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RIVERSIDE MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE MEDICAL CENTER (EIN 36-2414944)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349305968
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T16:00:37-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362414944EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIVENameControl
Phone8159331671Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1
CityKankakeeCity
StateILState
ZIP Code60901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBILL DOUGLASName
TitleTREASURER/CFOTitle
Date Signed2012-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1PHILLIP KAMBICBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1
CityKankakeeCity
StateILState
ZIP Code60901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts261345332GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIVERSIDEHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY, BY PROVIDING A COMPREHENSIVE ARRAY OF HIGH VALUE & QUALITY SERVICES IN A CARING & EFFECTIVE MANNER.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2148TotalNbrEmployees
Total Nbr Volunteers396TotalNbrVolunteers
Total Gross UBI276103TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1354496ContributionsGrantsPriorYear
Contributions Grants Current Year843232ContributionsGrantsCurrentYear
Program Service Revenue Prior Year239235938ProgramServiceRevenuePriorYear
Program Service Revenue CY239666506ProgramServiceRevenueCY
Investment Income Prior Year1976822InvestmentIncomePriorYear
Investment Income Current Year7572142InvestmentIncomeCurrentYear
Other Revenue Prior Year4008687OtherRevenuePriorYear
Other Revenue Current Year3867457OtherRevenueCurrentYear
Total Revenue Prior Year246575943TotalRevenuePriorYear
Total Revenue Current Year251949337TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY83797GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year105815251SalariesEtcPriorYear
Salaries Etc Current Year108757809SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year126611736OtherExpensePriorYear
Other Expenses Current Year122047516OtherExpensesCurrentYear
Total Expenses Prior Year232426987TotalExpensesPriorYear
Total Expenses Current Year230889122TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14148956RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21060215RevenuesLessExpensesCY
Total Assets BOY432864344TotalAssetsBOY
Total Assets EOY456180533TotalAssetsEOY
Total Liabilities BOY200610478TotalLiabilitiesBOY
Total Liabilities EOY209238701TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY232253866NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY246941832NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionRIVERSIDE MEDICAL CENTER IS COMMITTED TO IMPROVING THE WELL-BEING OF THE COMMUNITIES THEY SERVE, 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 $13.8 MILLION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense160240324Expense
Grants0Grants
Revenue166115300Revenue
DescriptionRIVERSIDE 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 OPERATE MULTIPLE COMMUNITY PRIMARY AND SPECIALTY HEALTH CENTERS LOCATED IN KANKAKEE, WILL, AND GRUNDY COUNTIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense32744826Expense
Grants0Grants
Revenue40857109Revenue
DescriptionCARDIOLOGY - 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 -FULL ARRAY OF CARDIAC DIAGNOSTICS AND CARDIAC REHAB -WOMEN'S HEART AWARENESS AND EDUCATION PROGRAM -HEART SCAN TO IDENTIFY RISK FOR HEART ATTACK. IN 2011, THERE WERE 224 CARDIAC SURGERIES PERFORMED, OF WHICH 131 WERE OPEN HEART SURGERIES. ALSO, THERE WERE 2,003 CARDIAC CATHETERIZATION PROCEDURES PERFORMED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense13297576Expense
Grants0Grants
Revenue16591949Revenue
DescriptionORTHOPEDICS - 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 1,641 ORTHOPEDIC SURGERIES PERFORMED IN 2011.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense12905027Expense
Grants0Grants
Revenue16102148Revenue
DescriptionONCOLOGY - 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 15,500 SURGICAL, CHEMOTHERAPY, AND RADIATION PROCEDURES PERFORMED IN 2011.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp12905027TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev16102148TotalOfOtherProgramServiceRev
Total Program Service Expense219187753TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096110NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2148NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Rich SchiltzBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8159357256TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 N WALL STREETAddressLine1
CityKANKAKEECity
StateILState
ZIP Code60901ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CONNIE ASHLINE
CHAIRMAN1.00XX000
DOUG PERRY
SECRETARY1.00XX000
HARRY SIMMON
VICE CHAIRMAN1.00XX000
PHILLIP KAMBIC
PRESIDENT/CEO40.00XX8470790147684
DR MARC FISHER
BOARD MEMBER1.00X000
DR NADEEM ANSARI
BOARD MEMBER1.00X000
DR PHILIP HAYS
BOARD MEMBER1.00X000
DR STONEWALL MCCUISTON
BOARD MEMBER1.00X3735001941
FRANCIS SMITH
BOARD MEMBER1.00X000
HARRY BOND
BOARD MEMBER1.00X000
JOHN AVENDANO
BOARD MEMBER1.00X000
LISA DUGAN
BOARD MEMBER1.00X000
ALLEN KELLY
VICE PRESIDENT40.00X214891018824
BILL W DOUGLAS
TREASURER/CFO40.00X403719042359
DAVID DUDA
VICE PRESIDENT40.00X414211061671
DEENA LAYTON
VICE PRESIDENT40.00X154278024125
DR JOHN JURICA
VICE PRESIDENT40.00X337930048744
GERARD BAKER
VICE PRESIDENT40.00X210922020790
MARGARET FROGGE
VICE PRESIDENT40.00X364609057991
MICHAEL MUTTERER
VICE PRESIDENT40.00X267200934
PATRICIA VILT
VICE PRESIDENT40.00X178153014127
REBECCA HINRICHS
VICE PRESIDENT40.00X264423029597
TANYA STRINGER
VICE PRESIDENT40.00X2446801587
DR CHARLES HARVEY
PHYSICIAN40.0043135509645X
DR JUAN JIMENEZ
PHYSICIAN40.00776612033220X
DR PHILIP ALEXANDER
PHYSICIAN40.00474933028007X
DR ROBERT APPLEBAUM
PHYSICIAN40.00477589027678X
DR STEVEN WILLIAMS
PHYSICIAN40.00522184018957X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6161426TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation587881TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JOHNSON DOWNS CONSTRUCTION CO
140 WEST MERTENS STREETKANKAKEEIL60901CONSTRUCTION14777851
ERDMAN COMPANY
PO BOX 88670MILWAUKEEWI532880670CONSTRUCTION5099322
SOUND PHYSICIANS
1123 PACIFIC AVENUETACOMAWA98402PHYSICIANS2040626
MAYO MEDICAL LABORATORIES
PO 9146MINNEAPOLISMN554809146LABORATORY SERVICES1026307
J & J GENERAL CONTRACTING & DEVELOPMENT
PO BOX 461WATSEKAIL60970CONSTRUCTION828944
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Related Organizations218758RelatedOrganizations
Government Grants601355GovernmentGrants
All Other Contributions23119AllOtherContributions
Total Contributions843232TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
LABORATORY6215002873396128457858276103
OPERATING ROOM9000992488678524886785
CARDIAC CATHERTIZATION9000991970889919708899
PHARMACY9000991374477513744775
EMERGENCY ROOM9000991617963716179637

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column136412449TotalRevenueColumn
Related Or Exempt Function Income136412449RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue239666506TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4501626TotalRevenueColumn
Exclusion$4,501,626ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2676616Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real344417Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2332199Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2332199TotalRevenueColumn
Exclusion$2,332,199ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12122094Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9051578Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3070516Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3070516TotalRevenueColumn
Exclusion$3,070,516ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE9000991135058$1,135,058
COFFEE SHOP REVENUE900099239255$239,255
EXPENSE REIMBURSEMENT-PSYCH ASSOCIATES900099118565118565

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column42380TotalRevenueColumn
Related Or Exempt Function Income42380RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1535258TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column251949337TotalRevenueColumn
Related Or Exempt Function Income239551348RelatedOrExemptFunctionIncome
Unrelated Business Revenue276103UnrelatedBusinessRevenue
Exclusion$11,278,654ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total83797Total
Program Services83797ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3287125Total
Management And General3287125ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total86121925Total
Program Services83821189ProgramServices
Management And General2300736ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2980362Total
Program Services2794096ProgramServices
Management And General186266ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10434191Total
Program Services9798793ProgramServices
Management And General635398ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5934206Total
Program Services5563332ProgramServices
Management And General370874ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total172810Total
Management And General172810ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170000Total
Management And General170000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total605489Total
Management And General605489ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16897404Total
Program Services14890246ProgramServices
Management And General2007158ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total679419Total
Management And General679419ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2536709Total
Program Services2209291ProgramServices
Management And General327418ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5873267Total
Program Services5873267ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3280759Total
Program Services3280759ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total174751Total
Program Services174751ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total800443Total
Program Services566606ProgramServices
Management And General233837ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3114089Total
Program Services3114089ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17906422Total
Program Services17906422ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total7245284Total
Program Services7206297ProgramServices
Management And General38987ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES EXPENSE4192014141798205121936
BAD DEBT EXPENSE1078713710787137
PROVIDER ASSESSMENT64280166428016
LEASE/RENTAL EXPENSE10171811017181

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2438195Total
Program Services1874279ProgramServices
Management And General563916ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total230889122Total
Program Services219187753ProgramServices
Management And General11701369ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY57102240BOY
EOY37144019EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27219143BOY
EOY31299273EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4225849BOY
EOY4461582EOY

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FieldValueIRS element (for citing)
BOY4954680BOY
EOY5383850EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6706293BOY
EOY7455852EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis443334211LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec252687331LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY164148962BOY
EOY190646880EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY165434206BOY
EOY168170312EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3072971BOY
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Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY432864344BOY
EOY456180533EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY65390774BOY
EOY77396634EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY135219704BOY
EOY131842067EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY200610478BOY
EOY209238701EOY
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Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY230634279BOY
EOY245709977EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1274689BOY
EOY880375EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY344898BOY
EOY351480EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY232253866BOY
EOY246941832EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY432864344BOY
EOY456180533EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses21060215ReconcilationRevenueExpenses
Reconcilation Other Changes-6372249ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7979046OtherCostOrOtherBasis
Book Value7979046BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis210312091OtherCostOrOtherBasis
Depreciation92798582Depreciation
Book Value117513509BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis217231308OtherCostOrOtherBasis
Depreciation159888749Depreciation
Book Value57342559BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7811766OtherCostOrOtherBasis
Book Value7811766BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings190646880TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue251949337TotalRevenue
Total Expenses230889122TotalExpenses
Excess Or Deficit For Year21060215ExcessOrDeficitForYear
Net Unrealized GL On Investments-6372249NetUnrealizedGLOnInvestments
Other$0OtherAmount
Total Adjustments-6372249TotalAdjustments
Excess Or Deficit Per FS14687966ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt245477154TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6372249NetUnrealizedGainsInvestments
Other Revenues0OtherRevenues
Revenue Not Rptd F990-6372249RevenueNotRptdF990
Revenue Subtotal251849403RevenueSubtotal
Other Revenues Not Included99934OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt99934RevenueNotRptdOnFinStmt
Total Revenue Per Form990251949337TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt230789188TotExpensesEtcAuditedFinclStmt
Other Expenses Included-99934OtherExpensesIncluded
Expenses Not Rptd F990-99934ExpensesNotRptdF990
Expenses Subtotal230889122ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990230889122TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationRIVERSIDE 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. AS OF DECEMBER 31, 2011 AND 2010, RIVERSIDE MEDICAL CENTER DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule H IRS990ScheduleH

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Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3829938TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3829938NetCommunityBenefitExpense
Percent Of Total Expense0.01740PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35630477TotalCommunityBenefitExpense
Direct Offsetting Revenue30532894DirectOffsettingRevenue
Net Community Benefit Expense5097583NetCommunityBenefitExpense
Percent Of Total Expense0.02320PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense39460415TotalCommunityBenefitExpense
Direct Offsetting Revenue30532894DirectOffsettingRevenue
Net Community Benefit Expense8927521NetCommunityBenefitExpense
Percent Of Total Expense0.04060PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense727291TotalCommunityBenefitExpense
Direct Offsetting Revenue429981DirectOffsettingRevenue
Net Community Benefit Expense297310NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11272102TotalCommunityBenefitExpense
Direct Offsetting Revenue4399939DirectOffsettingRevenue
Net Community Benefit Expense6872163NetCommunityBenefitExpense
Percent Of Total Expense0.03120PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense83797TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense83797NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense12083190TotalCommunityBenefitExpense
Direct Offsetting Revenue4829920DirectOffsettingRevenue
Net Community Benefit Expense7253270NetCommunityBenefitExpense
Percent Of Total Expense0.03300PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense51543605TotalCommunityBenefitExpense
Direct Offsetting Revenue35362814DirectOffsettingRevenue
Net Community Benefit Expense16180791NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,993,431BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare90811785AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare97585697CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6773912MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
RIVERSIDE AMBULATORY SURGERY CENTER LLC
SURGERY CENTER0.6800.32
THE CENTER FOR DIGESTIVE HEALTH
DIAGNOSIS AND TREATMENT OF DIGESTIVE DISEASES0.100.9
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1350 N WALL STREETAddressLine1
CityKANKAKEECity
StateILState
ZIP Code60901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities17NumberOfOtherFacilities

Other Facilities OtherFacilities (17 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
RIVERSIDE MEDICAL PLAZA
300 RIVERSIDE DRIVEBOURBONNAISIL60914OUTPATIENT CENTER
RIVERSIDE AMBULATORY SURGERY CENTER
300 RIVERSIDE DRIVEBOURBONNAISIL60914OUTPATIENT SURGERY CENTER
RIVERSIDE RESOLVE CENTER
411 W DIVISION STREETMANTENOIL60950INPATIENT SUBSTANCE ABUSE PROGRAM
COAL CITY COMMUNITY HEALTH CENTER
5775 EAST STATE HIGHWAY 113COAL CITYIL60416DIAGNOSTIC CENTER
WILMINGTON COMMUNITY HEALTH CENTER
105 S FIRST STREETWILMINGTONIL60481COMMUNITY HEALTH CENTER
MEADOWVIEW PRIMARY CARE
70 MEADOWVIEW PALZA SUITE 300KANKAKEEIL60901COMMUNITY HEALTH CENTER
BOURBONNAIS COMMUNITY HEALTH CENTER
338 LARRY POWER ROADBOURBONNAISIL60914COMMUNITY HEALTH CENTER
PEOTONE COMMUNITY HEALTH CENTER
611 DIVISION STREETPEOTONEIL60468COMMUNITY HEALTH CENTER
RIVERSIDE CORPORATE HEALTH CENTER
400 S KENNEDY DRIVEBRADLEYIL60915CORPORATE HEALTH CENTER
MOMENCE COMMUNITY HEALTH CENTER
3761 N RT 1-17MOMENCEIL60954COMMUNITY HEALTH CENTER
EAST COURT COMMUNITY HEALTH CENTER
1701 E COURT STREETKANKAKEEIL60901COMMUNITY HEALTH CENTER
MANTENO COMMUNITY HEALTH CENTER
395 N LOCUST STREETMANTENOIL60950COMMUNITY HEALTH CENTER
PEMBROKE RURAL HEALTH CENTER
3400 S MAIN STREETHOPKINS PARKIL60944RURAL HEALTH CENTER
MONEE COMMUNITY HEALTH CENTER
25711 S EGYPTIAN TRAILMONEEIL60449COMMUNITY HEALTH CENTER
MANHATTAN COMMUNITY HEALTH CENTER
380 W NORTH STREETMANHATTANIL60442COMMUNITY HEALTH CENTER
WATSEKA SPECIALTY SERVICES
1490 E WALNUT STREETWATSEKAIL60970OUTPATIENT CENTER
RIVERSIDE MEDICAL CENTER FASTCARE
2080 N STATE ROUTE 50BOURBONNAISIL60914PHYSICIAN SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7A COST-TO CHARGE RATIO, WHICH WAS DERIVED FROM WORKSHEET 2, WAS USED FOR ALL THE FIGURES IN THE TABLE, EXCEPT FOR SUBSIDIZED HEALTH SERVICES. SUBSIDIZED HEALTH SERVICES COSTS WERE CALCULATED BY ALLOCATING OVERHEAD COSTS TO REVENUE GENERATING DEPARTMENTS BASED ON PERCENTAGE OF DIRECT EXPENSE TO TOTAL EXPENSES.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)10,787,137
Subsidized Health ServicesSchedule H, Part I, Line 7gINCLUDED WITH SUBSIDIZED HEALTH SERVICES ARE COSTS OF $1,440,616 ATTRIBUTED TO PHYSICIAN CLINICS.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4BAD DEBT EXPENSE IS DETERMINED USING THE COST TO CHARGE RATIO. THE FINANCIAL STATEMENTS FOR RIVERSIDE MEDICAL CENTER DO NOT CONTAIN A FOOTNOTE DESCRIBING THE BAD DEBT EXPENSE.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE 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.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bWHEN 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.
Needs assessment.Schedule H, Part VI, Line 2RIVERSIDE MEDICAL CENTER CONDUCTED AN ANALYSIS OF COMMUNITY HEALTH NEEDS IN 2007 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) PREVENTION, AND (C) DISEASE MANAGEMENT.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3RIVERSIDE 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.
Community information.Schedule H, Part VI, Line 4RIVERSIDE SERVES THE ILLINOIS COUNTIES OF KANKAKEE, FORD, GRUNDY, IROQUOIS, LIVINGSTON AND WILL. RIVERSIDE'S PRIMARY SERVICE AREA, KANKAKEE COUNTY HAS A POPULATION OF 113,449 (2010 U.S. CENSUS BUREAU DATA), AND INCLUDES THE COMMUNITIES OF BRADLEY, BOURBONNAIS, KANKAKEE AND MANTENO. THE RACIAL COMPOSITION OF THE COUNTY IS 77.6% WHITE, 15.1% BLACK OR AFRICAN AMERICAN, 9% HISPANIC OR LATINO AND 0.3% NATIVE AMERICAN. THE MEDIUM HOUSEHOLD INCOME IS $49,375 AND 15.1% OF THE POPULATION LIVES BELOW THE POVERTY LINE. THE MEDICAL CENTER IS LOCATED IN THE CITY OF KANKAKEE. OVER 21.4% OF THE INDIVIDUALS LIVING IN THE CITY ARE BELOW THE POVERTY LEVEL, WHICH EXCEEDS THE STATE OF ILLINOIS AVERAGE OF 10.7%. THE RACIAL MAKEUP OF THE CITY IS 50.9% WHITE, 41.1% BLACK OR AFRICAN AMERICAN, 9.3% HISPANIC OR LATINO AND 0.3% NATIVE AMERICAN. THE MEDIUM HOUSEHOLD INCOME IS $30,469, WELL BELOW THE ILLINOIS AVERAGE OF $46,590. 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-FOUR PERCENT OF THE MEDICAL CENTER'S SERVICES ARE PROVIDED TO THE ELDERLY AND THE POOR-SOME OF THE AREA'S MOST VULNERABLE CITIZENS. IN 2011, THE MEDICAL CENTER TREATED 61,841 MEDICAID CASES, MANY FOR HIGHLY COMPLEX DIAGNOSES REQUIRING CARE AT SIGNIFICANT COST. THE INCOME, EMPLOYMENT AND INSURANCE STATUS OF RESIDENTS OF KANKAKEE COUNTY RESULT IN THE HOSPITAL CARING FOR A LARGE NUMBER OF PATIENTS WHO ARE UNINSURED OR UNDER-INSURED, OR FOR WHOM PUBLIC PROGRAM REIMBURSEMENT IS INADEQUATE TO COVER COSTS. KANKAKEE COUNTY CONTAINS FEDERALLY-DESIGNATED MEDICALLY UNDER-SERVED AREAS IN MANTENO, PEMBROKE & KANKAKEE.
Promotion of community healthSchedule H, Part VI, Line 5RIVERSIDE 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. BELOW ARE EXAMPLES OF THE INITIATIVES THAT RIVERSIDE HAS IMPLEMENTED TO ADDRESS THESE HEALTH ISSUES.
Affiliated health care systemSchedule H, Part VI, Line 6RIVERSIDE 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.
OTHER INFORMATIONPART VI, LINE 6ACCESS TO CARE: RIVERSIDE MEDICAL CENTER HAS RESPONDED TO THE ISSUES OF ACCESS TO SAFE, QUALITY HEALTH CARE FOR OUR COMMUNITY BY PLACING EMPLOYED PHYSICIANS IN UNDERSERVED AREAS, RECRUITING NEW PHYSICIANS, CONDUCING HEALTH EDUCATION AND SCREENINGS, PROVIDING EMERGENCY AND AMBULANCE SERVICES TO RURAL COMMUNITIES AND OFFERING PRENATAL CARE TO UNDERSERVED WOMEN. RIVERSIDE'S NEW LIFE CENTER PROVIDES ROUTINE GYNECOLOGICAL CARE AND OBSTETRICS REFERRAL SERVICES TO FEMALES AGE 12 TO 54. PREGNANT PARTICIPANTS ARE ASSISTED WITH MEDICAID PRESUMPTIVE ELIGIBILITY TO EASE THE PATIENT'S ACCESS TO HIGH QUALITY OBSTETRIC CARE. THE NEW LIFE CENTER ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND FEES ARE BASED ON A SLIDING SCALE. THE PROGRAM MAINTAINS SPANISH-SPEAKING STAFF TO SERVE THE HISPANIC POPULATION, WHICH IS 17% OF THE CLIENT POPULATION. IN 2011, WE SERVED OVER 5400 INDIVIDUALS IN THIS PROGRAM. THE MEDICAL CENTER OWNS AND OPERATES NINE COMMUNITY HEALTH CLINICS LOCATED IN KANKAKEE, BOURBONNAIS, MANTENO, MONEE, MOMENCE, HOPKINS PARK (PEMBROKE TOWNSHIP), WILMINGTON, PEOTONE AND COAL CITY. THE HEALTH CLINICS EMPLOY THIRTY-FOUR PHYSICIANS INCLUDING GENERAL INTERNISTS, FAMILY PRACTITIONERS, PEDIATRICIANS, OBSTETRICIANS AND GYNECOLOGISTS, PSYCHIATRISTS, PLASTIC SURGEONS AND INTERNAL MEDICINE PHYSICIANS. FOR THE HOPKINS PARK, MOMENCE AND KANKAKEE AREA, THE EXPLICIT PURPOSE OF THE COMMUNITY HEALTH CENTERS IS TO EXTEND THE REACH OF THE HOSPITAL TO THOSE AREAS WITH HIGH POVERTY LEVELS. RIVERSIDE IS COMMITTED TO ADVANCING THE HEALTH OF OUR COMMUNITIES THROUGH HEALTHCARE EDUCATION AND TRAINING. RIVERSIDE HAS COLLABORATED WITH SEVERAL ORGANIZATIONS TO ADDRESS THE NURSING SHORTAGE, INCLUDING OLIVET NAZARENE UNIVERSITY'S FOUR-YEAR BACHELOR OF SCIENCE DEGREE, REGISTERED NURSE PROGRAM AND KANKAKEE COMMUNITY COLLEGE'S ASSOCIATE DEGREE REGISTERED NURSE PROGRAM AND LICENSED PRACTICAL NURSE PROGRAM. THE MEDICAL CENTER TRAINS NURSING STUDENTS THROUGHOUT THE HOSPITAL IN MEDICAL-SURGICAL, PEDIATRICS, CRITICAL CARE AREAS AND OBSTETRICS/LABOR AND DELIVERY. SHADOWING AND MENTORING IS ALSO PROVIDED TO LOCAL HIGH SCHOOL STUDENTS. THE MEDICAL CENTER IS ALSO AFFILIATED WITH VARIOUS OTHER INSTITUTIONS TO ADVANCE THE TRAINING OF FUTURE HEALTHCARE PROFESSIONALS INCLUDING PRAIRIE STATE COLLEGE'S ASSOCIATED DEGREE REGISTERED NURSE PROGRAM AND TRINITY UNIVERSITY'S GRADUATE PROGRAM IN HEALTH CARE ADMINISTRATION. THIS INITIATIVE PROVIDES FINANCIAL ASSISTANCE IN THE WAY OF SCHOLARSHIPS TO STUDENTS. RIVERSIDE HAS WORKED TO DEVELOP AN OUTSTANDING NURSING STAFF FOR OUR COMMUNITY, YET WE REALIZE THE MEDICAL ENVIRONMENT DOES NOT STAND STILL. THERE IS ALWAYS NEW KNOWLEDGE TO ACQUIRE, NEW TECHNOLOGY TO LEARN, AND NEW TECHNIQUES TO ASSIMILATE. A MORE HIGHLY EDUCATED NURSING STAFF RESULTS IN A BETTER PATIENT EXPERIENCE AND CLINICAL OUTCOMES. TO THIS END, RIVERSIDE HAS DEVELOPED A NURSING EXCELLENCE PROGRAM TO ASSIST NURSING STAFF TO WORK TOWARD THEIR ADVANCED DEGREES. THERE WERE ALMOST 500 NURSING STUDENTS BEING SUPPORTED THROUGH RIVERSIDE'S EDUCATIONAL PROGRAMS IN 2011 AND APPROXIMATELY $515,000 BEING PROVIDED TO ASSIST THESE INDIVIDUALS. RECRUITMENT OF PHYSICIANS FOR THE COMMUNITY IS CRITICAL TO MEET THE PROJECTED HEALTH CARE NEEDS DUE TO GROWTH, THE AGING POPULATION AND EXPECTED RETIREMENT OF CURRENT PHYSICIANS. RIVERSIDE CONDUCTED A STUDY TO DETERMINE THE PROJECTED DEFICIT OF PHYSICIANS BY SPECIALTY IN THE COMMUNITY. THIS STUDY ESTIMATED A DEFICIT IN KANKAKEE COUNTY. CURRENT STRATEGIC DIRECTION IS TO RECRUIT PHYSICIANS TO THE SERVICE AREA, EVEN IF IT IS NECESSARY TO EMPLOY THEM DIRECTLY. A RECENT EXAMPLE WAS THE LACK OF NEUROSURGEONS IN THE AREA WILLING TO TREAT PATIENTS SUFFERING FROM HEAD TRAUMAS. RIVERSIDE MADE THE MULTI-MILLION DOLLAR COMMITMENT TO EMPLOY TWO CRANIAL NEUROSURGEONS. RIVERSIDE MEDICAL CENTER OPERATES THE RESOLVE CENTER IN MANTENO, ILLINOIS, WHICH HOUSES AN 18-BED LICENSED RESIDENTIAL SUBSTANCE ABUSE PROGRAM FOR ADOLESCENT BOYS AND ASSOCIATED OUTPATIENT SERVICES. THE PROGRAM IS DESIGNED TO MEET THE PERSONAL NEEDS OF EACH PATIENT USING TREATMENT PLANS TAILORED TO EACH INDIVIDUAL'S SITUATION. THE PATIENT'S FAMILY IS ALSO EMPHASIZED, AS THEIR NEEDS ARE IDENTIFIED AND TREATED AS WELL. OVER 1,900 INDIVIDUALS WERE SERVED IN THIS PROGRAM IN 2011.
OTHER INFORMATIONPART VI, LINE 6PREVENTION: RIVERSIDE MEDICAL CENTER RECOGNIZES THE IMPORTANCE OF PREVENTING DISEASE AND DETECTING DISEASE EARLY. RIVERSIDE HAS NUMEROUS PREVENTION AND WELLNESS PROGRAMS. RIVERSIDE PROVIDES REGULAR, EASILY ACCESSIBLE SCREENINGS IN ORDER TO FIND DISEASE IN ITS EARLY STAGES AND TO FACILITATE DISEASE MANAGEMENT BY THE INDIVIDUAL. SCREENINGS TARGET CONDITION (HEART, DIABETES, CANCER, ETC.) AND REACH OUT INTO THE COMMUNITY THROUGH HEALTH FAIRS AND AT THE WORKPLACE. EMPHASIS IS PLACED ON DIABETES, CARDIOVASCULAR DISEASE AND WOMEN'S HEALTH. RIVERSIDE'S EMERGENCY MANAGEMENT PROGRAM IS DESIGNED TO ASSURE APPROPRIATE, EFFECTIVE RESPONSE TO A VARIETY OF EMERGENCY SITUATIONS THAT COULD AFFECT THE SAFETY OF PATIENTS, STAFF, VISITORS, RIVERSIDE MEDICAL CENTER OR THE COMMUNITY. THE HOSPITAL ACTIVATED ITS EMERGENCY OPERATIONS PLAN AND COMMAND CENTER SEVERAL TIMES DURING 2011 IN RESPONSE TO EMERGENCIES. RIVERSIDE HAS WORKED COLLABORATIVELY WITH OLIVET NAZARENE UNIVERSITY IN ESTABLISHING A REGIONAL ALTERNATE CARE SITE ON THE CAMPUS OF OLIVET. RIVERSIDE IS A MEMBER OF THE NATIONAL DISASTER MEDICAL SYSTEM, THE KANKAKEE COUNTY LOCAL EMERGENCY PLANNING COMMITTEE AND REGION VII DISASTER COMMITTEE. MULTIPLE EMERGENCY PREPAREDNESS TRAINING SESSIONS WERE CONDUCTED FOR STAFF IN 2011. DUE TO THE PROXIMITY OF THE BRAIDWOOD NUCLEAR POWER PLANT, RIVERSIDE MAKES STAFF AVAILABLE FOR RADIATION TRAINNG PROVIDED BY THE ILLINOIS EMERGENCY MANAGEMENT AGENCY EVERY OTHER YEAR. A RADIATION EXERCISE WAS CONDUCTED ON SEPTEMBER 27, 2011. HAZMAT TRAINING WAS ALSO CONDUCTED TWICE IN 2011 FOR THE HAZMAT TEAM MEMBERS. RIVERSIDE STAFF ALSO PARTICIPATED IN SEVERAL STATEWIDE DISASTER EXERCISES, INCLUDING A MASS FATALITY, EARTHQUAKE, AND PEDIATRIC EXERCISE. STAFF ALSO PARTICIPATED IN A COUNTY MASS CASUALTY TABLETOP EXERCISE. DISEASE MANAGEMENT: RIVERSIDE BELIEVES THAT WITH PROPER TREATMENT, PEOPLE CAN LIVE PRODUCTIVE, FULFILLING LIVES EVEN WITH HEART DISEASE, CANCER AND OTHER CHRONIC ILLNESSES. OUR GOAL IS TO HELP PATIENTS TO UNDERSTAND AND MANAGE THE SYMPTOMS OF CHRONIC ILLNESSES, AND HAVE AN ARRAY OF SERVICES THAT MONITOR AND TREAT ILLNESS, WHILE ALSO HELPING TO BUILD SKILLS AND BEHAVIOR TO SUPPORT A BALANCED, HEALTHY LIFESTYLE. RIVERSIDE ESTABLISHED THE RUSH-RIVERSIDE CANCER INSTITUTE IN COLLABORATION WITH RUSH UNIVERSITY MEDICAL CENTER. THE MEDICAL CENTER OPERATES THE BETTY BURCH BRIDGEWATER CENTER FOR RADIATION THERAPY, A FREESTANDING RADIATION TREATMENT FACILITY LOCATED ON RIVERSIDE'S BOURBONNAIS CAMPUS. THE CANCER PROGRAM ADDRESSES THE HIGH CANCER MORTALILTY RATE OF KANKAKEE COUNTY RESIDENTS. ACCORDING TO THE PRELIMINARY ANALYSIS OF COMMUNITY HEALTH NEEDS CONDUCTED BY THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT ROCKFORD, AGE-ADJUSTED CANCER DEATHS PER 100,000 STANDARD POPULATION EXCEED THE NATIONAL AVERAGE BY 219.8 TO 190.1 DEATHS. THE CANCER CENTER'S FREE CANCER RESOURCE LIBRARY IS AVAILABLE AT BOTH LOCATIONS, IN KANKAKEE AND BOURBONNAIS. THE LIBRARY CONSISTS OF INFORMATION, BOOKS AND VIDEOS AND HAS CONVENIENT COMPUTER ACCESS FOR MEMBERS OF THE COMMUNITY LOOKING FOR INFORMATION. THE CANCER PROGRAM AT RIVERSIDE PROVIDED SERVICES TO ALMOST 15,000 INDIVIDUALS IN 2011. THIRTY-EIGHT PERCENT OF ALL DEATHS IN KANKAKEE COUNTY IN 2002 WERE DUE TO CARDIOVASCULAR DISEASE. TO MEET THIS CRITICAL NEED IN THE COMMUNITY, THE MEDICAL CENTER OPENED THE RUSH-RIVERSIDE HEART CENTER IN NOVEMBER 1999 TO PROVIDE A FULL SPECTRUM OF CARDIAC SERVICES-PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION. KANKAKEE COUNTY RESIDENTS NOW RARELY NEED TO TRAVEL TO CHICAGO OR OTHER CITIES FOR OPEN-HEART SURGERY OR CATHETERIZATIONS. PRELIMINARY ANALYSIS OF COMMUNITY HEALTH NEEDS CONDUCTED BY THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT ROCKFORD, SHOWS THAT AGE-ADJUSTED DEATHS DUE TO HEART DISEASE PER 100,000 STANDARD POPULATION EXCEED THE NATIONAL AVERAGE BY 299.5 TO 232.3 DEATHS. RIVERSIDE PROMOTED HEALTHIER COMMUNITIES IN SEVERAL WAYS FOR THE BROADER COMMUNITY: * OFFERED OR PARTNERED WITH OTHER COMMUNITY AGENCIES TO PROVIDE FREE SUPPORT GROUPS (INCLUDING FREE MEETING SPACE) FOR PERSONS NEEDING SUPPORT. AGENCIES INCLUDE UNITED WAY, ALZHEIMER'S ASSOCIATION, LION'S BOARD, PARKINSON'S SUPPORT GROUP, GAMBLER'S ANONYMOUS, HARBOR HOUSE, EPILEPSY SUPPORT GROUP, GROW AND SEVERAL OTHERS. * SPONSORED NUMEROUS EVENTS OR PROVIDED CASH CONTRIBUTIONS TO COMMUNITY AGENCIES SUCH AS: AMERICAN CANCER SOCIETY RELAY FOR LIFE, KANKAKEE LITTLE LEAGUE, KANKAKEE SPONSOR A CHILD, OPTIONS, KANKAKEE COUNTY TRAINING CENTER, AMERICAN RED CROSS, YMCA, HABITAT FOR HUMANITY, HOSPICE OF KANKAKEE, KANKAKEE COUNTY DRUG FREE AND OTHERS. * CONTRIBUTED EXPERTISE AND TIME OF SENIOR AND MIDDLE MANAGEMENT STAFF TO ASSIST COMMUNITY AGENCIES, COMMITTEES, BOARDS AND ADVISORY COUNCILS. * HOSTED WELLNESS CLASSES AND PRESENTATIONS ABOUT SUCH TOPICS AS NUTRITION, WOMEN'S HEALTH ISSUES AND OTHERS; PROVIDED FLU VACCINES AT A NOMINAL CHARGE. * PROVIDED PHYSICIANS AND COMMUNITY RESIDENTS FREE REFERENCE MATERIALS FROM RIVERSIDE'S LIBRARIES. * PARTICIPATED IN COMMUNITY WALKATHONS AND MARATHONS TO RAISE MONEY FOR BREAST CANCER, HEART DISEASE RESEARCH, UNITED WAY AND OTHERS BY PROVIDING FUNDING AND STAFF RESOURCES. * PROVIDED STAFFING, AMBULANCE SERVICE AND FIRST AID TO SEVERAL COMMUNITY EVENTS, INCLUDING, BUT NOT LIMITED TO: PEMBROKE RODEO, GOOD SHEPHERD MANOR FEST, ST. ANNE PUMPKIN FEST, KANKAKEE RIVER VALLEY REGATTA, ASHKUM HOMECOMING, MOMENCE GLAD FEST, KANKAKEE COUNTY FAIR, CHICAGO BEARS TRAINING CAMP AND OTHER COMMUNITY EVENTS.
State filing of community benefit reportSchedule H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1KANKAKEE COMMUNITY COLLEGEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 COLLEGE DRIVEAddressLine1
CityKANKAKEECity
StateILState
ZIP Code60901ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient362612340EINOfRecipient
IRC SectionGOVERNMENTIRCSection
Amount Of Cash Grant50000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE MEDICAL CENTER PROVIDES UNRESTRICTED GRANTS, DONATIONS OR SPONSORSHIPS TO VARIOUS ORGANIZATIONS. THERE ARE NO PROCEDURES FOR MONITORING THE USES SINCE THE FUNDS WERE PROVIDED TO SUPPORT GENERAL OPERATIONS TO THOSE ORGANIZATION'S RECEIVING THE DONATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR CHARLES HARVEY
3713550600000000096450441000000
DR STEVEN WILLIAMS
302675020797101153801869202650541141000
DR JUAN JIMENEZ
721804000548080165000167200809832000
ALLEN KELLY
17339003608605415050890137350233715000
REBECCA HINRICHS
204318045175014930021289083080294020000
DR JOHN JURICA
2649960549520179820320020167420386674000
DAVID DUDA
305650064512044049055606060650475882000
MARGARET FROGGE
275408064512024689051080069110422600000
BILL W DOUGLAS
305470069464028785034248081110446078000
PHILLIP KAMBIC
5535430148473014506301339490137350994763000
GERARD BAKER
16847403944803000047130160770231712000
DR ROBERT APPLEBAUM
47758900000142500134280505267000
DR PHILIP ALEXANDER
47493300000142500137570502940000
PATRICIA VILT
1602270133610456509600045270192280000
DEENA LAYTON
11935003492800074050167200178403000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aTHE 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.
Personal servicesSchedule J, Part I, Line 1aTHE 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.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE FOLLOWING WERE PART OF A 457(F) PLAN WITH THE ORGANIZATION. TOTAL CONTRIBUTIONS FOR EACH WERE: - PHILLIP KAMBIC $117,449 - DAVID DUDA $37,173 - BILL DOUGLAS $17,749 - JOHN JURICA $15,789 - MARGARET FROGGE $12,344 - REBECCA HINRICHS $8,965

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
86109196745200BQ432006-12-2143767403REFUNDING AND CAPITAL PURCHASESfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200FCY32008-01-1631500000REISSUED BONDS ISSUED 11/9/06falsefalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200BDS42008-02-1344975000REISSUED BONDS ISSUED 6/8/2004falsefalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200FZN22009-08-1365829204REFUNDING AND CAPITAL IMPROVEMENTSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00440785020043121418645988000002004falsetruetruetrue
003150000000000003150000002006truefalsetruetrue
004497500000000004497500002004truefalsetruetrue
006609257969130880219997471179707099975035000000002009truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsEngage Bond Counsel ContractsEngageBondCounselContracts
falsefalsefalsefalse0.00000.00000.0000true
falsefalsetruefalse0.00000.00000.0000truetrue
falsetruetruefalse0.01600.00000.0160truetrue
falsetruetruefalse0.00700.00000.0070truetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedTerm Of GICTermOfGIC
(no name)
falsefalsefalsefalsefalsetrue
GOLDMAN SACHS
truetruetruefalsefalsetrue14.0falsefalse0.0
GOLDMAN SACHS
falsetruetruefalsefalsetrue26.0falsefalse
(no name)
falsefalsefalsefalsefalsetrue0.00.0
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN KAMBICBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFAMILY MEMBER OF PHILLIP KAMBIC, PRESIDENT/CEORelationship
Amount Of Transaction272550AmountOfTransaction
Description Of TransactionINDEPENDENT CONTRACTORDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4dONCOLOGY - 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 15,500 SURGICAL, CHEMOTHERAPY, AND RADIATION PROCEDURES PERFORMED IN 2011.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE CORPORATE MEMBER OF RIVERSIDE MEDICAL CENTER IS RIVERSIDE HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aAS 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.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE 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 bodyForm 990, Part VI, Section B, Line 11bMANAGEMENT PERFORMED THE INITIAL REVIEW OF THE FORM 990 AND THE PAID TAX PREPARER PRESENTED TO THE GOVERNANCE COMMITTEE. EVERY BOARD MEMBER ALSO RECEIVED A COPY OF THE FORM 990 PRIOR TO THE FORM BEING FILED WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aRIVERSIDE'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 2011.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bRIVERSIDE'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 FOR CORPORATE STRATEGY - VICE PRESIDENT FOR MEDICAL AFFAIRS - VICE PRESIDENT FOR PERI-OPERATIVE AND PROCEDURAL SERVICES - VICE PRESIDENT FOR PHYSICIAN PRACTICE MANAGEMENT - VICE PRESIDENT FOR NURSING SERVICES - VICE PRESIDENT FOR HUMAN RESOURCES - VICE PRESIDENT FOR SENIOR SERVICES THIS PROCESS WAS LAST UNDERTAKEN IN 2011.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)PHILLIP KAMBIC, PRESIDENT, AND BILL DOUGLAS, TREASURER, EACH DEVOTE APPROXIMATELY 1HR A WEEK TO EACH OF THE ENTITIES LISTED IN SCHEDULE R. VARIOUS BOARD MEMBERS ALSO CONTRIBUTE TIME TO RELATED ORGANIZATIONS REPORTED IN SCHEDULE R.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -6372249;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
RIVERSIDE HEALTH SYSTEM
350 N WALL STREETKANKAKEEIL60901363167726PARENTIL501(C)(3)Type III - FINAfalse
RIVERSIDE SENIOR LIVING CENTER
350 N WALL STREETKANKAKEEIL60901363670744NURSING HOMEIL501(C)(3)9RHSfalse
OAKSIDE CORPORATION
350 N WALL STREETKANKAKEEIL60901363166804HEALTHCAREIL501(C)(3)11 - Type IIRHSfalse
RIVERSIDE HEALTHCARE FOUNDATION
350 N WALL STREETKANKAKEEIL60901363166033SUPPORT ORG.IL501(C)(3)11 - Type IIRHSfalse
RIVERSIDE FOUNDATION TRUST
350 N WALL STREETKANKAKEEIL60901366209335SUPPORT ORG.IL501(C)(3)11 - Type IRHSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
RIVERSIDE AMBULATORY SURGERY CTR LLC
300 RIVERSIDE DRBOURBONNAISIL60914320082320SURGERY CENTERILNARELATED441084717081false$0false0.68
THE CENTER FOR DIGESTIVE HEALTH
1615 N CONVENT STREETBOURBONNAISIL60914364532301PATIENT SERVICESILNARELATED14392726272false$0false0.1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg