Form990


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
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
Riverside Healthcare Association Inc Group
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
608 Denbigh Blvd 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 $ 2,088,097,214
F Name and address of principal officer:
WILLIAM DOWNEY CEORHS
608 Denbigh Blvd 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. Click to see attachment
List of Attached Documents:
// Content
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) ........ 3 167
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 130
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 10,841
6 Total number of volunteers (estimate if necessary) ............. 6 498
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 341,762
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 25,604,361 31,123,606
9 Program service revenue (Part VIII, line 2g) ......... 1,845,535,203 2,033,664,333
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 33,542,116 9,654,850
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 30,293,342 7,692,687
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,934,975,022 2,082,135,476
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,837,085 1,626,418
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 823,445,129 884,848,449
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,114,388    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,045,348,012 1,192,444,188
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,870,630,226 2,078,919,055
19 Revenue less expenses. Subtract line 18 from line 12....... 64,344,796 3,216,421
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,413,824,478 1,530,945,021
21 Total liabilities (Part X, line 26)............. 830,485,533 956,975,871
22 Net assets or fund balances. Subtract line 21 from line 20..... 583,338,945 573,969,150
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
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Signature of officer Date
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Type or print name and title
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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 (2021)
Form 990 (2021)
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 $ 1,693,361,381 including grants of $ 1,626,418 ) (Revenue $ 2,024,318,620 )
GENERAL HOSPITAL, LONG-TERM CARE AND PHYSICIAN SERVICES PROVIDED TO THE COMMUNITY: 3,009,391 PERSONS WERE BENEFITED IN 2022 WITH QUANTIFIABLE COMMUNITY BENEFITS OF $222,197,933.
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 expensesMediumBullet1,693,361,381
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
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.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 I.............
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
List of Attached Documents:
// Content
.........
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
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 I.........................
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 II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
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 IV..............
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
List of Attached Documents:
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......
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
List of Attached Documents:
// Content
...................
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 VII.......
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 VIII.......
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
List of Attached Documents:
// Content
............
11d
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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 attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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 ....
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.......................
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 II...........
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 III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the 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......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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.............
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 VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on 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
591
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
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
10,841
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
 
 
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 the 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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
167
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
130
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
 
No
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 on 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 on 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 on 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
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletB LABONTE AVP-TAX608 DENBIGH BLVD 800   NEWPORT NEWS,VA23608 (757) 875-7545
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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 the 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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) BARBARA S HAYWOOD
 
VICE CHAIRMAN
0.8
.................
0.2
X   X       0 0 0
(2) CARRINGTON F RANDOLPH
 
VICE CHAIRMAN
1.0
.................
0
X   X       0 0 0
(3) CHARLENE E SMITH
 
VICE CHAIRMAN
1.0
.................
0
X   X       0 0 0
(4) CONWAY W SMITH III
 
CHAIRMAN
0.8
.................
1.2
X   X       0 0 0
(5) DANIEL J SHERLOCK
 
CHAIRMAN
1.0
.................
1.0
X   X       0 0 0
(6) DAVID F JONES MD
 
CHAIRMAN/Physician Specialty
38.0
.................
2.0
X   X       396,556 0 41,656
(7) DWAYNE B BLAKE
 
VICE CHAIRMAN
1.0
.................
1.0
X   X       0 0 0
(8) GABRIEL A MORGAN
 
CHAIRMAN
0.7
.................
1.3
X   X       0 0 0
(9) GEORGE ROYDEN GOODSON III
 
CHAIRMAN
1.0
.................
1.0
X   X       0 0 0
(10) HAROLD D JONES
 
CHAIRMAN
1.0
.................
1.0
X   X       0 0 0
(11) JAMES C BURNETT CPA
 
CHAIRMAN
1.0
.................
0
X   X       0 0 0
(12) JARED L BATES
 
VICE CHAIRMAN
1.8
.................
0.2
X   X       0 0 0
(13) JULIE M BADGER
 
VICE CHAIRMAN
1.0
.................
1.0
X   X       0 0 0
(14) MICHAEL DACEY MD
 
PRESIDENT/COO, RHS
37.5
.................
2.5
X   X       1,084,156 0 21,945
(15) NANCY WICK LITTLEFIELD
 
Board Member/EVP/CNO, RHS
38.5
.................
1.5
X   X       488,776 0 28,119
(16) NEHEMIAH THRASH MD
 
VICE CHAIRMAN/Physician Specialty
40.0
.................
0
X   X       372,749 0 59,629
(17) THOMAS BYRD
 
VICE CHAIRMAN
0.7
.................
1.3
X   X       0 0 0
Form 990 (2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) WILLIAM BURNS DOWNEY
 
CEO, RHS
37.5
.......................2.5
X   X       1,596,820 0 68,521
(19) WILLIAM L BRAUER
 
CHAIRMAN
1.0
.......................1.0
X   X       0 0 0
(20) ALFRED JOE POOLE III
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(21) APRIL TOWLER
 
BOARD MEMBER/Nurse Practitioner
40.0
.......................0
X           144,279 0 15,084
(22) BROOKE TILLER
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(23) CAROL U MEREDITH
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(24) Carrie R Moss MD
 
BOARD MEMBER
40.0
.......................0
X           637,736 0 39,244
(25) CATHERINE LINTZENICH MD
 
BOARD MEMBER/Physician Specialty
40.0
.......................0
X           503,546 0 40,734
(26) CELIA L ADOLPHI
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(27) CHARLES G MINTER
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(28) CHARVALLA WEST
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(29) CONWAY HOWARD SHEILD III
 
BOARD MEMBER
2.0
.......................0
X           0 0 0
(30) DOUGLAS E NAGEL
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(31) ELENA GARRETT MD
 
BOARD MEMBER/Physician Hourly
32.3
.......................0
X           352,374 0 42,354
(32) ELIZABETH DAWN HUNT DMD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(33) ERIC M STONE
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(34) EUGENE M JORDAN ESQ
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(35) FAYE P GARGIULO
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(36) FREDRICK N ELOFSON
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(37) HALL RENFRO HOWARD MD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(38) JAMES W MCCORRY DO
 
BOARD MEMBER/Physician Emergency Room RRMC
20.4
.......................0
X           471,902 0 21,737
(39) JEANNE ZEIDLER
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(40) JOHN T WHITE III
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(41) JOSEPH F VERSER
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(42) Joseph King
 
BOARD MEMBER/MEDICAL STAFF PRESIDENT
39.8
.......................0
X           456,282 0 86,119
(43) JOYCE JARRETT ALEWYNSE
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(44) KIRBY H SMITH
 
BOARD MEMBER
0.8
.......................0.2
X           0 0 0
(45) KRYSTAL AINSLEY MD
 
BOARD MEMBER/Physician Primary Care
40.0
.......................0
X           456,319 0 43,940
(46) LISA A CASANOVA MD
 
BOARD MEMBER/Physician Primary Care
40.0
.......................0
X           564,993 0 66,079
(47) MELVIN D SCHURSKY JR MD
 
BOARD MEMBER/Physician Specialty
40.0
.......................0
X           573,093 0 68,018
(48) MICHAEL T CHASE
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(49) MONILLA DENT
 
Board Member/Physician Primary Care
40.0
.......................0
X           473,722 0 36,592
(50) PATRICIA G BROWN
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(51) PATRICIA P BARRY MD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(52) PAUL TREOLO
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(53) PHILIP G STOWELL
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(54) QUENTIN KIDD PHD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(55) ROBERT J COURTER JR
 
BOARD MEMBER
2.0
.......................0
X           0 0 0
(56) ROBERT T DAVIS
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(57) ROGER SCEARCE
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(58) RONALD LEE SAUNDERS
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(59) SCOTT BURGESS
 
BOARD MEMBER/Physician Specialty
40.0
.......................0
X           796,318 0 77,264
(60) SCOTT F REED MD
 
BOARD MEMBER/Physician Specialty
40.0
.......................0
X           431,824 0 52,216
(61) SHAWN FLANAGAN
 
BOARD MEMBER
1.0
.......................0
X           8,666 0 0
(62) STEPHEN SILVASY JR
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(63) STEVE SPAIN
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(64) SUSANNA B HICKMAN
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(65) TERESA K THOMPSON NP
 
BOARD MEMBER/Nurse Practitioner
32.0
.......................0
X           146,259 0 16,287
(66) THERESA EMORY MD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(67) THOMAS F MOREHOUSE III
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(68) TIMOTHY LARKIN II
 
BOARD MEMBER/Physician Primary Care
40.0
.......................0
X           340,012 0 84,097
(69) VERNEETA WILLIAMS
 
BOARD MEMBER AND PHYSICIAN
40.0
.......................0
X           236,913 0 57,376
(70) VIRGINIA M AMBLER
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(71) WALTER R CLEMONS PHD
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(72) WANDA M AUSTIN
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(73) WILLIAM H MCALLISTER IV
 
BOARD MEMBER/Physician Specialty
40.0
.......................0
X           2,090,240 0 73,941
(74) WILLIAM M GRACE
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(75) WILLIAM S MASSEY
 
BOARD MEMBER
1.0
.......................0
X           0 0 0
(76) ADRIA NICOLE VANHOOZIER
 
PRESIDENT, RDHW
40.0
.......................0
    X       386,620 0 24,208
(77) Charles Frazier
 
Chief Medical Information & Innovation Officer/SVP
40.0
.......................0
    X       601,821 0 94,771
(78) Christopher Stolle
 
VP MEDICAL AFFAIRS
40.0
.......................0
    X       636,006 0 35,459
(79) CYNTHIA WILLIAMS
 
VP
40.0
.......................0
    X       456,349 0 38,697
(80) Delvin Peeks
 
Enterprise Resource & Workforce Analytics/VP
40.0
.......................0
    X       248,749 0 43,503
(81) EDWARD HECKLER
 
VP, LIFELONG HEALTH
39.8
.......................0.2
    X       402,219 0 66,439
(82) EILEEN VARNSON
 
VP
40.0
.......................0
    X       370,067 0 74,178
(83) ESTHER M DESIMINI
 
PRESIDENT, RWRH
40.0
.......................0
    X       438,434 0 38,403
(84) Frankye Myers
 
Chief Nursing Officer/SVP
40.0
.......................0
    X       256,619 0 15,922
(85) James Spiller
 
Physician Specialty/Interim VP/CMO
40.0
.......................0
    X       497,802 0 55,349
(86) JASON KILGORE
 
VP RESULTS MGT AND ANALYTICS
40.0
.......................0
    X       318,161 0 77,869
(87) JASON O HOUSER
 
GENERAL COUNSEL/SECRETARY, RHS
37.5
.......................2.5
    X       577,876 0 85,388
(88) JESSE GOODRICH
 
VP
40.0
.......................0
    X       424,018 0 51,154
(89) JOHN P PETERMAN
 
COO
39.0
.......................0.0
    X       466,888 0 46,733
(90) LISA SALSBERRY
 
Officer Corp Audit & Comp/Priv
40.0
.......................0
    X       333,909 0 79,777
(91) Michael Doucette
 
Support Services/VP
40.0
.......................0
    X       625,848 0 70,589
(92) Michael Oshiki
 
Hospital President/SVP
40.0
.......................0
    X       398,619 0 17,856
(93) NICOLAS CHUQUIN
 
Hospital President/VP
39.0
.......................40.0
    X       280,118 0 22,247
(94) Ross Younger
 
SENIOR VP
40.0
.......................0
    X       574,895 0 85,430
(95) SADIE THURMAN
 
VP CNO
40.0
.......................0
    X       323,416 0 41,094
(96) SALLY HARTMAN
 
SENIOR VP
40.0
.......................0
    X       624,868 0 63,650
(97) SALLY RYAN
 
VP/COO, RMG
40.0
.......................0
    X       436,001 0 19,599
(98) Shelly Johnson
 
Hospital President/VP
40.0
.......................0
    X       263,939 0 37,945
(99) Stacey Johnson
 
Hospital President/VP
40.0
.......................0
    X       303,219 0 22,916
(100) THERESA SIEVERS
 
SENIOR VP
40.0
.......................0
    X       431,054 0 43,375
(101) THOMAS KAYROUZ
 
PRESIDENT CMO RMG
40.0
.......................0
    X       783,555 0 32,081
(102) Thomas Taghon
 
Hospital Chief Medical Officer/VP
40.0
.......................0
    X       263,439 0 13,198
(103) WALTER WILLIAM AUSTIN JR
 
EVP, CFO & TREASURER
37.5
.......................2.5
    X       814,415 0 37,660
(104) Barbara Labonte
 
Associate Vice President Budget Tax & Reimbursement
37.7
.......................2.3
      X     304,303 0 52,141
(105) Braden Miller
 
Associate Vice President Chief Finance Officer RMG
40.0
.......................0
      X     337,331 0 32,843
(106) Brenda Schoenherr
 
Regional Director of Homecare Operations
40.0
.......................0
      X     179,319 0 20,982
(107) Cheryl Ange
 
Specialty Care Senior Director
40.0
.......................0
      X     218,904 0 30,565
(108) Christine Morillo
 
Administrator LLH PCAW/WF/TGWF
40.0
.......................0
      X     152,527 0 47,142
(109) David Inabinet
 
Associate Vice President Chief Information Security Officer
40.0
.......................0
      X     282,179 0 28,229
(110) Douglas Culbert
 
Associate Vice President Service Line
40.0
.......................0
      X     252,852 0 67,954
(111) Jason Villaflor
 
Rehab Services System Director
39.9
.......................0.1
      X     195,635 0 49,204
(112) JEFF SENSENIG
 
MEDICAL STAFF PRESIDENT
40.0
.......................0
      X     370,707 0 58,306
(113) Jessica Macalino
 
Associate Vice President Service Line
40.0
.......................0
      X     250,316 0 19,469
(114) Julie Bayly
 
Executive Director LLH
38.8
.......................0
      X     191,086 0 22,037
(115) Kelly Cooper
 
Primary Care Senior Director
40.0
.......................0
      X     208,805 0 32,218
(116) Kimberly Healy
 
Associate Vice President Surgery and Anesthesia Services
40.0
.......................0
      X     201,122 0 49,403
(117) Kristen Witt
 
EXECUTIVE DIRECTOR
40.0
.......................0
      X     209,592 0 17,150
(118) Linda Mckee
 
Associate Vice President Service Line
39.0
.......................1.0
      X     259,929 0 20,050
(119) Linwood Nelson
 
Associate Vice President Chief Finance Officer LLH
39.0
.......................1.0
      X     281,898 0 66,361
(120) Lisa Kirby
 
Executive Director Nursing Homes LLH
40.0
.......................0
      X     189,960 0 10,527
(121) Lisa Shannon
 
Associate Vice President Risk Management
40.0
.......................0
      X     246,425 0 28,093
(122) Margaret Atkins
 
Associate Vice President Chief Nursing Information Officer
40.0
.......................0
      X     231,705 0 38,404
(123) Mark Rath
 
Associate Vice President Support Operations
40.0
.......................0
      X     278,195 0 22,066
(124) Maureen Thompson
 
Executive Director Home Care
40.0
.......................0
      X     251,587 0 20,712
(125) Michael Keesee
 
Associate Vice President Clinical & Revenue Systems
40.0
.......................0
      X     268,680 0 69,255
(126) Michelle Wooten
 
Chief Nursing Officer
40.0
.......................0
      X     207,293 0 23,654
(127) Olukemi Olatunji
 
Pharmacy Senior Director
39.0
.......................1.0
      X     218,533 0 8,129
(128) Sandra Snapp
 
Associate Vice President Service Line
26.2
.......................0
      X     194,080 0 12,487
(129) Stacy Guzik
 
Administrator LLH PCAW/WF/TGWF
40.0
.......................0
      X     151,584 0 19,012
(130) Steven Minter
 
Administrator LLH PCAW/WF/TGWF
39.9
.......................0.1
      X     195,615 0 20,823
(131) Timothy Emons
 
Associate Vice President Corporate Controller
40.0
.......................0
      X     257,945 0 30,301
(132) Toiya Sosa
 
Associate Vice President/Chief Diversity Officer
39.8
.......................0
      X     192,805 0 16,708
(133) Winfred Guthrie
 
Associate Vice President IS Business Systems & Operational Support
40.0
.......................0
      X     267,631 0 38,190
(134) Yvonne James
 
Financial Strategy Director
40.0
.......................0
      X     158,337 0 36,298
(135) Anthony Farah
 
Physician Specialty
40.0
.......................0
        X   1,685,110 0 52,882
(136) David Romano
 
Physician Specialty
40.0
.......................0
        X   1,985,431 0 41,481
(137) Dean Kostov
 
Physician Specialty
40.0
.......................0
        X   2,353,391 0 71,872
(138) Jacob Lantry
 
Physician Specialty
40.0
.......................0
        X   1,745,619 0 19,755
(139) Romney Andersen
 
Physician Specialty
40.0
.......................0
        X   2,314,470 0 10,799
(140) DEBRA CAMPBELL
 
FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director
40.0
.......................0
          X 155,255 0 30,907
(141) DWIGHT C HERBERT MD
 
FORMER RMG-BOARD MEMBER/Physician Primary Care
40.0
.......................0
          X 394,368 0 51,996
(142) ERIC STONE
 
FORMER VP CLINICAL OPERATIONS/Physician Primary Care
40.0
.......................0
          X 277,451 0 11,861
(143) JOHN C MINCKS MD
 
FORMER BOARD MEMBER/Physician Hospitalist
40.0
.......................0
          X 337,840 0 40,546
(144) Joseph Converse
 
FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty
39.5
.......................0
          X 391,887 0 30,238
(145) JOY ELLIOTT
 
FORMER PRESIDENT, MEDICAL STAFF/Physician
40.0
.......................0
          X 251,492 0 34,584
(146) PETER GALANTICH MD
 
FORMER PRESIDENT MEDICAL STAFF/Physician Specialty
35.8
.......................0
          X 424,157 0 59,516
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 44,685,806 0 3,841,593
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 MediumBullet1,420
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
Change Healthcare LLC

P O Box 98347
Chicago,IL60693
Billing Services 4,026,719
Eagle Telemed Holdings LLC

280 Interstate North Circle SE Suit
ATLANTA,GA30339
Contract Labor - Fee Based 2,545,467
Fresenius Medical Care

16343 Collection Center Drive
CHICAGO,IL60693
Medical Services 2,403,141
Quest Diagnostics

P O Box 912512
Pasadena,CA91110
Medical Services 2,384,431
Cloudmed Solutions Llc

P O Box 208272
Dallas,TX75320
Service Contracts - Miscellaneous Data Processes 1,911,492
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet96
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 0
e Government grants (contributions)1e 22,166,532
f All other contributions, gifts, grants, and similar amounts not included above1f 8,957,074
g Noncash contributions included in lines 1a - 1f:$ 1g 311,965
h Total. Add lines 1a-1f.......MediumBullet 31,123,606
 Program Service RevenueAmt Business Code
2a PROGRAM SERVICE REVENUE 622110 1,485,340,432 1,484,998,670 341,762 0
b AFFILIATE INCOME C(3) 622110 440,512,197 440,512,197 0 0
c PHARMACY SERVICES 456110 65,141,773 51,572,152 0 13,569,621
d RETIREMENT COMMUNITIES 623311 28,569,757 28,569,757 0 0
e WELLNESS AND EDUCATION 611699 7,307,230 7,307,230 0 0
f All other program service revenue. 6,792,944 6,792,944 0 0
g Total. Add lines 2a–2f .....MediumBullet 2,033,664,333
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,007,982 -991,325 0 1,999,307
4 Income from investment of tax-exempt bond proceedsMediumBullet 0 0 0 0
5 Royalties...........MediumBullet 0 0 0 0
(ii) Personal (i) Real
6a Gross rents 0 4,451,168 6a
b Less: rental expenses 0 5,958,275 6b
c Rental income or (loss) 0 -1,507,107 6c
d Net rental income or (loss).......MediumBullet -1,507,107 0 0 -1,507,107
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 28,000 8,622,331 7a
b Less: cost or other basis and sales expenses 3,463 0 7b
c Gain or (loss) 24,537 8,622,331 7c
d Net gain or (loss).........MediumBullet 8,646,868 0 0 8,646,868
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 0 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 0 0 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 0 0 0
Business Code Miscellaneous Revenue
11a CAFETERIA REVENUE 722514 3,442,372 0 0 3,442,372
b TRANSITION SERVICES 900099 2,311,825 2,311,825 0 0
c RESEARCH REVENUE 541715 200,427 0 0 200,427
d All other revenue .... 3,245,170 3,245,170 0 0
e Total. Add lines 11a–11d ...... MediumBullet 9,199,794
12 Total revenue. See instructions.....MediumBullet 2,082,135,476 2,024,318,620 341,762 26,351,488
Form 990 (2021)
Form 990 (2021)
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 .... 1,475,691 1,475,691
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 150,727 150,727
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0 0
4 Benefits paid to or for members ....... 0 0
5 Compensation of current officers, directors, trustees, and key employees ........... 36,693,135 0 36,693,135 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 96,472 96,472 0 0
7 Other salaries and wages........ 701,775,561 630,047,390 70,603,983 1,124,188
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 24,441,035 21,000,754 3,440,281 0
9 Other employee benefits ....... 77,018,274 65,701,314 11,191,619 125,341
10 Payroll taxes ........... 44,823,972 40,258,704 4,485,429 79,839
11 Fees for services (non-employees):        
a Management ...... 47,618,973 21,016,856 26,602,117 0
b Legal ......... 994,039 178,934 815,105 0
c Accounting ........... 6,277,113 1,146,697 5,130,416 0
d Lobbying ........... 53,501 53,501 0 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 125,101,160 116,809,386 8,013,047 278,727
12 Advertising and promotion .... 10,327,600 855,959 9,471,581 60
13 Office expenses ....... 10,252,817 6,536,789 3,366,937 349,091
14 Information technology ...... 80,066,381 28,717,772 51,283,152 65,457
15 Royalties .. 0 0 0 0
16 Occupancy ........... 141,931,517 124,480,282 17,410,098 41,137
17 Travel ............ 1,976,955 1,655,486 309,121 12,348
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0 0 0 0
19 Conferences, conventions, and meetings .... 93,551 47,996 43,000 2,555
20 Interest ........... 14,131,790 6,358,587 7,773,203 0
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 64,751,488 58,098,841 6,638,831 13,816
23 Insurance ... 105,065,234 4,354,352 100,710,882 0
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 MEDICAL SUPPLIES 286,174,767 286,174,767 0 0
b BAD DEBT EXPENSES 46,591,499 46,591,499 0 0
c MEDICAID ASSESSMENT 48,621,522 48,621,522 0 0
d SERVICES FROM AFFILIATES 190,785,264 172,139,616 18,626,739 18,909
e All other expenses 11,629,017 10,791,487 834,610 2,920
25 Total functional expenses. Add lines 1 through 24e 2,078,919,055 1,693,361,381 383,443,286 2,114,388
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 (2021)
Form 990 (2021)
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 ........ 1,339,477 1 1,105,877
2 Savings and temporary cash investments ......... 627,149,314 2 471,893,788
3 Pledges and grants receivable, net ...... 78,134 3 54,001
4 Accounts receivable, net ............. 215,062,076 4 261,521,098
5 Loans and other receivables from 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 ...........   7  
8 Inventories for sale or use ............ 32,152,546 8 31,015,473
9 Prepaid expenses and deferred charges ...... 19,247,828 9 32,871,240
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,151,677,766
b Less: accumulated depreciation 10b 672,623,939 387,187,267 10c 479,053,827
11 Investments—publicly traded securities . 14,134,005 11 16,691,113
12 Investments—other securities. See Part IV, line 11 ..... 6,313,848 12 8,705,346
13 Investments—program-related. See Part IV, line 11 .. 68,565,240 13 60,536,036
14 Intangible assets ............... 40,483,311 14 40,483,311
15 Other assets. See Part IV, line 11 ........... 2,111,432 15 127,013,911
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,413,824,478 16 1,530,945,021
Liabilities 17 Accounts payable and accrued expenses ..... 269,040,873 17 384,222,599
18 Grants payable ...   18  
19 Deferred revenue ......... 61,547,184 19 64,790,820
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
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 ..   23 0
24 Unsecured notes and loans payable to unrelated third parties ..   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 499,897,476 25 507,962,452
26 Total liabilities. Add lines 17 through 25.. 830,485,533 26 956,975,871
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 .......... 557,333,310 27 547,910,559
28 Net assets with donor restrictions ........... 26,005,635 28 26,058,591
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 ........... 583,338,945 32 573,969,150
33 Total liabilities and net assets/fund balances ........ 1,413,824,478 33 1,530,945,021
Form 990 (2021)
Form 990 (2021)
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
2,082,135,476
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,078,919,055
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
3,216,421
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
583,338,945
5
Net unrealized gains (losses) on investments ...............
5
-86,578,920
6
Donated services and use of facilities .................
6
43,850
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
73,948,854
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
573,969,150
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 on
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
Yes
 
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
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2022
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 HOSPTIAL INC
 
521241836 3 Yes   0 0
(C) RIVERSIDE REHABILITATION INSTITUTE
 
521432269 3 Yes   0 0
Total
3
0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 3,265,075 1,605,113 3,068,476 5,039,018 11,606,302 24,583,984
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... 0 0 0 0 0 0
3 The value of services or facilities furnished by a governmental unit to the organization without charge.. 0 0 0 0 0 0
4 Total. Add lines 1 through 3 3,265,075 1,605,113 3,068,476 5,039,018 11,606,302 24,583,984
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) .. 1,849,499
6 Public support. Subtract line 5 from line 4. 22,734,485
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4.. 3,265,075 1,605,113 3,068,476 5,039,018 11,606,302 24,583,984
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 283,370 93 745,505 1,433,251 6,131,551 8,593,770
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 0 0 0 0 0 0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 89,009 16,617,442 30,879 21,820 28,946 16,788,096
11 Total support. Add lines 7 through 10 49,965,850
12
12
2,439,055
13
First 5 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
45.50 %
15
15
68.93 %
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 31,543 0 1,076,060 270,556 417,522 1,795,681
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 148,919,430 154,453,978 166,126,071 173,686,565 189,279,117 832,465,161
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 5 148,950,973 154,453,978 167,202,131 173,957,121 189,696,639 834,260,842
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 0 0 0 0 0 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. 0 88,414,861 91,443,150 98,515,549 104,801,736 383,175,296
c Add lines 7a and 7b.. 0 88,414,861 91,443,150 98,515,549 104,801,736 383,175,296
8 Public support. (Subtract line 7c from line 6.) 451,085,546
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6... 148,950,973 154,453,978 167,202,131 173,957,121 189,696,639 834,260,842
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. -3,719,539 1,298,816 -24,568 -14,025 220,028 -2,239,288
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. -3,719,539 1,298,816 -24,568 -14,025 220,028 -2,239,288
11 Net income from unrelated business activities not included on 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.) .. 30,662,630 692,452 267,521 287,365 450,046 32,360,014
13 Total support. (Add lines 9, 10c, 11, and 12.).. 175,894,064 156,445,246 167,445,084 174,230,461 190,366,713 864,381,568
14
First 5 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
15
15
52.19 %
16
16
61.94 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
Yes
 
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
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
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 box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
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 lines 5b and 5c 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
 
No
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
 
No
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) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
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
 
No
b
Did one or more disqualified persons (as defined on 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
 
No
c
Did a disqualified person (as defined on 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
 
No
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
 
No
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) 2022

Schedule A (Form 990) 2022
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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
 
 
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
 
 
3
By reason of the relationship described in line 2 above, 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
 
 
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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

Schedule A (Form 990) 2022
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    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
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    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
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    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
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
Schedule A, Part I, Line 12 PART I, LINES 12 AND 12A RIVERSIDE HEALTHCARE FOUNDATION AND RIVERSIDE ADVANTAGE ARE SUBORDINATES WITHIN THE GROUP THAT ARE 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 I PUBLIC CHARITY STATUS OF SUBORDINATES AS A GROUP FILER AND DUE TO SOFTWARE LIMITATIONS, BOXES 3 AND 12 HAVE BEEN CHECKED. BOXES 7 AND 10 SHOULD ALSO BE CHECKED FOR THE ORGANIZATIONS BELOW. 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 12I 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. 54-1318661 10 RIVERSIDE RETIREMENT SERVICES, INC. 54-1348674 10 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 RIVERSIDE ADVANTAGE, INC. 98-2223666 12I
Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) RIVERSIDE HEALTHCARE FOUNDATION AND RIVERSIDE ADVANTAGE, WHICH ARE CONTROLLED BY RIVERSIDE HEALTHCARE ASSOCIATION, INC., HAVE DETERMINED THAT THEIR HOSPITAL SUPPORTED ORGANIZATIONS QUALIFY AS PUBLIC CHARITIES UNDER SECTION 509(A)(1) AS ENTITIES DESCRIBED IN SECTION 170(B)(1)(A)(III). THEY HAVE NOT RECEIVED SEPARATE IRS DETERMINATION LETTERS AS THEY ARE PART OF THE GROUP RULING.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org. RIVERSIDE HEALTHCARE FOUNDATION AND RIVERISDE ADVANTAGE ALSO SUPPORTED THEIR 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 FOUNDATION'S SUPPORTED ORGANIZATIONS TO PROVIDE QUALITY HEALTH CARE AND IMPROVE THE HEALTH OF CITIZENS IN RHA'S COMMUNITY.
Schedule A, Part III, Line 12 Other Income DESCRIPTION - INTERCOMPANY TRANSACTIONS, COLUMN A - 30609472.0, COLUMN B - 656849.0, COLUMN C - 0.0, COLUMN D - 40722.0, COLUMN E - 43443.0, COLUMN F - 31350486.0; DESCRIPTION - WELLNESS CENTER FEES, COLUMN A - 53158.0, COLUMN B - 35603.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 88761.0; DESCRIPTION - SERVICES FOR RETIREMENT COMMUNITY RESIDENTS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 42034.0, COLUMN D - 65580.0, COLUMN E - 64522.0, COLUMN F - 172136.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 225487.0, COLUMN D - 181063.0, COLUMN E - 342081.0, COLUMN F - 748631.0;
Schedule A, Part II, Line 10 Other Income DESCRIPTION - INTERCOMPANY TRANSACTIONS, COLUMN A - 8760.0, COLUMN B - 16525549.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 16534309.0; DESCRIPTION - DRIVING SIMULATOR REVENUE, COLUMN A - 31294.0, COLUMN B - 34413.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 65707.0; DESCRIPTION - OTHER INCOME, COLUMN A - 48955.0, COLUMN B - 57480.0, COLUMN C - 30879.0, COLUMN D - 21820.0, COLUMN E - 28946.0, COLUMN F - 188080.0;
Schedule A (Form 990) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Schedule B
(Form 990)
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
2022
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) (2022)
Schedule B (Form 990) (2022) 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) (2022)
Schedule B (Form 990) (2022)
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) (2022)
Schedule B (Form 990) (2022)
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) (2022)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE C
(Form 990)

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
2021
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
 
134,566
j
Total. Add lines 1c through 1i ....................................................................................................
134,566
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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ADVOCATES ON ISSUES RELATED TO CERTIFICATES OF PUBLIC NEED AND ALL ISSUES AFFECTING HEALTHCARE SUCH AS HOSPITALS, PATIENTS, PHYSICIANS, AND HEALTH INSURANCE. SALARY AND EXPENSES $81,065 DUES $53,501 --------------------------------------------- TOTAL $134,566
Schedule C (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0

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
2021
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) 2021

Schedule D (Form 990) 2021
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 .... 1,537,985 1,433,785 1,285,336 1,359,019 1,385,267
b Contributions ... 3,978,985        
c Net investment earnings, gains, and losses -774,344 129,700 176,649 10,717 -26,248
d Grants or scholarships ... 74,773 25,500 28,200 84,400  
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 4,667,853 1,537,985 1,433,785 1,285,336 1,359,019
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet48 %
c
Term endowment SchDMd Bullet52 %
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 .....   18,922,038 18,922,038
b Buildings ....   475,325,231 228,262,950 247,062,281
c Leasehold improvements        
d Equipment ....   628,152,645 426,404,316 201,748,329
e Other .....   29,277,852 17,956,673 11,321,179
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 479,053,827
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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
(1)Other Assets 2,111,432
(2)Obligation Operating Lease 124,902,479
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 127,013,911
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  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 507,962,452
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) 2021

Schedule D (Form 990) 2021
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 1b Line 1b Current year contributions include the addition of prior year fund balances not reported in prior years.
Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED FOR SCHOLARSHIPS
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote RIVERSIDE HEALTHCARE ASSOCIATION GROUP IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF RIVERSIDE HEALTHCARE ASSOCIATION, INC. AND SUBSIDIARIES. THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: THE SYSTEM HAS RECEIVED A GROUP EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) UNDER THE CORPORATION NAME RIVERSIDE HEALTHCARE ASSOCIATION, INC. RECOGNIZING EACH OF ITS WHOLLY OWNED SUBSIDIARIES, EXCEPT FOR RIVERSIDE MEDICAL EQUIPMENT COMPANY, INC., NEWPORT NEWS GENERAL AND NON-SECTARIAN HOSPITAL ASSOCIATION, INC., SHORE HEALTH SERVICES, INC., SHORE LIFE CARE, INC., TILDEN AND VIRGINIA DAVIS SUPPORT FOUNDATION, INC., AND PENINSULA HOSPITAL SERVICES, INC., STATING THEY ARE EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE IRC, EXCEPT FOR UNRELATED BUSINESS INCOME. NEWPORT NEWS GENERAL AND NON-SECTARIAN HOSPITAL ASSOCIATION, INC. HAS RETAINED ITS DETERMINATION LETTER FROM THE IRS STATING IT IS EXEMPT FROM INCOME TAXES PURSUANT TO IRC SECTION 501(C)(2). SHORE HEALTH SERVICES, INC., SHORE LIFE CARE, INC., AND TILDEN AND VIRGINIA DAVIS SUPPORT FOUNDATION, INC. HAVE RETAINED THEIR DETERMINATION LETTERS STATING THEY ARE EXEMPT FROM INCOME TAXES PURSUANT TO IRC SECTION 501(C)(3). NO PROVISION FOR INCOME TAXES WAS REQUIRED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. AS OF DECEMBER 31, 2022 AND 2021, THERE WERE NO UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




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 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
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) . . .
0 0 29,634,085 0 29,634,085 1.46 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 237,733,439 288,806,473 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 267,367,524 288,806,473 29,634,085 1.46 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 0 0 4,098,908 0 4,098,908 0.20 %
f Health professions education (from Worksheet 5) . . . 0 0 32,420,511 14,938,843 17,481,668 0.86 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 0 0 0 0 %
h Research (from Worksheet 7) . 0 0 1,145,701 0 1,145,701 0.06 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 0 0 46,639,506 0 46,639,506 2.29 %
j Total. Other Benefits . . 0 0 84,304,626 14,938,843 69,365,783 3.41 %
k Total. Add lines 7d and 7j . 0 0 351,672,150 303,745,316 98,999,868 4.87 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
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
Yes
 
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
46,705,101
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
 
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
406,257,345
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
482,750,307
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-76,492,962
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) 2022
Schedule H (Form 990) 2022
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?5Name, 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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research 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/
H1887
X X   X   X X   INPAT PSYCHIATRIC A
2 RIVERSIDE WALTER REED HOSPITAL
7519 HOSPITAL DRIVE
GLOUCESTER,VA23061
WWW.RIVERSIDEONLINE.COM/RWRH/
H1890
X X         X     A
3 RIVERSIDE DOCTORS HOSP WILLIAMSBURG
1500 COMMONWEALTH AVENUE
WILLIAMSBURG,VA23185
WWW.RIVERSIDEONLINE.COM/RDHW/
H1937
X X         X     A
4 RIVERSIDE REHABILITATION HOSPITAL
250 JOSEPHS DRIVE
YORKTOWN,VA23693
WWW.RIVERSIDE-REHABILITATION.COM
H1888
X               INPAT REHABILITATION  
5 SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
500 J CLYDE MORRIS BLVD
NEWPORT NEWS,VA23601
HAMPTONROADS.SELECTSPECIALTYHOSPITALS.COM
H1925
X               LONG TERM ACUTE CARE  
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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):
 
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 22
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 Yes  
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 Yes  
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 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.riversideonline.com/about/community/community-health-needs-assessments
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) 2022
Schedule H (Form 990) 2022
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
www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance
b
www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
4
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 22
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 Yes  
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 Yes  
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 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.riversideonline.com/about/community/community-health-needs-assessments
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) 2022
Schedule H (Form 990) 2022
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
www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/
b
www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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 ROADS
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 22
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 Yes  
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 Yes  
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 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.riversideonline.com/about/community/community-health-needs-assessments
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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
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
https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/
b
https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
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) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SELECT SPECIALTY HOSPITAL-HAMPTON ROADS
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) 2022
Schedule H (Form 990) 2022
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
Schedule H, Part V, Section B, Line 3E The significant health needs of the community identified in the CHNA are prioritized according to the community needs.
Schedule H, Part V, Section B, Line 3 Facility A, 1 Facility A, 1 - A. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (i.e., mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their lives had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022.The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk, and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Reporting Group A. Yes. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility Reporting Group A. Yes. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - A. A mailed report to several community leaders, and the website and the hardcopy are available at the facility.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - RIVERSIDE REGIONAL MEDICAL CENTER. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Regional Medical Center and Riverside Behavioral Health Center will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RRMC will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RRMC will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - RIVERSIDE REGIONAL MEDICAL CENTER - LINE 11 CONTINUED. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * RRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - RIVERSIDE WALTER REED HOSPITAL. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Other areas of community health outreach will continue outside of the formal Implementation Plan process, and those activities include: * Public health education on wellness and prevention * Public education on symptom recognition of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention and Screening * Health Equity Issues Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Walter Reed Hospital will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes- While initially planned for the last CHNA process, Memory Cafes had to be put on hold due to concerns about social distancing. Moving forward, RWRH will explore implementing these opportunities in conjunction with community partners so that both patients with dementia issues and caregivers can come together in a relaxed, social environment to share experiences and support each other. These have been successful in the Peninsula and Williamsburg markets, and we look forward to bringing this to the Middle Peninsula. * Purple Flower Project -The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. One of RWRH's sister facilities will be piloting a project to use a small purple flower on a door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. This notification system along with special training for team members will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at the other facility, RWRH hopes to implement the same program on the Middle Peninsula. * Primary Care Expertise - RWRH will examine the possibility of exploring enhanced services provided by Family and Internal Medicine Patient Navigators to include memory and dementia services. RWRH will also explore donor opportunities to support adding positions, including four Patient Navigator positions between the primary care locations. * System Expertise with Martha W Goodson Center - RWRH will also continue to draw upon the resources and expertise in the Martha W. Goodson Center, which focuses on supporting caregivers. Resources include classes, training and other importance support programs. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time.
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - RIVERSIDE WALTER REED HOSPITAL - LINE 11 CONTINUED. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RWRH staff, the EMR team and other internal support areas. * RWRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RWRH as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RWRH. For example, a sister-facility will be piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RWRH will be able to build off those to better serve the individuals in the Middle Peninsula region dealing with SUD. In addition to the two focus areas all of the RHS facilities are addressing as part of the Implementation Plan, RWRH also felt it was important to address Suicide Prevention and Transportation as a part of their plan. Suicide Prevention: Suicide and attempted suicide is preventable, is devastating to individuals and families across the Middle Peninsula. While the emergency room is a place of last resort, ideally the mental and behavioral health challenges that drive someone to attempt suicide are best managed in other environments - both to improve the patient experience as well as to conserve resources in the emergency room. Suicide death rates in Gloucester County are higher than any surrounding county. Since the pandemic, suicide and attempted suicide has been increasing in teens and adults. Preventing suicide will be focus for RWRH with a goal of preventing visits seen in the emergency department for suicide attempts. To achieve this, RWRH will partner with RHS experts, including Riverside Behavioral and Mental Health staff, as well as community partners such as Bacon Street to develop educational materials targeted at the community. RWRH will also work to increase referrals to appropriate resources for patients at risk of suicide. Additionally, RWRH will also explore additional iCare screening tools and active observation in the emergency room and inpatient units, the utilization of one-on-one sitters and ligature assessments to help care for this patient population. Transportation: As seen in rural areas around the country, public transportation and medical transportation remains very difficult to secure on the Middle Peninsula. No Uber or other third-party transportation is available on the Middle Peninsula other than one taxi company and Bay Transit - which does not operate after hours or weekend. Patients traveling to and from appointments or home from the hospital or an emergency room visit struggle to secure services. Bay Transit currently has very limited scope of service across the county and very limited 'stops.' In order to expand services, Bay Transit is planning to re=evaluate and possibly discontinue the two buses running 8a-4p M-F only, including the two stops at RWRH ("Gloucester HiveXpress"). This would leave 'on demand' services only "Bay Transit Express" with seven stops in and around the Courthouse Area. According to the Transportation Director, Ken Pollock, the Bay Transit Express is expanding later this year to extend down to the Point and further north to Saluda. As medical transport continues to be a challenge for individuals on the Middle Peninsula, RWRH will collaborate with Bay Transit and other services to investigate, establish and implement innovative transportation option. Ideally this will help: patients requiring a ride home from the hospital; patients requiring a ride to and from medical appointments; and diagnostic procedures and/or medical treatments, such as chemotherapy or radiation oncology treatments.
Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - RIVERSIDE DOCTORS HOSPITAL WILLIAMSBURG. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Doctors' Hospital of Williamsburg will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes- Memory Cafes are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RDHW will look to build upon these in-person gatherings as we can secure space where people can safely meet. * Purple Flower Project - The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RDHW will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Improving Emergency Care for Patients with Dementia and Behavioral Disorders - RDHW will build a program within the Emergency Department to better support patients who have dementia with behavioral disturbances. This program will involve the emergency physician working with neurology, telepsychiatry, complex care management and CEALH for family support. The goal of this program is that these patients will be able to be transitioned back home without a hospital admission but instead they are able to return home or to another appropriate setting with an improved safety plan.
Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - RIVERSIDE DOCTORS HOSPITAL WILLIAMSBURG - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RDHW staff, the EMR team and other internal support areas. * RDHW will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RDHW as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RDHW. For example, RDHW will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated in other facilities following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RDHW will be able to build off those to better serve the individuals in the Greater Williamsburg region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (ie mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their loves had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc.) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022. The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk, and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. Yes. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health System collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. Yes. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. A mailed report to several community leaders, and the website and the hardcopy are available at the facility.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - RIVERSIDE REHABILITATION HOSPITAL. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Regional Medical Center and Riverside Behavioral Health Center will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and RRH will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. RRH will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - RIVERSIDE REHABILITATION HOSPITAL - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * RRH will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. In addition to the required components of the CHNA, Riverside used the opportunity to examine and reflect on many aspects of the areas served by the facility as well as the varied individuals who live and work there. Additional issues examined included, but were not limited to: * Housing insecurity * Broadband internet access * Unemployment rates * Major employers in the region * Food insecurity and number of children accessing free or reduced lunch * Basic literacy and numeracy rates * Populations with limited English proficiency and what those other languages in the market were * Crime rates and types of crimes (against People, Property and Society) * Rates of multiple screenings (i.e., mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as some of the motivations behind those behaviors in respect to why or why not individuals had been or intended to be vaccinated against COVID-19. * How individuals felt their loves had been impacted by the pandemic from a physical health, mental / emotional health and financial wellbeing. * Examined preventable hospitalizations, premature mortality and potential life lost by racial group * Causes of death and mortality rates by type (accidental, homicide, natural death, suicide, motor vehicle and gun fatalities) * Types of behavioral health discharges * Deep dive examining impact opioids have had on the community vs the state * Perceived knowledge of how to access existing services in the region for various situations (health, safety, food, housing, etc.) * Perceived bias experienced when seeking care as far as gender, sex, education, insurance states, physical disabilities, language, race, ethnicity, religious beliefs, intellectual disabilities, immigration status, sexual orientation and age as well as their satisfaction with how the community is addressing issues of diversity, equity and inclusion. * Perceived trusted sources of health information
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. As described in the CHNA, Riverside conducted a community survey between late November 2021 through February 2022. The CHNA incorporated input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of and expertise in public health. In addition to the facilities and healthcare organizations named in the question 6a, Riverside collaborated closely with the Virginia Department of Health (VDH), with representatives from the Peninsula and Hampton District offices closely involved with the survey for stakeholders and community members and analyzing results. In fact, the stakeholder survey was sent out under the signature of VDH. Other health districts within VDH also utilized the results. In addition, groups such as the Peninsula Community Health Collaborative (a group that includes the major health systems in Hampton Roads as well as organizations such as the Foodbank of the Virginia Peninsula, Healthy Suffolk and other non-profit organizations), VOICES (a group focused on listening to minority members of the community). Specific organizations and companies consulted in the process are listed in the CHNA document. Riverside also continues to seek out information year-round - not only within the CHNA process - to ensure we are listening to all members of our community. This is done with various focus groups, patient advisory groups, "contact us" inquiries via our website and input from and through our community board members.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. Parts of the CHNA were conducted with other hospital facilities. Specifically, Riverside Shore Memorial Hospital, Riverside Doctors Hospital of Williamsburg, Riverside Regional Medical Center, Riverside Behavioral Health Center, Riverside Walter Reed Hospital, Riverside Rehabilitation Hospital and Select Specialty Hospital worked together to pull the same data components and share information on some shared geographic areas as well as shared services and programs. In addition to the hospitals named already, Sentara Health System, Children's Hospital of the King's Daughters and Bon Secours Mercy Health System collaborated jointly on the qualitative community and stakeholder surveys.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. As noted in question 5, Riverside worked closely with organizations such as the Virginia Department of Health and the Foodbank of the Virginia Peninsula.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. IN ADDITION TO THE WEBSITE AND THE HARDCOPY AVAILABLE AT THE FACILITY THE REPORT WAS ALSO MAILED TO SEVERAL COMMUNITY LEADERS.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS. The COVID-19 pandemic experience demonstrated the impact Riverside could have on the health of our community when all of the resources across the health system were focused on solving the same problem. While during previous CHNA cycles each hospital across Riverside Health System identified unique priorities for each hospital, the 2023 - 2025 cycle decided to focus on two key community health issues across the health system in order to leverage the full strength of the organization to impact the problems. Each hospital across the health system continues to address other community health issues outside of the CHNA process. This may include things like community education and outreach, health screenings, providing critical services, health professions education and partnering with local organizations to address issues of health equity. The CHNA Steering Committee, consisting of clinical and non-clinical staff, reviewed all of the data in the CHNA and identified significant issues that were consistent across all of Riverside's markets. These included: mental health and wellness, opioids and substance use disorder, care of patients living with dementia as well as their caregivers, cardiovascular health and wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus, examined the qualitative survey results and considered many conversations with community and organization leaders as well as discussed internal projects underway that might allow areas of overlap to enhance existing community efforts. For cardiovascular health & wellness and cancer, it was determined that the plans to address these community health needs were already being addressed through our service line programs focused on these areas. Activities such as screenings, community talks, education on risk factors and signs of stroke and heart attack, exercise opportunities and healthy eating promotion are already a part of the hospital's community work. For mental health and wellness, Riverside has been focused on expanding these services to the broader community by expanding its Hampton facility, Riverside Behavioral Health Center, which is part of Riverside Regional Medical center but located on a separate campus and serves the broader Hampton Roads region. There is current construction of a psychiatric emergency department and the ongoing recruitment of additional mental health practitioners to the region and both a newly identified Associate VP and Service Line Physician Chief for the program. As the health system continues to expand its resources in this area, patients in all of the services areas will continue to benefit through telemedicine access and support as well as being able to tap into the clinical expertise of experts in the field. The remaining two areas were selected for focus as part of the CHNA / Implementation Plan process - Opioid Stewardship and Memory and Dementia Services. Memory and Dementia Care Caring for dementia patients is complex and an ever-moving target. The experience varies by cause and type, individual patient, setting and caregiver support among other variables. With the combined expertise of Riverside's Neurological and Spine Institute and Riverside's Martha W. Goodson Center, Riverside has many key components in place to provide the best care, support and experience for dementia patients and their loved ones. In the 2023-2025 timeframe, Riverside will be delineating a more detailed vision of what memory and dementia services can become, including building additional connections between the different area of the health system for seamless care. In the area of Memory and Dementia Care, Select Specialty Hospital will be addressing the complex problems facing patients and their caregivers through the following: * Memory Cafes: These are social gatherings where both the individual with memory problems and their caregiver or loved attend to spend time with others in the same situation. There are currently Memory Cafes active in York County and Williamsburg, and Select will look to build upon these in-person gatherings as we can secure space where people can safely meet. Riverside will continue to support these, as well as other support group offerings. * Martha W. Goodson Memory Care Center: Established by the generous donation from the Goodson family in 2022, this center will expand memory care services for those living with dementia and improve access to supportive resources for their caregivers. * Awareness & Access: Riverside will work to ensure families are connected to the right services at the right time, as well as improve access to various therapies such as PT, OT, Speech, music, art, exercise and others. Will also work with families to increase access to legal support to facilitate advance care planning opportunities. * Purple Flower Project: The Alzheimer's Association notes that Alzheimer's Disease isn't a "red "blue" issue, but one that impacts all Americans, making it a purple issue. A flower - based on a forget-me-not-is chosen to represent those dealing with memory issues or those remembering loved ones lost to dementia. Select will be piloting a project in which patients (or residents in our lifelong health areas) who have dementia will be identified by a discreet purple flower on the door or chart as a way to quietly notify staff that the patient or resident in the room has a memory issue. Staff will also undergo additional training on the best ways to communicate with individuals who may be confused or agitated due to their diagnosis. This notification system, along with special training for team members, will help staff and volunteers adjust their communications with and expectations of the individual. Following a successful implementation at RDHW, other RHS facilities intend to duplicate the program. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen and expand upon the existing services across RMG, the inpatient facilities and lifelong health. Potential projects include: * Optimizing EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate integrated, multidisciplinary approach to memory and dementia care services across RHS. * Strengthen orientation and continuing education for team members and clinicians across the health system.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS - LINE 11 CONTINUED. Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative date obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had a very high increase during the pandemic. Both stakeholders and community members noted that substance use disorder was one of the most important health issues for youth and adults. Working with the experts across the health system, Riverside has identified multiple areas where it can begin to impact some of the complex factors involved. To build the plan for the health system to address this issue in a cohesive manner, the VP of Pharmacy led an interdisciplinary team that included inpatient and outpatient physicians, nurses, pharmacists, mental and behavioral health experts and others representing all the hospitals as well as critical support areas such as the electronic medical record (EMR) team. The team pulled from the National Quality Partners (NQP) Opioid Stewardship Action Team's NQP Playbook: Opioid Stewardship as well as from research, presentations and case studies shared nationally including the great work done by Carillion in the western part of Virginia. The Virginia Department of Health's 2021 Best Practices for Opioid Related Emergencies in the Emergency Department was also used as an important resource. The team reviewed and learned about recommended areas of Primary, Secondary, and Tertiary overdose prevention strategies. Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids with tactics such as developing evidence-based prescribing guidelines to promote alternate pain management approaches where appropriate, monitoring prescriptions, preventing diversion, executing pain management agreements for chronic pain patients, and educating the public on storage and disposal. Secondary strategies focus on screening for individuals who are high risk for substance use disorder so that more aggressive prevention and treatment approaches can be pursued. Tertiary strategies focus on helping individuals with substance use disorders prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions, and other strategies. There are additional factors that impact this national crisis, such as increasing supply of illegally manufactured opioids available to the public without a prescription, that are outside the scope of this plan at this time. Due to the nature of opioids as an addictive and controlled substance, not every aspect of the implementation plan will be publicly detailed. Nonetheless, the team identified projects in each of the prevention areas (primary, secondary, and tertiary). For Primary Overdose Prevention Strategies (Primary strategies focus on preventing the onset of substance use disorder by avoiding exposure to opioids): * While not as visible to the public, Riverside has identified areas to continually monitor and design evidenced based processes to track prescriptions, appropriate use, policy adherence and diversion prevention. This will be done by the pharmacy team, Riverside Medical Group and RRMC staff, the EMR team and other internal support areas. * Select will explore the need for a partnership with law enforcement and the DEA in hosting a Riverside Drug Take Back Day or ascertain if current resources in this region are adequate. * Riverside will create and maintain local partnerships to combat opioid addiction in the community. Riverside will continue working with the Hampton Roads Opioid Working Group, a regional collaborative that uses a community-based and action-oriented approach to reduce opioid-related deaths. * Led by the new Mental and Behavioral Health Service Line leadership, Riverside will identify opportunities throughout Riverside and the community for community outreach and education. Secondary Overdose Prevention Strategies (Identifying those at increased risk of SUD so that more aggressive prevention and treatment approaches can be pursued): * Working across the health system, RHS will develop and implement consistent screening processes to identify those individuals at high risk for developing SUD. * These processes need to be tailored to each setting such as the Emergency Department, surgical patients, inpatient, and in RMG offices; therefore, the process developed for each setting and the resulting next steps will be appropriate for that setting. * Once piloted and finalized at other RHS facilities, these may be implemented at RRMC as well. Tertiary Overdose Prevention Strategies (Assisting individuals living with SUD prevent fatal overdoses using measures to reduce harm and to get off the drug using medication assisted treatment, naloxone prescriptions and other strategies): * Across the health system, there will be different pilot projects addressing this issue. Once a program is successfully implemented and shown to be beneficial, it will be replicated at RRMC. For example, a sister facility will explore piloting a program trialing Medication Assisted Therapy (MAT) beginning in the ED to bridge individuals from the initial emergency visit through the first few days it takes to get into an outpatient MAT program. This may be replicated at RRMC following the pilot. * Riverside will continue to facilitate access to inpatient and outpatient addiction services. * The entire health system will also be able to draw on the expertise of the clinical staff at the Riverside Behavioral Health Center in Hampton. As materials, protocols, telemedicine programs or other opportunities are developed, RRMC will be able to build off those to better serve the individuals in the Peninsula region dealing with SUD. While only two areas were selected to officially be part of the CHNA Implementation Plan, other community health initiatives will continue outside of the CHNA process. These include addressing areas such as: * Public health education on wellness and prevention, including nutrition and healthy food * Public education on symptom recognition of signs & symptoms of heart attack and stroke * Mental health and wellness * Vaccinations * Healthy parenting * Cancer prevention & screening * Health equity issues
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?7
Name and address Type of Facility (describe)
1 THE GARDENS AT WARWICK FOREST
1000 OLD DENBIGH BLVD
NEWPORT NEWS,VA23602
CONVALESCENT SERVICES NURSING HOME
2 PATRIOTS COLONY
6000 PATRIOTS COLONY DR
WILLIAMSBURG,VA23188
RETIREMENT CENTER
3 SANDERS RETIREMENT VILLAGE
7385 WALKER AVE
GLOUCESTER,VA23061
RETIREMENT CENTER
4 RIVERISDE CONVALESCENT CENTER MATHEWS
603 MAIN STREET
MATHEWS,VA23109
CONVALESCENT SERVICES NURSING HOME
5 RIVERSIDE CONVALESCENT SALUDA
672 GLOUCESTER ROAD
SALUDA,VA23149
CONVALESCENT SERVICES NURSING HOME
6 RIVERSIDE HEALTHY LIVING COMMUNITY SMITH
101 JOHN ROLFE DRIVE
SMITHFIELD,VA23430
CONVALESCENT SERVICES NURSING HOME
7 WARWICK FOREST RETIREMENT COMMUNITY
886 OLD DENBIHG BLVD
NEWPORT NEWS,VA23602
RETIREMENT CENTER
8
9
10
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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
Schedule H, Part I, Line 3c SCH H, PART I, LINE 3C RIVERSIDE DOES NOT USE ANY OTHER ASSET THRESHOLD IN DETERMINING FINANCIAL ELIGIBILITY. RIVERSIDE ONLY USES FPL IN DETERMINING FAP-ELIGIBILITY. FREE CARE USES 200% AND DISCOUNTED CARE USES 400% OF THE FPG.
Schedule H, Part I DISCLOSURE IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21, RIVERSIDE IS DISCLOSING INFORMATION WITH RESPECT TO SECTION 501(R) ISSUES THAT WERE DISCOVERED RELATED TO THE 2017-2021 TAX YEARS AND HOW THEY HAVE BEEN CORRECTED TO SATISFY SECTION 501(R) AND 501(R)(2)(B) REQUIREMENTS. THE CAUSE WAS A GOOD-FAITH EFFORT BY RIVERSIDE TO IMPLEMENT THE REQUIREMENTS OF THE REGULATIONS, HOWEVER THERE WERE SOME MINOR GAPS DUE TO THE DETAILED NATURE OF THE REGULATIONS. IN OCTOBER 2022 WHEN COMPILING INFORMATION TO PREPARE FORM 990 FOR THE 2021 TAX YEAR, RIVERSIDE REALIZED THAT THE FINANCIAL ASSISTANCE POLICY (FAP) ALLOWED A PATIENT TO APPLY FOR FINANCIAL ASSISTANCE WITHIN 180 DAYS OF DISCHARGE BILLING, RATHER THAN THE 240 DAYS REQUIRED UNDER 501(R) REGULATIONS. RIVERSIDE DETERMINED THE NUMBER OF INDIVIDUALS AND DOLLAR AMOUNTS IMPACTED. BELOW IS A SUMMARY OF THE NUMBER OF ACCOUNTS AND DOLLAR AMOUNTS REFUNDED BY THE HOSPITALS REPORTED IN THIS RETURN: Year Accounts Amounts 2017 715 $ 55,889.56 2018 410 $ 48,029.08 2019 383 $ 52,898.73 2020 353 $ 31,232.23 2021 293 $ 35,619.14 2022 50 $ 6,970.18 Total 2,204 $ 230,638.92 RIVERSIDE PROMPTLY CORRECTED THE FAP POLICY (EFFECTIVE NOVEMBER 1, 2022) TO ALLOW A PATIENT 240 DAYS FROM DISCHARGE BILLING TO APPLY FOR FINANCIAL ASSISTANCE AND ALL PERSONS POTENTIALLY AFFECTED BY THIS OVERSIGHT IN THE POLICY TO DETERMINE IF A REFUND IS REQUIRED. RIVERSIDE HAS PROVIDED REFUNDS ON ALL REQUIRED ACCOUNTS. RIVERSIDE HAS IMPLEMENTED A FINANCIAL ASSISTANCE MODULE IN ITS BILLING SYSTEM TO SUPPORT THE FAP AND TRACK ALL FAP APPLICATIONS AND ACTIONS NEEDED TO COMPLY WITH ITS POLICY. RIVERSIDE ALSO HAS A COMPLIANCE AND AUDIT PROGRAM THAT REVIEWS POLICIES AND PROCESSES FOR COMPLIANCE WITH ALL 501(R) REGULATIONS.
Schedule H, Part V, Section B, Line 20b Riverside Rehabilitation Hospital 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 HOSPITAL'S BEST EFFORTS
Schedule H, Part V, Section B, Line 20d Riverside Rehabilitation Hospital 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
Schedule H, Part V, Section B, Line 20b Select Special Hospital Hampton Roads 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 HOSPITAL'S BEST EFFORTS
Schedule H, Part V, Section B, Line 20d Select Special Hospital Hampton Roads 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
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 46591499
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Part I Line 7a: The financial assistance cost is from the Medicare Cost Report. Part I Line 7b: Medicaid cost and net revenue are directly from the Medicaid cost report. Part I Line 7e: Community health improvement is the actual cost accumulated by the individuals participating in the activities. Part I Line 7i: Cash and in-kind contributions are the actual current year dollar value of the cash or items given.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Hospital's 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 month's recorded patient revenue. Group A 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 accompanying consolidated statement of operations. The amount included as bad debt expense for the years ended December 31, 2022, and 2021 was not material to the system.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION USES CMS COST REPORTING GUIDELINES AND METHODOLOGY TO DETERMINE ALLOWABLE MEDICARE COSTS. THE HEALTH SYSTEM ASSURES THAT THE ESSENTIAL EMERGENCY AND ACUTE CARE SERVICES ARE PROVIDED FOR THE POPULATION'S HEALTH. THE SHORTFALL FROM MEDICARE SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT, SINCE THE PATIENTS ARE PROVIDED SERVICES AT A LOSS FOR THE FACILITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16a FAP website A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16a URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16a URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16a URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16b URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16b URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16b URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - RIVERSIDE REGIONAL MEDICAL CENTER: Line 16c URL: www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance; - RIVERSIDE REHABILITATION HOSPITAL: Line 16c URL: www.riverside-rehabilitation.com/patients-and-caregivers/admissions/financial-assistance/; - SELECT SPECIALTY HOSPITAL-HAMPTON ROADS: Line 16c URL: https://www.selectspecialtyhospitals.com/locations-and-tours/va/newport-news/hampton-roads/;
Schedule H, Part VI, Line 2 Needs assessment Assessing, understanding and listening to our communities is on ongoing process at Riverside. The formal CHNA process occurs on a three-year cycle, but it is only one component of how Riverside works to better understand the needs of the communities we serve. Other ways Riverside utilizes to do this include but aren't limited to: a. Community representatives and leaders on our volunteer board of directors that represent a wide range of diverse expertise, interests, professions, and geographic areas. b. Committees of patients, family members and residents' family members that provide feedback. c. Listening to "alumni" consisting of retired employees. d. Partnering with local organizations, communities and universities to formally and informally learn about their needs. e. Making connections with individual neighborhood and community influencers to host health fairs or provide speakers on topics of interests they seek out. f. Meeting with small focus groups on certain topics to better understand how we can address barriers to care and improve clinical outcomes.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NOTIFICATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT'S 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 INCLUDED WITH THE BILLING STATEMENT 30 DAYS BEFORE REFERRING A PATIENT'S ACCOUNT TO COLLECTIONS. PATIENTS MAY OBTAIN ADDITIONAL INFORMATION AND/OR PAPER COPIES OF ANY FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, OR APPLICATION IN PERSON BY VISITING ANY RIVERSIDE HOSPITAL DEPARTMENT BY MAIL, VIA OUR WEBSITE, OR BY CALLING OUR CUSTOMER SERVICE CENTER.
Schedule H, Part VI, Line 4 Community information The service area for Riverside Healthcare Association, dba Riverside Health System, covers a wide geographic area from rural areas along the Rappahannock River in the north down to south of the James River in southeastern Virginia and west through the greater Williamsburg area. RRMC serves the broad Virginia Peninsula area as well as the western Tidewater region south of the James River surrounding Smithfield and northern Suffolk. The southern most areas south of James are growing significantly, and Riverside is in the process of building a new hospital to specifically serve this unique region. For Peninsula residents, 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 Virginia Peninsula region, per 2025 Census Projections, is just under 420 million people. It is approximately 50% White, 38% Black, and the remaining 12% a combination of Asian, Native American, Other and Two or More Races. While still a small overall percentage, the Hispanic community is growing, though still smaller than the entire commonwealth. Median household income is projected to be just over $69,000 in 2025, with Per Capita Income projected to be just under $35,000. The median age is projected to be 36.9 in 2025. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older comprises 17 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, Joint Base Langley / Ft. Eustis and 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 attainment. The area is also home to several institutions of higher learning including Christopher Newport University and Hampton University. There is strong competition within 60 miles of Riverside Regional Medical Center. Within seven miles on each side and 20 miles north there are three medical surgical hospitals and within 20 to 60 miles across the Hampton Roads harbor there are six facilities. The greater Williamsburg region consists of the City of Williamsburg, James City County, New Kent County and parts of King William and Charles City Counties and is projected to have a US Census 2025 population of approximately 130,000, with a 6.5% growth between 2020 and 2025. The same 2025 census projections estimate 73% white, 17% Black, with the remaining a combination of Asian, Native American, Some Other Race and Two or More Races. Median projected age is 44.7, with more than 25% of the population over the age of 65. It is a relatively prosperous region with a median household income of approximately $105,000 and per capita income of just over $54,000. The education level within the region varies greatly by locality, with very high levels in the City of Williamsburg and James City of County and much lower average levels in more rural areas, such as Charles City County. The area is a popular retirement destination, especially for military and federal government retirees. It is also a significant tourism destination and home to the College of William and Mary. Other major employers include Colonial Williamsburg Foundation, Busch Entertainment (Busch Gardens), businesses supporting tourism, such as hotels and restaurants, and the local school systems. Within the region there is one major competitor in the healthcare industry located on the western edge of the market. There is also competition west in Richmond and east on the Peninsula in Hampton and Newport News. The Middle Peninsula, mainly composed of the counties of Essex, Gloucester (where RWRH is located), King & Queen, Mathews and Middlesex, is located between the Virginia Peninsula to the south and the Northern Neck to the north. The Middle Peninsula is bordered on the north by the Rappahannock River and the south by the York River. Eastward is the Chesapeake Bay. Again, numerous waterways restrict direct travel in certain areas. A majority of the workforce commutes out of the region each day either south to the Peninsula or west to Richmond. The Middle Peninsula has a primary service area projected to have just over 75,000 in 2025 and is generally considered to have a high quality of life in accordance with standard socioeconomic variables, and a comparatively low cost of living. Riverside Walter Reed Hospital on the Middle Peninsula is approximately 30 miles from the closest hospital. Two of the four closest hospitals are Riverside facilities. The Middle Peninsula region, per 2025 Census Projections, is approximately 82% White, 12% Black, and the remainder mainly consisting of people classifying themselves as Two or More Races. While still a small overall percentage, the Asian and Hispanic communities are growing, as well as the multi-racial component of the population. Median household income is projected to be $73,662 in 2025, with Per Capita Income projected to be at $39,405. The median age is projected to be 48.8 in 2025. The community's population of people over age 65 is growing quickly, and that aging population points to even stronger hospital utilization in the coming years. The age group of 65 and older is projected to comprise 27 percent of the population in 2025. Within the market, all of the localities qualify for full or partial designation as Medically Underserved Service Areas.
Schedule H, Part VI, Line 5 Promotion of community health Promotion of Community Health: As noted in other sections, Riverside is always working to serve its communities. In addition to the formal things noted in the CHNA and Implementation Plan, there are countless other ways Riverside works to promote community health in it's service areas, the state and the nation. One of the large ways Riverside works to do this is through education. We have two branches of formal health professions education through the Riverside College of Health Careers and the Riverside Graduate Medical Education Program. Riverside has programs to train future nurses (LPN and RN to BSN programs), medical assistants, CNAs, radiology techs, cardiovascular/ echo techs, OR / surgical techs and PT Assistants. Riverside's Graduate Medical Education program offers residency multiple residency programs include family practice, OB/GYN, emergency medicine and a transitional residency. Riverside also offers residency programs in Pharmacy, Clinical Pastoral Education and will soon be offering a one year Clinical Ultrasound Fellowship Program which is pending accreditation by the Emergency Ultrasound Fellowship Accreditation Council (EUFAC). In addition to these programs, Riverside facilities and practices serve as clinical rotation locations for students in other training programs including nursing, pharmacy, medical students and many others. Additionally, Riverside is involved with education at early levels, such as its partnership with the Achievable Dream Academy in Newport News where Riverside has a clinic to care for students and their families. Or partnering with local community colleges, such as on the Eastern Shore. Riverside also provides multiple scholarships and helps train qualified individuals to take care of the future generations of our communities. And, Riverside works closely with local first responders through the Peninsula EMS and Tidewater EMS societies to train, as well as provide physician support to those programs. We also work and train with local military and first responder groups on regional safety drills addressing scenarios like incidents at the Huntington Ingalls Newport News Shipyard, at the Surry Power Plant and other locations. Community health education is another large part of Riverside's efforts in caring for its communities. The pandemic changed how people seek out, learn and trust health information, and Riverside is proud to serve as a trusted, local source of truth. As part of that, Riverside provides extensive amounts of accessible education to community members in person, online and one on one. Examples include health lectures in person and online, providing speakers to local groups and organizations on a variety of topics, providing valuable content in written blogs and often in infographic forms so individuals at varying literacy levels can use it. We are also active in local community health fairs and other events where we are able to provide various screenings, education and information including awareness of heart attack and stroke symptoms, the importance of calling 911, cancer screenings, smoking and vaping cessation information, cardiovascular health information including healthy diet, exercise, stress management and importance of taking medications and monitoring Hba1c. We also work with specific population groups to identify opportunities to provide education and outreach on topics of specific concern to those individuals. This has included hosting a nationally recognized African American chef to address the importance of diet in heart health and examining how foods traditionally made in an unhealthy way can be adapted to be made healthier while still celebrating family and community culture and traditions. We have also offered cancer screening information specific to the trans community to help provide clarity on complex issues. Another example is providing skin cancer screening and education focused on the Waterman communities on the Eastern Shore, Middle Peninsula and Peninsula that work the Chesapeake Bay harvesting things like crab and oysters and spends so much time exposed to the sun. Another aspect of how Riverside takes care of its communities is by investing in programs, technology and professional to assure they are available when needed. A great example of this is Riverside's commitment to providing OB/GYN services on the Eastern Shore despite the fact that the small population size makes it difficult to make the program break even. But without that program, women on the Shore would have to drive to Maryland where Virginia Medicaid isn't accepted or cross a 25+ mile bridge to Virginia Beach that is closed in high winds and hurricanes. Another example is how Riverside invests in specialists and technology that many health systems this size don't have, such as having neurovascular coverage and a biplane suite to provide the most advanced stroke interventions to the people of our community. Another example is how Riverside partnered with the University of Virginia and Chesapeake Regional Medical Center to bring Gamma Knife and Varian Edge radiosurgery technologies to the area, and those are expanding in the near future. A final example of this investment is how Riverside, in response to the ever-increasing need for mental and behavioral health services, is in the process of building the only freestanding psychiatric emergency room and expanding our mental health services. Other important investments include research, partnering with community groups such as the Urban League and The American Diabetes Association to help address specific needs and concerns locally and nationally. Additionally, our clinical and administrative leaders work with local and state organizations to ensure our public health and healthcare infrastructure is in place to care for our communities in a crisis. This became exceptionally clear during the pandemic when our leaders were key in providing storage and distribution for vaccinations as well as in caring for our communities during crisis points. When COVID-19 went through the poultry processing plants on the Eastern Shore, the health system pulled together to care for the small community and was recognized nationally for its efforts. As the needs evolve, Riverside is there to care for the community, whether it is a tornado, pandemic, mass casualty motor vehicle incident or outbreak of gun violence in our schools.
Schedule H, Part VI, Line 6 Affiliated health care system Riverside Health System works together to care for its communities across a wide range of geographic regions and services. Each region has a local acute care facility that works to serve the immediate needs of the area. The acute care services (inpatient and outpatient) work closely with our Riverside Medical Group physician practices and Riverside Lifelong Health that addresses senior services including retirement communities, skilled nursing facilities, convalescent and short-term rehabilitation, home health and hospice. The local hospital has a volunteer community board, and RMG and Riverside LLH each have their own volunteer, community board as well. All those boards report up to the Riverside Health System board. Each area works closely on clinical and quality issues for their area (such as HACs in acute care, preventative care in RMG and length of stay in hospice). Staff and physicians work across the areas to provide the best care for the patients and residents. Additionally, the hospital in Newport News serves as a tertiary facility with a Level 2 Trauma center, a certified Comprehensive Stroke Center, a cardiac cath lab, radiosurgery, and other acute services not available in the smaller markets. THE MISSION ACROSS ALL OF RIVERSIDE HEALTH SYSTEM IS TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE. THIS SIMPLE MISSION UNIFIED THE TEAM ACROSS THE COMMUNITIES OF SOUTHEASTERN VIRGINIA. SERVICES ARE FOCUSED IN FIVE MAIN MARKETS, EACH HAVING AN ACUTE CARE HOSPITAL AS WELL AS OTHER SERVICES ACROSS THE CONTINUUM OF CARE. EACH HOSPITAL HAS A COMMUNITY-BASED BOARD OF DIRECTORS. RIVERSIDE MEDICAL GROUP AND RIVERSIDE'S LIFELONG HEALTH DIVISION ALSO HAVE COMMUNITY-BASED BOARDS. THESE BOARDS ALL REPORT UP THROUGH THE RIVERSIDE HEALTH SYSTEM BOARD OF DIRECTORS. PROMOTING THE HEALTH OF THE COMMUNITIES RIVERSIDE SERVES IS DONE AT ALL LEVELS AND IN ALL PARTS OF THE ORGANIZATIONS. RIVERSIDE WORKS TO KNOW THE INDIVIDUAL SERVICE AREAS TO BEST UNDERSTAND HOW TO PROMOTE HEALTHY COMMUNITIES AT THE LOCAL LEVEL. THIS MAY BE THROUGH RECRUITING HEALTH CARE PROVIDERS TO ENSURE THERE ARE ENOUGH PRIMARY CARE OR SPECIALTY PROVIDERS TO CARE FOR THE POPULATION. IT MAY BE IN PROVIDING INNOVATIVE SERVICES TO HELP INDIVIDUALS AGE IN THE PLACE OF THEIR CHOOSING OR THROUGH VARIOUS IN-HOME TECHNOLOGIES. OR IT MAY BE IN PROVIDING COMMUNITY EDUCATION IN HOW TO MAINTAIN AN ACTIVE LIFESTYLE TO HELP PREVENT OBESITY-RELATED DISEASES. INDIVIDUAL HOSPITALS WORK WITH THE LOCAL COMMUNITIES TO DETERMINE WHAT SERVICES ARE NEEDED, OR WHAT LOCAL PROGRAMS NEED TO BE SUPPORTED - WHETHER THROUGH FINANCIAL OR IN-KIND SUPPORT OR THROUGH PROGRAM DEVELOPMENT. EXAMPLES OF THIS INCLUDE: ORGANIZING COMMUNITY LECTURES TO PROMOTE HEALTH; SUPPORTING THE TRAINING OF FIRST RESPONDERS IN HOW TO BEST CARE FOR PATIENTS WITH DEMENTIA OR A BEHAVIORAL HEALTH CRISIS; WORKING WITH LOCAL TRANSIT AUTHORITIES TO ENSURE BUS ROUTES WORK FOR PATIENTS NEEDING TO GO BETWEEN HOSPITALS AND CLINICS; AND ESTABLISHING A CLINIC AT A LOCAL SCHOOL FOR AT-RISK STUDENTS IN NEWPORT NEWS. FROM A HEALTH SYSTEM PERSPECTIVE, RIVERSIDE IS ALSO WORKING TO CONTRIBUTE TO LONG-TERM CHANGES IN HEALTH CARE THROUGH RESEARCH AND EDUCATION. RIVERSIDE CONTINUES TO TRAIN HEALTH CARE PROFESSIONALS, FROM NURSING ASSISTANTS TO PHYSICIANS. RIVERSIDE'S COLLEGE OF HEALTH CAREERS TRAINS A VARIETY OF STUDENTS IN MULTIPLE PROGRAMS INCLUDING: NURSING, NURSING ASSISTANTS, RADIOLOGIC TECHNOLOGISTS, SURGICAL TECHNOLOGISTS AND PHYSICAL THERAPY ASSISTANTS. RIVERSIDE ALSO MAINTAINS A MEDICAL RESIDENCY PROGRAM TO TRAIN NEW PHYSICIANS. ADDITIONALLY, STUDENTS FROM PROGRAMS OUTSIDE OF THE RIVERSIDE PROGRAMS DO MANY ROTATIONS THROUGH RIVERSIDE'S FACILITIES TO LEARN HOW TO BEST CARE FOR PATIENTS. IN THE AREA OF RESEARCH, RIVERSIDE PROGRAMS CONTINUE TO EXPAND. RESEARCH VARIES FROM STUDIES CONDUCTED BY THE STUDENTS AND FACULTY TO OUR EXTENSIVE CLINICAL TRIAL RESEARCH PROGRAMS GIVING PATIENTS ACCESS TO THE LATEST TRIALS. RIVERSIDE HAS THE BENEFIT OF BEING ABLE TO SERVE AT BOTH A CORPORATE AND LOCAL LEVEL. THE COMMUNITY BASED HOSPITALS ALLOW CONNECTIONS AT A LOCAL LEVEL TO BUILD RELATIONSHIPS AND DEVELOP UNIQUE, CREATIVE AND TAILORED SOLUTIONS TO LOCAL PROBLEMS. AT THE SAME TIME, THE BROADER HEALTH SYSTEM HAS THE ABILITY TO LEVERAGE COMBINED RESOURCES TO IMPACT BROADER ISSUES THROUGH THE PROMOTION OF RESEARCH AND EDUCATION FOR LONG-TERM ADVANCEMENTS IN HEALTH CARE.
Schedule H, Part VI, Line 7 State filing of community benefit report VA
Schedule H (Form 990) 2022
Additional Data


