TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) ALAN WITT........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(2) ALEXANDER DILLARD........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(3) ALFRED POOLE........................................................................ CHAIRMAN	1.0 .......................0.0	X	0	0
(4) ALICE BURGESS........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(5) BARBARA HAYWOOD........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(6) BENJAMIN GARRETT........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(7) BETTY BLEVINS........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(8) BLAIR MARSTELLER........................................................................ BOARD MEMBER	40.0 .......................0.0	X	353,652	46,228
(9) CARAMINE KELLAM........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(10) CAROLYN FELLING........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(11) CARRIE QUINN........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(12) CARRIE MOSS........................................................................ BOARD MEMBER	40.0 .......................0.0	X	421,831	30,416
(13) RANDOLPH CARRINGTON........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(14) CHANNING HALL........................................................................ VICE CHAIRMAN	1.0 .......................0.0	X	0	0
(15) CHARLENE SMITH........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(16) CHARLES HIGGINS........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0
(17) CHARLES MINTER........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CHARLES REVERE........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(19) CHERYL LAWSON........................................................................ BOARD MEMBER	40.0 .......................0.0	X				338,406	25,914
(20) CONWAY SMITH........................................................................ VICE CHAIRMAN	1.0 .......................0.0	X				0	0
(21) CONWAY SHEILD........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(22) DARRYL FISHER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(23) DAVID JONES........................................................................ BOARD MEMBER	40.0 .......................0.0	X				244,349	45,488
(24) DAYTON RITT........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(25) DEBRA BOYER........................................................................ BOARD MEMBER	40.0 .......................0.0	X				260,949	43,895
(26) DELORIS BECKER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(27) DWAYNE BLAKE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(28) DWIGHT HERBERT........................................................................ BOARD MEMBER	40.0 .......................0.0	X				247,894	39,801
(29) ERIC STONE........................................................................ ASSOCIATE ADMINISTRATOR/VP CLI	40.0 .......................0.0	X				272,009	14,788
(30) EUGENE CONNER........................................................................ VICE CHAIRMAN	1.0 .......................0.0	X				0	0
(31) FAYE GARGIULO........................................................................ VP RESEARCH/DISCOVERY & PHY DE	40.0 .......................0.0	X				289,693	38,591
(32) FRANCES ELLIS........................................................................ VICE CHAIRMAN	1.0 .......................0.0	X				0	0
(33) FREDRICK ARNOLD........................................................................ PRESIDENT, MEDICAL STAFF	40.0 .......................0.0	X				275,711	29,481
(34) GARY KAVIT........................................................................ BOARD MEMBER	40.0 .......................0.0	X				458,737	46,491
(35) GEORGE GOODSON........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(36) GORDON GENTRY........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(37) FEDERICO VIZCAINO........................................................................ MEDICAL STAFF PRESIDENT	1.0 .......................0.0	X				0	0
(38) HERBERT KELLY........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(39) IVY MITCHELL........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(40) JAMES DUDLEY........................................................................ SERVICE LINE CHIEF	40.0 .......................0.0	X				311,232	51,428
(41) JAMES MCCORRY........................................................................ SERVICE LINE CHIEF, RDHW	40.0 .......................0.0	X				393,181	25,228
(42) JAMES MULLINS........................................................................ BOARD MEMBER	40.0 .......................0.0	X	X			333,955	38,669
(43) JAMES THORN........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(44) JARED BATES........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(45) JEFFREY HASKINS........................................................................ BOARD MEMBER	40.0 .......................0.0	X				204,045	17,198
(46) JEFFREY HENKE........................................................................ BOARD MEMBER	40.0 .......................0.0	X				405,127	53,963
(47) JEROLD ALLEN........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(48) JOHN GRETES........................................................................ BOARD MEMBER	40.0 .......................0.0	X				295,280	40,169
(49) JOHN ISHON........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(50) JOSEPH CONVERSE........................................................................ BOARD MEMBER	40.0 .......................0.0	X				484,645	42,143
(51) JOSEPH WILSON........................................................................ BOARD MEMBER	40.0 .......................0.0	X				436,672	37,517
(52) KEITH HANGER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(53) KIRBY SMITH........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(54) LINDA PHILLIPS........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(55) MARSHALL CROSS........................................................................ CHAIRMAN OF RRMC OPERS COUNCIL	40.0 .......................0.0	X	X			552,691	42,343
(56) MICHAEL DOUCETTE........................................................................ VP RRMC OPERATIONS	40.0 .......................0.0	X	X			429,463	55,012
(57) MICHAEL MCAULIFFE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(58) MYRON HODGES........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(59) NHU YEARGIN........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(60) PAMELA FAWVER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(61) PATRICIA BARRY........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(62) PAUL HARTMANN........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(63) PAUL TREOLO........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(64) REBECCA MCCOY........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(65) RICHARD CROWDER........................................................................ VICE CHAIRMAN	40.0 .......................0.0	X				100	1,302
(66) RICHARD DUNN........................................................................ BOARD MEMBER	40.0 .......................0.0	X				208,835	33,409
(67) RICHARD PEARCE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(68) ROBERT DAVIS........................................................................ BOARD MEMBER	40.0 .......................0.0	X				236,619	29,457
(69) ROBERT GORDON........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(70) ROBERT HARDING........................................................................ CHAIRMAN	40.0 .......................0.0	X				297,349	49,513
(71) ROBERT MARBLE........................................................................ CHAIRMAN	1.0 .......................0.0	X				0	0
(72) RONALD SAUNDERS........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(73) SHERRIN ALSOP........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(74) STEPHEN ADAMS........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(75) SUSANNA HICKMAN........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(76) DEBBIE CAMPBELL........................................................................ ADMINISTRATOR	40.0 .......................0.0	X				130,791	21,270
(77) TERRIS KENNEDY........................................................................ BOARD MEMBER	40.0 .......................0.0	X				340,728	25,263
(78) THOMAS BAKER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(79) THOMAS REAGAN........................................................................ BOARD MEMBER	40.0 .......................0.0	X				0	0
(80) TIMOTHY BAKER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(81) TY JOUBERT........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(82) VERNEETA WILLIAMS........................................................................ BOARD MEMBER	40.0 .......................0.0	X				200,440	39,082
(83) VERONICA DONAHUE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(84) VICKI HAUSER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(85) WADE BROUGHMAN........................................................................ EXEC VP,COO & SECRETARY	39.0 .......................1.0	X	X			727,167	44,916
(86) WALTER BYRDE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(87) WANDA AUSTIN........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(88) WILLIAM HEATH........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(89) WILLIAM BENSON........................................................................ VICE CHAIRMAN	1.0 .......................0.0	X				0	0
(90) WILLIAM BRAUER........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(91) WILLIAM DOWNEY........................................................................ PRESIDENT,CEO RHS	39.0 .......................1.0	X	X			1,073,751	47,508
(92) WILLIAM GRACE........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(93) WILLIAM MASSEY........................................................................ BOARD MEMBER	1.0 .......................0.0	X				0	0
(94) BARRY GROSS........................................................................ EXEC VP/CMO RHS	40.0 .......................0.0		X			656,623	44,730
(95) CHARLES FRAZIER........................................................................ VP, CLINICAL INNOVATION	40.0 .......................0.0		X			437,724	53,472
(96) CHARLES GRAHAM........................................................................ VP REVENUE CYCLE	40.0 .......................0.0		X			401,889	47,906
(97) CHRISTOPHER STOLLE........................................................................ VP MEDICAL AFFAIRS	40.0 .......................0.0		X			409,209	26,147
(98) CRAIG CONNORS........................................................................ VP PACE	40.0 .......................0.0		X			236,313	47,832
(99) LESLIE BRUNICK........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0		X			152,614	38,612
(100) VALERIA THOMAS........................................................................ DIRECTOR SYSTEM LLH	40.0 .......................0.0		X			150,097	29,346
(101) DENNIS LOFTUS........................................................................ SR VP, CHIEF INFORMATION OFFIC	40.0 .......................0.0		X			319,100	44,788
(102) DIANA LOVECCHIO........................................................................ VP, CONSTR MGMT & SHARED SVS	40.0 .......................0.0		X			269,018	38,285
(103) ELISABETH WILLIAMS........................................................................ VP, MARKETING, STRATEGY & DEVE	40.0 .......................0.0		X			264,232	35,363
(104) ELIZABETH MARTIN........................................................................ VP QUALITY	40.0 .......................0.0		X			333,157	48,527
(105) GARY STARKEY........................................................................ FACILITY MEDICAL DIRECTOR	1.0 .......................0.0		X			0	0
(106) GWENDOLYN HARTZOG........................................................................ VP PATIENT CARE SVS, CNO	40.0 .......................0.0		X			282,333	36,014
(107) JAMES LESNICK........................................................................ VP/MEDICAL DIRECTOR RMG	40.0 .......................0.0		X			594,159	38,206
(108) JASON HOUSER........................................................................ VP, LEGAL AFFAIRS	40.0 .......................0.0		X			357,630	44,763
(109) JOSEPH ZAGER........................................................................ VP, DEVELOPMENT COMMUNITY OUTR	40.0 .......................0.0		X			438,823	16,274
(110) KEITH PERCIC........................................................................ VP FINANCE	40.0 .......................0.0		X			319,127	51,556
(111) KYLE ALLEN........................................................................ VP CLINICAL INTEGRATION&MED DI	40.0 .......................0.0		X			478,460	60,373
(112) MEGAN KLECKNER........................................................................ VP/ADMINISTRATOR	40.0 .......................0.0		X			253,287	34,897
(113) NANCY LITTLEFIELD........................................................................ SR VP/CNO	40.0 .......................0.0		X			885	0
(114) PATRICIA RUSSO........................................................................ VP CARE MANAGEMENT	40.0 .......................0.0		X			279,749	38,058
(115) RENEE ROUNTREE........................................................................ VP, PATIENT EXPERIENCE OFFICER	40.0 .......................0.0		X			239,257	20,259
(116) ROBERT BRYANT........................................................................ VP/COO LHARS	40.0 .......................0.0		X			363,128	54,245
(117) SALLY RYAN........................................................................ VP PHYSICIAN SERVICES	40.0 .......................0.0		X			232,867	28,437
(118) STEPHEN MCCARY........................................................................ VP/ADMINISTRATOR RDHW	40.0 .......................0.0		X			255,472	35,098
(119) TRACEE CARMEAN........................................................................ VP EDUCATION	40.0 .......................0.0		X			138,633	18,503
(120) WALTER AUSTIN........................................................................ SR VP, CFO & TREASURER	39.0 .......................1.0		X			462,440	25,911
(121) CHERYL ANGE........................................................................ DIRECTOR SR SPECIA	40.0 .......................0.0			X		157,771	25,922
(122) MARY DELPRINCE........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		179,824	27,892
(123) TRACEY DOWLING........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		161,103	30,172
(124) NIKKI DOWNS........................................................................ DIRECTOR SERVICE L	40.0 .......................0.0			X		167,123	6,968
(125) EDWARDSTHOMAS........................................................................ DIRECTOR	40.0 .......................0.0			X		196,220	3,128
(126) FOSSJAMES........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		200,911	30,799
(127) GREENWELLJENNIFER........................................................................ CFO	40.0 .......................0.0			X		198,263	39,258
(128) HECKLEREDWARD........................................................................ EXECUTIVE DIRECTOR	40.0 .......................0.0			X		164,993	32,093
(129) JOHN PETERMAN........................................................................ VP/ADMINISTRATOR	40.0 .......................0.0			X		250,574	33,960
(130) KILGOREJASON........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		166,220	35,850
(131) LABONTEBARBARA........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		178,578	21,608
(132) MARTINTODD........................................................................ DIRECTOR SYSTEM	40.0 .......................0.0			X		170,193	23,230
(133) MENEFEEKATHY........................................................................ EXECUTIVE DIRECTOR	40.0 .......................0.0			X		160,500	37,857
(134) MILLERBRADEN........................................................................ CFO	40.0 .......................0.0			X		234,876	53,131
(135) NEWTONRAYMOND........................................................................ DIRECTOR RMG PRACT	40.0 .......................0.0			X		175,272	15,757
(136) RANDY FERRANCE........................................................................ PRESIDENT, RTH MEDICAL STAFF	40.0 .......................0.0			X		351,773	32,729
(137) SALSBERRYLISA........................................................................ DIRECTOR	40.0 .......................0.0			X		224,502	48,229
(138) SHORTTIMOTHY........................................................................ DIRECTOR DEVELOPME	40.0 .......................0.0			X		154,754	25,485
(139) SNAPPSANDRA........................................................................ DIRECTOR	40.0 .......................0.0			X		181,502	21,205
(140) YOUNGERROSS........................................................................ DIRECTOR	40.0 .......................0.0			X		247,850	50,122
(141) KOSTOVDEAN........................................................................ PHYSICIAN	36.0 .......................0.0				X	1,511,679	51,107
(142) CULLOMROBERT........................................................................ PHYSICIAN	38.0 .......................0.0				X	1,381,427	22,254
(143) TANNERGARY........................................................................ PHYSICIAN	32.0 .......................0.0				X	1,137,380	4,764
(144) YOUSEFMASHOUR........................................................................ PHYSICIAN	36.0 .......................0.0				X	954,329	48,799
(145) KITAYSTEVEN........................................................................ PHYSICIAN	36.0 .......................0.0				X	906,259	23,088

