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        <TitleTxt>BOARD MEMBER</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID F JONES MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>255646</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>52397</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID L GORE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>29.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>428892</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DELORIS H BECKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS E NAGEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DWAYNE B BLAKE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DWIGHT C HERBERT MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH DAWN HUNT DMD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC M STONE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EUGENE M JORDAN ESQ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCES HUNDLEY ELLIS</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE M LONGEST JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE ROYDEN GOODSON III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GORDON LEWELLYN GENTRY JR</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HALL RENFRO HOWARD MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HAROLD D JONES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>IRIS A LANE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BLAKE LONG MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M MULLINS III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES W MCCORRY DO</PersonNm>
        <TitleTxt>SERVICE LINE CHIEF, RDHW</TitleTxt>
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        <OtherCompensationAmt>30550</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JARED L BATES</PersonNm>
        <TitleTxt>VICE CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE ZEIDLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY MILTON HASKINS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEROLD WAYNE ALLEN</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C ISHON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C MINCKS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN T DEVER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOY ELLIOTT</PersonNm>
        <TitleTxt>PRES, MED STAFF/BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KARL J GEDDES MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH E HANGER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRBY H SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA BOWEN PHILLIPS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA A CASANOVA MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELVIN D SCHURSKY JR MD</PersonNm>
        <TitleTxt>PRESIDENT, MEDICAL STAFF</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DACEY MD</PersonNm>
        <TitleTxt>EVP/CCOO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MYRON KEITH HODGES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>NANCY C WEAKLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY WICK LITTLEFIELD</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NEHEMIAH THRASH MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA HALL GALLAGHER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA P BARRY MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL J MICALE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PHILIP G STOWELL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>RAYMOND DOMINGUEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>REBECCA ELLEN MCCOY CPA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD A FARMAR III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD FREDERICK CROWDER MD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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        <PersonNm>RICHARD JOEL PEARCE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD K DUNN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>ROBERT H SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>ROBERT J COURTER JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>ROBERT LEE MARBLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT R HARDING MD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT THOMAS DAVIS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD MURRAY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>RONALD LEE SAUNDERS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>SHEBA MOHSIN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>STEPHEN SILVASY JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>STEPHEN C ADAMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>STEVE SPAIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>SUSANNA B HICKMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA K THOMPSON NP</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>THERESA EMORY MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>THOMAS JOSEPH REAGAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VERNEETA L WILLIAMS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>VICKI MILES HAUSER</PersonNm>
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        <PersonNm>WALTER R CLEMONS PHD</PersonNm>
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        <PersonNm>WANDA M AUSTIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>WILLIAM BURNS DOWNEY</PersonNm>
        <TitleTxt>PRESIDENT,CEO RHS</TitleTxt>
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        <PersonNm>WILLIAM H MCALLISTER MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>WILLIAM L BRAUER</PersonNm>
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        <PersonNm>WILLIAM M GRACE</PersonNm>
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        <PersonNm>WILLIAM P HEATH JR</PersonNm>
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        <PersonNm>WILLIAM S MASSEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIA NICOLE VANHOOZIER</PersonNm>
        <TitleTxt>VP/ADMINISTRATOR RDHW</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES FRAZIER</PersonNm>
        <TitleTxt>VP MD</TitleTxt>
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        <PersonNm>CHARLES GRAHAM</PersonNm>
        <TitleTxt>VP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER PATRICK STOLLE MD</PersonNm>
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        <PersonNm>EDWARD G HECKLER</PersonNm>
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        <PersonNm>ELIZABETH MARTIN</PersonNm>
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        <PersonNm>ERIC B STONE MD</PersonNm>
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        <PersonNm>ESTHER MUSCARI DESIMINI</PersonNm>
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        <PersonNm>FAYE P GARGIULO</PersonNm>
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        <PersonNm>JASON KILGORE</PersonNm>
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        <PersonNm>JASON O HOUSER</PersonNm>
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        <PersonNm>LISA SALSBERRY</PersonNm>
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        <PersonNm>MICHAEL JOSEPH DOUCETTE</PersonNm>
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        <PersonNm>ROSS YOUNGER</PersonNm>
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        <PersonNm>SADIE THURMAN</PersonNm>
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        <PersonNm>VALENTINE WILLIAM CURRAN MD</PersonNm>
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        <CurrentTaxYearAmt>3265075</CurrentTaxYearAmt>
        <TotalAmt>9945364</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>9945364</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>730</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8362</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>283370</CurrentTaxYearAmt>
        <TotalAmt>315451</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1731289</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1291676</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3233478</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>157476</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>89009</CurrentTaxYearAmt>
        <TotalAmt>6502928</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>16763743</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>148919432</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.59327</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.47580</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3719</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29493</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31543</CurrentTaxYearAmt>
        <TotalAmt>64755</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>96469275</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>100546478</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>110067151</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>162557612</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>148919432</CurrentTaxYearAmt>
        <TotalAmt>618559948</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>96472994</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>100546478</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>110067151</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>162587105</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>148950975</CurrentTaxYearAmt>
        <TotalAmt>618624703</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>618624703</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>3539270</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36502</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-4046134</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-3719539</CurrentTaxYearAmt>
        <TotalAmt>-927375</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>3262526</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3539270</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36502</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-4046134</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-3719539</CurrentTaxYearAmt>
        <TotalAmt>-927375</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>13237431</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8851832</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13785249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18170944</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30662629</CurrentTaxYearAmt>
        <TotalAmt>160046821</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>112972951</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>112937580</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>123888902</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>176711915</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>175894065</CurrentTaxYearAmt>
        <TotalAmt>702405413</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.88072</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.88290</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00132</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>true</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>true</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>false</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>false</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>false</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <AdjustedNetIncomeGrp>
        <NetSTCapitalGainAdjNetIncmGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </NetSTCapitalGainAdjNetIncmGrp>
        <RecoveriesPYDistributionsGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </RecoveriesPYDistributionsGrp>
        <OtherGrossIncomeGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </OtherGrossIncomeGrp>
        <AdjustedGrossIncomeGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AdjustedGrossIncomeGrp>
        <DepreciationDepletionGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </DepreciationDepletionGrp>
        <ProductionIncomeGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </ProductionIncomeGrp>
        <OtherExpensesGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </OtherExpensesGrp>
        <TotalAdjustedNetIncomeGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </TotalAdjustedNetIncomeGrp>
      </AdjustedNetIncomeGrp>
      <MinimumAssetAmountGrp>
        <AverageMonthlyFMVOfSecGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AverageMonthlyFMVOfSecGrp>
        <AverageMonthlyCashBalancesGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AverageMonthlyCashBalancesGrp>
        <FMVOtherNonExemptUseAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </FMVOtherNonExemptUseAssetGrp>
        <TotalFMVOfNonExemptUseAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </TotalFMVOfNonExemptUseAssetGrp>
        <DiscountClaimedAmt>0</DiscountClaimedAmt>
        <AcquisitionIndebtednessGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AcquisitionIndebtednessGrp>
        <AdjustedFMVLessIndebtednessGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AdjustedFMVLessIndebtednessGrp>
        <CashDeemedCharitableGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </CashDeemedCharitableGrp>
        <NetVlNonExemptUseAssetsGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </NetVlNonExemptUseAssetsGrp>
        <PctOfNetVlNonExemptUseAstGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </PctOfNetVlNonExemptUseAstGrp>
        <RecoveriesPYDistriMinAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </RecoveriesPYDistriMinAssetGrp>
        <TotalMinimumAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </TotalMinimumAssetGrp>
      </MinimumAssetAmountGrp>
      <DistributableAmountGrp>
        <CYAdjNetIncomeDistributableAmt>0</CYAdjNetIncomeDistributableAmt>
        <CYPct85AdjustedNetIncomeAmt>0</CYPct85AdjustedNetIncomeAmt>
        <CYTotalMinAstDistributableAmt>0</CYTotalMinAstDistributableAmt>
        <CYGreaterAdjustedMinimumAmt>0</CYGreaterAdjustedMinimumAmt>
        <CYIncomeTaxImposedPYAmt>0</CYIncomeTaxImposedPYAmt>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <DistributionsGrp>
        <CYPaidAccomplishExemptPrpsAmt>0</CYPaidAccomplishExemptPrpsAmt>
        <CYPdInExcessIncomeActivityAmt>0</CYPdInExcessIncomeActivityAmt>
        <CYAdministrativeExpensePaidAmt>0</CYAdministrativeExpensePaidAmt>
        <ExemptUseAssetsAcquisPaidAmt>0</ExemptUseAssetsAcquisPaidAmt>
        <QualifiedSetAsideAmt>0</QualifiedSetAsideAmt>
        <CYOtherDistributionsAmt>0</CYOtherDistributionsAmt>
        <CYTotalAnnualDistributionsAmt>0</CYTotalAnnualDistributionsAmt>
        <CYDistriAttentiveSuprtOrgAmt>0</CYDistriAttentiveSuprtOrgAmt>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
        <CYDistributionYrRt>0</CYDistributionYrRt>
      </DistributionsGrp>
      <DistributionAllocationsGrp>
        <CYDistributableAsAdjustedAmt>0</CYDistributableAsAdjustedAmt>
        <UnderdistributionsAmt>0</UnderdistributionsAmt>
        <ExcessDistributionCyovYr5Amt>0</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>0</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>0</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>0</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>0</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>0</TotalExcessDistributionCyovAmt>
        <CyovAppliedUnderdistriPYAmt>0</CyovAppliedUnderdistriPYAmt>
        <CyovAppliedUnderdistrCPYAmt>0</CyovAppliedUnderdistrCPYAmt>
        <CarryoverPYNotAppliedAmt>0</CarryoverPYNotAppliedAmt>
        <ExcessDistributionCyovAmt>0</ExcessDistributionCyovAmt>
        <CYTotalAnnualDistributionsAmt>0</CYTotalAnnualDistributionsAmt>
        <CYDistribAppUnderdistriPYAmt>0</CYDistribAppUnderdistriPYAmt>
        <ExcessDistributionAmt>0</ExcessDistributionAmt>
        <RemainingUnderdistriPYAmt>0</RemainingUnderdistriPYAmt>
        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
        <ExcessDistriCyovToNextYrAmt>0</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear5Amt>0</ExcessFromYear5Amt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>0</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>0</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>0</ExcessFromYear1Amt>
      </DistributionAllocationsGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Riverside Healthcare Foundation, which is controlled by Riverside Healthcare Association, Inc., has determined that its hospital supported organizations, which qualify under 170(b)(1)(A)(iii), also qualify as public charities under section 509(a)(2)).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION B, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Riverside Healthcare Foundation also supported its other supported organizations within the Riverside Health System. That support carried out the purposes of Riverside Healthcare Association, Inc. (RHA) by strengthening the ability of the Foundations supported organizations to provide quality health care and improve the health of citizens in RHAs community.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART I, LINES 12 and 12a</FormAndLineReferenceDesc>
        <ExplanationTxt>RIVERSIDE HEALTHCARE FOUNDATION IS A SUBORDINATE WITHIN THE GROUP THAT IS RECOGNIZED BY THE IRS AS A 509(a)(3) TYPE I SUPPORTING ORGANIZATION. ACCORDINGLY, PART IV, SECTIONS A AND B HAVE BEEN COMPLETED.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>109853</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>109853</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Advocacy Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Salary and Expenses $ 49,636 Dues $ 60,199 ---------------------------- Total $109,835 Advocates on issues related to certificates of public need and all issues affecting healthcare such as hospitals, patients, physicians, and health insurance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1385267</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-26248</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1359019</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1241004</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>144263</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1385267</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1175020</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>65984</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1241004</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1186469</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-11449</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1175020</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1269006</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>46463</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>129000</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>1186469</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>12466847</OtherCostOrOtherBasisAmt>
        <BookValueAmt>12466847</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>367138467</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>156654363</DepreciationAmt>
        <BookValueAmt>210484104</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>487355453</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>356587772</DepreciationAmt>
        <BookValueAmt>130767681</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>15592808</DepreciationAmt>
        <BookValueAmt>11728349</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>365446981</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>2390393</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATION UNDER CAPITAL LEASE</Desc>
        <Amt>27749397</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE-CURRENT</Desc>
        <Amt>3130666</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTINGENT LIABILITY</Desc>
        <Amt>455873</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER NON-CURRENT LIABILITIES</Desc>
        <Amt>152930113</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER FUND</Desc>
        <Amt>157554153</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>344210595</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D Part V Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment funds are used for scholarships</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>36686823</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>36686823</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02420</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>57239443</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>53074190</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4165252</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00270</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>93926266</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>53074190</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>40852075</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02690</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2306717</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2306717</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>24044296</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>12308851</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11735445</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00770</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>2145256</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1258869</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>886387</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>2021323</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2021322</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>30517592</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13567720</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>16949871</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01110</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>124443858</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>66641910</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>57801946</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03800</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>71701992</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>274676902</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>269034558</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>5642344</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>6</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Riverside Regional Medical Center</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>500 J CLYDE MORRIS BLVD</AddressLine1Txt>
          <CityNm>NEWPORT NEWS</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23601</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.riversideonline.com/rrmc/</WebsiteAddressTxt>
        <StateLicenseNum>H1887</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>Riverside Hospital Inc</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>521245746</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>Inpat Psychiatric</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Riverside Walter Reed Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7519 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>GLOUCESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23061</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.riversideonline.com/rwrh/</WebsiteAddressTxt>
        <StateLicenseNum>H1890</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>Riverside Middle Peninsula H</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>521241836</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Riverside Tappahannock Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>618 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>TAPPAHANNOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22560</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.riversideonline.com/rth/</WebsiteAddressTxt>
        <StateLicenseNum>H1889</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>Riverside Tappahannock Hospi</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>541489410</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Riverside Doctors Hosp Williamsburg</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1500 Commonwealth Avenue</AddressLine1Txt>
          <CityNm>Williamsburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23185</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.riversideonline.com/rdhw/</WebsiteAddressTxt>
        <StateLicenseNum>H1937</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>Doctors' Hospital of William</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>271540267</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>5</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Riverside Rehabilitation Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4714 Gettysburg Road</AddressLine1Txt>
          <CityNm>Mechanicsville</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.riverside-rehabilitation.com</WebsiteAddressTxt>
        <StateLicenseNum>H1888</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>Coastal Virginia Rehabilitat</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>821270202</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>inpat rehabilitation</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>6</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Select Specialty Hospital-Hampton Rds</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>245 Chesapeake Ave</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23607</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>hamptonroads.selectspecialtyhospitals.co</WebsiteAddressTxt>
        <StateLicenseNum>H1925</StateLicenseNum>
        <SubordinateHospitalName>
          <BusinessNameLine1Txt>LTACH Riverside LLC</BusinessNameLine1Txt>
        </SubordinateHospitalName>
        <SubordinateHospitalEIN>743135196</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>Long Term Acute Care</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Riverside Regional Medical Center</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Sect. C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Sect. C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Sect. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Riverside Walter Reed Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Sect. C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Sect. C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Sect. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Riverside Tappahannock Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>3</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Sect. C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Sect. C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Sect. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Riverside Doctors Hosp Williamsburg</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>5</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Sect. C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Sect. C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Sect. C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Sect. C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FormAndLineReferenceDesc>Riverside Regional Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, three Riverside Health System hospitals (Riverside Regional Medical Center, Riverside Rehabilitation Institute and Hampton Roads Specialty Hospital) worked together to conduct a CHNA for the Peninsula region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, Riverside Health System worked with Sentara Health System to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 120 (13%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the two area health departments as well as the first responders in the various localities). A full list of the organizations that completed the survey can be found on pages 97-98 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results. This group prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics and the VA Medical Center, the Community Services Board, local non-profit groups such as the United Way and members of the local business community. The administrators of the three Riverside hospitals in the region also participated in this group. Line 6a. Riverside Regional Medical Center, Riverside Rehabilitation Institute and Hampton Roads Specialty Hospital worked together on the 2016 CHNA process. While the CHNAs were not conducted jointly, Riverside Regional Medical Center also worked with Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 6b. Riverside Regional Medical Center didnt formally conduct the CHNA with other non-hospital facilities, but it did approach and work with local organizations to review and approve the CHNA and Implementation Plan including the Peninsula Community Health Collaborative, the local offices of the Virginia Department of Health the United Way and the Foodbank of the Virginia Peninsula. Line 7a. riversideonline.com/about_riverside/community-health-needs.cfm Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request of the facility, Riverside has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. riversideonline.com/about_riverside/community-health-needs.cfm Line 11. Through the CHNA process Riverside Health system identified many significant needs in the community. Through meetings with community leaders, Riverside determined to focus its efforts on addressing five main areas of issues: 1) Mental Health 2) Healthy Lifestyle / Heart Healthy Lifestyle / Obesity / Diabetes; 3) Housing; 4) Vulnerable Populations and 5) Health Insurance and Access. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue working on mental health issues through direct clinical inpatient and outpatient services. Additionally, Riverside will continue to work with other partner organizations such as the VA Medical Center, the Community Services Board and first responders. In response to the ongoing opiate addiction crisis, Riverside will continue its work with the Hampton Roads Working Group on Heroin and partnering with other local organizations to address the issue from multiple angles. For Healthy Lifestyle issues, Riverside will continue to focus on community education as well as partnering with other local health care organizations and public health leaders to address the issue of healthy nutrition in the region. For Access and Insurance, Riverside will continue to support the United Way as it re-establishes itself in the community as the lead organization for connecting individuals to services across the region. Riverside will also work to address transportation solutions. For Safety Net issues, Riverside will continue to provide care to individuals in accordance with its Financial Assistance Policy as well as to work closely with safety net providers including free clinics in the region to ensure high quality care is provided across the region. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Chronic Respiratory Conditions, Stroke, Cancer, Reproductive Health, Infant Mortality, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. riversideonline.com/patients_guests/financial-assistance.cfm Line 16b. riversideonline.com/patients_guests/financial-assistance.cfm Line 16c. riversideonline.com/patients_guests/financial-assistance.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Riverside Walter Reed Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, two Riverside Health System hospitals (Riverside Walter Reed Hospital and Riverside Tappahannock Hospital) worked together to conduct their CHNAs for the Middle Peninsula and Northern Neck regions. While each hospital developed their own CHNA, the Implementation Plan was developed jointly as the markets overlap with so many existing organizations such as the Virginia Department of Healths Three Rivers Health District, the Community Services Board and the Bay Agency on Aging organization. Both hospitals utilized the consulting group Community Health Solutions to conduct a survey of community stakeholders. The RWRH survey was sent to 156 individuals across the area, of which 49 (31%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Bay Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the Three Rivers Health Department as well as the first responders in the various localities). A full list of the organizations that completed the survey can be found on pages 62-63 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results for both Riverside Walter Reed Hospital and Riverside Tappahannock Hospital. This group met multiple times and prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics, the Community Services Board and local non-profit groups. The administrators of the two Riverside hospitals in the region also participated in this group. Line 6a. Riverside Walter Reed Hospital worked with Riverside Tappahannock Hospital to prioritize the needs and develop a joint implementation plan. Line 6b. Riverside Walter Reed Hospital didnt formally conduct the CHNA with other non-hospital facilities, but it did look to other area non-hospital organizations to give input and guidance in reviewing the CHNA and developing the Implementation Plan. These organizations included the Three Rivers Health District, the Community Services Board, the Bay Agency on Aging organization and local county social workers, law enforcement and free clinics. Line 7a. riversideonline.com/about_riverside/community-health-needs.cfm Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request of the facility, Riverside Health System has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. riversideonline.com/about_riverside/community-health-needs.cfm Line 11. Through the CHNA process Riverside Health System identified many significant needs in the community. Through meetings with community leaders, Riverside determined to focus its efforts on addressing five main areas of issues: 1) Mental Health 2) Healthy Lifestyle / Obesity / Diabetes; 3) Healthy Aging; 4) Housing and 5) Transportation. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue partnering with the local community services board, as well as provide clinical care. Additionally, Riverside will work through the Middle Peninsula Northern Neck Regional Resource Council to find areas of collaboration and communication. For Healthy Lifestyle work, Riverside will collaborate with local organizations around the issue of nutrition education, access to healthy food and healthy lifestyle habits. Overall, the local organizations identified that many groups were already working to address many of the identified focus areas, and asked that Riverside focus its efforts on capacity building through strengthening the Middle Peninsula Northern Neck Regional Resource Council as a means of connecting existing interventions. This was identified for all of the identified priority needs. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Chronic Respiratory Conditions, Stroke, Cancer, Reproductive Health, Infant Mortality, Hypertension, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. riversideonline.com/patients_guests/financial-assistance.cfm Line 16b. riversideonline.com/patients_guests/financial-assistance.cfm Line 16c. riversideonline.com/patients_guests/financial-assistance.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Riverside Tappahannock Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, two Riverside Health System hospitals (Riverside Walter Reed Hospital and Riverside Tappahannock Hospital) worked together to conduct their CHNAs for the Middle Peninsula and Northern Neck regions. While each hospital developed their own CHNA, the Implementation Plan was developed jointly as the markets overlap with so many existing organizations such as the Three Rivers Health District, the Community Services Board and the Bay Agency on Aging organization. Both hospitals utilized the consulting group Community Health Solutions to conduct a survey of community stakeholders. The RTH survey was sent to 213 individuals across the area, of which 47 (22%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Bay Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the Three Rivers Health Department as well as the first responders in the various localities). A full list of the organizations that completed the survey can be found on pages 62-63 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results for both Riverside Walter Reed Hospital and Riverside Tappahannock Hospital. This group met multiple times and prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics, the Community Services Board and local non-profit groups. The administrators of the two Riverside hospitals in the region also participated in this group. Line 6a. Riverside Tappahannock Hospital worked with Riverside Walter Reed Hospital to prioritize the needs and develop a joint implementation plan. Line 6b. Riverside Tappahannock Hospital didnt formally conduct the CHNA with other non-hospital facilities, but it did look to other area non-hospital organizations to give input and guidance in reviewing the CHNA and developing the Implementation Plan. These organizations included the Three Rivers Health District, the Community Services Board, the Bay Agency on Aging organization and local county social workers, law enforcement and free clinics. Line 7a. riversideonline.com/about_riverside/community-health-needs.cfm Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request the facility, Riverside Health System has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. riversideonline.com/about_riverside/community-health-needs.cfm Line 11. Through the CHNA process Riverside identified many significant needs in the community. Through meetings with community leaders, Riverside determined to focus its efforts on addressing five main areas of issues: 1) Mental Health 2) Healthy Lifestyle / Obesity / Diabetes; 3) Healthy Aging; 4) Housing and 5) Transportation. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue partnering with the local community services board, as well as provide clinical care. Additionally, Riverside will work through the Middle Peninsula Northern Neck Regional Resource Council to find areas of collaboration and communication. For Healthy Lifestyle work, Riverside will collaborate with local organizations around the issue of nutrition education, access to healthy food and healthy lifestyle habits. Overall, the local organizations identified that many groups were already working to address many of the identified focus areas, and asked that Riverside focus its efforts on capacity building through strengthening the Middle Peninsula Northern Neck Regional Resource Council as a means of connecting existing interventions. This was identified for all of the identified priority needs. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Chronic Respiratory Conditions, Stroke, Cancer, Reproductive Health, Infant Mortality, Hypertension, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. riversideonline.com/patients_guests/financial-assistance.cfm Line 16b. riversideonline.com/patients_guests/financial-assistance.cfm Line 16c. riversideonline.com/patients_guests/financial-assistance.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Riverside Doctors Hosp Williamsburg</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, Riverside Doctors Hospital of Williamsburg worked to conduct a CHNA for the Williamsburg region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, RDHW worked with Riverside Regional Medical Center, Riverside Rehabilitation Institute, Hampton Roads Specialty Hospital, Sentara Williamsburg Regional Medical Center and Sentara Careplex to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 114 (12.4%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the local health department as well as the first responders in the various localities). A full list of the organizations that completed the survey can be found on pages 68 of the CHNA. While RDHW did not work with Sentara Williamsburg Regional Medical Center to conduct its CHNA, the two facilities worked together on the survey and worked together to prioritize the needs and create an implementation plan. Once that plan had been prepared, it was reviewed and approved by the Williamsburg Chronic Care Collaborative, a group of local safety net / free clinic providers that meets with the Williamsburg Health Foundation. Line 6a. Riverside Doctors Hospital Williamsburg created its own CHNA, but worked with Sentara Williamsburg Regional Medical Center to develop prioritized needs and create an implementation plan. Additionally, RDHW worked with Riverside Regional Medical Center, Riverside Rehabilitation Institute, Hampton Roads Specialty Hospital, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 6b. Riverside Doctors Hospital Williamsburg didnt formally conduct the CHNA with other non-hospital facilities, but it did approach the Williamsburg Chronic Care Collaborative to review and approve the CHNA and Implementation Plan. The Williamsburg Chronic Care Collaborative is made up of many different organizations including the Health Department, area free clinics and the Williamsburg Health Foundation. Line 7a. riversideonline.com/about_riverside/community-health-needs.cfm Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request of the facility, Riverside has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. riversideonline.com/about_riverside/community-health-needs.cfm Line 11. Through the CHNA process Riverside Health System identified many significant needs in the community. Through meetings between Riverside Doctors Hospital Williamsburg and Sentara Williamsburg Regional Medical Center, the two facilities identified Heart Disease as the priority health concern to be addressed. As noted in more detail in the Implementation Plan the goal was to make Williamsburg a Heart Safe community. This was to be done through efforts around education &amp; prevention, screening and clinical care. Both facilities agreed to work with other local organizations such as the American Heart Association, the Chamber of Commerce and area free clinics to work on the issue. This work has been underway since that time, and RDHW is pleased to report that through the group efforts throughout the community, the Williamsburg / James City County region has earned the designation as a HeartSafe Community. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Cancer, Mental Health, Chronic Respiratory Conditions, Stroke, Reproductive Health, Infant Mortality, Hypertension, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. riversideonline.com/patients_guests/financial-assistance.cfm Line 16b. riversideonline.com/patients_guests/financial-assistance.cfm Line 16c. riversideonline.com/patients_guests/financial-assistance.cfm</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Riverside Rehabilitation Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, three Riverside Health System hospitals (Riverside Regional Medical Center, Riverside Rehabilitation Institute and Hampton Roads Specialty Hospital) worked together to conduct a CHNA for the Peninsula region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, Riverside worked with Sentara Health System to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 120 (13%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the two area health departments as well as the first responders in the various localities). A full list of the organizations can be found on pages 97-98 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results. This group prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics and the VA Medical Center, the Community Services Board, local non-profit groups such as the United Way and members of the local business community. The administrators of the three Riverside hospitals in the region also participated in this group. Line 6a. Riverside Regional Medical Center, Riverside Rehabilitation Institute and Hampton Roads Specialty Hospital worked together on the 2016 CHNA process. While the CHNAs were not conducted jointly, Riverside Regional Medical Center also worked with Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 6b. The hospital didnt formally conduct the CHNA with other non-hospital facilities, but it did look to other area non-hospital organizations to give input and guidance in reviewing the CHNA and developing the Implementation Plan. Line 7a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request of the facility, Riverside has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 11. Through the CHNA process Riverside identified many significant needs in the community. Through meetings with community leaders, Riverside determined to focus its efforts on addressing five main areas of issues: 1) Mental Health 2) Healthy Lifestyle / Heart Healthy / Obesity / Diabetes; 3) Housing; 4) Vulnerable Populations and 5) Health Insurance and Access. As noted in more detail in the Implementation Plan, these areas will be addressed through a variety of ways. Riverside will continue working on mental health issues through direct clinical inpatient and outpatient services. Additionally, Riverside will continue to work with other partner organizations such as the VA Medical Center, the Community Services Board and first responders. In response to the ongoing opiate addiction crisis, Riverside will continue its work with the Hampton Roads Working Group on Heroin and partnering with other local organizations to address the issue from multiple angles. For Healthy Lifestyle issues, Riverside will continue to focus on community education as well as partnering with other local health care organizations and public health leaders to address the issue of healthy nutrition in the region. For Access and Insurance, Riverside will continue to support the United Way as it re-establishes itself in the community as the lead organization for connecting individuals to services across the region. Riverside will also work to address transportation solutions. For Safety Net issues, Riverside will continue to provide care to individuals in accordance with its Financial Assistance Policy as well as to work closely with safety net providers including free clinics in the region to ensure high quality care is provided across the region. Not every need identified through the CHNA process could be addressed as a priority area due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem. Therefore, the following identified issues were not identified as priorities for the 2016 CHNA / Implementation Plan cycle: Chronic Respiratory Conditions, Stroke, Cancer, Reproductive Health, Infant Mortality, Septicemia, Nephritis, Unintentional Injury, Domestic violence and chronic pain. That said, many of these issues are already being addressed through existing Riverside programs, and Riverside will continue to evaluate the possibility of expanding if needs arise. Additionally, some issues that were listed in the survey as potential issues did not rise to the top of the quantitative analysis or qualitative survey process and will also not be addressed as priority issues. These include: Environmental Health, Drowning and Water Safety, Autism, HIV / AIDS, Dental / Oral Care, Neurological Problems, Arthritis, Hunger, Renal Disease, Orthopedic Problems, Sexually Transmitted Diseases, Violence, Physical Disabilities and Bullying. Again, some of these areas are already being addressed by existing Riverside Services. Line 16a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16b. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16c. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospitals best efforts. Line 20d. The hospital did not make presumptive eligibility determinations, however it made efforts to process all complete and incomplete FAP applications. Line 21. The Coastal Virginia Rehabilitation facility does not have an emergency room; it provides only rehabilitation services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Select Specialty Hospital-Hampton Roads</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 5. In the 2016 CHNA process, three Riverside Health System hospitals worked together to conduct a CHNA for the Peninsula region. Part of this process included soliciting input from a wide variety of community stakeholders through a survey. Utilizing the consulting group Community Health Solutions, Riverside worked with Sentara Health System to conduct a joint survey of community stakeholders. The survey was sent to 922 individuals across the area, of which 120 (13%) responded. After the initial surveys were distributed, Riverside reached out through emails, letters and personal phone calls to encourage individuals to take the survey and help provide feedback and guidance in this process. Surveys were sent to individuals who represented the broad community (such as local government, school and business leaders), seniors (such as the Peninsula Agency on Aging), minority populations (such as faith community leaders), uninsured populations (such as local free clinics), people with behavioral health and substance abuse challenges (such as the area Community Services Boards), low income populations (safety net organizations including food banks and area social services departments) and individuals with expertise in public health (including the two area health departments as well as the first responders in the various localities). A full list of the organizations of the can be found on pages 97-98 of the CHNA. In addition to the initial survey work, a smaller group was assembled to review the CHNA and survey results. This group prioritized the needs to be addressed and provided guidance to Riverside on how to best create an implementation plan that would be meaningful to the community. This smaller group included individuals from local governments, law enforcement and first responders, public health free clinics and the VA Medical Center, the Community Services Board, local non-profit groups such as the United Way and members of the local business community. The administrators of the three Riverside hospitals in the region also participated in this group. Line 6a. Hampton Roads Specialty Hospital worked with Riverside Regional Medical Center and Riverside Rehabilitation Institute on the 2016 CHNA process. While the CHNAs were not conducted jointly, Hampton Roads Specialty Hospital also worked with Riverside Rehabilitation Institute, Riverside Regional Medical Center, Riverside Doctors Hospital Williamsburg, Sentara Careplex Hospital and Sentara Williamsburg Regional Medical Center to conduct joint regional surveys of community stakeholders. Line 6b. The hospital didnt formally conduct the CHNA with other non-hospital facilities, but it did look to other area non-hospital organizations to give input and guidance in reviewing the CHNA and developing the Implementation Plan. Line 7a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 7d. In addition to having the CHNA and Implementation Strategy on the website and available by request of the facility, Riverside has made an effort to share the document with regional leaders, including mailing copies to local government officials and representatives as well as sharing with local groups such as the Chamber of Commerce, Rotary groups and other local organizations. Line 10a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16a. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16b. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16c. https://hamptonroads.selectspecialtyhospitals.com/patients-and-families/ad missions/special-information-for-florida-ohio-and-virginia-hospitals/ Line 16d. The FAP was only available by mail by request. Line 16e. The FAP application was only available by mail by request. Line 16f. A plain language summary of the FAP was only available by mail by request. Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospitals best efforts. Line 20d. The hospital did not make presumptive eligibility determinations, however it made efforts to process all complete and incomplete FAP applications.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>33</FacilityNum>
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          <BusinessName>
            <BusinessNameLine1Txt>Newport Square Professional Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>856 J Clyde Morris Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23601</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Services</FacilityTxt>
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            <BusinessNameLine1Txt>Cancer Specialists TW- Chspke</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>110 Wimbledon Square</AddressLine1Txt>
            <CityNm>Chesapeake</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23320</ZIPCd>
          </USAddress>
          <FacilityTxt>Infusion Therapy Center</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cancer Specialists TW- Suffolk (Stark)</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>5835 Harbor View Blvd</AddressLine1Txt>
            <CityNm>Suffolk</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23435</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care Services</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Cancer Specialists TW- Bayview</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 Colonial Road</AddressLine1Txt>
            <CityNm>Virginia Beach</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23454</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care Services</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Patriots Colony</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6000 Patriots Colony Dr</AddressLine1Txt>
            <CityNm>Williamsburg</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23188</ZIPCd>
          </USAddress>
          <FacilityTxt>Retirement Center</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Brentwood - Med Ed</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10510 Jefferson Avenue</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23601</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PACE - Newport News</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>439 C Oriana Road</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23608</ZIPCd>
          </USAddress>
          <FacilityTxt>Elder Care Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Warwick Forest Retirement</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>866 Old Denbigh Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23602</ZIPCd>
          </USAddress>
          <FacilityTxt>Retirement Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MDExpress - Newport News</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12997 Warwick Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23602</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PACE - Richmond MacTavish</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1300 Mactavish Ave</AddressLine1Txt>
            <CityNm>Richmond</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23230</ZIPCd>
          </USAddress>
          <FacilityTxt>Elder Care Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cancer Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12100 Warwick Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23601</ZIPCd>
          </USAddress>
          <FacilityTxt>Radiation Oncology Infusion Therapy Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Oyster Point Diagnostic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>895 City Center Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23606</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Convalescent - Hampton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>414 Algonquin Rd</AddressLine1Txt>
            <CityNm>Hampton</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23661</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Services Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RHS-Hampton Project</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>850 Enterprise Pkwy</AddressLine1Txt>
            <CityNm>Hampton</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23666</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>The Orchard-Magnolia Manor</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20 Delfae Drive</AddressLine1Txt>
            <CityNm>Warsaw</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22572</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Services Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Sanders Retirement Village</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7385 Walker Ave</AddressLine1Txt>
            <CityNm>Gloucester</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23061</ZIPCd>
          </USAddress>
          <FacilityTxt>Retirement Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Peninsula Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12000 Warwick Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23601</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RCC-Smithfield Conv-Magnolia</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Lumar Road</AddressLine1Txt>
            <CityNm>Smithfield</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23430</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Center Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Williamsburg Healthcare Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>120 Kings Way</AddressLine1Txt>
            <CityNm>Williamsburg</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23185</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic Center Infusion Therapy Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Radiation Therapy Williamsburg</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3901 Treyburn Drive</AddressLine1Txt>
            <CityNm>Williamsburg</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23185</ZIPCd>
          </USAddress>
          <FacilityTxt>Radiation Oncology Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Convalescent - West Point</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2960 Chelsea Road</AddressLine1Txt>
            <CityNm>West Point</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23181</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Services Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Convalescent - Mathews</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>603 Main Street</AddressLine1Txt>
            <CityNm>Mathews</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23109</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Services Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Convalescent - Saluda</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>672 Gloucester Road</AddressLine1Txt>
            <CityNm>Saluda</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23149</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Services Nursing Home</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Walter Reed Professional Ctr</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>Route 17 - Hospital Drive</AddressLine1Txt>
            <CityNm>Gloucester</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23061</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PCI GloucesterRWR Rad Onc Ctr</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7544 Medical Drive</AddressLine1Txt>
            <CityNm>Gloucester</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23061</ZIPCd>
          </USAddress>
          <FacilityTxt>Radiation Oncology Infusion Therapy Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Wellness - Peninsula</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12650 Jefferson Ave</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23602</ZIPCd>
          </USAddress>
          <FacilityTxt>Fitness Center Physical Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Tappahannock Hospital Home Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>658 Hospital Road</AddressLine1Txt>
            <CityNm>Tappahannock</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22560</ZIPCd>
          </USAddress>
          <FacilityTxt>Home Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Tappahannock Hospice</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>289 Hospital Road</AddressLine1Txt>
            <CityNm>Tappahannock</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22560</ZIPCd>
          </USAddress>
          <FacilityTxt>Hospice Services</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Rehab Institute</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>245 Chesapeake Ave</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23607</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabiliation Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Tappahannock Professional Office Bldg A</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>659 Hospital Raod</AddressLine1Txt>
            <CityNm>Tappahannock</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22560</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RDC - Smithfileld</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>202 Gumwood Drive</AddressLine1Txt>
            <CityNm>Smithfield</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23434</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic Center</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Convalescent Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Old Denbigh Blvd</AddressLine1Txt>
            <CityNm>Newport News</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23602</ZIPCd>
          </USAddress>
          <FacilityTxt>Convalescent Center Nursing Home</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PACE - Petersburg</BusinessNameLine1Txt>
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            <AddressLine1Txt>319 Brown Street</AddressLine1Txt>
            <CityNm>Petersburg</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23803</ZIPCd>
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          <FacilityTxt>Elder Care Services</FacilityTxt>
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        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 1: Part I Line 3c: Free care uses 200% and discounted care uses 400% of the FPG. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $71,849,816. Line 1: Part I Line 7A: The cost to charge ratio calculated on worksheet 2 was used for the charity expense. Line 1: Part I Line 7B: Medicaid cost and net revenue are directly from the Medicaid cost report. Line 1: Part I Line 7E: Community health improvement is actual cost accumulated by the individuals participating in the activities. Line 1: Part I Line 7F: Health Professions Education cost is from the 2018 Medicare Cost Report plus overhead calculated from the Medicare Cost 2018 Report. Line 1: Part I Line 7H: Research costs are expenses less any funding received. Line 1: Part I Line 7I: Cash and in kind contributions are the actual 2018 dollar value of the cash or items given. Line 1: Part III Line 2: 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. Line 1: Part III Line 3: 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 write off and would not be included in bad debt. The only population that may fall into the bad debt is if the patient was uninsured with a household income between 201% and 400% of the Federal Poverty Level which received a 75% financial assistance write off of eligible billed charges. The patient would have a liability of 25% of the billed amount. If the patient did not pay the 25% amount, that liability could be sent to bad debt. The financial assistance write off of 75% is not applied to bad debt. However, our procedures for identifying FAP-eligible individuals are thorough, therefore we do not estimate any amount of bad debt to be attributable to FAP-eligible patients. Line 1: Part III Line 4: Footnote 4 of the Audited Financial Statements states: Patient accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the System records a provision for bad debts in the period of service on the basis of its past experience. The difference between standard rates (or discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts. Line 1: Part III Line 8: The organization uses CMS cost reporting guidelines and methodology to determine allowable Medicare costs. The shortfall from Medicare should be recognized as a community benefit, since the patients are provided services at a loss for the facility. The Health System is assuring that these essential emergency and acute care services are provided for the population's health. Not included in this shortfall are costs that Medicare considers non allowable. Line 1: Part III Line 9b: Collections procedures would not occur if the patient was known to qualify for financial assistance. The financial assistance adjustments would occur prior to collections based on the presumptive eligibility of the patients FPL score. If the patient believed the presumptive eligibility score was incorrect and they believed they were eligible for financial assistance the patient must complete a Financial Assistance Application to determine financial assistance eligibility. The results will be used to clarify the patients FPL. This form can be found at: https://www.riversideonline.com/patients_guests/financial-assistance.cfm and must be completed and submitted within 240 days after first post discharge bill. An incomplete application will be returned for completion. If the completed Financial Assistance Application is submitted within 240 days of first post discharge bill, but after a debt has been referred to a collection agency, all ECAs will cease until a determination can be made based on the information provided. If the patient is determined to be eligible, debts will be written off to charity and all ECAs reversed. Line 2. Riverside Health System has embraced the Community Health Needs Assessment process as the way to best assess the health care needs of the communities it serves. To supplement this data, Riverside also utilizes resources such as the Virginia Atlas of Community Health, demographic data, as well as observing utilization and diagnoses trends across the Riverside service areas and nationally. Finally, Riverside works closely with other community leaders to identify and respond to local needs. Having community-based boards also allows for continuous feedback from individuals living and working in the service area. Line 3: Riverside makes available the Financial Assistance Policy and plain language summary to patients and answers questions patients have about it via our call center. Riverside also screens patients for Medicare, Medicaid and commercial insurances. We will also assist in filling out Medicaid applications and submit retro-authorizations when applicable to assist patients in getting their bill paid or adjusted. Line 4. The service area for Riverside Healthcare Association, dba Riverside Health System, covers a wide geographic area, from the Potomac River to south of the James River in southeastern Virginia. The entire Peninsula region, including James City County, Williamsburg (where RDHW is located), Newport News (where Riverside Regional Medical Center is located), Hampton, York and Poquoson has a 2020 forecasted population of approximately 555,000 people. The Virginia Peninsula is bordered on the east by the Chesapeake Bay, on the south by the James River and the north by the York River. Access to health care facilities not located on the Peninsula is restricted by tunnels and bridges, with three connections to various points across the James and the Bay, and one bridge north across the York. Numerous waterways, inlets and marshlands are prominent in the landscape and restrict traffic in certain areas, requiring a system of bridges or circuitous routes for local travel. Interstate 64 runs the length of the Peninsula, providing access some 75 miles from Newport News to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). The 2016 Virginia Department of Transportation study reports Average Annual Weekday Traffic counts of 163,000 along this corridor. The Virginia Peninsula region, per 2020 Census Projections, is approximately 52% White, 38% Black, and the remaining 10% a combination of Asian, Native American, Other and Two or More Races. While still a small overall percentage, the Hispanic community is growing, with 13% growth projected from 2015 to 2020. Median household income is projected to be $59,562 in 2020, with Per Capita Income projected to be at $30,503. The median age is projected to be 35.9 in 2020. The communitys population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 14 percent of the population. Within the market, all of the localities with the exception of the city of Poquoson qualify for full or partial designation as Medically Underserved Service Areas. While the military only accounts for 10% of the direct employment in the region, the impact of the armed forces is much larger. With the largest private employer being Huntington Ingalls Newport News Shipbuilding (maker of nuclear powered aircraft carriers and submarines) with more than 20,000 local workers, and the many smaller contracting companies that support the Newport News Shipyard, local Navy bases and Langley AFB / NASA Langley, more than 50% of the regional economy is connected to the defense industry. It is also a popular</ExplanationTxt>
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          <BusinessNameLine1Txt>American Diabetes Association</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>American Heart Association Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>An Achievable Dream Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine2Txt>Ste A</AddressLine2Txt>
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          <BusinessNameLine1Txt>Community Free Clinic of Newport News</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Fear 2 Freedom Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 6104</AddressLine1Txt>
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        <PurposeOfGrantTxt>2018 Spons-Pymnt 2 of 5</PurposeOfGrantTxt>
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          <AddressLine1Txt>2401 Aluminum Avenue</AddressLine1Txt>
          <AddressLine2Txt>Suite B</AddressLine2Txt>
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          <BusinessNameLine1Txt>Hampton University Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 E Queen Street</AddressLine1Txt>
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          <BusinessNameLine1Txt>Here For The Girls</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>March of Dimes</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Medical College of VA Foundation</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Peninsula Community Foundation of VA Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 3648</AddressLine1Txt>
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          <AddressLine1Txt>7827 Warwick Blvd</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
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          <BusinessNameLine1Txt>RX Drug Access Partnership</BusinessNameLine1Txt>
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          <AddressLine1Txt>2924 Emerywood Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
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        <PurposeOfGrantTxt>2018 Sponsor/Partner</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Virginia Center for Inclusive Communities</BusinessNameLine1Txt>
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          <AddressLine1Txt>5511 Staples Mill Road</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23228</ZIPCd>
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          <BusinessNameLine1Txt>Virginia Living Museum Inc</BusinessNameLine1Txt>
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          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23601</ZIPCd>
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        <PurposeOfGrantTxt>2018 Spon-Otter Ball</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Williamsburg Indoor Sports Complex</BusinessNameLine1Txt>
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          <CityNm>Williamsburg</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23188</ZIPCd>
        </USAddress>
        <RecipientEIN>541966400</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>2018 Spon-YRLY Partner</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Riverside Hospital Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <AddressLine2Txt>Suite 800</AddressLine2Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
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        <RecipientEIN>521245746</RecipientEIN>
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        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Riverside Healthcare Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <AddressLine2Txt>Suite 800</AddressLine2Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23602</ZIPCd>
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        <RecipientEIN>521241989</RecipientEIN>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grant Explanation</FormAndLineReferenceDesc>
        <ExplanationTxt>A fund distribution form is completed and signed by an authorized administrator of the benefiting facility. Requests are approved according to the specifics of the fund's governing charter. If a fund request doesn't comply the money is not distributed.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>EDWARD G HECKLER</PersonNm>
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        <PersonNm>ESTHER MUSCARI DESIMINI</PersonNm>
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        <PersonNm>SADIE THURMAN</PersonNm>
        <TitleTxt>VP RN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>183764</TotalCompensationFilingOrgAmt>
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        <PersonNm>SALLY HARTMAN</PersonNm>
        <TitleTxt>SR VP, HUMAN RESOURCES</TitleTxt>
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        <TotalCompensationFilingOrgAmt>522023</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SALLY RYAN</PersonNm>
        <TitleTxt>VP PHYSICIAN SERVICES</TitleTxt>
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        <TotalCompensationFilingOrgAmt>346203</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEBA MOHSIN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>170824</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>269997</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TYLER WIND</PersonNm>
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        <BaseCompensationFilingOrgAmt>948628</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>1207730</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VERNEETA L WILLIAMS MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>214992</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WALTER WILLIAM AUSTIN JR</PersonNm>
        <TitleTxt>SR VP, CFO &amp; TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>459984</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM BURNS DOWNEY</PersonNm>
        <TitleTxt>PRESIDENT,CEO RHS</TitleTxt>
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        <PersonNm>WILLIAM H MCALLISTER MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part 1, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Severance Payment Megan Crain $247,256</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part 1, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>ADRIA VANHOOZIER $24,939 CHARLES FRAZIER $50,609 CHARLES GRAHAM $42,404 CHRISTOPHER STOLLE $50,449 CYNTHIA WILLIAMS $31,671 DENNIS LOFTUS $44,655 EDWARD HECKLER $26,777 ELIZABETH MARTIN $39,846 ERIC STONE $38,713 ESTHER DESIMINI $29,641 FAYE GARGIULO $31,480 JASON HOUSER $42,761 KEITH PERCIC $32,211 LISA SALSBERRY $23,704 MEGAN CRAIN $30,907 MICHAEL DACEY $93,600 MICHAEL DOUCETTE $63,687 NANCY LITTLEFIElD $39,493 SALLY HARTMAN $52,142 SALLY RYAN $31,405 WALTER AUSTIN $63,431 WILLIAM DOWNEY $189,000 --------------------------- TOTAL $1,073,525 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.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA PHILLIPS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>298659</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>LINDA PHILLIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule L, Part IV Linda Phillips' family members own a firm that contracts with Riverside.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE O</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Lines 3 and 4/Part VI Lines 1a and 1b The number of voting members and independent voting members reported in Part I line 3 and 4/Part VI lines 1a and 1b is higher than the total count of board members reported in Part VII as several of the board members sit on several of the entities included within the Group return but have only been listed once. Part V, Line 3A Riverside Hospital, Inc. EIN 52-1245746, a subordinate company, had unrelated business income greater than $1,000 and 990-T was filed. Part VI, Section A, Line 2 William Downey and Gordon Gentry serve together on a Board of Directors of a local entity. Alan Witt and William Downey serve together on a Board of Directors of a local entity. John Ishon and Eugene Jordan have a family relationship. Part VI, Section A, Line 6 The Organization is a not for profit corporation with members. The members have the right to participate in the Organization's governance, including electing members of the governing body and to approve significant decisions of the governing body. Part VI, Section A, Line 7a Members of the governing body are subject to approval by the Member. Part VI, Section A, Line 7b Significant items such as merger, amendment of charter documents, and appointment of Board members requires the approval of the member corporation. Part VI, Section 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. The entire Form 990 was reviewed by an independent accounting firm before filing. Part VI, Section 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,Section B, Line 15 A&amp;B 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, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon request. Part XI Line 9: Pension Adjustment $-3,642,100 Distribution of Equity $-4,860,023 Asset Transfer from Charlottesville Area Retirement Services $-8,886,173 Other Change in Fund $-3,540,147 ------------------------------------------------------------------------ Total $-20,928,443</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Riverside Healthcare Assocation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>521241835</EIN>
        <PrimaryActivitiesTxt>Parent Comp.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Tilden and Va Davis Suport Found Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>541527703</EIN>
        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivRetSvc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AtHomePtr</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>472999121</EIN>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivRetSvc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>22698</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>251995</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.80000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Coastal Virginia Rehabilitation LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>200318732</EIN>
        <PrimaryActivitiesTxt>Pt Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivPhysSv</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>865047</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1482697</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Peninsula Hospital Services</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Suite 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>540991295</EIN>
        <PrimaryActivitiesTxt>Laundry</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivHCAssc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>COOP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>4329457</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3368486</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.61000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHS Medinsur LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Craig Appin House 8 Wesley Street</AddressLine1Txt>
          <CityNm>Hamilton</CityNm>
          <CountryCd>BD</CountryCd>
        </ForeignAddress>
        <EIN>521241835</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivHCAssc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>3442333</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>42655882</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Riverside Medical Equipment Center Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>608 Denbigh Blvd Ste 800</AddressLine1Txt>
          <CityNm>Newport News</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23608</ZIPCd>
        </USAddress>
        <EIN>541325596</EIN>
        <PrimaryActivitiesTxt>Billing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RivHCAssc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Newport News General &amp; Nonsectarian Hosp Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>17630592</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Newport News General &amp; Nonsectarian Hosp Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>703999</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>