Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
Riverside Healthcare Association Inc Group
 
% DIRECTOR-TAX
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
608 Denbigh Blvd Suite 800
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Newport News, VA23608
D Employer identification number

90-1000718
E Telephone number

G Gross receipts $ 1,711,332,669
F Name and address of principal officer:
WILLIAM DOWNEY CEOPRESIDENT
608 DENBIGH BLVD STE 800
NEWPORT NEWS,VA23608
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
RIVERSIDEONLINE.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5701
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 186
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 149
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 10,617
6 Total number of volunteers (estimate if necessary) ............. 6 664
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 500,065
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 12,519,798 7,157,691
9 Program service revenue (Part VIII, line 2g) ......... 1,165,924,710 1,258,603,102
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 12,751,267 12,661,651
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 394,437,974 424,327,804
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,585,633,749 1,702,750,248
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 9,190,240 550,060
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) 664,831,576 720,777,075
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet94,135    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 912,934,696 968,646,372
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,586,956,512 1,689,973,507
19 Revenue less expenses. Subtract line 18 from line 12....... -1,322,763 12,776,741
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 987,607,407 955,792,442
21 Total liabilities (Part X, line 26)............. 547,891,755 498,263,539
22 Net assets or fund balances. Subtract line 21 from line 20..... 439,715,652 457,528,903
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,306,907,161 including grants of $ 550,060 ) (Revenue $ 1,668,315,269 )
General hospital, Long-Term Care and physician services provided to the community: 2,417,299 persons were benefited in 2019 with quantifiable community benefits of $90,127,927.
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 expensesMediumBullet1,306,907,161
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
839
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
10,617
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
186
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
149
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
VA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDIRECTOR-TAX608 DENBIGH BLVD 800   NEWPORT NEWS,VA23608 (757) 875-7545
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) DEAN KOSTOV......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   2,344,807 0 52,600
(2) WILLIAM H MCALLISTER M......................................................................
BOARD MEMBER
 40.0
.................
0.0 		X           1,650,236 0 58,136
(3) WILLIAM BURNS DOWNEY......................................................................
PRESIDENT,CEO RHS
 40.0
.................
0.0 		X   X       1,397,015 0 49,302
(4) ROMNEY ANDERSEN......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,395,044 0 13,285
(5) ROBERT CULLOM......................................................................
PHYSICIAN
 39.0
.................
0.0 		        X   1,299,204 0 31,563
(6) BRIAN KEEL......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,231,701 0 31,727
(7) ANTHONY FARAH......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,216,596 0 46,197
(8) MICHAEL DACEY MD......................................................................
EVP/CCOO
 40.0
.................
0.0 		X   X       868,519 0 22,185
(9) PAUL J MICALE MD......................................................................
BOARD MEMBER
 40.0
.................
0.0 		X           777,670 0 58,720
(10) MICHAEL JOSEPH DOUCETT......................................................................
VP RRMC OPERATIONS
 40.0
.................
0.0 		    X       617,967 0 69,012
(11) WALTER WILLIAM AUSTIN......................................................................
SR VP, CFO & TREASURER
 40.0
.................
0.0 		    X       650,462 0 33,628
(12) CHARLES FRAZIER......................................................................
VP MD
 40.0
.................
0.0 		    X       526,011 0 62,247
(13) SALLY HARTMAN......................................................................
SENIOR VP
 40.0
.................
0.0 		    X       539,582 0 46,798
(14) NANCY WICK LITTLEFIELD......................................................................
EVP/CNO
 40.0
.................
0.0 		X   X       525,888 0 27,235
(15) PETER GALANTICH MD......................................................................
PRESIDENT MEDICAL STAFF
 40.0
.................
0.0 		X           483,325 0 63,861
(16) MELVIN D SCHURSKY JR......................................................................
Board member
 40.0
.................
0.0 		X           523,178 0 18,756
(17) JASON O HOUSER......................................................................
VP, LEGAL AFFAIRS & SECRETARY
 40.0
.................
0.0 		    X       473,589 0 59,740
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHRISTOPHER PATRICK ST........................................................................
VP MEDICAL AFFAIRS
 40.0
.......................0.0 		    X       494,200 0 36,484
(19) ROSS YOUNGER........................................................................
SENIOR VP
 40.0
.......................0.0 		    X       451,023 0 67,705
(20) CHARLES GRAHAM........................................................................
VP
 40.0
.......................0.0 		    X       436,022 0 64,349
(21) CATHERINE LINTZENICH........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           455,523 0 35,640
(22) ELIZABETH J MARTIN........................................................................
VP/ADMINISTRATOR
 40.0
.......................0.0 		    X       425,545 0 56,931
(23) CARRIE R MOSS MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           429,363 0 33,815
(24) NEHEMIAH THRASH MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           402,071 0 52,237
(25) JAMES W MCCORRY DO........................................................................
SERVICE LINE CHIEF
 33.0
.......................0.0 		      X     423,070 0 28,306
(26) KEITH PERCIC........................................................................
VP
 40.0
.......................0.0 		    X       360,270 0 61,094
(27) DWIGHT C HERBERT MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           363,470 0 55,154
(28) ESTHER M DESIMINI........................................................................
VP/ADMINISTRATOR
 40.0
.......................0.0 		    X       380,716 0 37,274
(29) CYNTHIA WILLIAMS........................................................................
VP
 40.0
.......................0.0 		    X       382,162 0 26,017
(30) DAVID COHEN........................................................................
VP MD
 40.0
.......................0.0 		    X       377,191 0 28,532
(31) DENNIS LOFTUS........................................................................
SENIOR VP
 40.0
.......................0.0 		    X       341,855 0 46,818
(32) JOHN MINCKS........................................................................
MEDICAL STAFF PRESIDENT
 40.0
.......................0.0 		          X 337,498 0 49,637
(33) SALLY RYAN........................................................................
VP PHYSICIAN SERVICES
 40.0
.......................0.0 		    X       357,328 0 25,680
(34) ELENA GARRETT MD........................................................................
BOARD MEMBER`
 33.0
.......................0.0 		X           347,819 0 28,100
(35) LISA SALSBERRY........................................................................
DIRECTOR
 40.0
.......................0.0 		    X       282,980 0 65,918
(36) EDWARD G HECKLER........................................................................
VP, LIFELONG HEALTH
 40.0
.......................0.0 		    X       298,113 0 48,769
(37) MICHAEL FRANCIS........................................................................
PRESIDENT, MEDICAL STAFF
 40.0
.......................0.0 		          X 321,674 0 24,504
(38) KARL J GEDDES MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           287,899 0 57,945
(39) SHEBA MOHSIN MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           286,594 0 47,716
(40) ADRIA NICOLE VANHOOZIE........................................................................
VP/ADMINISTRATOR RDHW
 40.0
.......................0.0 		    X       300,516 0 33,216
(41) DAVID F JONES MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           290,564 0 42,476
(42) BRADEN MILLER........................................................................
CHIEF FINANCIAL OFFICER/AVP
 40.0
.......................0.0 		      X     263,788 0 62,526
(43) RICHARD K DUNN MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           242,782 0 54,378
(44) ROBERT R HARDING MD........................................................................
CHAIRMAN
 25.0
.......................0.0 		X   X       258,753 0 34,475
(45) JASON KILGORE........................................................................
VP RESULTS MGT AND ANALYTICS
 40.0
.......................0.0 		    X       236,810 0 50,976
(46) JESSE GOODRICH........................................................................
VP
 40.0
.......................0.0 		    X       247,369 0 36,344
(47) THERESA SIEVERS........................................................................
SENIOR VP
 40.0
.......................0.0 		    X       273,625 0 8,333
(48) LISA A CASANOVA MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           229,155 0 52,208
(49) VERNEETA L WILLIAMS MD........................................................................
BOARD MEMBER
 40.0
.......................0.0 		X           220,834 0 42,737
(50) BARBARA LABONTE........................................................................
DIRECTOR SYSTEM
 40.0
.......................0.0 		      X     229,801 0 27,516
(51) SANDRA SNAPP........................................................................
ASSOCIATE VICE PRESIDENT SERVI
 40.0
.......................0.0 		      X     226,249 0 26,537
(52) LINWOOD NELSON........................................................................
CHIEF FINANCIAL OFFICER/AVP
 40.0
.......................0.0 		      X     197,661 0 45,943
(53) SADIE THURMAN........................................................................
VP RN
 40.0
.......................0.0 		    X       217,432 0 19,175
(54) DOUGLAS CULBERT........................................................................
ASSOCIATE VICE PRESIDENT SERVI
 40.0
.......................0.0 		      X     185,038 0 46,431
(55) LINDA MCKEE........................................................................
ASSOCIATE VICE PRESIDENT SERVI
 40.0
.......................0.0 		      X     213,657 0 17,260
(56) EILEEN VARNSON........................................................................
VP
 40.0
.......................0.0 		    X       201,044 0 28,431
(57) DAVID INABINET........................................................................
CHIEF INFORMATION SECURITY OFF
 40.0
.......................0.0 		      X     204,840 0 20,260
(58) CHERYL ANGE........................................................................
DIRECTOR SR SPECIALITIES
 40.0
.......................0.0 		      X     191,584 0 28,034
(59) LISA SHANNON........................................................................
DIRECTOR SYSTEM
 40.0
.......................0.0 		      X     189,308 0 23,217
(60) ERIC STONE........................................................................
FORMER VP CLINICAL OPERATIONS
 32.0
.......................0.0 		          X 199,335 0 9,125
(61) ANTOINETTE WATKINS........................................................................
DIRECTOR SYSTEM
 40.0
.......................0.0 		          X 188,373 0 17,498
(62) JAMES LESNICK........................................................................
VP/MEDICAL DIRECTOR RMG
 7.0
.......................0.0 		          X 162,449 0 24,432
(63) ELISABETH WILLIAMS........................................................................
VP
 24.0
.......................0.0 		          X 167,149 0 19,190
(64) JESSICA MACALINO........................................................................
ASSOCIATE VICE PRESIDENT SERVI
 40.0
.......................0.0 		      X     169,783 0 16,129
(65) KELLY COOPER........................................................................
DIRECTOR SR RMG
 40.0
.......................0.0 		      X     162,676 0 22,745
(66) JUDITH MATTHEWS........................................................................
EXECUTIVE NURSE
 40.0
.......................0.0 		      X     157,315 0 21,770
(67) ANDREA STASKIEL........................................................................
EXECUTIVE DIRECTOR
 40.0
.......................0.0 		      X     160,694 0 8,241
(68) DEBRA CAMPBELL........................................................................
ADMINISTRATOR RBHC
 40.0
.......................0.0 		          X 140,545 0 21,290
(69) TERESA K THOMPSON NP........................................................................
BOARD MEMBER
 32.0
.......................0.0 		X           103,598 0 13,268
(70) ALAN STEVEN WITT........................................................................
Chairman
 1.0
.......................0.0 		X   X       0 0 0
(71) ALEXANDER FLEET DILLAR........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(72) ALFRED JOE POOLE III........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(73) ALICE G BURGESS........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(74) BARBARA S HAYWOOD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(75) BETTY L BLEVINS........................................................................
VICE CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(76) CARRINGTON F RANDOLPH........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(77) CELIA L ADOLPHI........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(78) CHARLENE E SMITH........................................................................
VICE CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(79) CHARLES G MINTER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(80) CONWAY HOWARD SHEILD I........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(81) CONWAY W SMITH III........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(82) DANIEL J SHERLOCK........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(83) DARRYL ELLEN FISHER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(84) DELORIS H BECKER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(85) DOUGLAS E NAGEL........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(86) DWAYNE B BLAKE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(87) ELIZABETH DAWN HUNT DM........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(88) ERIC M STONE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(89) EUGENE M JORDAN ESQ........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(90) FRANCES HUNDLEY ELLIS........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(91) FREDRICK N ELOFSON........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(92) GARFIELD PARKER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(93) GEORGE M LONGEST JR........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(94) GEORGE ROYDEN GOODSON........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(95) HALL RENFRO HOWARD MD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(96) HAROLD D JONES........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(97) IRIS A LANE........................................................................
VICE CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(98) JAMES M MULLINS III........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(99) JARED L BATES........................................................................
VICE CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(100) JEANNE ZEIDLER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(101) JEROLD WAYNE ALLEN........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(102) JOHN C ISHON........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(103) JOHN T DEVER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(104) KEITH E HANGER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(105) KIRBY H SMITH........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(106) LINDA BOWEN PHILLIPS........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(107) MICHAEL T CHASE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(108) MYRON KEITH HODGES........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(109) NANCY C WEAKLEY........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(110) PATRICIA HALL GALLAGHE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(111) PATRICIA P BARRY MD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(112) PAUL TREOLO........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(113) PHILIP G STOWELL........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(114) REBECCA ELLEN MCCOY CP........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(115) RICHARD A FARMAR III........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(116) RICHARD FREDERICK CROW........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(117) RICHARD JOEL PEARCE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(118) ROBERT J COURTER JR........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(119) ROBERT THOMAS DAVIS MD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(120) RONALD MURRAY........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(121) RONALD LEE SAUNDERS........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(122) STEPHEN SILVASY JR........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(123) STEPHEN C ADAMS........................................................................
VICE CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(124) STEVE SPAIN........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(125) SUSAN S JACOBS........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(126) SUSANNA B HICKMAN........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(127) THERESA EMORY MD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(128) VICKI MILES HAUSER........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(129) WALTER R CLEMONS PHD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(130) WANDA M AUSTIN........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(131) WILLIAM L BRAUER........................................................................
CHAIRMAN
 1.0
.......................0.0 		X   X       0 0 0
(132) WILLIAM M GRACE........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(133) WILLIAM P HEATH JR........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(134) WILLIAM S MASSEY........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 20,037,611 0 1,120,459
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet889
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
DPR CONSTRUCTION,
1450 VETERANS BLVD
REDWOOD CITY,CA94063 		PROFESSIONAL SVCS 3,059,998
CHANGE HEALTHCARE LLC,
PO BOX 98347
CHICAGO,IL606938347 		PROFESSIONAL SVCS 2,091,681
ENCORE MEDICAL LP,
PO BOX 660126
DALLAS,TX752660126 		PROFESSIONAL SVCS 1,277,779
EAGLE TELEMED HOLDINGS LLC,
280 INTERSTATE N CIRCLE SE STE 150
ATLANTA,GA30339 		PROFESSIONAL SVCS 1,269,980
SCRIBEAMERICA LLC,
PO BOX 417756
BOSTON,MA022417756 		PROFESSIONAL SVCS 1,036,115
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet44
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 2,456,367
f All other contributions, gifts, grants, and similar amounts not included above1f 4,701,324
g Noncash contributions included in lines 1a - 1f:$ 1g 20,383
h Total. Add lines 1a-1f.......MediumBullet 7,157,691
Program Service RevenueAmt Business Code
2a PROGRAM SERVICE REVENUE 900099 1,231,126,332 1,231,126,332    
b AFFILIATE RENTAL INCOME C(3) 532000 27,476,770 27,476,770    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 1,258,603,102
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 826,232     826,232
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   2,815,830 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 2,815,830 6c
d Net rental income or (loss).......MediumBullet 2,815,830     2,815,830
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 517,650 19,900,190 7a
b Less: cost or other basis and sales expenses 2,807 8,579,614 7b
c Gain or (loss) 514,843 11,320,576 7c
d Net gain or (loss).........MediumBullet 11,835,419     11,835,419
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a SVCS TO AFFILIATES 900099 360,304,784 360,304,784    
b PHARMACY SALES 446110 38,152,420 31,051,888   7,100,532
c OPTICAL SALES 446130 6,413,209 6,413,209    
d All other revenue .... 16,641,561 11,942,286 500,065 4,199,210
e Total. Add lines 11a–11d ...... MediumBullet 421,511,974
12 Total revenue. See instructions.....MediumBullet 1,702,750,248 1,668,315,269 500,065 26,777,223
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
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 .... 465,660 465,660
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 84,400 84,400
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 ........... 26,944,878   26,944,878  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 636,434 636,434    
7 Other salaries and wages........ 580,143,089 509,743,486 70,399,603  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 27,405,145 12,101,289 15,303,856  
9 Other employee benefits ....... 50,607,814 45,017,011 5,590,803  
10 Payroll taxes ........... 35,039,715 31,023,366 4,016,349  
11 Fees for services (non-employees):        
a Management ...... 36,728,680   36,728,680  
b Legal ......... 2,067,206   2,067,206  
c Accounting ........... 5,804,297   5,804,297  
d Lobbying ........... 58,106 58,106    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 86,520   86,520  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 81,420,371 32,008,387 49,411,984  
12 Advertising and promotion .... 7,391,444 232,938 7,158,506  
13 Office expenses ....... 55,334,930 39,712,109 15,534,949 87,872
14 Information technology ...... 47,742,864 5,474,630 42,268,234  
15 Royalties .. 0      
16 Occupancy ........... 107,706,585 107,706,585    
17 Travel ............ 1,961,779 1,630,189 331,590  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 93,741 19,775 73,966  
20 Interest ........... 10,944,991 112,585 10,832,406  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 53,235,509 43,978,405 9,250,841 6,263
23 Insurance ... 87,808,497 7,076,686 80,731,811  
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 178,086,795 178,086,795 0  
b MEDICAL SUPPLIES 220,549,360 220,549,360 0  
c BAD DEBT EXPENSES 37,547,797 37,547,797 0  
d MEDICAID ASSESSMENT 23,703,647 23,703,647 0  
e All other expenses 10,373,253 9,937,521 435,732  
25 Total functional expenses. Add lines 1 through 24e 1,689,973,507 1,306,907,161 382,972,211 94,135
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 9,200,375 1 16,091,059
2 Savings and temporary cash investments ......... 348,122,612 2 373,720,398
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 44,192,046 4 40,538,584
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 18,823,521 8 23,517,421
9 Prepaid expenses and deferred charges ...... 155,517,341 9 17,162,381
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,008,617,825
b Less: accumulated depreciation 10b 607,294,310 365,446,981 10c 401,323,515
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 .. 5,821,219 13 42,955,772
14 Intangible assets ............... 40,483,312 14 40,483,312
15 Other assets. See Part IV, line 11 ........... 0 15 0
16 Total assets. Add lines 1 through 15 (must equal line 33)... 987,607,407 16 955,792,442
Liabilities 17 Accounts payable and accrued expenses ..... 198,556,028 17 232,772,097
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 5,125,132 19 6,181,255
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
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 344,210,595 25 259,310,187
26 Total liabilities. Add lines 17 through 25.. 547,891,755 26 498,263,539
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 424,442,509 27 439,155,636
28 Net assets with donor restrictions ........... 15,273,143 28 18,373,267
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 439,715,652 32 457,528,903
33 Total liabilities and net assets/fund balances ........ 987,607,407 33 955,792,442
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,702,750,248
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,689,973,507
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
12,776,741
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
439,715,652
5
Net unrealized gains (losses) on investments ...............
5
21,900,173
6
Donated services and use of facilities .................
6
56,567
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-355
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-16,919,875
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
457,528,903
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................3
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (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)
Yes No
(A) RIVERSIDE HOSPITAL INC
  		521245746 3 Yes   0 0
(B) RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
  		521241836 3 Yes   0 0
(C) RIVERSIDE REHABILITATION INSTITUTE
  		521432269 3 Yes   0 0
Total
3
    
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 880,659 2,004,962 3,327,791 3,265,075 1,605,113 11,083,600
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 880,659 2,004,962 3,327,791 3,265,075 1,605,113 11,083,600
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).. 0
6 Public support. Subtract line 5 from line 4. 11,083,600
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4.. 880,659 2,004,962 3,327,791 3,265,075 1,605,113 11,083,600
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 8,362 10,944 11,996 283,370 93 314,765
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 1,291,676 3,233,478 157,475 89,009 1,744,442 6,516,080
11 Total support. Add lines 7 through 10 17,914,445
12
12
154,453,978
13
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
14
14
61.870 %
15
15
59.327 %
16a
b
17a
b
18
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 0 0 29,493 31,543 0 61,036
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 100,546,480 110,067,150 162,557,613 148,919,430 154,453,978 676,544,651
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge           0
6 Total. Add lines 1 through 5 100,546,480 110,067,150 162,587,106 148,950,973 154,453,978 676,605,687
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
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.         88,414,861 88,414,861
c Add lines 7a and 7b..         88,414,861 88,414,861
8 Public support. (Subtract line 7c from line 6.) 588,190,826
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6... 100,546,480 110,067,150 162,587,106 148,950,973 154,453,978 676,605,687
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 3,539,270 36,502 -1,095,619 -3,719,539 1,298,816 59,430
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 3,539,270 36,502 -1,095,619 -3,719,539 1,298,816 59,430
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 8,851,203 13,785,249 18,170,944 30,662,630 692,452 72,162,478
13 Total support. (Add lines 9, 10c, 11, and 12.).. 112,936,953 123,888,901 179,632,938 175,862,521 156,445,246 748,766,558
14
Section C. Computation of Public Support Percentage
15
15
78.555 %
16
16
88.072 %
Section D. Computation of Investment Income Percentage
17
17
0.008 %
18
18
0.130 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) 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.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
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
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
 
