2023-11-07T23:31:24+00:00 2022-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2022-01-01 363670744 Riverside Senior Living Center RIVE 8159331671 350 N Wall Street Kankakee IL 60901 phillip kambic president 8159331671 2023-11-07 true Patricia Vilt 999009999 Amy Bellanca P01572961 2147775200 2022 2023-04-26 12:10:37Z Phillip Kambic 350 N Wall Street Kankakee IL 60901 25546130 false X www.riversidehealthcare.org X 1990 IL Riverside 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. 11 9 529 10 0 0 0 0 24194262 24288772 2679322 282478 271630 305173 27145214 24876423 0 0 0 14709300 15718517 0 0 0 10783636 11126372 25492936 26844889 1652278 -1968466 81233643 70132858 49128075 43666104 32105568 26466754 X Riverside 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. false false 11471697 0 10717307 Riverside 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 2022, this facility provided approximately 31,016 resident care days. 9542331 0 9618680 Riverside 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 2022, approximately 132 of the 176 units were occupied for the entire year. 3210596 0 3996619 Riverside 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 61 were occupied the entire year. 0 0 252075 Community Fees & Activity Fees 252075 24224624 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 15 0 true 529 true false false false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true false false false IL X Richard Schiltz 8159357256 350 N Wall Street Kankakee IL 60901 Bruce Payne Chairman 1.0 2.0 X X 0 0 0 David Tyson Vice Chairman 1.0 1.0 X X 0 0 0 Linda Mitchell EdD Secretary 1.0 0 X X 0 0 0 Phillip Kambic President/CEO 1.0 43.0 X X 0 1258830 242843 Bruce Fitzpatrick Director (thru June 2022) 1.0 0 X 0 0 0 David Hegg MD Director 1.0 0 X 0 0 0 Jeff Bennett Director 1.0 0 X 0 0 0 Jerry Hokestra Director 1.0 0 X 0 0 0 Joy Rose Director (thru June 2022) 1.0 0 X 0 0 0 Keith Moss MD Director/CMO (thru April 2022) 1.0 40.0 X 0 393208 33422 Maggie Frogge Director 1.0 0 X 0 0 0 Michael O'Gorman Director 1.0 0 X 0 0 0 Norman Strasma Director 1.0 0 X 0 0 0 Ritu Chandan DO Director 1.0 40.0 X 0 305873 23222 Benjamin March Executive Director (beg. July 2022) 40.0 0 X 69321 0 1561 Pamela Hull Assistant Secretary 1.0 39.0 X 0 101937 26240 Patricia K Vilt Treasurer/CFO 1.0 43.0 X 0 433155 49236 Tom Trovato Executive Director (June 2022) 40.0 0 X 25102 0 4209 Rebecca Schiltz VP of Post Acute Care 20.0 20.0 X 0 252354 45806 Elizabeth Totheroh Administrator 40.0 0 X 139889 0 25182 Melissa Weaver Director of Nursing 40.0 0 X 105319 0 4690 Bill Douglas Former Officer 0.0 40.0 X 0 180463 45311 339631 2925820 501722 0 true true false HealthPRO Heritage 536 Old Howell Road Greenville SC 29615 Therapy Services 547530 Functional Pathways 10133 Sherrill Blvd Suite 200 Knoxville TN 379323347 Therapy Services 354968 Tatro Painting P O Box 432 Clifton IL 60927 Painting Services 303947 R&D Construction 1293 Greenbriar Court Bourbonnais IL 609141137 Construction 294856 Tandem 1552-A Union Road Gastonia NC 28054 Marketing & Sales Services 273809 8 0 Net Patient Service Revenue, Nursing Revenue 623110 10717307 10717307 Rental - Independent Living 623311 3946785 3946785 Rental - Assisted Living 623312 9618680 9618680 Rental - Related Party 531100 6000 6000 0 0 0 0 24288772 952185 952185 0 0 669707 -669707 0 -669707 -669707 Community & Activity Fees 623110 252075 252075 Security Deposits 900099 43834 43834 Meals & Dietary 722514 9264 9264 0 0 0 0 305173 24876423 24584681 0 291742 X 13071782 12059747 1012035 337130 311029 26101 1399869 1291489 108380 909736 839303 70433 89317 89317 3125484 3001114 124370 0 88564 88564 14914 1805 13109 1021053 1021053 40997 30698 10299 675627 675627 2324512 2324512 374479 77024 297455 Food 1024385 1024385 Supplies 968733 968039 694 Equip Rental & Maint 211571 211571 State Taxes 302119 302119 864617 298664 565953 0 26844889 24224624 2620265 0 9108116 1593999 1542443 2195628 0 0 0 0 45690 71954 40374 65707 74710091 42451252 33007819 32258839 32923129 29899768 0 0 4566072 4046963 81233643 70132858 27421233 22976209 17792826 17408915 0 0 3914016 3280980 49128075 43666104 X 31930368 26264104 175200 202650 32105568 26466754 81233643 70132858 X -1968466 -3784275 0 113927 X false true X true false X 0 0 0 0 0 0 27432235 27050877 26191264 24462152 24584681 129721209 0 0 0 27432235 27050877 26191264 24462152 24584681 129721209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129721209 880813 881025 812176 965219 952185 4491418 0 880813 881025 812176 965219 952185 4491418 0 0 24627 7895 3740 9264 45526 28313048 27956529 27011335 25431111 25546130 134258153 0.9662 0.9604 0.03 0.04 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MEALS & DIETARY, COLUMN A - 0.0, COLUMN B - 24627.0, COLUMN C - 7895.0, COLUMN D - 3740.0, COLUMN E - 9264.0, COLUMN F - 45526.0; 95638 95638 58698876 29750110 28948766 15915577 12701142 3214435 32258839 Deposits under residency agreements 3280980 Due from Riverside Healthcare Foundation 765983 DONOR-RESTRICTED INVESTMENTS 4046963 Other Long-Term Liabilities Refundable Advance Residency Fees 3280980 Construction Payables 3280980 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote RHS 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. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods, and requires increased disclosures. 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. false true false false false false false false false Phillip Kambic President/CEO 0 787355 0 187063 0 284412 0 218124 0 24719 0 1501673 0 233482 Ritu Chandan DO Director 0 245086 0 29021 0 31766 0 9969 0 13253 0 329095 0 0 Keith Moss MD Director/CMO (thru April 2022) 0 275499 0 101105 0 16604 0 25794 0 7628 0 426630 0 9849 Bill Douglas Former Officer 0 123656 0 54692 0 2115 0 28534 0 16777 0 225774 0 54692 Patricia K Vilt Treasurer/CFO 0 351424 0 68300 0 13431 0 36056 0 13180 0 482391 0 2167 Rebecca Schiltz VP of Post Acute Care 0 205343 0 42156 0 4855 0 12798 0 33008 0 298160 0 0 Elizabeth Totheroh Administrator 128386 0 11115 0 388 0 5337 0 19845 0 165071 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE 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 plan THE 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, 2022 are as follows: PHILLIP KAMBIC - $179,324 PATRICIA VILT- $17,756 AMOUNTS INCLUDED IN INCOME FOR THIS PLAN for the year ended December 31, 2022, were as follows: PHILLIP KAMBIC - $233,482 BILL DOUGLAS - $54,692 PATRICIA K. VILT - $2,167 Keith Moss, MD - $9,849 Form 990, Part III, Line 4d Description of other program services (Expenses $ 0 including grants of $ 0)(Revenue $ 252,075) Community Fees & Activity Fees Form 990, Part VI, Line 15 Process Used to Establish Compensation The 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 1a Material differences in voting rights The Executive Committee membership will be the Chair of the RHC Board, the Vice Chair of the RHC Board, and 2 members at large from the RHC Board, and Chairman of the Finance Committee. Each Committee member has been determined by the Board not to have a conflict of interest with respect to the compensation transaction(s) to be reviewed. At the start of the year, each member will review the organization's conflict of interest policy to ensure he or she has no conflict of interest. If a real, potential, or perceived conflict of interest is identified, the member will review the issue with the Executive Committee Chair and legal counsel to determine the appropriate action. Except where prohibited by law, the Executive Committee may transact all regular business of the Corporation during the interim between the meetings of the Board of Directors, provided that any action taken shall not conflict with the policies and express wishes of the Board of Directors and it shall report all matters of major importance to the Board. The Committee may also review annually the performance of the president of the Corporation and report to the Board of Directors the conclusions of this report. The Executive Committee, acting in its role as the Executive Compensation Committee and in accordance with the Corporate Bylaws, is authorized to act on the Board's behalf in (i) determining appropriate compensation for RHC executives and other disqualified persons; (ii) evaluating executives other disqualified persons' compensation plans, policies, and programs; (iii) reviewing benefit plans for executives and other disqualified persons; and (iv) verifying that compensation information is appropriately and fully disclosed. In discharging its role, the Executive Committee is empowered to investigate any matter brought to its attention with access to all RHC books, records, facilities, and personnel. It has the authority to retain outside counsel, compensation consultants, and/or other experts and will receive adequate funding from RHC to engage such advisors. It shall have sole authority to retain, compensate, terminate, and oversee the advisors, who shall be accountable ultimately to the health system board. Form 990, Part VI, Line 6 Classes of members or stockholders The 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 body As 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 stockholders The 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) Establish policy guidelines and criteria for implementation of the Corporation's mission and periodically review and amend the mission statement; (r) 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; (s) 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 body The 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 policy The 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 public Financial 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 Fees Other Purchased Services - Total Expense: 1165188, Program Service Expense: 1040818, Management and General Expenses: 124370, Fundraising Expenses: ; Therapy Services - Total Expense: 881259, Program Service Expense: 881259, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Services - Total Expense: 127869, Program Service Expense: 127869, Management and General Expenses: , Fundraising Expenses: ; Maintenance Services - Total Expense: 244587, Program Service Expense: 244587, Management and General Expenses: , Fundraising Expenses: ; Dietary Services - Total Expense: 706581, Program Service Expense: 706581, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 20 Tax-Exempt Bonds Riverside 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Transfer From Affiliate - 43326; Change in Fair Value of Derivatives - 70601; Riverside Health System 350 N Wall Street Kankakee IL 60901 363167726 Parent IL 501(c)(3) Type III-FI NA false Riverside Medical Center 350 N Wall Street Kankakee IL 60901 362414944 Healthcare IL 501(c)(3) 3 Riverside Health System false Oakside Corporation 350 N Wall Street Kankakee IL 60901 363166804 Healthcare IL 501(c)(3) Type III-FI Riverside Health System false Riverside Healthcare Foundation 350 N Wall Street Kankakee IL 60901 363166033 Supporting Organization IL 501(c)(3) 7 Riverside Health System false false false false true false false false false false false false false false false true true false false true