(A) Name and business address	(B) Description of services	(C) Compensation
Fisher Scientific Company LLC, PO BOX 404705 ATLANTA,GA303844705	RADIOLOGY SERVICES	2,263,072
Radiology Svcs of Hampton Roads, 814 Greenbrier Circle Ste H CHESAPEAKE,VA23320	Radiology Services	1,255,545
Ernst Young LLP, PO BOX 640382 PITTSBURGH,PA152640382	ACCOUNTING SERVICES	844,000
Crowe Howarth LLP, PO Box 71570 CHICAGO,IL606941570	CONSULTING SERVICES	694,572
Escribe Management Services, 469 Mclaws Circle WILLIAMSBURG,VA23185	PROFESSIONAL SVCS	554,277
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 28

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	8,189,159	8,189,159
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	25,093,379		25,093,379
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	147,287	147,287
7	Other salaries and wages ....	443,735,237	409,003,902	34,731,335
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	23,374,252	10,951,299	12,422,953
9	Other employee benefits .......	32,833,078	27,711,379	5,121,699
10	Payroll taxes ...........	28,361,906	24,876,043	3,485,863
11	Fees for services (non-employees):
a	Management ......	276,303		276,303
b	Legal .........	930,131		930,131
c	Accounting ...........	631,322		631,322
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	216,203		216,203
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	28,342,924	28,342,924
12	Advertising and promotion ....	5,234,396	701,752	4,532,644
13	Office expenses .......	113,879,193	105,331,824	8,468,071	79,298
14	Information technology ......	35,550,370	3,748,818	31,801,552
15	Royalties ..	0
16	Occupancy ...........	64,494,777	64,494,777
17	Travel ............	2,646,193	1,929,518	716,675
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	33,458	13,631	19,827
20	Interest ...........	6,011,419	1,278,910	4,732,509
21	Payments to affiliates .......	207,202,638	117,185,835	90,016,803
22	Depreciation, depletion, and amortization .....	36,835,083	28,256,274	8,578,809
23	Insurance ..............	69,166,692	8,735,841	60,430,851
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PROFESSIONAL SERVICES	58,713,497	58,713,384		113
b	BAD DEBT EXPENSE	83,684,394	83,684,394
c	TAXES	411,506	219,935	191,571
d	MEDICAL SUPPLIES	75,924,708	70,957,011	4,967,697
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,351,919,505	1,054,473,897	297,366,197	79,411
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	26,435,604	1	30,236,335
2	Savings and temporary cash investments .........	514,424,886	2	538,803,289
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	-50,788,555	4	-33,346,986
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	13,422,682	8	14,786,978
9	Prepaid expenses and deferred charges ..........	98,763	9	11,595,115
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	677,237,703
b	Less: accumulated depreciation .....	10b	439,631,712	241,777,088	10c	237,605,991
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	35,706,165	13	32,063,780
14	Intangible assets ...............	38,915,342	14	38,915,342
15	Other assets. See Part IV, line 11 ...........	152,104	15	143,750
16	Total assets. Add lines 1 through 15 (must equal line 34)......	820,144,079	16	870,803,594
	17	Accounts payable and accrued expenses .........	176,456,793	17	298,492,769
18	Grants payable .................	0	18	0
19	Deferred revenue ................	4,082,710	19	1,938,158
20	Tax-exempt bond liabilities .............	25,188,617	20	20,950,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	33,401,213	25	34,439,698
26	Total liabilities. Add lines 17 through 25.........	239,129,333	26	355,820,625
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	575,075,697	27	508,155,239
28	Temporarily restricted net assets ...........	5,839,049	28	6,727,730
29	Permanently restricted net assets ...........	100,000	29	100,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	581,014,746	33	514,982,969
34	Total liabilities and net assets/fund balances ........	820,144,079	34	870,803,594

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) FRANCIS N SANDERS	540683174	03		No	0	0
(B) PATRICK HENRY HOSPITAL INC	540601803	03		No	0	0
(C) REHABILITATION INSTITUTE OF VIRGINIA INC	521432269	03		No	0	0
(D) RIVERSIDE BEHAVIORAL CENTER INC	541979321	03		No	0	0
(E) RIVERSIDE CONVALESCENT CENTERS INC	521276323	03		No	0	0
(F) RIVERSIDE HOSPITAL INC	521245746	03		No	0	0
(G) RIVERSIDE MIDDLE PENINSULA HOSPITAL INC	521241836	03		No	0	0
(H) RIVERSIDE TAPPAHANNOCK HOSIPTAL INC	541489410	03		No	0	0
(I) SANDERS COMMON LTD	524233030	03		No	0	0
Total 9

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Yes

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Yes

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Yes

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1	0
2	Recoveries of prior-year distributions	2	0
3	Other gross income (see instructions)	3	0
4	Add lines 1 through 3	4	0
5	Depreciation and depletion	5	0
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6	0
7	Other expenses (see instructions)	7	0
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8	0

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a	0
b	Average monthly cash balances	1b	0
c	Fair market value of other non-exempt-use assets	1c	0
d	Total (add lines 1a, 1b, and 1c)	1d	0
e	Discount claimed for blockage or other factors (explain in detail in Part VI): 0
2	Acquisition indebtedness applicable to non-exempt use assets	2	0
3	Subtract line 2 from line 1d	3	0
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4	0
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5	0
6	Multiply line 5 by .035	6	0
7	Recoveries of prior-year distributions	7	0
8	Minimum Asset Amount (add line 7 to line 6)	8	0

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1	0
2	Enter 85% of line 1	2	0
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3	0
4	Enter greater of line 2 or line 3	4	0
5	Income tax imposed in prior year	5	0
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6	0
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes		0
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity		0
3 Administrative expenses paid to accomplish exempt purposes of supported organizations		0
4 Amounts paid to acquire exempt-use assets		0
5 Qualified set-aside amounts (prior IRS approval required)		0
6 Other distributions (describe in Part VI). See instructions		0
7Total annual distributions. Add lines 1 through 6.		0
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions		0
9 Distributable amount for 2014 from Section C, line 6		0
10 Line 8 amount divided by Line 9 amount		0 %

Section E - Distribution Allocations (see instructions)	(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6			0
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)		0
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......0
fTotal of lines 3a through e	0
g Applied to underdistributions of prior years		0
h Applied to 2014 distributable amount			0
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.	0
4Distributions for 2014 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years		0
b Applied to 2014 distributable amount			0
c Remainder. Subtract lines 4a and 4b from 4.	0
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)		0
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)			0
7 Excess distributions carryover to 2015. Add lines 3j and 4c.	0
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......0
e From 2014.......0

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
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

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Riverside Healthcare Association Inc Group

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Riverside Healthcare Association Inc Group

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

45,788

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

100,355

Total. Add lines 1c through 1i ...............................

146,143

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	1,269,006	1,305,166	1,208,060	1,356,116	1,250,833
b	Contributions ........
c	Net investment earnings, gains, and losses	51,727	77,915	149,106	19,944	161,283
d	Grants or scholarships .....	129,000	114,075	52,000	168,000	56,000
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	1,191,733	1,269,006	1,305,166	1,208,060	1,356,116

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,745,731		12,745,731
b	Buildings ................	257,915,299	141,264,051	116,651,248
c	Leasehold improvements ............
d	Equipment ................	390,222,201	285,818,547	104,403,654
e	Other .................	16,354,472	12,549,114	3,805,358
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				237,605,991

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
OTHER CURRENT LIABILITIES		10,892,407
OBLIGATION UNDER CAPITAL LEASE		22,309,821
NOTE PAYABLE-CURRENT		686,282
CONTINGENT LIABILITY		551,188





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		34,439,698
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D Part V Line 4	Endowment funds are used for scholarships

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 250 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	6	35,454	24,735,399		24,735,399	1.950 %
b	Medicaid (from Worksheet 3, column a) ....	7	60,089	30,397,164	25,231,956	5,165,208	0.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	13	95,543	55,132,563	25,231,956	29,900,607	2.360 %
Other Benefits		29	10,720	2,153,314		2,153,314	0.170 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	29	10,720	2,153,314		2,153,314	0.170 %
f	Health professions education (from Worksheet 5) ..	46	1,734	21,805,774	11,552,763	10,253,011	0.810 %
g	Subsidized health services (from Worksheet 6) ..	1	11,732	13,233,227	9,339,685	3,893,542	0.310 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	71	25,403	2,066,191		2,066,191	0.160 %
j	Total. Other Benefits ..	147	49,589	39,258,506	20,892,448	18,366,058	1.450 %
k	Total. Add lines 7d and 7j .	160	145,132	94,391,069	46,124,404	48,266,665	3.810 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

83,684,394

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

224,812,112

Enter Medicare allowable costs of care relating to payments on line 5.....

225,290,903

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-478,791

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?6 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (describe)	Facility reporting group
1	Riverside Regional Medical Center 500 J CLYDE MORRIS BLVD NEWPORT NEWS,VA23601 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,VA23061 www.riversideonline.com/rwrh/ H-1890 Riverside Middle Peninsula H 521241836	X	X			X		2
3	Riverside Tappahannock Hospital 618 HOSPITAL ROAD TAPPAHANNOCK,VA22560 www.riversideonline.com/rth/ H-1889 Riverside Tappahannock Hospi 541489410	X	X			X		3
4	Riverside Rehabilitation Institute 245 CHESAPEAKE AVENUE NEWPORT NEWS,VA23607 www.riversideonline.com/rri/ H-1888 The Rehabilitation Institute 521432269	X					Inpat Rehabilitation	4
5	Riverside Behavioral Health Center 2244 EXECUTIVE DRIVE HAMPTON,VA23666 www.riversideonline.com/rbhc/ 399-14-001 Riverside Behavioral Center 541979321	X					Inpat Psychiatric	5
6	Riverside Doctors Hosp Williamsburg 1500 Commonwealth Avenue Williamsburg,VA23185 www.riversideonline.com/rdhw/ H-1937 Doctors' Hospital of William 271540267	X	X			X		6

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Regional Medical Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Walter Reed Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Walter Reed Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Walter Reed Hospital
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Tappahannock Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Tappahannock Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Tappahannock Hospital
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Rehabilitation Institute
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Rehabilitation Institute
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Rehabilitation Institute
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Behavioral Health Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Behavioral Health Center
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Behavioral Health Center
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Riverside Doctors Hosp Williamsburg
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Sec. C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.riversideonline.com/community_benefit/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Doctors Hosp Williamsburg
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Riverside Doctors Hosp Williamsburg
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?43
Name and address		Type of Facility (describe)
1	Brentwood Medical Education 10510 Jefferson Avenue Newport News,VA23601	Physician Clinic
2	PCI-Newport News 12100 Warwick Blvd Newport News,VA23601	Infusion Therapy Center
3	Riverside Cancer Institute Ctr-Va Beach 1200 First Colonial Rd 204A Virginia Beach,VA23455	Infusion Therapy Center
4	Riverside Cancer Institute Ctr-Chesapeak 110 Wimbledon Square Ste E1 Chesapeake,VA23320	Infusion Therapy Center
5	Riverside Cancer Institute Ctr-Suffolk 5835 Harbor View Blvd Ste C1 Suffolk,VA23435	Infusion Therapy Center
6	Riverside Diagnostic & Breast Imaging Ct 895 City Center Blvd Ste 104 Newport News,VA23606	Diagnostic Center
7	Riverside Home Care 856 J Clyde Morris Blvd Newport News,VA23601	Home Health Agency
8	PACE-Hampton 4107 West Mercury Blvd Hampton,VA23666	Elderly Care Services
9	PACE-Manchester 701 Gordon Avenue Richmond,VA23224	Elderly Care Services
10	PACE-Petersburg 319 Brown Street Petersburg,VA23803	Elderly Care Services
11	PACE-Mactavish 1300 Mactavish Avenue Richmond,VA23230	Elderly Care Services
12	Patriots Colony 6000 Patriots Colony Williamsburg,VA23188	Retirement Center
13	Riverside Cancer Institute Ctr-Gloucest 7544 Medical Center Gloucester,VA23061	Infusion Therapy Center
14	Riverside Radiation Oncology-Wmbg 3901 Treyburn Drive Williamsburg,VA23085	Radiation Oncology Center
15	Hampton Surgery Center 850 Enterprise Parkway Ste 100 Hampton,VA23666	Surgery Center
16	Riverside Diagnostic Ctr-Hampton 850 Enterprise Parkway Ste 1500 Hampton,VA23666	Diagnostic Center
17	Riverside Radiaton Oncology-Npt News 12100 Warwick Blvd Newport News,VA23601	Radiation Oncology Center
18	Riverside Convalescent-Warwick Forest 1000 Old Denbigh Blvd Newport News,VA23602	Nursing Home/Convalescent Svcs
19	Riverside Convalescent-Hampton 414 Algonquin Road Hampton,VA23661	Nursing Home/Convalescent Svcs
20	Riverside Convalescent-Mathews Route 611 PO Box 370 Mathews,VA23109	Nursing Home/Convalescent Svcs
21	Riverside Convalescent-Saluda 672 Gloucester Road Saluda,VA23149	Nursing Home/Convalescent Svcs
22	Riverside Convalescent-Smithfield 200 Lumar Road Smithfield,VA23430	Nursing Home/Convalescent Svcs
23	Riverside Convalescent-West Point 2960 Chelsa Road West Point,VA23181	Nursing Home/Convalescent Svcs
24	Sanders Retirement Center 7385 Walker Avenue Gloucester,VA23061	Retirement Services
25	Riverside Convalescent-Orchard 20 Delfae Drive Warsaw,VA22572	Nursing Home/Convalescent Svcs
26	Riverside Cancer Institute Ctr-Wmbg 120 Kings Way Williamsburg,VA23185	Infusion Therapy Center
27	Riverside Diagnostic Center-Williamsburg 120 Kings Way Ste 1200 Williamsburg,VA23185	Diagnostic Center
28	Riverside Radiation Oncology-Gloucester 7544 Medical Drive Ste A Gloucester,VA23061	Radiation Oncology Center
29	PACE-Newport News 439 C Oriana Road Newport News,VA23608	Elderly Care Services
30	Riverside Convalescent-Regional 1000 Old Denbigh Blvd Newport News,VA23602	Nursing Home/Convalescent Svcs
31	Riverside Diagnostic Center Smithfield 202 Gumwood Drive Smithfield,VA23430	Diagnostic Center
32	Riverside Diagnostic Center Mt Clement 300 Mount Clement Park Ste A2 Tappahannock,VA22560	Diagnostic Center
33	Riverside Neurology Ctr 12200 Warwick Blvd Ste 110 Newport News,VA23608	Neurology Center
34	Peninisula GastroRiverside Endoscopy Ct 101 Phillip Roth Street Ste B Newport News,VA23606	Gastroenterology/Endoscopy Ct
35	Riverside Pain & Interventional Center 12420 Warwick Blvd Ste C Newport News,VA23606	Pain & Interventional Center
36	Riverside Physical Therapy-Hampton 850 Enterprise Parkway Ste 2100 Hampton,VA23666	Physical Therapy
37	Riverside Physical Therapy-Denbigh 12650 Jefferson Ave Ste 100 Newport News,VA23602	Physical Therapy
38	Riverside Pulmonary and Sleep Center 12200 Warwick Blvd Ste 210 Newport News,VA23601	Pulmonary and Sleep Center
39	Riverside Diabetes Services 12200 Warwick Blvd Ste 590A Newport News,VA23601	Diabetes Services
40	Riverside Physical Therapy-Mt Clement 300 Mt Clement Park Ste D Tappahannock,VA22560	Physical Therapy
41	Riverside Physical Therapy-Hayes 2656 George Washington Mem Hwy Ste Hayes,VA23072	Physical Therapy
42	Riverside Hayes Diagnostic Imaging Ctr 2246 George Washington Mem Hwy Hayes,VA23072	Diagnostic Imaging Center
43	Riverside Rehab Outpatient Therapy-Wlbg 120 Monticello Ave Ste 200 Williamsburg,VA23185	Outpatient Therapy

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference

Explanation

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

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Riverside Healthcare Association Inc Group

Employer identification number
90-1000718

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Dream Catchers 10120 Fire Tower Rd Toano,VA23168	54-1692709	501(c)(3)	7,500	Sponsorship
(2) An Achievable Dream Foundation Inc 10858 Warwick Blvd Newport News,VA23601	54-1621932	501(c)(3)	35,000	Sponsorship
(3) Virginia Living Museum Inc 524 J Clyde Morris Blvd Ste A Newport News,VA23601	54-6055922	501(c)(3)	11,000	2014 OPP Pledge
(4) Virginia Living Museum Inc 524 J Clyde Morris Blvd Newport News,VA23601	54-6055922	501(c)(3)	15,000	2014 Wild&Well
(5) Peninsula Community Foundation of Virginia Inc 11742 Jefferson Ave Newport News,VA23606	54-2057957	501(c)(3)	50,000	Sponsorship - IMAX
(6) An Achievable Dream Foundation Inc 10858 Warwick Blvd Ste 350 Newport News,VA23601	54-1621932	501(c)(3)	35,000	Sponsorship
(7) Muscarelle Museum of Art Foundation PO Box 8795 St A Williamsburg,VA23187	46-1110899	501(c)(3)	12,500	Sponsor WINE/RN
(8) Muscarelle Museum of Art Foundation PO Box 8795 Williamsburg,VA23187	46-1110899	501(c)(3)	12,500	Sponsor WINE/RN
(9) Beyond Boobs Inc PO BOX 443 Toano,VA23168	26-0606190	501(c)(3)	10,000	Sponsorship
(10) Office of Human Affairs 2410 Wickham Avenue Newport News,VA23607	23-7014485	501(c)(3)	15,000	Sponsorship
(11) Newport News Police Department Foundation PO Box 11092 Newport News,VA23601	27-3564101	501(c)(3)	15,000	Sponsorship
(12) Amercan Heart Assc-Glen Allen 4217 Park Place CT Ste 102A Glen Allen,VA23060	13-5613797	501(c)(3)	10,000	Sponsorship
(13) College of William & Mary PO Box 399 Williamsburg,VA23187	54-0734117	501(c)(3)	9,000	Sponsorship
(14) College of William & Mary PO Box 8795 Williamsburg,VA23187	54-0734117	501(c)(3)	9,000	Sponsorship
(15) WISC 5700 Warhill Trail St 300 Williamsburg,VA23188	26-4134755	501(c)(3)	10,000	Sponsorship
(16) Christopher Newport Univ Education Foundation 1 University Place Newport News,VA23606	54-1156248	501(c)(3)	7,500	Sponsorship
(17) Christopher Newport Univ Education Foundation 1 University Place Newport News,VA23606	54-1156248	501(c)(3)	7,500	Sponsorship
(18) Peninsula Metropolitan YMCA 7827 Warwick Blvd Newport News,VA23607	54-0524905	501(c)(3)	10,000	Sponsorship
(19) Hospice Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg,VA23188	52-1289657	501(c)(3)	6,000	Sponsorship
(20) March of Dimes PO BOX 932852 Atlanta,GA23320	13-1846366	501(c)(3)	10,000	Sponsorship
(21) Virginia Center for Health 919 E Main Street Richmond,VA23219	80-0796077	501(c)(3)	10,000	Sponsorship
(22) United Way of the Virginia Peninsula 739 Thimble Shoals Blvd Ste 900 Newport News,VA23606	54-0535602	501(c)(3)	7,500	Sponsorship
(23) Christopher Newport Univ Education Foundation 1 Avenue of the Arts Ste 302 Newport News,VA23606	54-1156248	501(c)(3)	25,000	Sponsorship
(24) Christopher Newport Univ Education Foundation 1 Avenue of The Arts Newport News,VA23606	54-1156248	501(c)(3)	125,000	Scholarship
(25) Community Free Clinic of Newport News 727 25th Street Newport News,VA23607	27-3510814	501(c)(3)	250,000	Scholarship
(26) American Heart Association 4669 South Boulevard Ste 4-D Virginia Beach,VA23452	13-5613797	501(c)(3)	7,000	Sponsorship
(27) RX Partnership 2924 Emerwood Parkway Ste 103 Richmond,VA23294	57-1186937	501(c)(3)	10,000	Partnership Grant
(28) Virginia Health Care 707 East Main Street Richmond,VA23219	54-1639924	501(c)(3)	20,000	1st Renewal 2014
(29) Project Care of Virginia 416 J Clyde Morris Blvd Ste 1350 Newport News,VA23601	27-3518508	501(c)(3)	46,499	Support 2014
(30) Project Care of Virginia 416 J Clyde Morris Blvd Ste 1350 Newport News,VA23601	27-3518508	501(c)(3)	45,638	Funding 2013
(31) HRSH - Riverside Health System 608 Denbigh Blvd Newport News,VA23608	52-1245746	501(c)(3)	332,575	Sponsorship

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHERYL ANGEDIRECTOR SR SPECIA	(i) (ii)	144,179 ............................... 0	4,385 ............................... 0	9,207 ............................... 0	15,191 ............................... 0	10,731 ............................... 0	183,693 ............................... 0	0 ............................... 0
2BARRY GROSSEXEC VP/CMO RHS	(i) (ii)	470,500 ............................... 0	79,481 ............................... 0	106,642 ............................... 0	31,086 ............................... 0	13,644 ............................... 0	701,353 ............................... 0	0 ............................... 0
3BLAIR MARSTELLERBOARD MEMBER	(i) (ii)	347,920 ............................... 0	0 ............................... 0	5,732 ............................... 0	23,226 ............................... 0	23,002 ............................... 0	399,880 ............................... 0	0 ............................... 0
4CARRIE MOSSBOARD MEMBER	(i) (ii)	214,136 ............................... 0	140,944 ............................... 0	66,751 ............................... 0	29,726 ............................... 0	690 ............................... 0	452,247 ............................... 0	0 ............................... 0
5CHARLES FRAZIERVP, CLINICAL INNOVATION	(i) (ii)	326,103 ............................... 0	52,040 ............................... 0	59,581 ............................... 0	29,726 ............................... 0	23,746 ............................... 0	491,196 ............................... 0	0 ............................... 0
6CHARLES GRAHAMVP REVENUE CYCLE	(i) (ii)	307,829 ............................... 0	26,375 ............................... 0	67,685 ............................... 0	18,026 ............................... 0	29,880 ............................... 0	449,795 ............................... 0	0 ............................... 0
7CHERYL LAWSONBOARD MEMBER	(i) (ii)	253,088 ............................... 0	23,641 ............................... 0	61,677 ............................... 0	24,526 ............................... 0	1,388 ............................... 0	364,320 ............................... 0	0 ............................... 0
8CHRISTOPHER STOLLEVP MEDICAL AFFAIRS	(i) (ii)	313,673 ............................... 0	36,968 ............................... 0	58,568 ............................... 0	24,526 ............................... 0	1,621 ............................... 0	435,356 ............................... 0	0 ............................... 0
9CRAIG CONNORSVP PACE	(i) (ii)	180,340 ............................... 0	14,884 ............................... 0	41,089 ............................... 0	20,351 ............................... 0	27,481 ............................... 0	284,145 ............................... 0	0 ............................... 0
10DAVID JONESBOARD MEMBER	(i) (ii)	117,214 ............................... 0	10,304 ............................... 0	116,831 ............................... 0	23,660 ............................... 0	21,828 ............................... 0	289,837 ............................... 0	0 ............................... 0
11LESLIE BRUNICKDIRECTOR SYSTEM	(i) (ii)	130,747 ............................... 0	8,158 ............................... 0	13,709 ............................... 0	15,157 ............................... 0	23,455 ............................... 0	191,226 ............................... 0	0 ............................... 0
12DEBRA BOYERBOARD MEMBER	(i) (ii)	195,490 ............................... 0	59,588 ............................... 0	5,871 ............................... 0	29,726 ............................... 0	14,169 ............................... 0	304,844 ............................... 0	0 ............................... 0
13VALERIA THOMASDIRECTOR SYSTEM LLH	(i) (ii)	123,891 ............................... 0	7,590 ............................... 0	18,616 ............................... 0	13,777 ............................... 0	15,569 ............................... 0	179,443 ............................... 0	0 ............................... 0
14MARY DELPRINCEDIRECTOR SYSTEM	(i) (ii)	154,457 ............................... 0	24,378 ............................... 0	989 ............................... 0	17,515 ............................... 0	10,377 ............................... 0	207,716 ............................... 0	0 ............................... 0
15DENNIS LOFTUSSR VP, CHIEF INFORMATION OFFIC	(i) (ii)	236,981 ............................... 0	30,091 ............................... 0	52,028 ............................... 0	24,944 ............................... 0	19,844 ............................... 0	363,888 ............................... 0	0 ............................... 0
16DIANA LOVECCHIOVP, CONSTR MGMT & SHARED SVS	(i) (ii)	195,630 ............................... 0	28,081 ............................... 0	45,307 ............................... 0	23,093 ............................... 0	15,192 ............................... 0	307,303 ............................... 0	0 ............................... 0
17TRACEY DOWLINGDIRECTOR SYSTEM	(i) (ii)	139,330 ............................... 0	18,953 ............................... 0	2,820 ............................... 0	15,487 ............................... 0	14,685 ............................... 0	191,275 ............................... 0	0 ............................... 0
18NIKKI DOWNSDIRECTOR SERVICE L	(i) (ii)	43,106 ............................... 0	14,832 ............................... 0	109,185 ............................... 0	5,790 ............................... 0	1,178 ............................... 0	174,091 ............................... 0	0 ............................... 0
19DWIGHT HERBERTBOARD MEMBER	(i) (ii)	166,013 ............................... 0	17,251 ............................... 0	64,630 ............................... 0	17,652 ............................... 0	22,149 ............................... 0	287,695 ............................... 0	0 ............................... 0
20EDWARDSTHOMASDIRECTOR	(i) (ii)	12,540 ............................... 0	0 ............................... 0	183,680 ............................... 0	2,215 ............................... 0	913 ............................... 0	199,348 ............................... 0	0 ............................... 0
21ELISABETH WILLIAMSVP, MARKETING, STRATEGY & DEVE	(i) (ii)	184,773 ............................... 0	35,625 ............................... 0	43,834 ............................... 0	11,700 ............................... 0	23,663 ............................... 0	299,595 ............................... 0	0 ............................... 0
22ELIZABETH MARTINVP QUALITY	(i) (ii)	256,592 ............................... 0	20,719 ............................... 0	55,846 ............................... 0	28,805 ............................... 0	19,722 ............................... 0	381,684 ............................... 0	0 ............................... 0
23ERIC STONEASSOCIATE ADMINISTRATOR/VP CLI	(i) (ii)	220,496 ............................... 0	12,007 ............................... 0	39,506 ............................... 0	11,700 ............................... 0	3,088 ............................... 0	286,797 ............................... 0	0 ............................... 0
24FAYE GARGIULOVP RESEARCH/DISCOVERY & PHY DE	(i) (ii)	219,546 ............................... 0	26,016 ............................... 0	44,131 ............................... 0	29,418 ............................... 0	9,173 ............................... 0	328,284 ............................... 0	0 ............................... 0
25FOSSJAMESDIRECTOR SYSTEM	(i) (ii)	170,686 ............................... 0	9,851 ............................... 0	20,374 ............................... 0	18,406 ............................... 0	12,393 ............................... 0	231,710 ............................... 0	0 ............................... 0
26FREDRICK ARNOLDPRESIDENT, MEDICAL STAFF	(i) (ii)	160,496 ............................... 0	0 ............................... 0	115,215 ............................... 0	15,122 ............................... 0	14,359 ............................... 0	305,192 ............................... 0	0 ............................... 0
27GARY KAVITBOARD MEMBER	(i) (ii)	317,310 ............................... 0	0 ............................... 0	141,427 ............................... 0	24,526 ............................... 0	21,965 ............................... 0	505,228 ............................... 0	0 ............................... 0
28GREENWELLJENNIFERCFO	(i) (ii)	172,760 ............................... 0	22,718 ............................... 0	2,785 ............................... 0	24,509 ............................... 0	14,749 ............................... 0	237,521 ............................... 0	0 ............................... 0
29GWENDOLYN HARTZOGVP PATIENT CARE SVS, CNO	(i) (ii)	209,961 ............................... 0	25,021 ............................... 0	47,351 ............................... 0	23,726 ............................... 0	12,288 ............................... 0	318,347 ............................... 0	0 ............................... 0
30HECKLEREDWARDEXECUTIVE DIRECTOR	(i) (ii)	141,918 ............................... 0	7,927 ............................... 0	15,148 ............................... 0	15,129 ............................... 0	16,964 ............................... 0	197,086 ............................... 0	0 ............................... 0
31JAMES DUDLEYSERVICE LINE CHIEF	(i) (ii)	201,639 ............................... 0	0 ............................... 0	109,593 ............................... 0	24,526 ............................... 0	26,902 ............................... 0	362,660 ............................... 0	0 ............................... 0
32JAMES LESNICKVP/MEDICAL DIRECTOR RMG	(i) (ii)	428,832 ............................... 0	77,086 ............................... 0	88,241 ............................... 0	23,226 ............................... 0	14,980 ............................... 0	632,365 ............................... 0	0 ............................... 0
33JAMES MCCORRYSERVICE LINE CHIEF, RDHW	(i) (ii)	273,313 ............................... 0	250 ............................... 0	119,618 ............................... 0	24,491 ............................... 0	737 ............................... 0	418,409 ............................... 0	0 ............................... 0
34JAMES MULLINSBOARD MEMBER	(i) (ii)	329,002 ............................... 0	0 ............................... 0	4,953 ............................... 0	31,086 ............................... 0	7,583 ............................... 0	372,624 ............................... 0	0 ............................... 0
35JASON HOUSERVP, LEGAL AFFAIRS	(i) (ii)	266,773 ............................... 0	40,194 ............................... 0	50,663 ............................... 0	24,526 ............................... 0	20,237 ............................... 0	402,393 ............................... 0	0 ............................... 0
36JEFFREY HASKINSBOARD MEMBER	(i) (ii)	202,002 ............................... 0	0 ............................... 0	2,043 ............................... 0	9,317 ............................... 0	7,881 ............................... 0	221,243 ............................... 0	0 ............................... 0
37JEFFREY HENKEBOARD MEMBER	(i) (ii)	322,171 ............................... 0	77,559 ............................... 0	5,397 ............................... 0	29,726 ............................... 0	24,237 ............................... 0	459,090 ............................... 0	0 ............................... 0
38JOHN PETERMANVP/ADMINISTRATOR	(i) (ii)	180,186 ............................... 0	17,955 ............................... 0	52,433 ............................... 0	26,160 ............................... 0	7,800 ............................... 0	284,534 ............................... 0	0 ............................... 0
39JOHN GRETESBOARD MEMBER	(i) (ii)	251,061 ............................... 0	35,233 ............................... 0	8,986 ............................... 0	24,526 ............................... 0	15,643 ............................... 0	335,449 ............................... 0	0 ............................... 0
40JOSEPH CONVERSEBOARD MEMBER	(i) (ii)	421,310 ............................... 0	47,483 ............................... 0	15,852 ............................... 0	24,526 ............................... 0	17,617 ............................... 0	526,788 ............................... 0	0 ............................... 0
41JOSEPH WILSONBOARD MEMBER	(i) (ii)	430,124 ............................... 0	0 ............................... 0	6,548 ............................... 0	24,526 ............................... 0	12,991 ............................... 0	474,189 ............................... 0	0 ............................... 0
42JOSEPH ZAGERVP, DEVELOPMENT COMMUNITY OUTR	(i) (ii)	37,696 ............................... 0	16,698 ............................... 0	384,429 ............................... 0	2,038 ............................... 0	14,236 ............................... 0	455,097 ............................... 0	0 ............................... 0
43KEITH PERCICVP FINANCE	(i) (ii)	230,083 ............................... 0	35,297 ............................... 0	53,747 ............................... 0	31,086 ............................... 0	20,470 ............................... 0	370,683 ............................... 0	0 ............................... 0
44KILGOREJASONDIRECTOR SYSTEM	(i) (ii)	131,685 ............................... 0	32,480 ............................... 0	2,055 ............................... 0	16,086 ............................... 0	19,764 ............................... 0	202,070 ............................... 0	0 ............................... 0
45KYLE ALLENVP CLINICAL INTEGRATION&MED DI	(i) (ii)	385,906 ............................... 0	31,338 ............................... 0	61,216 ............................... 0	22,951 ............................... 0	37,422 ............................... 0	538,833 ............................... 0	0 ............................... 0
46LABONTEBARBARADIRECTOR SYSTEM	(i) (ii)	154,962 ............................... 0	23,616 ............................... 0	0 ............................... 0	20,476 ............................... 0	1,132 ............................... 0	200,186 ............................... 0	0 ............................... 0
47MARSHALL CROSSCHAIRMAN OF RRMC OPERS COUNCIL	(i) (ii)	425,152 ............................... 0	88,151 ............................... 0	39,388 ............................... 0	24,526 ............................... 0	17,817 ............................... 0	595,034 ............................... 0	0 ............................... 0
48MARTINTODDDIRECTOR SYSTEM	(i) (ii)	163,898 ............................... 0	5,740 ............................... 0	555 ............................... 0	16,135 ............................... 0	7,095 ............................... 0	193,423 ............................... 0	0 ............................... 0
49MEGAN KLECKNERVP/ADMINISTRATOR	(i) (ii)	201,909 ............................... 0	9,778 ............................... 0	41,600 ............................... 0	22,214 ............................... 0	12,683 ............................... 0	288,184 ............................... 0	0 ............................... 0
50MENEFEEKATHYEXECUTIVE DIRECTOR	(i) (ii)	146,225 ............................... 0	4,794 ............................... 0	9,481 ............................... 0	18,918 ............................... 0	18,939 ............................... 0	198,357 ............................... 0	0 ............................... 0
51MICHAEL DOUCETTEVP RRMC OPERATIONS	(i) (ii)	338,322 ............................... 0	32,941 ............................... 0	58,200 ............................... 0	29,726 ............................... 0	25,286 ............................... 0	484,475 ............................... 0	0 ............................... 0
52MILLERBRADENCFO	(i) (ii)	198,607 ............................... 0	25,242 ............................... 0	11,027 ............................... 0	23,145 ............................... 0	29,986 ............................... 0	288,007 ............................... 0	0 ............................... 0
53NEWTONRAYMONDDIRECTOR RMG PRACT	(i) (ii)	123,890 ............................... 0	0 ............................... 0	51,382 ............................... 0	14,726 ............................... 0	1,031 ............................... 0	191,029 ............................... 0	0 ............................... 0
54PATRICIA RUSSOVP CARE MANAGEMENT	(i) (ii)	207,306 ............................... 0	30,908 ............................... 0	41,535 ............................... 0	23,642 ............................... 0	14,416 ............................... 0	317,807 ............................... 0	0 ............................... 0
55RANDY FERRANCEPRESIDENT, RTH MEDICAL STAFF	(i) (ii)	219,548 ............................... 0	36,205 ............................... 0	96,020 ............................... 0	8,032 ............................... 0	24,697 ............................... 0	384,502 ............................... 0	0 ............................... 0
56RENEE ROUNTREEVP, PATIENT EXPERIENCE OFFICER	(i) (ii)	179,750 ............................... 0	21,125 ............................... 0	38,382 ............................... 0	19,612 ............................... 0	647 ............................... 0	259,516 ............................... 0	0 ............................... 0
57RICHARD DUNNBOARD MEMBER	(i) (ii)	178,173 ............................... 0	28,983 ............................... 0	1,679 ............................... 0	6,593 ............................... 0	26,816 ............................... 0	242,244 ............................... 0	0 ............................... 0
58ROBERT BRYANTVP/COO LHARS	(i) (ii)	261,251 ............................... 0	19,727 ............................... 0	82,150 ............................... 0	29,628 ............................... 0	24,617 ............................... 0	417,373 ............................... 0	0 ............................... 0
59ROBERT DAVISBOARD MEMBER	(i) (ii)	218,509 ............................... 0	12,939 ............................... 0	5,171 ............................... 0	8,509 ............................... 0	20,948 ............................... 0	266,076 ............................... 0	0 ............................... 0
60ROBERT HARDINGCHAIRMAN	(i) (ii)	230,303 ............................... 0	17,500 ............................... 0	49,546 ............................... 0	31,086 ............................... 0	18,427 ............................... 0	346,862 ............................... 0	0 ............................... 0
61SALLY RYANVP PHYSICIAN SERVICES	(i) (ii)	200,493 ............................... 0	21,211 ............................... 0	11,163 ............................... 0	7,533 ............................... 0	20,904 ............................... 0	261,304 ............................... 0	0 ............................... 0
62SALSBERRYLISADIRECTOR	(i) (ii)	188,779 ............................... 0	0 ............................... 0	35,723 ............................... 0	20,744 ............................... 0	27,485 ............................... 0	272,731 ............................... 0	0 ............................... 0
63SHORTTIMOTHYDIRECTOR DEVELOPME	(i) (ii)	141,656 ............................... 0	2,475 ............................... 0	10,623 ............................... 0	6,350 ............................... 0	19,135 ............................... 0	180,239 ............................... 0	0 ............................... 0
64SNAPPSANDRADIRECTOR	(i) (ii)	162,534 ............................... 0	18,851 ............................... 0	117 ............................... 0	20,584 ............................... 0	621 ............................... 0	202,707 ............................... 0	0 ............................... 0
65STEPHEN MCCARYVP/ADMINISTRATOR RDHW	(i) (ii)	178,643 ............................... 0	27,070 ............................... 0	49,759 ............................... 0	22,421 ............................... 0	12,677 ............................... 0	290,570 ............................... 0	0 ............................... 0
66DEBBIE CAMPBELLADMINISTRATOR	(i) (ii)	111,822 ............................... 0	5,635 ............................... 0	13,334 ............................... 0	14,244 ............................... 0	7,026 ............................... 0	152,061 ............................... 0	0 ............................... 0
67TERRIS KENNEDYBOARD MEMBER	(i) (ii)	255,397 ............................... 0	37,519 ............................... 0	47,812 ............................... 0	24,526 ............................... 0	737 ............................... 0	365,991 ............................... 0	0 ............................... 0
68TRACEE CARMEANVP EDUCATION	(i) (ii)	73,949 ............................... 0	30,688 ............................... 0	33,996 ............................... 0	10,498 ............................... 0	8,005 ............................... 0	157,136 ............................... 0	0 ............................... 0
69VERNEETA WILLIAMSBOARD MEMBER	(i) (ii)	200,408 ............................... 0	0 ............................... 0	32 ............................... 0	18,339 ............................... 0	20,743 ............................... 0	239,522 ............................... 0	0 ............................... 0
70WADE BROUGHMANEXEC VP,COO & SECRETARY	(i) (ii)	514,859 ............................... 0	92,288 ............................... 0	120,020 ............................... 0	23,226 ............................... 0	21,690 ............................... 0	772,083 ............................... 0	0 ............................... 0
71WALTER AUSTINSR VP, CFO & TREASURER	(i) (ii)	347,869 ............................... 0	49,682 ............................... 0	64,889 ............................... 0	11,700 ............................... 0	14,211 ............................... 0	488,351 ............................... 0	0 ............................... 0
72WILLIAM DOWNEYPRESIDENT,CEO RHS	(i) (ii)	719,424 ............................... 0	172,500 ............................... 0	181,827 ............................... 0	29,726 ............................... 0	17,782 ............................... 0	1,121,259 ............................... 0	0 ............................... 0
73YOUNGERROSSDIRECTOR	(i) (ii)	220,885 ............................... 0	26,432 ............................... 0	533 ............................... 0	23,247 ............................... 0	26,875 ............................... 0	297,972 ............................... 0	0 ............................... 0
74KOSTOVDEANPHYSICIAN	(i) (ii)	604,027 ............................... 0	907,652 ............................... 0	0 ............................... 0	24,526 ............................... 0	26,581 ............................... 0	1,562,786 ............................... 0	0 ............................... 0
75CULLOMROBERTPHYSICIAN	(i) (ii)	492,791 ............................... 0	887,739 ............................... 0	897 ............................... 0	0 ............................... 0	22,254 ............................... 0	1,403,681 ............................... 0	0 ............................... 0
76TANNERGARYPHYSICIAN	(i) (ii)	617,486 ............................... 0	518,997 ............................... 0	897 ............................... 0	600 ............................... 0	4,164 ............................... 0	1,142,144 ............................... 0	0 ............................... 0
77YOUSEFMASHOURPHYSICIAN	(i) (ii)	702,082 ............................... 0	250,872 ............................... 0	1,375 ............................... 0	19,397 ............................... 0	29,402 ............................... 0	1,003,128 ............................... 0	0 ............................... 0
78KITAYSTEVENPHYSICIAN	(i) (ii)	442,554 ............................... 0	463,705 ............................... 0	0 ............................... 0	600 ............................... 0	22,488 ............................... 0	929,347 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

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.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Riverside Healthcare Association Inc Group

Employer identification number
90-1000718

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Economic Development Authority City NN	52-1290859		12-20-2011	24,570,000	2011A ISSUE REFUNDING 1997 SERIES		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	3,620,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0
3 Total proceeds of issue . . . . . . . . . . . . . .	24,570,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0
5 Capitalized interest from proceeds . . . . . . . . . . .	0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0
7 Issuance costs from proceeds . . . . . . . . . . . .	170,000
8 Credit enhancement from proceeds . . . . . . . . . . .	0
9 Working capital expenditures from proceeds . . . . . . . . .	0
10 Capital expenditures from proceeds . . . . . . . . . . .	0
11 Other spent proceeds . . . . . . . . . . . . . .	24,400,000
12 Other unspent proceeds . . . . . . . . . . . . . .	0
13 Year of substantial completion . . . . . . . . . . . .	2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %
7 Does the bond issue meet the private security or payment test? . . . . .
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X
b Exception to rebate? . . . . . . . .	X
c No rebate due? . . . . . . . .		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .	0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X
b Name of provider . . . . . . . . .	0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

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.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WADE BROUGHMAN	SEE PART V	122,463	SEE PART V		No
(2) MEAGN KLECKNER	SEE PART V	452,000	SEE PART V		No
(3) JEFFREY HENKE	SEE PART V	24,824	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
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 L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Return Reference

Explanation

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)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Riverside Healthcare Association Inc Group

Employer identification number

90-1000718

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Virginia Surgical Management LLC 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-2057012	Management	VA	374	2,634,549	RivHosp
(2) Peninsula Cancer Institute LLC 608 Denbigh Blvd Ste 800 Newport News,VA23608 20-1872200	PT Services	VA	10,435,089	53,800,454	RivPhysSv

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Shore Health Services Inc 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-0560500	Hospital	VA	501(c)(3)	3	RivHCAssc	Yes
(2) Shore Life Care inc 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-1876370	Nursing Care	VA	501(c)(3)	9	ShoreHSvc	Yes
(3) Charlottesville Area Retirement Svc Inc 608 Denbigh Blvd Ste 800 Newport News,VA23608 45-4854018	Pt Services	VA	501(c)(3)	9	RivRetSvc	Yes
(4) Newport News General & Nonsectarian 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-0505934	Holding Corp	VA	501(c)(2)	N/A	RivHCAssc	Yes
(5) Riverside Healthcare Assocation Inc 608 Denbigh Blvd Ste 800 Newport News,VA23608 52-1241835	Parent Comp.	VA	501(c)(3)	9	N/A		No
(6) Tilden and Va Davis Suport Found Inc 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-1527703	Foundation	VA	501(c)(3)	11A	RivRetSvc	Yes
(7) Parker and Mary West Hosp Fund 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-0797108	Foundation	VA	501(C)(3)	11c	RivHosp	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AtHomePtr 608 Denbigh Blvd Ste 800 Newport News,VA23608 47-2999121	Management	VA	RivRetSvc	EXCLUDED	-324,759	475,241		No		Yes		80.000 %
(2) Michumi PLLC 608 Denbigh Blvd Ste 800 Newport News,VA23608 20-1318732	Pt Services	VA	RivPhysSv	EXCLUDED	-438,500	7,708,085		No		Yes		78.010 %
(3) PenRadAss 608 Denbigh Blvd Ste 800 Newport News,VA23608 45-4854018	Pt Services	VA	RivHosp	EXCLUDED	48,253	3,788,158		No		Yes		93.319 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Peninsula Hospital Services 608 Denbigh Blvd Suite 800 Newport News,VA23608 54-0991295	Laundry	VA	RivHCAssc	COOP	3,808,127	3,729,757	60.670 %	Yes
(2) RHS Medinsur LTD Craig Appin House 8 Wesley Street Hamilton BD 52-1241835	Insurance	BD	RivHCAssc	C Corp	2,107,393	40,209,675	100.000 %	Yes
(3) Riverside Medical Equipment 608 Denbigh Blvd Ste 800 Newport News,VA23608 54-1325596	Billing	VA	RivHCAssc	C Corp	8,380,501		100.000 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Newport News General & Nonsectarian Hosp Inc	j	15,662,070	MARKET VALUE
(2) Newport News General & Nonsectarian Hosp Inc	L	734,577	MARKET VALUE

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	196
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	143
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	10,787
6	Total number of volunteers (estimate if necessary) .............	6	930
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	205,884
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,177,006	3,066,040
9	Program service revenue (Part VIII, line 2g) .........	973,790,766	1,034,144,648
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	18,187,677	9,012,439
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	310,778,491	317,947,229
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,305,933,940	1,364,170,356
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	7,605,602	8,189,159
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	551,772,454	553,545,139
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 79,411
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	750,697,354	790,185,207
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,310,075,410	1,351,919,505
19	Revenue less expenses. Subtract line 18 from line 12.......	-4,141,470	12,250,851
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	820,144,079	870,803,594
21	Total liabilities (Part X, line 26).............	239,129,333	355,820,625
22	Net assets or fund balances. Subtract line 21 from line 20.....	581,014,746	514,982,969

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,054,473,897 including grants of $ 8,189,159 ) (Revenue $ 1,345,338,363 )
	General hospital services provided to the community: 2,526,740 persons were benefited in 2014 with quantifiable community benefits of $139,587,431.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,054,473,897

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	28,365,404	0	2,759,492

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		2,367,890

f	All other contributions, gifts, grants, and similar amounts not included above1f		698,150

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,066,040
			Business Code
2a	PROGRAM SERVICE REVENUE		900099	1,034,144,648	1,034,144,648
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,034,144,648
3	Investment income (including dividends, interest, and other similar amounts).......			6,720,112			6,720,112
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	22,893,962
b	Less: rental expenses	23,511,906
c	Rental income or (loss)	-617,944	0
d	Net rental income or (loss).......			-617,948			-617,948
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	2,442,421	13,545
b	Less: cost or other basis and sales expenses	4,588,064	133,039
c	Gain or (loss)	-2,145,643	-119,494
d	Net gain or (loss)..........			2,292,327			2,292,327
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	SVCS TO AFFILIATES		900002	292,831,181	292,831,181
b	OPTICAL SALES		900004	7,443,877	7,443,877
c	OTHER FUNCTIONAL INCOME		900099	10,442,890	10,442,890
d	All other revenue ....			7,847,229	475,767	205,884	7,165,578
e	Total. Add lines 11a–11d ......			318,565,177
12	Total revenue. See Instructions......			1,364,170,356	1,345,338,363	205,884	15,560,069


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			26,435,604	1	30,236,335
2	Savings and temporary cash investments .........			514,424,886	2	538,803,289
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			-50,788,555	4	-33,346,986
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			13,422,682	8	14,786,978
9	Prepaid expenses and deferred charges ..........			98,763	9	11,595,115
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	677,237,703
b	Less: accumulated depreciation .....	10b	439,631,712	241,777,088	10c	237,605,991
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			35,706,165	13	32,063,780
14	Intangible assets ...............			38,915,342	14	38,915,342
15	Other assets. See Part IV, line 11 ...........			152,104	15	143,750
16	Total assets. Add lines 1 through 15 (must equal line 34)......			820,144,079	16	870,803,594
17	Accounts payable and accrued expenses .........			176,456,793	17	298,492,769
18	Grants payable .................			0	18	0
19	Deferred revenue ................			4,082,710	19	1,938,158
20	Tax-exempt bond liabilities .............			25,188,617	20	20,950,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			33,401,213	25	34,439,698
26	Total liabilities. Add lines 17 through 25.........			239,129,333	26	355,820,625
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			575,075,697	27	508,155,239
28	Temporarily restricted net assets ...........			5,839,049	28	6,727,730
29	Permanently restricted net assets ...........			100,000	29	100,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			581,014,746	33	514,982,969
34	Total liabilities and net assets/fund balances ........			820,144,079	34	870,803,594