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Nonprofiteer
← SHORE HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by SHORE HEALTH SERVICES INC.

Totals

Total revenue
$106,944,166
Total expenses
$92,780,721
Contributions and grants received
$793,396
Grants paid
$13,513
Program service revenue
$105,858,889
Investment income
-$11,967
Other revenue
$303,848
Total assets, end of year
$77,194,218
Total liabilities, end of year
$21,529,751
Net assets or fund balances, end of year
$55,664,467
Program services expenses (Part IX)
$81,477,180
Management and general expenses
$11,303,541
Fundraising expenses
$0
Program service expenses (Part III)
$81,477,180

Program services were 87.8% 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

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $793,396

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: PATIENT REVENUE

    total $101,998,920 · related or exempt $101,998,920

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

    total $1,282,678 · related or exempt $1,282,678

  • 2c · Program service revenue: PHARMACY SALES

    total $2,564,524 · related or exempt $2,564,524

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

    total $12,767 · related or exempt $12,767

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $9,162 · excluded $9,162

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $27,582

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

    other assets $48,711

  • 7c · Gain or loss

    securities $0 · other assets -$21,129

  • 7d · Net gain or loss

    total -$21,129 · excluded -$21,129

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $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 $303,482 · excluded $303,482

  • 11b · Other revenue: ALL OTHER REVENUE

    total $366 · excluded $366

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $303,848

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,944 · program services $2,944

  • 2 · Grants to domestic individuals

    total $10,569 · program services $10,569

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $194,801 · management and general $194,801 · fundraising $0

  • 7 · Other salaries and wages

    total $28,875,468 · program services $27,893,758 · management and general $981,710 · fundraising $0

  • 8 · Pension plan contributions

    total $1,361,801 · program services $1,361,801 · fundraising $0

  • 9 · Other employee benefits

    total $3,942,773 · program services $3,798,355 · management and general $144,418 · fundraising $0

  • 10 · Payroll taxes

    total $2,024,042 · program services $1,959,321 · management and general $64,721 · fundraising $0

  • 11a · Fees: management

    total $2,309,673 · program services $1,381,236 · management and general $928,437 · fundraising $0

  • 11b · Fees: legal

    total $5,080 · program services $5,080 · fundraising $0

  • 11c · Fees: accounting

    total $419,332 · management and general $419,332 · fundraising $0

  • 11g · Fees: other

    total $5,115,541 · program services $4,925,824 · management and general $189,717 · fundraising $0

  • 12 · Advertising and promotion

    total $345,657 · program services $7,712 · management and general $337,945 · fundraising $0

  • 13 · Office expenses

    total $492,401 · program services $425,412 · management and general $66,989 · fundraising $0

  • 14 · Information technology

    total $2,234,159 · program services $216,926 · management and general $2,017,233 · fundraising $0

  • 16 · Occupancy

    total $5,725,012 · program services $5,253,998 · management and general $471,014 · fundraising $0

  • 17 · Travel

    total $295,671 · program services $290,198 · management and general $5,473 · fundraising $0

  • 20 · Interest

    total $49 · program services $49

  • 21 · Payments to affiliates

    total $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $6,036,994 · program services $5,908,466 · management and general $128,528

  • 23 · Insurance

    total $635,023 · management and general $635,023

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $16,496,885 · program services $16,273,229 · management and general $223,656

  • 24b · Other expenses: SERVICES FROM AFFILIATES

    total $10,129,435 · program services $5,635,953 · management and general $4,493,482

  • 24c · Other expenses: BAD DEBT

    total $1,429,251 · program services $1,429,251

  • 24d · Other expenses: MEDICAID ASSESSMENT

    total $4,305,618 · program services $4,305,618

  • 24e · All other expenses

    total $392,542 · program services $391,480 · management and general $1,062 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,118 · end of year $3,405

  • 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 $13,905,329 · end of year $17,749,657

  • 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 $1,228,485 · end of year $1,545,071

  • 9 · Prepaid expenses and deferred charges

    beginning of year $676,710 · end of year $1,609,681

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

    $134,366,588

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

    $78,855,814

  • 10c · Land, buildings and equipment, net

    beginning of year $57,600,450 · end of year $55,510,774

  • 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 $0 · end of year $775,630

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,250,937 · end of year $6,003,637

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $3,745,966 · 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 $12,916,167 · end of year $15,525,659

  • 27 · Net assets without donor restrictions

    beginning of year $40,689,849 · end of year $54,853,294

  • 28 · Net assets with donor restrictions

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

Mission and programs · 2022

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 2022 WAS 172,534 AND THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS WERE $14,708,232.

    Expenses $81,477,180 · Grants $13,513 · Revenue $105,858,889

As filed on the 2022 return.

Listed in Part VII

  • Julie M Badger

    VICE CHAIRMAN

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

    Board Member/PRESIDENT/COO, RHS

    Total calculated
    $1,106,101
    From this org
    $0
    From related orgs
    $1,084,156
    Other
    $21,945
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $774,298 related
    Bonus
    $0 + $178,746 related
    Other
    $0 + $131,112 related
    Deferred
    $0 + $12,770 related
    Nontaxable benefits
    $0 + $9,175 related
    Filer's total
    $0 + $1,106,100 related
  • Nicolas Chuquin

    Board Member/HOSPITAL PRESIDENT

    Total calculated
    $302,365
    From this org
    $0
    From related orgs
    $280,118
    Other
    $22,247
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $206,533 related
    Bonus
    $0 + $51,351 related
    Other
    $0 + $22,234 related
    Deferred
    $0 + $7,756 related
    Nontaxable benefits
    $0 + $14,491 related
    Filer's total
    $0 + $302,365 related
  • Robert D Crockett

    CHAIRMAN

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

    BOARD MEMBER

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

    BOARD MEMBER

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

    BOARD MEMBER

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

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Laura Kerbin

    BOARD MEMBER

    Total calculated
    $457,791
    From this org
    $0
    From related orgs
    $407,198
    Other
    $50,593
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,816 related
    Bonus
    $0 + $12,217 related
    Other
    $0 + $55,165 related
    Deferred
    $0 + $29,435 related
    Nontaxable benefits
    $0 + $21,158 related
    Filer's total
    $0 + $457,791 related
  • Rhonda Hall

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Richard H Freeman

    BOARD MEMBER

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

    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
    $663,264
    From this org
    $0
    From related orgs
    $577,876
    Other
    $85,388
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,484 related
    Bonus
    $0 + $122,602 related
    Other
    $0 + $61,790 related
    Deferred
    $0 + $43,588 related
    Nontaxable benefits
    $0 + $41,800 related
    Filer's total
    $0 + $663,264 related
  • Walter William Austin Jr

    EVP, CFO & TREASURER

    Total calculated
    $852,075
    From this org
    $0
    From related orgs
    $814,415
    Other
    $37,660
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $549,593 related
    Bonus
    $0 + $162,881 related
    Other
    $0 + $101,941 related
    Deferred
    $0 + $13,425 related
    Nontaxable benefits
    $0 + $24,235 related
    Filer's total
    $0 + $852,075 related
  • William Burns Downey

    CEO, RHS

    Total calculated
    $1,665,341
    From this org
    $0
    From related orgs
    $1,596,820
    Other
    $68,521
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,047,196 related
    Bonus
    $0 + $311,888 related
    Other
    $0 + $237,736 related
    Deferred
    $0 + $41,895 related
    Nontaxable benefits
    $0 + $26,626 related
    Filer's total
    $0 + $1,665,340 related
  • Barbara Labonte

    SHS-Associate Vice President Budget Tax & Reimbursement

    Total calculated
    $356,444
    From this org
    $0
    From related orgs
    $304,303
    Other
    $52,141
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $220,428 related
    Bonus
    $0 + $72,206 related
    Other
    $0 + $11,669 related
    Deferred
    $0 + $33,913 related
    Nontaxable benefits
    $0 + $18,228 related
    Filer's total
    $0 + $356,445 related
  • David F Jones MD

    SHS-CMO, RSMH

    Total calculated
    $438,212
    From this org
    $0
    From related orgs
    $396,556
    Other
    $41,656
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,960 related
    Bonus
    $0 + $67,167 related
    Other
    $0 + $147,429 related
    Deferred
    $0 + $24,318 related
    Nontaxable benefits
    $0 + $17,338 related
    Filer's total
    $0 + $438,212 related
  • Deborah L Brown

    SHS-CNO, RSMH

    Total calculated
    $194,802
    From this org
    $186,226
    From related orgs
    $0
    Other
    $8,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,491
    Bonus
    $22,092
    Other
    $1,643
    Deferred
    $7,315
    Nontaxable benefits
    $1,260
    Filer's total
    $194,802
  • Jefferson Moulds

    SHS-MEDICAL STAFF PRESIDENT

    Total calculated
    $480,853
    From this org
    $0
    From related orgs
    $432,609
    Other
    $48,244
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,711 related
    Bonus
    $0 + $12,500 related
    Other
    $0 + $5,397 related
    Deferred
    $0 + $13,425 related
    Nontaxable benefits
    $0 + $34,819 related
    Filer's total
    $0 + $480,853 related
  • Linda Mckee

    SHS-Associate Vice President Service Line

    Total calculated
    $279,979
    From this org
    $0
    From related orgs
    $259,929
    Other
    $20,050
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $205,121 related
    Bonus
    $0 + $44,064 related
    Other
    $0 + $10,745 related
    Deferred
    $0 + $10,859 related
    Nontaxable benefits
    $0 + $9,192 related
    Filer's total
    $0 + $279,980 related
  • Olukemi Olatunji

    SHS-Pharmacy Senior Director

    Total calculated
    $226,662
    From this org
    $0
    From related orgs
    $218,533
    Other
    $8,129
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $200,493 related
    Bonus
    $0 + $17,627 related
    Other
    $0 + $413 related
    Deferred
    $0 + $7,661 related
    Nontaxable benefits
    $0 + $469 related
    Filer's total
    $0 + $226,662 related
  • Chad Harte

    Pharmacist Shore

    Total calculated
    $189,351
    From this org
    $146,427
    From related orgs
    $0
    Other
    $42,924
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,733
    Bonus
    $9,501
    Other
    $194
    Deferred
    $2,740
    Nontaxable benefits
    $40,184
    Filer's total
    $189,351
  • John Patterson

    Pharmacist Shore

    Total calculated
    $237,261
    From this org
    $185,507
    From related orgs
    $0
    Other
    $51,754
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,252
    Bonus
    $3,707
    Other
    $1,548
    Deferred
    $42,612
    Nontaxable benefits
    $9,142
    Filer's total
    $237,261
  • Kristie Finney

    Quality & Lab Senior Director Shore

    Total calculated
    $216,313
    From this org
    $162,132
    From related orgs
    $0
    Other
    $54,181
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,936
    Bonus
    $23,756
    Other
    $439
    Deferred
    $35,992
    Nontaxable benefits
    $18,189
    Filer's total
    $216,312
  • Lynette Patterson

    Pharmacist Shore

    Total calculated
    $214,290
    From this org
    $169,804
    From related orgs
    $0
    Other
    $44,486
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,551
    Bonus
    $3,698
    Other
    $1,556
    Deferred
    $36,279
    Nontaxable benefits
    $8,207
    Filer's total
    $214,290
  • Patricia Brady

    Pharmacist Shore

    Total calculated
    $209,159
    From this org
    $149,282
    From related orgs
    $0
    Other
    $59,877
    Hours/week
    36.4

    Schedule J breakdown matched by us

    Base
    $139,488
    Bonus
    $7,194
    Other
    $2,601
    Deferred
    $40,090
    Nontaxable benefits
    $19,787
    Filer's total
    $209,159
  • John P Peterman

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

    Total calculated
    $513,621
    From this org
    $0
    From related orgs
    $466,888
    Other
    $46,733
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,113 related
    Bonus
    $0 + $87,205 related
    Other
    $0 + $52,570 related
    Deferred
    $0 + $35,435 related
    Nontaxable benefits
    $0 + $11,298 related
    Filer's total
    $0 + $513,621 related
  • Scott Hines

    FORMER MEDICAL STAFF PRESIDENT/Physician Emergency Room 30

    Total calculated
    $541,363
    From this org
    $0
    From related orgs
    $526,195
    Other
    $15,168
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $402,564 related
    Bonus
    $0
    Other
    $0 + $123,631 related
    Deferred
    $0 + $13,425 related
    Nontaxable benefits
    $0 + $1,743 related
    Filer's total
    $0 + $541,363 related
  • Vincent Stravino

    FORMER PRESIDENT, MEDICAL STAFF/Physician Hospitalist

    Total calculated
    $530,807
    From this org
    $0
    From related orgs
    $471,203
    Other
    $59,604
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $380,706 related
    Bonus
    $0 + $29,813 related
    Other
    $0 + $60,684 related
    Deferred
    $0 + $16,903 related
    Nontaxable benefits
    $0 + $42,702 related
    Filer's total
    $0 + $530,807 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 $37,500 JASON O HOUSER $48,186 MICHAEL DACEY MD $111,540 NICOLAS CHUQUIN $10,049 WALTER WILLIAM AUSTIN JR $82,369 WILLIAM BURNS DOWNEY $212,100 TOTAL $501,744 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.

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.

  • PENINSULA HOSPITAL SERVICES

    C Corporation · LAUNDRY · VA

    Directly controlled by na

  • RHS MEDINSUR LTD

    C Corporation · INSURANCE · BD

    Directly controlled by na

  • RIVERSIDE MEDICAL EQUIPMENT COMPANY INC

    C Corporation · BILLING · VA

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202343189349319074

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