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RIVERSIDE SENIOR LIVING CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE SENIOR LIVING CENTER (EIN 36-3670744)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349303874
Schema version
2010v3.2
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)
Timestamp2011-11-11T18:00:28-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363670744EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE SENIOR LIVING 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
TitleTREASURERTitle
Date Signed2011-11-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts20573234GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIVERSIDEHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionRIVERSIDE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees404TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year25000ContributionsGrantsPriorYear
Contributions Grants Current Year25000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18793264ProgramServiceRevenuePriorYear
Program Service Revenue CY19501029ProgramServiceRevenueCY
Investment Income Prior Year99654InvestmentIncomePriorYear
Investment Income Current Year550410InvestmentIncomeCurrentYear
Other Revenue Prior Year93296OtherRevenuePriorYear
Other Revenue Current Year174430OtherRevenueCurrentYear
Total Revenue Prior Year19011214TotalRevenuePriorYear
Total Revenue Current Year20250869TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9763631SalariesEtcPriorYear
Salaries Etc Current Year10074399SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7573580OtherExpensePriorYear
Other Expenses Current Year8765525OtherExpensesCurrentYear
Total Expenses Prior Year17337211TotalExpensesPriorYear
Total Expenses Current Year18839924TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1674003RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1410945RevenuesLessExpensesCY
Total Assets BOY48534989TotalAssetsBOY
Total Assets EOY53046483TotalAssetsEOY
Total Liabilities BOY39508241TotalLiabilitiesBOY
Total Liabilities EOY41564708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9026748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11481775NetAssetsOrFundBalancesEOY
Mission DescriptionRIVERSIDE 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.MissionDescription
Significant ChangefalseSignificantChange
Expense10771428Expense
Revenue12412153Revenue
DescriptionRIVERSIDE 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 2009, THIS FACILITY PROVIDED APPROXIMATELY 45,000 RESIDENT CARE DAYS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3473099Expense
Revenue3846982Revenue
DescriptionRIVERSIDE 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 2009, APPROXIMATELY 90 OF THE 97 UNITS WERE OCCUPIED FOR THE ENTIRE YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3021342Expense
Revenue3241894Revenue
DescriptionRIVERSIDE 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 95 INDEPENDENT LIVING UNITS OF WHICH 85-90 WERE OCCUPIED THE ENTIRE YEAR.Description
FieldValueIRS element (for citing)
Total Program Service Expense17265869TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
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 With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees404NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members11NbrVotingGoverningBodyMembers
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 VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BILL DOUGLASBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8159331671TelephoneNumber

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 (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KEITH MOSS
DIRECTOR1X000
BILL DOUGLAS
TREASURER1039800341895X
JUDY L AMIANO
VICE PRESIDENT40279392026237X
JOY ROSE
DIRECTOR1X000
BRUCE PAYNE
DIRECTOR1X000
PHILLIP KAMBIC
PRESIDENT1X0819733145693X
JANE MEYER
DIRECTOR1X000
EMMA LOU LEMON
DIRECTOR1X000
EDGAR LAMBERT
CHAIRMAN1X000X
JAMES KASLER
DIRECTOR1X000
MARDENE HINTON
DIRECTOR1X000
DAVID HEGG MD
VICE CHAIRMAN1X000X
BILL DYON
SECRETARY1X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org279392TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1217736TotalReportableCompFrmRltdOrgs
Total Other Compensation213825TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CONSONUS REHAB
4560 INTERNATIONAL WAY SUITE 100MILWAUKIEOR97222THERAPY SERVICES213811
SCOTT GENERAL CONTRACTING
10836 CRYSTAL RIDGEORLAND PARKIL60467CONTRACTOR208750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions25000AllOtherContributions
Total Contributions25000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE, NURSING REVENUE1241215312412153
RENTAL - INDEPENDENT LIVING32418943241894
RENTAL - ASSISTED LIVING38469823846982

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue19501029TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column777643TotalRevenueColumn
Exclusion$777,643ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities95132Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities322365Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-227233Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-227233TotalRevenueColumn
Exclusion-$227,233ExclusionAmount

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

FieldValueIRS element (for citing)
DescriptionMISC RESIDENTIAL SERVICESDescription
Total Revenue Column174430TotalRevenueColumn
Related Or Exempt Function Income174430RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue174430TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20250869TotalRevenueColumn
Related Or Exempt Function Income19675459RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$550,410ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8158090Total
Program Services7620581ProgramServices
Management And General537509ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total150114Total
Program Services140224ProgramServices
Management And General9890ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1168077Total
Program Services1091117ProgramServices
Management And General76960ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total598118Total
Program Services558710ProgramServices
Management And General39408ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total40494Total
Management And General40494ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total38130Total
Program Services34867ProgramServices
Management And General3263ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31537Total
Program Services673ProgramServices
Management And General30864ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total859645Total
Program Services859645ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total25587Total
Program Services5364ProgramServices
Management And General20223ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1561131Total
Program Services1561131ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1832348Total
Program Services1832348ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total252175Total
Program Services154920ProgramServices
Management And General97255ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES102842599136337062
FOOD788948788948
PURCHASE SERVICE17132991556142157157
EQUIPMENT MAINTENANCE58165567651400
PROPERTY & STATE TAXES452676452676

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total82965Total
Program Services13071ProgramServices
Management And General69894ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18839924Total
Program Services17265869ProgramServices
Management And General1574055ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1688907BOY
EOY1490218EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1968149BOY
EOY3865639EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10353BOY
EOY10353EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY92276BOY
EOY80698EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45885234LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24806900LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22198533BOY
EOY21078334EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12128716BOY
EOY16138164EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10448055BOY
EOY10383077EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48534989BOY
EOY53046483EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2100287BOY
EOY4937085EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY29694557BOY
EOY29249731EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7713397BOY
EOY7377892EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39508241BOY
EOY41564708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9026748BOY
EOY11481775EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9026748BOY
EOY11481775EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48534989BOY
EOY53046483EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1410945ReconcilationRevenueExpenses
Reconcilation Other Changes1044082ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years80000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25000CurrentTaxYearMinus1Year
Current Tax Year25000CurrentTaxYear
Total172493Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14131515CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14933515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16223438CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18793264CurrentTaxYearMinus1Year
Current Tax Year19501029CurrentTaxYear
Total83582761Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14155515CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15013515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16241931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18818264CurrentTaxYearMinus1Year
Current Tax Year19526029CurrentTaxYear
Total83755254Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50983755254PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years945741CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years812816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89574CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year385960CurrentTaxYearMinus1Year
Current Tax Year550410CurrentTaxYear
Total2784501Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years945741CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years812816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89574CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year385960CurrentTaxYearMinus1Year
Current Tax Year550410CurrentTaxYear
Total2784501Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102803CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years634015CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93296CurrentTaxYearMinus1Year
Current Tax Year174430CurrentTaxYear
Total1106379Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15203091CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15929134CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16965520CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19297520CurrentTaxYearMinus1Year
Current Tax Year20250869CurrentTaxYear
Total87646134Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95560PublicSupportPercentage509
Prior Year Support Percentage0.95017PriorYearSupportPercentage
Investment Income Percentage0.03180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03712PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, PART III, LINE 12, OTHER INCOME: 2006 - $101,835 2007 - $102,803 2008 - $634,015 2009 - $93,296 2010 - $174,430,GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis95638OtherCostOrOtherBasis
Book Value95638BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33436570OtherCostOrOtherBasis
Depreciation16113043Depreciation
Book Value17323527BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12030054OtherCostOrOtherBasis
Depreciation8693857Depreciation
Book Value3336197BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis322972OtherCostOrOtherBasis
Book Value322972BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21078334TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS343885
DEPOSITS UNDER RESIDENCY AGREEMENTS6768945
DUE FROM RIVERSIDE HEALTHCARE FOUNDATION, INC.394491
TRUSTEE HELD FUNDS2875756
FieldValueIRS element (for citing)
Total Book Value Other Assets10383077TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADVANCE RESIDENCY FEES$6,768,945
OTHER LONG-TERM LIABILITIES$608,947
FieldValueIRS element (for citing)
Total Of Amounts7377892TotalOfAmounts
Total Revenue20250869TotalRevenue
Total Expenses18839924TotalExpenses
Excess Or Deficit For Year1410945ExcessOrDeficitForYear
Net Unrealized GL On Investments1187734NetUnrealizedGLOnInvestments
Other-$143,652OtherAmount
Total Adjustments1044082TotalAdjustments
Excess Or Deficit Per FS2455027ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21294951TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1187734NetUnrealizedGainsInvestments
Other Revenues-143652OtherRevenues
Revenue Not Rptd F9901044082RevenueNotRptdF990
Revenue Subtotal20250869RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020250869TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18839924TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18839924ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018839924TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
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 (3 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
BILL DOUGLAS
028961608700002138703504806847043989800
JUDY L AMIANO
21072206014508525021309049280305629000
PHILLIP KAMBIC
05801930185963053577013621309480096542600

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aTHE VICE PRESIDENT, JUDY AMIANO, HAS COUNTRY CLUB DUES PAID ON HER BEHALF FROM RIVERSIDE SENIOR LIVING CENTER AS A BENEFIT. THE COUNTRY CLUB DUES ARE TREATED AS TAXABLE COMPENSATION.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bPHILLIP KAMBIC AND BILL DOUGLAS ARE PART OF A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. TOTAL CONTRIBUTIONS TO THE PLAN FOR PHILLIP AND BILL WERE $119,713 AND $17,877 RESPECTIVELY.
PROCESS FOR DETERMINING COMPENSATION OF CEOSCHEDULE J, PART I, LINE 3THE 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TAX-EXEMPT BONDSFORM 990, PART IV LINE 24A, PART X LINE 20, SCHEDULE KRIVERSIDE 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 RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE CORPORATE MEMBER OF RIVERSIDE SENIOR LIVING 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 HAS THE AUTHORITY TO APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY.
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 15aTHE 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/key employeesForm 990, Part VI, Section B, Line 15bTHE 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. THIS PROCESS WAS LAST UNDERTAKEN IN 2010.
Public DisclosureForm 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 VIIPHILLIP KAMBIC, PRESIDENT, AND BILL DOUGLAS, TREASURER, EACH DEVOTE APPROXIMATELY 40HRS A WEEK RIVERSIDE MEDICAL CENTER AND 1HR A WEEK TO EACH OF THE OTHER 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 - 1187734; CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS - -143652;

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/BusinessNameLine1
RIVERSIDE HEALTH SYSTEM
350 N WALL STREETKANKAKEEIL60901363167726PARENTIL501(C)(3)11 - Type III - FINA
RIVERSIDE MEDICAL CENTER
350 N WALL STREETKANKAKEEIL60901362414944HOSPITALIL501(C)(3)3RHS
OAKSIDE CORPORATION
350 N WALL STREETKANKAKEEIL60901363166804HEALTHCAREIL501(C)(3)11 - Type IIRHS
RIVERSIDE HEALTHCARE FOUNDATION
350 N WALL STREETKANKAKEEIL60901363166033SUPPORT ORG.IL501(C)(3)11 - Type IIRHS
RIVERSIDE FOUNDATION TRUST
350 N WALL STREETKANKAKEEIL60901366209335SUPPORT ORG.IL501(C)(3)11 - Type IRHS
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg