2014-11-14T19:48:28-06:00 2013-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 ST LOUIS MO 63105 990 2013-01-01 901000718 Riverside Healthcare Association Inc Group % VP OF FINANCE RIVE 7578757838 608 Denbigh Blvd Suite 800 Newport News VA 23608 WALTER AUSTIN JR SR VP / CFO 2014-11-14 2013 2015-11-30 17:44:51Z WILLIAM DOWNEY CEOPRESIDENT 608 DENBIGH BLVD STE 800 NEWPORT NEWS VA 23608 1336231877 true true 5701 X RIVERSIDEONLINE.COM X PROVIDE GENERAL MEDICAL SERVICES TO THE C 199 147 10637 736 2835490 2746318 2575716 3177006 908547284 973790766 16045340 18187677 254847651 310778491 1182015991 1305933940 8028209 7605602 0 0 496480490 551772454 0 0 28251 639457486 750697354 1143966185 1310075410 38049806 -4141470 967799624 820144079 490202803 239129333 477596821 581014746 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 1006112243 7605602 1276507171 General hospital services provided to the community: 2,198,012 persons were benefited in 2013 with quantifiable community benefits of $147,704,280. 1006112243 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 890 0 true 10637 true true true false false false false false false false false false false X 199 147 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 X ALAN WITT BOARD MEMBER 1.0 X 0 0 0 ALEXANDER DILLARD BOARD MEMBER 1.0 X 0 0 0 ALFRED POOLE CHAIRMAN 1.0 X 0 0 0 ALICE BURGESS BOARD MEMBER 1.0 X 0 0 0 BARBARA DEARMON BOARD MEMBER 1.0 X 0 0 0 BARBARA HAYWOOD BOARD MEMBER 1.0 X 0 0 0 BENJAMIN GARRETT BOARD MEMBER 1.0 X 0 0 0 BETTY BLEVINS BOARD MEMBER 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Dues $49,192. Lobbies on issues related to certificates of public need and all issues affecting healthcare such as hospitals, patients, physicians, and health insurance. 1305166 77074 114075 1268165 1208060 149106 52000 1305166 1356116 19944 168000 1208060 1250833 161283 56000 1356116 1009557 241276 1250833 1.00000 false false 12745731 12745731 247758120 130385520 117372600 373587786 265888912 107698874 15923837 11963954 3959883 241777088 0 OTHER CURRENT LIABILITIES 11767262 OBLIGATION UNDER CAPITAL LEASE 20144102 NOTE PAYABLE-CURRENT 669022 CONTINGENT LIABILITY 820827 33401213 Schedule D Part V Line 4 Endowment funds are used for scholarships true true X true X 250. false true true true false true true 6 29160 28052060 28052060 0.02290 12 40979 28088351 24057734 4030617 0.00330 18 70139 56140411 24057734 32082677 0.02620 344 47188 2229873 2229873 0.00180 13 8731 13710096 13710096 0.01120 1 7208 12363666 4969850 7393816 0.00600 47 10789 36558 36558 405 73916 28340193 4969850 23370343 0.01900 423 144055 84480604 29027584 55453020 0.04520 1 50 24 24 130 63468 2701180 2701180 0.00220 2 160 274 274 2 2020 5000 5000 1 80 47 47 136 65778 2706525 2706525 0.00220 true 70525763 209465292 201060955 8404337 X true true 6 1 Riverside Regional Medical Center 500 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 H1887 X X X X X 1 2 Riverside Walter Reed Hospital 7519 HOSPITAL DRIVE GLOUCESTER VA 23061 H1890 X X X 2 3 Riverside Tappahannock Hospital 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 H1889 X X X 3 4 Riverside Rehabilitation Institute 245 CHESAPEAKE AVENUE NEWPORT NEWS VA 23607 H1888 X Inpat Rehabilitation 4 5 Riverside Behavioral Health Center 2244 EXECUTIVE DRIVE HAMPTON VA 23666 399-14-001 X Inpat Psychiatric 5 6 Riverside Doctors Hosp Williamsburg 1500 Commonwealth Avenue Williamsburg VA 23185 H1937 X X X 6 Riverside Regional Medical Center 1 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X true X false false Riverside Walter Reed Hospital 2 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X true X false false Riverside Tappahannock Hospital 3 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X true X false false Riverside Rehabilitation Institute 4 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X false X X false false Riverside Behavioral Health Center 5 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X false X X false false Riverside Doctors Hosp Williamsburg 6 true X X X X X X X X X 13 true true true X riversideonline.com/community_benefit X X X X X X false false true true 250. false true X X X true true X X X true false X X X X true X false false Part V, Section C Part V, Section C, Page 7 Line 3: Riverside completed a CHNA for each of the major geographic service areas it serves within Virginia. For each CHNA in each service area, 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 representatives from these areas, with responses included in the CHNA Assessment. Following the initial assessment, a smaller group of leaders from these organizations was brought together to work through prioritization and action planning in each service area. Line 4: Riverside Tappahannock Hospital was the only hospital participating in the Northern Neck CHNA. Riverside Walter Reed Hospital was the only hospital participating in the Middle Peninsula CHNA. 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 7: Recognizing that Riverside cannot address all of the public health concerns at once, the community group that came together in each service area worked to identify the top health concerns for the area, as well as identify ways to influence those issues. This provides a place to focus energy and resources across the community to address the issues the community is most concerned about. As the CHNA process is repeated in coming years, Riverside anticipates some areas remaining on the prioritized list, while others may shift to another issue. Line 11: Patients eligible under the Financial Assistance Policy were provided 100% discount and therefore FPG was not used to determine eligibility for discounted care. Line 16e: In accordance with 501(r), no collection activity, including third party collections, beyond mailing statements was taken prior to making a reasonable effort to determine the patient's eligibility under the FAP. Line 19d: Riverside Regional Medical Center, Riverside Tappahannock Hospital, Riverside Walter Reed Hospital, and Riverside Doctor's Hospital Williamsburg provide emergency services to the community. Riverside Behavioral Health Center and Riverside Rehabilitation Institute do not offer emergency services to the community. Line 20d: 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 Middle Ground 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, Supplemental Information, Page 9 Line 1: Part I: Line 3c: 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 $82,994,636. 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 II: Each of the Riverside facilities works to support its local community. Through the CHNA process, each community had a team consisting of Riverside employees as well as community leaders. These work groups helped identify and prioritize the top health concerns and service gaps in each community. These priorities have helped guide Riverside in its Community Benefit funding and support decisions. The programs vary based on the needs of the community and have ranged from outreach to an isolated island community only reachable by plane or boat through the Tangier Island Clinic to supporting School Based nursing programs in high risk schools. One of the largest components in each community is Riverside's commitment to educating the next generation of health professionals. This is seen every day in mentoring and training students, including medical students and residents, nursing students, physical therapists, radiology tech students, nursing assistants, EMTs - as well as training local Police and Fire personnel in working with individuals in a psychiatric crisis. 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. The System's financial statements do not contain a footnote specifically for bad debt. Bad debt is referenced in Note 4 community benefit expense. It 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 Health Center and Riverside Rehabilitation Institute are the only service providers of inpatient psychiatric and physical rehabilitation on the Peninsula. The Middle Peninsula, mainly composed of the counties of Essex, Gloucester, false Healthcare Performance Improvement 5041 Corporate Woods Dr STE 180 Virginia Beach VA 23462 204024074 501(c)(3) 30989 Sponsorship Riverside Health System 608 Denbigh Blvd St 800 Newport News VA 23608 521245746 501(c)(3) 10150 Install - ATMS/RDHW/PAVL An Achievable Dream Foundation Inc 10858 Warwick Blvd St A Newport News VA 23601 541621932 501(c)(3) 35000 Sponsorship Virginia Living Museum Inc 524 J Clyde Morris Blvd Newport News VA 23601 546055922 501(c)(3) 20000 Sponsorship Peninsula Community Foundation of Virginia Inc 11742 Jefferson Ave Newport News VA 23606 542057957 501(c)(3) 50000 Sponsorship - IMAX Virginia Center for Inclusive 5511 Staples Mill Road st 350 Richmond VA 23228 203188273 501(c)(3) 7000 Sponsorship An Achievable Dream Foundation Inc 10858 Warwick Blvd Newport News VA 23601 541621932 501(c)(3) 110000 Sponsorship Muscarelle Museum of Art Foundation PO Box 8795 St A Williamsburg VA 23187 461110899 501(c)(3) 12500 WINE/RN fr the Roses Foundation Beyond Boobs Inc 1311 Jamestown Rd Williamsburg VA 23185 260606190 501(c)(3) 22000 Sponsorship Office of Human Affairs 2410 Wickham Avenue Newport News VA 23607 237014485 501(c)(3) 15000 Sponsorship Newport News Police Foundation PO Box 11092 Newport News VA 23601 273564101 501(c)(3) 32500 Sponsorship American Cancer Society 11835 Canon Blvd St 204 Newport News VA 23606 237040934 501(c)(3) 15470 Relay for Life Sponsor Historic Triangle Senior Center 5301 Longhill Road St 102A Williamsburg VA 23188 541804545 501(c)(3) 10000 Sponsorship Alzheimer's Association 6350 Center Drive Norfolk VA 23502 133039601 501(c)(3) 10000 2013 Walk to End Alzheimer's Amercan Heart Assc-Glen Allen 4217 Park Place CT St 102 Glen Allen VA 23060 135613797 501(c)(3) 20000 Sponsorship College of William & Mary PO Box 8795 Williamsburg VA 23187 540734117 501(c)(3) 16500 Sponsorship Medical Society of Virginia 2924 Emerywood Parkway Richmond VA 23294 540299956 501(c)(3) 10000 Sponsorship WISC PO Box 5504 St 300 Williamsburg VA 23188 264134755 501(c)(3) 10000 Sponsorship The Mariner's Museum 100 Museum Drive St 216 Newport News VA 23606 540541801 501(c)(3) 10000 Sponsorship Northampton County EMS (Farm Bureau) PO Box 176 Eastville VA 23347 540486875 501(c)(3) 12500 Charitable Contribution Accomac County Dept of Public Safety PO Box 102 Tasley VA 23441 501(c)(3) 12500 Charitable Contribution Christopher Newport Univ Education Foundation 1 University Place Newport News VA 23606 501(c)(3) 7500 5th Install - 5 year pledge Peninsula Metropolitan YMCA 101 Long Green Blvd Yorktown VA 23693 541156248 501(c)(3) 10000 Sponsorship - 3rd Install Hospice Support Care of 4445 Powhatan Parkway Williamsburg VA 23188 540524905 501(c)(3) 6000 Sponsorship Prime Consulting Services Inc 11 Tiger Paw Path Yorktown VA 23693 521289657 501(c)(3) 10000 Sponsorship March of Dimes 860 Greenbrier Circle Chesapeake VA 23320 541862350 501(c)(3) 10000 Sponsorship Medical Society of Virginia 2924 Emerywood Parkway Richmond VA 23294 540801059 501(c)(3) 15000 Sponsorship Virginia Center for Health 919 E Main Street St 300 Richmond VA 23219 540299956 501(c)(3) 10000 Sponsorship United Way of the Virginia Peninsula 739 Thimble Shoals Blvd No 900 Newport News VA 23606 800796077 501(c)(3) 7500 Sponsorship ST Mary's Home 6171 Kempsville Circle St 302 Norfolk VA 23502 540535602 501(c)(3) 35000 3rd Install - Sponsorship Christopher Newport Univ Education Foundation 1 University Place Newport News VA 23606 540505952 501(c)(3) 125000 Sponsorship Virginia Living Museum Inc 524 J Clyde Morris Blvd Newport News VA 23601 541156248 501(c)(3) 11000 4th Installment Community Free Clinic of Newport News 727 25th Street Newport News VA 23607 452143034 501(c)(3) 250000 Installment HRSH - Riverside Health System 608 Denbigh Blvd Newport News VA 23608 273510814 501(c)(3) 160975 Sponsorship 43 Schedule I, Part I, Line 2 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. X X X X X false true false false false false false false false ANGECHERYL DIRECTOR RMG PRACTICE MGMT 139467 0 7074 0 5856 0 14703 0 10165 0 177265 0 0 0 BARRY GROSS EXEC VP/CMO RHS 483690 0 126776 0 104061 0 30488 0 7447 0 752462 0 0 0 BLAIR MARSTELLER BOARD MEMBER 347598 0 0 0 11220 0 22779 0 21466 0 403063 0 0 0 CARRIE MOSS BOARD MEMBER 214960 0 203470 0 66741 0 29154 0 661 0 514986 0 0 0 CHARLES FRAZIER VP, CLINICAL INNOVATION 332199 0 66340 0 55820 0 29154 0 22040 0 505553 0 0 0 CHARLES GRAHAM VP, PHYSICIAN SERVICES 314005 0 78275 0 64083 0 17679 0 18995 0 493037 0 0 0 CHRISTOPHER STOLLE VP MEDICAL AFFAIRS 318048 0 78988 0 56635 0 24054 0 1798 0 479523 0 0 0 CRAIG CONNORS VP, MANAGED CARE OPERS LHARS 184537 0 28875 0 42255 0 24054 0 22571 0 302292 0 0 0 DAVID JONES BOARD MEMBER 114552 0 22168 0 99223 0 22764 0 17942 0 276649 0 0 0 DEBRA BOYER BOARD MEMBER 194550 0 63478 0 13340 0 29154 0 20336 0 320858 0 0 0 DELPRINCEMARY DIRECTOR 156550 0 22711 0 942 0 17261 0 6179 0 203643 0 0 0 DENNIS LOFTUS SR VP, CIO 226055 0 0 0 25458 0 27809 0 18182 0 297504 0 0 0 DIANA LOVECCHIO VP, CONSTR MGMT & SHARED SVS 199519 0 53454 0 44286 0 23509 0 13258 0 334026 0 0 0 DOWLINGTRACEY DIRECTOR ADMINISTRATIVE 139681 0 25023 0 3102 0 16316 0 11850 0 195972 0 0 0 DOWNSNIKKI DIRECTOR SERVICE LINE 126000 0 23914 0 11517 0 17603 0 3780 0 182814 0 0 0 ELISABETH WILLIAMS VP, MARKETING & DEVELOPMENT ST 187893 0 37958 0 41205 0 10556 0 21666 0 299278 0 0 0 ELIZABETH MARTIN VP/ADMINISTRATOR RTH 261549 0 72255 0 51752 0 27819 0 19370 0 432745 0 0 0 ERIC STONE VP 199417 0 6000 0 6459 0 9573 0 2775 0 224224 0 0 0 FAYE GARGIULO VP, RESEARCH & DISCOVERY 222736 0 50148 0 42145 0 28626 0 6950 0 350605 0 0 0 FOSSJAMES DIRECTOR 170500 0 7336 0 20374 0 18070 0 9555 0 225835 0 0 0 FRANK MARTIN SR VP, LHARS 277695 0 54210 0 58038 0 30488 0 13238 0 433669 0 0 0 FREDRICK ARNOLD PRESIDENT, MEDICAL STAFF 183936 0 36961 0 15625 0 22537 0 9419 0 268478 0 0 0 GARY KAVIT BOARD MEMBER 319099 0 0 0 146427 0 24054 0 18344 0 507924 0 0 0 GREENWELLJENNIFER CFO 174201 0 30613 0 0 0 25123 0 11444 0 241381 0 0 0 GREGG SHIVERS SERVICE LINE CHIEF,RWRH 291898 0 19250 0 9335 0 24054 0 24146 0 368683 0 0 0 GWENDOLYN HARTZOG VP PATIENT CARE SVS, CNO 214290 0 53281 0 47258 0 22396 0 5801 0 343026 0 0 0 HALL HOWARD BOARD MEMBER 160482 0 0 0 18233 0 12673 0 9335 0 200723 0 0 0 HECKLEREDWARD EXECUTIVE DIRECTOR 119780 0 15323 0 15912 0 14255 0 17740 0 183010 0 0 0 HICKSNANCY DIRECTOR ADMINISTRATIVE 137065 0 6624 0 6995 0 17294 0 21067 0 189045 0 0 0 JAMES DUDLEY SERVICE LINE CHIEF 212486 0 0 0 134812 0 24054 0 22481 0 393833 0 0 0 JAMES EDWARDS BOARD MEMBER 129936 0 25671 0 13058 0 20679 0 10573 0 199917 0 0 0 JAMES LESNICK VP/MEDICAL DIRECTOR RMG 427284 0 145774 0 108681 0 22779 0 19433 0 723951 0 0 0 JAMES MCCORRY SERVICE LINE CHIEF, RDHW 273020 0 9308 0 163248 0 24054 0 706 0 470336 0 0 0 JAMES MULLINS BOARD MEMBER 326065 0 0 0 4953 0 30488 0 6478 0 367984 0 0 0 JASON HOUSER VP, LEGAL AFFAIRS 271257 0 54331 0 47909 0 24054 0 20580 0 418131 0 0 0 JEFFREY HENKE BOARD MEMBER 310157 0 88730 0 9959 0 29154 0 24344 0 462344 0 0 0 JOHN GRETES BOARD MEMBER 271717 0 54882 0 14338 0 24054 0 14047 0 379038 0 0 0 JOHN PETERMAN VP 162101 0 31088 0 9246 0 23474 0 6285 0 232194 0 0 0 JOSEPH CONVERSE BOARD MEMBER 421864 0 90921 0 15180 0 24054 0 15954 0 567973 0 0 0 JOSEPH WILSON BOARD MEMBER 428572 0 0 0 11779 0 24054 0 12196 0 476601 0 0 0 JOSEPH ZAGER VP, SHORE BUS DEVELOPMENT 218922 0 37904 0 65720 0 24054 0 24946 0 371546 0 0 0 KEITH PERCIC VP 234551 0 54542 0 65370 0 30488 0 18679 0 403630 0 0 0 KILGOREJASON DIRECTOR 122354 0 31897 0 92 0 13904 0 15992 0 184239 0 0 0 KYLE ALLEN VP CLINICAL INTEGRATION&MED DI 392203 0 56300 0 58847 0 24054 0 27801 0 559205 0 0 0 LABONTEBARBARA DIRECTOR ADMINISTRATIVE 154355 0 29374 0 0 0 21065 0 1101 0 205895 0 0 0 MARSHALL CROSS CHAIRMAN/RRMC OPERS COUNCIL,EX 442039 0 144795 0 36478 0 24054 0 15479 0 662845 0 0 0 MARTINTODD DIRECTOR 165587 0 8897 0 5569 0 16972 0 4996 0 202021 0 0 0 MEGAN KLECKNER VP/ADMINISTRATOR RWR 205645 0 36104 0 46468 0 24054 0 6413 0 318684 0 0 0 MENEFEEKATHY EXECUTIVE DIRECTOR 146530 0 7243 0 1796 0 18252 0 17303 0 191124 0 0 0 MICHAEL DOUCETTE VP RRMC OPERATIONS 309420 0 77910 0 61750 0 29154 0 17903 0 496137 0 0 0 MILLERBRADEN CFO 192702 0 41403 0 11024 0 23885 0 25568 0 294582 0 0 0 NEWTONRAYMOND DIRECTOR RMG PRACTICE MGMT 221902 0 0 0 4845 0 21404 0 3767 0 251918 0 0 0 PATRICK PARCELLS SR VP, ADMINISTRATOR RRMC 259021 0 131854 0 136618 0 21504 0 6595 0 555592 0 0 0 RENEE ROUNTREE VP EMERGENCY & TRAUMA SVS 182405 0 45395 0 37694 0 24054 0 610 0 290158 0 0 0 RICHARD DUNN BOARD MEMBER 180980 0 35536 0 2568 0 20031 0 22399 0 261514 0 0 0 RICHARD PEARCE EXEC VICE CHAIRMAN & SPECIAL A 23077 0 0 0 92243 0 13788 0 651 0 129759 0 0 0 RILEESHEILA DIRECTOR ADMINISTRATIVE 142641 0 7371 0 5886 0 14340 0 5613 0 175851 0 0 0 ROBERT BRYANT VP/COO LHARS 245008 0 39683 0 77137 0 26092 0 22620 0 410540 0 0 0 ROBERT DAVIS BOARD MEMBER 242506 0 12423 0 8067 0 24054 0 16653 0 303703 0 0 0 ROBERT HARDING BOARD MEMBER 238919 0 35000 0 29669 0 30488 0 13966 0 348042 0 0 0 SALLY HARTMAN VP, HUMAN RESOURCES 277893 0 57391 0 47728 0 29154 0 12528 0 424694 0 0 0 SALSBERRYLISA DIRECTOR 193838 0 0 0 45648 0 23117 0 23048 0 285651 0 0 0 SHAWKE SOUEIDAN BOARD MEMBER 392958 0 74894 0 2313 0 21504 0 22481 0 514150 0 0 0 SNAPPSANDRA DIRECTOR 163625 0 31381 0 105 0 22307 0 586 0 218004 0 0 0 STEPHEN MCCARY VP/ADMINISTRATOR RDHW 182613 0 38378 0 48368 0 23493 0 9538 0 302390 0 0 0 STEWART JENNINGS BOARD MEMBER 123919 0 8685 0 111 0 11533 0 14625 0 158873 0 0 0 TENNEYBRIAN EXECUTIVE DIRECTOR 119307 0 14293 0 18478 0 14256 0 21335 0 187669 0 0 0 TERRIS KENNEDY BOARD MEMBER 261017 0 56124 0 72453 0 24054 0 702 0 414350 0 0 0 THOMAS CLEARY PRESIDENT, MEDICAL STAFF 222528 0 0 0 4500 0 21416 0 0 0 248444 0 0 0 TRACEE CARMEAN VP, EDUCATION 171748 0 49109 0 38227 0 29154 0 14559 0 302797 0 0 0 VERNEETA WILLIAMS BOARD MEMBER 194461 0 6000 0 165 0 18222 0 13315 0 232163 0 0 0 WADE BROUGHMAN EXEC VP,COO & SECRETARY 526605 0 143380 0 143655 0 22779 0 20027 0 856446 0 0 0 WALTER AUSTIN SR VP, CFO & TREASURER 355102 0 34344 0 57339 0 11475 0 16091 0 474351 0 0 0 WILLIAM DOWNEY PRESIDENT,CEO RHS 746649 0 227700 0 164348 0 29154 0 14418 0 1182269 0 0 0 WOODYCHRISTINE DIRECTOR 129869 0 26268 0 757 0 18603 0 11846 0 187343 0 0 0 YOUNGERROSS DIRECTOR 222287 0 0 0 578 0 21666 0 25583 0 270114 0 0 0 CULLOMROBERT PHYSICIAN 444011 0 1329194 0 1021 0 0 0 18378 0 1792604 0 0 0 KOSTOVDEAN PHYSICIAN 635473 0 943937 0 0 0 24054 0 20228 0 1623692 0 0 0 MCALLISTERWILLIAM PHYSICIAN 967567 0 401239 0 20585 0 20229 0 25192 0 1434812 0 0 0 TANNERGARY PHYSICIAN 497485 0 806391 0 897 0 600 0 4150 0 1309523 0 0 0 KITAYSTEVEN PHYSICIAN 405411 0 799191 0 0 0 600 0 18612 0 1223814 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 $73,117 CHARLES FRAZIER $38,463 CHARLES GRAHAM $38,750 CHRISTOPHER STOLLE $38,063 CRAIG CONNORS $21,875 DIANA LOVECCHIO $24,413 ELIZABETH WILLIAMS $21,875 ELIZABETH MARTIN $32,188 FAYE GARGIULO $26,250 FRANK MARTIN $34,250 GWENDOLYN HARTZOG $25,675 JAMES LESNICK $50,469 JASON HOUSER $31,500 JOE ZAGER $27,563 KEITH PERCIC $28,938 KYLE ALLEN $47,375 MEGAN KLECKNER $21,950 MICHAEL DOUCETTE $33,206 PATRICK PARCELLS $58,238 RENEE ROUNTREE $21,875 ROBERT BRYANT $30,063 SALLY HARTMAN $30,375 LISA SALSBERRY $18,500 STEPHEN MCCARY $22,251 TERRIS KENNEDY $30,797 TRACEE CARMEAN $21,206 WADE BROUGHMAN $79,209 WALTER AUSTIN $37,500 WILLIAM DOWNEY $138,601 A Economic Development Authority City NN 521290859 2011-12-20 24570000 2011A issue refunding of 1997 outs false false false A 0 0 24570000 0 0 0 170000 0 0 0 24400000 0 2012 true false true true A 0 A false true true true false 0 false 0 false true A true Part I Line A The 2011 A, B, C & 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 113239 SEE PART V false Thomas Cleary SEE PART V 182043 SEE PART V false WADE BROUGHMAN Schedule L, Part IV Wade Broughman's family member is employed by Riverside Hospital, Inc. Thomas Cleary Schedule L, Part IV Thomas Cleary's family member has a business relationship with Riverside Hospital, Inc. SCHEDULE O Part V, 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 and Gordon Gentry have a business relationship. 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 A report of potential Conflicts of Interest are 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. 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 XI Line 9 2004 Bond Swap EQ Adj (84,116) Virginia Surgical Management LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 542057012 Surg Ctr Mngt VA 2684418 2576353 NA Peninsula Cancer Institute LLC 608 Denbigh Blvd Ste 800 Newport News VA 23608 201872200 PHYSICIAN OFC VA 9688160 47696169 NA Shore Health Services Inc 608 Denbigh Blvd Suite 800 Newport News VA 23608 540560500 Gen Med/Surg VA 501(c)(3) 3 RHA Inc true Shore Life Care inc 608 Denbigh Blvd Suite 800 Newport News VA 23608 541876370 Nursing Care VA 501(c)(3) 3 SHS INC true Charlottesville Area Retirement Svc Inc 608 Denbigh Blvd Suite 800 Newport News VA 23608 454854018 Elderly Svcs VA 501(c)(3) 11a RRS Inc true Newport News General & Nonsectarian 608 Denbigh Blvd Suite 800 Newport News VA 23608 540505934 Holding Corp VA 501(c)(2) N/A RHA Inc true Riverside Healthcare Assocation Inc 608 Denbigh Blvd Suite 800 Newport News VA 23608 521241835 Parent Comp. 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Laundry VA Rvs Hlth Fndtn C Corp 3922231 3901488 0.62270 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 17644548 MARKET VALUE Newport News General & Nonsectarian Hosp Inc L 745905 MARKET VALUE