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RIVERSIDE SENIOR LIVING CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE SENIOR LIVING CENTER (EIN 36-3670744)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202433179349307258
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-12T14:34:06+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 East Randolph Drive Suite 5500AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606016436ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363670744EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverside Senior Living CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIVEBusinessNameControlTxt
Phone8159331671PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N WALL STREETAddressLine1Txt
CityKANKAKEECityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRich SchiltzPersonNm
Person TitleDirector of FinancePersonTitleTxt
Phone8159358160PhoneNum
Signature2024-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZELJKO POPOVICPreparerPersonNm
PTINP01795951PTIN
Phone3126651000PhoneNum
Preparation2024-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Phillip KambicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1Txt
CityKankakeeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,798,952GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.riversidehealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionRiverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee485TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$56,580CYContributionsGrantsAmt
PY Program Service Revenue$24,288,772PYProgramServiceRevenueAmt
CY Program Service Revenue$26,912,188CYProgramServiceRevenueAmt
PY Investment Income$282,478PYInvestmentIncomeAmt
CY Investment Income$615,657CYInvestmentIncomeAmt
PY Other Revenue$305,173PYOtherRevenueAmt
CY Other Revenue$15,286CYOtherRevenueAmt
PY Total Revenue$24,876,423PYTotalRevenueAmt
CY Total Revenue$27,599,711CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,718,517PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,959,999CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,126,372PYOtherExpensesAmt
CY Other Expenses$12,178,343CYOtherExpensesAmt
PY Total Expenses$26,844,889PYTotalExpensesAmt
CY Total Expenses$27,138,342CYTotalExpensesAmt
PY Revenues Less Expenses-$1,968,466PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$461,369CYRevenuesLessExpensesAmt
Total Assets BOY$70,132,858TotalAssetsBOYAmt
Total Assets EOY$71,341,144TotalAssetsEOYAmt
Total Liabilities BOY$43,666,104TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,825,848TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,466,754NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,515,296NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRiverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,758,638ExpenseAmt
Revenue$12,089,165RevenueAmt
DescRIVERSIDE SENIOR LIVING CENTER OPERATES MILLER NURSING HOME, A LONG-TERM CARE DIVISION THAT PROVIDES INTERMEDIATE, SKILLED AND SUB-ACUTE LEVELS OF CARE. SERVICES PROVIDED ARE OVERSEEN BY THE ADMINISTRATOR AND THE DIRECTOR OF NURSING. IN ADDITION TO PROVIDING SKILLED NURSING SERVICES, THE FACILITY ALSO PROVIDES AN ARRAY OF PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY FOR THE RESIDENTS OF THE FACILITY. A MULTITUDE OF OTHER SERVICES AVAILABLE ARE PROVIDED THROUGH A CONTRACTUAL AGREEMENT WITH OTHER PROVIDERS (I.E. PODIATRIST, DENTAL SERVICES, PHARMACEUTICALS AND OPTOMETRY). THIS DIVISION IS LICENSED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND IS CERTIFIED FOR MEDICARE AND MEDICAID RECIPIENTS. DURING THE YEAR 2023, THIS FACILITY PROVIDED APPROXIMATELY 31,375 RESIDENT CARE DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,221,766ExpenseAmt
Revenue$10,488,844RevenueAmt
DescRIVERSIDE SENIOR LIVING CENTER OPERATES AN ASSISTED LIVING COMMUNITY DESIGNED TO PROVIDE QUALITY CARE AND HOUSING OF THOSE NOT ABLE TO LIVE INDEPENDENTLY. ALL THE SAME SERVICES THAT INDEPENDENT LIVING RESIDENTS RECEIVE ARE ALSO AVAILABLE TO THOSE IN THE ASSISTED LIVING COMMUNITY. THE RESIDENTS OF THE ASSISTED LIVING COMMUNITY ALSO RECEIVE THREE MEALS DAILY AND ASSISTANCE WITH CERTAIN LIVING ACTIVITIES AS THE INDIVIDUAL RESIDENT MAY REQUEST. IN 2023, APPROXIMATELY 141 OF THE 176 UNITS WERE OCCUPIED FOR THE ENTIRE YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,982,144ExpenseAmt
Revenue$4,134,379RevenueAmt
DescRIVERSIDE SENIOR LIVING CENTER OPERATES AN INDEPENDENT LIVING RETIREMENT COMMUNITY DESIGNED TO PROVIDE HOUSING IN THE FORM OF EITHER AN APARTMENT OR A HOUSE. A VARIETY OF SERVICES ARE OFFERED FOR RESIDENTS INCLUDING HOUSEKEEPING, UTILITIES, MAINTENANCE, TRANSPORTATION, SECURITY MONITORING, A 24-HR CALL SYSTEM, A FULL ARRAY OF RECREATIONAL SOCIAL PROGRAMS, LAWN CARE AND SNOW REMOVAL. THERE ARE APPROXIMATELY 90 INDEPENDENT LIVING UNITS OF WHICH APPROXIMATELY 60 WERE OCCUPIED THE ENTIRE YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$199,800RevenueAmt
DescCommunity Fees and Activity FeesDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$199,800TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$23,962,548TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee485EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICH SCHILTZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159357256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N WALL STREETAddressLine1Txt
CityKANKAKEECityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bruce Payne
Chairman1.02.0Yes (X)Yes (X)$0$0$0
David Tyson
Vice Chairman1.01.0Yes (X)Yes (X)$0$0$0
Linda Mitchell EdD
Secretary1.00Yes (X)Yes (X)$0$0$0
Phil Kambic
President/CEO1.043.0Yes (X)Yes (X)$0$1,111,991$496,640
Jeff Bennett
Director1.00Yes (X)$0$0$0
Jeffrey Hammes
Director1.00Yes (X)$0$0$0
Jerry Hoeksta
Director1.00Yes (X)$0$0$0
Maggie Frogge
Director1.00Yes (X)$0$0$0
Michael O'Gorman
Director1.00Yes (X)$0$0$0
Norman Strasma
Director1.00Yes (X)$0$0$0
Ritu Chandan
Director/Physician1.00.0Yes (X)$0$343,946$23,159
Yvonne Christian-Williams
Director1.00Yes (X)$0$0$0
Patricia K Vilt
Treasurer/CFO1.043.0Yes (X)$0$473,551$60,367
Rebecca Schiltz
VP of Post Acute Care20.020.0$0$221,684$47,789Yes (X)
Benjamin March
Executive Director40.00$124,410$0$21,501Yes (X)
Jill Randles
MDS Coordinator40.00$115,290$0$30,565Yes (X)
Lorely M Mccord
LPN40.00$114,905$0$2,929Yes (X)
Roxanne Fear
Administrator40.00$134,833$0$3,271Yes (X)
Stephanie Hofer
MDS Coordinator40.00.0$123,688$0$22,490Yes (X)
Bill Douglas
Former Officer0.040.0$0$179,452$55,904Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$613,126TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,330,624TotReportableCompRltdOrgAmt
Total Other Compensation$764,616TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FUNCTIONAL PATHWAYS
10133 SHERRILL BLVDSUITE 200KNOXVILLETN37932THERAPY SERVICES$930,377
MORRISON HEALTHCARE
400 Northbridge Rd600AtlantaGA30350Food Services$902,753
Glade Plumbing & Heating
211 West Water StreetKankakeeIL60901Plumbing & Heating$143,826
Pointclickcare technologies Inc
PO Box 674802DetroitMI482674802Information Technology$112,578
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$56,580RelatedOrganizationsAmt
Total Contributions$56,580TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623110$11,903,938$11,903,938
RENTAL - ASSISTED LIVING623312$11,841,893$11,841,893
RENTAL - INDEPENDENT LIVING623311$2,974,530$2,974,530
Community & Activity Fees623110$191,827$191,827

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$26,912,188TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,206,756TotalRevenueColumnAmt
Exclusion$1,206,756ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,608,142SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,199,241SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$591,099SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$591,099TotalRevenueColumnAmt
Exclusion-$591,099ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMEALS & DIETARYDesc
Business722514BusinessCd
Total Revenue Column$15,286TotalRevenueColumnAmt
Exclusion$15,286ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,286OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,599,711TotalRevenueColumnAmt
Related Or Exempt Func Income$26,912,188RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$630,943ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,460,014TotalAmt
Program Services$11,430,676ProgramServicesAmt
Management And General$1,029,338ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$340,045TotalAmt
Program Services$311,953ProgramServicesAmt
Management And General$28,092ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,304,315TotalAmt
Program Services$1,196,564ProgramServicesAmt
Management And General$107,751ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$855,625TotalAmt
Program Services$784,941ProgramServicesAmt
Management And General$70,684ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$67,659TotalAmt
Management And General$67,659ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,688,922TotalAmt
Program Services$3,379,735ProgramServicesAmt
Management And General$309,187ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$93,471TotalAmt