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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
2022
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) Alzheimers Association
919 Michigan Ave Ste 1000
Chicago,IL60611
13-3039601 501(c)(3) 6,500       SPONSORSHIP
(2) American Cancer Society Inc
P O Box 4110
Glen Allen,VA230584110
13-1788491 501(c)(3) 25,000       SPONSORSHIP
(3) American Diabetes Association
P O Box 7023
Merrifield,VA22116
13-1623888 501(c)(3) 7,500       SPONSORSHIP
(4) American Heart Association
P O Box 841750
Dallas,TX752841750
13-5613797 501(c)(3) 35,000       SPONSORSHIP
(5) An Achievable Dream Inc
10858 Warwick Blvd Ste A
NN,VA23601
54-1621932 501(c)(3) 52,500       SPONSORSHIP
(6) Christopher Newport University
1 Avenue of the Arts
NN,VA23606
54-0701501 501(c)(3) 12,500       SPONSORSHIP
(7) CNU Education Foundation
1 Avenue of the Arts
NN,VA23606
54-1156248 501(c)(3) 50,000       SPONSORSHIP
(8) City Of Newport News
2400 Washington Ave
NN,VA23607
54-6022059 Government 10,000       Sponsorship
(9) Cochon On 2nd
311-106 2nd Street
Williamsburg,VA23185
46-5509977   10,000       Hospice House Event
(10) Community Baseball LLC
1889 West Pembroke Ave
Hampton,VA23661
54-2029698   10,000       SPONSORSHIP
(11) Community Free Clinic Of Newport News
727 25th Street
Newport News,VA23607
27-3510814 501(c)(3) 33,333       DONATION
(12) Fear 2 Freedom Inc
P O Box 6104
Newport News,VA23606
45-2143034 501(c)(3) 10,400       SPONSORSHIP
(13) Flat-Out Events Llc
744 City Center Blvd
Suite 100
Newport News,VA23606
27-1675755   20,000       SPONSORSHIP
(14) Gloucester Arts On Main
6580 B Main Street
Gloucester,VA23061
45-2946669 501(c)(3) 6,100       SPONSORSHIP
(15) Greater Williamsburg Chamber & Tourism Alliance
421 North Boundary Street
Williamsburg,VA23185
54-0482313 501(c)(3) 7,500       SPONSORSHIP
(16) Hampton Roads Community Action Program
2410 Wickham Avenue P O Box 37
Newport News,VA23607
23-7014485 501(c)(3) 25,000       SPONSORSHIP
(17) Hampton Roads Economic Development Alliance
3 Commercial Place
Suite 1320
Norfolk,VA23510
54-0600387 501(c)(3) 25,000       SPONSORSHIP
(18) Hampton Roads Workforce Foundation
999 Waterside Drive
Suite 1314
Norfolk,VA23510
20-2957424 501(c)(3) 27,500       SPONSORSHIP
(19) Hampton University Foundation
Hampton Univ Career Center
114 Wigwam Building
Hampton,VA23668
54-0505990 501(c)(3) 75,000       SPONSORSHIP PROGRAM
(20) Here for the Girls Inc
1311 Jamestown Road Suite 202
Williamsburg,VA23185
26-0606190 501(c)(3) 25,000       SPONSORSHIP
(21) Hospice House & Support Care of Williamsburg
4445 Powhatan Parkway
Williamsburg,VA23188
52-1289657 501(c)(3) 7,500       SPONSORSHIP
(22) Isle Of Wight County Treasurer
Central Permitting
P O Box 80
Isle of Wight,VA23397
54-6001361 Government 8,500       IOW County Fair
(23) Lionsbridge Football Club Llc
701 Town Center Drive Suite 900
Newport News,VA23606
82-3032870   40,516       SPONSORSHIP
(24) Peninsulas Ems Council Inc
P O Box 1297
Gloucester,VA23061
54-1064500 501(c)(3) 15,000       SPONSORSHIP
(25) RVA Hampton Roads Mega Region Collaborative
2601 Floyd Avenue
Richmond,VA23220
84-4486132 501(c)(3) 20,000       SPONSORSHIP
(26) United Negro College Fund INC
707 East Main Street Suite 350
Richmond,VA23219
13-1624241 501(c)(3) 10,000       SPONSORSHIP
(27) Urban League of Hampton Roads Inc
P O Box 2176
Norfolk,VA235012176
54-1083985 501(c)(3) 100,000       SPONSORSHIP
(28) Virginia Chamber Of Commerce
919 East Main Street
Richmond,VA23219
54-0421190 501(c)(6) 7,500       SPONSORSHIP
(29) Virginia Health Care Foundation
707 East Main Street Suite 1350
Richmond,VA23219
54-1639924 501(c)(3) 25,000       SPONSORSHIP
(30) Virginia Living Museum Inc
524 J Clyde Morris Boulevard
Newport News,VA23601
54-6055922 501(c)(3) 9,389       SPONSORSHIP
(31) Virginia Nurses Foundation Inc
PO BOX 13619
Richmond,VA23225
54-1788059 501(c)(3) 11,250       SPONSORSHIP
(32) Virginia Peninsula Chamber Of Commerce
21 Enterprise Parkway Suite 100
Hampton,VA23666
54-0420380 501(c)(6) 7,000       DONATION
(33) Virginia Peninsula Chapter Of 100 Black Men of America Inc
P O Box 2400
Newport News,VA23609
24-1621828 501(c)(3) 27,500       Renewed 2 Year Commitment for Health Initiatives
(34) Williamsburg Indoor Sports Complex LLC
5700 Warhill Trail
Williamsburg,VA23188
54-1966400   10,000       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
27
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
7
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
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 52 74,773      
(2) FUNERAL EXPENSE ASSISTANCE 56 55,103      
(3) SHELTER EXPENSE ASSISTANCE 104 20,851      
(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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 APPLICANT 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. THE ASSISTANCE PROGRAMS ARE MANAGED BY OUR HOSPICE FOR OUR HOSPICE PATIENTS. A FINANCIAL APPLICATION IS COMPLETED BY THE REQUESTING FAMILY AND APPROVED BY AUTHORIZED ADMINISTRATOR OF THE HOSPICE.
Schedule I (Form 990) 2022



Additional Data


Software ID: 22016089
Software Version: 2022v5.0


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
2022
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
Yes
 
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) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
1MICHAEL DACEY MD
 
PRESIDENT/COO, RHS
(i)

(ii)
774,298
-------------
0
178,746
-------------
0
131,112
-------------
0
12,770
-------------
0
9,175
-------------
0
1,106,100
-------------
0
0
-------------
0
2WILLIAM BURNS DOWNEY
 
CEO, RHS
(i)

(ii)
1,047,196
-------------
0
311,888
-------------
0
237,736
-------------
0
41,895
-------------
0
26,626
-------------
0
1,665,340
-------------
0
0
-------------
0
3DAVID F JONES MD
 
CHAIRMAN/Physician Specialty
(i)

(ii)
181,960
-------------
0
67,167
-------------
0
147,429
-------------
0
24,318
-------------
0
17,338
-------------
0
438,212
-------------
0
0
-------------
0
4NANCY WICK LITTLEFIELD
 
Board Member/EVP/CNO, RHS
(i)

(ii)
264,050
-------------
0
147,551
-------------
0
77,175
-------------
0
13,425
-------------
0
14,694
-------------
0
516,895
-------------
0
0
-------------
0
5NEHEMIAH THRASH MD
 
VICE CHAIRMAN/Physician Specialty
(i)

(ii)
269,527
-------------
0
42,738
-------------
0
60,484
-------------
0
13,425
-------------
0
46,204
-------------
0
432,378
-------------
0
0
-------------
0
6CATHERINE LINTZENICH MD
 
BOARD MEMBER/Physician Specialty
(i)

(ii)
404,360
-------------
0
86,009
-------------
0
13,177
-------------
0
13,425
-------------
0
27,309
-------------
0
544,280
-------------
0
0
-------------
0
7JAMES W MCCORRY DO
 
BOARD MEMBER/Physician Emergency Room RRMC
(i)

(ii)
212,350
-------------
0
18,562
-------------
0
240,990
-------------
0
20,967
-------------
0
770
-------------
0
493,639
-------------
0
0
-------------
0
8MELVIN D SCHURSKY JR MD
 
BOARD MEMBER/Physician Specialty
(i)

(ii)
221,598
-------------
0
156,826
-------------
0
194,668
-------------
0
36,858
-------------
0
31,160
-------------
0
641,111
-------------
0
0
-------------
0
9KRYSTAL AINSLEY MD
 
BOARD MEMBER/Physician Primary Care
(i)

(ii)
345,264
-------------
0
88,624
-------------
0
22,430
-------------
0
10,952
-------------
0
32,988
-------------
0
500,258
-------------
0
0
-------------
0
10SCOTT BURGESS
 
BOARD MEMBER/Physician Specialty
(i)

(ii)
508,565
-------------
0
253,499
-------------
0
34,254
-------------
0
38,162
-------------
0
39,102
-------------
0
873,583
-------------
0
0
-------------
0
11LISA A CASANOVA MD
 
BOARD MEMBER/Physician Primary Care
(i)

(ii)
381,029
-------------
0
158,967
-------------
0
24,997
-------------
0
42,492
-------------
0
23,586
-------------
0
631,072
-------------
0
0
-------------
0
12MONILLA DENT
 
Board Member/Physician Primary Care
(i)

(ii)
275,112
-------------
0
129,818
-------------
0
68,792
-------------
0
5,800
-------------
0
30,792
-------------
0
510,314
-------------
0
0
-------------
0
13ELENA GARRETT MD
 
BOARD MEMBER/Physician Hourly
(i)

(ii)
247,158
-------------
0
17,397
-------------
0
87,818
-------------
0
41,628
-------------
0
725
-------------
0
394,728
-------------
0
0
-------------
0
14Joseph King
 
BOARD MEMBER/MEDICAL STAFF PRESIDENT
(i)

(ii)
273,084
-------------
0
140,194
-------------
0
43,004
-------------
0
42,710
-------------
0
43,409
-------------
0
542,401
-------------
0
0
-------------
0
15TIMOTHY LARKIN II
 
BOARD MEMBER/Physician Primary Care
(i)

(ii)
246,253
-------------
0
67,077
-------------
0
26,682
-------------
0
44,611
-------------
0
39,486
-------------
0
424,109
-------------
0
0
-------------
0
16WILLIAM H MCALLISTER IV
 
BOARD MEMBER/Physician Specialty
(i)

(ii)
1,441,975
-------------
0
569,234
-------------
0
79,032
-------------
0
33,929
-------------
0
40,013
-------------
0
2,164,181
-------------
0
0
-------------
0
17Carrie R Moss MD
 
BOARD MEMBER
(i)

(ii)
214,136
-------------
0
325,203
-------------
0
98,397
-------------
0
38,756
-------------
0
488
-------------
0
676,980
-------------
0
0
-------------
0
18SCOTT F REED MD
 
BOARD MEMBER/Physician Specialty
(i)

(ii)
361,326
-------------
0
43,261
-------------
0
27,238
-------------
0
13,425
-------------
0
38,791
-------------
0
484,041
-------------
0
0
-------------
0
19TERESA K THOMPSON NP
 
BOARD MEMBER/Nurse Practitioner
(i)

(ii)
71,223
-------------
0
14,842
-------------
0
60,194
-------------
0
15,091
-------------
0
1,196
-------------
0
162,546
-------------
0
0
-------------
0
20APRIL TOWLER
 
BOARD MEMBER/Nurse Practitioner
(i)

(ii)
118,173
-------------
0
15,764
-------------
0
10,342
-------------
0
6,344
-------------
0
8,740
-------------
0
159,363
-------------
0
0
-------------
0
21VERNEETA WILLIAMS
 
BOARD MEMBER AND PHYSICIAN
(i)

(ii)
232,957
-------------
0
71
-------------
0
3,885
-------------
0
32,712
-------------
0
24,663
-------------
0
294,289
-------------
0
0
-------------
0
22WALTER WILLIAM AUSTIN JR
 
EVP, CFO & TREASURER
(i)

(ii)
549,593
-------------
0
162,881
-------------
0
101,941
-------------
0
13,425
-------------
0
24,235
-------------
0
852,075
-------------
0
0
-------------
0
23NICOLAS CHUQUIN
 
Hospital President/VP
(i)

(ii)
206,533
-------------
0
51,351
-------------
0
22,234
-------------
0
7,756
-------------
0
14,491
-------------
0
302,365
-------------
0
0
-------------
0
24ESTHER M DESIMINI
 
PRESIDENT, RWRH
(i)

(ii)
138,538
-------------
0
100,737
-------------
0
199,159
-------------
0
10,498
-------------
0
27,905
-------------
0
476,837
-------------
0
0
-------------
0
25Michael Doucette
 
Support Services/VP
(i)

(ii)
428,610
-------------
0
116,599
-------------
0
80,640
-------------
0
50,509
-------------
0
20,080
-------------
0
696,438
-------------
0
0
-------------
0
26Charles Frazier
 
Chief Medical Information & Innovation Officer/SVP
(i)

(ii)
424,590
-------------
0
102,228
-------------
0
75,003
-------------
0
44,563
-------------
0
50,208
-------------
0
696,593
-------------
0
0
-------------
0
27JESSE GOODRICH
 
VP
(i)

(ii)
299,060
-------------
0
77,390
-------------
0
47,568
-------------
0
40,759
-------------
0
10,395
-------------
0
475,172
-------------
0
0
-------------
0
28SALLY HARTMAN
 
SENIOR VP
(i)

(ii)
444,489
-------------
0
104,173
-------------
0
76,205
-------------
0
47,099
-------------
0
16,551
-------------
0
688,517
-------------
0
0
-------------
0
29EDWARD HECKLER
 
VP, LIFELONG HEALTH
(i)

(ii)
273,877
-------------
0
79,276
-------------
0
49,065
-------------
0
39,981
-------------
0
26,458
-------------
0
468,657
-------------
0
0
-------------
0
30JASON O HOUSER
 
GENERAL COUNSEL/SECRETARY, RHS
(i)

(ii)
393,484
-------------
0
122,602
-------------
0
61,790
-------------
0
43,588
-------------
0
41,800
-------------
0
663,264
-------------
0
0
-------------
0
31Shelly Johnson
 
Hospital President/VP
(i)

(ii)
210,687
-------------
0
42,227
-------------
0
11,026
-------------
0
28,471
-------------
0
9,473
-------------
0
301,884
-------------
0
0
-------------
0
32Stacey Johnson
 
Hospital President/VP
(i)

(ii)
213,654
-------------
0
53,994
-------------
0
35,571
-------------
0
12,035
-------------
0
10,881
-------------
0
326,135
-------------
0
0
-------------
0
33THOMAS KAYROUZ
 
PRESIDENT CMO RMG
(i)

(ii)
563,970
-------------
0
120,252
-------------
0
99,333
-------------
0
13,425
-------------
0
18,656
-------------
0
815,636
-------------
0
0
-------------
0
34JASON KILGORE
 
VP RESULTS MGT AND ANALYTICS
(i)

(ii)
222,673
-------------
0
55,085
-------------
0
40,403
-------------
0
34,571
-------------
0
43,298
-------------
0
396,030
-------------
0
0
-------------
0
35Frankye Myers
 
Chief Nursing Officer/SVP
(i)

(ii)
235,279
-------------
0
0
-------------
0
21,340
-------------
0
6,440
-------------
0
9,482
-------------
0
272,542
-------------
0
0
-------------
0
36Michael Oshiki
 
Hospital President/SVP
(i)

(ii)
366,721
-------------
0
20,000
-------------
0
11,899
-------------
0
6,778
-------------
0
11,079
-------------
0
416,476
-------------
0
0
-------------
0
37Delvin Peeks
 
Enterprise Resource & Workforce Analytics/VP
(i)

(ii)
181,000
-------------
0
49,856
-------------
0
17,893
-------------
0
10,367
-------------
0
33,137
-------------
0
292,252
-------------
0
0
-------------
0
38JOHN P PETERMAN
 
COO
(i)

(ii)
327,113
-------------
0
87,205
-------------
0
52,570
-------------
0
35,435
-------------
0
11,298
-------------
0
513,621
-------------
0
0
-------------
0
39SALLY RYAN
 
VP/COO, RMG
(i)

(ii)
294,863
-------------
0
90,645
-------------
0
50,492
-------------
0
11,665
-------------
0
7,934
-------------
0
455,599
-------------
0
0
-------------
0
40LISA SALSBERRY
 
Officer Corp Audit & Comp/Priv
(i)

(ii)
269,443
-------------
0
24,370
-------------
0
40,095
-------------
0
37,988
-------------
0
41,789
-------------
0
413,685
-------------
0
0
-------------
0
41THERESA SIEVERS
 
SENIOR VP
(i)

(ii)
301,230
-------------
0
72,004
-------------
0
57,820
-------------
0
12,653
-------------
0
30,722
-------------
0
474,429
-------------
0
0
-------------
0
42James Spiller
 
Physician Specialty/Interim VP/CMO
(i)

(ii)
262,816
-------------
0
48,143
-------------
0
186,842
-------------
0
37,319
-------------
0
18,030
-------------
0
553,151
-------------
0
0
-------------
0
43Christopher Stolle
 
VP MEDICAL AFFAIRS
(i)

(ii)
447,295
-------------
0
118,144
-------------
0
70,567
-------------
0
25,430
-------------
0
10,029
-------------
0
671,465
-------------
0
0
-------------
0
44Thomas Taghon
 
Hospital Chief Medical Officer/VP
(i)

(ii)
239,778
-------------
0
15,000
-------------
0
8,661
-------------
0
3,939
-------------
0
9,258
-------------
0
276,637
-------------
0
0
-------------
0
45SADIE THURMAN
 
VP CNO
(i)

(ii)
225,555
-------------
0
59,780
-------------
0
38,080
-------------
0
32,674
-------------
0
8,420
-------------
0
364,510
-------------
0
0
-------------
0
46ADRIA NICOLE VANHOOZIER
 
PRESIDENT, RDHW
(i)

(ii)
273,942
-------------
0
67,321
-------------
0
45,357
-------------
0
8,922
-------------
0
15,286
-------------
0
410,828
-------------
0
0
-------------
0
47EILEEN VARNSON
 
VP
(i)

(ii)
254,763
-------------
0
72,068
-------------
0
43,235
-------------
0
5,800
-------------
0
68,378
-------------
0
444,245
-------------
0
0
-------------
0
48CYNTHIA WILLIAMS
 
VP
(i)

(ii)
296,108
-------------
0
108,481
-------------
0
51,760
-------------
0
13,425
-------------
0
25,272
-------------
0
495,046
-------------
0
0
-------------
0
49Ross Younger
 
SENIOR VP
(i)

(ii)
410,030
-------------
0
94,191
-------------
0
70,674
-------------
0
34,552
-------------
0
50,878
-------------
0
660,325
-------------
0
0
-------------
0
50Cheryl Ange
 
Specialty Care Senior Director
(i)

(ii)
190,565
-------------
0
26,984
-------------
0
1,355
-------------
0
21,260
-------------
0
9,305
-------------
0
249,469
-------------
0
0
-------------
0
51Margaret Atkins
 
Associate Vice President Chief Nursing Information Officer
(i)

(ii)
178,384
-------------
0
43,669
-------------
0
9,653
-------------
0
28,820
-------------
0
9,584
-------------
0
270,109
-------------
0
0
-------------
0
52Julie Bayly
 
Executive Director LLH
(i)

(ii)
167,846
-------------
0
1,500
-------------
0
21,740
-------------
0
21,912
-------------
0
125
-------------
0
213,123
-------------
0
0
-------------
0
53Kelly Cooper
 
Primary Care Senior Director
(i)

(ii)
178,635
-------------
0
28,878
-------------
0
1,293
-------------
0
29,169
-------------
0
3,049
-------------
0
241,022
-------------
0
0
-------------
0
54Douglas Culbert
 
Associate Vice President Service Line
(i)

(ii)
195,453
-------------
0
47,493
-------------
0
9,906
-------------
0
31,903
-------------
0
36,051
-------------
0
320,805
-------------
0
0
-------------
0
55Timothy Emons
 
Associate Vice President Corporate Controller
(i)

(ii)
200,531
-------------
0
47,684
-------------
0
9,731
-------------
0
4,716
-------------
0
25,586
-------------
0
288,247
-------------
0
0
-------------
0
56Winfred Guthrie
 
Associate Vice President IS Business Systems & Operational Support
(i)

(ii)
207,671
-------------
0
34,110
-------------
0
25,849
-------------
0
19,850
-------------
0
18,339
-------------
0
305,821
-------------
0
0
-------------
0
57Stacy Guzik
 
Administrator LLH PCAW/WF/TGWF
(i)

(ii)
121,396
-------------
0
19,052
-------------
0
11,136
-------------
0
6,844
-------------
0
12,169
-------------
0
170,596
-------------
0
0
-------------
0
58Kimberly Healy
 
Associate Vice President Surgery and Anesthesia Services
(i)

(ii)
173,542
-------------
0
18,002
-------------
0
9,578
-------------
0
24,106
-------------
0
25,297
-------------
0
250,525
-------------
0
0
-------------
0
59David Inabinet
 
Associate Vice President Chief Information Security Officer
(i)

(ii)
216,020
-------------
0
55,990
-------------
0
10,169
-------------
0
27,097
-------------
0
1,132
-------------
0
310,408
-------------
0
0
-------------
0
60Yvonne James
 
Financial Strategy Director
(i)

(ii)
143,898
-------------
0
12,908
-------------
0
1,532
-------------
0
16,450
-------------
0
19,848
-------------
0
194,636
-------------
0
0
-------------
0
61Michael Keesee
 
Associate Vice President Clinical & Revenue Systems
(i)

(ii)
199,916
-------------
0
58,609
-------------
0
10,155
-------------
0
27,900
-------------
0
41,355
-------------
0
337,935
-------------
0
0
-------------
0
62Lisa Kirby
 
Executive Director Nursing Homes LLH
(i)

(ii)
158,161
-------------
0
21,953
-------------
0
9,845
-------------
0
8,451
-------------
0
2,076
-------------
0
200,487
-------------
0
0
-------------
0
63Barbara Labonte
 
Associate Vice President Budget Tax & Reimbursement
(i)

(ii)
220,428
-------------
0
72,206
-------------
0
11,669
-------------
0
33,913
-------------
0
18,228
-------------
0
356,445
-------------
0
0
-------------
0
64Jessica Macalino
 
Associate Vice President Service Line
(i)

(ii)
202,080
-------------
0
38,537
-------------
0
9,698
-------------
0
10,588
-------------
0
8,880
-------------
0
269,784
-------------
0
0
-------------
0
65Linda Mckee
 
Associate Vice President Service Line
(i)

(ii)
205,121
-------------
0
44,064
-------------
0
10,745
-------------
0
10,859
-------------
0
9,192
-------------
0
279,980
-------------
0
0
-------------
0
66Braden Miller
 
Associate Vice President Chief Finance Officer RMG
(i)

(ii)
265,096
-------------
0
59,962
-------------
0
12,273
-------------
0
30,238
-------------
0
2,605
-------------
0
370,174
-------------
0
0
-------------
0
67Steven Minter
 
Administrator LLH PCAW/WF/TGWF
(i)

(ii)
163,640
-------------
0
21,449
-------------
0
10,526
-------------
0
8,645
-------------
0
12,178
-------------
0
216,438
-------------
0
0
-------------
0
68Christine Morillo
 
Administrator LLH PCAW/WF/TGWF
(i)

(ii)
118,229
-------------
0
24,320
-------------
0
9,978
-------------
0
6,772
-------------
0
40,370
-------------
0
199,669
-------------
0
0
-------------
0
69Linwood Nelson
 
Associate Vice President Chief Finance Officer LLH
(i)

(ii)
213,466
-------------
0
58,479
-------------
0
9,953
-------------
0
36,554
-------------
0
29,807
-------------
0
348,258
-------------
0
0
-------------
0
70Olukemi Olatunji
 
Pharmacy Senior Director
(i)

(ii)
200,493
-------------
0
17,627
-------------
0
413
-------------
0
7,661
-------------
0
469
-------------
0
226,662
-------------
0
0
-------------
0
71Mark Rath
 
Associate Vice President Support Operations
(i)

(ii)
201,278
-------------
0
66,795
-------------
0
10,122
-------------
0
19,952
-------------
0
2,113
-------------
0
300,261
-------------
0
0
-------------
0
72Brenda Schoenherr
 
Regional Director of Homecare Operations
(i)

(ii)
167,044
-------------
0
10,469
-------------
0
1,805
-------------
0
4,552
-------------
0
16,430
-------------
0
200,301
-------------
0
0
-------------
0
73JEFF SENSENIG
 
MEDICAL STAFF PRESIDENT
(i)

(ii)
317,215
-------------
0
0
-------------
0
53,492
-------------
0
10,375
-------------
0
47,931
-------------
0
429,013
-------------
0
0
-------------
0
74Lisa Shannon
 
Associate Vice President Risk Management
(i)

(ii)
191,649
-------------
0
44,196
-------------
0
10,579
-------------
0
10,005
-------------
0
18,088
-------------
0
274,518
-------------
0
0
-------------
0
75Sandra Snapp
 
Associate Vice President Service Line
(i)

(ii)
141,990
-------------
0
44,578
-------------
0
7,512
-------------
0
12,055
-------------
0
432
-------------
0
206,567
-------------
0
0
-------------
0
76Toiya Sosa
 
Associate Vice President/Chief Diversity Officer
(i)

(ii)
154,556
-------------
0
28,460
-------------
0
9,789
-------------
0
4,971
-------------
0
11,737
-------------
0
209,513
-------------
0
0
-------------
0
77Maureen Thompson
 
Executive Director Home Care
(i)

(ii)
213,188
-------------
0
34,110
-------------
0
4,289
-------------
0
11,206
-------------
0
9,506
-------------
0
272,299
-------------
0
0
-------------
0
78Jason Villaflor
 
Rehab Services System Director
(i)

(ii)
162,660
-------------
0
23,078
-------------
0
9,897
-------------
0
8,944
-------------
0
40,260
-------------
0
244,839
-------------
0
0
-------------
0
79Kristen Witt
 
EXECUTIVE DIRECTOR
(i)

(ii)
168,467
-------------
0
31,431
-------------
0
9,695
-------------
0
8,600
-------------
0
8,550
-------------
0
226,742
-------------
0
0
-------------
0
80Michelle Wooten
 
Chief Nursing Officer
(i)

(ii)
176,510
-------------
0
30,134
-------------
0
649
-------------
0
23,237
-------------
0
417
-------------
0
230,947
-------------
0
0
-------------
0
81Romney Andersen
 
Physician Specialty
(i)

(ii)
1,503,653
-------------
0
723,155
-------------
0
87,663
-------------
0
10,029
-------------
0
770
-------------
0
2,325,269
-------------
0
0
-------------
0
82Anthony Farah
 
Physician Specialty
(i)

(ii)
737,832
-------------
0
944,116
-------------
0
3,162
-------------
0
7,241
-------------
0
45,641
-------------
0
1,737,992
-------------
0
0
-------------
0
83Dean Kostov
 
Physician Specialty
(i)

(ii)
1,650,038
-------------
0
577,975
-------------
0
125,379
-------------
0
32,742
-------------
0
39,129
-------------
0
2,425,262
-------------
0
0
-------------
0
84Jacob Lantry
 
Physician Specialty
(i)

(ii)
1,089,536
-------------
0
651,202
-------------
0
4,882
-------------
0
9,923
-------------
0
9,832
-------------
0
1,765,374
-------------
0
0
-------------
0
85David Romano
 
Physician Specialty
(i)

(ii)
1,147,147
-------------
0
835,410
-------------
0
2,875
-------------
0
5,800
-------------
0
35,681
-------------
0
2,026,913
-------------
0
0
-------------
0
86DEBRA CAMPBELL
 
FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director
(i)

(ii)
136,040
-------------
0
17,771
-------------
0
1,444
-------------
0
22,570
-------------
0
8,337
-------------
0
186,162
-------------
0
0
-------------
0
87Joseph Converse
 
FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty
(i)

(ii)
318,179
-------------
0
71,199
-------------
0
2,509
-------------
0
14,924
-------------
0
15,314
-------------
0
422,125
-------------
0
0
-------------
0
88JOY ELLIOTT
 
FORMER PRESIDENT, MEDICAL STAFF/Physician
(i)

(ii)
238,438
-------------
0
160
-------------
0
12,895
-------------
0
33,010
-------------
0
1,574
-------------
0
286,076
-------------
0
0
-------------
0
89PETER GALANTICH MD
 
FORMER PRESIDENT MEDICAL STAFF/Physician Specialty
(i)

(ii)
376,384
-------------
0
28,167
-------------
0
19,606
-------------
0
24,013
-------------
0
35,503
-------------
0
483,673
-------------
0
0
-------------
0
90DWIGHT C HERBERT MD
 
FORMER RMG-BOARD MEMBER/Physician Primary Care
(i)

(ii)
213,184
-------------
0
66,535
-------------
0
114,649
-------------
0
34,636
-------------
0
17,360
-------------
0
446,364
-------------
0
0
-------------
0
91JOHN C MINCKS MD
 
FORMER BOARD MEMBER/Physician Hospitalist
(i)

(ii)
279,755
-------------
0
50,150
-------------
0
7,935
-------------
0
16,309
-------------
0
24,237
-------------
0
378,386
-------------
0
0
-------------
0
92ERIC STONE
 
FORMER VP CLINICAL OPERATIONS/Physician Primary Care
(i)

(ii)
192,015
-------------
0
63,614
-------------
0
21,822
-------------
0
11,208
-------------
0
654
-------------
0
289,312
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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 4a Severance or change-of-control payment SEVERANCE PAYMENT ESTHER DESIMINI $154,585
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ADRIA VANHOOZIER $32,380 CHARLES FRAZIER $57,063 CHRISTOPHER STOLLE $53,929 CYNTHIA WILLIAMS $36,075 DELVIN PEEKS $5,744 EDWARD G HECKLER $35,064 EILEEN VARNSON $29,749 ELIZABETH MARTIN $37,038 ESTHER DESIMINI $37,521 JASON KILGORE $27,251 JASON HOUSER $48,186 JESSE GOODRICH $33,042 LISA SALSBERRY $26,483 MICHAEL DACEY $111,540 MICHAEL DOUCETTE $64,376 NANCY LITTLEFIELD $65,989 ROSS YOUNGER $55,001 SADIE THURMAN $25,865 SALLY HARTMAN $58,988 SALLY RYAN $35,597 STACEY JOHNSON $23,392 THERESA SIEVERS $41,250 THOMAS KAYROUZ $75,075 WALTER AUSTIN $82,369 WILLIAM DOWNEY $212,100 --------------------------- TOTAL $1,311,067 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, 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 (Form 990) 2022

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Schedule L
(Form 990)
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
2021
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) 2021
Schedule L (Form 990) 2021
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) K SNAPP
 
SEE PART V 96,472 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV, Column (b) SANDRA SNAPP FAMILY MEMBER OF SANDRA SNAPP IS EMPLOYED BY RIVERSIDE HOSPTIAL, INC.
Schedule L (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Riverside Healthcare Association Inc Group
 
Employer identification number

90-1000718
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 2 311,965 Market value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2022)
Schedule M (Form 990) (2022)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - The number reported on Part I, Column B represents the number of contributors.
Schedule M (Form 990) (2022)

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
Riverside Healthcare Association Inc Group
 
Employer identification number

90-1000718
Return Reference Explanation
Form 990, Part I, Line 3 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.
Form 990, Part V, Line 3a 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.
Form 990, Part VI, Line 15 PART VI, SECTION B, LINE 15 A&B THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR TOP MANAGEMENT USING INDEPENDENT CONSULTANTS AND SURVEYS. THE REVIEW OF THE DATA PROVIDED BY THE INDEPENDENT CONSULTANTS FOR 2022 TOP MANAGEMENT SALARIES WAS CONDUCTED BY THE COMPENSATION COMMITTEE ON NOVEMBER 11, 2021.
Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION IS A GROUP OF NOT FOR PROFIT CORPORATIONS WITH A SINGLE MEMBER. THE MEMBER HAS 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.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MEMBERS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SIGNIFICANT ITEMS SUCH AS MERGER, AMENDMENT OF CHARTER DOCUMENTS, AND APPOINTMENT OF BOARD MEMBERS REQUIRES THE APPROVAL OF THE MEMBER CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body ON BEHALF OF THE ORGANIZATION'S GOVERNING BODY, THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE REVIEWS THE FORM 990. THE ENTIRE FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE FILING AND IS PROVIDED TO THE RIVERSIDE HEALTHCARE ASSOCIATION, INC. BOARD OF DIRECTORS FOR REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy 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. THE COMPLIANCE OFFICER CONSULTS WITH THE RIVERSIDE HEALTH SYSTEM CEO REGARDING IDENTIFIED CONFLICTS OF INTEREST AS 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.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
Form 990, Part VII, Section A BADGER, JULIE M ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-VICE CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-VICE CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BATES, JARED L ADDITIONAL POSITIONS HELD Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patriots Colony, Inc., Title: PAT-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BLAKE, DWAYNE B ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BRAUER, WILLIAM L ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BURNETT, JAMES C, CPA ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-CHAIRMAN, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A BYRD, THOMAS ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: HCS-VICE CHAIRMAN, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-VICE CHAIRMAN, AverageHours: 0.400; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A DACEY, MICHAEL, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-PRESIDENT/COO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-PRESIDENT/COO, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-PRESIDENT/COO, RHS, AverageHours: 1.000; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-PREDIDENT/COO, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-PRESIDENT/COO, RHS, AverageHours: 30.400; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-PRESIDENT/COO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Board Member/PRESIDENT/COO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-PRESIDENT/COO, RHS, AverageHours: 0.100; Officer
Form 990, Part VII, Section A DOWNEY, WILLIAM BURNS ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-Board Member/CEO, RHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Board Member/CEO, RHS, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-CEO, RHS, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-Board Member/CEO, RHS, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-Board Member/CEO, RHS/Chief Executive Officer, AverageHours: 30.400; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-CEO, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-CEO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Board Member/CEO, RHS, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Hospital Inc, Title: RRMC-CEO, RHS, AverageHours: 1.000; Officer
Form 990, Part VII, Section A GOODSON, GEORGE ROYDEN, III ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A HAYWOOD, BARBARA S ADDITIONAL POSITIONS HELD Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-VICE CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A JONES, HAROLD D ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A JONES, DAVID F, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-CHAIRMAN/Physician Specialty, AverageHours: 38.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A LITTLEFIELD, NANCY WICK ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: HCS-EVP/CNO, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EVP/CNO, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-EVP/CNO, RHS, AverageHours: 32.400; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EVP/CNO, RHS, AverageHours: 0.500; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Physician Services, Inc., Title: RMG-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-EVP/CNO, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-Board Member/EVP/CNO, RHS, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A MORGAN, GABRIEL A ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: HCS-CHAIRMAN, AverageHours: 0.300; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Management Services, Inc., Title: RMS-CHAIRMAN, AverageHours: 0.400; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A RANDOLPH, CARRINGTON F ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SHERLOCK, DANIEL J ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SMITH, CHARLENE E ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-VICE CHAIRMAN, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SMITH, CONWAY W , III ADDITIONAL POSITIONS HELD Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Sanders Common, LTD., Title: SANN-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer Organization Name: Riverside Retirement Services, Inc., Title: RRS-CHAIRMAN, AverageHours: 0.100; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A THRASH, NEHEMIAH, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-VICE CHAIRMAN/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A LINTZENICH, CATHERINE, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 39.000; IndividualTrusteeOrDirector Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A MCCORRY, JAMES W, DO ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Emergency Room RRMC, AverageHours: 19.400; IndividualTrusteeOrDirector Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-CMO, RDHW, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A SCHURSKY, MELVIN D, JR, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-CMO, RWRH, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 39.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ADOLPHI, CELIA L ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AINSLEY, KRYSTAL, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ALEWYNSE, JOYCE JARRETT ADDITIONAL POSITIONS HELD Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AMBLER, VIRGINIA M ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AUSTIN, WANDA M ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BARRY, PATRICIA P, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BROWN, PATRICIA G ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BURGESS, SCOTT ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CASANOVA, LISA A , MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CHASE, MICHAEL T ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CLEMONS, WALTER R, PHD ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A COURTER, ROBERT J, JR ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAVIS, ROBERT T ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DENT, MONILLA ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 39.000; Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ELOFSON, FREDRICK N ADDITIONAL POSITIONS HELD Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A EMORY, THERESA, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FLANAGAN, SHAWN ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Hourly, AverageHours: 0.000; Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GARGIULO, FAYE P ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GARRETT, ELENA, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Hourly, AverageHours: 32.300; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GRACE, WILLIAM M ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HICKMAN, SUSANNA B ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HOWARD, HALL RENFRO, MD ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNT, ELIZABETH DAWN, DMD ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A JORDAN, EUGENE M, ESQ ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KIDD, QUENTIN, PHD ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A King, Joseph ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 38.800;
Form 990, Part VII, Section A LARKIN, TIMOTHY, II ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MASSEY, WILLIAM S ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MCALLISTER, WILLIAM H, IV ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MEREDITH, CAROL U ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MINTER, CHARLES G ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MOREHOUSE, THOMAS F, III ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moss, Carrie R, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 39.000; Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A NAGEL, DOUGLAS E ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A POOLE, ALFRED JOE, III ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A REED, SCOTT F, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Physician Specialty, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SAUNDERS, RONALD LEE ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SCEARCE, ROGER ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SHEILD, CONWAY HOWARD, III ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SILVASY, STEPHEN, JR ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SMITH, KIRBY H ADDITIONAL POSITIONS HELD Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SPAIN, STEVE ADDITIONAL POSITIONS HELD Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STONE, ERIC M ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STOWELL, PHILIP G ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, TERESA K, NP ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Nurse Practitioner, AverageHours: 32.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TILLER, BROOKE ADDITIONAL POSITIONS HELD Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TOWLER, APRIL ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-BOARD MEMBER/Nurse Practitioner, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TREOLO, PAUL ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VERSER, JOSEPH F ADDITIONAL POSITIONS HELD Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WEST, CHARVALLA ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WHITE, JOHN T, III ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-BOARD MEMBER, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WILLIAMS, VERNEETA ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Riverside Hospital Inc, Title: Physician, AverageHours: 39.000; Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-BOARD MEMBER, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZEIDLER, JEANNE ADDITIONAL POSITIONS HELD Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Patrick Henry Hospital, Inc., Title: LLH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Sanders Common, LTD., Title: SANN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Riverside Retirement Services, Inc., Title: RRS-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-BOARD MEMBER, AverageHours: 0.100; IndividualTrusteeOrDirector
Form 990, Part VII, Section A AUSTIN, WALTER WILLIAM, JR ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EVP, CFO & TREASURER, AverageHours: 0.500; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Physician Services, Inc., Title: RMG-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EVP, CFO & TREASURER, AverageHours: 0.500; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-EVP, CFO & TREASURER, AverageHours: 0.300; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-EVP, CFO & TREASURER, AverageHours: 0.100; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-EVP, CFO & TREASURER, AverageHours: 30.400; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-EVP, CFO & TREASURER, AverageHours: 1.000; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-EVP, CFO & TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A CHUQUIN, NICOLAS ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-Hospital President/VP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A DESIMINI, ESTHER M ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-PRESIDENT, RWRH, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Doucette, Michael ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-Support Services/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Frazier, Charles ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-Chief Medical Information & Innovation Officer/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A GOODRICH, JESSE ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A HARTMAN, SALLY ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-SENIOR VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A HECKLER, EDWARD ADDITIONAL POSITIONS HELD Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Patriots Colony, Inc., Title: PAT-VP, LIFELONG HEALTH, AverageHours: 1.000; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-President Lifelong Health/SVP, AverageHours: 38.000; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-VP, LIFELONG HEALTH, AverageHours: 0.100; Officer
Form 990, Part VII, Section A HOUSER, JASON O ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Patriots Colony, Inc., Title: PAT-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.500; Officer Organization Name: Riverside Healthcare Services, Inc., Title: HCS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.300; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 30.400; Officer Organization Name: Riverside Retirement Services, Inc., Title: RRS-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Sanders Common, LTD., Title: SANN-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Convalescent Centers, Inc., Title: RCC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Patrick Henry Hospital, Inc., Title: LLH-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer Organization Name: Riverside Hospital Inc, Title: RRMC-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 1.000; Officer Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.500; Officer Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-GENERAL COUNSEL/SECRETARY, RHS, AverageHours: 0.100; Officer
Form 990, Part VII, Section A Johnson, Shelly ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Hospital President/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Johnson, Stacey ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital President/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A KAYROUZ, THOMAS ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-PRESIDENT CMO RMG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A KILGORE, JASON ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-VP RESULTS MGT AND ANALYTICS, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Myers, Frankye ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-Chief Nursing Officer/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Oshiki, Michael ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital President/SVP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Peeks, Delvin ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-Enterprise Resource & Workforce Analytics/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A PETERMAN, JOHN P ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-COO, AverageHours: 39.000; Officer
Form 990, Part VII, Section A RYAN, SALLY ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-VP/COO, RMG, AverageHours: 40.000; Officer
Form 990, Part VII, Section A SALSBERRY, LISA ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-Officer Corp Audit & Comp/Priv, AverageHours: 40.000; Officer
Form 990, Part VII, Section A SIEVERS, THERESA ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-SENIOR VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Spiller, James ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-INTERIM VP/CMO, AverageHours: 1.000; Officer Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 39.000;
Form 990, Part VII, Section A Stolle, Christopher ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-VP MEDICAL AFFAIRS, AverageHours: 1.000; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-Medical Affairs/VP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A Taghon, Thomas ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-Hospital Chief Medical Officer/VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A THURMAN, SADIE ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-VP CNO, AverageHours: 40.000; Officer
Form 990, Part VII, Section A VANHOOZIER, ADRIA NICOLE ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-PRESIDENT, RDHW, AverageHours: 40.000; Officer
Form 990, Part VII, Section A VARNSON, EILEEN ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: RMS-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A WILLIAMS, CYNTHIA ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-VP, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Younger, Ross ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: RRMC-SENIOR VP, AverageHours: 1.000; Officer Organization Name: Riverside Management Services, Inc., Title: RMS-Chief Information Officer/ SVP, AverageHours: 39.000; Officer
Form 990, Part VII, Section A Ange, Cheryl ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-Specialty Care Senior Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Atkins, Margaret ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Nursing Information Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Bayly, Julie ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: Executive Director LLH, AverageHours: 37.800; KeyEmployee Organization Name: Patriots Colony, Inc., Title: PAT-Executive Director LLH, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Cooper, Kelly ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: RMG-Primary Care Senior Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Culbert, Douglas ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Emons, Timothy ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Corporate Controller, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Guthrie, Winfred ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: Associate Vice President IS Business Systems & Operational Support, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Guzik, Stacy ADDITIONAL POSITIONS HELD Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.900; KeyEmployee
Form 990, Part VII, Section A Healy, Kimberly ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Surgery and Anesthesia Services, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Inabinet, David ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Information Security Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A James, Yvonne ADDITIONAL POSITIONS HELD Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Financial Strategy Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Keesee, Michael ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Clinical & Revenue Systems, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Kirby, Lisa ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: Executive Director Nursing Homes LLH, AverageHours: 39.600; KeyEmployee Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Sanders Common, LTD., Title: SANN-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Executive Director Nursing Homes LLH, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Labonte, Barbara ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Associate Vice President Budget Tax & Reimbursement, AverageHours: 0.500; KeyEmployee Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Associate Vice President Budget Tax & Reimbursement, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Hospital Inc, Title: Associate Vice President Budget Tax & Reimbursement, AverageHours: 34.800; KeyEmployee Organization Name: Riverside Management Services, Inc., Title: RMS-Associate Vice President Budget Tax & Reimbursement, AverageHours: 0.400; KeyEmployee Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-Associate Vice President Budget Tax & Reimbursement, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Macalino, Jessica ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Mckee, Linda ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Miller, Braden ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Associate Vice President Chief Finance Officer RMG, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Minter, Steven ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.800; KeyEmployee Organization Name: Riverside Retirement Services, Inc., Title: RRS-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Morillo, Christine ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: Administrator LLH PCAW/WF/TGWF, AverageHours: 39.900; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Administrator LLH PCAW/WF/TGWF, AverageHours: 0.100; KeyEmployee
Form 990, Part VII, Section A Nelson, Linwood ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Chief Finance Officer LLH, AverageHours: 38.500; KeyEmployee Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-Associate Vice President Chief Finance Officer LLH, AverageHours: 0.500; KeyEmployee
Form 990, Part VII, Section A Olatunji, Olukemi ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Pharmacy Senior Director, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Rath, Mark ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: Associate Vice President Support Operations, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Schoenherr, Brenda ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Regional Director of Homecare Operations, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A SENSENIG, JEFF ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Service Line Chief Medical Director Hourly, AverageHours: 39.000; KeyEmployee Organization Name: Riverside Middle Peninsula Hospital, Inc., Title: RWRH-MEDICAL STAFF PRESIDENT, AverageHours: 1.000; KeyEmployee
Form 990, Part VII, Section A Shannon, Lisa ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: Associate Vice President Risk Management, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Snapp, Sandra ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc, Title: Associate Vice President Service Line, AverageHours: 26.200; KeyEmployee
Form 990, Part VII, Section A Sosa, Toiya ADDITIONAL POSITIONS HELD Organization Name: Riverside Management Services, Inc., Title: Associate Vice President/Chief Diversity Officer, AverageHours: 39.800; KeyEmployee
Form 990, Part VII, Section A Thompson, Maureen ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Executive Director Home Care, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Villaflor, Jason ADDITIONAL POSITIONS HELD Organization Name: Patriots Colony, Inc., Title: PAT-Rehab Services System Director, AverageHours: 1.000; KeyEmployee Organization Name: Riverside Wellness and Fitness Centers, Inc., Title: RWFC-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Patrick Henry Hospital, Inc., Title: LLH-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Sanders Common, LTD., Title: SANN-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Francis N. Sanders Nursing Home, Inc., Title: SAN-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Retirement Services, Inc., Title: RRS-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Center for Excellence in Aging and Geriatric Health, Title: CEAGH-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: The Rehabilitation Institute of Virginia, Inc., Title: RRI-Rehab Services System Director, AverageHours: 0.100; KeyEmployee Organization Name: Riverside Healthcare Services, Inc., Title: HCS-Rehab Services System Director, AverageHours: 38.200; KeyEmployee
Form 990, Part VII, Section A Witt, Kristen ADDITIONAL POSITIONS HELD Organization Name: Riverside Healthcare Foundation, Inc., Title: RHCF-EXECUTIVE DIRECTOR, AverageHours: 0.500; KeyEmployee Organization Name: Riverside Health System Foundation, Inc., Title: RHSF-EXECUTIVE DIRECTOR, AverageHours: 0.500; KeyEmployee Organization Name: Riverside Hospital Inc, Title: Associate Vice President/Chief Philanthropy Officer, AverageHours: 39.000; KeyEmployee
Form 990, Part VII, Section A Wooten, Michelle ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg, Title: RDHW-Chief Nursing Officer, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Andersen, Romney ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Farah, Anthony ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Kostov, Dean ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Lantry, Jacob ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Romano, David ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Specialty, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A CAMPBELL, DEBRA ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc(Former), Title: FORMER ADMINISTRATOR RBHC/Nurse Residency & Community Engagement Director, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Converse, Joseph ADDITIONAL POSITIONS HELD Organization Name: Doctors Hospital of Williamsburg(Former), Title: FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty, AverageHours: 0.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: FORMER RDHW-MEDICAL STAFF PRESIDENT/Physician Specialty, AverageHours: 39.500;
Form 990, Part VII, Section A ELLIOTT, JOY ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc(Former), Title: FORMER PRESIDENT, MEDICAL STAFF/Physician, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A GALANTICH, PETER, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Hospital Inc(Former), Title: FORMER PRESIDENT MEDICAL STAFF/Physician Specialty, AverageHours: 0.000; KeyEmployee Organization Name: Riverside Physician Services, Inc., Title: FORMER PRESIDENT MEDICAL STAFF/Physician Specialty, AverageHours: 35.800;
Form 990, Part VII, Section A HERBERT, DWIGHT C, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc.(Former), Title: FORMER RMG-BOARD MEMBER/Physician Primary Care, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MINCKS, JOHN C, MD ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc.(Former), Title: FORMER BOARD MEMBER/Physician Hospitalist, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STONE, ERIC ADDITIONAL POSITIONS HELD Organization Name: Riverside Physician Services, Inc., Title: Physician Primary Care, AverageHours: 40.000; Organization Name: Riverside Hospital Inc(Former), Title: FORMER VP CLINICAL OPERATIONS/Physician Primary Care, AverageHours: 0.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue Other Operating Revenue - Total Revenue: 241891, Related or Exempt Function Revenue: 241891, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Optical Services - Total Revenue: 6551053, Related or Exempt Function Revenue: 6551053, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENEU - Total Revenue: 3245170, Related or Exempt Function Revenue: 3245170, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION ADJUSTMENT - 77065317; TRANSFER OF FUND BALANCE & EQUITY PURCHASES/DISTRIBUTIONS - -71142; CHANGES IN ACCOUNTING POLICIES (LEASE STANDARDS) - -3045640; ROUNDING - 319;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
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
2021
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 11,587,343 -117,293,380 RIVPHYSSV
 
(3) PENINSULA RADIOSURGERY ASSOCIATES LLC
608 DENBIGH BLVD STE 800
NEWPORT NEWS,VA23608
03-0596051
PT SERVICES VA 1,680,401 6,556,839 RIVHOSP
 
(4) MICHUMI LLC
608 DENBIGH BLVD STE 800
NEWPORT NEWS,VA23608
20-0318732
PT SERVICES VA 14,889,316 -3,993,517 RIVPHYSSV
 
(5) RIVERSIDE HOSPICE AND HOMECARE SERVICES
608 DENBIGH BLVD STE 800
NEWPORT NEWS,VA23608
85-3577807
PT SERVICES VA 4,195,461 -237,565 PATHENRY
 


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)   RIVHCASSC
 
Yes
 
(4)RIVERSIDE HEALTHCARE ASSOCATION INC
608 DENBIGH BLVD STE 800

NEWPORT NEWS,VA23608
52-1241835
PARENT COMP VA 501(c)(3) Type II NA
 
 
No
(5)TILDEN AND VA DAVIS SUPORT FOUND INC
608 DENBIGH BLVD STE 800

NEWPORT NEWS,VA23608
54-1527703
FOUNDATION VA 501(c)(3) Type I RIVRETSVC
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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 HOME PARTNER

608 DENBIGH BLVD STE 800
NEWPORT NEWS,VA23608
47-2999121
MANAGEMENT VA RIVRETSVC
 
Excluded 249,374 661,460   No   Yes   80 %












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 RIVFOUND
 
C Corporation 1,460,501 2,270,777 100 % Yes  
(2) RHS MEDINSUR LTD

CRAIG APPIN HOUSE 8 WESLEY STREET
  HAMILTON  
BF
52-1241835
INSURANCE BF RIVHCASSC
 
C Corporation 0 57,462,783 100 % Yes  
(3) RIVERSIDE MEDICAL EQUIPMENT COMPANY INC

608 DENBIGH BLVD SUITE 800
NEWPORT NEWS,VA23608
54-1325596
BILLING VA RIVHCASSC
 
C Corporation 0 0 100 % Yes  








Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
 
No
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) SHORE HEALTH SERVICES INC

J 763,032 MARKET VALUE
(2) SHORE HEALTH SERVICES INC

K 125,808 MARKET VALUE
(3) SHORE HEALTH SERVICES INC

L 17,358,865 MARKET VALUE
(4) SHORE HEALTH SERVICES INC

M 1,537,509 MARKET VALUE
(5) SHORE HEALTH SERVICES INC

O 1,504,417 MARKET VALUE
(6) NEWPORT NEWS GENERAL & NONSECTARIAN HOSPITAL

K 24,063,108 MARKET VALUE
(7) NEWPORT NEWS GENERAL & NONSECTARIAN HOSPITAL

L 896,215 MARKET VALUE
(8) RHS Medinsur Ltd

M 14,599,167 MARKET VALUE
(9) At Home Partners LLC

L 174,725 MARKET VALUE
(10) At Home Partners LLC

M 1,285,190 MARKET VALUE
(11) At Home Partners LLC

O 134,373 MARKET VALUE
(12) Riverside Healthcare Association Inc

K 31,356,177 MARKET VALUE
(13) Riverside Healthcare Association Inc

L 188,433 MARKET VALUE
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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