 
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
Yes
 
2
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.
2
Yes
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
No
2
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).
2
 
No
3
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.
3
 
No
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6 0
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		 0
3 Excess distributions carryover, if any, to 2019:
a From 2014.......0
b From 2015.......0
c From 2016.......0
d From 2017.......0
e From 2018.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2019 distributable amount 0
i Carryover from 2014 not applied (see
instructions) 		0
j Remainder. Subtract lines 3g, 3h, and 3i from 3f. 0
4Distributions for 2019 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4. 0
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		 0
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		 0
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		 0
8 Breakdown of line 7:
a Excess from 2015.....0
b Excess from 2016.....0
c Excess from 2017.....0
d Excess from 2018.....0
e Excess from 2019.....0
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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 2 Riverside Healthcare Foundation, which is controlled by Riverside Healthcare Association, Inc., has determined that its hospital supported organizations, which qualify under 170(b)(1)(A)(iii), also qualify as public charities under section 509(a)(2)).
PART IV, SECTION B, LINE 2 Riverside Healthcare Foundation also supported its other supported organizations within the Riverside Health System. That support carried out the purposes of Riverside Healthcare Association, Inc. (RHA) by strengthening the ability of the Foundations supported organizations to provide quality health care and improve the health of citizens in RHAs community.
PART I, LINES 12 and 12a RIVERSIDE HEALTHCARE FOUNDATION IS A SUBORDINATE WITHIN THE GROUP THAT IS RECOGNIZED BY THE IRS AS A 509(a)(3) TYPE I SUPPORTING ORGANIZATION. ACCORDINGLY, PART IV, SECTIONS A AND B HAVE BEEN COMPLETED.
SCHEDULE A, PART 1 Public Charity Status of Subordinates Name of Subordinate EIN Type Center for Excellence in Aging/Geriatric Health 06-1544517 7 Riverside Middle Peninsula Hospital, Inc. 52-1241836 3 Riverside Healthcare Services, Inc. 52-1241839 10 Riverside Management Services, Inc. 52-1241840 10 Riverside Healthcare Foundation, Inc. 52-1241989 12 I Riverside Hospital, Inc. 52-1245746 3 Riverside Convalescent Centers, Inc. 52-1276323 3 The Rehabilitation Institute of Virginia, Inc. 52-1432269 3 Sanders Common,LTD 52-4233030 10 Patrick Henry Hospital, Inc. 54-0601803 3 Francis N. Sanders Nursing Home, Inc. 54-0683174 10 Riverside Wellness and Fitness Centers, Inc. 54-1318861 10 Riverside Retirement Services, Inc. 54-1348674 10 Riverside Tappahannock Hospital, Inc. 54-1489410 3 Riverside Physician Services, Inc. 54-1519724 3 Patriots Colony, Inc. 54-1680163 10 Riverside Health System Foundation, Inc. 54-1994013 7 Doctors Hospital of Williamsburg 27-1540267 3
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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






Form 990-PF




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
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Riverside Healthcare Association Inc Group
  		Employer identification number
90-1000718
Part I
Contributors
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
Riverside Healthcare Association Inc Group
  		Employer identification number

90-1000718
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2019)

Additional Data


Software ID:  
Software Version:  
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
170,630
j
Total. Add lines 1c through 1i ....................................................................................................
170,630
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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 Advocacy Activities Salary and Expenses $112,524 Dues $ 58,106 ---------------------------- Total $170,630 Advocates 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) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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" on 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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 1,223,034 1,385,267 1,241,004 1,175,020 1,186,469
b Contributions ...          
c Net investment earnings, gains, and losses 146,702 -26,248 144,263 65,984 -11,449
d Grants or scholarships ... 84,400        
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 1,285,336 1,359,019 1,385,267 1,241,004 1,175,020
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   14,003,371 14,003,371
b Buildings ....   439,661,245 210,120,464 229,540,779
c Leasehold improvements        
d Equipment ....   522,155,595 379,856,679 142,298,916
e Other .....   32,797,614 17,317,165 15,480,449
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 401,323,515
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on 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........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 259,310,187
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) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . . 		    32,144,169 0 32,144,169 1.940 %
b Medicaid (from Worksheet 3, column a) . . . . .     124,131,471 131,056,313 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     156,275,640 131,056,313 32,144,169 1.940 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,950,661   1,950,661 0.120 %
f Health professions education (from Worksheet 5) . . .     24,646,037 13,228,631 11,417,406 0.690 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .     2,467,403 1,418,012 1,049,392 0.060 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,247,963   2,247,963 0.140 %
j Total. Other Benefits . .     31,312,064 14,646,643 16,665,422 1.010 %
k Total. Add lines 7d and 7j .     187,587,704 145,702,956 48,809,591 2.950 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
37,609,578
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
297,535,709
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
301,244,469
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,708,760
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2019
Schedule H (Form 990) 2019
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?6Name, 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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other 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   Inpat Psychiatric A
2 Riverside Walter Reed Hospital
7519 HOSPITAL DRIVE
GLOUCESTER,VA23061
www.riversideonline.com/rwrh/
H 1890
Riverside Middle Peninsula H
521241836 		X X         X     A
3 Riverside Tappahannock Hospital
618 HOSPITAL ROAD
TAPPAHANNOCK,VA22560
www.riversideonline.com/rth/
H 1889
Riverside Tapahannock Hospit
541489410 		X X         X     A
4 Riverside Doctors Hosp Williamsburg
1500 Commonwealth Avenue
Williamsburg,VA23185
www.riversideonline.com/rdhw/
H 1937
Doctors' Hospital of William
271540267 		X X         X     A
5 Riverside Rehabilitation Hospital
250 Josephs Drive
Yorktown,VA23693
www.riverside-rehabilitation.com
H 1888
Coastal Virginia Rehabilitat
821270202 		X               inpat rehabilitation  
6 Select Specialty Hospital-Hampton Rds
500 J Clyde Morris Blvd
Newport News,VA23601
hamptonroads.selectspecialtyhospitals.co
H 1925
LTACH Riverside LLC
743135196 		X               Long Term Acute Care  
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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 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): 		5
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Riverside Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V, Sect. C
b
See Part V, Sect. C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Riverside Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Riverside Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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)
Select Specialty Hospital-Hampton Rds
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): 		6
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Select Specialty Hospital-Hampton Rds
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V, Sect. C
b
See Part V, Sect. C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Select Specialty Hospital-Hampton Rds
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Select Specialty Hospital-Hampton Rds
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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)
A
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): 		14
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V, Section C
b
See Part V, Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 Rehabilitation Hospital Line 3E. The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and May 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each systems website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDCs WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7 a: www.riverside-rehabilitation.com/about/community-health-needs-assessment Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10a: www.riverside-rehabilitation.com/about/community-health-needs-assessment Line 11: As explained in the CHNA, the significant needs to be addressed include: Behavioral/Mental Health and Substance Abuse In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Neoplasms of the Lung: Riverside offers low dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of pocket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents class and rookie dads. Riverside also offers bereavement and post partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. Colon Cancer: Riverside plans to roll out awareness campaigns in March 2020, particularly focusing on minority groups. Aging Services focused on Alzheimers and Dementia Riversides Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the Caring for You / Caring for me program. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 16 a: www.riverside-rehabilitation.com/referral-sources/financial-assistance Line 16 b: www.riverside-rehabilitation.com/referral-sources/financial-assistance Line 16 c: www.riverside-rehabilitation.com/referral-sources/financial-assistance Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospitals best efforts. Line 20 d: Presumptive eligibility is not used. Due to the limited number of patients and applicants for Financial Assistance, personnel work with patients to complete the application. Presumptive models are not used.
Select Specialty Hospital-Hampton Roads Line 3E. The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and May 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each systems website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDCs WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7A: https://hamptonroads.selectspecialtyhospitals.com/uploadedfiles/content/sh ared/patients_and_families/admissions/2019-chna-ssh-hampton-roads.pdf Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10A: https://hamptonroads.selectspecialtyhospitals.com/uploadedfiles/content/sh ared/patients_and_families/admissions/2019-chna-ssh-hampton-roads.pdf Line 11: As explained in the CHNA, the significant needs to be addressed include: Behavioral/Mental Health and Substance Abuse In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Neoplasms of the Lung: Riverside offers low dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of pocket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents class and rookie dads. Riverside also offers bereavement and post partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. Colon Cancer: Riverside plans to roll out awareness campaigns in March 2020, particularly focusing on minority groups. Aging Services focused on Alzheimers and Dementia Riversides Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the Caring for You / Caring for me program. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 16A: https://hamptonroads.selectspecialtyhospitals.com/uploadedfiles/content/sh ared/patients_and_families/admissions/ssh-hampton-roads-financial-assistan ce-policy.pdf Line 16B: https://hamptonroads.selectspecialtyhospitals.com/uploadedfiles/content/sh ared/patients_and_families/admissions/select-specialty-hospital-financial- assistance-policy-application.pdf Line 16C: https://hamptonroads.selectspecialtyhospitals.com/uploadedfiles/content/sh ared/patients_and_families/admissions/ssh-hampton-roads-plain-language-sum mary-of-financial-assistance.pdf Line 20b. While the hospital facility made reasonable efforts to orally notify all individuals about the FAP and FAP application process, this may not have been uniformly performed for 100% of the patients receiving treatment despite the hospitals best efforts. Line 20D: Presumptive eligibility methods are not used.
A Line 3E. The significant health needs of the community identified in the CNHA are prioritized according to the community needs. Line 5: As described in the CHNA, Riverside conducted a community survey between June 2018 and may 2019 to obtain input for the Community Health Needs Assessment. In partnership with other regional healthcare systems, the Peninsula Community Health Collaborative, non-profit organizations and the Virginia Department of Health conducted a joint survey utilizing SurveyMonkey. There were two versions of the survey: one for community members which was distributed on each systems website, social media outlets and community meetings; and one for community, medical and public health leaders which was emailed to an identified list of key stakeholders jointly from all of the health systems under the signature of the Medical Director of the Peninsula Health District of the Virginia Department of Health. The specific list of organization affiliations can be found in Appendix A of the CHNA. In addition to the survey, multiple public health sources were consulted in the assembly of the needs assessment. These included CDCs WONDER database, Virginia Department of Health statistics, Virginia Health Information, Urban Institute for the Virginia Health Care Foundation, American Community Survey and the US Health Resources and Service Administration. Line 7A: https://riversideonline.com/about_riverside/Community/community-health-nee ds.cfm Line 7D: In addition to the website and the hardcopy available at the facility the report was also mailed to several community leaders. Line 10A: https://riversideonline.com/about_riverside/Community/community-health-nee ds.cfm Line 11: Riverside Regional Medical Center As explained in the CHNA, the significant needs to be addressed include: Behavioral/Mental Health and Substance Abuse In 2019 the ligature-resistant Riverside Behavioral Health Center opened up the Adolescent Care Unit. The facility also participates in the Medicaid ARTS program (Addiction and Recovery Treatment Services). RRMC has also implemented a Clinical Opiate Withdrawal Scale (COWS) protocol, and RRMC is attempting to minimize opioid exposure through responsible and appropriate prescribing tactics, multi-modal pain management education to patients and providers. Food Insecurities: Riverside will continue the Riverside Brentwood Diabetic Food Insecurity Program, which was established off of the 2013 CHNA. This program identifies patients with diabetes who are food insecure and invites them to participate by getting healthy food boxes every two weeks (whole grain pasta, brown rice, low sodium canned vegetables, etc) along with education and recipes. The small pilot program demonstrated the positive impact through lowered BMI and A1C, so the program will continue and look for opportunities to expand. Health Insurance Coverage / Access to Care: Riverside provides support to the Lackey Free Clinic and participates in Change Healthcare, which is a program dedicated to increasing the number of community members who are signed up for Medicaid. Neoplasms of the Lung: Riverside offers low dose CT screenings to patients who may have an increased risk of developing lung cancer. While Riverside was only initially able to offer these screening to patients with commercial insurance or who could pay out of pocket, Riverside now participates with the PenLung registry, allowing us to offer these services to Medicaid and Medicare patients as well. Maternal and Infant Care: Riverside offers multiple community education courses and groups, including: breastfeeding, baby care, infant CPR, expectant parents, expectant siblings, grandparents class and rookie dads. Riverside also offers bereavement and post partum support groups and has a partnership with Healthy Families of Newport News and Hampton for free services including a personal parenting coach and home visits. Colon Cancer: Riverside plans to roll out awareness campaigns in March 2020, particularly focusing on minority groups. Aging Services focused on Alzheimers and Dementia Riversides Center for Excellence in Aging and Lifelong Health (CEALH) offers multiple services for memory care patients and their caregivers. These include access to the Benjamin Rose Institute on Aging Care Consultation program, a Memory Caf and the Caring for You / Caring for me program. The items determined to not be the highest priorities included for the CHNA are noted below, due to the limitation of resources, the size of the issue and the capacity of existing organizations to impact the problem (which is currently noted). Items on the list may be already being addressed through other Riverside programs, such as heart disease, smoking cessation programs, chronic pain, smoking, respiratory care, domestic violence and reproductive health. Some issues were outside of the area of expertise of the health system, such as the foster care system. Items such as infant mortality are important, but not necessarily an item that could be impacted significantly by the health system in a three year period and instead will be addressed through our continued pre and post-natal care programs. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: environmental health, drowning/water safety, autism, HIV/AIDS, dental/oral care, neurological problems, arthritis, renal disease, orthopedic problems, sexually transmitted infections, physical disabilities and bullying. Line 11: Walter Reed Hospital As explained in the CHNA, the significant needs to be addressed include: Aging Services: Through Riversides Center for Excellence in Aging and Lifelong Health (CEALH and the Riverside Wellness Center, there will be multiple courses available to the community, including Riversides Introduction to Supervised Exercise (RISE) program, FAMILIES, Advance Care Planning and Memory Caf Transportation: Riverside will approach Bay Transit to build a covered bus stop and will contribute the financial resources to erect the structure and include appropriate safety, such as lights. Cardiovascular Health and Heart Disease: Riverside will be looking to expand access to cardiology specialists in the region and bring vascular surgery to the hospital. Additionally they will work to expand programs through cardiac rehab and provide community education. Chronic Diseases: RWRH will establish an outpatient destination to accommodate rheumatology, GO, antibodies and other non-chemotherapy infusions. This will assist multiple sclerosis, Crohns disease, lupus, rheumatoid arthritis, ulcerative colitis and chronic inflammatory demyelinating polyneuritis patients. Lung Cancer Now that Riverside is participating with the PenLung registry it will expand access to a broader population to the low-dose screening CT scans. Substance Abuse: Riverside will continue its Crisis Intervention Program in collaboration with the CSB and other organizations to appropriately address psychiatric needs in the hospital. Additionally, Riverside continues to attempt to minimize opioid exposure through responsible and appropriate prescribing tactics such as multi-modal pain management and education to patients and providers. The items determined to not be the highest priorities included for the CHNA are noted below. Items on the list may be already being addressed through other Riverside programs, COPD, stroke, violent crime rate, psychoses and food insecurities. Other items not ranked as top health problems through either the qualitative or quantitative data assessments included: smoking / tobacco use, violence in the home / child abuse, dental / oral care, health insurance coverage, autism, chronic pain, foster care and social services. Line 11: Doctors' Hospital Williamsburg As explained in the CHNA, the significant needs to be addressed include: Heart Disease: Continue the collaboration with Riverside Doctors Hospital of Williamsburg, Sentara Williamsburg Regional Medical Center, Williamsburg Health Foundation, Fire and EMS services in Williamsburg, James City County and York County, The College of William and Mary, Greater Williamsburg Chamber of Commerce and the community to advance the Heart Safe Community. Other aspects of this effort will include ongoing CPR classes, distributing AEDs and screening for blood pressure, implementing the Pulse Point app and working with cardiologists to create pathways for uninsured and underinsured patients access to specialty care. Diabetes / Obesity / Improved Nutrition / Physical Activity: Riverside Doctors Hospital of Williamsburg and Sentara Williamsburg Regional Medical Center will coordinate with various local non-profits to promote wellness in the community at large. Opportunities identified include: workshops on wellness and nutrition, diabetes partnership program, sponsoring walks and other physical activities for the community and continue the Doc Is In lecture series
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?33
Name and address Type of Facility (describe)
1 Oyster Point Diagnostic
895 City Center Blvd
Newport News,VA23606 		Diagnostic Center
2 Patriots Colony
6000 Patriots Colony Dr
Williamsburg,VA23188 		Retirement Center
3 Peninsula Surgery Center
12000 Warwick Blvd
Newport News,VA23601 		Surgery Center
4 Riverside Rehabilitation at Williamsburg
120 Monticello Avenue
Williamsburg,VA23185 		Rehabiliation Services
5 Radiation Therapy Williamsburg
3901 Treyburn Drive
Williamsburg,VA23185 		Radiation Oncology Center
6 Warwick Forest Retirement
866 Old Denbigh Blvd
Newport News,VA23602 		Retirement Center
7 Williamsburg Healthcare Center
120 Kings Way
Williamsburg,VA23185 		Diagnostic Center Infusion Therapy Center
8 RHS-Hampton Project
850 Enterprise Pkwy
Hampton,VA23666 		Surgery Center Diagnostic Center
9 Riverside Walter Reed Professional Ctr
Route 17 - Hospital Drive
Gloucester,VA23061 		Medical Office Building
10 Gloucester Cancer Care
7544 Medical Drive
Gloucester,VA23061 		Radiation Oncology Infusion Therapy Services
11 Riverside Rehab-Shoreview
225 Chesapeake Ave
Newport News,VA23607 		Rehabiliation Services
12 Tappahannock Hospice
289 Hospital Road
Tappahannock,VA22560 		Hospice Services
13 Cancer Specialists TW- Bayview
1200 Colonial Road
Virginia Beach,VA23454 		Cancer Care Services
14 RDC - Smithfield
202 Gumwood Drive
Smithfield,VA23434 		Diagnostic Center
15 Tappahannock Professional Office Bldg A
659 Hospital Road
Tappahannock,VA22560 		Medical Office Building
16 Mount Clement Medical
300 Mount Clement Park
Tappahannock,VA22560 		Diagnostic Center Therapy Services
17 Riverside Convalescent - Mathews
603 Main Street
Mathews,VA23109 		Convalescent Services Nursing Home
18 Riverside Convalescent - Saluda
672 Gloucester Road
Saluda,VA23149 		Convalescent Services Nursing Home
19 Riverside Convalescent - West Point
2960 Chelsea Road
West Point,VA23181 		Convalescent Services Nursing Home
20 Riverside Wellness - Peninsula
12650 Jefferson Ave
Newport News,VA23602 		Fitness Center Physical Therapy
21 Tappahannock Hospital Home Health
658 Hospital Road
Tappahannock,VA22560 		Home Health Services
22 Cancer Specialists TW- Suffolk (Stark)
5835 Harbor View Blvd
Suffolk,VA23435 		Cancer Care Services
23 Brentwood - Med Ed
10510 Jefferson Avenue
Newport News,VA23601 		Physician Clinic
24 RCC-Smithfield Conv-Magnolia
200 Lumar Road
Smithfield,VA23430 		Convalescent Center Nursing Home
25 Riverside Convalescent - Hampton
414 Algonquin Rd
Hampton,VA23661 		Convalescent Services Nursing Home
26 The Orchard-Magnolia Manor
20 Delfae Drive
Warsaw,VA22572 		Convalescent Services Nursing Home
27 Sanders Retirement Village
7385 Walker Ave
Gloucester,VA23061 		Retirement Services
28 Cancer Specialists TW- Chspke
110 Wimbledon Square
Chesapeake,VA23320 		Infusion Therapy Center
29 MDExpress-Hampton
3321 West Mercury Blvd
Hampton,VA23666 		Urgent Care Services
30 MDExpress - Newport News
12997 Warwick Blvd
Newport News,VA23602 		Urgent Care Services
31 The Gardens at Warwick Forest
1000 Old Denbigh Blvd
Newport News,VA23602 		Convalescent Services Nursing Home
32 Cancer Care Center
12100 Warwick Blvd
Newport News,VA23601 		Radiation Oncology Infusion Therapy Center
33 Newport Square Professional Center
856 J Clyde Morris Blvd
Newport News,VA23601 		Physician Services
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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 Line 1: Part I Line 3c: Free care uses 200% and discounted care uses 400% of the FPG. Line 1: Part I Line 7, column F: Bad debt expense removed from total expense in line 7, column F is $37,547,796. Line 1: Part I Line 7A: The cost to charge ratio calculated on worksheet 2 was used for the charity expense. Line 1: Part I Line 7B: Medicaid cost and net revenue are directly from the Medicaid cost report. Line 1: Part I Line 7E: Community health improvement is actual cost accumulated by the individuals participating in the activities. Line 1: Part I Line 7F: Health Professions Education cost is from the 2019 Medicare Cost Report plus overhead calculated from the Medicare Cost 2019 Report. Line 1: Part I Line 7H: Research costs are expenses less any funding received. Line 1: Part I Line 7I: Cash and in kind contributions are the actual 2019 dollar value of the cash or items given. Line 1: Part III Line 2: (Riverside Health System) Bad debt is the amount remaining on a patient's account after cash payments, third party payer contractual adjustments and hospital discounts have been taken. Before the amount is written off to bad debt, the account is sent to a collection agency which returns the account when they have exhausted all possible effort. Upon return the account balance is written off to bad debt. Line 1: Part III Line 2: (Select Specialty Hospital) Hospital records uncollectible accounts that are not a result of credit worthiness as a direct offset to revenue in accordance with current GAAP revenue recognition standards. Hospitals methodology to record a reserve for uncollectible accounts is based on recording, on a monthly basis, a reserve which is equal to the % of write-offs to net patient revenue for the prior twelve calendar months multiplied by the current months recorded patient revenue. Line 1: Part III Line 3: If the patient was uninsured and had a household income at or below 200% of the Federal Poverty Level or was insured and had a household income at or below 400% of the Federal Poverty Level the patient would qualify for 100% financial assistance write off and would not be included in bad debt. The only population that may fall into the bad debt is if the patient was uninsured with a household income between 201% and 400% of the Federal Poverty Level which received a 75% financial assistance write off of eligible billed charges. The patient would have a liability of 25% of the billed amount. If the patient did not pay the 25% amount, that liability could be sent to bad debt. The financial assistance write off of 75% is not applied to bad debt. However, our procedures for identifying FAP-eligible individuals are thorough, therefore we do not estimate any amount of bad debt to be attributable to FAP-eligible patients. Line 1: Part III Line 4: Footnote 3 of the Audited Financial Statements states: If the System identifies subsequent adjustments to the transaction price that would cause adverse changes in a patient or payor's ability to pay, the amounts are recorded as bad debt expense. Bad debt expense is included in operating expenses in the consolidated statement of operations. The amount included as bad debt expense for the year ended December 31, 2019 was not material to the System. Line 1: Part III Line 8: The organization uses CMS cost reporting guidelines and methodology to determine allowable Medicare costs. The shortfall from Medicare should be recognized as a community benefit, since the patients are provided services at a loss for the facility. The Health System is assuring that these essential emergency and acute care services are provided for the population's health. Not included in this shortfall are costs that Medicare considers non allowable. Line 1: Part III Line 9b: Reasonable efforts will be made to determine whether a patient is eligible for financial assistance prior to sending an account to collections. If the patient qualifies for financial assistance the account is adjudicated based on their FAP eligibility. Patients may need to complete a financial assistance application to determine eligibility or may request reconsideration under this financial assistance policy by submitting a financial assistance application. Upon receipt of an application for financial assistance, collection actions are suspended until a final eligibility determination is made. If the patient is deemed eligible for financial assistance, the account will be returned from collections and all collection efforts will be reversed. Line 2: Riverside Health System has embraced the Community Health Needs Assessment process as the way to best assess the health care needs of the communities it serves. To supplement this data, Riverside also utilizes resources such as the Virginia Atlas of Community Health, demographic data, as well as observing utilization and diagnoses trends across the Riverside service areas and nationally. Finally, Riverside works closely with other community leaders to identify and respond to local needs. Having community-based boards also allows for continuous feedback from individuals living and working in the service area. Line 3: Notification about the financial assistance program include, but are not limited to, the publication of notices in patient bills, providing the Plain Language Summary of the Financial Assistance Policy in emergency rooms, admitting and registration departments, hospital business offices, patient financial services offices, and at other public places as Riverside Health System may elect. Riverside Health System also publishes and widely publicizes this financial assistance policy on the facility website. The plain language summary is also included with the billing statement 30 days prior to referring a patient's account to collections. Patients may obtain additional information and/or paper copies of any financial assistance policy, PLS or application in person by visiting any Riverside Hospital Department, by mail, via our website, or by calling our Customer Service Center. Line 4: The service area for Riverside Healthcare Association, dba Riverside Health System, covers a wide geographic area, from the Potomac River to south of the James River in southeastern Virginia. The entire Peninsula region, including James City County, Williamsburg (where RDHW is located), Newport News (where RRMC is located), Hampton, York and Poquoson has a 2020 forecasted population of approximately 555,000 people. The Virginia Peninsula is bordered on the east by the Chesapeake Bay, on the south by the James River and the north by the York River. Access to health care facilities not located on the Peninsula is restricted by tunnels and bridges, with three connections to various points across the James and the Bay, and one bridge north across the York. Numerous waterways, inlets and marshlands are prominent in the landscape and restrict traffic in certain areas, requiring a system of bridges or circuitous routes for local travel. Interstate 64 runs the length of the Peninsula, providing access some 75 miles from Newport News to downtown Richmond and 40 miles to downtown Norfolk (via Hampton Roads Bridge Tunnel). The 2016 Virginia Department of Transportation study reports Average Annual Weekday Traffic counts of 163,000 along this corridor. The Virginia Peninsula region, per 2020 Census Projections, is approximately 52% White, 38% Black, and the remaining 10% a combination of Asian, Native American, Other and Two or More Races. While still a small overall percentage, the Hispanic community is growing, with 13% growth projected from 2015 to 2020. Median household income is projected to be $59,562 in 2020, with Per Capita Income projected to be at $30,503. The median age is projected to be 35.9 in 2020. The communitys population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 14 percent of the population. Within the market, all of the localities with the exception of the city of Poquoson qualify for full or partial designation as Medically Underserved Service Areas. While the military only accounts for 10% of the direct employment in the region, the impact of the armed forces is much larger. With the largest private employer being Huntington Ingalls Newport News Shipbuilding (maker of nuclear powered aircraft carriers and submarines) with more than 20,000 local workers, and the many smaller contracting companies that support the Newport News Shipyard, local Navy bases and Langley AFB / NASA Langley, more than 50% of the regional economy is connected to the defense industry. It is also a popular destination for military retirees. In terms of demographics and occupations, the Riverside service area is primarily what has traditionally been defined as a blue-collar community. More than one third of adults over age 25 have high school or less as the highest level of educational attai
Schedule H (Form 990) 2019
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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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
1
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? ........................
2
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" on 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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) American Cancer Society
2730 Ellsmere Avenue
Norfolk,VA23513 		13-1788491 501(c)(3) 22,000       Make Strides
(2) March of Dimes
4191 Innslake Drive
Ste 201
Glenn Allen,VA23060 		13-1846366 501(c)(3) 6,300       2019 Spon-Chef
(3) American Heart Association Inc
PO Box 4002906
Des Moines,IA50340 		13-5613797 501(c)(3) 25,000       Heart Ball
(4) Here For The Girls
1309 Jamestown Rd
Williamsburg,VA23185 		26-0606190 501(c)(3) 22,000       Pink Carpet; Run for Hill & Gala
(5) Flat-Out Events LLC
744 City Center Blvd
Suite 800
Newport News,VA23606 		27-1675755   20,000       Community Partnership
(6) Community Free Clinic of Newport News
727 25th Street
Suite 100
Newport News,VA23607 		27-3510814 501(c)(3) 114,583       Free Clinic
(7) Fear 2 Freedom Inc
PO Box 6104
Newport News,VA23606 		45-2143034 501(c)(3) 10,000       Edu & Sexual Assault Survival Kits
(8) Hospice Support Care
4445 Powhatan Pkwy
Suite 800
Williamsburg,VA23188 		52-1289657 501(c)(3) 6,000       2019 Sponsorship
(9) Williamsburg Area Chamber of Commerce
421 N Boundary St
Williamsburg,VA23185 		54-0482313 501(c)(6) 7,500       2019 Sponsorship
(10) Christopher Newport University
1 Avenue of the Arts
Suite 800
Newport News,VA23606 		54-0701501 501(c)(3) 130,000       Lifelong Learning Society; Insider's Breakfast; Athletics Sponsorship; Ferguson Ctr Dance Series; Riverside Medical Group Leadership
(11) Peninsula EMS Council Inc
PO Box 3648
Williamsburg,VA23187 		54-1064500 501(c)(3) 15,000       2019 Sponsorship
(12) CNU Educational Foundation
1 Avenue of the Arts
Newport News,VA23606 		54-1156248 501(c)(3) 12,500       2019-Sponsorship
(13) An Achievable Dream Foundation Inc
10858 Warwick Blvd
Suite 800
Newport News,VA23601 		54-1621932 501(c)(3) 25,000       Tennis Ball
(14) VA Health Care Foundation
707 East Main Street
Ste A
Richmond,VA23219 		54-1639924 501(c)(3) 25,000       2019 Sponsorship
(15) Virginia Nurses Foundation
2819 N Parham Road
Suite 1350
Richmond,VA23294 		54-1788059 501(c)(3) 6,500       2019 Spon-Gala VNF Awards
(16) Lackey Free Clinic
1620 Old Williamsburg Road
Suite 230
Yorktown,VA23690 		54-1850915 501(c)(3) 30,000       Indig Pt Support
(17) Williamsburg Area Chamber of Commerce Foundation
421 N Boundary St
Williamsburg,VA23187 		54-1945838 501(c)(6) 15,780       2019 Sponsorship
(18) Williamsburg Indoor Sports Complex
5700 Warhill Trail
Williamsburg,VA23188 		54-1966400   10,000       2019 Sponsorship
(19) Virginia Symphony Orchestra
150 Boush Street
Suite 800
Norfolk,VA23510 		54-6000598 501(c)(3) 7,500       2019-Sponsorship
(20) City of Newport News
2400 Washington Avenue
Ste 201
Newport News,VA23607 		54-6022059 Government 16,700       Marathon Health & Wellness Expo Silent Children's Garden Annual Senior Amateur Golf Classic Annual Senior Amateur Golf Classic
(21) Virginia Living Museum Inc
524 J Clyde Morris Blvd
Newport News,VA23601 		54-6055922 501(c)(3) 18,000       2019 Spon-Otter Ball
(22) 2019 Commemoration Inc
PO Box 1607
Williamsburg,VA23187 		81-0703911 501(c)(3) 25,000       Edu Programs & Commemorative Projects
(23) Lionsbridge Football Club LLC
701 Town Center Drive
Newport News,VA23606 		82-3032870   35,000       2020 Sponsorship-Partnership RIV Sports Medicine Team
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
18
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Scholarships 108 84,400      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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 administrator of the benefiting facility. Requests are approved according to the specifics of the requestor's governing charter. If a request doesn't comply the money is not distributed. Scholarship Eligibility and Requirements: Students must be enrolled or be an application to the nursing Program at the Riverside College of Health Careers. Applicants must demonstrate a cumulative GPA of 2.75 in prerequisite courses and enrolled students must have 3.0 in completed coursework. Applicants must also demonstrate financial need.
Schedule I (Form 990) 2019



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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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Riverside Healthcare Association Inc Group
 
Employer identification number

90-1000718
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on 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 .........
1b
 
 
2
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 on Line 1a? ..
2
 
 
3
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.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 on 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 on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1ADRIA NICOLE VANHOOZIER
VP/ADMINISTRATOR RDHW 		(i)

(ii)		 226,004
-------------
0 		36,733
-------------
0 		37,779
-------------
0 		12,600
-------------
0 		20,616
-------------
0 		333,732
-------------
0 		0
-------------
0
2ANDREA STASKIEL
EXECUTIVE DIRECTOR 		(i)

(ii)		 151,853
-------------
0 		 
-------------
0 		8,841
-------------
0 		7,231
-------------
0 		1,010
-------------
0 		168,935
-------------
0 		0
-------------
0
3ANTHONY FARAH
PHYSICIAN 		(i)

(ii)		 576,929
-------------
0 		638,994
-------------
0 		673
-------------
0 		12,600
-------------
0 		33,597
-------------
0 		1,262,793
-------------
0 		0
-------------
0
4BARBARA LABONTE
DIRECTOR SYSTEM 		(i)

(ii)		 197,238
-------------
0 		31,289
-------------
0 		1,274
-------------
0 		26,303
-------------
0 		1,213
-------------
0 		257,317
-------------
0 		0
-------------
0
5BRADEN MILLER
CHIEF FINANCIAL OFFICER/AVP 		(i)

(ii)		 219,705
-------------
0 		32,611
-------------
0 		11,472
-------------
0 		27,272
-------------
0 		35,254
-------------
0 		326,314
-------------
0 		0
-------------
0
6BRIAN KEEL
PHYSICIAN 		(i)

(ii)		 288,694
-------------
0 		940,855
-------------
0 		2,152
-------------
0 		600
-------------
0 		31,127
-------------
0 		1,263,428
-------------
0 		0
-------------
0
7CARRIE R MOSS MD
BOARD MEMBER 		(i)

(ii)		 214,136
-------------
0 		147,746
-------------
0 		67,481
-------------
0 		33,242
-------------
0 		573
-------------
0 		463,178
-------------
0 		0
-------------
0
8CATHERINE LINTZENICH MD
BOARD MEMBER 		(i)

(ii)		 375,603
-------------
0 		68,871
-------------
0 		11,049
-------------
0 		12,600
-------------
0 		23,040
-------------
0 		491,163
-------------
0 		0
-------------
0
9CHARLES FRAZIER
VP MD 		(i)

(ii)		 383,093
-------------
0 		77,162
-------------
0 		65,756
-------------
0 		27,749
-------------
0 		34,498
-------------
0 		588,258
-------------
0 		0
-------------
0
10CHARLES GRAHAM
VP 		(i)

(ii)		 332,276
-------------
0 		47,132
-------------
0 		56,614
-------------
0 		25,891
-------------
0 		38,458
-------------
0 		500,371
-------------
0 		0
-------------
0
11CHERYL ANGE
DIRECTOR SR SPECIALITIES 		(i)

(ii)		 179,463
-------------
0 		11,439
-------------
0 		682
-------------
0 		19,167
-------------
0 		8,867
-------------
0 		219,618
-------------
0 		0
-------------
0
12CHRISTOPHER PATRICK STOLLE MD
VP MEDICAL AFFAIRS 		(i)

(ii)		 366,417
-------------
0 		62,355
-------------
0 		65,428
-------------
0 		27,642
-------------
0 		8,842
-------------
0 		530,684
-------------
0 		0
-------------
0
13CYNTHIA WILLIAMS
VP 		(i)

(ii)		 265,521
-------------
0 		70,853
-------------
0 		45,788
-------------
0 		10,899
-------------
0 		15,118
-------------
0 		408,179
-------------
0 		0
-------------
0
14DAVID COHEN
VP MD 		(i)

(ii)		 302,838
-------------
0 		35,000
-------------
0 		39,353
-------------
0 		0
-------------
0 		28,532
-------------
0 		405,723
-------------
0 		0
-------------
0
15DAVID INABINET
CHIEF INFORMATION SECURITY OFF 		(i)

(ii)		 186,211
-------------
0 		9,572
-------------
0 		9,057
-------------
0 		19,141
-------------
0 		1,119
-------------
0 		225,100
-------------
0 		0
-------------
0
16DAVID F JONES MD
BOARD MEMBER 		(i)

(ii)		 165,515
-------------
0 		21,581
-------------
0 		103,468
-------------
0 		27,642
-------------
0 		14,834
-------------
0 		333,040
-------------
0 		0
-------------
0
17DEAN KOSTOV
PHYSICIAN 		(i)

(ii)		 727,272
-------------
0 		1,494,618
-------------
0 		122,917
-------------
0 		21,989
-------------
0 		30,611
-------------
0 		2,397,407
-------------
0 		0
-------------
0
18DEBRA CAMPBELL
ADMINISTRATOR RBHC 		(i)

(ii)		 136,199
-------------
0 		 
-------------
0 		4,346
-------------
0 		13,382
-------------
0 		7,908
-------------
0 		161,835
-------------
0 		0
-------------
0
19DENNIS LOFTUS
SENIOR VP 		(i)

(ii)		 189,641
-------------
0 		64,668
-------------
0 		87,546
-------------
0 		29,756
-------------
0 		17,062
-------------
0 		388,673
-------------
0 		0
-------------
0
20DOUGLAS CULBERT
ASSOCIATE VICE PRESIDENT SERVI 		(i)

(ii)		 159,023
-------------
0 		22,966
-------------
0 		3,049
-------------
0 		19,185
-------------
0 		27,246
-------------
0 		231,469
-------------
0 		0
-------------
0
21DWIGHT C HERBERT MD
BOARD MEMBER 		(i)

(ii)		 137,707
-------------
0 		139,668
-------------
0 		86,095
-------------
0 		26,242
-------------
0 		28,912
-------------
0 		418,624
-------------
0 		0
-------------
0
22EDWARD G HECKLER
VP, LIFELONG HEALTH 		(i)

(ii)		 230,621
-------------
0 		27,195
-------------
0 		40,297
-------------
0 		26,139
-------------
0 		22,630
-------------
0 		346,882
-------------
0 		0
-------------
0
23EILEEN VARNSON
VP 		(i)

(ii)		 189,596
-------------
0 		0
-------------
0 		11,448
-------------
0 		0
-------------
0 		28,431
-------------
0 		229,475
-------------
0 		0
-------------
0
24ELENA GARRETT MD
BOARD MEMBER` 		(i)

(ii)		 230,936
-------------
0 		28,547
-------------
0 		88,336
-------------
0 		27,428
-------------
0 		672
-------------
0 		375,919
-------------
0 		0
-------------
0
25ELISABETH WILLIAMS
VP 		(i)

(ii)		 96,551
-------------
0 		39,978
-------------
0 		30,620
-------------
0 		7,700
-------------
0 		11,490
-------------
0 		186,339
-------------
0 		0
-------------
0
26ELIZABETH J MARTIN
VP/ADMINISTRATOR 		(i)

(ii)		 285,756
-------------
0 		88,248
-------------
0 		51,541
-------------
0 		32,213
-------------
0 		24,718
-------------
0 		482,476
-------------
0 		0
-------------
0
27ERIC STONE
FORMER VP CLINICAL OPERATIONS 		(i)

(ii)		 171,345
-------------
0 		27,913
-------------
0 		77
-------------
0 		8,509
-------------
0 		616
-------------
0 		208,460
-------------
0 		0
-------------
0
28ESTHER M DESIMINI
VP/ADMINISTRATOR 		(i)

(ii)		 280,007
-------------
0 		53,379
-------------
0 		47,330
-------------
0 		12,600
-------------
0 		24,674
-------------
0 		417,990
-------------
0 		0
-------------
0
29JAMES LESNICK
VP/MEDICAL DIRECTOR RMG 		(i)

(ii)		 63,369
-------------
0 		87,492
-------------
0 		11,588
-------------
0 		13,843
-------------
0 		10,589
-------------
0 		186,881
-------------
0 		0
-------------
0
30JAMES W MCCORRY DO
SERVICE LINE CHIEF 		(i)

(ii)		 266,094
-------------
0 		14,700
-------------
0 		142,276
-------------
0 		27,642
-------------
0 		664
-------------
0 		451,376
-------------
0 		0
-------------
0
31JASON KILGORE
VP RESULTS MGT AND ANALYTICS 		(i)

(ii)		 201,273
-------------
0 		23,401
-------------
0 		12,136
-------------
0 		23,746
-------------
0 		27,230
-------------
0 		287,786
-------------
0 		0
-------------
0
32JASON O HOUSER
VP, LEGAL AFFAIRS & SECRETARY 		(i)

(ii)		 354,429
-------------
0 		64,116
-------------
0 		55,044
-------------
0 		27,642
-------------
0 		32,098
-------------
0 		533,329
-------------
0 		0
-------------
0
33JESSE GOODRICH
VP 		(i)

(ii)		 197,790
-------------
0 		25,278
-------------
0 		24,301
-------------
0 		23,865
-------------
0 		12,479
-------------
0 		283,713
-------------
0 		0
-------------
0
34JESSICA MACALINO
ASSOCIATE VICE PRESIDENT SERVI 		(i)

(ii)		 146,456
-------------
0 		20,458
-------------
0 		2,869
-------------
0 		7,763
-------------
0 		8,366
-------------
0 		185,912
-------------
0 		0
-------------
0
35JOHN MINCKS
MEDICAL STAFF PRESIDENT 		(i)

(ii)		 275,609
-------------
0 		40,500
-------------
0 		21,389
-------------
0 		33,242
-------------
0 		16,395
-------------
0 		387,135
-------------
0 		0
-------------
0
36JUDITH MATTHEWS
EXECUTIVE NURSE 		(i)

(ii)		 136,940
-------------
0 		19,023
-------------
0 		1,352
-------------
0 		5,747
-------------
0 		16,023
-------------
0 		179,085
-------------
0 		0
-------------
0
37KARL J GEDDES MD
BOARD MEMBER 		(i)

(ii)		 254,167
-------------
0 		22,675
-------------
0 		11,057
-------------
0 		27,642
-------------
0 		30,303
-------------
0 		345,844
-------------
0 		0
-------------
0
38KEITH PERCIC
VP 		(i)

(ii)		 264,817
-------------
0 		48,916
-------------
0 		46,537
-------------
0 		35,954
-------------
0 		25,140
-------------
0 		421,364
-------------
0 		0
-------------
0
39KELLY COOPER
DIRECTOR SR RMG 		(i)

(ii)		 152,019
-------------
0 		10,091
-------------
0 		566
-------------
0 		19,624
-------------
0 		3,121
-------------
0 		185,421
-------------
0 		0
-------------
0
40LINDA MCKEE
ASSOCIATE VICE PRESIDENT SERVI 		(i)

(ii)		 183,341
-------------
0 		26,460
-------------
0 		3,856
-------------
0 		9,707
-------------
0 		7,553
-------------
0 		230,917
-------------
0 		0
-------------
0
41LINWOOD NELSON
CHIEF FINANCIAL OFFICER/AVP 		(i)

(ii)		 163,286
-------------
0 		31,431
-------------
0 		2,944
-------------
0 		20,219
-------------
0 		25,724
-------------
0 		243,604
-------------
0 		0
-------------
0
42LISA SALSBERRY
DIRECTOR 		(i)

(ii)		 243,536
-------------
0 		3,000
-------------
0 		36,444
-------------
0 		26,641
-------------
0 		39,277
-------------
0 		348,898
-------------
0 		0
-------------
0
43LISA SHANNON
DIRECTOR SYSTEM 		(i)

(ii)		 162,028
-------------
0 		26,662
-------------
0 		618
-------------
0 		8,726
-------------
0 		14,491
-------------
0 		212,525
-------------
0 		0
-------------
0
44LISA A CASANOVA MD
BOARD MEMBER 		(i)

(ii)		 193,186
-------------
0 		21,953
-------------
0 		14,016
-------------
0 		27,459
-------------
0 		24,749
-------------
0 		281,363
-------------
0 		0
-------------
0
45MELVIN D SCHURSKY JR MD
Board member 		(i)

(ii)		 282,975
-------------
0 		49,246
-------------
0 		190,957
-------------
0 		8,140
-------------
0 		10,616
-------------
0 		541,934
-------------
0 		0
-------------
0
46MICHAEL DACEY MD
EVP/CCOO 		(i)

(ii)		 616,433
-------------
0 		139,799
-------------
0 		112,287
-------------
0 		12,600
-------------
0 		9,585
-------------
0 		890,704
-------------
0 		0
-------------
0
47MICHAEL FRANCIS
PRESIDENT, MEDICAL STAFF 		(i)

(ii)		 319,609
-------------
0 		 
-------------
0 		2,065
-------------
0 		8,654
-------------
0 		15,850
-------------
0 		346,178
-------------
0 		0
-------------
0
48MICHAEL JOSEPH DOUCETTE
VP RRMC OPERATIONS 		(i)

(ii)		 467,316
-------------
0 		71,561
-------------
0 		79,090
-------------
0 		33,242
-------------
0 		35,770
-------------
0 		686,979
-------------
0 		0
-------------
0
49NANCY WICK LITTLEFIELD
EVP/CNO 		(i)

(ii)		 371,892
-------------
0 		82,334
-------------
0 		71,662
-------------
0 		10,932
-------------
0 		16,303
-------------
0 		553,123
-------------
0 		0
-------------
0
50NEHEMIAH THRASH MD
BOARD MEMBER 		(i)

(ii)		 323,915
-------------
0 		51,900
-------------
0 		26,256
-------------
0 		12,600
-------------
0 		39,637
-------------
0 		454,308
-------------
0 		0
-------------
0
51PAUL J MICALE MD
BOARD MEMBER 		(i)

(ii)		 568,537
-------------
0 		181,034
-------------
0 		28,099
-------------
0 		27,642
-------------
0 		31,078
-------------
0 		836,390
-------------
0 		0
-------------
0
52PETER GALANTICH MD
PRESIDENT MEDICAL STAFF 		(i)

(ii)		 395,222
-------------
0 		18,250
-------------
0 		69,853
-------------
0 		27,642
-------------
0 		36,219
-------------
0 		547,186
-------------
0 		0
-------------
0
53RICHARD K DUNN MD
BOARD MEMBER 		(i)

(ii)		 158,258
-------------
0 		 
-------------
0 		84,524
-------------
0 		14,087
-------------
0 		40,291
-------------
0 		297,160
-------------
0 		0
-------------
0
54ROBERT CULLOM
PHYSICIAN 		(i)

(ii)		 712,817
-------------
0 		582,698
-------------
0 		3,689
-------------
0 		600
-------------
0 		30,963
-------------
0 		1,330,767
-------------
0 		0
-------------
0
55ROBERT R HARDING MD
CHAIRMAN 		(i)

(ii)		 167,784
-------------
0 		21,875
-------------
0 		69,094
-------------
0 		33,304
-------------
0 		1,171
-------------
0 		293,228
-------------
0 		0
-------------
0
56ROMNEY ANDERSEN
PHYSICIAN 		(i)

(ii)		 470,018
-------------
0 		841,337
-------------
0 		83,689
-------------
0 		12,600
-------------
0 		685
-------------
0 		1,408,329
-------------
0 		0
-------------
0
57ROSS YOUNGER
SENIOR VP 		(i)

(ii)		 337,871
-------------
0 		61,503
-------------
0 		51,649
-------------
0 		25,235
-------------
0 		42,470
-------------
0 		518,728
-------------
0 		0
-------------
0
58SADIE THURMAN
VP RN 		(i)

(ii)		 186,819
-------------
0 		23,614
-------------
0 		6,999
-------------
0 		17,722
-------------
0 		1,453
-------------
0 		236,607
-------------
0 		0
-------------
0
59SALLY HARTMAN
SENIOR VP 		(i)

(ii)		 396,783
-------------
0 		76,074
-------------
0 		66,725
-------------
0 		33,242
-------------
0 		13,556
-------------
0 		586,380
-------------
0 		0
-------------
0
60SALLY RYAN
VP PHYSICIAN SERVICES 		(i)

(ii)		 262,307
-------------
0 		50,517
-------------
0 		44,504
-------------
0 		11,938
-------------
0 		13,742
-------------
0 		383,008
-------------
0 		0
-------------
0
61SANDRA SNAPP
ASSOCIATE VICE PRESIDENT SERVI 		(i)

(ii)		 194,545
-------------
0 		27,781
-------------
0 		3,923
-------------
0 		25,889
-------------
0 		648
-------------
0 		252,786
-------------
0 		0
-------------
0
62SHEBA MOHSIN MD
BOARD MEMBER 		(i)

(ii)		 167,315
-------------
0 		108,799
-------------
0 		10,480
-------------
0 		25,732
-------------
0 		21,984
-------------
0 		334,310
-------------
0 		0
-------------
0
63THERESA SIEVERS
SENIOR VP 		(i)

(ii)		 258,857
-------------
0 		 
-------------
0 		14,768
-------------
0 		6,341
-------------
0 		1,992
-------------
0 		281,958
-------------
0 		0
-------------
0
64VERNEETA L WILLIAMS MD
BOARD MEMBER 		(i)

(ii)		 217,473
-------------
0 		2,500
-------------
0 		861
-------------
0 		22,272
-------------
0 		20,465
-------------
0 		263,571
-------------
0 		0
-------------
0
65WALTER WILLIAM AUSTIN JR
SR VP, CFO & TREASURER 		(i)

(ii)		 478,839
-------------
0 		91,463
-------------
0 		80,160
-------------
0 		12,600
-------------
0 		21,028
-------------
0 		684,090
-------------
0 		0
-------------
0
66WILLIAM BURNS DOWNEY
PRESIDENT,CEO RHS 		(i)

(ii)		 919,559
-------------
0 		264,600
-------------
0 		212,856
-------------
0 		33,242
-------------
0 		16,060
-------------
0 		1,446,317
-------------
0 		0
-------------
0
67WILLIAM H MCALLISTER MD
BOARD MEMBER 		(i)

(ii)		 968,436
-------------
0 		669,791
-------------
0 		12,009
-------------
0 		27,642
-------------
0 		30,494
-------------
0 		1,708,372
-------------
0 		0
-------------
0
68ANTOINETTE WATKINS
DIRECTOR SYSTEM 		(i)

(ii)		 159,722
-------------
0 		27,593
-------------
0 		1,058
-------------
0 		8,657
-------------
0 		8,841
-------------
0 		205,871
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 I, Line 4b ADRIA VANHOOZIER $26,200 CHARLES FRAZIER $52,128 CHARLES GRAHAM $42,404 CHRISTOPHER STOLLE $50,449 CYNTHIA WILLIAMS $32,621 DENNIS LOFTUS $45,772 EDWARD HECKLER $28,447 ELIZABETH MARTIN $39,846 ESTHER DESIMINI $29,653 JASON HOUSER $43,616 JESSE GOODRICH $13,495 KEITH PERCIC $32,855 LISA SALSBERRY $24,178 MICHAEL DACEY $93,600 MICHAEL DOUCETTE $63,687 NANCY LITTLEFIElD $52,944 ROSS YOUNGER $38,437 SALLY HARTMAN $53,184 SALLY RYAN $32,190 WALTER AUSTIN $64,700 WILLIAM DOWNEY $189,000 --------------------------- TOTAL $1,049,406 Riverside has established this SERP to provide retirement benefits to certain executive employees to supplement the retirement benefits to be received from Riverside and Social Security. Although the employee is fully vested in these funds, he/she will not have the right to withdraw these funds until the later of the employee reaching age 62 or separation from service with Riverside.
Schedule J (Form 990) 2019

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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?
Yes No
(1) PHILLIPS ENERGY INC SEE PART V 271,894 SEE PART V   No
(2) SANDY SANPP SEE PART V 70,681 EMPLOYMENT   No
(3) RICHARD DUNN SEE PART V 293,859 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
LINDA PHILLIPS Schedule L, Part IV Linda Phillips' family members own Phillips Energy Inc. that contracts with Riverside.
SANDY SNAPP Schedule L, Part IV Sandy Snapp's family member is employed by Riverside Hospital, Inc.
RICHARD DUNN Schedule L, Part IV Richard Dunn's family member is employed by Riverside Physician Services, Inc.
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Riverside Healthcare Association Inc Group
 
Employer identification number

90-1000718
Return Reference Explanation
SCHEDULE O Part I, Lines 3 and 4/Part VI Lines 1a and 1b The number of voting members and independent voting members reported in Part I line 3 and 4/Part VI lines 1a and 1b is higher than the total count of board members reported in Part VII as several of the board members sit on several of the entities included within the Group return but have only been listed once. Part V, Line 3A Riverside Hospital, Inc. EIN 52-1245746, a subordinate company, had unrelated business income greater than $1,000 and 990-T was filed. Part VI, Section A, Line 2 Alan Witt and William Downey serve together on a regional advisory board for a local community bank. 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 Part I, Lines 3 and 4/Part VI Lines 1a and 1b The number of voting members and independent voting members reported in Part I line 3 and 4/Part VI lines 1a and 1b is higher than the total count of board members reported in Part VII as several of the board members sit on several of the entities included within the Group return but have only been listed once. Part V, Line 3A Riverside Hospital, Inc. EIN 52-1245746, a subordinate company, had unrelated business income greater than $1,000 and 990-T was filed. Part VI, Section A, Line 2 William Downey and Alan Witt serve together on a Board of Directors of a local entity. 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 VIII Line 11d $7,057,759 of the amount reported on Line 11d is a reclass of certain funds to cover specific program costs for related organizations. Part IX Line 24g $7,057,759 of the amount reported on Line 24g is a reclass of certain funds to cover specific program costs for related organizations. Part XI Line 9 Pension Adjustment $-43,072,941 Equity Adjustment $ 20,175,000 Equity Adjustment/true up related to Charlottesville Area Retirement Svcs $ 7,728,066 Distribution of Equity $ -1,750,000 ------------------------------------------------------------------------ Total $ -16,919,875
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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 0 2,515,472 RivHosp
 
(2) Peninsula Cancer Institute LLC
608 Denbigh Blvd Ste 800
Newport News,VA23608
20-1872200 		PT Services VA 13,172,790 93,329,567 RivPhysSv
 
(3) PENINSULA RADIOSURGERY ASSOCIATES LLC
608 Denbigh Blvd Ste 800
NEWPORT NEWS,VA23608
03-0596051 		PT Services VA 1,184,140 7,513,040 RivHosp
 
(4) Michumi LLC
608 Denbigh Blvd Ste 800
Newport News,VA23608
20-0318732 		PT Services VA 13,680,332 1,852,428 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?
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) 10 ShoreHSvc
 
Yes
 
(3)Newport News General & Nonsectarian
608 Denbigh Blvd Ste 800

Newport News,VA23608
54-0505934 		Holding Corp VA 501(c)(2) N/A RivHCAssc
 
Yes
 
(4)Riverside Healthcare Assocation Inc
608 Denbigh Blvd Ste 800

Newport News,VA23608
52-1241835 		Parent Comp. VA 501(c)(3) 12 II N/A
 
No
(5)Tilden and Va Davis Suport Found Inc
608 Denbigh Blvd Ste 800

Newport News,VA23608
54-1527703 		Foundation VA 501(c)(3) 12I RivRetSvc
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
Yes No Yes No
(1) At HomePartner

608 Denbigh Blvd Ste 800
Newport News,VA23608
47-2999121 		Management VA RivRetSvc
  		EXCLUDED 28,902 275,117   No   Yes   80.000 %
(2) Coastal Virginia Rehabilitation LLC

608 Denbigh Blvd Ste 800
Newport News,VA23608
20-0318732 		Pt Services VA RivPhysSv
  		EXCLUDED 40,539 1,848,729   No     No 51.000 %










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?
Yes No
(1) Peninsula Hospital Services

608 Denbigh Blvd Suite 800
Newport News,VA23608
54-0991295 		Laundry VA RivHCAssc
  		COOP 3,523,216 3,299,434 61.000 % Yes  
(2) RHS Medinsur LTD

Craig Appin House 8 Wesley Street
Hamilton    
BD
52-1241835 		Insurance BD RivHCAssc
  		C Corp 5,967,127 42,866,496 100.000 % Yes  
(3) Riverside Medical Equipment Center Inc

608 Denbigh Blvd Ste 800
Newport News,VA23608
54-1325596 		Billing VA RivHCAssc
  		C Corp 0 0 100.000 % Yes  








Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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) At Home Partners LLC

 O 89,719 MARKET VALUE
(2) Newport News General & Nonsectarian Hospital

 M 798,823 MARKET VALUE
(3) Riverside Healthcare Association Inc

 M 185,800 MARKET VALUE
(4) Shore Health Services Inc

 K 706,824 MARKET VALUE
(5) Shore Health Services Inc

 M 16,445,174 MARKET VALUE
(6) Shore Health Services Inc

 O 1,475,744 MARKET VALUE
(7) Newport News General & Nonsectarian Hospital

 J 24,478,632 MARKET VALUE
(8) At Home Partners LLC

 L 547,454 MARKET VALUE
(9) RHS Medinsur LTD

 L 11,797,667 MARKET VALUE
(10) Riverside Healthcare Association Inc

 J 9,492,383 MARKET VALUE
(11) Riverside Healthcare Association Inc

 L 10,929,582 MARKET VALUE
(12) Shore Health Services Inc

 J 125,820 MARKET VALUE
(13) Shore Health Services Inc

 L 3,744,320 MARKET VALUE
(14) Shore Health Services Inc

 O 259,019 MARKET VALUE
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


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