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Nonprofiteer
← SHORE HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by SHORE HEALTH SERVICES INC.

Totals

Total revenue
$108,417,017
Total expenses
$99,372,931
Contributions and grants received
$1,171,964
Grants paid
$16,426
Program service revenue
$106,792,826
Investment income
$111,011
Other revenue
$341,216
Total assets, end of year
$75,144,115
Total liabilities, end of year
$10,435,562
Net assets or fund balances, end of year
$64,708,553
Program services expenses (Part IX)
$89,424,494
Management and general expenses
$9,948,437
Fundraising expenses
$0
Program service expenses (Part III)
$89,424,494

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $1,118,816

  • 1f · All other contributions, gifts and grants

    $53,148

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: PATIENT REVENUE

    total $101,621,922 · related or exempt $101,621,922 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: AFFILIATE INCOME(C3)

    total $2,786,965 · related or exempt $2,786,965 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: PHARMACY SALES

    total $2,369,535 · related or exempt $2,369,535 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: ALL OTHER PROGRAM SERVICES REVENUE

    total $14,404 · related or exempt $14,404 · unrelated business $0 · excluded $0

  • 2e · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $10,387 · related or exempt $0 · unrelated business $0 · excluded $10,387

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $0 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    other assets $197,271

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $96,647

  • 7c · Gain or loss

    securities $0 · other assets $100,624

  • 7d · Net gain or loss

    total $100,624 · related or exempt $0 · unrelated business $0 · excluded $100,624

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: CAFETERIA REVENUE

    total $340,573 · related or exempt $0 · unrelated business $0 · excluded $340,573

  • 11b · Other revenue: ALL OTHER REVENUE

    total $643 · related or exempt $0 · unrelated business $0 · excluded $643

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $341,216

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $701 · program services $701

  • 2 · Grants to domestic individuals

    total $15,725 · program services $15,725

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $222,461 · program services $0 · management and general $222,461 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $30,893,395 · program services $29,910,990 · management and general $982,405 · fundraising $0

  • 8 · Pension plan contributions

    total $814,633 · program services $814,633 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $4,393,870 · program services $4,206,239 · management and general $187,631 · fundraising $0

  • 10 · Payroll taxes

    total $2,118,800 · program services $2,056,087 · management and general $62,713 · fundraising $0

  • 11a · Fees: management

    total $2,351,602 · program services $1,455,734 · management and general $895,868 · fundraising $0

  • 11b · Fees: legal

    total $5,080 · program services $5,080 · management and general $0 · fundraising $0

  • 11c · Fees: accounting

    total $440,782 · program services $0 · management and general $440,782 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $4,852,302 · program services $4,715,621 · management and general $136,681 · fundraising $0

  • 12 · Advertising and promotion

    total $358,575 · program services $9,490 · management and general $349,085 · fundraising $0

  • 13 · Office expenses

    total $519,092 · program services $447,440 · management and general $71,652 · fundraising $0

  • 14 · Information technology

    total $2,272,596 · program services $184,461 · management and general $2,088,135 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $5,937,742 · program services $5,503,750 · management and general $433,992 · fundraising $0

  • 17 · Travel

    total $315,343 · program services $310,069 · management and general $5,274 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $5,777,683 · program services $5,627,438 · management and general $150,245 · fundraising $0

  • 23 · Insurance

    total $682,066 · program services $682,066 · management and general $0 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $17,793,138 · program services $17,773,493 · management and general $19,645 · fundraising $0

  • 24b · Other expenses: SERVICES FROM AFFILIATES

    total $9,790,776 · program services $5,889,392 · management and general $3,901,384 · fundraising $0

  • 24c · Other expenses: MEDICAID ASSESSMENT

    total $5,368,356 · program services $5,368,356 · management and general $0 · fundraising $0

  • 24d · Other expenses: BAD DEBT

    total $4,029,606 · program services $4,029,606 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $418,607 · program services $418,123 · management and general $484 · fundraising $0

  • 26 · Joint costs (an allocation of the lines above)

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,405 · end of year $3,644

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $17,749,657 · end of year $17,457,139

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $1,545,071 · end of year $1,505,239

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,609,681 · end of year $2,256,551

  • 10a · Land, buildings and equipment: cost or other basis

    $137,602,470

  • 10b · Land, buildings and equipment: accumulated depreciation

    $84,272,538

  • 10c · Land, buildings and equipment, net

    beginning of year $55,510,774 · end of year $53,329,932

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $775,630 · end of year $591,610

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,003,637 · end of year $6,292,736

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $455 · end of year $455

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $15,525,659 · end of year $4,142,371

  • 27 · Net assets without donor restrictions

    beginning of year $54,853,294 · end of year $63,897,380

  • 28 · Net assets with donor restrictions

    beginning of year $811,173 · end of year $811,173

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

TO CARE FOR OTHERS AS WE WOULD CARE FOR THOSE WE LOVE - TO ENHANCE THEIR WELL-BEING AND IMPROVE THEIR HEALTH.

Activities or mission (Part I)

PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY.

  • GENERAL HOSPITAL SERVICES PROVIDED TO THE COMMUNITY. THE NUMBER OF PERSONS BENEFITED IN 2023 WAS 180,071 AND THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS WERE $19,541,453.

    Expenses $89,424,494 · Grants $16,426 · Revenue $106,792,826

As filed on the 2023 return.

Listed in Part VII

  • Julie M Badger

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Michael J Dacey MD

    Board Member/PRESIDENT/CEO, RHS

    Total calculated
    $1,474,671
    From this org
    $0
    From related orgs
    $1,450,655
    Other
    $24,016
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $975,166 related
    Bonus
    $0 + $244,437 related
    Other
    $0 + $231,051 related
    Deferred
    $0 + $14,350 related
    Nontaxable benefits
    $0 + $9,666 related
    Filer's total
    $0 + $1,474,670 related
  • Nicolas Chuquin

    Board Member/PRESIDENT RSMH

    Total calculated
    $338,711
    From this org
    $0
    From related orgs
    $314,242
    Other
    $24,469
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $226,586 related
    Bonus
    $0 + $48,595 related
    Other
    $0 + $39,061 related
    Deferred
    $0 + $11,469 related
    Nontaxable benefits
    $0 + $12,999 related
    Filer's total
    $0 + $338,710 related
  • Richard H Freeman

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Andre J Elliott

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Caleb L Fowler

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jennifer S Annis

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kelvin A Pettit

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Laura D Kerbin MD

    BOARD MEMBER/Physician Specialty

    Total calculated
    $690,141
    From this org
    $0
    From related orgs
    $643,870
    Other
    $46,271
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,153 related
    Bonus
    $0 + $245,874 related
    Other
    $0 + $58,843 related
    Deferred
    $0 + $22,444 related
    Nontaxable benefits
    $0 + $23,826 related
    Filer's total
    $0 + $690,141 related
  • Rhonda Hall

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Richard L Hubbard

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Robert D Crockett

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Rodolfo R Zavala

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Samuel H Cooper Jr

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Tammy G Holloway

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Wendy G Lilliston

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jason O Houser

    GENERAL COUNSEL/SECRETARY, RHS

    Total calculated
    $663,606
    From this org
    $0
    From related orgs
    $596,698
    Other
    $66,908
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,714 related
    Bonus
    $0 + $90,204 related
    Other
    $0 + $70,780 related
    Deferred
    $0 + $32,135 related
    Nontaxable benefits
    $0 + $34,773 related
    Filer's total
    $0 + $663,606 related
  • Walter William Austin Jr

    EVP, CFO & TREASURER

    Total calculated
    $892,230
    From this org
    $0
    From related orgs
    $858,861
    Other
    $33,369
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $599,847 related
    Bonus
    $0 + $149,719 related
    Other
    $0 + $109,296 related
    Deferred
    $0 + $14,350 related
    Nontaxable benefits
    $0 + $19,019 related
    Filer's total
    $0 + $892,230 related
  • Barbara Labonte

    Associate Vice President Budget Tax & Reimbursement

    Total calculated
    $331,893
    From this org
    $0
    From related orgs
    $277,205
    Other
    $54,688
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $223,916 related
    Bonus
    $0 + $41,017 related
    Other
    $0 + $12,272 related
    Deferred
    $0 + $27,092 related
    Nontaxable benefits
    $0 + $27,596 related
    Filer's total
    $0 + $331,893 related
  • David F Jones MD

    CMO, RSMH/Physician Specialty

    Total calculated
    $464,414
    From this org
    $0
    From related orgs
    $425,390
    Other
    $39,024
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,932 related
    Bonus
    $0 + $38,595 related
    Other
    $0 + $212,864 related
    Deferred
    $0 + $19,882 related
    Nontaxable benefits
    $0 + $19,142 related
    Filer's total
    $0 + $464,414 related
  • Deborah Lynn Brown

    CNO, RSMH

    Total calculated
    $222,461
    From this org
    $211,737
    From related orgs
    $0
    Other
    $10,724
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,546
    Bonus
    $32,326
    Other
    $1,865
    Deferred
    $9,068
    Nontaxable benefits
    $1,656
    Filer's total
    $222,461
  • Jason Villaflor

    Associate Vice President LLH

    Total calculated
    $295,700
    From this org
    $0
    From related orgs
    $244,413
    Other
    $51,287
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,983 related
    Bonus
    $0 + $31,878 related
    Other
    $0 + $21,551 related
    Deferred
    $0 + $9,269 related
    Nontaxable benefits
    $0 + $42,018 related
    Filer's total
    $0 + $295,700 related
  • Jefferson E Moulds MD

    MEDICAL STAFF PRESIDENT/Physician Specialty

    Total calculated
    $215,245
    From this org
    $0
    From related orgs
    $187,452
    Other
    $27,793
    Hours/week
    1 + 15.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $171,151 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $1,301 related
    Deferred
    $0 + $10,639 related
    Nontaxable benefits
    $0 + $17,153 related
    Filer's total
    $0 + $215,245 related
  • Linda Mckee

    Associate Vice President Service Line

    Total calculated
    $285,193
    From this org
    $0
    From related orgs
    $262,925
    Other
    $22,268
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,260 related
    Bonus
    $0 + $37,263 related
    Other
    $0 + $12,401 related
    Deferred
    $0 + $11,861 related
    Nontaxable benefits
    $0 + $10,407 related
    Filer's total
    $0 + $285,193 related
  • Olukemi Olatunji

    Pharmacy Senior Director

    Total calculated
    $266,968
    From this org
    $0
    From related orgs
    $244,080
    Other
    $22,888
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $212,620 related
    Bonus
    $0 + $30,950 related
    Other
    $0 + $510 related
    Deferred
    $0 + $7,994 related
    Nontaxable benefits
    $0 + $14,893 related
    Filer's total
    $0 + $266,968 related
  • Chad Harte

    Pharmacist Shore

    Total calculated
    $203,271
    From this org
    $156,066
    From related orgs
    $0
    Other
    $47,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,565
    Bonus
    $9,209
    Other
    $292
    Deferred
    $3,176
    Nontaxable benefits
    $44,029
    Filer's total
    $203,272
  • John Patterson

    Pharmacist Shore

    Total calculated
    $232,383
    From this org
    $183,190
    From related orgs
    $0
    Other
    $49,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,938
    Bonus
    $4,633
    Other
    $1,619
    Deferred
    $38,846
    Nontaxable benefits
    $10,346
    Filer's total
    $232,383
  • Kristie Finney

    Quality & Lab Senior Director Shore

    Total calculated
    $221,016
    From this org
    $171,842
    From related orgs
    $0
    Other
    $49,174
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,846
    Bonus
    $35,181
    Other
    $815
    Deferred
    $26,531
    Nontaxable benefits
    $22,644
    Filer's total
    $221,016
  • Lynette Patterson

    Pharmacist Shore

    Total calculated
    $213,460
    From this org
    $171,010
    From related orgs
    $0
    Other
    $42,450
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,749
    Bonus
    $4,642
    Other
    $1,619
    Deferred
    $33,039
    Nontaxable benefits
    $9,411
    Filer's total
    $213,460
  • Patricia Brady

    Pharmacist Shore

    Total calculated
    $204,121
    From this org
    $155,636
    From related orgs
    $0
    Other
    $48,485
    Hours/week
    37

    Schedule J breakdown matched by us

    Base
    $151,144
    Bonus
    $1,891
    Other
    $2,601
    Deferred
    $28,597
    Nontaxable benefits
    $19,888
    Filer's total
    $204,120
  • John Paul Peterman

    FORMER Board Member/PRESIDENT, RSMH/Hospital Chief Operating Officer/VP

    Total calculated
    $509,204
    From this org
    $0
    From related orgs
    $469,962
    Other
    $39,242
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $340,129 related
    Bonus
    $0 + $72,600 related
    Other
    $0 + $57,234 related
    Deferred
    $0 + $28,411 related
    Nontaxable benefits
    $0 + $10,831 related
    Filer's total
    $0 + $509,205 related
  • Scott W Hines MD

    FORMER MEDICAL STAFF PRESIDENT/Physician Emergency Room RRMC

    Total calculated
    $445,359
    From this org
    $0
    From related orgs
    $429,447
    Other
    $15,912
    Hours/week
    0 + 32.4 related

    Schedule J breakdown matched by us

    Base
    $0 + $333,515 related
    Bonus
    $0 + $13,186 related
    Other
    $0 + $82,746 related
    Deferred
    $0 + $14,350 related
    Nontaxable benefits
    $0 + $1,562 related
    Filer's total
    $0 + $445,358 related
  • Vincent Stravino

    FORMER SHS PRESIDENT, MEDICAL STAFF/Physician Hospitalist

    Total calculated
    $476,838
    From this org
    $0
    From related orgs
    $410,296
    Other
    $66,542
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,496 related
    Bonus
    $0 + $27,388 related
    Other
    $0 + $55,413 related
    Deferred
    $0 + $18,357 related
    Nontaxable benefits
    $0 + $48,185 related
    Filer's total
    $0 + $476,839 related
  • William Burns Downey

    FORMER CEO, RHS/Executive Vice Chairman, RHS Board

    Total calculated
    $1,536,392
    From this org
    $0
    From related orgs
    $1,484,410
    Other
    $51,982
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $854,291 related
    Bonus
    $0 + $378,144 related
    Other
    $0 + $251,975 related
    Deferred
    $0 + $34,187 related
    Nontaxable benefits
    $0 + $17,795 related
    Filer's total
    $0 + $1,536,392 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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
JOHN PAUL PETERMAN $41,250 JASON O HOUSER $55,125 MICHAEL J DACEY MD $206,850 NICOLAS CHUQUIN $26,126 WALTER WILLIAM AUSTIN JR $86,504 WILLIAM BURNS DOWNEY $220,584 TOTAL $636,439 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • AT HOME PARTNERS

    N/A · MANAGEMENT · VA

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • RHS MEDINSUR LTD

    C Corporation · INSURANCE · BD

    Directly controlled by NA

  • RIVERSIDE MEDICAL EQUIPMENT COMPANY INC

    C Corporation · BILLING · VA

    Directly controlled by NA

  • PENINSULA HOSPITAL SERVICES INC

    C Corporation · Laundry · VA

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423199349311922

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