOY	$479,053,827	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$14,134,005	BOYAmt
EOY	$16,691,113	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,313,848	BOYAmt
EOY	$8,705,346	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$68,565,240	BOYAmt
EOY	$60,536,036	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,483,311	BOYAmt
EOY	$40,483,311	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,111,432	BOYAmt
EOY	$127,013,911	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,413,824,478	BOYAmt
EOY	$1,530,945,021	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$269,040,873	BOYAmt
EOY	$384,222,599	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$61,547,184	BOYAmt
EOY	$64,790,820	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$499,897,476	BOYAmt
EOY	$507,962,452	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$830,485,533	BOYAmt
EOY	$956,975,871	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$557,333,310	BOYAmt
EOY	$547,910,559	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,005,635	BOYAmt
EOY	$26,058,591	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$583,338,945	BOYAmt
EOY	$573,969,150	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,413,824,478	BOYAmt
EOY	$1,530,945,021	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,216,421	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$86,578,920	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$43,850	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$73,948,854	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	3	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
RIVERSIDE HOSPITAL INC
521245746	3	Yes (true)	$0	$0
RIVERSIDE MIDDLE PENINSULA HOSPTIAL INC
521241836	3	Yes (true)	$0	$0
RIVERSIDE REHABILITATION INSTITUTE
521432269	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	3	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,265,075	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,605,113	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,068,476	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,039,018	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,606,302	CurrentTaxYearAmt
Total	$24,583,984	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,265,075	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,605,113	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,068,476	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,039,018	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,606,302	CurrentTaxYearAmt
Total	$24,583,984	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,849,499	SubstantialContributorsTotAmt
Public Support Total170	$22,734,485	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$283,370	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$93	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$745,505	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,433,251	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,131,551	CurrentTaxYearAmt
Total	$8,593,770	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$89,009	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,617,442	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$30,879	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,820	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,946	CurrentTaxYearAmt
Total	$16,788,096	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$49,965,850	TotalSupportAmt
Gross Receipts Rltd Activities	$2,439,055	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.4550	PublicSupportCY170Pct
Public Support PY170	0.6893	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$31,543	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,076,060	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$270,556	CurrentTaxYearMinus1YearAmt
Current Tax Year	$417,522	CurrentTaxYearAmt
Total	$1,795,681	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$148,919,430	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$154,453,978	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$166,126,071	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$173,686,565	CurrentTaxYearMinus1YearAmt
Current Tax Year	$189,279,117	CurrentTaxYearAmt
Total	$832,465,161	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$148,950,973	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$154,453,978	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$167,202,131	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$173,957,121	CurrentTaxYearMinus1YearAmt
Current Tax Year	$189,696,639	CurrentTaxYearAmt
Total	$834,260,842	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,414,861	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$91,443,150	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$98,515,549	CurrentTaxYearMinus1YearAmt
Current Tax Year	$104,801,736	CurrentTaxYearAmt
Total	$383,175,296	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,414,861	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$91,443,150	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$98,515,549	CurrentTaxYearMinus1YearAmt
Current Tax Year	$104,801,736	CurrentTaxYearAmt
Total	$383,175,296	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$451,085,546	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$3,719,539	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,298,816	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$24,568	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$14,025	CurrentTaxYearMinus1YearAmt
Current Tax Year	$220,028	CurrentTaxYearAmt
Total	-$2,239,288	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$3,719,539	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,298,816	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$24,568	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$14,025	CurrentTaxYearMinus1YearAmt
Current Tax Year	$220,028	CurrentTaxYearAmt
Total	-$2,239,288	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$30,662,630	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$692,452	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$267,521	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$287,365	CurrentTaxYearMinus1YearAmt
Current Tax Year	$450,046	CurrentTaxYearAmt
Total	$32,360,014	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$175,894,064	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$156,445,246	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$167,445,084	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$174,230,461	CurrentTaxYearMinus1YearAmt
Current Tax Year	$190,366,713	CurrentTaxYearAmt
Total	$864,381,568	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.5219	PublicSupportCY509Pct
Public Support PY509	0.6194	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (true)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	Yes (true)	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I, Line 12 PART I, LINES 12 AND 12A	RIVERSIDE HEALTHCARE FOUNDATION AND RIVERSIDE ADVANTAGE ARE SUBORDINATES WITHIN THE GROUP THAT ARE RECOGNIZED BY THE IRS AS A 509(A)(3) TYPE I SUPPORTING ORGANIZATION. ACCORDINGLY, PART IV, SECTIONS A AND B HAVE BEEN COMPLETED.
Schedule A, Part I PUBLIC CHARITY STATUS OF SUBORDINATES	AS A GROUP FILER AND DUE TO SOFTWARE LIMITATIONS, BOXES 3 AND 12 HAVE BEEN CHECKED. BOXES 7 AND 10 SHOULD ALSO BE CHECKED FOR THE ORGANIZATIONS BELOW. NAME OF SUBORDINATE EIN TYPE CENTER FOR EXCELLENCE IN AGING/GERIATRIC HEALTH 06-1544517 7 RIVERSIDE MIDDLE PENINSULA HOSPITAL, INC. 52-1241836 3 RIVERSIDE HEALTHCARE SERVICES, INC. 52-1241839 10 RIVERSIDE MANAGEMENT SERVICES, INC. 52-1241840 10 RIVERSIDE HEALTHCARE FOUNDATION, INC. 52-1241989 12I RIVERSIDE HOSPITAL, INC. 52-1245746 3 RIVERSIDE CONVALESCENT CENTERS, INC. 52-1276323 3 THE REHABILITATION INSTITUTE OF VIRGINIA, INC. 52-1432269 3 SANDERS COMMON, LTD 52 -4233030 10 PATRICK HENRY HOSPITAL, INC. 54-0601803 3 FRANCIS N. SANDERS NURSING HOME, INC. 54-0683174 10 RIVERSIDE WELLNESS AND FITNESS CENTERS, INC. 54-1318661 10 RIVERSIDE RETIREMENT SERVICES, INC. 54-1348674 10 RIVERSIDE PHYSICIAN SERVICES, INC. 54-1519724 3 PATRIOTS COLONY, INC. 54-1680163 10 RIVERSIDE HEALTH SYSTEM FOUNDATION, INC. 54-1994013 7 DOCTORS HOSPITAL OF WILLIAMSBURG 27-1540267 3 RIVERSIDE ADVANTAGE, INC. 98-2223666 12I
Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2)	RIVERSIDE HEALTHCARE FOUNDATION AND RIVERSIDE ADVANTAGE, WHICH ARE CONTROLLED BY RIVERSIDE HEALTHCARE ASSOCIATION, INC., HAVE DETERMINED THAT THEIR HOSPITAL SUPPORTED ORGANIZATIONS QUALIFY AS PUBLIC CHARITIES UNDER SECTION 509(A)(1) AS ENTITIES DESCRIBED IN SECTION 170(B)(1)(A)(III). THEY HAVE NOT RECEIVED SEPARATE IRS DETERMINATION LETTERS AS THEY ARE PART OF THE GROUP RULING.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org.	RIVERSIDE HEALTHCARE FOUNDATION AND RIVERISDE ADVANTAGE ALSO SUPPORTED THEIR OTHER SUPPORTED ORGANIZATIONS WITHIN THE RIVERSIDE HEALTH SYSTEM. THAT SUPPORT CARRIED OUT THE PURPOSES OF RIVERSIDE HEALTHCARE ASSOCIATION, INC. (RHA) BY STRENGTHENING THE ABILITY OF THE FOUNDATION'S SUPPORTED ORGANIZATIONS TO PROVIDE QUALITY HEALTH CARE AND IMPROVE THE HEALTH OF CITIZENS IN RHA'S COMMUNITY.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - INTERCOMPANY TRANSACTIONS, COLUMN A - 30609472.0, COLUMN B - 656849.0, COLUMN C - 0.0, COLUMN D - 40722.0, COLUMN E - 43443.0, COLUMN F - 31350486.0; DESCRIPTION - WELLNESS CENTER FEES, COLUMN A - 53158.0, COLUMN B - 35603.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 88761.0; DESCRIPTION - SERVICES FOR RETIREMENT COMMUNITY RESIDENTS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 42034.0, COLUMN D - 65580.0, COLUMN E - 64522.0, COLUMN F - 172136.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 225487.0, COLUMN D - 181063.0, COLUMN E - 342081.0, COLUMN F - 748631.0;
Schedule A, Part II, Line 10 Other Income	DESCRIPTION - INTERCOMPANY TRANSACTIONS, COLUMN A - 8760.0, COLUMN B - 16525549.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 16534309.0; DESCRIPTION - DRIVING SIMULATOR REVENUE, COLUMN A - 31294.0, COLUMN B - 34413.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 65707.0; DESCRIPTION - OTHER INCOME, COLUMN A - 48955.0, COLUMN B - 57480.0, COLUMN C - 30879.0, COLUMN D - 21820.0, COLUMN E - 28946.0, COLUMN F - 188080.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$134,566	OtherActivitiesAmt
Total Lobbying Expenditures	$134,566	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	ADVOCATES ON ISSUES RELATED TO CERTIFICATES OF PUBLIC NEED AND ALL ISSUES AFFECTING HEALTHCARE SUCH AS HOSPITALS, PATIENTS, PHYSICIANS, AND HEALTH INSURANCE. SALARY AND EXPENSES $81,065 DUES $53,501 --------------------------------------------- TOTAL $134,566	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,537,985	BeginningYearBalanceAmt
Contributions	$3,978,985	ContributionsAmt
Investment Earnings Or Losses	-$774,344	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$74,773	GrantsOrScholarshipsAmt
End Year Balance	$4,667,853	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,433,785	BeginningYearBalanceAmt
Investment Earnings Or Losses	$129,700	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$25,500	GrantsOrScholarshipsAmt
End Year Balance	$1,537,985	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,285,336	BeginningYearBalanceAmt
Investment Earnings Or Losses	$176,649	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$28,200	GrantsOrScholarshipsAmt
End Year Balance	$1,433,785	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,359,019	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,717	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$84,400	GrantsOrScholarshipsAmt
End Year Balance	$1,285,336	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,385,267	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$26,248	InvestmentEarningsOrLossesAmt
End Year Balance	$1,359,019	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.48	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.52	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,922,038	OtherCostOrOtherBasisAmt
Book Value	$18,922,038	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$475,325,231	OtherCostOrOtherBasisAmt
Depreciation	$228,262,950	DepreciationAmt
Book Value	$247,062,281	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$628,152,645	OtherCostOrOtherBasisAmt
Depreciation	$426,404,316	DepreciationAmt
Book Value	$201,748,329	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,277,852	OtherCostOrOtherBasisAmt
Depreciation	$17,956,673	DepreciationAmt
Book Value	$11,321,179	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$479,053,827	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$2,111,432
Obligation Operating Lease	$124,902,479

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$127,013,911	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES
OBLIGATION UNDER CAPITAL LEASE
NOTE PAYABLE-CURRENT
CONTINGENT LIABILITY
OTHER NON-CURRENT LIABILITIES
INTERCOMPANY PAYABLES	$330,545,496
PENSION AND OTHER LIABILITIES	$137,573,141
CAPITAL LEASE	$28,212,215
INTERCOMPANY NOTE	$11,631,600

Field	Value	IRS element (for citing)
Total Liability	$507,962,452	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 1b Line 1b	Current year contributions include the addition of prior year fund balances not reported in prior years.
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE USED FOR SCHOLARSHIPS
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	RIVERSIDE HEALTHCARE ASSOCIATION GROUP IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF RIVERSIDE HEALTHCARE ASSOCIATION, INC. AND SUBSIDIARIES. THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: THE SYSTEM HAS RECEIVED A GROUP EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) UNDER THE CORPORATION NAME RIVERSIDE HEALTHCARE ASSOCIATION, INC. RECOGNIZING EACH OF ITS WHOLLY OWNED SUBSIDIARIES, EXCEPT FOR RIVERSIDE MEDICAL EQUIPMENT COMPANY, INC., NEWPORT NEWS GENERAL AND NON-SECTARIAN HOSPITAL ASSOCIATION, INC., SHORE HEALTH SERVICES, INC., SHORE LIFE CARE, INC., TILDEN AND VIRGINIA DAVIS SUPPORT FOUNDATION, INC., AND PENINSULA HOSPITAL SERVICES, INC., STATING THEY ARE EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE IRC, EXCEPT FOR UNRELATED BUSINESS INCOME. NEWPORT NEWS GENERAL AND NON-SECTARIAN HOSPITAL ASSOCIATION, INC. HAS RETAINED ITS DETERMINATION LETTER FROM THE IRS STATING IT IS EXEMPT FROM INCOME TAXES PURSUANT TO IRC SECTION 501(C)(2). SHORE HEALTH SERVICES, INC., SHORE LIFE CARE, INC., AND TILDEN AND VIRGINIA DAVIS SUPPORT FOUNDATION, INC. HAVE RETAINED THEIR DETERMINATION LETTERS STATING THEY ARE EXEMPT FROM INCOME TAXES PURSUANT TO IRC SECTION 501(C)(3). NO PROVISION FOR INCOME TAXES WAS REQUIRED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. AS OF DECEMBER 31, 2022 AND 2021, THERE WERE NO UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$29,634,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,634,085	NetCommunityBenefitExpnsAmt
Total Expense	0.0146	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$237,733,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$288,806,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$267,367,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$288,806,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,634,085	NetCommunityBenefitExpnsAmt
Total Expense	0.0146	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,098,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,098,908	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$32,420,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,938,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,481,668	NetCommunityBenefitExpnsAmt
Total Expense	0.0086	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,145,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,145,701	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$46,639,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,639,506	NetCommunityBenefitExpnsAmt
Total Expense	0.0229	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$84,304,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,938,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,365,783	NetCommunityBenefitExpnsAmt
Total Expense	0.0341	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$351,672,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,745,316	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,999,868	NetCommunityBenefitExpnsAmt
Total Expense	0.0487	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$46,705,101	BadDebtExpenseAmt
Reimbursed By Medicare	$406,257,345	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$482,750,307	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$76,492,962	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
RIVERSIDE REGIONAL MEDICAL CENTER
1	500 J CLYDE MORRIS BLVD	NEWPORT NEWS	VA	23601	WWW.RIVERSIDEONLINE.COM/RRMC/	H1887	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	INPAT PSYCHIATRIC	A
RIVERSIDE WALTER REED HOSPITAL
2	7519 HOSPITAL DRIVE	GLOUCESTER	VA	23061	WWW.RIVERSIDEONLINE.COM/RWRH/	H1890	Yes (X)	Yes (X)			Yes (X)		A
RIVERSIDE DOCTORS HOSP WILLIAMSBURG
3	1500 COMMONWEALTH AVENUE	WILLIAMSBURG	VA	23185	WWW.RIVERSIDEONLINE.COM/RDHW/	H1937	Yes (X)	Yes (X)			Yes (X)		A
RIVERSIDE REHABILITATION HOSPITAL
4	250 JOSEPHS DRIVE	YORKTOWN	VA	23693	WWW.RIVERSIDE-REHABILITATION.COM	H1888	Yes (X)					INPAT REHABILITATION
SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
5	500 J CLYDE MORRIS BLVD	NEWPORT NEWS	VA	23601	HAMPTONROADS.SELECTSPECIALTYHOSPITALS.COM	H1925	Yes (X)					LONG TERM ACUTE CARE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	No Emergency CareNoEmergencyCareInd	Look Back MedicareLookBackMedicareInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.riversideonline.com/about/community/community-health-needs-assessments	Yes (X)	Yes (X)	Yes (true)	22	Yes (true)	https://www.riversideonline.com/about/community/community-health-needs-assessments	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance	Yes (X)	www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance	Yes (X)	www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
RIVERSIDE REHABILITATION HOSPITAL
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.riversideonline.com/about/community/community-health-needs-assessments	Yes (X)	Yes (X)	Yes (true)	22	Yes (true)	https://www.riversideonline.com/about/community/community-health-needs-assessments	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/	Yes (X)	www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/	Yes (X)	www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)		Yes (X)		false		false	false	4	Yes (X)	Yes (X)
SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/	Yes (X)	Yes (X)	Yes (true)	22	Yes (true)	https://www.riversideonline.com/about/community/community-health-needs-assessments	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)		Yes (X)		Yes (true)		false	false	5		Yes (X)	Yes (X)	https://www.riversideonline.com/about/community/community-health-needs-assessments

Supplemental Information SupplementalInformationGrp (28 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs of the community identified in the CHNA are prioritized according to the community needs.
Schedule H, Part V, Section B, Line 3 Facility A, 1	Facility A, 1 - A. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (i.e., mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their lives had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - A. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022.The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk, and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - Facility Reporting Group A. Yes. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - Facility Reporting Group A. Yes. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - A. A mailed report to several community leaders, and the website and the hardcopy are available at the facility.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - RIVERSIDE REGIONAL MEDICAL CENTER. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Regional Medical Center and Riverside Behavioral Health Center will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RRMC will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RRMC will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - RIVERSIDE REGIONAL MEDICAL CENTER - LINE 11 CONTINUED. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * RRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - RIVERSIDE WALTER REED HOSPITAL. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Other areas of community health outreach will continue outside of the formal Implementation Plan process, and those activities include: * Public health education on wellness and prevention * Public education on symptom recognition of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention and Screening * Health Equity Issues Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Walter Reed Hospital will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes- While initially planned for the last CHNA process, Memory Cafes had to be put on hold due to concerns about social distancing. Moving forward, RWRH will explore implementing these opportunities in conjunction with community partners so that both patients with dementia issues and caregivers can come together in a relaxed, social environment to share experiences and support each other. These have been successful in the Peninsula and Williamsburg markets, and we look forward to bringing this to the Middle Peninsula. * Purple Flower Project -The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. One of RWRH's sister facilities will be piloting a project to use a small purple flower on a door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. This notification system along with special training for team members will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at the other facility, RWRH hopes to implement the same program on the Middle Peninsula. * Primary Care Expertise - RWRH will examine the possibility of exploring enhanced services provided by Family and Internal Medicine Patient Navigators to include memory and dementia services. RWRH will also explore donor opportunities to support adding positions, including four Patient Navigator positions between the primary care locations. * System Expertise with Martha W Goodson Center - RWRH will also continue to draw upon the resources and expertise in the Martha W. Goodson Center, which focuses on supporting caregivers. Resources include classes, training and other importance support programs. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time.
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - RIVERSIDE WALTER REED HOSPITAL - LINE 11 CONTINUED. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RWRH staff, the EMR team and other internal support areas. * RWRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RWRH as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RWRH. For example, a sister-facility will be piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RWRH will be able to build off those to better serve the individuals in the Middle Peninsula region dealing with SUD. In addition to the two focus areas all of the RHS facilities are addressing as part of the Implementation Plan, RWRH also felt it was important to address Suicide Prevention and Transportation as a part of their plan. Suicide Prevention: Suicide and attempted suicide is preventable, is devastating to individuals and families across the Middle Peninsula. While the emergency room is a place of last resort, ideally the mental and behavioral health challenges that drive someone to attempt suicide are best managed in other environments - both to improve the patient experience as well as to conserve resources in the emergency room. Suicide death rates in Gloucester County are higher than any surrounding county. Since the pandemic, suicide and attempted suicide has been increasing in teens and adults. Preventing suicide will be focus for RWRH with a goal of preventing visits seen in the emergency department for suicide attempts. To achieve this, RWRH will partner with RHS experts, including Riverside Behavioral and Mental Health staff, as well as community partners such as Bacon Street to develop educational materials targeted at the community. RWRH will also work to increase referrals to appropriate resources for patients at risk of suicide. Additionally, RWRH will also explore additional iCare screening tools and active observation in the emergency room and inpatient units, the utilization of one-on-one sitters and ligature assessments to help care for this patient population. Transportation: As seen in rural areas around the country, public transportation and medical transportation remains very difficult to secure on the Middle Peninsula. No Uber or other third-party transportation is available on the Middle Peninsula other than one taxi company and Bay Transit - which does not operate after hours or weekend. Patients traveling to and from appointments or home from the hospital or an emergency room visit struggle to secure services. Bay Transit currently has very limited scope of service across the county and very limited 'stops.' In order to expand services, Bay Transit is planning to re=evaluate and possibly discontinue the two buses running 8a-4p M-F only, including the two stops at RWRH ("Gloucester HiveXpress"). This would leave 'on demand' services only "Bay Transit Express" with seven stops in and around the Courthouse Area. According to the Transportation Director, Ken Pollock, the Bay Transit Express is expanding later this year to extend down to the Point and further north to Saluda. As medical transport continues to be a challenge for individuals on the Middle Peninsula, RWRH will collaborate with Bay Transit and other services to investigate, establish and implement innovative transportation option. Ideally this will help: patients requiring a ride home from the hospital; patients requiring a ride to and from medical appointments; and diagnostic procedures and/or medical treatments, such as chemotherapy or radiation oncology treatments.
Schedule H, Part V, Section B, Line 11 Facility A, 5	Facility A, 5 - RIVERSIDE DOCTORS HOSPITAL WILLIAMSBURG. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Doctors' Hospital of Williamsburg will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes- Memory Cafes are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RDHW will look to build upon these in-person gatherings as we can secure space where people can safely meet. * Purple Flower Project - The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RDHW will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Improving Emergency Care for Patients with Dementia and Behavioral Disorders - RDHW will build a program within the Emergency Department to better support patients who have dementia with behavioral disturbances. This program will involve the emergency physician working with neurology, telepsychiatry, complex care management and CEALH for family support. The goal of this program is that these patients will be able to be transitioned back home without a hospital admission but instead they are able to return home or to another appropriate setting with an improved safety plan.
Schedule H, Part V, Section B, Line 11 Facility A, 6	Facility A, 6 - RIVERSIDE DOCTORS HOSPITAL WILLIAMSBURG - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RDHW staff, the EMR team and other internal support areas. * RDHW will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RDHW as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RDHW. For example, RDHW will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated in other facilities following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RDHW will be able to build off those to better serve the individuals in the Greater Williamsburg region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (ie mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their loves had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc.) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022. The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk, and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. Yes. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health System collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. Yes. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. A mailed report to several community leaders, and the website and the hardcopy are available at the facility.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Regional Medical Center and Riverside Behavioral Health Center will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RRH will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RRH will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - RIVERSIDE REHABILITATION HOSPITAL - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * RRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (i.e., mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their loves had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc.) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022. The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results. In addition, groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health System collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. IN ADDITION TO THE WEBSITE AND THE HARDCOPY AVAILABLE AT THE FACILITY THE REPORT WAS ALSO MAILED TO SEVERAL COMMUNITY LEADERS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Select Specialty Hospital will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and Select will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. Select will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * Select will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
THE GARDENS AT WARWICK FOREST
1000 OLD DENBIGH BLVD	NEWPORT NEWS	VA	23602	CONVALESCENT SERVICES NURSING HOME
PATRIOTS COLONY
6000 PATRIOTS COLONY DR	WILLIAMSBURG	VA	23188	RETIREMENT CENTER
SANDERS RETIREMENT VILLAGE
7385 WALKER AVE	GLOUCESTER	VA	23061	RETIREMENT CENTER
RIVERISDE CONVALESCENT CENTER MATHEWS
603 MAIN STREET	MATHEWS	VA	23109	CONVALESCENT SERVICES NURSING HOME
RIVERSIDE CONVALESCENT SALUDA
672 GLOUCESTER ROAD	SALUDA	VA	23149	CONVALESCENT SERVICES NURSING HOME
RIVERSIDE HEALTHY LIVING COMMUNITY SMITH
101 JOHN ROLFE DRIVE	SMITHFIELD	VA	23430	CONVALESCENT SERVICES NURSING HOME
WARWICK FOREST RETIREMENT COMMUNITY
886 OLD DENBIHG BLVD	NEWPORT NEWS	VA	23602	RETIREMENT CENTER

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c SCH H, PART I, LINE 3C	RIVERSIDE DOES NOT USE ANY OTHER ASSET THRESHOLD IN DETERMINING FINANCIAL ELIGIBILITY. RIVERSIDE ONLY USES FPL IN DETERMINING FAP-ELIGIBILITY. FREE CARE USES 200% AND DISCOUNTED CARE USES 400% OF THE FPG.
