SHORE HEALTH SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SHORE HEALTH SERVICES INC (EIN 54-0560500)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202343189349319074
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 D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T20:07:02+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	540560500	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Shore Health Services Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SHOR	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	236084487	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	W WILLIAM AUSTIN JR	PersonNm
Person Title	EVP, CFO AND TREASURER	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

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

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

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM DOWNEY	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	236084487	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$106,992,877	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RIVERSIDEONLINE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1928	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	487	TotalEmployeeCnt
Total Volunteers	38	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,624,602	PYContributionsGrantsAmt
CY Contributions Grants	$793,396	CYContributionsGrantsAmt
PY Program Service Revenue	$96,679,556	PYProgramServiceRevenueAmt
CY Program Service Revenue	$105,858,889	CYProgramServiceRevenueAmt
PY Investment Income	$6,292	PYInvestmentIncomeAmt
CY Investment Income	-$11,967	CYInvestmentIncomeAmt
PY Other Revenue	$264,497	PYOtherRevenueAmt
CY Other Revenue	$303,848	CYOtherRevenueAmt
PY Total Revenue	$98,574,947	PYTotalRevenueAmt
CY Total Revenue	$106,944,166	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,513	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,486,760	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$36,398,885	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,062,230	PYOtherExpensesAmt
CY Other Expenses	$56,368,323	CYOtherExpensesAmt
PY Total Expenses	$85,554,090	PYTotalExpensesAmt
CY Total Expenses	$92,780,721	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,020,857	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,163,445	CYRevenuesLessExpensesAmt
Total Assets BOY	$73,414,092	TotalAssetsBOYAmt
Total Assets EOY	$77,194,218	TotalAssetsEOYAmt
Total Liabilities BOY	$31,913,070	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,529,751	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,501,022	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$55,664,467	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	$81,477,180	ExpenseAmt
Grant	$13,513	GrantAmt
Revenue	$105,858,889	RevenueAmt
Desc	GENERAL HOSPITAL SERVICES PROVIDED TO THE COMMUNITY. THE NUMBER OF PERSONS BENEFITED IN 2022 WAS 172,534 AND THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS WERE $14,708,232.	Desc
Total Program Service Expenses	$81,477,180	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	false	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	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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
IRP Document	45	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	487	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (true)	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	false	InvestmentInJointVentureInd
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	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7578757545	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
JULIE M BADGER
VICE CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL DACEY MD
Board Member/PRESIDENT/COO, RHS	1.0	39.0	Yes (X)	Yes (X)	$0	$1,084,156	$21,945
NICOLAS CHUQUIN
Board Member/HOSPITAL PRESIDENT	40.0	0.0	Yes (X)	Yes (X)	$0	$280,118	$22,247
ROBERT D CROCKETT
CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ANDRE J ELLIOTT
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
CALEB L FOWLER
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
JENNIFER S ANNIS
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
KELVIN A PETTIT
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
Laura Kerbin
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$407,198	$50,593
RHONDA HALL
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RICHARD H FREEMAN
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RICHARD L HUBBARD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RODOLFO R ZAVALA
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
SAMUEL H COOPER JR
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
TAMMY G HOLLOWAY
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
WENDY G LILLISTON
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
JASON O HOUSER
GENERAL COUNSEL/SECRETARY, RHS	1.0	39.0		Yes (X)	$0	$577,876	$85,388
WALTER WILLIAM AUSTIN JR
EVP, CFO & TREASURER	1.0	39.0		Yes (X)	$0	$814,415	$37,660
WILLIAM BURNS DOWNEY
CEO, RHS	1.0	39.0		Yes (X)	$0	$1,596,820	$68,521
Barbara Labonte
SHS-Associate Vice President Budget Tax & Reimbursement	1.0	39.0			$0	$304,303	$52,141	Yes (X)
DAVID F JONES MD
SHS-CMO, RSMH	1.0	39.0			$0	$396,556	$41,656	Yes (X)
DEBORAH L BROWN
SHS-CNO, RSMH	40.0	0			$186,226	$0	$8,576	Yes (X)
JEFFERSON MOULDS
SHS-MEDICAL STAFF PRESIDENT	1.0	39.0			$0	$432,609	$48,244	Yes (X)
Linda Mckee
SHS-Associate Vice President Service Line	1.0	39.0			$0	$259,929	$20,050	Yes (X)
Olukemi Olatunji
SHS-Pharmacy Senior Director	1.0	39.0			$0	$218,533	$8,129	Yes (X)
Chad Harte
Pharmacist Shore	40.0	0			$146,427	$0	$42,924		Yes (X)
John Patterson
Pharmacist Shore	40.0	0			$185,507	$0	$51,754		Yes (X)
Kristie Finney
Quality & Lab Senior Director Shore	40.0	0			$162,132	$0	$54,181		Yes (X)
Lynette Patterson
Pharmacist Shore	40.0	0			$169,804	$0	$44,486		Yes (X)
Patricia Brady
Pharmacist Shore	36.4	0			$149,282	$0	$59,877		Yes (X)
JOHN P PETERMAN
FORMER Board Member/PRESIDENT, RSMH/Hospital Chief Operating Officer/VP	0.0	40.0			$0	$466,888	$46,733			Yes (X)
Scott Hines
FORMER MEDICAL STAFF PRESIDENT/Physician Emergency Room 30	0.0	40.0			$0	$526,195	$15,168			Yes (X)
Vincent Stravino
FORMER PRESIDENT, MEDICAL STAFF/Physician Hospitalist	0.0	40.0			$0	$471,203	$59,604			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$999,379	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,836,799	TotReportableCompRltdOrgAmt
Total Other Compensation	$839,876	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	53	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 (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AKF Group LLC
P O Box 786906	Philadelphia	PA	19178	CIP - Architect Design Fees/ Commissioning/Testing/Inspections	$498,486
Quest Diagnostics
P O Box 912512	Pasadena	CA	91110	Medical Services	$214,026
Laboratory Corp Of America Hld
P O Box 12140	Burlington	NC	27216	Medical Services	$142,076
Q-Centrix Llc
Dept Ch 19901	Palatine	IL	60055	Service Contracts - Parts & Labor	$118,423

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$793,396	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$793,396	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$101,998,920	$101,998,920
AFFILIATE INCOME(C3)	622110	$1,282,678	$1,282,678
PHARMACY SALES	456110	$2,564,524	$2,564,524
ALL OTHER PROGRAM SERVICES REVENUE	622110	$12,767	$12,767

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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)
Total Program Service Revenue	$105,858,889	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,162	TotalRevenueColumnAmt
Exclusion	$9,162	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$27,582	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$48,711	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$21,129	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$21,129	TotalRevenueColumnAmt
Exclusion	-$21,129	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt
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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$303,482	$303,482
ALL OTHER REVENUE	900099	$366	$366

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$303,848	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,944,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,858,889	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$291,881	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,944	TotalAmt
Program Services	$2,944	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,569	TotalAmt
Program Services	$10,569	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	$194,801	TotalAmt
Management And General	$194,801	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,875,468	TotalAmt
Program Services	$27,893,758	ProgramServicesAmt
Management And General	$981,710	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,361,801	TotalAmt
Program Services	$1,361,801	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,942,773	TotalAmt
Program Services	$3,798,355	ProgramServicesAmt
Management And General	$144,418	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,024,042	TotalAmt
Program Services	$1,959,321	ProgramServicesAmt
Management And General	$64,721	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,309,673	TotalAmt
Program Services	$1,381,236	ProgramServicesAmt
Management And General	$928,437	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,080	TotalAmt
Program Services	$5,080	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$419,332	TotalAmt
Management And General	$419,332	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,115,541	TotalAmt
Program Services	$4,925,824	ProgramServicesAmt
Management And General	$189,717	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$345,657	TotalAmt
Program Services	$7,712	ProgramServicesAmt
Management And General	$337,945	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$492,401	TotalAmt
Program Services	$425,412	ProgramServicesAmt
Management And General	$66,989	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,234,159	TotalAmt
Program Services	$216,926	ProgramServicesAmt
Management And General	$2,017,233	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,725,012	TotalAmt
Program Services	$5,253,998	ProgramServicesAmt
Management And General	$471,014	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$295,671	TotalAmt
Program Services	$290,198	ProgramServicesAmt
Management And General	$5,473	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$49	TotalAmt
Program Services	$49	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,036,994	TotalAmt
Program Services	$5,908,466	ProgramServicesAmt
Management And General	$128,528	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$635,023	TotalAmt
Management And General	$635,023	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,496,885	$16,273,229	$223,656
SERVICES FROM AFFILIATES	$10,129,435	$5,635,953	$4,493,482
BAD DEBT	$1,429,251	$1,429,251
MEDICAID ASSESSMENT	$4,305,618	$4,305,618

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$392,542	TotalAmt
Program Services	$391,480	ProgramServicesAmt
Management And General	$1,062	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$92,780,721	TotalAmt
Program Services	$81,477,180	ProgramServicesAmt
Management And General	$11,303,541	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,118	BOYAmt
EOY	$3,405	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,905,329	BOYAmt
EOY	$17,749,657	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$1,228,485	BOYAmt
EOY	$1,545,071	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$676,710	BOYAmt
EOY	$1,609,681	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$134,366,588	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$78,855,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,600,450	BOYAmt
EOY	$55,510,774	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$775,630	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,414,092	BOYAmt
EOY	$77,194,218	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,250,937	BOYAmt
EOY	$6,003,637	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,745,966	BOYAmt
EOY	$455	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,916,167	BOYAmt
EOY	$15,525,659	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,913,070	BOYAmt
EOY	$21,529,751	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	$40,689,849	BOYAmt
EOY	$54,853,294	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$811,173	BOYAmt
EOY	$811,173	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,501,022	BOYAmt
EOY	$55,664,467	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,414,092	BOYAmt
EOY	$77,194,218	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$14,163,445	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,182,117	OtherCostOrOtherBasisAmt
Book Value	$2,182,117	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,696,820	OtherCostOrOtherBasisAmt
Depreciation	$39,442,345	DepreciationAmt
Book Value	$40,254,475	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,118,000	OtherCostOrOtherBasisAmt
Depreciation	$31,986,085	DepreciationAmt
Book Value	$6,131,915	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,369,651	OtherCostOrOtherBasisAmt
Depreciation	$7,427,384	DepreciationAmt
Book Value	$6,942,267	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$55,510,774	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$1,053,546
DUE TO AFFILIATES	$13,973,175
OTHER LIABILITIES	$56,035
OPERATING LEASE LIABILITY - LONG TERM	$442,903

Field	Value	IRS element (for citing)
Total Liability	$15,525,659	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part VI, Line 1e

Other includes the cost, accumulated depreciation, and book value of land improvements

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

SHORE HEALTH SERVICES, INC. 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	false	ExpensesExceedBudgetInd
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)
Total Community Benefit Expns	$3,299,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,299,914	NetCommunityBenefitExpnsAmt
Total Expense	0.0361	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,119,078	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,935,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$22,418,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,935,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,299,914	NetCommunityBenefitExpnsAmt
Total Expense	0.0361	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,103	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$900	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,154,255	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,154,255	NetCommunityBenefitExpnsAmt
Total Expense	0.0455	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,162,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,162,258	NetCommunityBenefitExpnsAmt
Total Expense	0.0456	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$26,581,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,935,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,462,172	NetCommunityBenefitExpnsAmt
Total Expense	0.0817	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	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,429,251	BadDebtExpenseAmt
Reimbursed By Medicare	$39,506,274	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,059,532	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,553,258	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20480 MARKET STREET	AddressLine1Txt
City	ONANCOCK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23417	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.RIVERSIDEONLINE.COM/SHORE/	WebsiteAddressTxt
State License	H1901	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERSIDE SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.riversideonline.com/about/community/community-health-needs-assessments	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.riversideonline.com/about/community/community-health-needs-assessments	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.riversideonline.com/patients-guests/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.riversideonline.com/patients-guests/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.riversideonline.com/patients-guests/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 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 , 1	Facility , 1 - RIVERSIDE SHORE MEMORIAL 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 (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 , 1	Facility , 1 - RIVERSIDE SHORE MEMORIAL HOSPITAL. As described in the CHNA, Riverside conducted a community survey between late November 2021 thru 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 - RIVERSIDE SHORE MEMORIAL 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 collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - RIVERSIDE SHORE MEMORIAL 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 SHORE MEMORIAL HOSPITAL. In addition to posting online and having paper copies available, Riverside promoted the results through social media channels. Additionally, when Riverside gives community presentations to various organizations, clubs, places of worship, professional groups, or governments the speakers pull heavily from the information included in the CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - RIVERSIDE SHORE MEMORIAL 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 Shore Memorial 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, RSMH 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 Virginia's Eastern Shore. * 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 RSMH's sister facilities will be piloting a project to use a small purple flower on a door or chart 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, RSMH hopes to implement the same program on the Eastern Shore. * Primary Care Health Coaches- RSMH will evaluate the possibility of having the primary care health coaches at each PCP location on the Eastern Shore go through Teepa Snow training to learn how to best support and care for patients with dementia. If successful, it will be rolled out at other primary locations in the health system. * System Expertise with Martha W Goodson Center - RSMH 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.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Riverside Shore Memorial Hospital - Line 11 continue. 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 currently. 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 RSMH staff, the EMR team and other internal support areas. * RSMH will continue partnering with law enforcement and the DEA in hosting a Riverside Drug Take Back Day. * 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 RSMH 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 RSMH. 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 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, RSMH will be able to build off those to better serve the individuals in the Greater Hampton Roads 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	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule 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 RIVERSIDE SHORE MEMORIAL HOSPITAL ACCOUNTS AND DOLLAR AMOUNTS REFUNDED: Year Accounts Amount 2017 122 $ 7,025.61 2018 107 $ 11,996.45 2019 91 $ 16,150.16 2020 48 $ 4,058.23 2021 36 $ 5,044.38 2022 1 $ 177.25 Total 405 $ 44,452.08 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 I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1429251
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	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 200% OF THE FEDERAL POVERTY LEVEL, THE PATIENT WOULD QUALIFY FOR 100% FINANCIAL ASSISTANCE 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 THE 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.
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 ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE INCLUDED AS COMMUNITY BENEFIT.
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	- RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16a URL: https://www.riversideonline.com/patients-guests/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16b URL: https://www.riversideonline.com/patients-guests/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16c URL: https://www.riversideonline.com/patients-guests/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	Assessing, understanding and listening to our communities is an 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	Virginia's Eastern Shore consists of the southernmost part of the Delmarva Peninsula, and is bordered to the north by Maryland, to the east by the Atlantic Ocean, and to the south and east by the Chesapeake Bay. It is connected to the Hampton Roads region of Virginia by the 23-mile Chesapeake Bay Bridge Tunnel. The 70-mile stretch of land that makes up the Eastern Shore of Virginia is spread across two counties, Accomack to the north and Northampton to the south. The Eastern Shore area is home to just under 45,000 people. Approximately two thirds of the population located in northern Accomack County while one third in Northampton County. The region is defined by the water, both for the major tourism industry as well as by the watermen who work in the aquaculture industry. Agriculture also plays a key role, with poultry farming and processing employing many people in the area. NASA has a continued presence at the Wallops Island flight facility. Despite multiple industries, the Eastern Shore Region lags in economic development and prosperity compared to the rest of Virginia. Riverside Shore Memorial Hospital is the only hospital on Virginia's Eastern Shore. The closest competition is in Salisbury, Maryland to the north or in Virginia Beach across the Bay Bridge Tunnel to the south. Demographically, the region is approximately two thirds Caucasian and one third African American. There is also a growing migrant community in the region which helps serve the agricultural industry, and the Hispanic community is the fastest growing segment in the region. There is also a growing population of Haitian Kreyol speakers that is focused around the poultry processing facilities. 2025 Census projections estimates per capita income at $32,593. U.S. Census Bureau reports indicate that more than 19 percent of the adult (25+) population have not graduated from high school. Due to the rural nature of the region and its historical isolation, the Eastern Shore lags behind the rest of Virginia in areas of infrastructure development, with limited cell phone service and internet access as significant issues as well as limited transportation infrastructure. The Eastern Shore is seeing the aging of the Baby Boomer generation like the rest of Virginia and the country. Individuals age 65+ make up more than 25 percent of the population. The entire region is designated as a Medically Underserved Area.
Schedule H, Part VI, Line 5 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.
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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FUNERAL EXPENSE ASSISTANCE	10	$8,591
Shelter Expense Assistance	6	$1,978

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	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	false	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 (20 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
JOHN P PETERMAN
FORMER Board Member/PRESIDENT, RSMH/Hospital Chief Operating Officer/VP	$0	$327,113	$0	$87,205	$0	$52,570	$0	$35,435	$0	$11,298	$0	$513,621	$0	$0
NICOLAS CHUQUIN
Board Member/HOSPITAL PRESIDENT	$0	$206,533	$0	$51,351	$0	$22,234	$0	$7,756	$0	$14,491	$0	$302,365	$0	$0
MICHAEL DACEY MD
Board Member/PRESIDENT/COO, RHS	$0	$774,298	$0	$178,746	$0	$131,112	$0	$12,770	$0	$9,175	$0	$1,106,100	$0	$0
Laura Kerbin
BOARD MEMBER	$0	$339,816	$0	$12,217	$0	$55,165	$0	$29,435	$0	$21,158	$0	$457,791	$0	$0
WALTER WILLIAM AUSTIN JR
EVP, CFO & TREASURER	$0	$549,593	$0	$162,881	$0	$101,941	$0	$13,425	$0	$24,235	$0	$852,075	$0	$0
WILLIAM BURNS DOWNEY
CEO, RHS	$0	$1,047,196	$0	$311,888	$0	$237,736	$0	$41,895	$0	$26,626	$0	$1,665,340	$0	$0
JASON O HOUSER
GENERAL COUNSEL/SECRETARY, RHS	$0	$393,484	$0	$122,602	$0	$61,790	$0	$43,588	$0	$41,800	$0	$663,264	$0	$0
Scott Hines
FORMER MEDICAL STAFF PRESIDENT/Physician Emergency Room 30	$0	$402,564	$0	$0	$0	$123,631	$0	$13,425	$0	$1,743	$0	$541,363	$0	$0
Vincent Stravino
FORMER PRESIDENT, MEDICAL STAFF/Physician Hospitalist	$0	$380,706	$0	$29,813	$0	$60,684	$0	$16,903	$0	$42,702	$0	$530,807	$0	$0
DEBORAH L BROWN
SHS-CNO, RSMH	$162,491	$0	$22,092	$0	$1,643	$0	$7,315	$0	$1,260	$0	$194,802	$0	$0	$0
DAVID F JONES MD
SHS-CMO, RSMH	$0	$181,960	$0	$67,167	$0	$147,429	$0	$24,318	$0	$17,338	$0	$438,212	$0	$0
Barbara Labonte
SHS-Associate Vice President Budget Tax & Reimbursement	$0	$220,428	$0	$72,206	$0	$11,669	$0	$33,913	$0	$18,228	$0	$356,445	$0	$0
Linda Mckee
SHS-Associate Vice President Service Line	$0	$205,121	$0	$44,064	$0	$10,745	$0	$10,859	$0	$9,192	$0	$279,980	$0	$0
JEFFERSON MOULDS
SHS-MEDICAL STAFF PRESIDENT	$0	$414,711	$0	$12,500	$0	$5,397	$0	$13,425	$0	$34,819	$0	$480,853	$0	$0
Olukemi Olatunji
SHS-Pharmacy Senior Director	$0	$200,493	$0	$17,627	$0	$413	$0	$7,661	$0	$469	$0	$226,662	$0	$0
Patricia Brady
Pharmacist Shore	$139,488	$0	$7,194	$0	$2,601	$0	$40,090	$0	$19,787	$0	$209,159	$0	$0	$0
Kristie Finney
Quality & Lab Senior Director Shore	$137,936	$0	$23,756	$0	$439	$0	$35,992	$0	$18,189	$0	$216,312	$0	$0	$0
Chad Harte
Pharmacist Shore	$136,733	$0	$9,501	$0	$194	$0	$2,740	$0	$40,184	$0	$189,351	$0	$0	$0
John Patterson
Pharmacist Shore	$180,252	$0	$3,707	$0	$1,548	$0	$42,612	$0	$9,142	$0	$237,261	$0	$0	$0
Lynette Patterson
Pharmacist Shore	$164,551	$0	$3,698	$0	$1,556	$0	$36,279	$0	$8,207	$0	$214,290	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

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 J, Part I, Line 4b Supplemental nonqualified retirement plan

JOHN PAUL PETERMAN $37,500 JASON O HOUSER $48,186 MICHAEL DACEY MD $111,540 NICOLAS CHUQUIN $10,049 WALTER WILLIAM AUSTIN JR $82,369 WILLIAM BURNS DOWNEY $212,100 TOTAL $501,744 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	RIVERSIDE HEALTHCARE ASSOCIATION INC. IS THE SOLE CORPORATE MEMBER OF SHORE HEALTH SERVICES INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Riverside Healthcare Association, Inc. is the sole corporate member of Shore Health Services, Inc. Riverside Healthcare Association, Inc. has certain rights such as approval of members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Riverside Healthcare Association, Inc. has certain rights such as approval of members of the governing body, mergers and amendments of organizing documents.
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 WRITTEN REQUEST.
Form 990, Part VIII, Line 2b	$59,644 OF THE AMOUNT REPORTED ON LINE 2B IS A RECLASS OF CERTAIN FUNDS TO COVER SPECIFIC PROGRAM COSTS FOR RELATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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
CTR FOR EXCELLENCE IN AGING & GERIATRIC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	061644517	RESEARCH	VA	501(c)(3)	7	RIVRETSVC	Yes (true)
DOCTORS' HOSPITAL OF WILLIAMSBURG
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	271540267	HOSPITAL	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
FRANCIS N SANDERS NURSING HOME INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	540683174	NURSING CARE	VA	501(c)(3)	10	RIVHCASSC	Yes (true)
NEWPORT NEWS GENERAL & NONSECTARIAN HOSP
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	540505934	HOLDING COMP	VA	501(c)(2)		RIVHCASSC	Yes (true)
PATRICK HENRY HOSPITAL INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	540601803	NURSING CARE	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
PATRIOTS COLONY INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541680163	RET COMMUNITY	VA	501(c)(3)	10	RIVHCASSC	Yes (true)
REHABILITATION INSTITUTE OF VA INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521432269	HOLDING COMP	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
RIVERSIDE CONVALESCENT CENTERS INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521276323	NURSING CARE	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
RIVERSIDE HEALTH SYSTEM FOUNDATION
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541994013	FOUNDATION	VA	501(c)(3)	7	RIVHCASSC	Yes (true)
RIVERSIDE HEALTHCARE ASSOCIATION INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521241835	FINANCING	VA	501(c)(3)	Type II	NA	false
RIVERSIDE HEALTHCARE FOUNDATION INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521241989	FOUNDATION	VA	501(c)(3)	Type III-FI	RIVHCASSC	Yes (true)
RIVERSIDE HEALTHCARE SERVICES INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521241839	MANAGEMENT	VA	501(c)(3)	Type III-FI	RIVHCASSC	Yes (true)
RIVERSIDE HOSPITAL INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521245746	HOSPITAL	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
RIVERSIDE MANAGEMENT SERVICES INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521241840	MANAGEMENT	VA	501(c)(3)	Type III-FI	RIVHCASSC	Yes (true)
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	521241836	HOSPITAL	VA	501(c)(3)	3	RIVHCASSC	Yes (true)
RIVERSIDE PHYSICIAN SERVICES INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541519724	PT SERVICES	VA	501(c)(3)	Type III-FI	RIVHCASSC	Yes (true)
RIVERSIDE RETIREMENT SERVICES INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541348674	RET COMMUNITY	VA	501(c)(3)	10	RIVHCASSC	Yes (true)
RIVERSIDE WELLNESS & FITNESS CENTERS INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541318861	WELLNESS	VA	501(c)(3)	10	RIVHCASSC	Yes (true)
SANDERS COMMON LTD
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	524233030	NURSING CARE	VA	501(c)(3)	Type III-FI	RIVHCASSC	Yes (true)
SHORE LIFE CARE INC
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541876370	NURSING CARE	VA	501(c)(3)	10	SHOREHSVC	Yes (true)
TILDEN AND VIRGINIA DAVIS SUPPORT
608 DENBIGH BLVD SUITE 800	NEWPORT NEWS	VA	23608	541527703	FOUNDATION	VA	501(c)(3)	Type I	RIVRETSVC	Yes (true)
Riverside Advantage Inc
608 Denbigh Street Ste 800	Newport News	VA	23608	872223666	Investing	VA	501(c)(3)		RivHCAssc	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	608 DENBIGH BLVD	AddressLine1Txt
Address Line2	SUITE 800	AddressLine2Txt
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	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
PENINSULA HOSPITAL SERVICES
608 DENBIGH BLVD	STE 800	NEWPORT NEWS	VA	23608	540991295	LAUNDRY	VA	na	C Corporation	false
RHS MEDINSUR LTD
						INSURANCE		na	C Corporation	false	BD
RIVERSIDE MEDICAL EQUIPMENT COMPANY INC
608 DENBIGH BLVD	STE 800	NEWPORT NEWS	VA	23608	541325596	BILLING	VA	NA	C Corporation	false

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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERSIDE HOSPITAL INC
K	$763,032	MARKET VALUE
RIVERSIDE HOSPITAL INC
M	$8,711,849	MARKET VALUE
RIVERSIDE PHYSICIAN SERVICES INC
L	$1,477,865	MARKET VALUE
RIVERSIDE PHYSICIAN SERVICES INC
M	$4,538,984	MARKET VALUE
RIVERSIDE PHYSICIAN SERVICES INC
O	$2,272,537	MARKET VALUE
RIVERSIDE PHYSICIAN SERVICES INC
J	$125,808	MARKET VALUE
PATRICK HENRY HOSPITAL INC
M	$1,105,338	MARKET VALUE
RIVERSIDE HEALTHCARE SERVICES INC
M	$559,078	MARKET VALUE
RIVERSIDE MANAGEMENT SERVICES INC
M	$4,989,637	MARKET VALUE
RIVERSIDE MANAGEMENT SERVICES INC
O	$221,094	MARKET VALUE