RIVERSIDE MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- RIVERSIDE MEDICAL CENTER (EIN 36-2414944)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201713189349302126
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T09:02:31-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362414944 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverside Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIVE | BusinessNameControlTxt |
| Phone | 8159331671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bill Douglas | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Signature | 2017-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John Woodhull | PreparerPersonNm |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Phillip Kambic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $415,782,567 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.riversidehealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To 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 Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2797 | TotalEmployeeCnt |
| Total Volunteers | 477 | TotalVolunteersCnt |
| Total Gross UBI | $301,091 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,550,564 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,032,858 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $291,637,909 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $303,045,735 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,731,800 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,134,078 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,592,076 | PYOtherRevenueAmt |
| CY Other Revenue | $5,360,681 | CYOtherRevenueAmt |
| PY Total Revenue | $311,512,349 | PYTotalRevenueAmt |
| CY Total Revenue | $318,573,352 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $79,713 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $67,970 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $147,595,228 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $156,215,548 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $133,766,647 | PYOtherExpensesAmt |
| CY Other Expenses | $138,585,376 | CYOtherExpensesAmt |
| PY Total Expenses | $281,441,588 | PYTotalExpensesAmt |
| CY Total Expenses | $294,868,894 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,070,761 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,704,458 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $570,001,973 | TotalAssetsBOYAmt |
| Total Assets EOY | $600,329,134 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $217,391,443 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $217,686,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $352,610,530 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $382,642,760 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Riverside 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 $2.7 million. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $220,709,237 | ExpenseAmt |
| Grant | $67,970 | GrantAmt |
| Revenue | $243,221,454 | RevenueAmt |
| Desc | RIVERSIDE MEDICAL CENTER OFFERS VARIOUS OTHER 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, PERIOPERATIVE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $37,843,509 | ExpenseAmt |
| Revenue | $40,225,941 | RevenueAmt |
| Desc | CARDIOLOGY - 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 DIAGNOSIS 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 2016, THERE WERE 193 CARDIAC SURGERIES PERFORMED. ALSO, THERE WERE 2,085 CARDIAC CATHETERIZATION PROCEDURES PERFORMED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,663,771 | ExpenseAmt |
| Revenue | $12,398,062 | RevenueAmt |
| Desc | ORTHOPEDICS - THE ORTHOPEDIC SERVICES AT RIVERSIDE HAVE RECEIVED NATIONAL AWARDS FOR THE CLINICAL OUTCOMES ACHIEVED. THIS PROGRAM HAS THE WIDEST REACH OF ALL OF OUR SERVICES, WITH PATIENTS ORIGINATING FROM 5 STATES AND OVER 20 ILLINOIS COUNTIES. THE ORTHOPEDICS PROGRAM COMBINES LEADING-EDGE MINIMALLY INVASIVE SURGICAL TECHNIQUES FOR KNEE AND HIP REPLACEMENTS WITH PRE-AND POST-OPERATIVE CARE THAT EMPHASIZES RAPID RECOVERY AND RETURN TO MOBILITY. PATIENTS SPEND LESS TIME IN THE HOSPITAL AND IN POSTOPERATIVE REHABILITATION THAN THE NATIONAL AVERAGE. EVERY ASPECT OF CARE IS STATE-OF-THE ART AND HIGHLY COORDINATED-FROM PREOPERATIVE TESTING THROUGH SURGERY AND REHABILITATION. A HIGHLY COORDINATED HIP FRACTURE PROGRAM INVOLVES A TEAM OF CLINICIANS WHO ARE ACHIEVING BEST-PRACTICE STATUS FOR THE RAPID REPAIR OF HIP FRACTURES. IN ADDITION, ORTHOPEDIC SURGEONS WHO SPECIALIZE IN TRAUMA CARE, UPPER EXTREMITY SURGERY, AND FOOT AND ANKLE SURGERY ROUND OUT THE TEAM. A TOTAL OF 1,402 ORTHOPEDIC SURGERIES WERE PERFORMED IN 2016. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,532,779 | ExpenseAmt |
| Revenue | $8,007,003 | RevenueAmt |
| Desc | ONCOLOGY - THE RUSH- 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 9,014 SURGICAL, CHEMOTHERAPY, AND RADIATION PROCEDURES PERFORMED IN 2016. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,532,779 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $8,007,003 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $277,749,296 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2797 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rich Schiltz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8159357256 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N WALL STREET | AddressLine1Txt |
| City | KANKAKEE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Phillip Kambic | ||||||||
| President/CEO | 40.0 | 4.0 | Yes (X) | Yes (X) | $1,079,042 | $0 | $224,049 | |
| Bill Douglas | ||||||||
| Treasurer/CFO | 40.0 | 4.0 | Yes (X) | Yes (X) | $529,566 | $0 | $78,536 | |
| Harry Simmon | ||||||||
| Vice Chairman | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Doug Perry | ||||||||
| Secretary | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dr Nadeem Ansari | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Connie Ashline | ||||||||
| Board Member | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| John Avendano | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Harry Bond | ||||||||
| Chairman | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Dugan | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Dr Marc Fisher | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Philip Hays | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Dr Stonewall McCuiston | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Francis Smith | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Kyle Benoit | ||||||||
| Vice President of Operations | 40.0 | 0 | Yes (X) | $250,230 | $0 | $27,826 | ||
| Rebecca Hinrichs | ||||||||
| Vice President of Human Resource | 40.0 | 0 | Yes (X) | $317,990 | $0 | $46,441 | ||
| Paula Jacobi | ||||||||
| Senior Vice President/General Counsel | 40.0 | 0 | Yes (X) | $213,658 | $0 | $0 | ||
| Matthew McBurnie | ||||||||
| Vice President of Institutional Advancement | 40.0 | 1.0 | Yes (X) | $169,232 | $0 | $27,995 | ||
| Dr Keith Moss | ||||||||
| Vice President, Chief Medical Officer and Chief Medical Information Officer | 40.0 | 1.0 | Yes (X) | $523,346 | $0 | $51,059 | ||
| Michael Mutterer | ||||||||
| Senior Vice President/CNO | 40.0 | 1.0 | Yes (X) | $321,934 | $0 | $46,380 | ||
| Patricia Vilt | ||||||||
| Vice President of Finance | 40.0 | 0 | Yes (X) | $301,826 | $0 | $44,048 | ||
| Dawn Willbarger | ||||||||
| Vice President | 40.0 | 0 | Yes (X) | $169,613 | $0 | $22,812 | ||
| Dr Raju Abraham | ||||||||
| Physician | 40.0 | 0 | $672,731 | $0 | $41,020 | Yes (X) | ||
| Dr Charles Harvey | ||||||||
| Physician | 40.0 | 0 | $606,363 | $0 | $50,469 | Yes (X) | ||
| Dr Vijay Haryani | ||||||||
| Physician | 40.0 | 0 | $1,389,947 | $0 | $22,650 | Yes (X) | ||
| Dr Juan Jimenez | ||||||||
| Physician | 40.0 | 0 | $1,161,548 | $0 | $53,574 | Yes (X) | ||
| Dr Vikas Patel | ||||||||
| Physician | 40.0 | 0 | $755,706 | $0 | $49,038 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,462,732 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $785,895 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 181 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUND PHYSICIANS OF KANKAKEE ILLINOIS LLC | |||||
| 1698 PACIFIC AVENUE SUITE 400 | TACOMA | WA | 98402 | PHYSICIANS | $4,035,261 |
| Fresenious Medical Care | |||||
| 16343 Collections Center Drive | Chicago | IL | 60693 | Dialysis Services | $651,530 |
| ASSOCIATES OF INTEGRATED MEDICINE LTD | |||||
| 700 E OGDEN SUITE 202 | WESTMONT | IL | 60559 | MEDICAL SERVICES | $427,107 |
| JENSEN & HALSTEAD | |||||
| 358 W ONTARIO ST UNIT 3-E | CHICAGO | IL | 60654 | CONSTRUCTION | $344,667 |
| KPMG LLP | |||||
| DEPT 0970 PO BOX 12001 | DALLAS | TX | 75312 | ACCOUNTING | $316,797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $653,311 | RelatedOrganizationsAmt |
| Government Grants | $360,991 | GovernmentGrantsAmt |
| All Other Contributions | $18,556 | AllOtherContributionsAmt |
| Total Contributions | $1,032,858 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Laboratory | 621500 | $29,168,368 | $28,867,277 | $301,091 |
| Operating Room | 900099 | $25,665,033 | $25,665,033 | |
| Cardiac Cathertization | 900099 | $18,955,493 | $18,955,493 | |
| Pharmacy | 446110 | $12,661,045 | $12,661,045 | |
| Emergency Room | 900099 | $21,188,412 | $21,188,412 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,407,384 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $195,407,384 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $303,045,735 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,702,837 | TotalRevenueColumnAmt |
| Exclusion | $6,702,837 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,712,771 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $176,621 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,536,150 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,536,150 | TotalRevenueColumnAmt |
| Exclusion | $2,536,150 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,463,835 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $97,032,594 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,431,241 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,431,241 | TotalRevenueColumnAmt |
| Exclusion | $2,431,241 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EHR Incentive Payments | 900099 | $665,548 | $665,548 | |
| Cafeteria Revenue | 900099 | $1,428,505 | $1,428,505 | |
| Coffee Shop Revenue | 900099 | $288,210 | $288,210 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $442,268 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $442,268 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,824,531 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $318,573,352 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $303,852,460 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $301,091 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,386,943 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,970 | TotalAmt |
| Program Services | $67,970 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,379,980 | TotalAmt |
| Management And General | $4,379,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,485 | TotalAmt |
| Management And General | $56,485 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,060,583 | TotalAmt |
| Program Services | $121,733,646 | ProgramServicesAmt |
| Management And General | $4,326,937 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,192,292 | TotalAmt |
| Program Services | $3,912,456 | ProgramServicesAmt |
| Management And General | $279,836 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,925,490 | TotalAmt |
| Program Services | $12,073,985 | ProgramServicesAmt |
| Management And General | $851,505 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,600,718 | TotalAmt |
| Program Services | $8,026,619 | ProgramServicesAmt |
| Management And General | $574,099 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,694 | TotalAmt |
| Management And General | $384,694 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,864 | TotalAmt |
| Management And General | $201,864 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $983,815 | TotalAmt |
| Management And General | $983,815 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,526,767 | TotalAmt |
| Program Services | $25,282,232 | ProgramServicesAmt |
| Management And General | $3,244,535 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $843,907 | TotalAmt |
| Management And General | $843,907 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,037,617 | TotalAmt |
| Program Services | $2,642,457 | ProgramServicesAmt |
| Management And General | $395,160 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,786,650 | TotalAmt |