Schedule H, Part I DISCLOSURE IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21	IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21, RIVERSIDE IS DISCLOSING INFORMATION WITH RESPECT TO SECTION 501(R) ISSUES THAT WERE DISCOVERED RELATED TO THE 2017-2021 TAX YEARS AND HOW THEY HAVE BEEN CORRECTED TO SATISFY SECTION 501(R) AND 501(R)(2)(B) REQUIREMENTS. THE CAUSE WAS A GOOD-FAITH EFFORT BY RIVERSIDE TO IMPLEMENT THE REQUIREMENTS OF THE REGULATIONS, HOWEVER THERE WERE SOME MINOR GAPS DUE TO THE DETAILED NATURE OF THE REGULATIONS. IN OCTOBER 2022 WHEN COMPILING INFORMATION TO PREPARE FORM 990 FOR THE 2021 TAX YEAR, RIVERSIDE REALIZED THAT THE FINANCIAL ASSISTANCE POLICY (FAP) ALLOWED A PATIENT TO APPLY FOR FINANCIAL ASSISTANCE WITHIN 180 DAYS OF DISCHARGE BILLING, RATHER THAN THE 240 DAYS REQUIRED UNDER 501(R) REGULATIONS. RIVERSIDE DETERMINED THE NUMBER OF INDIVIDUALS AND DOLLAR AMOUNTS IMPACTED. BELOW IS A SUMMARY OF THE NUMBER OF ACCOUNTS AND DOLLAR AMOUNTS REFUNDED BY THE HOSPITALS REPORTED IN THIS RETURN: Year Accounts Amounts 2017 715 $ 55,889.56 2018 410 $ 48,029.08 2019 383 $ 52,898.73 2020 353 $ 31,232.23 2021 293 $ 35,619.14 2022 50 $ 6,970.18 Total 2,204 $ 230,638.92 RIVERSIDE PROMPTLY CORRECTED THE FAP POLICY (EFFECTIVE NOVEMBER 1, 2022) TO ALLOW A PATIENT 240 DAYS FROM DISCHARGE BILLING TO APPLY FOR FINANCIAL ASSISTANCE AND ALL PERSONS POTENTIALLY AFFECTED BY THIS OVERSIGHT IN THE POLICY TO DETERMINE IF A REFUND IS REQUIRED. RIVERSIDE HAS PROVIDED REFUNDS ON ALL REQUIRED ACCOUNTS. RIVERSIDE HAS IMPLEMENTED A FINANCIAL ASSISTANCE MODULE IN ITS BILLING SYSTEM TO SUPPORT THE FAP AND TRACK ALL FAP APPLICATIONS AND ACTIONS NEEDED TO COMPLY WITH ITS POLICY. RIVERSIDE ALSO HAS A COMPLIANCE AND AUDIT PROGRAM THAT REVIEWS POLICIES AND PROCESSES FOR COMPLIANCE WITH ALL 501(R) REGULATIONS.
Schedule H, Part V, Section B, Line 20b Riverside Rehabilitation Hospital	WHILE THE HOSPITAL FACILITY MADE REASONABLE EFFORTS TO ORALLY NOTIFY ALL INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, THIS MAY NOT HAVE BEEN UNIFORMLY PERFORMED FOR 100% OF THE PATIENTS RECEIVING TREATMENT DESPITE THE HOSPITAL'S BEST EFFORTS
Schedule H, Part V, Section B, Line 20d Riverside Rehabilitation Hospital	PRESUMPTIVE ELIGIBILITY IS NOT USED. DUE TO THE LIMITED NUMBER OF PATIENTS AND APPLICANTS FOR FINANCIAL ASSISTANCE, PERSONNEL WORK WITH PATIENTS TO COMPLETE THE APPLICATION. PRESUMPTIVE MODELS ARE NOT USED
Schedule H, Part V, Section B, Line 20b Select Special Hospital Hampton Roads	WHILE THE HOSPITAL FACILITY MADE REASONABLE EFFORTS TO ORALLY NOTIFY ALL INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, THIS MAY NOT HAVE BEEN UNIFORMLY PERFORMED FOR 100% OF THE PATIENTS RECEIVING TREATMENT DESPITE THE HOSPITAL'S BEST EFFORTS
Schedule H, Part V, Section B, Line 20d Select Special Hospital Hampton Roads	PRESUMPTIVE ELIGIBILITY IS NOT USED. DUE TO THE LIMITED NUMBER OF PATIENTS AND APPLICANTS FOR FINANCIAL ASSISTANCE, PERSONNEL WORK WITH PATIENTS TO COMPLETE THE APPLICATION. PRESUMPTIVE MODELS ARE NOT USED
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	46591499
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Part I Line 7a: The financial assistance cost is from the Medicare Cost Report. Part I Line 7b: Medicaid cost and net revenue are directly from the Medicaid cost report. Part I Line 7e: Community health improvement is the actual cost accumulated by the individuals participating in the activities. Part I Line 7i: Cash and in-kind contributions are the actual current year dollar value of the cash or items given.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Select Specialty Hospital Hospital records uncollectible accounts that are not a result of credit worthiness as a direct offset to revenue in accordance with current GAAP revenue recognition standards. Hospital's methodology to record a reserve for uncollectible accounts is based on recording, on a monthly basis, a reserve which is equal to the % of write-offs to net patient revenue for the prior twelve calendar months multiplied by the current month's recorded patient revenue. Group A 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	IF THE PATIENT WAS UNINSURED AND HAD A HOUSEHOLD INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL OR WAS INSURED AND HAD A HOUSEHOLD INCOME AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL THE PATIENT WOULD QUALIFY FOR 100% FINANCIAL ASSISTANCE WRITE OFF AND WOULD NOT BE INCLUDED IN BAD DEBT. THE ONLY POPULATION THAT MAY FALL INTO THE BAD DEBT IS IF THE PATIENT WAS UNINSURED WITH A HOUSEHOLD INCOME BETWEEN 201% AND 400% OF THE FEDERAL POVERTY LEVEL WHICH RECEIVED A 75% FINANCIAL ASSISTANCE WRITE OFF OF ELIGIBLE BILLED CHARGES. THE PATIENT WOULD HAVE A LIABILITY OF 25% OF THE BILLED AMOUNT. IF THE PATIENT DID NOT PAY THE 25% AMOUNT, THAT LIABILITY COULD BE SENT TO BAD DEBT. THE FINANCIAL ASSISTANCE WRITE OFF OF 75% IS NOT APPLIED TO BAD DEBT. HOWEVER, OUR PROCEDURES FOR IDENTIFYING FAP-ELIGIBLE INDIVIDUALS ARE THOROUGH, THEREFORE WE DO NOT ESTIMATE ANY AMOUNT OF BAD DEBT TO BE ATTRIBUTABLE TO FAP-ELIGIBLE PATIENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Footnote 3 of the audited financial statements states: If the system identifies subsequent adjustments to the transaction price that would cause adverse changes in a patient or payor's ability to pay, the amounts are recorded as bad debt expense. Bad debt expense is included in operating expenses in the accompanying consolidated statement of operations. The amount included as bad debt expense for the years ended December 31, 2022, and 2021 was not material to the system.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION USES CMS COST REPORTING GUIDELINES AND METHODOLOGY TO DETERMINE ALLOWABLE MEDICARE COSTS. THE HEALTH SYSTEM ASSURES THAT THE ESSENTIAL EMERGENCY AND ACUTE CARE SERVICES ARE PROVIDED FOR THE POPULATION'S HEALTH. THE SHORTFALL FROM MEDICARE SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT, SINCE THE PATIENTS ARE PROVIDED SERVICES AT A LOSS FOR THE FACILITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Reasonable efforts will be made to determine whether a patient is eligible for financial assistance prior to sending an account to collections. If the patient qualifies for financial assistance the account is adjudicated based on their FAP-eligibility. Patients may need to complete a financial assistance application to determine eligibility or may request reconsideration under this financial assistance policy by submitting a financial assistance application. Upon receipt of an application for financial assistance, collection actions are suspended until a final eligibility determination is made. If the patient is deemed eligible for financial assistance, the account will be returned from collections and all collection efforts will be reversed.
Schedule H, Part V, Section B, Line 16a FAP website	A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16a URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16a URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16a URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16b URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16b URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16b URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16c URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16c URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16c URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part VI, Line 2 Needs assessment	Assessing, understanding and listening to our communities is on ongoing process at Riverside. The formal CHNA process occurs on a three-year cycle, but it is only one component of how Riverside works to better understand the needs of the communities we serve. Other ways Riverside utilizes to do this include but aren't limited to: a. Community representatives and leaders on our volunteer board of directors that represent a wide range of diverse expertise, interests, professions, and geographic areas. b. Committees of patients, family members and residents' family members that provide feedback. c. Listening to "alumni" consisting of retired employees. d. Partnering with local organizations, communities and universities to formally and informally learn about their needs. e. Making connections with individual neighborhood and community influencers to host health fairs or provide speakers on topics of interests they seek out. f. Meeting with small focus groups on certain topics to better understand how we can address barriers to care and improve clinical outcomes.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	NOTIFICATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT'S BILLS, PROVIDING THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, PATIENT FINANCIAL SERVICES OFFICES, AND AT OTHER PUBLIC PLACES AS RIVERSIDE HEALTH SYSTEM MAY ELECT. RIVERSIDE HEALTH SYSTEM ALSO PUBLISHES AND WIDELY PUBLICIZES THIS FINANCIAL ASSISTANCE POLICY ON THE FACILITY WEBSITE. THE PLAIN LANGUAGE SUMMARY IS INCLUDED WITH THE BILLING STATEMENT 30 DAYS BEFORE REFERRING A PATIENT'S ACCOUNT TO COLLECTIONS. PATIENTS MAY OBTAIN ADDITIONAL INFORMATION AND/OR PAPER COPIES OF ANY FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, OR APPLICATION IN PERSON BY VISITING ANY RIVERSIDE HOSPITAL DEPARTMENT BY MAIL, VIA OUR WEBSITE, OR BY CALLING OUR CUSTOMER SERVICE CENTER.
Schedule H, Part VI, Line 4 Community information	The service area for Riverside Healthcare Association, dba Riverside Health System, covers a wide geographic area from rural areas along the Rappahannock River in the north down to south of the James River in southeastern Virginia and west through the greater Williamsburg area. RRMC serves the broad Virginia Peninsula area as well as the western Tidewater region south of the James River surrounding Smithfield and northern Suffolk. The southern most areas south of James are growing significantly, and Riverside is in the process of building a new hospital to specifically serve this unique region. For Peninsula residents, access to health care facilities not located on the Peninsula is restricted by tunnels and bridges, with three connections to various points across the James and the Bay, and one bridge north across the York. Numerous waterways, inlets and marshlands are prominent in the landscape and restrict traffic in certain areas, requiring a system of bridges or circuitous routes for local travel. Interstate 64 runs the length of the Peninsula, providing access some 75 miles from Newport News to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). The Virginia Peninsula region, per 2025 Census Projections, is just under 420 million people. It is approximately 50% White, 38% Black, and the remaining 12% a combination of Asian, Native American, Other and Two or More Races. While still a small overall percentage, the Hispanic community is growing, though still smaller than the entire commonwealth. Median household income is projected to be just over $69,000 in 2025, with Per Capita Income projected to be just under $35,000. The median age is projected to be 36.9 in 2025. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 17 percent of the population. Within the market, all of the localities with the exception of the city of Poquoson qualify for full or partial designation as Medically Underserved Service Areas. While the military only accounts for 10% of the direct employment in the region, the impact of the armed forces is much larger. With the largest private employer being Huntington Ingalls Newport News Shipbuilding (maker of nuclear powered aircraft carriers and submarines) with more than 20,000 local workers, and the many smaller contracting companies that support the Newport News Shipyard, local Navy bases, Joint Base Langley / Ft. Eustis and NASA Langley, more than 50% of the regional economy is connected to the defense industry. It is also a popular destination for military retirees. In terms of demographics and occupations, the Riverside service area is primarily what has traditionally been defined as a blue-collar community. More than one third of adults over age 25 have high school or less as the highest level of educational attainment. The area is also home to several institutions of higher learning including Christopher Newport University and Hampton University. There is strong competition within 60 miles of Riverside Regional Medical Center. Within seven miles on each side and 20 miles north there are three medical surgical hospitals and within 20 to 60 miles across the Hampton Roads harbor there are six facilities. The greater Williamsburg region consists of the City of Williamsburg, James City County, New Kent County and parts of King William and Charles City Counties and is projected to have a US Census 2025 population of approximately 130,000, with a 6.5% growth between 2020 and 2025. The same 2025 census projections estimate 73% white, 17% Black, with the remaining a combination of Asian, Native American, Some Other Race and Two or More Races. Median projected age is 44.7, with more than 25% of the population over the age of 65. It is a relatively prosperous region with a median household income of approximately $105,000 and per capita income of just over $54,000. The education level within the region varies greatly by locality, with very high levels in the City of Williamsburg and James City of County and much lower average levels in more rural areas, such as Charles City County. The area is a popular retirement destination, especially for military and federal government retirees. It is also a significant tourism destination and home to the College of William and Mary. Other major employers include Colonial Williamsburg Foundation, Busch Entertainment (Busch Gardens), businesses supporting tourism, such as hotels and restaurants, and the local school systems. Within the region there is one major competitor in the healthcare industry located on the western edge of the market. There is also competition west in Richmond and east on the Peninsula in Hampton and Newport News. The Middle Peninsula, mainly composed of the counties of Essex, Gloucester (where RWRH is located), King & Queen, Mathews and Middlesex, is located between the Virginia Peninsula to the south and the Northern Neck to the north. The Middle Peninsula is bordered on the north by the Rappahannock River and the south by the York River. Eastward is the Chesapeake Bay. Again, numerous waterways restrict direct travel in certain areas. A majority of the workforce commutes out of the region each day either south to the Peninsula or west to Richmond. The Middle Peninsula has a primary service area projected to have just over 75,000 in 2025 and is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. Riverside Walter Reed Hospital on the Middle Peninsula is approximately 30 miles from the closest hospital. Two of the four closest hospitals are Riverside facilities. The Middle Peninsula region, per 2025 Census Projections, is approximately 82% White, 12% Black, and the remainder mainly consisting of people classifying themselves as Two or More Races. While still a small overall percentage, the Asian and Hispanic communities are growing, as well as the multi-racial component of the population. Median household income is projected to be $73,662 in 2025, with Per Capita Income projected to be at $39,405. The median age is projected to be 48.8 in 2025. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older is projected to comprise 27 percent of the population in 2025. Within the market, all of the localities qualify for full or partial designation as Medically Underserved Service Areas.
Schedule H, Part VI, Line 5 Promotion of community health	Promotion of Community Health: As noted in other sections, Riverside is always working to serve its communities. In addition to the formal things noted in the CHNA and Implementation Plan, there are countless other ways Riverside works to promote community health in it's service areas, the state and the nation. One of the large ways Riverside works to do this is through education. We have two branches of formal health professions education through the Riverside College of Health Careers and the Riverside Graduate Medical Education Program. Riverside has programs to train future nurses (LPN and RN to BSN programs), medical assistants, CNAs, radiology techs, cardiovascular/ echo techs, OR / surgical techs and PT Assistants. Riverside's Graduate Medical Education program offers residency multiple residency programs include family practice, OB/GYN, emergency medicine and a transitional residency. Riverside also offers residency programs in Pharmacy, Clinical Pastoral Education and will soon be offering a one year Clinical Ultrasound Fellowship Program which is pending accreditation by the Emergency Ultrasound Fellowship Accreditation Council (EUFAC). In addition to these programs, Riverside facilities and practices serve as clinical rotation locations for students in other training programs including nursing, pharmacy, medical students and many others. Additionally, Riverside is involved with education at early levels, such as its partnership with the Achievable Dream Academy in Newport News where Riverside has a clinic to care for students and their families. Or partnering with local community colleges, such as on the Eastern Shore. Riverside also provides multiple scholarships and helps train qualified individuals to take care of the future generations of our communities. And, Riverside works closely with local first responders through the Peninsula EMS and Tidewater EMS societies to train, as well as provide physician support to those programs. We also work and train with local military and first responder groups on regional safety drills addressing scenarios like incidents at the Huntington Ingalls Newport News Shipyard, at the Surry Power Plant and other locations. Community health education is another large part of Riverside's efforts in caring for its communities. The pandemic changed how people seek out, learn and trust health information, and Riverside is proud to serve as a trusted, local source of truth. As part of that, Riverside provides extensive amounts of accessible education to community members in person, online and one on one. Examples include health lectures in person and online, providing speakers to local groups and organizations on a variety of topics, providing valuable content in written blogs and often in infographic forms so individuals at varying literacy levels can use it. We are also active in local community health fairs and other events where we are able to provide various screenings, education and information including awareness of heart attack and stroke symptoms, the importance of calling 911, cancer screenings, smoking and vaping cessation information, cardiovascular health information including healthy diet, exercise, stress management and importance of taking medications and monitoring Hba1c. We also work with specific population groups to identify opportunities to provide education and outreach on topics of specific concern to those individuals. This has included hosting a nationally recognized African American chef to address the importance of diet in heart health and examining how foods traditionally made in an unhealthy way can be adapted to be made healthier while still celebrating family and community culture and traditions. We have also offered cancer screening information specific to the trans community to help provide clarity on complex issues. Another example is providing skin cancer screening and education focused on the Waterman communities on the Eastern Shore, Middle Peninsula and Peninsula that work the Chesapeake Bay harvesting things like crab and oysters and spends so much time exposed to the sun. Another aspect of how Riverside takes care of its communities is by investing in programs, technology and professional to assure they are available when needed. A great example of this is Riverside's commitment to providing OB/GYN services on the Eastern Shore despite the fact that the small population size makes it difficult to make the program break even. But without that program, women on the Shore would have to drive to Maryland where Virginia Medicaid isn't accepted or cross a 25+ mile bridge to Virginia Beach that is closed in high winds and hurricanes. Another example is how Riverside invests in specialists and technology that many health systems this size don't have, such as having neurovascular coverage and a biplane suite to provide the most advanced stroke interventions to the people of our community. Another example is how Riverside partnered with the University of Virginia and Chesapeake Regional Medical Center to bring Gamma Knife and Varian Edge radiosurgery technologies to the area, and those are expanding in the near future. A final example of this investment is how Riverside, in response to the ever-increasing need for mental and behavioral health services, is in the process of building the only freestanding psychiatric emergency room and expanding our mental health services. Other important investments include research, partnering with community groups such as the Urban League and The American Diabetes Association to help address specific needs and concerns locally and nationally. Additionally, our clinical and administrative leaders work with local and state organizations to ensure our public health and healthcare infrastructure is in place to care for our communities in a crisis. This became exceptionally clear during the pandemic when our leaders were key in providing storage and distribution for vaccinations as well as in caring for our communities during crisis points. When COVID-19 went through the poultry processing plants on the Eastern Shore, the health system pulled together to care for the small community and was recognized nationally for its efforts. As the needs evolve, Riverside is there to care for the community, whether it is a tornado, pandemic, mass casualty motor vehicle incident or outbreak of gun violence in our schools.
Schedule H, Part VI, Line 6 Affiliated health care system	Riverside Health System works together to care for its communities across a wide range of geographic regions and services. Each region has a local acute care facility that works to serve the immediate needs of the area. The acute care services (inpatient and outpatient) work closely with our Riverside Medical Group physician practices and Riverside Lifelong Health that addresses senior services including retirement communities, skilled nursing facilities, convalescent and short-term rehabilitation, home health and hospice. The local hospital has a volunteer community board, and RMG and Riverside LLH each have their own volunteer, community board as well. All those boards report up to the Riverside Health System board. Each area works closely on clinical and quality issues for their area (such as HACs in acute care, preventative care in RMG and length of stay in hospice). Staff and physicians work across the areas to provide the best care for the patients and residents. Additionally, the hospital in Newport News serves as a tertiary facility with a Level 2 Trauma center, a certified Comprehensive Stroke Center, a cardiac cath lab, radiosurgery, and other acute services not available in the smaller markets. THE MISSION ACROSS ALL OF RIVERSIDE HEALTH SYSTEM IS TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE. THIS SIMPLE MISSION UNIFIED THE TEAM ACROSS THE COMMUNITIES OF SOUTHEASTERN VIRGINIA. SERVICES ARE FOCUSED IN FIVE MAIN MARKETS, EACH HAVING AN ACUTE CARE HOSPITAL AS WELL AS OTHER SERVICES ACROSS THE CONTINUUM OF CARE. EACH HOSPITAL HAS A COMMUNITY-BASED BOARD OF DIRECTORS. RIVERSIDE MEDICAL GROUP AND RIVERSIDE'S LIFELONG HEALTH DIVISION ALSO HAVE COMMUNITY-BASED BOARDS. THESE BOARDS ALL REPORT UP THROUGH THE RIVERSIDE HEALTH SYSTEM BOARD OF DIRECTORS. PROMOTING THE HEALTH OF THE COMMUNITIES RIVERSIDE SERVES IS DONE AT ALL LEVELS AND IN ALL PARTS OF THE ORGANIZATIONS. RIVERSIDE WORKS TO KNOW THE INDIVIDUAL SERVICE AREAS TO BEST UNDERSTAND HOW TO PROMOTE HEALTHY COMMUNITIES AT THE LOCAL LEVEL. THIS MAY BE THROUGH RECRUITING HEALTH CARE PROVIDERS TO ENSURE THERE ARE ENOUGH PRIMARY CARE OR SPECIALTY PROVIDERS TO CARE FOR THE POPULATION. IT MAY BE IN PROVIDING INNOVATIVE SERVICES TO HELP INDIVIDUALS AGE IN THE PLACE OF THEIR CHOOSING OR THROUGH VARIOUS IN-HOME TECHNOLOGIES. OR IT MAY BE IN PROVIDING COMMUNITY EDUCATION IN HOW TO MAINTAIN AN ACTIVE LIFESTYLE TO HELP PREVENT OBESITY-RELATED DISEASES. INDIVIDUAL HOSPITALS WORK WITH THE LOCAL COMMUNITIES TO DETERMINE WHAT SERVICES ARE NEEDED, OR WHAT LOCAL PROGRAMS NEED TO BE SUPPORTED - WHETHER THROUGH FINANCIAL OR IN-KIND SUPPORT OR THROUGH PROGRAM DEVELOPMENT. EXAMPLES OF THIS INCLUDE: ORGANIZING COMMUNITY LECTURES TO PROMOTE HEALTH; SUPPORTING THE TRAINING OF FIRST RESPONDERS IN HOW TO BEST CARE FOR PATIENTS WITH DEMENTIA OR A BEHAVIORAL HEALTH CRISIS; WORKING WITH LOCAL TRANSIT AUTHORITIES TO ENSURE BUS ROUTES WORK FOR PATIENTS NEEDING TO GO BETWEEN HOSPITALS AND CLINICS; AND ESTABLISHING A CLINIC AT A LOCAL SCHOOL FOR AT-RISK STUDENTS IN NEWPORT NEWS. FROM A HEALTH SYSTEM PERSPECTIVE, RIVERSIDE IS ALSO WORKING TO CONTRIBUTE TO LONG-TERM CHANGES IN HEALTH CARE THROUGH RESEARCH AND EDUCATION. RIVERSIDE CONTINUES TO TRAIN HEALTH CARE PROFESSIONALS, FROM NURSING ASSISTANTS TO PHYSICIANS. RIVERSIDE'S COLLEGE OF HEALTH CAREERS TRAINS A VARIETY OF STUDENTS IN MULTIPLE PROGRAMS INCLUDING: NURSING, NURSING ASSISTANTS, RADIOLOGIC TECHNOLOGISTS, SURGICAL TECHNOLOGISTS AND PHYSICAL THERAPY ASSISTANTS. RIVERSIDE ALSO MAINTAINS A MEDICAL RESIDENCY PROGRAM TO TRAIN NEW PHYSICIANS. ADDITIONALLY, STUDENTS FROM PROGRAMS OUTSIDE OF THE RIVERSIDE PROGRAMS DO MANY ROTATIONS THROUGH RIVERSIDE'S FACILITIES TO LEARN HOW TO BEST CARE FOR PATIENTS. IN THE AREA OF RESEARCH, RIVERSIDE PROGRAMS CONTINUE TO EXPAND. RESEARCH VARIES FROM STUDIES CONDUCTED BY THE STUDENTS AND FACULTY TO OUR EXTENSIVE CLINICAL TRIAL RESEARCH PROGRAMS GIVING PATIENTS ACCESS TO THE LATEST TRIALS. RIVERSIDE HAS THE BENEFIT OF BEING ABLE TO SERVE AT BOTH A CORPORATE AND LOCAL LEVEL. THE COMMUNITY BASED HOSPITALS ALLOW CONNECTIONS AT A LOCAL LEVEL TO BUILD RELATIONSHIPS AND DEVELOP UNIQUE, CREATIVE AND TAILORED SOLUTIONS TO LOCAL PROBLEMS. AT THE SAME TIME, THE BROADER HEALTH SYSTEM HAS THE ABILITY TO LEVERAGE COMBINED RESOURCES TO IMPACT BROADER ISSUES THROUGH THE PROMOTION OF RESEARCH AND EDUCATION FOR LONG-TERM ADVANCEMENTS IN HEALTH CARE.
Schedule H, Part VI, Line 7 State filing of community benefit report	VA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Alzheimers Association
919 Michigan Ave Ste 1000	Chicago	IL	60611	133039601	501(c)(3)	$6,500	SPONSORSHIP
American Cancer Society Inc
P O Box 4110	Glen Allen	VA	230584110	131788491	501(c)(3)	$25,000	SPONSORSHIP
American Diabetes Association
P O Box 7023	Merrifield	VA	22116	131623888	501(c)(3)	$7,500	SPONSORSHIP
American Heart Association
P O Box 841750	Dallas	TX	752841750	135613797	501(c)(3)	$35,000	SPONSORSHIP
An Achievable Dream Inc
10858 Warwick Blvd Ste A	NN	VA	23601	541621932	501(c)(3)	$52,500	SPONSORSHIP
Christopher Newport University
1 Avenue of the Arts	NN	VA	23606	540701501	501(c)(3)	$12,500	SPONSORSHIP
CNU Education Foundation
1 Avenue of the Arts	NN	VA	23606	541156248	501(c)(3)	$50,000	SPONSORSHIP
City Of Newport News
2400 Washington Ave	NN	VA	23607	546022059	Government	$10,000	Sponsorship
Cochon On 2nd
311-106 2nd Street	Williamsburg	VA	23185	465509977		$10,000	Hospice House Event
Community Baseball LLC
1889 West Pembroke Ave	Hampton	VA	23661	542029698		$10,000	SPONSORSHIP
Community Free Clinic Of Newport News
727 25th Street	Newport News	VA	23607	273510814	501(c)(3)	$33,333	DONATION
Fear 2 Freedom Inc
P O Box 6104	Newport News	VA	23606	452143034	501(c)(3)	$10,400	SPONSORSHIP
Flat-Out Events Llc
744 City Center Blvd	Newport News	VA	23606	271675755		$20,000	SPONSORSHIP	Suite 100
Gloucester Arts On Main
6580 B Main Street	Gloucester	VA	23061	452946669	501(c)(3)	$6,100	SPONSORSHIP
Greater Williamsburg Chamber & Tourism Alliance
421 North Boundary Street	Williamsburg	VA	23185	540482313	501(c)(3)	$7,500	SPONSORSHIP
Hampton Roads Community Action Program
2410 Wickham Avenue P O Box 37	Newport News	VA	23607	237014485	501(c)(3)	$25,000	SPONSORSHIP
Hampton Roads Economic Development Alliance
3 Commercial Place	Norfolk	VA	23510	540600387	501(c)(3)	$25,000	SPONSORSHIP	Suite 1320
Hampton Roads Workforce Foundation
999 Waterside Drive	Norfolk	VA	23510	202957424	501(c)(3)	$27,500	SPONSORSHIP	Suite 1314
Hampton University Foundation
Hampton Univ Career Center	Hampton	VA	23668	540505990	501(c)(3)	$75,000	SPONSORSHIP PROGRAM	114 Wigwam Building
Here for the Girls Inc
1311 Jamestown Road Suite 202	Williamsburg	VA	23185	260606190	501(c)(3)	$25,000	SPONSORSHIP
Hospice House & Support Care of Williamsburg
4445 Powhatan Parkway	Williamsburg	VA	23188	521289657	501(c)(3)	$7,500	SPONSORSHIP
Isle Of Wight County Treasurer
Central Permitting	Isle of Wight	VA	23397	546001361	Government	$8,500	IOW County Fair	P O Box 80
Lionsbridge Football Club Llc
701 Town Center Drive Suite 900	Newport News	VA	23606	823032870		$40,516	SPONSORSHIP
Peninsulas Ems Council Inc
P O Box 1297	Gloucester	VA	23061	541064500	501(c)(3)	$15,000	SPONSORSHIP
RVA Hampton Roads Mega Region Collaborative
2601 Floyd Avenue	Richmond	VA	23220	844486132	501(c)(3)	$20,000	SPONSORSHIP
United Negro College Fund INC
707 East Main Street Suite 350	Richmond	VA	23219	131624241	501(c)(3)	$10,000	SPONSORSHIP
Urban League of Hampton Roads Inc
P O Box 2176	Norfolk	VA	235012176	541083985	501(c)(3)	$100,000	SPONSORSHIP
Virginia Chamber Of Commerce
919 East Main Street	Richmond	VA	23219	540421190	501(c)(6)	$7,500	SPONSORSHIP
Virginia Health Care Foundation
707 East Main Street Suite 1350	Richmond	VA	23219	541639924	501(c)(3)	$25,000	SPONSORSHIP
Virginia Living Museum Inc
524 J Clyde Morris Boulevard	Newport News	VA	23601	546055922	501(c)(3)	$9,389	SPONSORSHIP
Virginia Nurses Foundation Inc
PO BOX 13619	Richmond	VA	23225	541788059	501(c)(3)	$11,250	SPONSORSHIP
Virginia Peninsula Chamber Of Commerce
21 Enterprise Parkway Suite 100	Hampton	VA	23666	540420380	501(c)(6)	$7,000	DONATION
Virginia Peninsula Chapter Of 100 Black Men of America Inc
P O Box 2400	Newport News	VA	23609	241621828	501(c)(3)	$27,500	Renewed 2 Year Commitment for Health Initiatives
Williamsburg Indoor Sports Complex LLC
5700 Warhill Trail	Williamsburg	VA	23188	541966400		$10,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	27	Total501c3OrgCnt
Total Other Org	7	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	52	$74,773
FUNERAL EXPENSE ASSISTANCE	56	$55,103
SHELTER EXPENSE ASSISTANCE	104	$20,851

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	A FUND DISTRIBUTION FORM IS COMPLETED AND SIGNED BY AN AUTHORIZED ADMINISTRATOR OF THE BENEFITING FACILITY. REQUESTS ARE APPROVED ACCORDING TO THE SPECIFICS OF THE REQUESTOR'S GOVERNING CHARTER. IF A REQUEST DOESN'T COMPLY THE MONEY IS NOT DISTRIBUTED. SCHOLARSHIP ELIGIBILITY AND REQUIREMENTS: STUDENTS MUST BE ENROLLED OR BE AN APPLICANT TO THE NURSING PROGRAM AT THE RIVERSIDE COLLEGE OF HEALTH CAREERS. APPLICANTS MUST DEMONSTRATE A CUMULATIVE GPA OF 2.75 IN PREREQUISITE COURSES AND ENROLLED STUDENTS MUST HAVE 3.0 IN COMPLETED COURSEWORK. APPLICANTS MUST ALSO DEMONSTRATE FINANCIAL NEED. THE ASSISTANCE PROGRAMS ARE MANAGED BY OUR HOSPICE FOR OUR HOSPICE PATIENTS. A FINANCIAL APPLICATION IS COMPLETED BY THE REQUESTING FAMILY AND APPROVED BY AUTHORIZED ADMINISTRATOR OF THE HOSPICE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (92 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DACEY MD
PRESIDENT/COO, RHS	$774,298	$0	$178,746	$0	$131,112	$0	$12,770	$0	$9,175	$0	$1,106,100	$0	$0	$0
WILLIAM BURNS DOWNEY
CEO, RHS	$1,047,196	$0	$311,888	$0	$237,736	$0	$41,895	$0	$26,626	$0	$1,665,340	$0	$0	$0
DAVID F JONES MD
CHAIRMAN/Physician Specialty	$181,960	$0	$67,167	$0	$147,429	$0	$24,318	$0	$17,338	$0	$438,212	$0	$0	$0
NANCY WICK LITTLEFIELD
Board Member/EVP/CNO, RHS	$264,050	$0	$147,551	$0	$77,175	$0	$13,425	$0	$14,694	$0	$516,895	$0	$0	$0
NEHEMIAH THRASH MD
VICE CHAIRMAN/Physician Specialty	$269,527	$0	$42,738	$0	$60,484	$0	$13,425	$0	$46,204	$0	$432,378	$0	$0	$0
CATHERINE LINTZENICH MD
BOARD MEMBER/Physician Specialty	$404,360	$0	$86,009	$0	$13,177	$0	$13,425	$0	$27,309	$0	$544,280	$0	$0	$0
JAMES W MCCORRY DO
BOARD MEMBER/Physician Emergency Room RRMC	$212,350	$0	$18,562	$0	$240,990	$0	$20,967	$0	$770	$0	$493,639	$0	$0	$0
MELVIN D SCHURSKY JR MD
BOARD MEMBER/Physician Specialty	$221,598	$0	$156,826	$0	$194,668	$0	$36,858	$0	$31,160	$0	$641,111	$0	$0	$0
KRYSTAL AINSLEY MD
BOARD MEMBER/Physician Primary Care	$345,264	$0	$88,624	$0	$22,430	$0	$10,952	$0	$32,988	$0	$500,258	$0	$0	$0
SCOTT BURGESS
BOARD MEMBER/Physician Specialty	$508,565	$0	$253,499	$0	$34,254	$0	$38,162	$0	$39,102	$0	$873,583	$0	$0	$0
LISA A CASANOVA MD
BOARD MEMBER/Physician Primary Care	$381,029	$0	$158,967	$0	$24,997	$0	$42,492	$0	$23,586	$0	$631,072	$0	$0	$0
MONILLA DENT
Board Member/Physician Primary Care	$275,112	$0	$129,818	$0	$68,792	$0	$5,800	$0	$30,792	$0	$510,314	$0	$0	$0
ELENA GARRETT MD
BOARD MEMBER/Physician Hourly	$247,158	$0	$17,397	$0	$87,818	$0	$41,628	$0	$725	$0	$394,728	$0	$0	$0
Joseph King
BOARD MEMBER/MEDICAL STAFF PRESIDENT	$273,084	$0	$140,194	$0	$43,004	$0	$42,710	$0	$43,409	$0	$542,401	$0	$0	$0
TIMOTHY LARKIN II
BOARD MEMBER/Physician Primary Care	$246,253	$0	$67,077	$0	$26,682	$0	$44,611	$0	$39,486	$0	$424,109	$0	$0	$0
WILLIAM H MCALLISTER IV
BOARD MEMBER/Physician Specialty	$1,441,975	$0	$569,234	$0	$79,032	$0	$33,929	$0	$40,013	$0	$2,164,181	$0	$0	$0
Carrie R Moss MD
BOARD MEMBER	$214,136	$0	$325,203	$0	$98,397	$0	$38,756	$0	$488	$0	$676,980	$0	$0	$0
SCOTT F REED MD
BOARD MEMBER/Physician Specialty	$361,326	$0	$43,261	$0	$27,238	$0	$13,425	$0	$38,791	$0	$484,041	$0	$0	$0
TERESA K THOMPSON NP
BOARD MEMBER/Nurse Practitioner	$71,223	$0	$14,842	$0	$60,194	$0	$15,091	$0	$1,196	$0	$162,546	$0	$0	$0
APRIL TOWLER
BOARD MEMBER/Nurse Practitioner	$118,173	$0	$15,764	$0	$10,342	$0	$6,344	$0	$8,740	$0	$159,363	$0	$0	$0
VERNEETA WILLIAMS
BOARD MEMBER AND PHYSICIAN	$232,957	$0	$71	$0	$3,885	$0	$32,712	$0	$24,663	$0	$294,289	$0	$0	$0
WALTER WILLIAM AUSTIN JR
EVP, CFO & TREASURER	$549,593	$0	$162,881	$0	$101,941	$0	$13,425	$0	$24,235	$0	$852,075	$0	$0	$0
NICOLAS CHUQUIN
Hospital President/VP	$206,533	$0	$51,351	$0	$22,234	$0	$7,756	$0	$14,491	$0	$302,365	$0	$0	$0
ESTHER M DESIMINI
PRESIDENT, RWRH	$138,538	$0	$100,737	$0	$199,159	$0	$10,498	$0	$27,905	$0	$476,837	$0	$0	$0
Michael Doucette
Support Services/VP	$428,610	$0	$116,599	$0	$80,640	$0	$50,509	$0	$20,080	$0	$696,438	$0	$0	$0
Charles Frazier
Chief Medical Information & Innovation Officer/SVP	$424,590	$0	$102,228	$0	$75,003	$0	$44,563	$0	$50,208	$0	$696,593	$0	$0	$0
JESSE GOODRICH
VP	$299,060	$0	$77,390	$0	$47,568	$0	$40,759	$0	$10,395	$0	$475,172	$0	$0	$0
SALLY HARTMAN
SENIOR VP	$444,489	$0	$104,173	$0	$76,205	$0	$47,099	$0	$16,551	$0	$688,517	$0	$0	$0
EDWARD HECKLER
VP, LIFELONG HEALTH	$273,877	$0	$79,276	$0	$49,065	$0	$39,981	$0	$26,458	$0	$468,657	$0	$0	$0
JASON O HOUSER
GENERAL COUNSEL/SECRETARY, RHS	$393,484	$0	$122,602	$0	$61,790	$0	$43,588	$0	$41,800	$0	$663,264	$0	$0	$0
Shelly Johnson
Hospital President/VP	$210,687	$0	$42,227	$0	$11,026	$0	$28,471	$0	$9,473	$0	$301,884	$0	$0	$0
Stacey Johnson
Hospital President/VP	$213,654	$0	$53,994	$0	$35,571	$0	$12,035	$0	$10,881	$0	$326,135	$0	$0	$0
THOMAS KAYROUZ
PRESIDENT CMO RMG	$563,970	$0	$120,252	$0	$99,333	$0	$13,425	$0	$18,656	$0	$815,636	$0	$0	$0
JASON KILGORE
VP RESULTS MGT AND ANALYTICS	$222,673	$0	$55,085	$0	$40,403	$0	$34,571	$0	$43,298	$0	$396,030	$0	$0	$0
Frankye Myers
Chief Nursing Officer/SVP	$235,279	$0	$0	$0	$21,340	$0	$6,440	$0	$9,482	$0	$272,542	$0	$0	$0
Michael Oshiki
Hospital President/SVP	$366,721	$0	$20,000	$0	$11,899	$0	$6,778	$0	$11,079	$0	$416,476	$0	$0	$0
Delvin Peeks
Enterprise Resource & Workforce Analytics/VP	$181,000	$0	$49,856	$0	$17,893	$0	$10,367	$0	$33,137	$0	$292,252	$0	$0	$0
JOHN P PETERMAN
COO	$327,113	$0	$87,205	$0	$52,570	$0	$35,435	$0	$11,298	$0	$513,621	$0	$0	$0
SALLY RYAN
VP/COO, RMG	$294,863	$0	$90,645	$0	$50,492	$0	$11,665	$0	$7,934	$0	$455,599	$0	$0	$0
LISA SALSBERRY
Officer Corp Audit & Comp/Priv	$269,443	$0	$24,370	$0	$40,095	$0	$37,988	$0	$41,789	$0	$413,685	$0	$0	$0
THERESA SIEVERS
SENIOR VP	$301,230	$0	$72,004	$0	$57,820	$0	$12,653	$0	$30,722	$0	$474,429	$0	$0	$0
James Spiller
Physician Specialty/Interim VP/CMO	$262,816	$0	$48,143	$0	$186,842	$0	$37,319	$0	$18,030	$0	$553,151	$0	$0	$0
Christopher Stolle
VP MEDICAL AFFAIRS	$447,295	$0	$118,144	$0	$70,567	$0	$25,430	$0	$10,029	$0	$671,465	$0	$0	$0
Thomas Taghon
Hospital Chief Medical Officer/VP	$239,778	$0	$15,000	$0	$8,661	$0	$3,939	$0	$9,258	$0	$276,637	$0	$0	$0
SADIE THURMAN
VP CNO	$225,555	$0	$59,780	$0	$38,080	$0	$32,674	$0	$8,420	$0	$364,510	$0	$0	$0
ADRIA NICOLE VANHOOZIER
PRESIDENT, RDHW	$273,942	$0	$67,321	$0	$45,357	$0	$8,922	$0	$15,286	$0	$410,828	$0	$0	$0
EILEEN VARNSON
VP	$254,763	$0	$72,068	$0	$43,235	$0	$5,800	$0	$68,378	$0	$444,245	$0	$0	$0
CYNTHIA WILLIAMS
VP	$296,108	$0	$108,481	$0	$51,760	$0	$13,425	$0	$25,272	$0	$495,046	$0	$0	$0
Ross Younger
SENIOR VP	$410,030	$0	$94,191	$0	$70,674	$0	$34,552	$0	$50,878	$0	$660,325	$0	$0	$0
Cheryl Ange
Specialty Care Senior Director	$190,565	$0	$26,984	$0	$1,355	$0	$21,260	$0	$9,305	$0	$249,469	$0	$0	$0
Margaret Atkins
Associate Vice President Chief Nursing Information Officer	$178,384	$0	$43,669	$0	$9,653	$0	$28,820	$0	$9,584	$0	$270,109	$0	$0	$0
Julie Bayly
Executive Director LLH	$167,846	$0	$1,500	$0	$21,740	$0	$21,912	$0	$125	$0	$213,123	$0	$0	$0
Kelly Cooper
Primary Care Senior Director	$178,635	$0	$28,878	$0	$1,293	$0	$29,169	$0	$3,049	$0	$241,022	$0	$0	$0
Douglas Culbert
Associate Vice President Service Line	$195,453	$0	$47,493	$0	$9,906	$0	$31,903	$0	$36,051	$0	$320,805	$0	$0	$0
Timothy Emons
Associate Vice President Corporate Controller	$200,531	$0	$47,684	$0	$9,731	$0	$4,716	$0	$25,586	$0	$288,247	$0	$0	$0
Winfred Guthrie
Associate Vice President IS Business Systems & Operational Support	$207,671	$0	$34,110	$0	$25,849	$0	$19,850	$0	$18,339	$0	$305,821	$0	$0	$0
Stacy Guzik
Administrator LLH PCAW/WF/TGWF	$121,396	$0	$19,052	$0	$11,136	$0	$6,844	$0	$12,169	$0	$170,596	$0	$0	$0
Kimberly Healy
Associate Vice President Surgery and Anesthesia Services	$173,542	$0	$18,002	$0	$9,578	$0	$24,106	$0	$25,297	$0	$250,525	$0	$0	$0
David Inabinet
Associate Vice President Chief Information Security Officer	$216,020	$0	$55,990	$0	$10,169	$0	$27,097	$0	$1,132	$0	$310,408	$0	$0	$0
Yvonne James
Financial Strategy Director	$143,898	$0	$12,908	$0	$1,532	$0	$16,450	$0	$19,848	$0	$194,636	$0	$0	$0
Michael Keesee
Associate Vice President Clinical & Revenue Systems	$199,916	$0	$58,609	$0	$10,155	$0	$27,900	$0	$41,355	$0	$337,935	$0	$0	$0
Lisa Kirby
Executive Director Nursing Homes LLH	$158,161	$0	$21,953	$0	$9,845	$0	$8,451	$0	$2,076	$0	$200,487	$0	$0	$0
Barbara Labonte
Associate Vice President Budget Tax & Reimbursement	$220,428	$0	$72,206	$0	$11,669	$0	$33,913	$0	$18,228	$0	$356,445	$0	$0	$0
Jessica Macalino
Associate Vice President Service Line	$202,080	$0	$38,537	$0	$9,698	$0	$10,588	$0	$8,880	$0	$269,784	$0	$0	$0
Linda Mckee
Associate Vice President Service Line	$205,121	$0	$44,064	$0	$10,745	$0	$10,859	$0	$9,192	$0	$279,980	$0	$0	$0
Braden Miller
Associate Vice President Chief Finance Officer RMG	$265,096	$0	$59,962	$0	$12,273	$0	$30,238	$0	$2,605	$0	$370,174	$0	$0	$0
Steven Minter
Administrator LLH PCAW/WF/TGWF	$163,640	$0	$21,449	$0	$10,526	$0	$8,645	$0	$12,178	$0	$216,438	$0	$0	$0
Christine Morillo
Administrator LLH PCAW/WF/TGWF	$118,229	$0	$24,320	$0	$9,978	$0	$6,772	$0	$40,370	$0	$199,669	$0	$0	$0
Linwood Nelson
Associate Vice President Chief Finance Officer LLH	$213,466	$0	$58,479	$0	$9,953	$0	$36,554	$0	$29,807	$0	$348,258	$0	$0	$0
Olukemi Olatunji
Pharmacy Senior Director	$200,493	$0	$17,627	$0	$413	$0	$7,661	$0	$469	$0	$226,662	$0	$0	$0
Mark Rath
Associate Vice President Support Operations	$201,278	$0	$66,795	$0	$10,122	$0	$19,952	$0	$2,113	$0	$300,261	$0	$0	$0
Brenda Schoenherr
Regional Director of Homecare Operations	$167,044	$0	$10,469	$0	$1,805	$0	$4,552	$0	$16,430	$0	$200,301	$0	$0	$0
JEFF SENSENIG
MEDICAL STAFF PRESIDENT	$317,215	$0	$0	$0	$53,492	$0	$10,375	$0	$47,931	$0	$429,013	$0	$0	$0
Lisa Shannon
Associate Vice President Risk Management	$191,649	$0	$44,196	$0	$10,579	$0	$10,005	$0	$18,088	$0	$274,518	$0	$0	$0
Sandra Snapp
Associate Vice President Service Line	$141,990	$0	$44,578	$0	$7,512	$0	$12,055	$0	$432	$0	$206,567	$0	$0	$0
Toiya Sosa
Associate Vice President/Chief Diversity Officer	$154,556	$0	$28,460	$0	$9,789	$0	$4,971	$0	$11,737	$0	$209,513	$0	$0	$0
Maureen Thompson
Executive Director Home Care	$213,188	$0	$34,110	$0	$4,289	$0	$11,206	$0	$9,506	$0	$272,299	$0	$0	$0
Jason Villaflor
Rehab Services System Director	$162,660	$0	$23,078	$0	$9,897	$0	$8,944	$0	$40,260	$0	$244,839	$0	$0	$0
Kristen Witt
EXECUTIVE DIRECTOR	$168,467	$0	$31,431	$0	$9,695	$0	$8,600	$0	$8,550	$0	$226,742	$0	$0	$0
Michelle Wooten
Chief Nursing Officer	$176,510	$0	$30,134	$0	$649	$0	$23,237	$0	$417	$0	$230,947	$0	$0	$0
Romney Andersen
Physician Specialty	$1,503,653	$0	$723,155	$0	$87,663	$0	$10,029	$0	$770	$0	$2,325,269	$0	$0	$0
Anthony Farah
Physician Specialty	$737,832	$0	$944,116	$0	$3,162	$0	$7,241	$0	$45,641	$0	$1,737,992	$0	$0	$0
Dean Kostov
Physician Specialty	$1,650,038	$0	$577,975	$0	$125,379	$0	$32,742	$0	$39,129	$0	$2,425,262	$0	$0	$0
Jacob Lantry
Physician Specialty	$1,089,536	$0	$651,202	$0	$4,882	$0	$9,923	$0	$9,832	$0	$1,765,374	$0	$0	$0
David Romano
Physician Specialty	$1,147,147	$0	$835,410	$0	$2,875	$0	$5,800	$0	$35,681	$0	$2,026,913	$0	$0	$0
DEBRA CAMPBELL
FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director	$136,040	$0	$17,771	$0	$1,444	$0	$22,570	$0	$8,337	$0	$186,162	$0	$0	$0
Joseph Converse
FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty	$318,179	$0	$71,199	$0	$2,509	$0	$14,924	$0	$15,314	$0	$422,125	$0	$0	$0
JOY ELLIOTT
FORMER PRESIDENT, MEDICAL STAFF/Physician	$238,438	$0	$160	$0	$12,895	$0	$33,010	$0	$1,574	$0	$286,076	$0	$0	$0
PETER GALANTICH MD
FORMER PRESIDENT MEDICAL STAFF/Physician Specialty	$376,384	$0	$28,167	$0	$19,606	$0	$24,013	$0	$35,503	$0	$483,673	$0	$0	$0
DWIGHT C HERBERT MD
FORMER RMG-BOARD MEMBER/Physician Primary Care	$213,184	$0	$66,535	$0	$114,649	$0	$34,636	$0	$17,360	$0	$446,364	$0	$0	$0
JOHN C MINCKS MD
FORMER BOARD MEMBER/Physician Hospitalist	$279,755	$0	$50,150	$0	$7,935	$0	$16,309	$0	$24,237	$0	$378,386	$0	$0	$0
ERIC STONE
FORMER VP CLINICAL OPERATIONS/Physician Primary Care	$192,015	$0	$63,614	$0	$21,822	$0	$11,208	$0	$654	$0	$289,312	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	SEVERANCE PAYMENT ESTHER DESIMINI $154,585
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	ADRIA VANHOOZIER $32,380 CHARLES FRAZIER $57,063 CHRISTOPHER STOLLE $53,929 CYNTHIA WILLIAMS $36,075 DELVIN PEEKS $5,744 EDWARD G HECKLER $35,064 EILEEN VARNSON $29,749 ELIZABETH MARTIN $37,038 ESTHER DESIMINI $37,521 JASON KILGORE $27,251 JASON HOUSER $48,186 JESSE GOODRICH $33,042 LISA SALSBERRY $26,483 MICHAEL DACEY $111,540 MICHAEL DOUCETTE $64,376 NANCY LITTLEFIELD $65,989 ROSS YOUNGER $55,001 SADIE THURMAN $25,865 SALLY HARTMAN $58,988 SALLY RYAN $35,597 STACEY JOHNSON $23,392 THERESA SIEVERS $41,250 THOMAS KAYROUZ $75,075 WALTER AUSTIN $82,369 WILLIAM DOWNEY $212,100 --------------------------- TOTAL $1,311,067 RIVERSIDE HAS ESTABLISHED THIS SERP TO PROVIDE RETIREMENT BENEFITS TO CERTAIN EXECUTIVE EMPLOYEES TO SUPPLEMENT THE RETIREMENT BENEFITS TO BE RECEIVED FROM RIVERSIDE AND SOCIAL SECURITY. ALTHOUGH THE EMPLOYEE IS FULLY VESTED IN THESE FUNDS, HE/SHE WILL NOT HAVE THE RIGHT TO WITHDRAW THESE FUNDS UNTIL THE LATER OF THE EMPLOYEE REACHING AGE 62 OR SEPARATION FROM SERVICE WITH RIVERSIDE.
Schedule J, Part I, Line 3	THE COMPENSATION COMMITTEE OF THE PARENT CORPORATION, RIVERSIDE HEALTHCARE ASSOCIATION, INC. REVIEWS AND APPROVES THE COMPENSATION FOR TOP MANAGEMENT USING INDEPENDENT CONSULTANTS AND SURVEYS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	K SNAPP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$96,472	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b) SANDRA SNAPP	FormAndLineReferenceDesc
Explanation	FAMILY MEMBER OF SANDRA SNAPP IS EMPLOYED BY RIVERSIDE HOSPTIAL, INC.	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$311,965	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - The number reported on Part I, Column B represents the number of contributors.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (158 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 3 PART I, LINES 3 AND 4/PART VI LINES 1A AND 1B	THE NUMBER OF VOTING MEMBERS AND INDEPENDENT VOTING MEMBERS REPORTED IN PART I LINE 3 AND 4/PART VI LINES 1A AND 1B IS HIGHER THAN THE TOTAL COUNT OF BOARD MEMBERS REPORTED IN PART VII AS SEVERAL OF THE BOARD MEMBERS SIT ON SEVERAL OF THE ENTITIES INCLUDED WITHIN THE GROUP RETURN BUT HAVE ONLY BEEN LISTED ONCE.
Form 990, Part V, Line 3a PART V, LINE 3A	RIVERSIDE HOSPITAL, INC. EIN 52-1245746, A SUBORDINATE COMPANY, HAD UNRELATED BUSINESS INCOME GREATER THAN $1,000 AND 990-T WAS FILED.
Form 990, Part VI, Line 15 PART VI, SECTION B, LINE 15 A&B	THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR TOP MANAGEMENT USING INDEPENDENT CONSULTANTS AND SURVEYS. THE REVIEW OF THE DATA PROVIDED BY THE INDEPENDENT CONSULTANTS FOR 2022 TOP MANAGEMENT SALARIES WAS CONDUCTED BY THE COMPENSATION COMMITTEE ON NOVEMBER 11, 2021.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION IS A GROUP OF NOT FOR PROFIT CORPORATIONS WITH A SINGLE MEMBER. THE MEMBER HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE, INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY AND TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	MEMBERS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SIGNIFICANT ITEMS SUCH AS MERGER, AMENDMENT OF CHARTER DOCUMENTS, AND APPOINTMENT OF BOARD MEMBERS REQUIRES THE APPROVAL OF THE MEMBER CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	ON BEHALF OF THE ORGANIZATION'S GOVERNING BODY, THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS THE FORM 990. THE ENTIRE FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE FILING AND IS PROVIDED TO THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS FOR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL BOARD MEMBERS, OFFICERS, DIRECTORS AND KEY EMPLOYEES COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. A REPORT OF POTENTIAL CONFLICTS OF INTEREST IS REVIEWED BY THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER CONSULTS WITH THE RIVERSIDE HEALTH SYSTEM CEO REGARDING IDENTIFIED CONFLICTS OF INTEREST AS NECESSARY. IF A CONFLICT PRESENTS, BOARD MEMBERS ARE REQUIRED BY THE BY-LAWS, TO DISCLOSE THE CONFLICT TO THE FULL BOARD AND RECUSE THEMSELVES FROM VOTING ON A CASE BY CASE BASIS.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
Form 990, Part VII, Section A BADGER, JULIE M ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-VICE CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-VICE CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BATES, JARED L ADDITIONAL POSITIONS HELD	Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patriots Colony, Inc., Title: PAT-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BLAKE, DWAYNE B ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BRAUER, WILLIAM L ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BURNETT, JAMES C, CPA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BYRD, THOMAS ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: HCS-VICE CHAIRMAN, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-VICE CHAIRMAN, AverageHours: 0.400; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A DACEY, MICHAEL, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-PRESIDENT/COO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-PRESIDENT/COO, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-PRESIDENT/COO, RHS, AverageHours: 1.000; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-PREDIDENT/COO, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-PRESIDENT/COO, RHS, AverageHours: 30.400; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-PRESIDENT/COO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer
Form 990, Part VII, Section A DOWNEY, WILLIAM BURNS ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-Board Member/CEO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Board Member/CEO, RHS, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-CEO, RHS, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-Board Member/CEO, RHS, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-Board Member/CEO, RHS/Chief Executive Officer, AverageHours: 30.400; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Board Member/CEO, RHS, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Hospital Inc, Title: RRMC-CEO, RHS, AverageHours: 1.000; Officer
Form 990, Part VII, Section A GOODSON, GEORGE ROYDEN, III ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A HAYWOOD, BARBARA S ADDITIONAL POSITIONS HELD	Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A JONES, HAROLD D ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A JONES, DAVID F, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-CHAIRMAN/Physician Specialty, AverageHours: 38.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A LITTLEFIELD, NANCY WICK ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: HCS-EVP/CNO, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EVP/CNO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-EVP/CNO, RHS, AverageHours: 32.400; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EVP/CNO, RHS, AverageHours: 0.500; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Physician Services, Inc., Title: RMG-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A MORGAN, GABRIEL A ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: HCS-CHAIRMAN, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-CHAIRMAN, AverageHours: 0.400; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A RANDOLPH, CARRINGTON F ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SHERLOCK, DANIEL J ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SMITH, CHARLENE E ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SMITH, CONWAY W , III ADDITIONAL POSITIONS HELD	Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A THRASH, NEHEMIAH, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-VICE CHAIRMAN/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A LINTZENICH, CATHERINE, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 39.000; IndividualTrusteeOrDirector Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A MCCORRY, JAMES W, DO ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Emergency Room RRMC, AverageHours: 19.400; IndividualTrusteeOrDirector Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CMO, RDHW, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A SCHURSKY, MELVIN D, JR, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CMO, RWRH, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 39.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ADOLPHI, CELIA L ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AINSLEY, KRYSTAL, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ALEWYNSE, JOYCE JARRETT ADDITIONAL POSITIONS HELD	Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AMBLER, VIRGINIA M ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AUSTIN, WANDA M ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BARRY, PATRICIA P, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BROWN, PATRICIA G ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BURGESS, SCOTT ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CASANOVA, LISA A , MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CHASE, MICHAEL T ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CLEMONS, WALTER R, PHD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A COURTER, ROBERT J, JR ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAVIS, ROBERT T ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DENT, MONILLA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 39.000; Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ELOFSON, FREDRICK N ADDITIONAL POSITIONS HELD	Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A EMORY, THERESA, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FLANAGAN, SHAWN ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Hourly, AverageHours: 0.000; Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GARGIULO, FAYE P ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GARRETT, ELENA, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Hourly, AverageHours: 32.300; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GRACE, WILLIAM M ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HICKMAN, SUSANNA B ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HOWARD, HALL RENFRO, MD ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNT, ELIZABETH DAWN, DMD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A JORDAN, EUGENE M, ESQ ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KIDD, QUENTIN, PHD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A King, Joseph ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 38.800;
Form 990, Part VII, Section A LARKIN, TIMOTHY, II ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MASSEY, WILLIAM S ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MCALLISTER, WILLIAM H, IV ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MEREDITH, CAROL U ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MINTER, CHARLES G ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MOREHOUSE, THOMAS F, III ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moss, Carrie R, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 39.000; Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A NAGEL, DOUGLAS E ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A POOLE, ALFRED JOE, III ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A REED, SCOTT F, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SAUNDERS, RONALD LEE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SCEARCE, ROGER ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SHEILD, CONWAY HOWARD, III ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SILVASY, STEPHEN, JR ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SMITH, KIRBY H ADDITIONAL POSITIONS HELD	Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SPAIN, STEVE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STONE, ERIC M ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STOWELL, PHILIP G ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, TERESA K, NP ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Nurse Practitioner, AverageHours: 32.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TILLER, BROOKE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TOWLER, APRIL ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Nurse Practitioner, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TREOLO, PAUL ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VERSER, JOSEPH F ADDITIONAL POSITIONS HELD	Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WEST, CHARVALLA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WHITE, JOHN T, III ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WILLIAMS, VERNEETA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Hospital Inc, Title: Physician, AverageHours: 39.000; Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZEIDLER, JEANNE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AUSTIN, WALTER WILLIAM, JR ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EVP, CFO & TREASURER, AverageHours: 0.500; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EVP, CFO & TREASURER, AverageHours: 0.500; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-EVP, CFO & TREASURER, AverageHours: 0.300; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-EVP, CFO & TREASURER, AverageHours: 30.400; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-EVP, CFO & TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A CHUQUIN, NICOLAS ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-Hospital President/VP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A DESIMINI, ESTHER M ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-PRESIDENT, RWRH, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Doucette, Michael ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-Support Services/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Frazier, Charles ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-Chief Medical Information & Innovation Officer/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A GOODRICH, JESSE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A HARTMAN, SALLY ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-SENIOR VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A HECKLER, EDWARD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Patriots Colony, Inc., Title: PAT-VP, LIFELONG HEALTH, AverageHours: 1.000; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-President Lifelong Health/SVP, AverageHours: 38.000; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer
Form 990, Part VII, Section A HOUSER, JASON O ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 30.400; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.500; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer
Form 990, Part VII, Section A Johnson, Shelly ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Hospital President/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Johnson, Stacey ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital President/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A KAYROUZ, THOMAS ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-PRESIDENT CMO RMG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A KILGORE, JASON ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-VP RESULTS MGT AND ANALYTICS, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Myers, Frankye ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-Chief Nursing Officer/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Oshiki, Michael ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital President/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Peeks, Delvin ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-Enterprise Resource & Workforce Analytics/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A PETERMAN, JOHN P ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-COO, AverageHours: 39.000; Officer
Form 990, Part VII, Section A RYAN, SALLY ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-VP/COO, RMG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A SALSBERRY, LISA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-Officer Corp Audit & Comp/Priv, AverageHours: 40.000; Officer
Form 990, Part VII, Section A SIEVERS, THERESA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-SENIOR VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Spiller, James ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-INTERIM VP/CMO, AverageHours: 1.000; Officer Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 39.000;
Form 990, Part VII, Section A Stolle, Christopher ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-VP MEDICAL AFFAIRS, AverageHours: 1.000; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-Medical Affairs/VP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A Taghon, Thomas ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital Chief Medical Officer/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A THURMAN, SADIE ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-VP CNO, AverageHours: 40.000; Officer
Form 990, Part VII, Section A VANHOOZIER, ADRIA NICOLE ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-PRESIDENT, RDHW, AverageHours: 40.000; Officer
Form 990, Part VII, Section A VARNSON, EILEEN ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: RMS-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A WILLIAMS, CYNTHIA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Younger, Ross ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: RRMC-SENIOR VP, AverageHours: 1.000; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-Chief Information Officer/ SVP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A Ange, Cheryl ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-Specialty Care Senior Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Atkins, Margaret ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Nursing Information Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Bayly, Julie ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: Executive Director LLH, AverageHours: 37.800; KeyEmployee Organization Name: Patriots Colony, Inc., Title: PAT-Executive Director LLH, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Cooper, Kelly ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: RMG-Primary Care Senior Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Culbert, Douglas ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Emons, Timothy ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Corporate Controller, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Guthrie, Winfred ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: Associate Vice President IS Business Systems & Operational Support, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Guzik, Stacy ADDITIONAL POSITIONS HELD	Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.900; KeyEmployee
Form 990, Part VII, Section A Healy, Kimberly ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Surgery and Anesthesia Services, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Inabinet, David ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Information Security Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A James, Yvonne ADDITIONAL POSITIONS HELD	Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Financial Strategy Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Keesee, Michael ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Clinical & Revenue Systems, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Kirby, Lisa ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: Executive Director Nursing Homes LLH, AverageHours: 39.600; KeyEmployee Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Sanders Common, LTD., Title: SANN-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Labonte, Barbara ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Associate Vice President Budget Tax & Reimbursement, AverageHours: 0.500; KeyEmployee Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Associate Vice President Budget Tax & Reimbursement, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Hospital Inc, Title: Associate Vice President Budget Tax & Reimbursement, AverageHours: 34.800; KeyEmployee Organization Name: Riverside Management Services, Inc., Title: RMS-Associate Vice President Budget Tax & Reimbursement, AverageHours: 0.400; KeyEmployee Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Associate Vice President Budget Tax & Reimbursement, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Macalino, Jessica ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Mckee, Linda ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Miller, Braden ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Associate Vice President Chief Finance Officer RMG, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Minter, Steven ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.800; KeyEmployee Organization Name: Riverside Retirement Services, Inc., Title: RRS-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Morillo, Christine ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.900; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Nelson, Linwood ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Finance Officer LLH, AverageHours: 38.500; KeyEmployee Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Associate Vice President Chief Finance Officer LLH, AverageHours: 0.500; KeyEmployee
Form 990, Part VII, Section A Olatunji, Olukemi ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Pharmacy Senior Director, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Rath, Mark ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: Associate Vice President Support Operations, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Schoenherr, Brenda ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Regional Director of Homecare Operations, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A SENSENIG, JEFF ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Service Line Chief Medical Director Hourly, AverageHours: 39.000; KeyEmployee Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Shannon, Lisa ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: Associate Vice President Risk Management, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Snapp, Sandra ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 26.200; KeyEmployee
Form 990, Part VII, Section A Sosa, Toiya ADDITIONAL POSITIONS HELD	Organization Name: Riverside Management Services, Inc., Title: Associate Vice President/Chief Diversity Officer, AverageHours: 39.800; KeyEmployee
Form 990, Part VII, Section A Thompson, Maureen ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Executive Director Home Care, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Villaflor, Jason ADDITIONAL POSITIONS HELD	Organization Name: Patriots Colony, Inc., Title: PAT-Rehab Services System Director, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Sanders Common, LTD., Title: SANN-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Retirement Services, Inc., Title: RRS-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Rehab Services System Director, AverageHours: 38.200; KeyEmployee
Form 990, Part VII, Section A Witt, Kristen ADDITIONAL POSITIONS HELD	Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EXECUTIVE DIRECTOR, AverageHours: 0.500; KeyEmployee Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EXECUTIVE DIRECTOR, AverageHours: 0.500; KeyEmployee Organization Name: Riverside Hospital Inc, Title: Associate Vice President/Chief Philanthropy Officer, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Wooten, Michelle ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Chief Nursing Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Andersen, Romney ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Farah, Anthony ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Kostov, Dean ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Lantry, Jacob ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Romano, David ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A CAMPBELL, DEBRA ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc(Former), Title: FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Converse, Joseph ADDITIONAL POSITIONS HELD	Organization Name: Doctors Hospital of Williamsburg(Former), Title: FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty, AverageHours: 0.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty, AverageHours: 39.500;
Form 990, Part VII, Section A ELLIOTT, JOY ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc(Former), Title: FORMER PRESIDENT, MEDICAL STAFF/Physician, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A GALANTICH, PETER, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Hospital Inc(Former), Title: FORMER PRESIDENT MEDICAL STAFF/Physician Specialty, AverageHours: 0.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: FORMER PRESIDENT MEDICAL STAFF/Physician Specialty, AverageHours: 35.800;
Form 990, Part VII, Section A HERBERT, DWIGHT C, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc.(Former), Title: FORMER RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MINCKS, JOHN C, MD ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc.(Former), Title: FORMER BOARD MEMBER/Physician Hospitalist, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STONE, ERIC ADDITIONAL POSITIONS HELD	Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 40.000; Organization Name: Riverside Hospital Inc(Former), Title: FORMER VP CLINICAL OPERATIONS/Physician Primary Care, AverageHours: 0.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other Operating Revenue - Total Revenue: 241891, Related or Exempt Function Revenue: 241891, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Optical Services - Total Revenue: 6551053, Related or Exempt Function Revenue: 6551053, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENEU - Total Revenue: 3245170, Related or Exempt Function Revenue: 3245170, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION ADJUSTMENT - 77065317; TRANSFER OF FUND BALANCE & EQUITY PURCHASES/DISTRIBUTIONS - -71142; CHANGES IN ACCOUNTING POLICIES (LEASE STANDARDS) - -3045640; ROUNDING - 319;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
VIRGINIA SURGICAL MANAGEMENT LLC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	542057012	MANAGEMENT	VA	$0	$2,515,472	RIVHOSP
PENINSULA CANCER INSTITUTE LLC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	201872200	PT SERVICES	VA	$11,587,343	-$117,293,380	RIVPHYSSV
PENINSULA RADIOSURGERY ASSOCIATES LLC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	030596051	PT SERVICES	VA	$1,680,401	$6,556,839	RIVHOSP
MICHUMI LLC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	200318732	PT SERVICES	VA	$14,889,316	-$3,993,517	RIVPHYSSV
RIVERSIDE HOSPICE AND HOMECARE SERVICES
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	853577807	PT SERVICES	VA	$4,195,461	-$237,565	PATHENRY

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SHORE HEALTH SERVICES INC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	540560500	HOSPITAL	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
SHORE LIFE CARE INC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	541876370	NURSING CARE	VA	501(c)(3)	10	SHOREHSVC	Yes (true)
NEWPORT NEWS GENERAL & NONSECTARIAN
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	540505934	HOLDING CORP	VA	501(c)(2)		RIVHCASSC	Yes (true)
RIVERSIDE HEALTHCARE ASSOCATION INC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	521241835	PARENT COMP	VA	501(c)(3)	Type II	NA	false
TILDEN AND VA DAVIS SUPORT FOUND INC
608 DENBIGH BLVD STE 800	NEWPORT NEWS	VA	23608	541527703	FOUNDATION	VA	501(c)(3)	Type I	RIVRETSVC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	AT HOME PARTNER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 DENBIGH BLVD STE 800	AddressLine1Txt
City	NEWPORT NEWS	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23608	ZIPCd

Field	Value	IRS element (for citing)
EIN	472999121	EIN
Primary Activities	MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVRETSVC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded	PredominantIncomeTypeTxt
Share Of Total Income	$249,374	ShareOfTotalIncomeAmt
Share Of EOY Assets	$661,460	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.8	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
PENINSULA HOSPITAL SERVICES
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	540991295	LAUNDRY	VA	RIVFOUND	C Corporation	$1,460,501	$2,270,777	1	Yes (true)
RHS MEDINSUR LTD
				521241835	INSURANCE		RIVHCASSC	C Corporation	$0	$57,462,783	1	Yes (true)	CRAIG APPIN HOUSE 8 WESLEY STREET	HAMILTON	BF	BF
RIVERSIDE MEDICAL EQUIPMENT COMPANY INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541325596	BILLING	VA	RIVHCASSC	C Corporation	$0	$0	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHORE HEALTH SERVICES INC
J	$763,032	MARKET VALUE
SHORE HEALTH SERVICES INC
K	$125,808	MARKET VALUE
SHORE HEALTH SERVICES INC
L	$17,358,865	MARKET VALUE
SHORE HEALTH SERVICES INC
M	$1,537,509	MARKET VALUE
SHORE HEALTH SERVICES INC
O	$1,504,417	MARKET VALUE
NEWPORT NEWS GENERAL & NONSECTARIAN HOSPITAL
K	$24,063,108	MARKET VALUE
NEWPORT NEWS GENERAL & NONSECTARIAN HOSPITAL
L	$896,215	MARKET VALUE
RHS Medinsur Ltd
M	$14,599,167	MARKET VALUE
At Home Partners LLC
L	$174,725	MARKET VALUE
At Home Partners LLC
M	$1,285,190	MARKET VALUE
At Home Partners LLC
O	$134,373	MARKET VALUE
Riverside Healthcare Association Inc
K	$31,356,177	MARKET VALUE
Riverside Healthcare Association Inc
L	$188,433	MARKET VALUE