2013-11-13T18:03:22-06:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 363670744 RIVERSIDE SENIOR LIVING CENTER RIVE 8159331671 350 N Wall Street Kankakee IL 60901 BILL DOUGLAS 2013-11-14 true JOHN WOODHULL P01305268 3128997000 2012 2016-02-24 21:20:13Z PHILLIP KAMBIC 350 N Wall Street Kankakee IL 60901 23240950 false X WWW.RIVERSIDEHEALTHCARE.ORG X 1990 IL RIVERSIDE SENIOR LIVING CENTER'S MISSION IS TO OPERATE A CONTINUING CARE FACILITY THAT PROVIDES QUALITY INDEPENDENT AND ASSISTED LIVING CARE AS WELL AS SKILLED NURSING CARE. 12 11 451 10 0 0 172 0 22660757 21801388 639324 964034 445606 454365 23745859 23219787 0 0 0 0 10601116 10742368 0 0 0 9976702 9515812 20577818 20258180 3168041 2961607 53613117 57201295 39278281 38962672 14334836 18238623 RIVERSIDE SENIOR LIVING CENTER'S MISSION IS TO OPERATE A CONTINUING CARE FACILITY THAT PROVIDES QUALITY INDEPENDENT AND ASSISTED LIVING CARE AS WELL AS SKILLED NURSING CARE. false false 12612123 14978590 RIVERSIDE SENIOR LIVING CENTER OPERATES MILLER NURSING HOME, A LONG-TERM CARE DIVISION THAT PROVIDES INTERMEDIATE, SKILLED AND SUB-ACUTE LEVELS OF CARE. SERVICES PROVIDED ARE OVERSEEN BY THE ADMINISTRATOR, DIRECTOR OF NURSING, AND THE MEDICAL DIRECTOR. IN ADDITION TO PROVIDING SKILLED NURSING SERVICES, THE FACILITY ALSO PROVIDES AN ARRAY OF PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY FOR THE RESIDENTS OF THE FACILITY. A MULTITUDE OF OTHER SERVICES AVAILABLE ARE PROVIDED THROUGH A CONTRACTUAL AGREEMENT WITH OTHER PROVIDERS (I.E. PODIATRIST, DENTAL SERVICES, PHARMACEUTICALS AND OPTOMETRY). THIS DIVISION IS LICENSED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND IS CERTIFIED FOR MEDICARE AND MEDICAID RECIPIENTS. DURING THE YEAR 2012, THIS FACILITY PROVIDED APPROXIMATELY 46,400 RESIDENT CARE DAYS. 2950751 3920816 RIVERSIDE SENIOR LIVING CENTER OPERATES AN ASSISTED LIVING COMMUNITY DESIGNED TO PROVIDE QUALITY CARE AND HOUSING OF THOSE NOT ABLE TO LIVE INDEPENDENTLY. ALL THE SAME SERVICES THAT INDEPENDENT LIVING RESIDENTS RECEIVE ARE ALSO AVAILABLE TO THOSE IN THE ASSISTED LIVING COMMUNITY. THE RESIDENTS OF THE ASSISTED LIVING COMMUNITY ALSO RECEIVE THREE MEALS DAILY AND ASSISTANCE WITH CERTAIN LIVING ACTIVITIES AS THE INDIVIDUAL RESIDENT MAY REQUEST. IN 2012, APPROXIMATELY 94 OF THE 96 UNITS WERE OCCUPIED FOR THE ENTIRE YEAR. 2500020 3356347 RIVERSIDE SENIOR LIVING CENTER OPERATES AN INDEPENDENT LIVING RETIREMENT COMMUNITY DESIGNED TO PROVIDE HOUSING IN THE FORM OF EITHER AN APARTMENT OR A HOUSE. A VARIETY OF SERVICES ARE OFFERED FOR RESIDENTS INCLUDING HOUSEKEEPING, UTILITIES, MAINTENANCE, TRANSPORTATION, SECURITY MONITORING, A 24-HR CALL SYSTEM, A FULL ARRAY OF RECREATIONAL SOCIAL PROGRAMS, LAWN CARE AND SNOW REMOVAL. THERE ARE APPROXIMATELY 90 INDEPENDENT LIVING UNITS OF WHICH APPROXIMATELY 81 WERE OCCUPIED THE ENTIRE YEAR. 18062894 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 11 0 true 451 true false false false false false false false false false false X 12 11 false false false false true true true true true false false true true true false true true true false false IL X Rich Schiltz 8159357256 350 N WALL STREET KANKAKEE IL 60901 BILL DYON 1.00 1.00 X X 0 0 0 DAVID HEGG MD 1.00 0.00 X X 0 0 0 ED LAMBERT 1.00 1.00 X X 0 0 0 LINDA MITCHELL 1.00 0.00 X X 0 0 0 PHILLIP KAMBIC 1.00 42.00 X X 0 915390 148040 BRUCE PAYNE 1.00 0.00 X 0 0 0 EMMA LOU LEMON 1.00 1.00 X 0 0 0 JAMES KASLER 1.00 0.00 X 0 0 0 JANE MEYER 1.00 0.00 X 0 0 0 JOY ROSE 1.00 0.00 X 0 0 0 KEITH MOSS 1.00 0.00 X 0 0 0 MARDENE HINTON 1.00 0.00 X 0 0 0 BILL DOUGLAS 1.00 42.00 X 0 412339 51391 MICHAEL MUTTERER 25.00 40.00 X 0 188937 8193 0 1516666 207624 0 false true false CONSONUS REHAB 4560 INTERNATIONAL WAY SUITE 100 MILWAUKIE OR 97222 THERAPY SERVICES 2287562 1 0 0 NET PATIENT SERVICE REVENUE, NURSING REVENUE 621610 14524225 14524225 RENTAL - INDEPENDENT LIVING 531390 3356347 3356347 RENTAL - ASSISTED LIVING 621610 3920816 3920816 0 0 0 0 0 0 21801388 822303 822303 0 0 0 0 0 162894 21163 141731 0 141731 141731 0 0 0 MISC RESIDENTIAL SERVICES 900099 454365 454365 0 0 0 0 0 0 454365 23219787 22255753 0 964034 0 0 0 0 0 0 8672545 7855895 816650 144895 131253 13642 1294914 1172998 121916 630014 570698 59316 0 0 0 0 0 43149 43149 0 0 0 0 59222 34775 24447 46118 3308 42810 0 0 780283 780283 15920 1876 14044 0 0 1569225 1569225 0 1265777 1265777 273425 183627 89798 PURCHASE SERVICE 2813614 2601034 212580 SUPPLIES 1003151 973635 29516 FOOD 822073 822073 EQUIPMENT MAINTENANCE 75479 75479 748376 20958 727418 0 20258180 18062894 2195286 0 0 4057294 5637587 2249611 1704308 0 0 18119 15920 19096 19478 48839011 28261031 20569626 20577980 16326732 19556286 0 0 0 0 10372639 9689736 53613117 57201295 2863881 3403540 28836574 27903495 0 7577826 7655637 39278281 38962672 X 14334836 18238623 14334836 18238623 53613117 57201295 2961607 -6376 0 X false true X true false X 18493 25000 25000 172 0 68665 16223438 18793264 19501029 22660757 21790693 98969181 0 0 0 16241931 18818264 19526029 22660929 21790693 99037846 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 99037846 89574 385960 777643 446276 1781554 3481007 0 89574 385960 777643 446276 1781554 3481007 0 634015 93296 174430 445606 454365 1801712 16965520 19297520 20478102 23552811 24026612 104320565 0.94940 0.95880 0.03340 0.02610 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISC INCOME, COLUMN A - 634015, COLUMN B - 93296, COLUMN C - 174430, COLUMN D - 445606, COLUMN E - 454365, COLUMN F - 1801712;, 95638 95638 34804211 18422939 16381272 0 13241107 9838092 3403015 698055 698055 20577980 DEFERRED FINANCING COSTS 319144 DEPOSITS UNDER RESIDENCY AGREEMENTS 6696200 DUE FROM RIVERSIDE HEALTHCARE FOUNDATION, INC. 393388 TRUSTEE HELD FUNDS 2281004 9689736 0 REFUNDABLE ADVANCE RESIDENCY FEES 6750044 OTHER LONG-TERM LIABILITIES 905593 7655637 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 RIVERSIDE SENIOR LIVING 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 SPECIAL-PURPOSE COMBINED FINANCIAL STATEMENTS. UNDER ASC TOPIC 740-10, RIVERSIDE SENIOR LIVING 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 SPECIAL-PURPOSE COMBINED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC 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 SENIOR LIVING CENTER DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. false true false false false false false BILL DOUGLAS 0 321564 0 62611 0 28164 0 37776 0 13615 0 463730 0 0 MICHAEL MUTTERER 0 185937 0 0 0 3000 0 0 0 8193 0 197130 0 0 PHILLIP KAMBIC 0 596259 0 132617 0 186514 0 133881 0 14159 0 1063430 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE ORGANIZATION RELIED ON RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, COMPARABILITY DATA AND REQUIRE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF THE PRESIDENT/CEO. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b PHILLIP KAMBIC,BILL DOUGLAS AND MICHAEL MUTTERER ARE PART OF A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. TOTAL CONTRIBUTIONS TO THE PLAN ARE AS FOLLOWS: PHILLIP KAMBIC = $148,04 BILL DOUGLAS = $51,391 MICHAEL MUTTERER = $8,193 Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE CORPORATE MEMBER OF RIVERSIDE SENIOR LIVING CENTER IS RIVERSIDE HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a AS THE SOLE CORPORATE MEMBER, RIVERSIDE HEALTH SYSTEM HAS THE AUTHORITY TO APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b 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. PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE CEO IS COMPENSATED BY RIVERSIDE MEDICAL CENTER (RMC), A RELATED TAX-EXEMPT ORGANIZATION. RMC'S COMPENSATION REVIEW PROCESS IS AS FOLLOWED: RIVERSIDE MEDICAL CENTER'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 TRANSACTIONS. 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. PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS FORM 990, PART VI, LINE 15B THE OTHER OFFICERS ARE COMPENSATED BY RIVERSIDE MEDICAL CENTER. THE PROCESS USED BY RIVERSIDE MEDICAL CENTER IS PROVIDED BELOW. 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 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. TAX-EXEMPT BONDS FORM 990, PART X, LINE 20 RIVERSIDE SENIOR LIVING CENTER IS PART OF AN OBLIGATED GROUP THAT HAS BEEN ISSUED VARIOUS TAX EXEMPT BONDS SINCE DECEMBER 2002. THE LIABILITIES REPORTED ON THE ORGANIZATION'S BALANCE SHEET HAVE BEEN ALLOCATED SPECIFICALLY TO THIS ORGANIZATION BUT THE SCHEDULE K IS FILED BY THE SOLE CORPORATE MEMBER, RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION. RIVERSIDE HEALTH SYSTEM 350 N WALL STREET KANKAKEE IL 60901 PARENT IL 501(C)(3) 11 - Type III - FI RHS false RIVERSIDE MEDICAL CENTER 350 N WALL STREET KANKAKEE IL 60901 HOSPITAL IL 501(C)(3) 3 RHS false OAKSIDE CORPORATION 350 N WALL STREET KANKAKEE IL 60901 HEALTHCARE IL 501(C)(3) 11 - Type II RHS false RIVERSIDE HEALTHCARE FOUNDATION 350 N WALL STREET KANKAKEE IL 60901 SUPPORT ORG. IL 501(C)(3) 11 - Type II RHS false false false false false false false false false false false false false false false true true false false false