2020-11-16T19:10:47-06:00 2019-12-31 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2019-01-01 521241835 RIVERSIDE HEALTHCARE ASSOCIATION INC % DIRECTOR-TAX RIVE 7578757545 608 Denbigh Blvd Suite 800 Newport News VA 236084487 W WILLIAM AUSTIN JR SR VP/CFO 7578757545 2020-11-16 true ABBEY E LEIBEL P01517527 5136121400 108.41.174.160 31499120203215000011 2020-11-16 P 8C0075DE128CBD006CA99682002307B42C2396E3 FFB0EFF293EA09521C0540EE725FAC39CBD1764F 2019 2021-01-29 14:40:06Z William Downey 608 DENBIGH BLVD SUITE 800 Newport News VA 236084487 31549397 false X WWW.Riversideonline.com X 1982 VA Healthcare system parent organization that oversees, manages, and provides financial and programmatic coordination for all related tax exempt affiliates. 17 14 0 0 0 6281516 0 11088266 10285049 13189796 18671613 60965 71066 30620543 29027728 0 0 0 0 0 0 0 0 0 17198450 31821401 17198450 31821401 13422093 -2793673 620653074 581178175 422591899 405283648 198061175 175894527 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 30071101 21252507 FINANCIAL RESPONSIBILITIES FOR ALL RELATED TAX-EXEMPT AFFILIATES. 30071101 true false false false false false false false false false true false false false true false false true false false true false false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true 26 0 true 0 true true true BD false false false false false false false false false true false X 17 14 true false false false false false false true true false true true false true true true true true true true true true X DIRECTOR-TAX 7578757545 608 DENBIGH BLVD 800 NEWPORT NEWS VA 23608 WILLIAM BURNS DOWNEY PRESIDENT,CEO RHS 1.0 39.0 X X 0 1397016 49302 MICHAEL DACEY MD EVP/CCOO 1.0 39.0 X 0 868519 22185 WALTER WILLIAM AUSTIN SR VP, CFO & TREASURER 1.0 39.0 X 0 650462 33628 NANCY WICK LITTLEFIELD EVP/CNO 1.0 39.0 X 0 525888 27235 JASON O HOUSER VP, LEGAL AFFAIRS & SECRETARY 1.0 39.0 X 0 473589 59740 ROBERT R HARDING MD BOARD MEMBER 1.0 24.0 X 0 258752 34475 BARBARA LABONTE DIRECTOR SYSTEM 1.0 39.0 X 0 229802 27516 REGINA PAGE BRAYBOY BOARD MEMBER 1.0 0.0 X 0 72000 0 ALAN STEVEN WITT CHAIRMAN 1.0 0.0 X X 0 0 0 CONWAY HOWARD SHEILD I BOARD MEMBER 1.0 0.0 X 0 0 0 CONWAY W SMITH III BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL J SHERLOCK BOARD MEMBER 1.0 0.0 X 0 0 0 GABRIEL A MORGAN BOARD MEMBER 1.0 0.0 X 0 0 0 JEROLD WAYNE ALLEN VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JULIE KEY RAUTIO BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD A FARMAR III BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD FREDERICK CROW Board Member 1.0 0.0 X 0 0 0 ROBERT PATRICK LALOR Board Member 1.0 0.0 X 0 0 0 SCOTT STABLER BOARD MEMBER 1.0 0.0 X 0 0 0 THADDEUS BAILEY HOLLOM BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS BYRD BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM L BRAUER BOARD MEMBER 1.0 0.0 X 0 0 0 0 4476028 254081 0 false true false DPR CONSTRUCTION 1450 VETERANS BLVD REDWOOD CITY CA 94063 PROFESSIONAL SVCS 10885024 BRASFIELD GORRIE LLC PO BOX 11407 BIRMINGHAM AL 352460351 PROFESSIONAL SVCS 9585096 WVS KINIRY WILLOWWOOD PARTNERS PO BOX 8029 RICHMOND VA 232238029 Consulting 890737 SQUARE 1 ROOFING LLC 5812 MOORETOWN ROAD STE K WILLIAMSBURG VA 23188 PROFESSIONAL SVCS 677322 AKF GROUP LLC PO BOX 5205 NEW YORK NY 100085205 CONSULTING SERVICES 422391 9 0 SERVICE REVENUE 541610 792666 792666 AFFILIATE C(3) RENTAL INCOME 532000 9492383 9492383 10285049 18774493 10929582 7844911 0 0 33190 33190 0 33190 33190 2418789 2521669 -102880 -102880 -102880 0 0 0 0 0 0 0 0 0 MANAGEMENT FEES 900099 37876 37876 37876 29027728 21252507 7775221 0 0 0 0 0 0 0 0 0 0 37612 37612 0 0 7736 7736 0 0 7230 7230 17050 17050 0 1069689 1069689 84864 84864 0 4862611 4862611 0 0 0 12089870 12089870 0 12008128 12008128 116524 116524 PROFESSIONAL SERVICES 1519922 16523 1503399 TAXES 165 165 31821401 30071101 1750300 0 X 27660135 2062811 32643899 27138812 0 0 240498839 208887230 0 0 0 0 2900666 1899506 0 0 2975778 3180897 324129069 51925422 251438936 272203647 17035187 16451814 16619859 18886795 13934413 15876301 0 0 14945362 14590362 620653074 581178175 16169668 24735397 0 0 10058545 8826545 312307217 303242645 0 0 0 0 50000000 50000000 17657715 568926 16398754 17910135 422591899 405283648 X 198061175 175894527 0 0 198061175 175894527 620653074 581178175 X -2793673 1603763 1110319 -22087057 X false true X true false X X 14 CENTER FOR EXCELLENCE IN AGING AND GERIATRIC HEALTH 061544517 7 false 0 0 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 3 false 0 0 RIVERSIDE HOSPITAL INC 521245746 3 false 0 0 RIVERSIDE CONVALESCENT CENTERS INC 521276323 3 false 0 0 THE REHABILITATION INSTITUTE OF VIRGINIA INC 521432269 3 false 0 0 PATRICK HENRY HOSPITAL INC 540601803 3 false 0 0 FRANCIS N SANDERS NURSING HOME INC 540683174 10 false 0 0 RIVERSIDE WELLNESS AND FITNESS CENTERS INC 541318861 10 false 0 0 RIVERSIDE RETIREMENT SERVICES INC 541348674 10 false 0 0 RIVERSIDE TAPPAHANNOCK HOSPITAL INC 541489410 3 false 0 0 PATRIOTS COLONY INC 541680163 10 false 0 0 RIVERSIDE HEALTH SYSTEM FOUNDATION INC 541994013 7 false 0 0 DOCTORS' HOSPITAL OF WILLIAMSBURG 271540267 3 false 0 0 SHORE HEALTH SERVICES INC 540560500 3 false 0 0 14 0.00000 false false false false false false false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 The articles of incorporation of Riverside Healthcare Association, Inc. (RHA) provide that the purpose of the organization is to operate exclusively for charitable purposes within the meaning of Section 501(c)(3) and provide hospital and other institutional facilities and services to the general public and to make such facilities available to indigent or needy patients. The governing documents provide that RHA shall be operated in support of affiliated non-profit, charitable healthcare organizations. The class of supported organizations carry out the organization's purpose described above. This accomplishes RHAs objective of providing hospital facilities and services to the general public including the indigent and needy patients as part of the integrated health system and fulfills its mission of caring for others by overseeing, managing and providing financial and programmatic coordination for all related tax-exempt affiliates. Schedule A, Part IV, Section C, Line 1 Riverside Healthcare Association, Inc. (RHA) is supervised or controlled in connection with its supported organizations because control and management of RHA is vested in the same persons that control and manage its supported organizations by virtue of majority overlap of the officers of RHA and its supported organizations. RHA is responsive to each of the supported organizations and maintains involvement in each of the supported organizations operations through its role as the parent organization of this integrated health system. 66149132 66149131 245074814 45146574 199928241 398507 325634 72873 12506616 6453214 6053402 272203647 0 2004 BOND SWAP DERIVATIVE 9099019 CNU LEASE OBLIGATION 8811116 17910135 North America 1 Investments 5831569 1 1 5831569 5831569 true false true false false false X X X X X false true false false false false false false false BARBARA LABONTE DIRECTOR SYSTEM 0 197239 0 31289 0 1274 0 26303 0 1213 0 257318 0 0 JASON O HOUSER VP, LEGAL AFFAIRS & SECRETARY 0 354429 0 64116 0 55044 0 27642 0 32098 0 533329 0 0 MICHAEL DACEY MD EVP/CCOO 0 616433 0 139799 0 112287 0 12600 0 9585 0 890704 0 0 NANCY WICK LITTLEFIELD EVP/CNO 0 371892 0 82334 0 71662 0 10932 0 16303 0 553123 0 0 ROBERT R HARDING MD BOARD MEMBER 0 167783 0 21875 0 69094 0 33304 0 1171 0 293227 0 0 WALTER WILLIAM AUSTIN JR SR VP, CFO & TREASURER 0 478839 0 91463 0 80160 0 12600 0 21028 0 684090 0 0 WILLIAM BURNS DOWNEY PRESIDENT,CEO RHS 0 919560 0 264600 0 212856 0 33242 0 16060 0 1446318 0 0 Sch J, Part 1, Line 4B Jason Houser $ 43,616 Michael Dacey $ 93,600 Nancy Littlefield $ 52,944 Walter Austin $ 64,700 William Downey $189,000 ------------------------------- Total $443,860 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. A Economic Development Authority of the City of Newp 521290859 000000000 2011-12-20 31580000 2011B issue refunding 1998 SERIES false false false B Economic Development Authority of the City of Newp 521290859 000000000 2012-12-20 75000000 2012 Construct. Surgical Pavilion false false false C INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 100000000 2015A CONSTRUCTION RHS FACILITIES false false false D INDUSTRIAL DEVELOPMENT AUTHORITY CITY NN 541737715 000000000 2015-07-22 25000000 2015B Construction RHS Facilities false false false A 28712082 0 31580000 0 0 0 214583 0 0 0 31365417 0 1992 true false true true B 8275000 0 75000000 0 0 0 618200 0 0 74381800 0 0 2012 false false true true C 0 0 100957481 0 0 0 0 0 0 100957481 0 0 2019 false false true true D 800000 0 25530452 0 0 0 0 0 0 25530452 0 0 2019 false false true true A 0 B false false false false 0 false false false true C false false true true true true 0 false false false true D false false true true true true 0 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Bond Disclosure ALL OUTSTANDING BOND ISSUES LISTED ON THE RIVERSIDE HEALTHCARE ASSOCIATION SCHEDULE K ARE ISSUED AS HEALTH SYSTEM REVENUE BONDS UNDER THE PARENT RIVERSIDE HEALTH SYSTEM. THEREFORE, RIVERSIDE HEALTH SYSTEM (THE PARENT) IS LISTED AS THE ISSUER ON THE 8038 FORM FILED WITH THE IRS. Part II, Line 3 INCLUDES INVESTMENT EARNINGS OF $957,480.58 FOR 2015A AND $530,451.60 FOR 2015B. Part II, Line 3 INCLUDES INVESTMENT EARNINGS OF $1,706,916.88 FOR 2017A. A Industrial Development Authority City NN 541737715 652264AB8 2017-08-18 51409500 2017A Construction RHS Facilities false false false B economic Development Authority City NN 521290859 65226DAA0 2017-09-07 68555000 2017B REF 2011A/2011C-97/04/02/91 false false false A 0 0 53116417 0 0 0 0 0 0 36285550 0 16830867 false false false true B 7875000 0 68555000 0 0 0 447 0 0 0 68554553 0 2004 true false true true A false false true true true true 0 false false false true B false false true true true true 0 false false false true A false true false false true false 0 false 0 false true B false true false false true true Deutsche Bank AG NY 29. false false false 0 false true A true B true Schedule O Part VI, Sec A, Line 2 Alan Witt and William Downey serve together on a regional advisory board for a local community bank. Part VI, Sec B, Line 11b On behalf of the Organization's governing body, the Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee reviews key data from the Form 990. Part VI, Sec B, Line 12c 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. Further concern, as reflected in the Conflict of Interest, Financial Disclosure, and Compliance Certification Questionnaire is reviewed by the Riverside Health System President to determine if additional follow-up is necessary. 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. Part VI, Sec B, Line 15A The Riverside Healthcare Association, Inc. Board of Directors Salary and Pension Committee determines the compensation of the President and Senior Executives. The Committee relies on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. Part VI, Sec B, Line 15B Compensation for all other officers and key employees is determined and reviewed by senior executives with reliance on market comparative information provided by a reputable independent third party expert to establish the reasonableness of compensation levels. Part VI, Sec C, Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon written request. Part VII, Sec B For Riverside Healthcare Association, Inc. and certain subsidiaries, Forms 1099 and 1096 are filed under Riverside Healthcare Association, Inc. The number listed in question 1a represents the Forms 1099 filed for those subsidiaries and includes more than just independent contractors of Riverside Healthcare Association, Inc. Part XI, Line 9 Equity Adjustment $(20,175,000) Change in FV of interest rate swap agreements $ 1,966,377 =============== Total $(22,087,057) QUARTERPATH WILLIAMSBURG LLC 608 Denbigh Blvd St 800 Newport News VA 23608 473606366 REAL ESTATE VA 9000 5926195 RivHCAssc Center for Excellence In Aging 608 Denbigh Blvd St 800 Newport News VA 23608 061644517 Research VA 501(C)(3) 7 RivRetSvc true Doctors' Hospital of Williamsburg 608 Denbigh Blvd St 800 Newport News VA 23608 271540267 Hospital VA 501(C)(3) 3 RivHCAssc true Francis N Sanders Nursing Home Inc 608 Denbigh Blvd St 800 Newport News VA 23608 540683174 Nursing Care VA 501(c)(3) 10 RivHCAssc true Newport News General & Nonsectarian Hosp 608 Denbigh Blvd St 800 Newport News VA 23608 540505934 Holding Comp VA 501(c)(2) RivHCAssc true Patrick Henry Hospital Incorporated 608 Denbigh Blvd Ste 800 Newport News VA 23608 540601803 Nursing Care VA 501(C)(3) 3 RivHCAssc true Patriots Colony Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541680163 Ret Community VA 501(C)(3) 10 RivHCAssc true Rehabilitation Institute of Va Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521432269 Holding Comp VA 501(C)(3) 3 RivHCAssc true Riverside Convalescent Centers Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521276323 Nursing Care VA 501(C)(3) 3 RivHCAssc true Riverside Health System Foundation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541994013 Foundation VA 501(C)(3) 7 RivHCAssc true Riverside Healthcare Foundation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241989 Foundation VA 501(C)(3) 12 I RivHCAssc true Riverside Healthcare Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241839 Management VA 501(C)(3) 10 RivHCAssc true Riverside Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521245746 Hospital VA 501(C)(3) 3 RivHCAssc true Riverside Management Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241840 MANAGEMENT VA 501(C)(3) 10 RivHCAssc true Riverside Middle Peninsula Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241836 Hospital VA 501(C)(3) 3 RivHCAssc true Riverside Physician Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541519724 PT SERVICES VA 501(C)(3) 3 RivHCAssc true Riverside Retirement Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541348674 Ret Community VA 501(C)(3) 10 RivHCAssc true Riverside Tappahannock Hospital Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541489410 Hospital VA 501(C)(3) 3 RivHCAssc true Riverside Wellness & Fitness Centers Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541318861 Wellness VA 501(C)(3) 10 RivHCAssc true Sanders Common LTD 608 Denbigh Blvd Ste 800 Newport News VA 23608 524233030 Nursing Care VA 501(C)(3) 10 RivHCAssc true Shore Health Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 540560500 Hospital VA 501(C)(3) 3 RivHCAssc true Shore Life Care Inc 608 Denbigh Blvd Ste 800 Newport News VA 23602 541876370 Nursing Care VA 501(C)(3) 10 ShoreHSvc true Tilden and Virginia Davis Support 608 Denbigh Blvd Ste 800 Newport News VA 23608 541527703 Foundation VA 501(C)(3) 12 I RivRetSvc true At Home Partners LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED 0 0 Coastal Virginia Rehabilitation LLC 4714 Gettysburg Road Mechanicsburg PA 17055 821270202 Hospital VA Rehabinst EXCLUDED 0 0 false false 0.51000 Peninsula Hospital Services 608 Denbigh Blvd Ste 800 Newport News VA 23608 540991295 Laundry VA NA COOP 0 0 0.61000 true RHS Medinsur LTD Craig Appin House Wesley Street Hamilton BD 521241835 Insurance BD NA C Corp 15086040 42866496 1.00000 true Riverside Medical Equipment Center Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA NA C corp 0 0 false false false false false false false false false false true false false true false false false false false false Riverside Middle Peninsula Hospital Inc J 1433892 MARKET VALUE Riverside Hospital Inc J 17901167 MARKET VALUE Francis N Sanders Nursing Home Inc J 502635 MARKET VALUE Patriots Colony Inc J 483015 MARKET VALUE Riverside Healthcare Services Inc M 105880 MARKET VALUE Riverside Hospital Inc M 84864 MARKET VALUE RIVERSIDE HEALTHCARE ASSOC. GROUP RVS HEALTHCARE ASSOCIATION, INC. IS THE PARENT COMPANY Ownership Abbreviation Key: Riverside Healthcare Assocation, Inc. RivHCAssc Riverside Healthcare Foundation, Inc. RivHCFnd Riverside Hospital, Inc. RivHosp Riverside Physican Services, Inc. RivPhysSv Riverside Retirement Services, Inc. RivRetSvc Shore Health Services, Inc. ShoreHSvc Rehabilitation Institute of VA, Inc. RehabInst