Program Services$93,471ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,332TotalAmt
Program Services$3,332ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,051,025TotalAmt
Program Services$1,051,025ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$638,485TotalAmt
Program Services$500,008ProgramServicesAmt
Management And General$138,477ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,345,521TotalAmt
Program Services$2,345,521ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$386,034TotalAmt
Program Services$71,532ProgramServicesAmt
Management And General$314,502ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TAXES$1,180,358$292,500$887,858
FOOD$1,175,334$1,175,334
SUPPLIES$867,564$825,997$41,567
EQUIPMENT$356,983$346,222$10,761

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$323,655TotalAmt
Program Services$153,737ProgramServicesAmt
Management And General$169,918ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,138,342TotalAmt
Program Services$23,962,548ProgramServicesAmt
Management And General$3,175,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,593,999BOYAmt
EOY$3,508,740EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$364,318EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,195,628BOYAmt
EOY$1,624,171EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$71,954BOYAmt
EOY$50,472EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$65,707BOYAmt
EOY$76,810EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,176,319LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,253,290LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,258,839BOYAmt
EOY$30,923,029EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,899,768BOYAmt
EOY$30,870,968EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,046,963BOYAmt
EOY$3,922,636EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$70,132,858BOYAmt
EOY$71,341,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,976,209BOYAmt
EOY$21,754,654EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$255,517EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,408,915BOYAmt
EOY$15,875,028EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,280,980BOYAmt
EOY$3,940,649EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,666,104BOYAmt
EOY$41,825,848EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,264,104BOYAmt
EOY$29,276,876EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$202,650BOYAmt
EOY$238,420EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,466,754BOYAmt
EOY$29,515,296EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,132,858BOYAmt
EOY$71,341,144EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$461,369ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,587,173NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$0TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$56,580CurrentTaxYearAmt
Total$56,580TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,050,877CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,191,264CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,462,152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,584,681CurrentTaxYearMinus1YearAmt
Current Tax Year$26,912,188CurrentTaxYearAmt
Total$129,201,162TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,050,877CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,191,264CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,462,152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,584,681CurrentTaxYearMinus1YearAmt
Current Tax Year$26,968,768CurrentTaxYearAmt
Total$129,257,742TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$129,257,742PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$881,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$812,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$965,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$952,185CurrentTaxYearMinus1YearAmt
Current Tax Year$1,206,756CurrentTaxYearAmt
Total$4,817,361TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$881,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$812,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$965,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$952,185CurrentTaxYearMinus1YearAmt
Current Tax Year$1,206,756CurrentTaxYearAmt
Total$4,817,361TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,627CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,740CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,264CurrentTaxYearMinus1YearAmt
Current Tax Year$15,286CurrentTaxYearAmt
Total$60,812TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,956,529CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,011,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,431,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,546,130CurrentTaxYearMinus1YearAmt
Current Tax Year$28,190,810CurrentTaxYearAmt
Total$134,135,915TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9636PublicSupportCY509Pct
Public Support PY5090.9662PublicSupportPY509Pct
Investment Income CY0.04InvestmentIncomeCYPct
Investment Income PY0.03InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - MEALS & DIETARY, COLUMN A - 24627.0, COLUMN B - 7895.0, COLUMN C - 3740.0, COLUMN D - 9264.0, COLUMN E - 15286.0, COLUMN F - 60812.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,638OtherCostOrOtherBasisAmt
Book Value$95,638BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,773,790OtherCostOrOtherBasisAmt
Depreciation$31,033,967DepreciationAmt
Book Value$27,739,823BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,306,891OtherCostOrOtherBasisAmt
Depreciation$13,219,323DepreciationAmt
Book Value$3,087,568BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,923,029TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$989,130
DEPOSITS UNDER RESIDENCY AGREEMENTS$2,933,506
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,922,636TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OTHER LIABILITIES
CURRENT PORTION OF LONG-TERM DEBT$841,461
DEPOSITS UNDER RESIDENCY AGREEMENTS$2,933,506
INTEREST PAYABLE$165,682
FieldValueIRS element (for citing)
Total Liability$3,940,649TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationRHS and its obligated affiliates account for uncertain tax positions in accordance with ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the special purpose combined financial statements. Under ASC Subtopic 740-10, RHS and its obligated affiliates must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the special purpose combined financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. RHS and its obligated affiliates do not have a liability for unrecognized tax benefits. RHS and its obligated affiliates are separate not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Phil Kambic
President/CEO$0$845,670$0$0$0$266,321$0$471,624$0$25,016$0$1,608,631$0$211,933
Ritu Chandan
Director/Physician$0$245,078$0$60,908$0$37,960$0$10,000$0$13,159$0$367,105$0$0
Patricia K Vilt
Treasurer/CFO$0$408,346$0$0$0$65,205$0$36,056$0$24,311$0$533,918$0$50,291
Bill Douglas
Former Officer$0$132,451$0$46,481$0$520$0$31,387$0$24,517$0$235,356$0$46,481
Rebecca Schiltz
VP of Post Acute Care$0$216,302$0$0$0$5,382$0$13,501$0$34,289$0$269,474$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationtHE ORGANIZATION RELIED ON RIVERSIDE MEDICAL CENTER, A RELATED TAX- EXEMPT ORGANIZATION, TO ESTABLISH AND PAY COMPENSATION OF THE ORGANIZATION'S CEO. RIVERSIDE MEDICAL CENTER USED THE FOLLOWING TO ESTABLISH REASONABLE COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPARABILITY DATA AND REQUIRED APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. Total contributions to the plan for the year ended December 31, 2023 are as follows: Phillip Kambic - $429,324; Patricia Vilt - $17,756. Amounts included in income for this plan for the year ended December 31, 2023, were as follows: Phillip Kambic - $211,933, Patricia Vilt - $50,291, Bill Douglas - $46,481.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ including grants of $)(Revenue $ 199,800) Community Fees and Activity Fees
Form 990, Part VI, Line 15 USED TO ESTABLISH COMPENSATIONThe organization does not compensate its top management official or any other officers/key employees. All are compensated by Riverside Medical Center, a related tax exempt organization. Form 990, Part VI, Lines 15a and 15b have been answered no, in accordance with the instructions to the Form 990.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe sole corporate member of Riverside Senior Living Center is Riverside Health System, a related tax exempt organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAs the sole corporate member, Riverside Health System has the authority to appoint or remove members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe power and authority of the Member concerning the affairs of the Corporation shall consist of those reserved powers as set forth in this Section. The Corporation may, at its option, initiate or make recommendations to the Member with respect to any of the following matters: (a) Elect and remove, with or without cause, the Directors of the Corporation; (b) Elect and remove the president of the Corporation; (c) Adopt, amend, restate or repeal the Articles of Incorporation and Bylaws of the Corporation; (d) Authorize the Corporation to engage in, or enter into any transaction providing for the sale, lease, exchange or other disposition of assets of the Corporation outside the Riverside Health System d/b/a Riverside Healthcare corporate structure in excess of five percent (5%) of its assets, as defined in the Corporate bond indenture, in any twelve (12) month period; (e) Adopt a plan of dissolution or liquidation of the Corporation and distribution of its assets; (f) Adopt a plan of merger, consolidation or corporate reorganization involving the Corporation other than in the ordinary course of health care operations; (g) Authorize any transaction which would result in a change in ownership or control of the Corporation; (h) Approve the appointment of an independent auditor or the adoption of accounting policies and investment guidelines; (i) Adopt capital and operating budgets of the Corporation; (j) Adopt and execute a strategic plan of the Corporation; (k) Incur indebtedness in excess of the limits established by the Member from time to time; (l) Authorize the Corporation to make loans in excess of the limits established by the Member from time to time; (m) Authorize any capital expenditures in excess of limits established by the Member from time to time; (n) Authorize any donation of assets of the Corporation in excess of limits established by the Member from time to time; (o) Authorize the sale, transfer, encumbrance or otherwise dispose of any real property or interest therein or the purchase of any real estate; (p) Organize or acquire, or authorize the organization or acquisition of any subsidiary or affiliate of the Corporation ("affiliate" shall include any corporation, association, partnership, trust, joint venture, or other entity directly or indirectly controlling, controlled by, or under common control with the Corporation); (q) Approve any policy by the Corporation or any action taken by the Corporation as to initiation, defense, or settlement of legal or administrative actions in excess of such amounts as shall be established pursuant to corporate policy; (r) Modify compensation and benefit policies, with the exception of those involving the president/chief executive officer, which are solely the responsibility of the Member's executive committee.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe form 990 is reviewed in detail by the organization's management. Subsequent to this review, the form 990 is supplied to all board members prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyThe conflict of interest questionnaires are mailed to all board members, officers and key employees (as applicable) annually. Each member must read and sign the form to disclose any potential conflicts for the year. If a conflict arises with a board member, the board member is made aware that they must abstain from voting on any issue related to the conflict. The process is monitored by the assistant to the CEO of Riverside Medical Center.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.
Form 990, Part IX, Line 11g Other FeesOTHER PROFESSIONAL SERVICES - Total Expense: 3688922, Program Service Expense: 3379735, Management and General Expenses: 309187, Fundraising Expenses: ;
Form 990, Part X, Line 20 TAX-EXEMPT BONDSRiverside Senior Living Center is part of an obligated group that has been issued various tax exempt bonds since December 2002. The liabilities reported on the organization's balance sheet have been allocated specifically to this organization but the Schedule K is filed by the sole corporate member, Riverside Medical Center, a related tax exempt organization.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RIVERSIDE HEALTH SYSTEM
350 N WALL STREETKANKAKEEIL60901363167726PARENTIL501(c)(3)Type III-FINAfalse
RIVERSIDE MEDICAL CENTER
350 N WALL STREETKANKAKEEIL60901362414944HEALTHCAREIL501(c)(3)3RIVERSIDE HEALTH SYSTEMfalse
OAKSIDE CORPORATION
350 N WALL STREETKANKAKEEIL60901363166804HEALTHCAREIL501(c)(3)Type IRIVERSIDE HEALTH SYSTEMfalse
RIVERSIDE HEALTHCARE FOUNDATION
350 N WALL STREETKANKAKEEIL60901363166033FundraisingIL501(c)(3)7RIVERSIDE HEALTH SYSTEMfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Riverside Ambulatory Surgery CTR LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Riverside DrAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd
FieldValueIRS element (for citing)
EIN320082320EIN
Primary ActivitiesSurgery CenterPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd