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RIVERSIDE MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE MEDICAL CENTER (EIN 36-2414944)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-08
IRS object ID
202103129349301860
Schema version
2020v4.0
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)
Return2021-11-08T10:01:32-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362414944EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverside Medical 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)
PersonPatricia ViltPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Signature2021-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPatriciaPersonFirstNm
Person LastViltPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMallory FairlessPreparerPersonNm
PTINP10321579PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$691,538,678GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.riversidehealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo meet the health care needs of our community, by providing a comprehensive array of high value & quality services in a caring & effective manner.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3091TotalEmployeeCnt
Total Volunteers222TotalVolunteersCnt
Total Gross UBI$121,918TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,441,281PYContributionsGrantsAmt
CY Contributions Grants$12,552,583CYContributionsGrantsAmt
PY Program Service Revenue$374,762,075PYProgramServiceRevenueAmt
CY Program Service Revenue$356,711,050CYProgramServiceRevenueAmt
PY Investment Income$16,053,650PYInvestmentIncomeAmt
CY Investment Income$32,515,645CYInvestmentIncomeAmt
PY Other Revenue$3,807,907PYOtherRevenueAmt
CY Other Revenue$3,622,710CYOtherRevenueAmt
PY Total Revenue$396,064,913PYTotalRevenueAmt
CY Total Revenue$405,401,988CYTotalRevenueAmt
PY Grants And Similar Paid$68,785PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$66,375CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$203,960,131PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$196,807,564CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$162,336,181PYOtherExpensesAmt
CY Other Expenses$173,511,466CYOtherExpensesAmt
PY Total Expenses$366,365,097PYTotalExpensesAmt
CY Total Expenses$370,385,405CYTotalExpensesAmt
PY Revenues Less Expenses$29,699,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,016,583CYRevenuesLessExpensesAmt
Total Assets BOY$680,719,551TotalAssetsBOYAmt
Total Assets EOY$787,968,057TotalAssetsEOYAmt
Total Liabilities BOY$202,531,312TotalLiabilitiesBOYAmt
Total Liabilities EOY$289,915,521TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$478,188,239NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$498,052,536NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRiverside Medical Center is committed to improving the well-being of the communities it serves, regardless of an individual's ability to pay. In addition to the day-to-day services provided to patients, Riverside Medical Center reaches beyond the walls of the medical center, and in collaboration with community partners, takes healthcare education, screenings and support services out to its primary and secondary community. Total charity care benefits provided to non-medicare patients for the year was over $3.7 million.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$286,139,538ExpenseAmt
Grant$66,375GrantAmt
Revenue$283,010,539RevenueAmt
DescRIVERSIDE MEDICAL CENTER OFFERS VARIOUS INPATIENT AND OUTPATIENT HEALTHCARE SERVICES THAT INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY CARE, AMBULANCE SERVICES, BEHAVIORAL HEALTH SERVICES, PHYSICAL REHABILITATION THERAPY, HOME HEALTH CARE, PERI-OPERATIVE SERVICES, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, NURSERY, AND OBSTETRICS. RIVERSIDE MEDICAL CENTER ALSO OPERATES MULTIPLE COMMUNITY PRIMARY AND SPECIALTY HEALTH CENTERS LOCATED IN KANKAKEE, WILL, IROQUOIS, AND GRUNDY COUNTIES IN THE STATE OF ILLINOIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$28,134,682ExpenseAmt
Revenue$33,818,888RevenueAmt
DescCARDIOLOGY - THE RIVERSIDE HEART CENTER IS RECOGNIZED AS THE MOST ADVANCED CARDIAC CENTER IN THE REGION. PATIENTS ARE TRANSFERRED IN FROM SURROUNDING COUNTIES AND HOSPITALS FOR THE CARE PROVIDED BY THE NATIONALLY RANKED CARDIAC TEAMS AT RIVERSIDE. THE SOCIETY OF CHEST PAIN CENTERS HAS AWARDED ACCREDITATION TO RIVERSIDE AS AN ADVANCED CHEST PAIN CENTER FOR ITS ABILITY TO MEET THE HIGHEST STANDARDS FOR THE CARE OF INDIVIDUALS EXPERIENCING A HEART ATTACK AND RAPID INTERVENTION TO STOP THE HEART ATTACK. SERVICES INCLUDE COMPREHENSIVE CARDIAC SERVICES SUCH AS: OPEN HEART SURGERY; HEART VALVE REPAIR AND VENTRICULAR REMODELING; MITRAL VALVE SURGERY; ATRIAL FIBRILLATION MANAGEMENT; HEART RHYTHM DISORDER DIAGNOSTICS AND MANAGEMENT; THREE ADVANCED CARDIAC CATHETERIZATION LABS; A FULL ARRAY OF CARDIAC DIAGNOSTICS AND CARDIAC REHAB; WOMEN'S HEART AWARENESS AND EDUCATION PROGRAM; AND HEART SCAN TO IDENTIFY RISK FOR HEART ATTACK. IN 2020, THERE WERE 127 CARDIAC SURGERIES PERFORMED. ALSO, THERE WERE 1,580 CARDIAC CATHETERIZATION PROCEDURES PERFORMED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$23,057,353ExpenseAmt
Revenue$27,715,757RevenueAmt
DescONCOLOGY - THE RIVERSIDE CANCER INSTITUTE PROVIDES CARE TO PATIENTS ORIGINATING FROM THE 5 SURROUNDING COUNTIES. CANCER TREATMENTS BASED ON THE LATEST FINDINGS IN CANCER RESEARCH ARE PROVIDED BY BOARD CERTIFIED MEDICAL AND RADIATION ONCOLOGISTS AND NATIONALLY CERTIFIED ONCOLOGY NURSES. SERVICES INCLUDE HIGHLY INDIVIDUALIZED TREATMENT PLANS FOR SURGERY, MINIMALLY INVASIVE SURGERY, ROBOTIC SURGERY, CHEMOTHERAPY, MONOCLONAL ANTIBODY THERAPY, IMMUNOTHERAPY, HIGH-PRECISION RADIATION THERAPY, BLOOD TRANSFUSIONS, AND PAIN MANAGEMENT. TEAMS OF ONCOLOGY PHYSICIANS AND STAFF MEET TO SPECIFICALLY TAILOR PLANS TO THE INDIVIDUALS AND PROVIDE EXTENSIVE EDUCATION AND SUPPORT. THERE WERE OVER 6,635 SURGICAL, CHEMOTHERAPY AND RADIATION PROCEDURES PERFORMED IN 2020.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$10,935,426ExpenseAmt
Revenue$13,144,771RevenueAmt
DescNEUROSCIENCES - THE NEUROSCIENCES SERVICES AT RIVERSIDE HAVE RECEIVED NATIONAL AWARDS FOR THE CLINICAL OUTCOMES ACHIEVED. RIVERSIDE'S TEAM OF NEUROLOGY EXPERTS ARE DEDICATED TO THE DIAGNOSIS, EVALUATION AND TREATMENT OF DISORDERS OF THE BRAIN, SPINE AND NERVES. USING THE LATEST MEDICAL ADVANCES AND TECHNOLOGY, HIGHLY SPECIALIZED SURGEONS DEVELOP PERSONALIZED TREATMENT PLANS FOR EACH PATIENT, RANGING FROM CONSERVATIVE CARE TO HIGHLY COMPLEX NON-INVASIVE SURGICAL TECHNIQUES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,935,426TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$13,144,771TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$348,266,999TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 StmtYes (true)IndependentAuditFinclStmtInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
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 EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3091EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 Line1Richard 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 (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Harry Bond
Chairman1.01.0Yes (X)Yes (X)$0$0$0
Harry Simmon
Vice Chairman1.01.0Yes (X)Yes (X)$0$0$0
Lisa Dugan
Secretary1.00Yes (X)Yes (X)$0$0$0
Phillip Kambic
President/CEO40.04.0Yes (X)Yes (X)$1,160,534$0$263,670
Amber Residori
Director1.00Yes (X)$0$0$0
Connie Ashline
Director (until 12/2020)1.01.0Yes (X)$0$0$0
David Baron
Director1.00Yes (X)$0$0$0
Dr Marc Fisher
Director1.00Yes (X)$0$0$0
Dr Nadeem Ansari
Director/Physician40.00Yes (X)$406,759$0$44,956
Dr Stonewall McCuiston
Director/Physician40.00Yes (X)$368,808$0$44,613
Francis Smith
Director1.01.0Yes (X)$0$0$0
Michael Boyd
Director1.00Yes (X)$0$0$0
Bill Douglas
Treasurer/Chief Financial Officer40.04.0Yes (X)$547,716$0$32,433
Pamela Hull
Assistant Secretary37.03.0Yes (X)$95,136$0$18,224
Goldie Willbarger
VP of Riverside Medical Group40.00$275,452$0$47,231Yes (X)
Keith Moss MD
VP, Chief Medical Officer & Chief Med. Info. Officer40.01.0$599,034$0$52,985Yes (X)
Kyle Benoit
VP of Operations40.00$362,301$0$75,001Yes (X)
Michael Mutterer
SVP, Chief Nursing Officer40.00$220,535$0$13,075Yes (X)
Patricia K Vilt
VP of Finance40.00$382,885$0$71,813Yes (X)
Paula Jacobi
SVP, General Counsel40.00$253,753$0$7,882Yes (X)
R Matthew McBurnie
VP of Institutional Advancement20.020.0$193,932$0$32,452Yes (X)
Rebecca Hinrichs
VP of Human Resources40.00$328,218$0$46,052Yes (X)
Rebecca Schiltz
VP of Post Acute Care20.020.0$219,405$0$36,425Yes (X)
Dr Juan Jimenez
Physician40.00$1,183,285$0$59,432Yes (X)
Dr Nicholas Rossi
Physician40.00$822,227$0$56,642Yes (X)
Dr Taruna Madhav Crawford
Physician40.00$945,672$0$39,185Yes (X)
Dr Vijay Haryani
Physician40.00$1,288,623$0$27,785Yes (X)
Dr Vikas Patel
Physician40.00$1,224,760$0$56,656Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,879,035TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,026,512TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K236IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ASSOCIATES OF INTEGRATED MEDICINE LTD
700 E OGDEN STE 202WESTMONTIL60559MEDICAL SERVICES$1,579,499
JENSEN & HALSTEAD LTD
820 W JACKSON BLVDCHICAGOIL60607ARCHITECT$944,515SUITE 850
FRESENIUS MEDICAL CARE
16343 COLLECTIONS CENTER DRIVECHICAGOIL60693DIALYSIS SERVICES$942,573
HUDSON HILTON M
5261 FOUNTAIN DRIVECROWN POINTLA46307MEDICAL SERVICES$248,282SUITE A
KEROLUS JULIA
752 WEST END AVE APT 20ANEW YORKNY10025MEDICAL SERVICES$236,015
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
Related Organizations$1,271,725RelatedOrganizationsAmt
Government Grants$11,223,707GovernmentGrantsAmt
All Other Contributions$57,151AllOtherContributionsAmt
Total Contributions$12,552,583TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
LABORATORY621500$42,683,341$42,561,423$121,918
OPERATING ROOM900099$34,174,821$34,174,821
CARDIAC CATHERTIZATION900099$26,782,910$26,782,910
PHARMACY446110$14,118,595$14,118,595
EMERGENCY ROOM900099$19,953,822$19,953,822

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$218,997,561TotalRevenueColumnAmt
Related Or Exempt Func Income$218,997,561RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$356,711,050TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,623,422TotalRevenueColumnAmt
Exclusion$7,623,422ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,383,325RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$208,470RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,174,855RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,174,855TotalRevenueColumnAmt
Exclusion$1,174,855ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$310,820,443SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$285,928,220SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$24,892,223SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,892,223TotalRevenueColumnAmt
Exclusion$24,892,223ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE900099$1,212,151$1,212,151
EHR INCENTIVE PAYMENTS900099$307,400$307,400
COFFEE SHOP REVENUE900099$134,881$134,881

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$793,423TotalRevenueColumnAmt
Related Or Exempt Func Income$793,423RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,447,855OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$405,401,988TotalRevenueColumnAmt
Related Or Exempt Func Income$357,689,955RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$121,918UnrelatedBusinessRevenueAmt
Exclusion$35,037,532ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$66,375TotalAmt
Program Services$66,375ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,087,917TotalAmt
Management And General$6,087,917ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$290,191TotalAmt
Program Services$290,191ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$156,717,883TotalAmt
Program Services$152,667,778ProgramServicesAmt
Management And General$4,050,105ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,634,636TotalAmt
Program Services$5,292,062ProgramServicesAmt
Management And General$342,574ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,443,555TotalAmt
Program Services$15,132,950ProgramServicesAmt
Management And General$1,310,605ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,633,382TotalAmt
Program Services$10,993,088ProgramServicesAmt
Management And General$640,294ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,304TotalAmt
Management And General$36,304ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$264,000TotalAmt
Management And General$264,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,170,485TotalAmt
Management And General$1,170,485ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,556,604TotalAmt
Program Services$22,197,059ProgramServicesAmt
Management And General$6,359,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,127,735TotalAmt
Management And General$1,127,735ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,015,933TotalAmt
Program Services$2,681,220ProgramServicesAmt
Management And General$334,713ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,421,623TotalAmt
Program Services$7,421,623ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,076,153TotalAmt
Program Services$4,076,153ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,631TotalAmt
Program Services$93,631ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$459,500TotalAmt
Program Services$397,172ProgramServicesAmt
Management And General$62,328ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,430,081TotalAmt
Program Services$3,430,081ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,185,243TotalAmt
Program Services$29,185,243ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,468,281TotalAmt
Program Services$8,468,281ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES EXPENSE$68,191,811$68,040,521$151,290
PROVIDER ASSESSMENT$14,525,908$14,525,908
MAINTENANCE & REPAIR-EQUIPMENT$1,627,118$1,627,073$45
PROPERTY TAXES$1,009,571$1,009,571

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$851,485TotalAmt
Program Services$671,019ProgramServicesAmt
Management And General$180,466ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$370,385,405TotalAmt
Program Services$348,266,999ProgramServicesAmt
Management And General$22,118,406ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,975,326BOYAmt
EOY$57,286,045EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$48,246,154BOYAmt
EOY$87,581,452EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,803,939BOYAmt
EOY$32,667,368EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,374,738BOYAmt
EOY$8,134,899EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,184,233BOYAmt
EOY$8,229,197EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$497,346,964LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$250,566,906LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$240,360,516BOYAmt
EOY$246,780,058EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$258,955,346BOYAmt
EOY$288,599,151EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$26,571,297BOYAmt
EOY$13,434,658EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,248,002BOYAmt
EOY$45,255,229EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$680,719,551BOYAmt
EOY$787,968,057EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,534,009BOYAmt
EOY$50,817,363EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,260,775BOYAmt
EOY$127,297,014EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,736,528BOYAmt
EOY$111,801,144EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,531,312BOYAmt
EOY$289,915,521EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$475,155,065BOYAmt
EOY$494,461,842EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,033,174BOYAmt
EOY$3,590,694EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$478,188,239BOYAmt
EOY$498,052,536EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$680,719,551BOYAmt
EOY$787,968,057EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,016,583ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$14,950,195NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$202,091OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$42,418OtherActivitiesAmt
Total Lobbying Expenditures$42,418TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationRiverside Medical Center is a member of the Illinois Hospital Association. Per the Illinois Hospital Association, a portion of the dues paid are allocable to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,108,094OtherCostOrOtherBasisAmt
Book Value$8,108,094BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,218,624OtherCostOrOtherBasisAmt
Depreciation$130,791,808DepreciationAmt
Book Value$149,426,816BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$187,916,174OtherCostOrOtherBasisAmt
Depreciation$117,764,281DepreciationAmt
Book Value$70,151,893BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,104,072OtherCostOrOtherBasisAmt
Depreciation$2,010,817DepreciationAmt
Book Value$19,093,255BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$246,780,058TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
Estimated Insurance Recoveries$5,597,137
Due From Riverside Healthcare Foundation Inc$7,309,769
Note Receivable$36,027
Due From Oakside$6,297,277
Due From Nursing Home$21,173,083
Due From RASC$439,494
Due From SLC$3,639,705
Interest Rec - CMS
Other Recievable - Misc$762,737
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,255,229TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Estimated Payables Under 3rd Party Reimbursement Programs$83,348,453
Estimated Insurance Liabilities$27,364,016
Other Long Term Liabilities$1,088,675
FieldValueIRS element (for citing)
Total Liability$111,801,144TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$390,458,172TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$14,950,195NetUnrealizedGainsInvstAmt
Other Revenue-$202,091OtherRevenueAmt
Revenue Not Reported-$15,152,286RevenueNotReportedAmt
Revenue Subtotal$405,610,458RevenueSubtotalAmt
Other Revenues Not Included-$208,470OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$208,470RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$405,401,988TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$370,593,875TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$208,470OtherExpensesIncludedAmt
Expenses Not Reported$208,470ExpensesNotReportedAmt
Expenses Subtotal$370,385,405ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$370,385,405TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Medical Center accounts for uncertain tax positions in accordance with ASC Topic 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 consolidated financial statements. Under ASC Subtopic 740-10, The Medical Center 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 consolidated 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. As of December 31, 2020 or 2019, The Medical Center does not have a liability for unrecognized tax benefits. The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990CHANGE IN FAIR VALUE OF DERIVATIVES - -202091
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRENTAL EXPENSES - -208470
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990RENTAL EXPENSES - 208470
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements-

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,769,420TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,769,420NetCommunityBenefitExpnsAmt
Total Expense0.0075TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,731,169TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,963,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,767,791NetCommunityBenefitExpnsAmt
Total Expense0.0453TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$70,500,589TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,963,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,537,211NetCommunityBenefitExpnsAmt
Total Expense0.0527TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,474,745TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$940,759DirectOffsettingRevenueAmt
Net Community Benefit Expns$533,986NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,025,480TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,605,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,419,931NetCommunityBenefitExpnsAmt
Total Expense0.0848TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,375TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,375NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$54,566,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,546,308DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,020,292NetCommunityBenefitExpnsAmt
Total Expense0.0865TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$125,067,189TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,509,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,557,503NetCommunityBenefitExpnsAmt
Total Expense0.1392TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,284,547BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$100,884,186ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$112,454,226CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,570,040MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N WALL STAddressLine1Txt
CityKANKAKEECityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.riversidehealthcare.orgWebsiteAddressTxt
State License0002014StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.riversidehealthcare.org/about-us/for-our-community/community-health-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.riversidehealthcare.org/about-us/for-our-community/community-health-assessmentStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE STATEMENTFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.riversidehealthcare.org/asset/documents/patients/fiaapplication.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.riversidehealthcare.org/assets/dicuments/charitablecaresummary2018-english.pdfFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EThe significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - RIVERSIDE MEDICAL CENTER. RIVERSIDE MEDICAL CENTER PARTNERS WITH THE KANKAKEE COUNTY HEALTH DEPARTMENT, AMITA HEALTH ST MARY'S HOSPITAL, THE UNITED WAY, AND REPRESENTATIVES FROM MULTIPLE OTHER SERVICE LINES WITHIN THE COMMUNITY TO PROVIDE LEADERSHIP, STAFFING AND FUNDING IN THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR THIS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THIS GROUP BEGAN ITS WORK IN 2017 AND CONTINUED THROUGH 2018 TO DEVELOP A REFRESHED PLAN FOR 2019-2021. THE PARTNERSHIP FOR A HEALTHY COMMUNITY CONTRACTED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO FACILITATE THE ASSESSMENT AND DEVELOPMENT OF ACTION PLANS. THE PARTNERSHIP UTILIZED THE STANDARDIZED PROCESS TERMED 'MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS' (MAPP) TO GATHER DATA AND DEVELOP A STRATEGIC PLAN. THIS STRATEGIC PROCESS UTILIZED FOUR FORMAL ASSESSMENTS FROM WHICH IT IDENTIFY THE TOP STRATEGIC PRIORITIES FOR THE CHNA. THOSE FOUR PROCESSES ARE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA): FORCES OF CHANGE ASSESSMENT (FOCA); LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA); COMMUNITY THEMES & STRENGTHS ASSESSMENT (CTSA); THESE FOUR ASSESSMENTS WERE USED TO DEVELOP THE KANKAKEE COUNTY DATA SHARING/STRATEGIC PRIORITIES. RIVERSIDE LEADERSHIP AND PARTICIPATION MORE THEN TEN REPRESENTATIVES FROM RIVERSIDE PARTICIPATED IN THE ASSESSMENT AND PLANNING PROCESS INCLUDING MATT MCBURNIE WHO SERVES ON THE STEERING COMMITTEE TO GUIDE THE PARTNERSHIP.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - RIVERSIDE MEDICAL CENTER. Amita Health ST MARY'S HOSPITAL
Schedule H, Part V, Section B, Line 6b Facility A, 1Facility A, 1 - RIVERSIDE MEDICAL CENTER. In addition to Amita Health St. Mary's Hospital, RIVERSIDE MEDICAL CENTER PARTNERED WITH THE following organizations in conducting its most recent Community Health Needs Assessment: -Helen Wheeler Center for Community Mental Health -Kankakee County Health Department Kankakee County Hispanic Partnership -Iroquois & Kankakee County Regional Office of Education -United Way of Kankakee & Iroquois Counties RIVERSIDE MEDICAL CENTER PARTNERS with these organizations TO PROVIDE LEADERSHIP STAFFING AND FUNDING IN THE PARTNERSHIP FOR A HEALTH COMMUNITY. FOR THIS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THIS GROUP BEGAN IN 2017 AND CONTINUED THROUGH 2018 TO DEVELOP A REFRESHED PLAN FOR 2019-2021. THE PARTNERSHIP FOR A HEALTHY COMMUNITY CONTRACTED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE TO FACILITATE THE ASSESSMENT AND DEVELOPMENT OF ACTION PLANS.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - RIVERSIDE MEDICAL CENTER. Introduction: The 2019-2021 Community Health Needs Assessment Plan was developed following the MAPP process over more than two years with a broad variety of community stakeholders. Riverside helped fund the assessments and participated as a leader on the steering committee and with strong expert representation across the various assessments. Riverside's website (www.riversidehealthcare.org) displays the full 2019-2021 Community Health Needs Assessment, the associated four assessments that informed the plan, and Riverside Medical Center's approved three-year Implementation Plan. Three Prioritized Strategic Areas The MAPP process used by the Partnership for a Healthy Community allowed the community partners to identify three areas of priority to improve residents' health. For reference, these are listed below in alphabetical order. I. Access to Care II. Behavioral Health III. Education and Employment Priority #1: Access to Care Prevention and Primary Care Riverside will increase access to care in the community by actively recruiting primary and specialty care providers to the 150-member Riverside Medical Group, educate and encourage preventative services for patients, and leverage technology through tools like MyChart and video visits to enhance patient/doctor communication and accessibility. Social Determinants: Consistent with the Democracy Collaborative's Anchor Mission Playbook, Riverside will continue to measure and improve its positive impact through local sourcing, local hiring, and place-based investing. Further, we will convene and collaborate with other similarly-minded, local anchor institutions to share best practices and encourage similar benefit to the community by others. Chronic Disease: As the region's leader in services treating the most prolific chronic diseases, Riverside will further support the area's largest multi-disciplinary cardiovascular team with a multi-million-dollar catheterization lab investment and continued expansion of our Heart Failure Clinic, with expanded community education, screenings, promotion, and accessibility of our Oncology Services, and with the ongoing commitment to stroke prevention and care from our neurologists and neurosurgeons. Also, Riverside will continue to lead the community in diabetes education, treatment, and prevention efforts and with programs that encourage healthy lifestyles and reduce obesity in children and adults. Priority #2: Behavioral Health Substance Use: Riverside will continue as a leader in securing grant funding for substance abuse initiatives. In collaboration with community partners, Riverside will establish education programs for the prevention of drug use and abuse across the lifespan and will improve access to community- based substance abuse services by initiating the provision of opioid treatment clinics and growing existing programs that assist residents and patients in reducing and eliminating dependence. Mental Health: Riverside is committed to making Mental Health services more accessible to the community. With the recent launch of a Centralized Intake process for all Behavioral Health Services, Riverside will provide screening, assessment, and referral services to the community linking residents with the appropriate type of treatment and level of care. Riverside will increase the availability of services through continued investment in the recruitment and retention of mental health providers and growth across the full continuum of high- quality inpatient and outpatient services for mental health. To address the increased demand for services caused by readmissions, non-compliance, readmissions, and medication problems, Riverside will employ a discharge planning and aftercare initiative to assist patients in maintaining functioning and sustaining after-treatment gains. Trauma Awareness and Prevention: Riverside will continue to provide trauma-informed care to children and adolescents and will extend this model to adult services. Riverside will invest in resources to enhance our ability to care for those who have experienced trauma while working collaboratively with local social services organizations to prevent future events. We will partner with community providers and first responders to address their staff education and training needs to improve trauma- sensitive interventions. We will build upon current services which include a SANE-trained nurse in the Emergency Department, active counseling services, and screening questions during well-check exams. Priority #3: Employment and Education Job Skill: As the region's largest employer, Riverside will invest in job skill training for employees via internal programs and through philanthropic and organizational scholarships for formal education and certifications. Employability: Riverside will continually align our orientation and job-training to improve the service level of all staff for the betterment of our patients and as an investment in the local workforce. Career Ladder: Riverside will work collaboratively with local K-12 education and higher education institutions to promote and coordinate practical, dynamic career ladders. As an example, Riverside launched a specific program with Kankakee Community College to advance current entry level employees to CNAs. Further, because of partnerships already in place, Riverside employees benefit from tuition discounts at many area colleges. Conclusion: In 2020, Riverside Healthcare supported the communities we serve with $59.8 million in total community benefit. Categories of support include: Subsidized health services, Uncompensated care, Government sponsored indigent care, Charity care, Volunteer services, Education, Donations, Language assistance services and other support. This 2020 update indicates those major activities and initiatives Riverside undertook which add to the activities, investments and initiatives of the previous two years, making up the three years of the CHNA plan term. Questions: Questions regarding any items related to Riverside's commitment to the Community's Health Needs can be directed to the Vice President of Institutional Advancement at 815-935-7502.
FieldValueIRS element (for citing)
Facility17FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
RIVERSIDE MEDICAL PLAZA
300 RIVERSIDE DRIVEBOURBONNAISIL60914OUTPATIENT CENTER
PEMBROKE RURAL HEALTH CENTER
3400 S MAIN STREETHOPKINS PARKIL60944RURAL HEALTH CENTER
RIVERSIDE AMBULATORY SURGERY CENTER
300 RIVERSIDE DRIVEBOURBONNAISIL60914OUTPATIENT SURGERY CENTER
RIVERSIDE MEDICAL CENTER FASTCARE
2080 N STATE ROUTE 50BOURBONNAISIL60914PHYSICIAN SERVICES
PRIMARY CARE ASSOCIATES OF KANKAKEE
401 N WALL STREET SUITE 206KANKAKEEIL60901COMMUNITY HEALTH CENTER
WOMEN AND CHILDREN'S HEALTH CENTER
338 LARRY POWER ROADBOURBONNAISIL60914COMMUNITY HEALTH CENTER
RIVERSIDE CORPORATE HEALTH CENTER
400 S KENNEDY DRIVEBRADLEYIL60915CORPORATE HEALTH CENTER
PEOTONE COMMUNITY HEALTH CENTER
611 DIVISION STPEOTONEIL60468COMMUNITY HEALTH CENTER
MONEE COMMUNITY HEALTH CENTER
25711 S EGYPTIAN TRAILMONEEIL60449COMMUNITY HEALTH CENTER
WATSEKA SPECIALTY SERVICES
1490 E WALNUT STWATSEKAIL60970OUTPATIENT CENTER
EAST COURT COMMUNITY HEALTH CENTER
1701 E COURT STREETKANKAKEEIL60901COMMUNITY HEALTH CENTER
MANTENO COMMUNITY HEALTH CENTER
395 N LOCUST STREETMANTENOIL60950COMMUNITY HEALTH CENTER
MANHATTAN COMMUNITY HEALTH CENTER
380 W NORTH STREETMANHATTANIL60442COMMUNITY HEALTH CENTER
MOMENCE COMMUNITY HEALTH CENTER
3761 N RT 1-17MOMENCEIL60954COMMUNITY HEALTH CENTER
WILMINGTON COMMUNITY HEALTH CENTER
105 S FIRST STREETWILMINGTONIL60481COMMUNITY HEALTH CENTER
FRANKFORT SPECIALTY SERVICES
23120 LAGRANGE ROADFRANKFORTIL60423OUTPATIENT CENTER
COAL CITY COMMUNITY HEALTH CENTER
5775 HIGHWAY 113COAL CITYIL60416COMMUNITY HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP WEBSITE URLwww.riversidehealthcare.org/assets/documents/patients/charity-and-financial-assistance-policy-05.2020.pdf
Schedule H, Part I, Line 7g Subsidized Health ServicesNET COMMUNITY BENEFIT EXPENSE FROM PHYSICIAN CLINICS WAS $19,671,928.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE HOSPITAL USES A COST ACCOUNTING SYSTEM FOR ALL PATIENT SEGMENTS, INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY. IN ARRIVING AT THE AMOUNTS REPORTED IN SCHEDULE H, PART 1, LINE 7, THE HOSPITAL USED A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad debt expense is determined using the cost to charge ratio. Payments on patient accounts are a reduction of bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyNone of the amount the organization reported as bad debt was attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteGenerally, patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. The Medical Center also provides services to uninsured patients and offers those uninsured patients a discount, either by policy or law, from standard charges. The Medical Center estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. In evaluating the collectibility of patients' accounts receivable, The Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the variable consideration. Management regularly reviews data about these major payor sources of revenue in evaluating the variable consideration. The Medical Center uses a portfolio approach to account for categories of patient contracts as a collective group rather than recognizing revenue on an individual contract basis. The Medical Center believes that revenue recognized using this approach approximates the revenue that would be recognized if an individual contract approach were used. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE. ANY SHORTFALLS THAT RESULT FROM MEDICARE ALLOWABLE COSTS EXCEEDING MEDICARE REVENUE CAN BE CONSIDERED A COMMUNITY BENEFIT IF THE ACTIVITY IS SOMETHING THAT the MEDICAL CENTER IS DOING TO CREATE THE AWARENESS AND WELL-BEING OF THE HOSPITAL COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceWhen a patient has been approved under the hospital's Charity Care Policy for a partial discount, the hospital will work with the patient or responsible party to establish a reasonable payment plan. The plan will take into account available income and assets, the amount of the discounted bill(s), and any prior payments. The hospital will also advise the patient of his or her responsibilities under these collection practices guidelines. Riverside may offer prompt payment discounts to charity care patients who are eligible for partial discounts on their hospital bills. The hospital will not pursue legal action for non-payment of bills against charity care patients who have clearly demonstrated that they have neither sufficient income nor assets to meet their financial obligations. Legal action, including the garnishment of wages, may be taken by the hospital to enforce the terms of the payment plan. Such measures would only take place when there is evidence that the charity care patient or responsible party has sufficient income and/or assets to meet his or her obligation. The hospital will not place a lien on a charity care patient's primary residence. The hospital will not execute a lien by forcing the sale or foreclosure of a charity care patient's primary residence to pay for an outstanding medical bill. The hospital will not use body attachment to require the charity care patient or responsible party to appear in court, however Riverside recognizes that the court system may take this action independently. The hospital will ensure that the guidelines outlined above are followed by any external collection agency engaged to assist in obtaining payment on outstanding bills from charity care patients. Additionally, external collection agencies will identify patients that may qualify for charity care and will assist in communicating Riverside's financial assistance policy and mail applications to patients requesting assistance.
Schedule H, Part V, Section B, Line 16a FAP websiteA - RIVERSIDE MEDICAL CENTER: Line 16a URL: SEE STATEMENT;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - RIVERSIDE MEDICAL CENTER: Line 16b URL: www.riversidehealthcare.org/asset/documents/patients/fiaapplication.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - RIVERSIDE MEDICAL CENTER: Line 16c URL: www.riversidehealthcare.org/assets/dicuments/charitablecaresummary2018-english.pdf;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to conducting a Community Health Needs Assessment (CHNA) every three years, the organization continually assesses the needs of the communities it serves. Specifically, the organization assesses whether progress has been made on the specific areas identified in the Implementation Plan, as determined by the CHNA. Each year the organization revisits the needs identified in the CHNA and documents progress made towards addressing these needs. For more information regarding these assessments, please see Schedule H, Part V, Section B, Line 11.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceRiverside uses various tools to communicate the availability of charity care to all patients. Examples include, but are not limited to: Signage, Brochures, Placing a note on the hospital bill and statements regarding how to request information about financial assistance. This includes statements from our bad debt agency. Designated individuals who can explain the hospital's charity care policy, including a Spanish-speaking representative. Reference in our patient handbook Notice on in-house television Lobby Kiosks Website Employee Charity Lesson Riverside also screens identified patients for eligibility for various federal, state or local government programs. We use both internal and external staff to assist in the identification of patients and to assist with the education of our patients.
Schedule H, Part VI, Line 4 Community informationRiverside serves the Illinois counties of Kankakee, Ford, Grundy, Iroquois, Livingston and Will. Riverside's primary service area, Kankakee County has a population of 109,862 (2019 American Community Survey), and includes the communities of Bradley, Bourbonnais, Kankakee and Manteno. The racial composition of the county is 81.4% White, 15% Black or African American, 10.8% Hispanic or Latino and 0.4% Native American. The medium household income is $58,902 and 12.7% of the population lives below the poverty line. The Medical Center is located in the city of Kankakee. Over 28.9% of the individuals living in the city are below the poverty level, which exceeds the State of Illinois average of 11.5%. The racial makeup of the city is 51.7% White, 41.3% Black or African American, 18.5% Hispanic or Latino and .5% Native American. The medium household income is $37,894, well below the Illinois average of $65,886. The 2020 County Well-Being Index placed Kankakee County on its Poverty Warning List. In the 2018 County Well-Being Index report published from the U.S. Census Bureau's American Community Survey and Social IMPACT Research Center, a program of Heartland Alliance. Four key indicators of well-being are assessed in each of Illinois' 102 counties: high school graduation rates, unemployment rates, teen birth rates, and poverty rates. Kankakee's Poverty Warning List placement reverts back to a Watch status. Sixty-five percent of the Medical Center's services are provided to the elderly and the poor-some of the area's most vulnerable citizens.
Schedule H, Part VI, Line 5 Promotion of community healthRiverside Medical Center is governed by a community board comprised of key community leaders who volunteer their time to assist in directing the organization. The Medical Staff is an open medical staff comprised of all board-certified or board-eligible physicians and mid-level providers. Riverside Medical Center is a not-for-profit organization that commits its resources and talents to advance healthcare services, improve patient care, provide medical education and promote overall health for the residents of the communities we serve. The organization continuously assess the health care needs of the community and assumes the leadership role to fill gaps in care and assure that individuals in our community have their health care needs met. One of the methods Riverside uses to advance health is a formal needs assessment process and multi-year health development plan detailed above. The key issues identified through the Assessment of Community Health Needs included: (a) access to health care, (b) behavioral health (c) employment and education.
Schedule H, Part VI, Line 6 Affiliated health care systemRiverside Medical Center is part of Riverside Health System, which is the parent corporation of the Riverside health care delivery system. Riverside Health System was incorporated in 1982 to support and encourage health and human services by providing management assistance and in all other relevant ways. Also affiliated with Riverside Health System are Oakside Corporation, Riverside Senior Living Center, and Riverside Healthcare Foundation. Oakside Corporation, which was incorporated in 1982, provides counseling services and promotes participation in charitable, educational, and public service programs. Oakside also operates a health and fitness facility. Riverside Senior Living Center, incorporated in 1990, operates a retirement housing community with both independent and assisted living services for senior persons. Riverside Senior Living Center also operates a skilled nursing facility. Riverside Healthcare Foundation promotes charitable activities through donation, educational programs, and other human services programs. Riverside Medical Center operates a short-term general acute care hospital, an off-site substance abuse center, and various community primary and specialty care clinics. Riverside Medical Center provides general health care services to residents within its geographic service areas, including inpatient, outpatient, emergency room, physician, and other services.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
147 S MICHIGAN AVEBRADLEYIL60915362167721501(C)(3)$12,500RELAY FOR LIFE
BISHOP MCNAMARA CATHOLIC SCHOOL
550 W BROOKMONT BLVDKANKAKEEIL60901811689541501(c)(3)$15,000SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationRiverside MEDICAL CENTER (RMC) PROVIDES UNRESTRICTED GRANTS, DONATIONS OR SPONSORSHIPS TO VARIOUS ORGANIZATIONS. PRIOR TO MAKING THESE DONATIONS, RMC confirms the recipient organization is a qualified public charity under section 501(c)(3) and is in good standing. ALL grants, donations and sponsorships MUST BE APPROVED AND SIGNED OFF BY THE organization's CEO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (18 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
Phillip Kambic
President/CEO$684,169$0$221,700$0$254,665$0$249,335$0$14,335$0$1,424,204$0$205,336$0
Dr Nadeem Ansari
Director/Physician$300,411$0$103,424$0$2,924$0$19,200$0$25,756$0$451,715$0$0$0
Dr Stonewall McCuiston
Director/Physician$299,376$0$26,250$0$43,182$0$36,600$0$8,013$0$413,421$0$2,077$0
Bill Douglas
Treasurer/Chief Financial Officer$378,559$0$116,225$0$52,932$0$17,100$0$15,333$0$580,149$0$38,082$0
Kyle Benoit
VP of Operations$278,127$0$76,653$0$7,521$0$49,779$0$25,222$0$437,302$0$0$0
Rebecca Hinrichs
VP of Human Resources$237,402$0$68,070$0$22,746$0$29,667$0$16,385$0$374,270$0$1,768$0
Paula Jacobi
SVP, General Counsel$216,569$0$34,184$0$3,000$0$7,882$0$0$0$261,635$0$0$0
R Matthew McBurnie
VP of Institutional Advancement$145,089$0$41,392$0$7,451$0$9,310$0$23,142$0$226,384$0$0$0
Keith Moss MD
VP, Chief Medical Officer & Chief Med. Info. Officer$438,853$0$119,454$0$40,727$0$36,600$0$16,385$0$652,019$0$8,753$0
Michael Mutterer
SVP, Chief Nursing Officer$144,731$0$72,192$0$3,612$0$8,835$0$4,240$0$233,610$0$411$0
Rebecca Schiltz
VP of Post Acute Care$168,605$0$47,431$0$3,369$0$10,669$0$25,756$0$255,830$0$0$0
Patricia K Vilt
VP of Finance$294,013$0$80,693$0$8,179$0$57,747$0$14,066$0$454,698$0$0$0
Goldie Willbarger
VP of Riverside Medical Group$209,957$0$55,839$0$9,656$0$32,402$0$14,829$0$322,683$0$0$0
Dr Vijay Haryani
Physician$820,825$0$282,605$0$185,193$0$11,400$0$16,385$0$1,316,408$0$72,231$0
Dr Juan Jimenez
Physician$872,693$0$198,475$0$112,117$0$36,600$0$22,832$0$1,242,717$0$77,884$0
Dr Taruna Madhav Crawford
Physician$723,394$0$217,253$0$5,025$0$22,800$0$16,385$0$984,857$0$0$0
Dr Vikas Patel
Physician$716,812$0$279,060$0$228,888$0$30,900$0$25,756$0$1,281,416$0$8,427$0
Dr Nicholas Rossi
Physician$766,280$0$35,077$0$20,870$0$30,900$0$25,742$0$878,869$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesThere are 5 select members of senior management that have country club dues paid on their behalf from Riverside Medical Center as a benefit. The country club dues are treated as taxable compensation.
Schedule J, Part I, Line 1a Personal servicesThere are 11 members of senior management who receive an annual benefit to use toward consulting with a personal financial planner or consultant. This benefit is treated as taxable compensation to these individuals.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe following individuals participate in the organization's 457(f) plan. Total contributions to the plan for the year ended December 31, 2020 are as follows: PHILLIP KAMBIC - $212,735 REBECCA HINRICHS - $14,788 PATRICIA VILT- $21,147 KYLE BENOIT - $19,110 AMOUNTS INCLUDED IN INCOME FOR THIS PLAN for the year ended December 31, 2020, were as follows: PHILLIP KAMBIC - $205,336 JUAN JIMENEZ - $77,884 VIJAY HARYANI - $72,231 BILL DOUGLAS - $38,082 VIKAS PATEL - $8,427 KEITH MOSS - $8,753 STONEWALL MCCUISTON - $2,077 REBECCA HINRICHS - $1,768 MICHAEL MUTTERER - $411

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HRT12013-05-16$34,154,777REFUNDING AND CAPITAL PURCHASESfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745204ELJ52016-09-13$87,177,173REFUNDING AND CAPITAL PURCHASESfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C8610919670000000002015-10-14$37,165,000REFUNDING 2004 AND 2006 BONDSfalsefalsefalse
Illinois Finance Authority
D8610919670000000002020-09-30$40,000,000Constructing and Equipping Facilitiesfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtUnspentUnspentAmt
A$34,154,777$726,250$7,419,077$26,009,4502013Yes (true)Yes (true)Yes (true)Yes (true)
B$87,177,173$1,155,791$14,862,850$71,158,5322016Yes (true)Yes (true)Yes (true)Yes (true)$5,940,000
C$37,165,000$37,165,0002015Yes (true)falseYes (true)Yes (true)$28,875,000
D$40,000,000$27,456,617falsefalsefalseYes (true)$12,543,383

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.00.00.0falsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.00.00.0falsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0.00.00.0falsefalseYes (true)
DfalsefalseYes (true)Yes (true)false0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
CfalsefalseYes (true)falseYes (true)falsefalsefalseYes (true)
DfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IV, Line 2c COLUMN BFormAndLineReferenceDesc
ExplanationIssuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/24/2020ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Rich Schiltz
Family Member of Rebecca Schiltz, Key employee$168,378Employee Compensationfalse
Morgan Willbarder
Family member of Goldie Willbarger, Key employee$121,813Employee compensationfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 10,935,426 including grants of $)(Revenue $ 13,144,771) NEUROSCIENCES - THE NEUROSCIENCES SERVICES AT RIVERSIDE HAVE RECEIVED NATIONAL AWARDS FOR THE CLINICAL OUTCOMES ACHIEVED. RIVERSIDE'S TEAM OF NEUROLOGY EXPERTS ARE DEDICATED TO THE DIAGNOSIS, EVALUATION AND TREATMENT OF DISORDERS OF THE BRAIN, SPINE AND NERVES. USING THE LATEST MEDICAL ADVANCES AND TECHNOLOGY, HIGHLY SPECIALIZED SURGEONS DEVELOP PERSONALIZED TREATMENT PLANS FOR EACH PATIENT, RANGING FROM CONSERVATIVE CARE TO HIGHLY COMPLEX NON-INVASIVE SURGICAL TECHNIQUES.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe executive committee shall consist of the chairman of the board of directors, the president of the corporation, the vice chairman of the board of directors and the chairman of the finance committee and audit committee. The President/CEO shall be an ex-officio member with vote provided, however, he shall not participate in matters regarding the evaluation of the President/CEO's salary. Powers and functions: the executive committee shall perform the following duties: (a) Transact all regular business of the corporation during the interim between 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. (b) Review annually the performance of the president of the corporation and report to the board of directors the conclusion of this report.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe sole corporate member of Riverside Medical 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, a related tax exempt organization, has the authority to elect and/or remove, with or without cause, the Directors of the Corporation.
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) 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 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 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialRiverside's executive total compensation program is governed by the Executive Committee of the Board of Directors. The Committee is comprised of independent members of the System Board who have no personal interest in any executive compensation transaction. The Committee governs the System's executive total compensation program for all positions at the level of Vice President and above. Each year the committee engages an independent compensation consultant to assist in determining appropriate compensation of the organization's top management officials. In setting the top management official's compensation, the Executive Committee relies on recent independent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The Committee follows all steps required by the Internal Revenue Service (IRS) to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee adequately documents its compensation determinations and deliberations regarding compensation in the minutes on a timely basis. This process is done annually and was last undertaken in 2020.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesRiverside's executive total compensation program is governed by the Executive Committee of the Board of Directors. The Committee is comprised of independent members of the System Board who have no personal interest in any executive compensation transaction. The Committee governs the System's executive total compensation program for all positions at the level of Vice President and above. Each year the committee engages an independent compensation consultant to assist in determining appropriate compensation of the organization's top management officials. In setting compensation, the Executive Committee relies on recent independent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The Committee follows all steps required by the Internal Revenue Service (IRS) to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee adequately documents its compensation determinations and deliberations regarding compensation in the minutes on a timely basis. Positions for which this process was used are: - Chief Financial Officer - SENIOR VICE PRESIDENT/CNO - SENIOR VICE PRESIDENT/GENERAL COUNSEL - VICE PRESIDENT OF OPERATIONS - VICE PRESIDENT OF INSTITUTIONAL ADVANCEMENT - VICE PRESIDENT OF HUMAN RESOURCES - VICE PRESIDENT OF FINANCE - VICE PRESIDENT, CHIEF MEDICAL OFFICER AND CHIEF MEDICAL INFORMATION OFFICER - VICE PRESIDENT OF POST ACUTE CARE - VICE PRESIDENT OF RIVERSIDE MEDICAL GROUP This process was last undertaken in 2020.
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 VIII, Line 2f Other Program Service Revenue- Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenue - Total Revenue: 793423, Related or Exempt Function Revenue: 793423, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in Fair Value of Deriatives - -202091;

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 SENIOR LIVING CENTER
350 N WALL STREETKANKAKEEIL60901363670744NURSING HOMEIL501(c)(3)10Riverside Health Systemfalse
OAKSIDE CORPORATION
350 N WALL STREETKANKAKEEIL60901363166804HEALTHCAREIL501(c)(3)Type III-FIRiverside Health Systemfalse
RIVERSIDE HEALTHCARE FOUNDATION
350 N WALL STREETKANKAKEEIL60901363166033Supporting OrganizationIL501(c)(3)7Riverside Health Systemfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
RIVERSIDE AMBULATORY SURGERY CTR LLC
300 RIVERSIDE DRBOURBONNAISIL60914320082320SURGERY CENTERILRiverside Medical CenterRelated$192,601$609,745falseYes (true)0.69
THE CENTER FOR DIGESTIVE HEALTH
1615 N CONVENT STREETBOURBONNAISIL60914364532301PATIENT SERVCIESILNARelated$234,847$69,256falsefalse0.10
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERSIDE AMBULATORY SURGERY CTR LLC
S$128,031COST
RIVERSIDE AMBULATORY SURGERY CTR LLC
D$439,494COST