2015-11-15T01:00:14-06:00 2014-12-31 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 COLUMBUS OH 43212 990 2014-01-01 901000718 Riverside Healthcare Association Inc Group % VP OF FINANCE RIVE 7578757838 608 Denbigh Blvd Ste 800 Newport News VA 23608 WALTER AUSTIN JR SR VP & CFO 2015-11-10 2014 2016-04-25 22:37:26Z WILLIAM DOWNEY CEOPRESIDENT 608 DENBIGH BLVD STE 800 NEWPORT NEWS VA 23608 1392403365 true true 5701 X RIVERSIDEONLINE.COM X PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY. 196 143 10787 930 205884 3177006 3066040 973790766 1034144648 18187677 9012439 310778491 317947229 1305933940 1364170356 7605602 8189159 0 0 551772454 553545139 0 0 79411 750697354 790185207 1310075410 1351919505 -4141470 12250851 820144079 870803594 239129333 355820625 581014746 514982969 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 1054473897 8189159 1345338363 General hospital services provided to the community: 2,526,740 persons were benefited in 2014 with quantifiable community benefits of $139,587,431. 1054473897 true true false true false false false false false true true false false false true false true true false false false false false false false false true true true false true true false false false false false false false false true true false false false false true true true true false false true X 843 0 true 10787 true true true false false false false false false false false false false X 196 143 true false false false true true true true true false false false true true true true true true true true true VA X VP OF FINANCE 7578757838 608 DENBIGH BLVD STE 800 NEWPORT NEWS VA 23608 ALAN WITT BOARD MEMBER 1.0 0.0 X 0 0 0 ALEXANDER DILLARD BOARD MEMBER 1.0 0.0 X 0 0 0 ALFRED POOLE CHAIRMAN 1.0 0.0 X 0 0 0 ALICE BURGESS BOARD MEMBER 1.0 0.0 X 0 0 0 BARBARA HAYWOOD BOARD MEMBER 1.0 0.0 X 0 0 0 BENJAMIN GARRETT BOARD MEMBER 1.0 0.0 X 0 0 0 BETTY BLEVINS BOARD MEMBER 1.0 0.0 X 0 0 0 BLAIR MARSTELLER BOARD MEMBER 40.0 0.0 X 353652 0 46228 CARAMINE KELLAM BOARD MEMBER 1.0 0.0 X 0 0 0 CAROLYN FELLING BOARD MEMBER 1.0 0.0 X 0 0 0 CARRIE QUINN BOARD MEMBER 1.0 0.0 X 0 0 0 CARRIE MOSS BOARD MEMBER 40.0 0.0 X 421831 0 30416 RANDOLPH CARRINGTON BOARD MEMBER 1.0 0.0 X 0 0 0 CHANNING HALL VICE CHAIRMAN 1.0 0.0 X 0 0 0 CHARLENE SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES HIGGINS BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES MINTER BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES REVERE CHAIRMAN 1.0 0.0 X 0 0 0 CHERYL LAWSON BOARD MEMBER 40.0 0.0 X 338406 0 25914 CONWAY SMITH VICE CHAIRMAN 1.0 0.0 X 0 0 0 CONWAY SHEILD CHAIRMAN 1.0 0.0 X 0 0 0 DARRYL FISHER BOARD MEMBER 1.0 0.0 X 0 0 0 DAVID JONES BOARD MEMBER 40.0 0.0 X 244349 0 45488 DAYTON RITT BOARD MEMBER 1.0 0.0 X 0 0 0 DEBRA BOYER BOARD MEMBER 40.0 0.0 X 260949 0 43895 DELORIS BECKER BOARD MEMBER 1.0 0.0 X 0 0 0 DWAYNE BLAKE BOARD MEMBER 1.0 0.0 X 0 0 0 DWIGHT HERBERT BOARD MEMBER 40.0 0.0 X 247894 0 39801 ERIC STONE ASSOCIATE ADMINISTRATOR/VP 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X 1073751 0 47508 WILLIAM GRACE BOARD MEMBER 1.0 0.0 X 0 0 0 WILLIAM MASSEY BOARD MEMBER 1.0 0.0 X 0 0 0 BARRY GROSS EXEC VP/CMO RHS 40.0 0.0 X 656623 0 44730 CHARLES FRAZIER VP, CLINICAL INNOVATION 40.0 0.0 X 437724 0 53472 CHARLES GRAHAM VP REVENUE CYCLE 40.0 0.0 X 401889 0 47906 CHRISTOPHER STOLLE VP MEDICAL AFFAIRS 40.0 0.0 X 409209 0 26147 CRAIG CONNORS VP PACE 40.0 0.0 X 236313 0 47832 LESLIE BRUNICK DIRECTOR SYSTEM 40.0 0.0 X 152614 0 38612 VALERIA THOMAS DIRECTOR SYSTEM LLH 40.0 0.0 X 150097 0 29346 DENNIS LOFTUS SR VP, CHIEF INFORMATION OFFIC 40.0 0.0 X 319100 0 44788 DIANA LOVECCHIO VP, CONSTR MGMT & SHARED SVS 40.0 0.0 X 269018 0 38285 ELISABETH WILLIAMS VP, MARKETING, STRATEGY & DEVE 40.0 0.0 X 264232 0 35363 ELIZABETH MARTIN VP QUALITY 40.0 0.0 X 333157 0 48527 GARY STARKEY FACILITY MEDICAL DIRECTOR 1.0 0.0 X 0 0 0 GWENDOLYN HARTZOG VP PATIENT CARE SVS, CNO 40.0 0.0 X 282333 0 36014 JAMES LESNICK VP/MEDICAL DIRECTOR RMG 40.0 0.0 X 594159 0 38206 JASON HOUSER VP, LEGAL 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PHYSICIAN 36.0 0.0 X 954329 0 48799 KITAYSTEVEN PHYSICIAN 36.0 0.0 X 906259 0 23088 28365404 0 2759492 653 false true false Fisher Scientific Company LLC PO BOX 404705 ATLANTA GA 303844705 RADIOLOGY SERVICES 2263072 Radiology Svcs of Hampton Roads 814 Greenbrier Circle Ste H CHESAPEAKE VA 23320 Radiology Services 1255545 Ernst Young LLP PO BOX 640382 PITTSBURGH PA 152640382 ACCOUNTING SERVICES 844000 Crowe Howarth LLP PO Box 71570 CHICAGO IL 606941570 CONSULTING SERVICES 694572 Escribe Management Services 469 Mclaws Circle WILLIAMSBURG VA 23185 PROFESSIONAL SVCS 554277 28 2367890 698150 3066040 PROGRAM SERVICE REVENUE 900099 1034144648 1034144648 1034144648 6720112 6720112 0 0 22893962 23511906 -617944 0 -617948 -617948 2442421 13545 4588064 133039 -2145643 -119494 2292327 2292327 0 0 0 SVCS TO AFFILIATES 900002 292831181 292831181 OPTICAL SALES 900004 7443877 7443877 OTHER FUNCTIONAL INCOME 900099 10442890 10442890 7847229 475767 205884 7165578 318565177 1364170356 1345338363 205884 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34439698 239129333 355820625 X 575075697 508155239 5839049 6727730 100000 100000 581014746 514982969 820144079 870803594 X 12250851 -78282628 X false true X true false X FRANCIS N SANDERS 540683174 03 false 0 0 PATRICK HENRY HOSPITAL INC 540601803 03 false 0 0 REHABILITATION INSTITUTE OF VIRGINIA INC 521432269 03 false 0 0 RIVERSIDE BEHAVIORAL CENTER INC 541979321 03 false 0 0 RIVERSIDE CONVALESCENT CENTERS INC 521276323 03 false 0 0 RIVERSIDE HOSPITAL INC 521245746 03 false 0 0 RIVERSIDE MIDDLE PENINSULA HOSPITAL INC 521241836 03 false 0 0 RIVERSIDE TAPPAHANNOCK HOSIPTAL INC 541489410 03 false 0 0 SANDERS COMMON LTD 524233030 03 false 0 0 9 false false false false false false false false false false false false false false false false false false false true X true true 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1 The following subordinates are Type III functionally integrated PART IV, SECTION D, LINE 1 While no actual notice of the type or amount of support was provided from PART IV, SECTION D, LINE 2 The officers and directors of RHA maintained a close and continuous PART IV, SECTION D, LINE 3 Because the officers and directors of RHA maintained a close and PART IV, SECTION E, LINE 2A The following subordinates are Type III Functionally Integrated PART IV, SECTION E, LINE 2B RHA established the aforementioned supporting organizations to engage in RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 45788 false false true 100355 146143 false Other Lobbying Activities Salary and Expenses $100,355. Dues $ 45,788. Lobbies on issues related to certificates of public need and all issues affecting healthcare such as hospitals, patients, physicians, and health insurance. 1269006 51727 129000 1191733 1305166 77915 114075 1269006 1208060 149106 52000 1305166 1356116 19944 168000 1208060 1250833 161283 56000 1356116 1.00000 false false 12745731 12745731 257915299 141264051 116651248 390222201 285818547 104403654 16354472 12549114 3805358 237605991 0 OTHER CURRENT LIABILITIES 10892407 OBLIGATION UNDER CAPITAL LEASE 22309821 NOTE PAYABLE-CURRENT 686282 CONTINGENT LIABILITY 551188 34439698 Schedule D Part V Line 4 Endowment funds are used for scholarships true true X true X 250. false false true true false true true 6 35454 24735399 24735399 0.01950 7 60089 30397164 25231956 5165208 0.00410 13 95543 55132563 25231956 29900607 0.02360 29 10720 2153314 2153314 0.00170 46 1734 21805774 11552763 10253011 0.00810 1 11732 13233227 9339685 3893542 0.00310 71 25403 2066191 2066191 0.00160 147 49589 39258506 20892448 18366058 0.01450 160 145132 94391069 46124404 48266665 0.03810 true 83684394 224812112 225290903 -478791 X true true 6 1 Riverside Regional Medical Center 500 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 www.riversideonline.com/rrmc/ H-1887 Riverside Hospital Inc 521245746 X X X X X 1 2 Riverside Walter Reed Hospital 7519 HOSPITAL DRIVE GLOUCESTER VA 23061 www.riversideonline.com/rwrh/ H-1890 Riverside Middle Peninsula H 521241836 X X X 2 3 Riverside Tappahannock Hospital 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 www.riversideonline.com/rth/ H-1889 Riverside Tappahannock Hospi 541489410 X X X 3 4 Riverside Rehabilitation Institute 245 CHESAPEAKE AVENUE NEWPORT NEWS VA 23607 www.riversideonline.com/rri/ H-1888 The Rehabilitation Institute 521432269 X Inpat Rehabilitation 4 5 Riverside Behavioral Health Center 2244 EXECUTIVE DRIVE HAMPTON VA 23666 www.riversideonline.com/rbhc/ 399-14-001 Riverside Behavioral Center 541979321 X Inpat Psychiatric 5 6 Riverside Doctors Hosp Williamsburg 1500 Commonwealth Avenue Williamsburg VA 23185 www.riversideonline.com/rdhw/ H-1937 Doctors' Hospital of William 271540267 X X X 6 Riverside Regional Medical Center 1 false false true X X X X X X X X X 13 true true false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X true X false false Riverside Walter Reed Hospital 2 false false true X X X X X X X X X 13 true false false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X true X false false Riverside Tappahannock Hospital 3 false false true X X X X X X X X X 13 true false false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X true X false false Riverside Rehabilitation Institute 4 false false true X X X X X X X X X 13 true true false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X false X X false false Riverside Behavioral Health Center 5 false false true X X X X X X X X X 13 true true false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X false X X false false Riverside Doctors Hosp Williamsburg 6 false false true X X X X X X X X X 13 true true false true X See Part V, Sec. C true 13 true www.riversideonline.com/community_benefit/ false false true X 250. 0. X X X true true X X true X X X X X X true X false X X X X true X false false Riverside Regional Medical Center RRMC Return, Schedule H, Part V, Section C Narratives: Line 5: Riverside completed a CHNA in 2013 for Williamsburg and the Virginia Peninsula. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 6a: Riverside Regional Medical Center, Riverside Doctor's Hospital of Williamsburg, Riverside Rehabilitation Institute, Riverside Behavioral Health Center and Hampton Roads Specialty Hospital worked together to complete a CHNA covering the Williamsburg and Peninsula regions. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Services for the Elderly, 2) Healthy Lifestyle, Nutrition & Wellness, 3) Awareness & Navigation of Resources and 4) Behavioral Health. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include Riverside expanding its services focused on the aging population, Riverside partnering with Newport News City Schools to provide a healthcare clinic within the Achievable Dream School, and Riverside's support of community events such as the Out of the Darkness Walk in support of mental health causes. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 Riverside Walter Reed Hospital Line 5: Riverside completed a CHNA in 2013 for the Middle Peninsula region of Virginia. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Awareness & Navigation of Resources, 2) Resource Collaboration, 3) Alzheimer's & Dementia and 4) Health Literacy. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include establishing the Middle Peninsula Resource Council to improve awareness of resources, coordinating tele-education through Bay Rivers Telehealth Consortium and the Three Rivers Health District and working with Three Rivers and Riverside Tappahannock Hospital on a Health Literacy assessment tool. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 Riverside Tappahannock Hospital Line 5: Riverside completed a CHNA in 2013 for the Northern Neck region of Virginia. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Awareness of Health Services, 2) Awareness of Social & Mental Health Services, 3) Transportation Services, 4) Health Literacy and 5) Health Lifestyle, Nutrition & Wellness. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include Riverside beginning work on a master directory of services; Riverside partnering with Bay Transit to address transportation issues as well as to pursue grant funding for expanded bus routes; and Riverside's support of the Tappahannock Free Clinic in their expansion of a healthy lifestyle program. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 Riverside Rehabilitation Institute Line 5: Riverside completed a CHNA in 2013 for the Williamsburg and Virginia Peninsula region. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 6a: Riverside Regional Medical Center, Riverside Doctor's Hospital of Williamsburg, Riverside Rehabilitation Institute, Riverside Behavioral Health Center and Hampton Roads Specialty Hospital worked together to complete a CHNA covering the Williamsburg and Peninsula regions. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Services for the Elderly, 2) Healthy Lifestyle, Nutrition & Wellness, 3) Awareness & Navigation of Resources and 4) Behavioral Health. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include Riverside expanding its services focused on the aging population, Riverside partnering with Newport News City Schools to provide a healthcare clinic within the Achievable Dream School, and Riverside's support of community organizations such as RAMPS Across America. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 Riverside Behavioral Health Center Line 5: Riverside completed a CHNA in 2013 for the Williamsburg and Virginia Peninsula region. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 6a: Riverside Regional Medical Center, Riverside Doctor's Hospital of Williamsburg, Riverside Rehabilitation Institute, Riverside Behavioral Health Center and Hampton Roads Specialty Hospital worked together to complete a CHNA covering the Williamsburg and Peninsula regions. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Services for the Elderly, 2) Healthy Lifestyle, Nutrition & Wellness, 3) Awareness & Navigation of Resources and 4) Behavioral Health. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include Riverside expanding its services focused on the aging population, Riverside partnering with Newport News City Schools to provide a healthcare clinic within the Achievable Dream School, and Riverside's support of community events such as the Out of the Darkness Walk in support of mental health causes. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 Riverside Doctors Hosp Williamsburg Line 5: Riverside completed a CHNA in 2013 for the Williamsburg and Virginia Peninsula region. Riverside identified leaders across the fields of public health, local government and law enforcement, not for profit organizations, local business and community leaders, schools, religious organizations and other health care organizations. Surveys were sent to the representatives from these areas, with responses included in the CHNA. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning. Line 6a: Riverside Regional Medical Center, Riverside Doctor's Hospital of Williamsburg, Riverside Rehabilitation Institute, Riverside Behavioral Health Center and Hampton Roads Specialty Hospital worked together to complete a CHNA covering the Williamsburg and Peninsula regions. Line 7a: www.riversideonline.com/community_benefit/ Line 11: There were four main categories of needs identified through the CHNA process: 1) Services for the Elderly, 2) Healthy Lifestyle, Nutrition & Wellness, 3) Awareness & Navigation of Resources and 4) Behavioral Health. Overall, there are 3 main ways Riverside has been addressing these areas: 1) addressing them through products and services Riverside offers, 2) working with other community partners to address these issues jointly, and 3) supporting other organizations through financial and in-kind donations who are addressing the problems. Examples of this include Riverside expanding its services focused on the aging population, Riverside partnering with Virginia Capital Trail Foundation to promote healthy lifestyles, and Riverside's support of community organizations such as the Hospice House of Williamsburg. Line 13h: Scheduled for or have received services at a Riverside Acute or Riverside Medical Group facility. Provide valid Social Security number. Have "low credit" (defined as having less than $1000 of available line of credit). Line 16a: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 16c: www.riversideonline.com/patients_guests/financial-assistance.cfm Line 22d: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore the maximum amount charged to patients once they were determined to be eligible under FAP was $0.00 43 Brentwood Medical Education 10510 Jefferson Avenue Newport News VA 23601 Physician Clinic PCI-Newport News 12100 Warwick Blvd Newport News VA 23601 Infusion Therapy Center Riverside Cancer Institute Ctr-Va Beach 1200 First Colonial Rd 204A Virginia Beach VA 23455 Infusion Therapy Center Riverside Cancer Institute Ctr-Chesapeak 110 Wimbledon Square Ste E1 Chesapeake VA 23320 Infusion Therapy Center Riverside Cancer Institute Ctr-Suffolk 5835 Harbor View Blvd Ste C1 Suffolk VA 23435 Infusion Therapy Center Riverside Diagnostic & Breast Imaging Ct 895 City Center Blvd Ste 104 Newport News VA 23606 Diagnostic Center Riverside Home Care 856 J Clyde Morris Blvd Newport News VA 23601 Home Health Agency PACE-Hampton 4107 West Mercury Blvd Hampton VA 23666 Elderly Care Services PACE-Manchester 701 Gordon Avenue Richmond VA 23224 Elderly Care Services PACE-Petersburg 319 Brown Street Petersburg VA 23803 Elderly Care Services PACE-Mactavish 1300 Mactavish Avenue Richmond VA 23230 Elderly Care Services Patriots Colony 6000 Patriots Colony Williamsburg VA 23188 Retirement Center Riverside Cancer Institute Ctr-Gloucest 7544 Medical Center Gloucester VA 23061 Infusion Therapy Center Riverside Radiation Oncology-Wmbg 3901 Treyburn Drive Williamsburg VA 23085 Radiation Oncology Center Hampton Surgery Center 850 Enterprise Parkway Ste 100 Hampton VA 23666 Surgery Center Riverside Diagnostic Ctr-Hampton 850 Enterprise Parkway Ste 1500 Hampton VA 23666 Diagnostic Center Riverside Radiaton Oncology-Npt News 12100 Warwick Blvd Newport News VA 23601 Radiation Oncology Center Riverside Convalescent-Warwick Forest 1000 Old Denbigh Blvd Newport News VA 23602 Nursing Home/Convalescent Svcs Riverside Convalescent-Hampton 414 Algonquin Road Hampton VA 23661 Nursing Home/Convalescent Svcs Riverside Convalescent-Mathews Route 611 PO Box 370 Mathews VA 23109 Nursing Home/Convalescent Svcs Riverside Convalescent-Saluda 672 Gloucester Road Saluda VA 23149 Nursing Home/Convalescent Svcs Riverside Convalescent-Smithfield 200 Lumar Road Smithfield VA 23430 Nursing Home/Convalescent Svcs Riverside Convalescent-West Point 2960 Chelsa Road West Point VA 23181 Nursing Home/Convalescent Svcs Sanders Retirement Center 7385 Walker Avenue Gloucester VA 23061 Retirement Services Riverside Convalescent-Orchard 20 Delfae Drive Warsaw VA 22572 Nursing Home/Convalescent Svcs Riverside Cancer Institute Ctr-Wmbg 120 Kings Way Williamsburg VA 23185 Infusion Therapy Center Riverside Diagnostic Center-Williamsburg 120 Kings Way Ste 1200 Williamsburg VA 23185 Diagnostic Center Riverside Radiation Oncology-Gloucester 7544 Medical Drive Ste A Gloucester VA 23061 Radiation Oncology Center PACE-Newport News 439 C Oriana Road Newport News VA 23608 Elderly Care Services Riverside Convalescent-Regional 1000 Old Denbigh Blvd Newport News VA 23602 Nursing Home/Convalescent Svcs Riverside Diagnostic Center Smithfield 202 Gumwood Drive Smithfield VA 23430 Diagnostic Center Riverside Diagnostic Center Mt Clement 300 Mount Clement Park Ste A2 Tappahannock VA 22560 Diagnostic Center Riverside Neurology Ctr 12200 Warwick Blvd Ste 110 Newport News VA 23608 Neurology Center Peninisula GastroRiverside Endoscopy Ct 101 Phillip Roth Street Ste B Newport News VA 23606 Gastroenterology/Endoscopy Ct Riverside Pain & Interventional Center 12420 Warwick Blvd Ste C Newport News VA 23606 Pain & Interventional Center Riverside Physical Therapy-Hampton 850 Enterprise Parkway Ste 2100 Hampton VA 23666 Physical Therapy Riverside Physical Therapy-Denbigh 12650 Jefferson Ave Ste 100 Newport News VA 23602 Physical Therapy Riverside Pulmonary and Sleep Center 12200 Warwick Blvd Ste 210 Newport News VA 23601 Pulmonary and Sleep Center Riverside Diabetes Services 12200 Warwick Blvd Ste 590A Newport News VA 23601 Diabetes Services Riverside Physical Therapy-Mt Clement 300 Mt Clement Park Ste D Tappahannock VA 22560 Physical Therapy Riverside Physical Therapy-Hayes 2656 George Washington Mem Hwy Ste Hayes VA 23072 Physical Therapy Riverside Hayes Diagnostic Imaging Ctr 2246 George Washington Mem Hwy Hayes VA 23072 Diagnostic Imaging Center Riverside Rehab Outpatient Therapy-Wlbg 120 Monticello Ave Ste 200 Williamsburg VA 23185 Outpatient Therapy Part VI Part I Line 3, c: Free care uses 250% of the FPG. Our policies do not include "discounted" care. Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $83,684,394. Part I Line 7, A: The cost to charge ratio calculated on worksheet 2 was used for the charity expense calculation. Part I Line 7, B: Medicaid cost and net revenue are directly from the Medicaid cost report. Part I Line 7, E: Community health improvement is actual cost accumulated by the individuals participating in the activities. Part I Line 7, G: Total cost less reimbursement, net of bad debt, Medicaid, Charity for Emergency Department. No physician practices are subsidized. Part I Line 7, I: Cash and in-kind contributions are the actual dollar value of cash or items given. 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 3: Patients eligible under the financial assistance policy were provided 100% discount and therefore were not included in bad debt expense. Line 4: Bad debt is the amount remaining on a patient's account after cash payments, third party payer contractual adjustments and hospital discounts have been taken. Before the amount is written off to bad debt the account is sent to a collection agency which returns the account when they have exhausted all possible effort. Upon return the account balance is written off to bad debt. Bad debt is referenced in Note 3 Net Patient Service Revenues and Note 4 Community Benefit Expense. Note 3 discusses the allowance for uncollectible accounts as follows: "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 the 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 amounts." Note 4 states "Distinguishing uncollected patient revenue between charity and bad debt requires full consideration of both the financial and non-financial circumstances of the patient, which are not always available to the organization. Therefore, both traditional charity care and bad debt are included as a component of benefits for the indigent." The bad debt expense on the audited system financial statements is bad debt charges written off. This amount is considered a community expense. No expense is listed for line 3. We do not take any patients to bad debt if we know they qualify for one of our financial assistance programs. Even if a charity status is not known but a financial assistance application is pending we do not send the patient's account to bad debt. The policy states "If a patient has completed a hospital's application for financial assistance that account should not be advanced for collection pending determination of eligibility." 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. Line 9b: Patients eligible under the written Financial Assistance Policy were provided 100% discount and were therefore excluded from debt collection processes. Line 2: Riverside 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, as well as observing utilization & diagnoses trends across the Riverside service areas. Finally, Riverside works closely with other community leaders to identify and respond to local needs. Line 3: Patients are notified of the FAP while in the hospital, notice is included on the patient statement, and patients are educated directly by customer service agents when they inquire about their bill. They are also contacted for assistance in screening for eligibility for federal, state and local government programs. 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 broader Virginia Peninsula area encompassing James City County, York County, New Kent County, Isle of Wight County and the cities of Williamsburg, Newport News, Poquoson and Hampton, has a 2012 census projected population of 530,220 persons. Riverside Regional Medical Center in Newport News is the only trauma center (Level II) located in this area. The Virginia Peninsula is bordered on the east by the Chesapeake Bay and Hampton Roads, on the south by the James River and the north by the York River. Access to health care facilities not located on the Peninsula is restricted by tunnels and bridges, with three connections to various points across the James, and one bridge north across the York. Numerous waterways, inlets and marshland are prominent in the landscape and restrict traffic in certain areas, requiring a system of bridges or circuitous routes for local travel. Interstate 64 runs the length of the Peninsula, providing access some 75 miles from Riverside Regional Medical Center to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). Some 80,000 to 90,000 cars travel along this interstate corridor daily. Riverside owns and operates several diagnostic centers throughout its service area. The hospital facilities operate outpatient programs in addition to those in free-standing ambulatory centers. Reasons behind this outpatient "reach" include: the lack of interconnected public transportation; the traffic congestion on Interstates and urban roadways; and the significant elderly population in the service area. Many of the senior citizens, particularly in outlying areas, rely on friends and family members to transport them to appointments. Surplus funds are used to promote and improve access to services in the areas close to where residents live. This Peninsula area is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. With the relative exception of the City of Williamsburg, drugs, crime and poverty negatively impact the more densely populated areas of the communities. Demographically and occupationally, the Riverside service area is primarily what has traditionally been defined as a blue-collar community. Between the large military presence and the supporting defense industry, almost 50% of the economy is connected to defense. The largest private employer is Huntington Ingalls Newport News Shipbuilding with 22,000 workers. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 10.3% of the population. Approximately 30% of households have incomes of $35,000 or less, so Riverside's charity mission is strong and ongoing with a concerted effort directed to children at risk. 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. There is strong competition within 60 miles of Riverside Regional Medical Center. Within seven miles on each side and 20 miles north there are three medical surgical hospitals and within 20 to 60 miles across the Hampton Roads harbor there are six facilities. Riverside Behavioral He true Dream Catchers 10120 Fire Tower Rd Toano VA 23168 541692709 501(c)(3) 7500 Sponsorship An Achievable Dream Foundation Inc 10858 Warwick Blvd Newport News VA 23601 541621932 501(c)(3) 35000 Sponsorship Virginia Living Museum Inc 524 J Clyde Morris Blvd Ste A Newport News VA 23601 546055922 501(c)(3) 11000 2014 OPP Pledge Virginia Living Museum Inc 524 J Clyde Morris Blvd Newport News VA 23601 546055922 501(c)(3) 15000 2014 Wild&Well Peninsula Community Foundation of Virginia Inc 11742 Jefferson Ave Newport News VA 23606 542057957 501(c)(3) 50000 Sponsorship - IMAX An Achievable Dream Foundation Inc 10858 Warwick Blvd Ste 350 Newport News VA 23601 541621932 501(c)(3) 35000 Sponsorship Muscarelle Museum of Art Foundation PO Box 8795 St A Williamsburg VA 23187 461110899 501(c)(3) 12500 Sponsor WINE/RN Muscarelle Museum of Art Foundation PO Box 8795 Williamsburg VA 23187 461110899 501(c)(3) 12500 Sponsor WINE/RN Beyond Boobs Inc PO BOX 443 Toano VA 23168 260606190 501(c)(3) 10000 Sponsorship Office of Human Affairs 2410 Wickham Avenue Newport News VA 23607 237014485 501(c)(3) 15000 Sponsorship Newport News Police Department Foundation PO Box 11092 Newport News VA 23601 273564101 501(c)(3) 15000 Sponsorship Amercan Heart Assc-Glen Allen 4217 Park Place CT Ste 102A Glen Allen VA 23060 135613797 501(c)(3) 10000 Sponsorship College of William & Mary PO Box 399 Williamsburg VA 23187 540734117 501(c)(3) 9000 Sponsorship College of William & Mary PO Box 8795 Williamsburg VA 23187 540734117 501(c)(3) 9000 Sponsorship WISC 5700 Warhill Trail St 300 Williamsburg VA 23188 264134755 501(c)(3) 10000 Sponsorship Christopher Newport Univ Education Foundation 1 University Place Newport News VA 23606 541156248 501(c)(3) 7500 Sponsorship Christopher Newport Univ Education Foundation 1 University Place Newport News VA 23606 541156248 501(c)(3) 7500 Sponsorship Peninsula Metropolitan YMCA 7827 Warwick Blvd Newport News VA 23607 540524905 501(c)(3) 10000 Sponsorship Hospice Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg VA 23188 521289657 501(c)(3) 6000 Sponsorship March of Dimes PO BOX 932852 Atlanta GA 23320 131846366 501(c)(3) 10000 Sponsorship Virginia Center for Health 919 E Main Street Richmond VA 23219 800796077 501(c)(3) 10000 Sponsorship United Way of the Virginia Peninsula 739 Thimble Shoals Blvd Ste 900 Newport News VA 23606 540535602 501(c)(3) 7500 Sponsorship Christopher Newport Univ Education Foundation 1 Avenue of the Arts Ste 302 Newport News VA 23606 541156248 501(c)(3) 25000 Sponsorship Christopher Newport Univ Education Foundation 1 Avenue of The Arts Newport News VA 23606 541156248 501(c)(3) 125000 Scholarship Community Free Clinic of Newport News 727 25th Street Newport News VA 23607 273510814 501(c)(3) 250000 Scholarship American Heart Association 4669 South Boulevard Ste 4-D Virginia Beach VA 23452 135613797 501(c)(3) 7000 Sponsorship RX Partnership 2924 Emerwood Parkway Ste 103 Richmond VA 23294 571186937 501(c)(3) 10000 Partnership Grant Virginia Health Care 707 East Main Street Richmond VA 23219 541639924 501(c)(3) 20000 1st Renewal 2014 Project Care of Virginia 416 J Clyde Morris Blvd Ste 1350 Newport News VA 23601 273518508 501(c)(3) 46499 Support 2014 Project Care of Virginia 416 J Clyde Morris Blvd Ste 1350 Newport News VA 23601 273518508 501(c)(3) 45638 Funding 2013 HRSH - Riverside Health System 608 Denbigh Blvd Newport News VA 23608 521245746 501(c)(3) 332575 Sponsorship 22 Grant Explanation A fund distribution form is completed and signed by an authorized adminiNtrator 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. X X X X X false true false false false false false false false CHERYL ANGE DIRECTOR SR SPECIA 144179 0 4385 0 9207 0 15191 0 10731 0 183693 0 0 0 BARRY GROSS EXEC VP/CMO RHS 470500 0 79481 0 106642 0 31086 0 13644 0 701353 0 0 0 BLAIR MARSTELLER BOARD MEMBER 347920 0 0 0 5732 0 23226 0 23002 0 399880 0 0 0 CARRIE MOSS BOARD MEMBER 214136 0 140944 0 66751 0 29726 0 690 0 452247 0 0 0 CHARLES FRAZIER VP, CLINICAL INNOVATION 326103 0 52040 0 59581 0 29726 0 23746 0 491196 0 0 0 CHARLES GRAHAM VP REVENUE CYCLE 307829 0 26375 0 67685 0 18026 0 29880 0 449795 0 0 0 CHERYL LAWSON BOARD MEMBER 253088 0 23641 0 61677 0 24526 0 1388 0 364320 0 0 0 CHRISTOPHER STOLLE VP MEDICAL AFFAIRS 313673 0 36968 0 58568 0 24526 0 1621 0 435356 0 0 0 CRAIG CONNORS VP PACE 180340 0 14884 0 41089 0 20351 0 27481 0 284145 0 0 0 DAVID JONES BOARD MEMBER 117214 0 10304 0 116831 0 23660 0 21828 0 289837 0 0 0 LESLIE BRUNICK DIRECTOR SYSTEM 130747 0 8158 0 13709 0 15157 0 23455 0 191226 0 0 0 DEBRA BOYER BOARD MEMBER 195490 0 59588 0 5871 0 29726 0 14169 0 304844 0 0 0 VALERIA THOMAS DIRECTOR SYSTEM LLH 123891 0 7590 0 18616 0 13777 0 15569 0 179443 0 0 0 MARY DELPRINCE DIRECTOR SYSTEM 154457 0 24378 0 989 0 17515 0 10377 0 207716 0 0 0 DENNIS LOFTUS SR VP, CHIEF INFORMATION OFFIC 236981 0 30091 0 52028 0 24944 0 19844 0 363888 0 0 0 DIANA LOVECCHIO VP, CONSTR MGMT & SHARED SVS 195630 0 28081 0 45307 0 23093 0 15192 0 307303 0 0 0 TRACEY DOWLING DIRECTOR SYSTEM 139330 0 18953 0 2820 0 15487 0 14685 0 191275 0 0 0 NIKKI DOWNS DIRECTOR SERVICE L 43106 0 14832 0 109185 0 5790 0 1178 0 174091 0 0 0 DWIGHT HERBERT BOARD MEMBER 166013 0 17251 0 64630 0 17652 0 22149 0 287695 0 0 0 EDWARDSTHOMAS DIRECTOR 12540 0 0 0 183680 0 2215 0 913 0 199348 0 0 0 ELISABETH WILLIAMS VP, MARKETING, STRATEGY & DEVE 184773 0 35625 0 43834 0 11700 0 23663 0 299595 0 0 0 ELIZABETH MARTIN VP QUALITY 256592 0 20719 0 55846 0 28805 0 19722 0 381684 0 0 0 ERIC STONE ASSOCIATE ADMINISTRATOR/VP CLI 220496 0 12007 0 39506 0 11700 0 3088 0 286797 0 0 0 FAYE GARGIULO VP RESEARCH/DISCOVERY & PHY DE 219546 0 26016 0 44131 0 29418 0 9173 0 328284 0 0 0 FOSSJAMES DIRECTOR SYSTEM 170686 0 9851 0 20374 0 18406 0 12393 0 231710 0 0 0 FREDRICK ARNOLD PRESIDENT, MEDICAL STAFF 160496 0 0 0 115215 0 15122 0 14359 0 305192 0 0 0 GARY KAVIT BOARD MEMBER 317310 0 0 0 141427 0 24526 0 21965 0 505228 0 0 0 GREENWELLJENNIFER CFO 172760 0 22718 0 2785 0 24509 0 14749 0 237521 0 0 0 GWENDOLYN HARTZOG VP PATIENT CARE SVS, CNO 209961 0 25021 0 47351 0 23726 0 12288 0 318347 0 0 0 HECKLEREDWARD EXECUTIVE DIRECTOR 141918 0 7927 0 15148 0 15129 0 16964 0 197086 0 0 0 JAMES DUDLEY SERVICE LINE CHIEF 201639 0 0 0 109593 0 24526 0 26902 0 362660 0 0 0 JAMES LESNICK VP/MEDICAL DIRECTOR RMG 428832 0 77086 0 88241 0 23226 0 14980 0 632365 0 0 0 JAMES MCCORRY SERVICE LINE CHIEF, RDHW 273313 0 250 0 119618 0 24491 0 737 0 418409 0 0 0 JAMES MULLINS BOARD MEMBER 329002 0 0 0 4953 0 31086 0 7583 0 372624 0 0 0 JASON HOUSER VP, LEGAL AFFAIRS 266773 0 40194 0 50663 0 24526 0 20237 0 402393 0 0 0 JEFFREY HASKINS BOARD MEMBER 202002 0 0 0 2043 0 9317 0 7881 0 221243 0 0 0 JEFFREY HENKE BOARD MEMBER 322171 0 77559 0 5397 0 29726 0 24237 0 459090 0 0 0 JOHN PETERMAN VP/ADMINISTRATOR 180186 0 17955 0 52433 0 26160 0 7800 0 284534 0 0 0 JOHN GRETES BOARD MEMBER 251061 0 35233 0 8986 0 24526 0 15643 0 335449 0 0 0 JOSEPH CONVERSE BOARD MEMBER 421310 0 47483 0 15852 0 24526 0 17617 0 526788 0 0 0 JOSEPH WILSON BOARD MEMBER 430124 0 0 0 6548 0 24526 0 12991 0 474189 0 0 0 JOSEPH ZAGER VP, DEVELOPMENT COMMUNITY OUTR 37696 0 16698 0 384429 0 2038 0 14236 0 455097 0 0 0 KEITH PERCIC VP FINANCE 230083 0 35297 0 53747 0 31086 0 20470 0 370683 0 0 0 KILGOREJASON DIRECTOR SYSTEM 131685 0 32480 0 2055 0 16086 0 19764 0 202070 0 0 0 KYLE ALLEN VP CLINICAL INTEGRATION&MED DI 385906 0 31338 0 61216 0 22951 0 37422 0 538833 0 0 0 LABONTEBARBARA DIRECTOR SYSTEM 154962 0 23616 0 0 0 20476 0 1132 0 200186 0 0 0 MARSHALL CROSS CHAIRMAN OF RRMC OPERS COUNCIL 425152 0 88151 0 39388 0 24526 0 17817 0 595034 0 0 0 MARTINTODD DIRECTOR SYSTEM 163898 0 5740 0 555 0 16135 0 7095 0 193423 0 0 0 MEGAN KLECKNER VP/ADMINISTRATOR 201909 0 9778 0 41600 0 22214 0 12683 0 288184 0 0 0 MENEFEEKATHY EXECUTIVE DIRECTOR 146225 0 4794 0 9481 0 18918 0 18939 0 198357 0 0 0 MICHAEL DOUCETTE VP RRMC OPERATIONS 338322 0 32941 0 58200 0 29726 0 25286 0 484475 0 0 0 MILLERBRADEN CFO 198607 0 25242 0 11027 0 23145 0 29986 0 288007 0 0 0 NEWTONRAYMOND DIRECTOR RMG PRACT 123890 0 0 0 51382 0 14726 0 1031 0 191029 0 0 0 PATRICIA RUSSO VP CARE MANAGEMENT 207306 0 30908 0 41535 0 23642 0 14416 0 317807 0 0 0 RANDY FERRANCE PRESIDENT, RTH MEDICAL STAFF 219548 0 36205 0 96020 0 8032 0 24697 0 384502 0 0 0 RENEE ROUNTREE VP, PATIENT EXPERIENCE OFFICER 179750 0 21125 0 38382 0 19612 0 647 0 259516 0 0 0 RICHARD DUNN BOARD MEMBER 178173 0 28983 0 1679 0 6593 0 26816 0 242244 0 0 0 ROBERT BRYANT VP/COO LHARS 261251 0 19727 0 82150 0 29628 0 24617 0 417373 0 0 0 ROBERT DAVIS BOARD MEMBER 218509 0 12939 0 5171 0 8509 0 20948 0 266076 0 0 0 ROBERT HARDING CHAIRMAN 230303 0 17500 0 49546 0 31086 0 18427 0 346862 0 0 0 SALLY RYAN VP PHYSICIAN SERVICES 200493 0 21211 0 11163 0 7533 0 20904 0 261304 0 0 0 SALSBERRYLISA DIRECTOR 188779 0 0 0 35723 0 20744 0 27485 0 272731 0 0 0 SHORTTIMOTHY DIRECTOR DEVELOPME 141656 0 2475 0 10623 0 6350 0 19135 0 180239 0 0 0 SNAPPSANDRA DIRECTOR 162534 0 18851 0 117 0 20584 0 621 0 202707 0 0 0 STEPHEN MCCARY VP/ADMINISTRATOR RDHW 178643 0 27070 0 49759 0 22421 0 12677 0 290570 0 0 0 DEBBIE CAMPBELL ADMINISTRATOR 111822 0 5635 0 13334 0 14244 0 7026 0 152061 0 0 0 TERRIS KENNEDY BOARD MEMBER 255397 0 37519 0 47812 0 24526 0 737 0 365991 0 0 0 TRACEE CARMEAN VP EDUCATION 73949 0 30688 0 33996 0 10498 0 8005 0 157136 0 0 0 VERNEETA WILLIAMS BOARD MEMBER 200408 0 0 0 32 0 18339 0 20743 0 239522 0 0 0 WADE BROUGHMAN EXEC VP,COO & SECRETARY 514859 0 92288 0 120020 0 23226 0 21690 0 772083 0 0 0 WALTER AUSTIN SR VP, CFO & TREASURER 347869 0 49682 0 64889 0 11700 0 14211 0 488351 0 0 0 WILLIAM DOWNEY PRESIDENT,CEO RHS 719424 0 172500 0 181827 0 29726 0 17782 0 1121259 0 0 0 YOUNGERROSS DIRECTOR 220885 0 26432 0 533 0 23247 0 26875 0 297972 0 0 0 KOSTOVDEAN PHYSICIAN 604027 0 907652 0 0 0 24526 0 26581 0 1562786 0 0 0 CULLOMROBERT PHYSICIAN 492791 0 887739 0 897 0 0 0 22254 0 1403681 0 0 0 TANNERGARY PHYSICIAN 617486 0 518997 0 897 0 600 0 4164 0 1142144 0 0 0 YOUSEFMASHOUR PHYSICIAN 702082 0 250872 0 1375 0 19397 0 29402 0 1003128 0 0 0 KITAYSTEVEN PHYSICIAN 442554 0 463705 0 0 0 600 0 22488 0 929347 0 0 0 Schedule J, Part I, Line 3 The compensation committee of the parent corporation, Riverside Healthcare Association, Inc. reviews and approves the compensation for top management using independent consultants and surveys. Schedule J, Part 1, Line 4 BARRY GROSS $75,660 CHARLES FRAZIER $42,309 CHARLES GRAHAM $39,962 CHRISTOPHER STOLLE $39,966 CRAIG CONNORS $23,625 DENNIS LOFTUS $31,249 DIANA LOVECCHIO $25,413 ELIZABETH WILLIAMS $24,061 ELIZABETH MARTIN $33,150 ERIC STONE $28,124 FAYE GARGIULO $28,125 FRANK MARTIN $34,250 GWENDOLYN HARTZOG $27,050 JAMES LESNICK $55,000 JASON HOUSER $34,625 JPHN PETERMAN $20,209 JOE ZAGER $28,388 KEITH PERCIC $29,913 KYLE ALLEN $49,744 MEGAN KLECKNER $26,075 MICHAEL DOUCETTE $35,206 PATRICIA RUSSO $26,876 RENEE ROUNTREE $22,838 ROBERT BRYANT $31,313 SALLY HARTMAN $30,375 LISA SALSBERRY $20,000 STEPHEN MCCARY $23,213 TERRIS KENNEDY $32,625 TRACEE CARMEAN $21,843 WADE BROUGHMAN $83,460 WALTER AUSTIN $45,000 WILLIAM DOWNEY $157,500 TOTAL $1,162,522 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 from the plan until the later of the employee reaching age 62 or separation from service with Riverside. A Economic Development Authority City NN 521290859 2011-12-20 24570000 2011A ISSUE REFUNDING 1997 SERIES false false false A 3620000 0 24570000 0 0 0 170000 0 0 0 24400000 0 2012 true false true true A 0.00000 0.00000 0.00000 A false true true false true false 0 false 0 false true A true Bond Information The 2011 A, B & the 2012 Bond Series are issued as Health System Revenue Bonds under the parent Riverside Health System. Therefore, Riverside Health System (the Parent) is listed as the issuer on the 8038 form filed with the IRS. Patriot's Colony (A subsidiary of Riverside Health System) is one of the borrowers along with Riverside Health System, and it holds the liability for the 2011 A Bond Series that was issued on 12/20/2011 for $24,570,000. The debt is therefore included on the schedule K on this Group Form 990 that includes Patriot's Colony. WADE BROUGHMAN SEE PART V 122463 SEE PART V false MEAGN KLECKNER SEE PART V 452000 SEE PART V false JEFFREY HENKE SEE PART V 24824 SEE PART V false WADE BROUGHMAN Schedule L, Part IV Wade Broughman's family members are employed by Riverside Hospital, Inc. MEGAN KLECKNER Schedule L, Part IV Megan Kleckner's family member has a business relationship with Riverside Hospital, Inc. JEFFREY HENKE Schedule L, Part IV Jeffrey Henke has a family member employed by Riverside Hospital, Inc. SCHEDULE O 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 Bill Downey, Alan Witt, Gordon Gentry and Conway Shields have a business relationship. Jason Houser and William Brauer have a business relationship. Gordon Gentry, Alan Witt and Bill Downey have a business 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&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 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: 2004 Bond Swap EQ Adj (50,899) Pension Adjustment 96,992,102 Other Change in Fund (18,658,575) Virginia Surgical Management LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 542057012 Management VA 374 2634549 RivHosp Peninsula Cancer Institute LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 201872200 PT Services VA 10435089 53800454 RivPhysSv Shore Health Services Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 540560500 Hospital VA 501(c)(3) 3 RivHCAssc true Shore Life Care inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541876370 Nursing Care VA 501(c)(3) 9 ShoreHSvc true Charlottesville Area Retirement Svc Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 454854018 Pt Services VA 501(c)(3) 9 RivRetSvc true Newport News General & Nonsectarian 608 Denbigh Blvd Ste 800 Newport News VA 23608 540505934 Holding Corp VA 501(c)(2) N/A RivHCAssc true Riverside Healthcare Assocation Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 521241835 Parent Comp. VA 501(c)(3) 9 N/A false Tilden and Va Davis Suport Found Inc 608 Denbigh Blvd Ste 800 Newport News VA 23608 541527703 Foundation VA 501(c)(3) 11A RivRetSvc true Parker and Mary West Hosp Fund 608 Denbigh Blvd Ste 800 Newport News VA 23608 540797108 Foundation VA 501(C)(3) 11c RivHosp true AtHomePtr 608 Denbigh Blvd Ste 800 Newport News VA 23608 472999121 Management VA RivRetSvc EXCLUDED -324759 475241 false true 0.80000 Michumi PLLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 201318732 Pt Services VA RivPhysSv EXCLUDED -438500 7708085 false true 0.78010 PenRadAss 608 Denbigh Blvd Ste 800 Newport News VA 23608 454854018 Pt Services VA RivHosp EXCLUDED 48253 3788158 false true 0.93319 Peninsula Hospital Services 608 Denbigh Blvd Suite 800 Newport News VA 23608 540991295 Laundry VA RivHCAssc COOP 3808127 3729757 0.60670 true RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 521241835 Insurance BD RivHCAssc C Corp 2107393 40209675 1.00000 true Riverside Medical Equipment 608 Denbigh Blvd Ste 800 Newport News VA 23608 541325596 Billing VA RivHCAssc C Corp 8380501 1.00000 true false false false false false false false false true true true true true false false false false false Newport News General & Nonsectarian Hosp Inc j 15662070 MARKET VALUE Newport News General & Nonsectarian Hosp Inc L 734577 MARKET VALUE