RIVERSIDE SENIOR LIVING CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RIVERSIDE SENIOR LIVING CENTER (EIN 36-3670744)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-12
- IRS object ID
- 202223169349301202
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-12T07:01:33-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363670744 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverside Senior Living Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIVE | BusinessNameControlTxt |
| Phone | 8159331671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | phillip kambic | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8159331671 | PhoneNum |
| Signature | 2022-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Patricia | PersonFirstNm |
| Person Last | Vilt | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mallory Fairless | PreparerPersonNm |
| PTIN | P10321579 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Phillip Kambic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,315,576 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.riversidehealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Riverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 533 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,936,742 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,194,262 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,366,628 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,679,322 | CYInvestmentIncomeAmt |
| PY Other Revenue | $262,417 | PYOtherRevenueAmt |
| CY Other Revenue | $271,630 | CYOtherRevenueAmt |
| PY Total Revenue | $28,565,787 | PYTotalRevenueAmt |
| CY Total Revenue | $27,145,214 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,446,046 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,709,300 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,004,959 | PYOtherExpensesAmt |
| CY Other Expenses | $10,783,636 | CYOtherExpensesAmt |
| PY Total Expenses | $25,451,005 | PYTotalExpensesAmt |
| CY Total Expenses | $25,492,936 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,114,782 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,652,278 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,056,868 | TotalAssetsBOYAmt |
| Total Assets EOY | $81,233,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $51,796,197 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,128,075 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,260,671 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,105,568 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Riverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,581,466 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,793,765 | RevenueAmt |
| Desc | Riverside Senior Living Center operates Miller Nursing Home, a long-term care division that provides intermediate, skilled and sub-acute levels of care. Services provided are overseen by the Administrator, Director of Nursing, and the Medical Director. In addition to providing skilled nursing services, the facility also provides an array of physical, speech and occupational therapy for the residents of the facility. A multitude of other services available are provided through a contractual agreement with other providers (i.e. podiatrist, dental services, pharmaceuticals and optometry). This division is licensed by the Illinois Department of Public Health and is certified for Medicare and Medicaid recipients. During the year 2021, this facility provided approximately 31,734 resident care days. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,956,606 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,729,723 | RevenueAmt |
| Desc | Riverside Senior Living Center operates an independent living retirement community designed to provide housing in the form of either an apartment or a house. A variety of services are offered for residents including housekeeping, utilities, maintenance, transportation, security monitoring, a 24-hr call system, a full array of recreational social programs, lawn care and snow removal. There are approximately 90 independent living units of which approximately 52 were occupied the entire year. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,543,324 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,938,664 | RevenueAmt |
| Desc | Riverside Senior Living Center operates an assisted living community designed to provide quality care and housing of those not able to live independently. All the same services that independent living residents receive are also available to those in the assisted living community. The residents of the assisted living community also receive three meals daily and assistance with certain living activities as the individual resident may request. In 2021, approximately 131 of the 176 units were occupied for the entire year. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,081,396 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 533 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richard Schiltz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8159357256 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 N Wall Street | AddressLine1Txt |
| City | Kankakee | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Bruce Payne | |||||||||
| Chairman | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| David Tyson | |||||||||
| Vice Chairman | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Linda Mitchell EdD | |||||||||
| Secretary | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Phillip Kambic | |||||||||
| President/CEO | 1.0 | 43.0 | Yes (X) | Yes (X) | $0 | $1,252,763 | $275,175 | ||
| Bruce Fitzpatrick | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| David Hegg MD | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jeff Bennett | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jerry Hokestra | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Joy Rose | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Kathy Gagliano | |||||||||
| Director (until 3/14/2021) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Keith Moss MD | |||||||||
| Director/CMO | 1.0 | 40.0 | Yes (X) | $0 | $665,975 | $112,504 | |||
| Maggie Frogge | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael O'Gorman | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Norman Strasma | |||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Hull | |||||||||
| Assistant Secretary | 1.0 | 39.0 | Yes (X) | $0 | $106,110 | $24,621 | |||
| Patricia K Vilt | |||||||||
| Treasurer/CFO | 1.0 | 43.0 | Yes (X) | $0 | $418,831 | $60,501 | |||
| Rebecca Schiltz | |||||||||
| VP of Post Acute Care | 20.0 | 20.0 | Yes (X) | $0 | $252,921 | $43,366 | |||
| Deanna Wilson | |||||||||
| Executive Director | 40.0 | 0 | $157,649 | $0 | $23,507 | Yes (X) | |||
| Elizabeth Totheroh | |||||||||
| Administrator | 40.0 | 0 | $131,710 | $0 | $24,643 | Yes (X) | |||
| Melissa Weaver | |||||||||
| Director of Nursing | 40.0 | 0 | $100,068 | $0 | $4,708 | Yes (X) | |||
| Bill Douglas | |||||||||
| Former Officer | 0.0 | 0.0 | $0 | $365,990 | $33,390 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $389,427 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,062,590 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $602,415 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HealthPRO Heritage | |||||
| 536 Old Howell Road | Greenville | SC | 29615 | Therapy Services | $1,129,199 |
| Spectrum Consultants | |||||
| 1552-A Union Road | Gastonia | NC | 28054 | Marketing & Sales Agreement | $222,650 |
| R&D Construction | |||||
| 1293 Greenbriar Court | Bourbonnais | IL | 609141137 | Construction | $203,281 |
| Glade Plumbing & Heating | |||||
| 211 West Water Street | Kankakee | IL | 60901 | Plumbing/Construction | $177,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue, Nursing Revenue | 623110 | $11,793,765 | $11,793,765 |
| Rental - Independent Living | 623312 | $3,461,833 | $3,461,833 |
| Rental - Assisted Living | 623311 | $8,932,664 | $8,932,664 |
| Rental - Related Party | 531100 | $6,000 | $6,000 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,194,262 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $965,219 | TotalRevenueColumnAmt |
| Exclusion | $965,219 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,884,465 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $170,362 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,714,103 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,714,103 | TotalRevenueColumnAmt |
| Exclusion | $1,714,103 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Community & Activity Fees | 623110 | $189,050 | $189,050 | |
| Meals & Dietary | 722514 | $3,740 | $3,740 | |
| Security Deposits | 900099 | $22,244 | $22,244 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,596 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,596 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $271,630 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,145,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,462,152 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,683,062 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,189,332 | TotalAmt |
| Program Services | $11,079,418 | ProgramServicesAmt |
| Management And General | $1,109,914 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,158 | TotalAmt |
| Program Services | $307,367 | ProgramServicesAmt |
| Management And General | $30,791 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333,546 | TotalAmt |
| Program Services | $1,212,118 | ProgramServicesAmt |
| Management And General | $121,428 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,264 | TotalAmt |
| Program Services | $771,024 | ProgramServicesAmt |
| Management And General | $77,240 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,354 | TotalAmt |
| Management And General | $72,354 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,738,944 | TotalAmt |
| Program Services | $2,578,462 | ProgramServicesAmt |
| Management And General | $160,482 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,575 | TotalAmt |
| Program Services | $70,575 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,567 | TotalAmt |
| Program Services | $1,626 | ProgramServicesAmt |
| Management And General | $14,941 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,996 | TotalAmt |
| Program Services | $937,996 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,610 | TotalAmt |
| Program Services | $23,056 | ProgramServicesAmt |
| Management And General | $4,554 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,131 | TotalAmt |
| Program Services | $691,131 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,628,253 | TotalAmt |
| Program Services | $2,628,253 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,270 | TotalAmt |
| Program Services | $73,503 | ProgramServicesAmt |
| Management And General | $280,767 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $1,029,665 | $1,027,417 | $2,248 |
| Food | $912,990 | $912,990 | |
| Equip Rental & Maint | $245,958 | $245,958 | |
| State Taxes | $208,518 | $208,518 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,805 | TotalAmt |
| Program Services | $520,502 | ProgramServicesAmt |
| Management And General | $328,303 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,492,936 | TotalAmt |
| Program Services | $23,081,396 | ProgramServicesAmt |
| Management And General | $2,411,540 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,757,913 | BOYAmt |
| EOY | $9,108,116 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,651,885 | BOYAmt |
| EOY | $1,542,443 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,325 | BOYAmt |
| EOY | $45,690 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,574 | BOYAmt |
| EOY | $40,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $73,602,001 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,594,182 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,738,370 | BOYAmt |
| EOY | $33,007,819 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,767,147 | BOYAmt |
| EOY | $32,923,129 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,027,654 | BOYAmt |
| EOY | $4,566,072 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,056,868 | BOYAmt |
| EOY | $81,233,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,135,076 | BOYAmt |
| EOY | $27,421,233 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,162,845 | BOYAmt |
| EOY | $17,792,826 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,498,276 | BOYAmt |
| EOY | $3,914,016 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,796,197 | BOYAmt |
| EOY | $49,128,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,097,676 | BOYAmt |
| EOY | $31,930,368 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,995 | BOYAmt |
| EOY | $175,200 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,260,671 | BOYAmt |
| EOY | $32,105,568 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,056,868 | BOYAmt |
| EOY | $81,233,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,652,278 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $57,392 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $135,227 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,781,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,432,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,050,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,191,264 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,462,152 | CurrentTaxYearAmt |
| Total | $132,918,273 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,781,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,432,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,050,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,191,264 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,462,152 | CurrentTaxYearAmt |
| Total | $132,918,273 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $132,918,273 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,905,412 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $880,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $881,025 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $812,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $965,219 | CurrentTaxYearAmt |
| Total | $5,444,645 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,905,412 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $880,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $881,025 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $812,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $965,219 | CurrentTaxYearAmt |
| Total | $5,444,645 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,895 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,740 | CurrentTaxYearAmt |
| Total | $36,262 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,687,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,313,048 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,956,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,011,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,431,111 | CurrentTaxYearAmt |
| Total | $138,399,180 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9604 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9578 | PublicSupportPY509Pct |
| Investment Income CY | 0.04 | InvestmentIncomeCYPct |
| Investment Income PY | 0.04 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MEALS & DIETARY, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 24627.0, COLUMN D - 7895.0, COLUMN E - 3740.0, COLUMN F - 36262.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,638 | OtherCostOrOtherBasisAmt |
| Book Value | $95,638 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,523,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,144,967 | DepreciationAmt |
| Book Value | $29,378,306 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,949,069 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,449,215 | DepreciationAmt |
| Book Value | $3,499,854 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,021 | OtherCostOrOtherBasisAmt |
| Book Value | $34,021 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,007,819 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deposits under residency agreements | $3,843,415 |
| Due from Riverside Healthcare Foundation | $547,457 |
| Donor-Restricted Investments | $175,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,566,072 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Long-Term Liabilities | $70,601 |
| Refundable Advance Residency Fees | $3,843,415 |
| Construction Payables |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,914,016 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | RHS and its obligated affiliates account for uncertain tax positions in accordance with ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the special-purpose combined financial statements. Under ASC Subtopic 740-10, RHS and its obligated affiliates 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 Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods, and requires increased disclosures. RHS and its obligated affiliates do not have a liability for unrecognized tax benefits. RHS and its obligated affiliates are separate not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phillip Kambic | ||||||||||||||
| President/CEO | $0 | $768,224 | $0 | $218,113 | $0 | $266,426 | $0 | $253,065 | $0 | $22,110 | $0 | $1,527,938 | $0 | $213,890 |
| Keith Moss MD | ||||||||||||||
| Director/CMO | $0 | $496,785 | $0 | $121,046 | $0 | $48,144 | $0 | $36,600 | $0 | $75,904 | $0 | $778,479 | $0 | $10,332 |
| Bill Douglas | ||||||||||||||
| Former Officer | $0 | $201,448 | $0 | $114,343 | $0 | $50,199 | $0 | $31,628 | $0 | $1,762 | $0 | $399,380 | $0 | $50,014 |
| Rebecca Schiltz | ||||||||||||||
| VP of Post Acute Care | $0 | $201,639 | $0 | $46,665 | $0 | $4,617 | $0 | $12,565 | $0 | $30,801 | $0 | $296,287 | $0 | $0 |
| Patricia K Vilt | ||||||||||||||
| Treasurer/CFO | $0 | $330,581 | $0 | $79,388 | $0 | $8,862 | $0 | $39,620 | $0 | $20,881 | $0 | $479,332 | $0 | $0 |
| Elizabeth Totheroh | ||||||||||||||
| Administrator | $120,001 | $0 | $11,363 | $0 | $346 | $0 | $5,009 | $0 | $19,634 | $0 | $156,353 | $0 | $0 | $0 |
| Deanna Wilson | ||||||||||||||
| Executive Director | $143,519 | $0 | $13,686 | $0 | $444 | $0 | $5,849 | $0 | $17,658 | $0 | $181,156 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE ORGANIZATION RELIED ON RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION, to establish and pay compensation of the organization's CEO. Riverside Medical Center used the following to establish reasonable compensation: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPARABILITY DATA AND REQUIRED APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. Total contributions to the plan for the year ended December 31, 2021 are as follows: PHILLIP KAMBIC - $216,465 PATRICIA VILT - $22,520 AMOUNTS INCLUDED IN INCOME FOR THIS PLAN for the year ended December 31, 2021, were as follows: PHILLIP KAMBIC - $213,890 BILL DOUGLAS - $50,014 KEITH MOSS - $10,332 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 Process Used to Establish Compensation | The organization does not compensate its top management official or any other officers/key employees. All are compensated by Riverside Medical Center, a related tax exempt organization. Form 990, Part VI, Lines 15a and 15b have been answered no, in accordance with the instructions to the Form 990. |
| Form 990, Part VI, Line 1a Material differences in voting rights | The Executive Committee membership will be the Chair of the RHC Board, the Vice Chair of the RHC Board, and 2 members at large from the RHC Board, and Chairman of the Finance Committee. Each Committee member has been determined by the Board not to have a conflict of interest with respect to the compensation transaction(s) to be reviewed. At the start of the year, each member will review the organization's conflict of interest policy to ensure he or she has no conflict of interest. If a real, potential, or perceived conflict of interest is identified, the member will review the issue with the Executive Committee Chair and legal counsel to determine the appropriate action. Except where prohibited by law, the Executive Committee may transact all regular business of the Corporation during the interim between the meetings of the Board of Directors, provided that any action taken shall not conflict with the policies and express wishes of the Board of Directors and it shall report all matters of major importance to the Board. The Committee may also review annually the performance of the president of the Corporation and report to the Board of Directors the conclusions of this report. The Executive Committee, acting in its role as the Executive Compensation Committee and in accordance with the Corporate Bylaws, is authorized to act on the Board's behalf in (i) determining appropriate compensation for RHC executives and other disqualified persons; (ii) evaluating executives' and other disqualified persons' compensation plans, policies, and programs; (iii) reviewing benefit plans for executives and other disqualified persons; and (iv) verifying that compensation information is appropriately and fully disclosed. In discharging its role, the Executive Committee is empowered to investigate any matter brought to its attention with access to all RHC books, records, facilities, and personnel. It has the authority to retain outside counsel, compensation consultants, and/or other experts and will receive adequate funding from RHC to engage such advisors. It shall have sole authority to retain, compensate, terminate, and oversee the advisors, who shall be accountable ultimately to the health system board. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The sole corporate member of Riverside Senior Living Center is Riverside Health System, a related tax exempt organization. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | As the sole corporate member, Riverside Health System has the authority to appoint or remove members of the governing body. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The power and authority of the Member concerning the affairs of the Corporation shall consist of those reserved powers as set forth in this Section. The Corporation may, at its option, initiate or make recommendations to the Member with respect to any of the following matters: (a) Elect and remove, with or without cause, the Directors of the Corporation; (b) Elect and remove the president of the Corporation; (c) Adopt, amend, restate or repeal the Articles of Incorporation and Bylaws of the Corporation; (d) Authorize the Corporation to engage in, or enter into any transaction providing for the sale, lease, exchange or other disposition of assets of the Corporation outside the Riverside Health System d/b/a Riverside Healthcare corporate structure in excess of five percent (5%) of its assets, as defined in the Corporate bond indenture, in any twelve (12) month period; (e) Adopt a plan of dissolution or liquidation of the Corporation and distribution of its assets; (f) Adopt a plan of merger, consolidation or corporate reorganization involving the Corporation other than in the ordinary course of health care operations; (g) Authorize any transaction which would result in a change in ownership or control of the Corporation; (h) Approve the appointment of an independent auditor or the adoption of accounting policies and investment guidelines; (i) Adopt capital and operating budgets of the Corporation; (j) Adopt and execute a strategic plan of the Corporation; (k) Incur indebtedness in excess of the limits established by the Member from time to time; (l) Authorize the Corporation to make loans in excess of the limits established by the Member from time to time; (m) Authorize any capital expenditures in excess of limits established by the Member from time to time; (n) Authorize any donation of assets of the Corporation in excess of limits established by the Member from time to time; (o) Authorize the sale, transfer, encumbrance or otherwise dispose of any real property or interest therein or the purchase of any real estate; (p) Organize or acquire, or authorize the organization or acquisition of any subsidiary or affiliate of the Corporation ("affiliate" shall include any corporation, association, partnership, trust, joint venture, or other entity directly or indirectly controlling, controlled by, or under common control with the Corporation); (q) Establish policy guidelines and criteria for implementation of the Corporation's mission and periodically review and amend the mission statement; (r) Approve any policy by the Corporation or any action taken by the Corporation as to initiation, defense, or settlement of legal or administrative actions in excess of such amounts as shall be established pursuant to corporate policy; (s) Modify compensation and benefit policies, with the exception of those involving the president/chief executive officer, which are solely the responsibility of the Member's executive committee. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The form 990 is reviewed in detail by the organization's management. Subsequent to this review, the form 990 is supplied to all board members prior to filing with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The conflict of interest questionnaires are mailed to all board members, officers and key employees (as applicable) annually. Each member must read and sign the form to disclose any potential conflicts for the year. If a conflict arises with a board member, the board member is made aware that they must abstain from voting on any issue related to the conflict. The process is monitored by the assistant to the CEO of Riverside Medical Center. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: 56596, Related or Exempt Function Revenue: 56596, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Other Purchased Services - Total Expense: 768191, Program Service Expense: 607709, Management and General Expenses: 160482, Fundraising Expenses: ; Therapy Services - Total Expense: 1103434, Program Service Expense: 1103434, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Services - Total Expense: 122520, Program Service Expense: 122520, Management and General Expenses: , Fundraising Expenses: ; Maintenance Services - Total Expense: 172885, Program Service Expense: 172885, Management and General Expenses: , Fundraising Expenses: ; Dietary Services - Total Expense: 571914, Program Service Expense: 571914, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part X, Line 20 Tax-Exempt Bonds | Riverside Senior Living Center is part of an obligated group that has been issued various tax exempt bonds since December 2002. The liabilities reported on the organization's balance sheet have been allocated specifically to this organization but the Schedule K is filed by the sole corporate member, Riverside Medical Center, a related tax-exempt organization. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Equity Transfer From Affiliate - 39967; Change in Fair Value of Derivatives - 95260; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Riverside Health System | ||||||||||
| 350 N Wall Street | Kankakee | IL | 60901 | 363167726 | Parent | IL | 501(c)(3) | Type III-FI | NA | false |
| Riverside Medical Center | ||||||||||
| 350 N Wall Street | Kankakee | IL | 60901 | 362414944 | Healthcare | IL | 501(c)(3) | 3 | Riverside Health System | false |
| Oakside Corporation | ||||||||||
| 350 N Wall Street | Kankakee | IL | 60901 | 363166804 | Healthcare | IL | 501(c)(3) | Type III-FI | Riverside Health System | false |
| Riverside Healthcare Foundation | ||||||||||
| 350 N Wall Street | Kankakee | IL | 60901 | 363166033 | Supporting Organization | IL | 501(c)(3) | 7 | Riverside Health System | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Comments