| Program Services | $7,786,650 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,544,640 | TotalAmt |
| Program Services | $3,544,640 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,023 | TotalAmt |
| Program Services | $104,023 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,397 | TotalAmt |
| Program Services | $783,060 | ProgramServicesAmt |
| Management And General | $231,337 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,992,763 | TotalAmt |
| Program Services | $4,992,763 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,275,755 | TotalAmt |
| Program Services | $20,275,755 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,894,020 | TotalAmt |
| Program Services | $5,894,020 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies Expense | $48,405,707 | $48,185,176 | $220,531 |
| Provider Assessment | $9,726,830 | $9,726,830 | |
| Maintenance & Repair-Equipment | $1,320,383 | $1,274,564 | $45,819 |
| Lease/Rental | $954,168 | $954,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,376 | TotalAmt |
| Program Services | $488,282 | ProgramServicesAmt |
| Management And General | $99,094 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,868,894 | TotalAmt |
| Program Services | $277,749,296 | ProgramServicesAmt |
| Management And General | $17,119,598 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,744,135 | BOYAmt |
| EOY | $31,483,380 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,927,007 | BOYAmt |
| EOY | $42,837,008 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,061,934 | BOYAmt |
| EOY | $6,910,180 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,917,327 | BOYAmt |
| EOY | $3,821,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $423,310,905 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $202,627,879 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,677,618 | BOYAmt |
| EOY | $220,683,026 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,078,028 | BOYAmt |
| EOY | $234,176,545 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,214,985 | BOYAmt |
| EOY | $23,299,292 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,380,939 | BOYAmt |
| EOY | $37,117,733 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,001,973 | BOYAmt |
| EOY | $600,329,134 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,717,928 | BOYAmt |
| EOY | $83,478,213 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,673,515 | BOYAmt |
| EOY | $134,208,161 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,391,443 | BOYAmt |
| EOY | $217,686,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,720,583 | BOYAmt |
| EOY | $379,885,438 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,416,096 | BOYAmt |
| EOY | $2,282,846 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,851 | BOYAmt |
| EOY | $474,476 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,610,530 | BOYAmt |
| EOY | $382,642,760 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,001,973 | BOYAmt |
| EOY | $600,329,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $23,704,458 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $10,145,968 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,818,196 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $33,198 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $33,198 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Riverside 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. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Riverside 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. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,979,046 | OtherCostOrOtherBasisAmt |
| Book Value | $7,979,046 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $229,616,820 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,311,734 | DepreciationAmt |
| Book Value | $127,305,086 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,102,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $99,537,403 | DepreciationAmt |
| Book Value | $83,564,816 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,612,820 | OtherCostOrOtherBasisAmt |
| Depreciation | $778,742 | DepreciationAmt |
| Book Value | $1,834,078 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $220,683,026 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Estimated Insurance Recoveries | $4,025,185 |
| Due From Affiliates and Other | $27,161,644 |
| Due From Riverside Healthcare Foundation | $5,930,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $37,117,733 | TotalBookValueOtherAssetsAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $328,792,813 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $10,145,968 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$103,127 | OtherRevenueAmt |
| Revenue Not Reported | $10,042,841 | RevenueNotReportedAmt |
| Revenue Subtotal | $318,749,972 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$176,620 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$176,620 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $318,573,352 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $295,045,514 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $176,620 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $176,620 | ExpensesNotReportedAmt |
| Expenses Subtotal | $294,868,894 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $294,868,894 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Riverside Medical Center accounts for uncertain tax positions in accordance with ASC Topic 740-10, Accounting for Uncertainty in Income Taxes. ASC Topic 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 Topic 740-10, Riverside 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 Topic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods, and requires increased disclosures. Riverside 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 990 | Change in Fair Value of Derivatives - -103127 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | Rental Expenses - -176620 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | Rental Expenses - 176620 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,252,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,252,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0042 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,976,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,089,635 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,886,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0369 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $53,228,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,089,635 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,138,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0412 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,290,634 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,361,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,935,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,741,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,194,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0888 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $51,294,571 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,102,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,262,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0891 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $104,522,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,192,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,401,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1302 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,293,477 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $92,264,573 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $103,723,386 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,458,813 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverside Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.riversidehealthcare.org | WebsiteAddressTxt |
| State License | 0002014 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverside Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.riversidehealthcare.org/county-community-health-assessment.html | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.riversidehealthcare.org/county-community-health-assessment.html | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.riversideonline.com/patients_guests/financial-assistance.cfm | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.riversideonline.com/patients_guests/financial-assistance.cfm | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.riversideonline.com/patients_guests/financial-assistance.cfm | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Riverside Medical Center. Riverside Medical Center partners with the Kankakee County Health Department, Presence 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 (CHNA), this group began its work in 2014 and continued through 2015 to develop a refreshed plan for 2016-2018. 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 planning process utilized four formal assessments from which to 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 than ten representatives from Riverside participated in the assessment and planning process including Matt McBurnie who serves on the Steering Committee to guide the partnership. (Dr. John Jurica and Maggie Frogge served initially on the Steering Committee, but as they transitioned away from Riverside in late 2014 and early 2015 respectively, Matt McBurnie took their place through the remainder of the assessment process). |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Riverside Medical Center. Presence St. Mary's Hospital |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Riverside Medical Center. Riverside Medical Center partners with the Kankakee County Health Department, Presence 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 (CHNA), this group began its work in 2014 and continued through 2015 to develop a refreshed plan for 2016-2018. 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 , 1 | Facility , 1 - Riverside Medical Center. Six Prioritized Strategic Areas The MAPP process allowed the community partners to identify six areas of issues, listed in alphabetical order. Since the community has identified these as the most pressing to improve its residents' health, the remainder of this document will articulate Riverside's implementation plans to address them. I. Access to Care II. Chronic Disease III. Education and Employment IV. Mental Health and Substance Abuse V. Teen Pregnancy, Infant Mortality, and STDs VI. Violence and Safety I. Access to Care: * Epic system installed: Riverside successfully installed and implemented Epic systems January 1, 2016. One key feature of Epic is MyChart, which allows patients web portal access to their health information. At the conclusion of 2016, Riverside MyChart users exceeded 8,400 and continues to grow steadily. * Riverside Immediate Care Sites: Riverside continues to operate these services in Kankakee (East Court St), Bourbonnais Wal-Mart, Dwight, Monee, Manhattan (new in 2016), Coal City, and Gilman. * Emergency Department Enhancements: Riverside added the CareNet radio system to aid in better communication. * Ambulance Services and Partnerships: Riverside added Cullom, Kempton and Cabery to its ambulance network. * Riverside accreditations: Riverside was successfully re-designated a Magnet Hospital in 2016 and maintained all other listed accreditations. Hospitalists: Riverside added a number of Hospitalist groups to maximize quality and efficiency of care for our patients. Those groups are: * University of Chicago Pediatricians: Beginning in August, Riverside Medical Center began 24/7 coverage with onsite U of C Pediatricians for children in the inpatient care setting, for births that have elevated risk, and for Emergency Department consults as needed. * University of Chicago Heart Surgeons: Beginning December 1, U of C began providing onsite heart surgeons to maintain heart surgery continuity and ever improve quality as the previously employed surgeons concluded their work at Riverside. * AIM Hospitalists: Beginning October 1, Riverside changed its inpatient hospitalist group to AIM * Intensivist program: Riverside now utilizes an inpatient hospitalist program for patients in the ICU which has dramatically reduced the time a patient is in the ICU care setting. * Neuro Hospitalists: Riverside now employs two neurohospitalists to deliver efficient and high quality care in the inpatient setting for patients with neurological conditions. In addition to better care for those in the inpatient setting, this allows for Riverside Neurologists in the outpatient setting to more quickly see patients in their clinic. * Physician Recruitment: In total, Riverside Medical Group recruited and hired 20 new providers in primary and specialty care to increase ease and accessibility for healthcare in our community bringing the total group to 131. * Language Solutions System: In accordance with the Affordable Care Act, in 2016 Riverside adopted the language accessibility statement and deployed the associated resources to enable ease and accessibility to health care by all. * Healthcare Education and Training: At Riverside 4,070 area students received training in the past calendar year at Riverside-a 26% growth over prior year. * YWCA Kankakee Clinic launch: In March 2016, Riverside Healthcare opened a pediatric specialty clinic inside the YWCA Kankakee. Open on weekdays, this clinic provides families with access to a nurse practitioner specializing in pediatric care and wellness care. The clinic includes a walk-in health, education, screenings, first-time visits, medical and wellness exams and general pediatric healthcare. Since opening, families seen at the clinic have reduced their emergency room visits by 70%. II. Chronic Disease Rush-Riverside Cardiovascular Institute: In 2016, Riverside added two new cardiologists, one an interventional cardiologist, to the medical staff to improve accessibility to the specialty. In addition, the Institute was renamed The Riverside Heart and Vascular Institute and combined previously separate offices to one location on the Kankakee campus to minimize patient confusion, and maximize efficiency and patient accessibility. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Riverside Medical Center. * Riverside's Heart Failure Clinic: More than 100 patients are actively seen in the Clinic, an increase from 2015. * Home Health Care: Event examples for 2016 were on the topics of Cancer, Wound Treatments, COPD, Coronary Artery Disease, The Importance of Vitamin D, Palliative Care and Diabetes. The Home Based Chronic Disease Management Program was issued licensure by IDPH as a home health program. This program admits patients with chronic illnesses who benefit from being followed by a nurse, but who no longer meet the strict criteria for third party (Medicare and other) reimbursement. * Diabetes Wellness Center: Services for Diabetes were expanded to Riverside's Wilmington site in 2016. In addition, Riverside hosts a monthly Diabetes Support Group, launched DSMT and MNT services in Wilmington, received a Kankakee Health Dept grant to launch a CDASH Diabetes Prevention Program, developed a collaboration with U of I on a diabetes-related research study, trained staff from five schools on the management of children with diabetes, and provided education as art of the Health Forward Program. For National Diabetes Month, Riverside offered a series of weekly events which included a cooking demo, panel discussion, diabetes 101 lecture, and discussion on skin care with diabetes/wound center presented. Riverside also assisted in the MACRA initiative. * Other Activities Related to Chronic Disease: A glucose management system called Glytec was added to Riverside's inpatient care setting to constantly manage and bring consistency to the glucose level of patients Wound Care: Additional staff received Wound Care Certifications, and services were extended to Watseka. Inatropic Infusion: For those that qualify with Stage D/ Class 4 heart failure, an evaluation occurs every three months by the Heart Failure team with oversight by the prescribing cardiologist, which documents cardiac symptoms and the continuing response and need for therapy. * Childhood Obesity: Numerous speaking engagements were completed for students, their parents and families at school functions in Bourbonnais, Bradley, Limestone, Herscher and Bonfield. In addition, Programs were presented at St. George for a MOPs group and an outdoor program at a church in Pembroke with Dr. McCuiston. There is a regular monthly program at the Coal City Library which is well attended. Hand-out materials are offered in English and Spanish at health fairs. Riverside Walking Paths: A second .5 mile path was completed on Riverside's Kankakee Campus and an additional sidewalk was constructed along Butterfield Trail to advance the next walking loop. In addition, construction for the Trails Initiative for the Community began and will be completed in 2017. III. Education and Employment Update * CHEE: As 2016 concludes, the funding for the office and staff for CHEE has ceased but the program it began in Kankakee Schools 111 has been adopted by the school district to continue to implement, connecting High School Education with college and career paths that lead to an employable workforce for local industry. While the vision to extend this program to additional school districts in the community has paused for now, the program's adoption by Kankakee District 111's leadership and staff is encouraging for continued progress. IV. Mental Health and Substance Abuse Update Psychiatric Services: Frankfort Terrace was added as an agency site. Riverside offered support to the County's Sherriff's Department for purchase of Narcan, an overdose-reversal medicine being used by first responders to prevent the rising epidemic of opioid related overdose deaths. Program support for Jerome Combs Detention Center Program support for Kankakee Area Probation Office V. Teen Pregnancy, Infant Mortality, STDs Pediatric Hospitalist program: Beginning in August, Riverside Medical Center began 24/7 coverage with onsite U of C Pediatricians for children in the inpatient care setting, for births that have elevated risk, and for Emergency Department consults as needed. * Riverside began early recognition and treatment of Hypertension in pregnancy and Perinatal hemorrhage * During 2016, the communities lost some OB/GYN providers, plans are in place to add additional ones for 2017. VI. Violence and Safety * Riverside is currently represented on the Board of Harbor House by its Emergency Services Director, Kathy O'Grady. * Sexual Assault/Human Trafficking: Riverside Medical Center posts human trafficking help signage in English and two other most common languages in inconspicuous locations with instructions on how to ask for help. * Wait to Text: Riverside's Emergency Preparedness Director attended the driver's education programs in area high schools to educate. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Riverside Medical Plaza | ||||
| 300 Riverside Drive | Bourbonnais | IL | 60914 | Outpatient Center |
| Pembroke Rural Health Center | ||||
| 3400 S Main Street | Hopkins Park | IL | 60944 | Rural Health Center |
| Riverside Ambulatory Surgery Center | ||||
| 300 Riverside Drive | Bourbonnais | IL | 60914 | Outpatient Surgery Center |
| Riverside Medical Center Fastcare | ||||
| 2080 N State Route 50 | Bourbonnais | IL | 60914 | Physician Services |
| Primary Care Associates of Kankakee | ||||
| 401 N Wall Street Suite 206 | Kankakee | IL | 60901 | Community Health Center |
| Women and Children's Health Center | ||||
| 338 Larry Power Road | Bourbonnais | IL | 60914 | Community Health Center |
| Riverside Corporate Health Center | ||||
| 400 S Kennedy Drive | Bradley | IL | 60915 | Corporate Health Center |
| Peotone Community Health Center | ||||
| 611 Division Street | Peotone | IL | 60468 | Community Health Center |
| Riverside Resolve Center | ||||
| 411 W Division Street | Manteno | IL | 60950 | Inpatient Substance Abuse Program |
| Monee Community Health Center | ||||
| 25711 S Egyptian Trail | Monee | IL | 60449 | Community Health Center |
| Watseka Specialty Services | ||||
| 1490 E Walnut Street | Watseka | IL | 60970 | Outpatient Center |
| East Court Community Health Center | ||||
| 1701 E Court Street | Kankakee | IL | 60901 | Community Health Center |
| Manteno Community Health Center | ||||
| 395 N Locust Street | Manteno | IL | 60950 | Community Health Center |
| Manhattan Community Health Center | ||||
| 380 W North Street | Manhattan | IL | 60442 | Community Health Center |
| Momence Community Health Center | ||||
| 3761 N Rt 1-17 | Momence | IL | 60954 | Community Health Center |
| Wilmington Community Health Center | ||||
| 105 S First Street | Wilmington | IL | 60481 | Community Health Center |
| Frankfort Specialty Services | ||||
| 23120 LaGrange Road | Frankfort | IL | 60423 | OutpatientCenter |
| DWIGHT COMMUNITY HEALTH CENTER | ||||
| 106B WATTERS DRIVE | DWIGHT | IL | 60420 | COMMUNITY HEALTH CENTER |
| COAL CITY COMMUNITY HEALTH CENTER | ||||
| 5775 HIGHWAY 113 | COAL CITY | IL | 60416 | COMMUNITY HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 Bad Debt Expense | Bad Debt expense was not booked as an expense in Part IX Statement of Functional Expenses so this amount is properly reported at zero. The bad debt was netted with revenues on the Part VIII Statement of Revenue. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Bad debt expense is determined using the cost to charge ratio. Payments on patient accounts is a reduction of bad debt expense. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | None 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 footnote | The medical center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for Uncollectible accounts and provision for bad debts. Management regularly reviews data about these major sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables Associated with services provided to patients who have third-party coverage, the medical center analyzes contractually due amounts and provides an Allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on Accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many Patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the Allowance for doubtful accounts. For uninsured patients that do not qualify for charity care, the medical center recognizes revenue on the basis of its Standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE 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 assistance | When 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 patients primary residence. The hospital will not execute a lien by forcing the sale or foreclosure of a charity care patients 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 website | - Riverside Medical Center: Line 16a URL: https://www.riversideonline.com/patients_guests/financial-assistance.cfm; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Riverside Medical Center: Line 16b URL: https://www.riversideonline.com/patients_guests/financial-assistance.cfm; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Riverside Medical Center: Line 16c URL: https://www.riversideonline.com/patients_guests/financial-assistance.cfm; |
| Schedule H, Part VI, Line 2 Needs assessment | Riverside Medical Center conducted an Analysis of Community Health Needs in 2015 and developed a multi-year prospective Community Health Plan. Riverside Medical Center collaborated on this endeavor with the Kankakee County Health Department and Provena St. Mary's Hospital. The research for the study was conducted by Health Systems Research of the University of Illinois College of Medicine at Rockford, which specializes in community needs assessments for health and human services organizations. Key community health concerns were identified through an analysis using formal data, assessments, health surveys, periodic physician surveys and trend and treatment analysis. The assessment led to the identification and prioritization of key community health issues. Several key community leaders and health and human service providers were assembled to develop an actionable plan to address the identified priorities and implement community based initiatives to address the challenges. The key issues identified through the Assessment of Community Health Needs included: (a) access to health care, (b) mental health needs, and (c) reducing risk factors for chronic disease-obesity. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Riverside 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 information | Riverside serves the Illinois counties of Kankakee, Ford, Grundy, Iroquois, Livingston and Will. Riverside's primary service area, Kankakee County has a population of 112,183 (2013 U.S. Census Bureau Data), and includes the communities of Bradley, Bourbonnais, Kankakee and Manteno. The racial composition of the county is 81.3% White, 15.5% Black or African American, 9.3% Hispanic or Latino and 0.4% Native American. The medium household income is $49,299 and 16.1% of the population lives below the poverty line. The Medical Center is located in the city of Kankakee. Over 32.3% of the individuals living in the city are below the poverty level, which exceeds the State of Illinois average of 13.7%. The racial makeup of the city is 45.6% White, 40.8% Black or African American, 18.5% Hispanic or Latino and 0.3% Native American. The medium household income is $32,064, well below the Illinois average of $56,853. The 2010 County Well-Being Index placed Kankakee County on its Poverty Warning List in the 2010 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 elevates he county from its previous Watch status to a level requiring corrective action initiatives. 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 health | Riverside 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 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) prevention, and (c) disease management. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Riverside 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 report | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | ||||||||||
| 147 S MICHIGAN | BRADLEY | IL | 60915 | 362167721 | 501(C)(3) | $12,000 | $0 | n/a | n/a | RELAY FOR LIFE |
| BISHOP MCNAMARA HIGH SCHOOL | ||||||||||
| 550 BROOKMONT BLVD | KANKAKEE | IL | 60901 | 362317629 | 501(C)(3) | $10,000 | $0 | n/a | n/a | support education |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER PROVIDES UNRESTRICTED GRANTS, DONATIONS OR SPONSORSHIPS TO VARIOUS ORGANIZATIONS. ALL DONATIONS MUST BE APPROVED AND SIGNED OFF BY THE CEO. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phillip Kambic | ||||||||||||||
| President/CEO | $665,981 | $0 | $210,127 | $0 | $202,934 | $0 | $204,598 | $0 | $19,450 | $0 | $1,303,091 | $0 | $0 | $0 |
| Bill Douglas | ||||||||||||||
| Treasurer/CFO | $355,623 | $0 | $110,156 | $0 | $63,788 | $0 | $63,086 | $0 | $15,450 | $0 | $608,103 | $0 | $0 | $0 |
| Kyle Benoit | ||||||||||||||
| Vice President of Operations | $196,526 | $0 | $50,493 | $0 | $3,210 | $0 | $7,964 | $0 | $19,862 | $0 | $278,056 | $0 | $0 | $0 |
| Rebecca Hinrichs | ||||||||||||||
| Vice President of Human Resource | $233,126 | $0 | $64,530 | $0 | $20,334 | $0 | $33,527 | $0 | $12,914 | $0 | $364,431 | $0 | $0 | $0 |
| Paula Jacobi | ||||||||||||||
| Senior Vice President/General Counsel | $165,649 | $0 | $45,009 | $0 | $3,000 | $0 | $0 | $0 | $0 | $0 | $213,658 | $0 | $0 | $0 |
| Matthew McBurnie | ||||||||||||||
| Vice President of Institutional Advancement | $131,805 | $0 | $33,981 | $0 | $3,446 | $0 | $6,695 | $0 | $21,299 | $0 | $197,227 | $0 | $0 | $0 |
| Dr Keith Moss | ||||||||||||||
| Vice President, Chief Medical Officer and Chief Medical Information Officer | $408,038 | $0 | $111,065 | $0 | $4,242 | $0 | $33,900 | $0 | $17,159 | $0 | $574,404 | $0 | $0 | $0 |
| Michael Mutterer | ||||||||||||||
| Senior Vice President/CNO | $245,428 | $0 | $68,440 | $0 | $8,066 | $0 | $33,332 | $0 | $13,047 | $0 | $368,314 | $0 | $0 | $0 |
| Patricia Vilt | ||||||||||||||
| Vice President of Finance | $234,251 | $0 | $63,321 | $0 | $4,255 | $0 | $31,896 | $0 | $12,152 | $0 | $345,874 | $0 | $0 | $0 |
| Dawn Willbarger | ||||||||||||||
| Vice President | $141,327 | $0 | $14,625 | $0 | $13,660 | $0 | $0 | $0 | $22,812 | $0 | $192,425 | $0 | $0 | $0 |
| Dr Raju Abraham | ||||||||||||||
| Physician | $619,593 | $0 | $48,050 | $0 | $5,088 | $0 | $28,600 | $0 | $12,420 | $0 | $713,751 | $0 | $0 | $0 |
| Dr Charles Harvey | ||||||||||||||
| Physician | $599,957 | $0 | $0 | $0 | $6,406 | $0 | $33,900 | $0 | $16,569 | $0 | $656,832 | $0 | $0 | $0 |
| Dr Vijay Haryani | ||||||||||||||
| Physician | $1,241,397 | $0 | $144,210 | $0 | $4,340 | $0 | $10,600 | $0 | $12,050 | $0 | $1,412,598 | $0 | $0 | $0 |
| Dr Juan Jimenez | ||||||||||||||
| Physician | $1,061,221 | $0 | $96,675 | $0 | $3,652 | $0 | $33,900 | $0 | $19,674 | $0 | $1,215,122 | $0 | $0 | $0 |
| Dr Vikas Patel | ||||||||||||||
| Physician | $565,349 | $0 | $178,724 | $0 | $11,634 | $0 | $28,600 | $0 | $20,438 | $0 | $804,744 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | The President has country club dues paid on his behalf from Riverside Medical Center as a benefit. The country club dues are treated as taxable compensation. |
| Schedule J, Part I, Line 1a Personal services | The President and CFO 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 plan | The following were part of a 457(f) plan with the organization. Total contributions for each were: - Phillip Kambic $188,698 - Bill Douglas $47,186 - Rebecca Hinrichs $13,515 - Michael Mutterer $13,113 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200FZN2 | 2009-08-13 | $65,829,204 | Refunding and Capital Improvements | false | false | false |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45203HRT1 | 2013-05-16 | $34,154,777 | Refunding and Capital Purchases | false | false | false |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| C | 861091967 | 45204ELJ5 | 2016-09-28 | $87,177,173 | REFUNDING AND CAPITAL PURCHASES | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $46,490,000 | $0 | $65,829,204 | $0 | $0 | $0 | $1,179,707 | $0 | $999,750 | $35,000,000 | $28,649,747 | $0 | 2009 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $34,154,777 | $0 | $0 | $0 | $726,250 | $0 | $0 | $7,419,077 | $26,009,450 | $0 | 2013 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
| C | $0 | $0 | $87,177,173 | $0 | $0 | $0 | $1,155,791 | $0 | $0 | $0 | $71,021,382 | $15,000,000 | 2016 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | 0.01 | 0.0 | 0.01 | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) | |
| C | false | Yes (true) | Yes (true) | Yes (true) | false | 0.01 | 0.01 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | false | false | Yes (true) |
| B | false | false | false | Yes (true) | false | false | false | false | Yes (true) |
| C | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 2c COLUMN A | Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/13/2016 |
| Schedule K, Part IV, Line 2c COLUMN B | Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/30/2015 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN KAMBIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF PHILLIP KAMBIC, PRESIDENT/CEO | RelationshipDescriptionTxt |
| Transaction | $56,485 | TransactionAmt |
| Transaction | INDEPENDENT CONTRACTOR | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 7,532,779 including grants of $)(Revenue $ 8,007,003) ONCOLOGY - THE RUSH- 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 9,014 SURGICAL, CHEMOTHERAPY, AND RADIATION PROCEDURES PERFORMED IN 2016. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The 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 executive officer shall be an ex officio member with vote provided, however, he shall not participate in matters regarding the evaluation of the president'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 stockholders | The 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 body | As 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 stockholders | The power and authority of the Member concerning the affairs of the Corporation shall consist of those reserved powers as set forth in this Section. The Corporation may, at its option, initiate or make recommendations to the Member with respect to any of the following matters: (a) Elect and remove, with or without cause, the Directors of the Corporation; (b) Elect and remove the president of the Corporation; (c) Adopt, amend, restate or repeal the Articles of Incorporation and Bylaws of the Corporation; (d) Authorize the Corporation to engage in, or enter into any transaction providing for the sale, lease, exchange or other disposition of assets of the Corporation outside the Riverside Health System d/b/a Riverside Healthcare corporate structure in excess of five percent (5%) of its assets, as defined in the Corporate bond indenture, in any twelve (12) month period. (e) Adopt a plan of dissolution or liquidation of the Corporation and distribution of its assets; (f) Adopt a plan of merger, consolidation or corporate reorganization involving the Corporation other than in the ordinary course of health care operations; (g) Authorize any transaction which would result in a change in ownership or control of the Corporation; (h) Approve the appointment of an independent auditor or the adoption of accounting policies and investment guidelines; (i) Adopt capital and operating budgets of the Corporation; (j) Adopt and execute a strategic plan of the Corporation; (k) Incur indebtedness in excess of the limits established by the Member from time to time; (l) Authorize the Corporation to make loans in excess of the limits established by the Member from time to time; (m) Authorize any capital expenditures in excess of limits established by the Member from time to time; (n) Authorize any donation of assets of the Corporation in excess of limits established by the Member from time to time; (o) Authorize the sale, transfer, encumbrance or otherwise dispose of any real property or interest therein or the purchase of any real estate; (p) Organize or acquire, or authorize the organization or acquisition of any subsidiary or affiliate of the Corporation ("affiliate" shall include any corporation, association, partnership, trust, joint venture, or other entity directly or indirectly controlling, controlled by, or under common control with the Corporation); (q) Establish policy guidelines and criteria for implementation of the Corporation's mission and periodically review and amend the mission statement. (r) Approve any policy by the Corporation or any action taken by the Corporation as to initiation, defense, or settlement of legal or administrative actions in excess of such amounts as shall be established pursuant to corporate policy. (s) Modify compensation and benefit policies, with the exception of those involving the president/chief executive officer, which are solely the responsibility of the Member's executive committee. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Management performed the initial review of the Form 990. Every board member also received a copy of the Form 990 prior to the form being filed with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The conflict of interest questionnaires are mailed to all board members annually. Each member must read and sign the form to disclose any potential conflicts for the year. If a conflict arises 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 official | Riverside'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 2016. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | Riverside'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. Positions for which this process was used are: - Senior Vice President & Chief Operating Officer - Senior Vice President for Finance & 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 RESOURCE -VICE PRESIDENT OF FINANCE -VICE PRESIDENT, CHIEF MEDICAL OFFICER AND CHIEF MEDICAL INFORMATION OFFICER -VICE PRESIDENT This process was last undertaken in 2016. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | All Other - 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 Revenue | MISCELLANEOUS - Total Revenue: 442268, Related or Exempt Function Revenue: 442268, 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 balances | Loss on Early Extinguishment of Debt - -3715069; Change in Fair Value of Derivatives - -103127; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE HEALTH SYSTEM | ||||||||||
| 350 N WALL STREET | KANKAKEE | IL | 60901 | 363167726 | PARENT | IL | 501(c)(3) | Type III-FI | NA | false |
| RIVERSIDE SENIOR LIVING CENTER | ||||||||||
| 350 N WALL STREET | KANKAKEE | IL | 60901 | 363670744 | NURSING HOME | IL | 501(c)(3) | 10 | RHS | false |
| OAKSIDE CORPORATION | ||||||||||
| 350 N WALL STREET | KANKAKEE | IL | 60901 | 363166804 | HEALTHCARE | IL | 501(c)(3) | Type II | RHS | false |
| RIVERSIDE HEALTHCARE FOUNDATION | ||||||||||
| 350 N WALL STREET | KANKAKEE | IL | 60901 | 363166033 | SUPPORT ORG. | IL | 501(c)(3) | Type II | RHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE AMBULATORY SURGERY CTR LLC | |||||||||||||
| 300 RIVERSIDE DR | BOURBONNAIS | IL | 60914 | 320082320 | SURGERY CENTER | IL | NA | Related | $382,274 | $1,014,070 | false | false | 0.68 |
| THE CENTER FOR DIGESTIVE HEALTH | |||||||||||||
| 1615 N CONVENT STREET | BOURBONNAIS | IL | 60914 | 364532301 | PATIENT SERVICES | IL | NA | Related | $242,478 | $24,852 | false | false | 0.1 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butterfield Service Corp | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363166197 | EIN |
| Primary Activities | inactive | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Ownership | 0 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |