2025-11-14T14:26:13+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2024-01-01 540560500 Shore Health Services Inc SHOR 7578757545 608 DENBIGH BLVD 800 NEWPORT NEWS VA 236084487 W WILLIAM AUSTIN JR EVP CFO AND TREASURER 7578757545 2025-11-14 true Abbey E Leibel P01517527 5136121400 2025-11-14 2024 2025-03-06 01:10:19Z RIVERSIDE SHORE MEMORIAL HOSPITAL MICHAEL J DACEY 608 DENBIGH BLVD 800 NEWPORT NEWS VA 236084487 115291458 false X WWW.RIVERSIDEONLINE.COM X 1928 VA PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY. 15 12 520 46 0 1171964 610478 106792826 114285820 111011 -98361 341216 378897 108417017 115176834 16426 23041 0 0 38443159 41727096 0 0 0 60913346 62671317 99372931 104421454 9044086 10755380 75144115 82082621 10435562 6618688 64708553 75463933 TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH. false false 92665351 23041 114285820 GENERAL HOSPITAL SERVICES PROVIDED TO THE COMMUNITY. THE NUMBER OF PERSONS BENEFITED IN 2024 WAS 183,486 AND THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS WERE $16,350,310.02 92665351 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false false false true true true false false true 42 0 true 520 true false false false false false false false false false false false false X 15 12 false false false false true true true true true false false false true true true true true true false false false false X B LABONTE 7578757545 AVP-TAX 608 DENBIGH BLVD SUITE 800 NEWPORT NEWS VA 23608 JULIE M BADGER CHAIRMAN 1.0 1.0 X X 0 0 0 MICHAEL J DACEY MD BOARD MEMBER/Chief Executive Officer 1.0 39.0 X X 0 1704889 25525 NICOLAS R CHUQUIN Board Member/Hospital President/VP 40.0 0.0 X X 0 340333 40197 RICHARD H FREEMAN VICE CHAIRMAN 1.0 0 X X 0 0 0 ANDRE J ELLIOTT BOARD MEMBER 1.0 0 X 0 0 0 JENNIFER S ANNIS BOARD MEMBER 1.0 0 X 0 0 0 KELVIN A PETTIT BOARD MEMBER 1.0 0 X 0 0 0 LAURA D KERBIN MD BOARD MEMBER/Physician Specialty 1.0 39.0 X 0 598973 51801 RHONDA HALL BOARD MEMBER 1.0 0 X 0 0 0 RICHARD L HUBBARD BOARD MEMBER 1.0 0 X 0 0 0 ROBERT D CROCKETT BOARD MEMBER 1.0 0 X 0 0 0 RODOLFO R ZAVALA BOARD MEMBER 1.0 0 X 0 0 0 SAMUEL H COOPER JR BOARD MEMBER 1.0 0 X 0 0 0 TAMMY G HOLLOWAY BOARD MEMBER 1.0 0 X 0 0 0 WENDY G LILLISTON BOARD MEMBER 1.0 0 X 0 0 0 JASON O HOUSER ESQ GENERAL COUNSEL, SECRETARY, RHS 1.0 39.0 X 0 630800 70366 THOMAS M KAYROUZ MD Chief Clinical Operations Officer, RHS 1.0 39.0 X 0 1036783 40564 W WILLIAM AUSTIN JR EVP & CFO, TREASURER RHS 1.0 39.0 X 0 915157 41515 BARBARA J LABONTE Associate Vice President Budget Tax & Reimbursement 1.0 39.0 X 0 300160 61395 DAVID F JONES MD CHIEF MEDICAL OFFICER, RSMH/Physician Specialty 1.0 39.0 X 0 429571 48416 DEBORAH LYNN BROWN CHIEF NURSING OFFICER, RSMH 40.0 0 X 233626 0 11769 JACK W LAMBERT MEDICAL STAFF PRESIDENT, RSMH/Physician Specialty 1.0 30.5 X 0 321766 19673 JASON VILLAFLOR Associate Vice President LLH 1.0 39.0 X 0 256265 58743 LINDA S MCKEE Associate Vice President Service Line 1.0 39.0 X 0 270562 22613 OLUKEMI A OLATUNJI Pharmacy Operations Senior Director 1.0 39.0 X 0 246023 9504 ERIC KIRKLAND Cardiac and Therapy Director 40.0 0 X 166540 0 33996 IWONA MATTHEWS Rehab Therapy Supervisor Outpatient 40.0 0 X 171700 0 20916 JOHN PATTERSON Pharmacist Shore 40.0 0 X 199964 0 51565 KRISTIE FINNEY Quality & Lab Senior Director Shore 40.0 0 X 167838 0 46598 LYNETTE PATTERSON Pharmacist Shore 40.0 0 X 174978 0 44527 VINCENT STRAVINO FORMER SHS PRESIDENT, MEDICAL STAFF/Physician Hospitalist 0.0 40.0 X 0 470894 71197 WILLIAM B DOWNEY FORMER CEO, RHS/Executive Vice Chairman, RHS Board 0.0 40.0 X 0 813025 43047 1114646 8335201 813927 95 true true false Physiciansprn LLC 30 Glenn Street Suite 401 White Plains NY 10603 Purchased Labor Locum Tenens 392755 Shore Transport Services Inc 24076 Lee Mont Road Parksley VA 23421 Ambulance Transportation and Delivery 271638 Q-CENTRIX LLC PO BOX 735679 CHICAGO IL 60673 SOFTWARE AS A SERVICE 119215 NASSAWADOX REHABILITATION AND NURSING LLC 9468 HOSPITAL ROAD NASSAWADOX VA 23413 Nursing Home 105210 4 0 0 0 0 600000 10478 0 610478 PATIENT REVENUE 622110 108051943 108051943 0 0 AFFILIATE INCOME(C3) 622110 2351585 2351585 0 0 PHARMACY SALES 456110 3866592 3866592 0 0 ALL OTHER PROGRAM SERVICES REVENUE 622110 15700 15700 0 0 0 0 0 0 0 0 0 0 114285820 9761 0 0 9761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6500 0 114624 0 -108124 -108122 0 0 -108122 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722514 377759 0 0 377759 ALL OTHER REVENUE 900099 1138 0 1138 0 0 0 0 0 0 0 0 378897 115176834 114285820 0 280536 400 400 22641 22641 0 0 0 0 245395 0 245395 0 0 0 0 0 33567384 31696618 1870766 0 769758 769758 0 0 4860464 4687416 173048 0 2284095 2196260 87835 0 2418509 1494930 923579 0 5062 0 5062 0 475547 0 475547 0 0 0 0 0 0 0 0 0 0 0 4899731 4710291 189440 0 369079 11414 357665 0 508098 402562 105536 0 2422592 286377 2136215 0 0 0 0 0 5955917 5522248 433669 0 353406 336192 17214 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5198735 5101691 97044 0 764386 41054 723332 0 MEDICAL SUPPLIES 19124275 19124275 SERVICES FROM AFFILIATES 9570238 5655746 3914492 MEDICAID ASSESSMENT 6636152 6636152 BAD DEBT 3568695 3568695 400895 400631 264 0 104421454 92665351 11756103 0 0 0 0 0 3644 3774 0 0 0 0 17457139 17720213 0 0 0 0 0 0 1505239 1485995 2256551 2457852 118583677 58569199 53329932 60014478 0 0 0 0 0 591610 400309 75144115 82082621 6292736 6513007 0 0 455 455 0 0 0 0 0 0 0 0 0 0 4142371 105226 10435562 6618688 X 63897380 74652760 811173 811173 0 0 0 0 0 64708553 75463933 75144115 82082621 10755380 0 0 0 0 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2121023 2121023 71104093 23900259 47203834 30941490 24991864 5949626 14417071 9677076 4739995 60014478 Federal Income Taxes ASSET RETIREMENT OBLIGATION DUE TO AFFILIATES OTHER LIABILITIES 52291 OPERATING LEASE LIABILITY - LONG TERM 52935 105226 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part VI, Line 1e Other includes the cost, accumulated depreciation, and book value of land improvements Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SHORE HEALTH SERVICES, INC. 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, 2024, AND 2023. AS OF DECEMBER 31, 2024, AND 2023, THERE WERE NO UNCERTAIN TAX POSITIONS. true true X true X true X 0 0 3971473 0 3971473 0.03938 0 0 20733259 27410043 0 0.0 0 0 0 0 0 0.0 0 0 24704732 27410043 3971473 0.03938 0 0 15683 0 15683 0.00016 0 0 10274 0 10274 0.00010 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 3539572 0 3539572 0.03510 0 0 3565529 0 3565529 0.03535 0 0 28270261 27410043 7537002 0.07473 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 3568695 44418701 49663314 -5244613 X true true 1 1 RIVERSIDE SHORE MEMORIAL HOSPITAL 20480 MARKET STREET ONANCOCK VA 23417 HTTPS://WWW.RIVERSIDEONLINE.COM/SHORE/ H1901 X X X RIVERSIDE SHORE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 22 true true true true X WEBSITE (LIST URL) HTTPS://WWW.RIVERSIDEONLINE.COM/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X X true 22 true WEBSITE (LIST URL) HTTPS://WWW.RIVERSIDEONLINE.COM/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X X true true X X X true X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X true X false X X X X true X false false 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 , 1 Facility , 1 - RIVERSIDE SHORE MEMORIAL 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 (i.e. mammography and colonoscopy). We also examined key behaviors (such as smoking and vaccination against COVID-19 and Influenza) as well as 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, 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 SHORE MEMORIAL HOSPITAL. As described in the CHNA, Riverside conducted a community survey between November 2021 thru 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 actively 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), Virginia Organization for Inclusive Concepts and Equitable Solutions (VOICES) (a group focused on listening to minority members of the community). In addition, specific organizations, and companies, such as Children's Hospital of the King's Daughters, Sentara (formerly Sentara Healthcare), Bon Secours (formerly Bon Secours Mercy Health System, Hampton Roads), Hampton and Peninsula Health Districts, Virginia Department of Health, Riverside Health and VOICES were consulted during the process. VOICES conducted a series of Equity Community Focus Groups and surveys in Hampton Roads for a community equity needs assessment targeted to people of color and residents of underserved communities. All data collected was shared with the Virginia Department of Health and health systems to aid in their equity initiative on social determinants of health. Focus Groups will be conducted by a trusted partner - EVMS Community Inclusion and Health Equity Initiative. 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 SHORE MEMORIAL 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 ( FORMERLY SENTARA HEALTH SYSTEM), CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS AND BON SECOURS ( FORMERLY 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 SHORE MEMORIAL 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 SHORE MEMORIAL HOSPITAL. In addition to posting online and having paper copies available, Riverside promoted the results through social media channels. Additionally, when Riverside gives community presentations to various organizations, clubs, places of worship, professional groups, or governments the speakers pull heavily from the information included in the CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - RIVERSIDE SHORE MEMORIAL HOSPITAL. While during previous CHNA cycles each hospital across Riverside Health identified unique priorities, 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 following needs that were identified in the CHNA survey results that are not being addressed in the CHNA implementation plan are cardiovascular health & wellness and cancer. The CHNA Steering Committee reviewed the potential areas of focus as well as discussed internal projects underway. The needs listed above not being addressed, would pose an overlap with other programs already existing in community efforts. For cardiovascular health & wellness and cancer, 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 RSMH'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. While this is not located on the Eastern Shore, as the health system expands its resources in this area, RSMH 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. While only two areas were selected to officially be part of the CHNA Implementation Plan, Opioid Steward and Memory and Dementia Services, other community health initiatives will continue outside of the CHNA process. These community health initiatives 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, diabetes, and stroke. * Mental health and wellness. * Vaccinations. * Healthy parenting. * Cancer prevention & screening. * Health equity issues. 1st Initiative: 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 areas of the health system for seamless care. In the area of Memory and Dementia Care, Riverside Regional Medical Center and Riverside Mental Health and Recovery 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 ones 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. Riverside 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 piloted 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 underwent 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 acute care facilities implemented the Purple Flower Program on December 5, 2023. * Strengthen Services and Offerings Across RHS and the Community: Riverside will continue to refine, strengthen, and expand upon the existing services across Riverside Medical Group, and Lifelong Health. Potential projects include: * Optimizing the EMR to facilitate tracking and reporting of patient outcomes for patients with memory and dementia problems. * Facilitate an 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 Shore Memorial Hospital - Line 11 continue. 2nd Initiative: Opioid Stewardship and Substance Use Disorder The importance of this issue was clear in both quantitative and qualitative data obtained in the CHNA process. Fatal drug overdoses in Virginia and across the country have risen rapidly in the past 13 years and had an extremely 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 splendid 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 a valuable 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 substantial 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, which 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. * RRMC explored 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 participated in several Drug Take Back Days throughout Riverside in 2024. * 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 developed and implemented consistent screening processes to identify those individuals at high risk for developing SUD. * These processes were 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 Mental Health and Recovery Center n 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. 0 Schedule 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 V, Section B, Line 16a https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance Schedule H, Part V, Section B, Line 16b https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance Schedule H, Part V, Section B, Line 16c https://www.riversideonline.com/patients-and-visitors/paying-for-healthcare-services/financial-assistance Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 3568695 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 AND 7F: COMMUNITY HEALTH IMPORVEMENT 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 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 200% OF THE FEDERAL POVERTY LEVEL, THE PATIENT WOULD QUALIFY FOR 100% FINANCIAL ASSISTANCE 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 THE 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. 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, 2024, AND 2023 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 ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE INCLUDED AS COMMUNITY BENEFIT. 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 - RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16a URL: SEE STATEMENT; Schedule H, Part V, Section B, Line 16b FAP Application website - RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16b URL: SEE STATEMENT; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - RIVERSIDE SHORE MEMORIAL HOSPITAL: Line 16c URL: SEE STATEMENT; Schedule H, Part VI, Line 2 Needs assessment Assessing, understanding, and listening to our communities is an 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 learn about their needs formally and informally 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 Virginia's Eastern Shore consists of the southernmost part of the Delmarva Peninsula, and is bordered to the north by Maryland, to the east by the Atlantic Ocean, and to the south and east by the Chesapeake Bay. It is connected to the Hampton Roads region of Virginia by the 23-mile Chesapeake Bay Bridge Tunnel. The 70-mile stretch of land that makes up the Eastern Shore of Virginia is spread across two counties, Accomack to the north and Northampton to the south. The Eastern Shore area is home to just under 45,000 people. Approximately two thirds of the population located in northern Accomack County while one third in Northampton County. The region is defined by the water, both for the major tourism industry as well as by the watermen who work in the aquaculture industry. Agriculture also plays a key role, with poultry farming and processing employing many people in the area. NASA has a continued presence at the Wallops Island flight facility. Despite multiple industries, the Eastern Shore Region lags in economic development and prosperity compared to the rest of Virginia. Riverside Shore Memorial Hospital is the only hospital on Virginia's Eastern Shore. The closest competition is in Salisbury, Maryland to the north or in Virginia Beach across the Bay Bridge Tunnel to the south. Demographically, the region is approximately two thirds Caucasian and one third African American. There is also a growing migrant community in the region which helps serve the agricultural industry, and the Hispanic community is the fastest growing segment in the region. There is also a growing population of Haitian Kreyol speakers that is focused on the poultry processing facilities. 2025 Census projections estimate per capita income at $32,593. U.S. Census Bureau reports indicate that more than 19 percent of the adult (25+) population have not graduated from high school. Due to the rural nature of the region and its historical isolation, the Eastern Shore lags behind the rest of Virginia in areas of infrastructure development, with limited cell phone service and internet access as significant issues as well as limited transportation infrastructure. The Eastern Shore is seeing the aging of the Baby Boomer generation like the rest of Virginia and the country. Individuals age 65+ make up more than 25 percent of the population. The entire region is designated as a Medically Underserved Area. Schedule H, Part VI, Line 5 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 its 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; while also 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. 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 transgender 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 in 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. 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. 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, opened its first and the only freestanding psychiatric emergency room and expanding our mental health services in Hampton, Virginia. 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 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 Riverside Medical Group and Riverside Lifelong Health 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 Hospital Acquired Conditions 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. Schedule H, Part VI, Line 7 State filing of community benefit report VA true FUNERAL ASSISTANCE EXPENSE 24 22000 SHELTER ASSISTANCE EXPENSE 3 641 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. false true false false false false false false false WILLIAM B DOWNEY FORMER CEO, RHS/Executive Vice Chairman, RHS Board 0 653421 0 0 0 159604 0 18525 0 24522 0 856072 0 0 NICOLAS R CHUQUIN Board Member/Hospital President/VP 0 245875 0 52132 0 42326 0 13014 0 27183 0 380530 0 0 MICHAEL J DACEY MD BOARD MEMBER/Chief Executive Officer 0 1143251 0 327808 0 233830 0 15225 0 10300 0 1730414 0 0 LAURA D KERBIN MD BOARD MEMBER/Physician Specialty 0 341561 0 152569 0 104843 0 22927 0 28874 0 650774 0 0 W WILLIAM AUSTIN JR EVP & CFO, TREASURER RHS 0 646572 0 150863 0 117722 0 15225 0 26290 0 956672 0 0 JASON O HOUSER ESQ GENERAL COUNSEL, SECRETARY, RHS 0 462172 0 91727 0 76901 0 32947 0 37419 0 701166 0 0 THOMAS M KAYROUZ MD Chief Clinical Operations Officer, RHS 0 747686 0 151809 0 137288 0 15225 0 25339 0 1077347 0 0 VINCENT STRAVINO FORMER SHS PRESIDENT, MEDICAL STAFF/Physician Hospitalist 0 340073 0 28562 0 102259 0 19326 0 51871 0 542091 0 0 DEBORAH LYNN BROWN CHIEF NURSING OFFICER, RSMH 196415 0 35313 0 1898 0 10135 0 1634 0 245395 0 0 0 DAVID F JONES MD CHIEF MEDICAL OFFICER, RSMH/Physician Specialty 0 162678 0 50671 0 216222 0 20886 0 27530 0 477987 0 0 BARBARA J LABONTE Associate Vice President Budget Tax & Reimbursement 0 232747 0 54434 0 12979 0 26878 0 34517 0 361555 0 0 JACK W LAMBERT MEDICAL STAFF PRESIDENT, RSMH/Physician Specialty 0 311266 0 10500 0 0 0 6583 0 13090 0 341439 0 0 LINDA S MCKEE Associate Vice President Service Line 0 222018 0 35826 0 12718 0 12111 0 10502 0 293175 0 0 OLUKEMI A OLATUNJI Pharmacy Operations Senior Director 0 218690 0 26827 0 506 0 8256 0 1248 0 255527 0 0 JASON VILLAFLOR Associate Vice President LLH 0 201637 0 31702 0 22926 0 10293 0 48450 0 315008 0 0 KRISTIE FINNEY Quality & Lab Senior Director Shore 139818 0 27369 0 651 0 25877 0 20721 0 214436 0 0 0 ERIC KIRKLAND Cardiac and Therapy Director 152405 0 12002 0 2133 0 7237 0 26759 0 200536 0 0 0 IWONA MATTHEWS Rehab Therapy Supervisor Outpatient 169819 0 250 0 1631 0 7166 0 13750 0 192616 0 0 0 JOHN PATTERSON Pharmacist Shore 193943 0 4348 0 1673 0 40520 0 11045 0 251529 0 0 0 LYNETTE PATTERSON Pharmacist Shore 171446 0 1845 0 1687 0 34394 0 10133 0 219505 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION COMMITTEE OF THE PARENT CORPORATION, RIVERSIDE HEALTHCARE ASSOCIATION, INC. REVIEWS AND APPROVES THE COMPENSATION FOR TOP MANAGEMENT USING INDEPENDENT CONSULTANTS AND SURVEYS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan JASON O HOUSER $60,637 MICHAEL J DACEY $206,850 NICOLAS R CHUQUIN $28,739 THOMAS M KAYROUZ $108,732 W WILLIAM AUSTIN JR $94,290 WILLIAM B DOWNEY $127,500 TOTAL $626,748 RIVERSIDE HAS ESTABLISHED THE Supplemental Executive Retirement Plan 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. Form 990, Part VI, Line 6 Classes of members or stockholders RIVERSIDE HEALTHCARE ASSOCIATION INC. IS THE SOLE CORPORATE MEMBER OF SHORE HEALTH SERVICES INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Riverside Healthcare Association, Inc. is the sole corporate member of Shore Health Services, Inc. Riverside Healthcare Association, Inc. has certain rights such as approval of members of the governing body. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Riverside Healthcare Association, Inc. has certain rights such as approval of members of the governing body, mergers and amendments of organizing documents. 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 WRITTEN REQUEST. Form 990, Part VIII, Line 2b $2,351,585 OF THE AMOUNT REPORTED ON LINE 2B IS A RECLASS OF CERTAIN FUNDS TO COVER SPECIFIC PROGRAM COSTS FOR RELATED ORGANIZATIONS. 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