2018-11-14T18:02:27-06:00 2017-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-01-01 363670744 Riverside Senior Living Center RIVE 8159331671 350 N Wall Street Kankakee IL 60901 Bill Douglas Treasurer 2018-11-14 true Mallory Fairless P10321579 3128997000 2017 2019-02-21 02:37:17Z Phillip Kambic 350 N Wall Street Kankakee IL 60901 30241937 false X www.riversidehealthcare.org X 1990 IL Riverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care. 13 11 592 11 0 0 0 26132509 27174700 1560053 2346929 479694 607045 28172256 30128674 0 0 14355861 15527347 0 0 14123355 11901837 28479216 27429184 -306960 2699490 83667047 75856332 60575178 49943565 23091869 25912767 Riverside Senior Living Center's mission is to operate a continuing care facility that provides quality independent and assisted living care as well as skilled nursing care. false false 15512450 15505333 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 2017, this facility provided approximately 44,014 resident care days. 4955510 8435344 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 2017, approximately 152 of the 176 units were occupied for the entire year. 1497038 3841068 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 66 were occupied the entire year. 21964998 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 20 0 true 592 true false false false false false false true false false false X 13 11 false false false false true true true true true false false true true true true true true true false false IL X Bill Douglas 8159331671 350 N Wall Street Kankakee IL 60901 David Tyson Vice Chairman 1.0 1.0 X X 0 0 0 Bruce Payne Chairman 1.0 1.0 X X 0 0 0 Phillip Kambic President 1.0 43.0 X X 0 1088507 259048 Linda Mitchell EdD Secretary 1.0 1.0 X X 0 0 0 Bruce Fitzpatrick Director 1.0 0 X 0 0 0 Maggie Frogge Director 1.0 0 X 0 0 0 Kathy Gagliano Director 1.0 0 X 0 0 0 Dr David Hegg Director 1.0 0 X 0 0 0 Claudette Hemenover Director 1.0 0 X 0 0 0 Mardene Hinton Director 1.0 0 X 0 0 0 Dr Keith Moss Director 1.0 40.0 X 0 551278 53814 Joy Rose Director 1.0 0 X 0 0 0 Norman Strasma Director 1.0 0 X 0 0 0 Bill Douglas Treasurer 1.0 43.0 X 0 528698 85712 Pamela Hull Assistant Secretary 1.0 39.0 X 0 97783 6704 Michael Mutterer Senior Vice President/CNO 20.0 20.0 X 0 325016 70858 Ellen Tierney Executive Director Independent & Assisted Living 40.0 0 X 116910 0 11971 Jamee O'Brien Administrator 40.0 0 X 149557 0 15935 266467 2591282 504042 2 false true false Consonus Rehab 4560 International Way Suite 100 Milwaukie OR 97222 Therapy Services 2236775 1 0 Net Patient Service Revenue, Nursing Revenue 623110 15505333 15505333 Rental - Independent Living 621610 3234023 3234023 Rental - Assisted Living 623312 8435344 8435344 0 0 0 0 27174700 1905412 1905412 0 0 554780 113263 441517 0 441517 441517 Misc Residential Services 621610 607045 607045 0 0 0 0 607045 30128674 27781745 0 2346929 X 128881 128881 12440586 11373969 1066617 334954 334954 1751983 1751983 870943 870943 84591 84591 3147168 2946953 200215 0 107724 107724 31322 31322 863419 863419 27697 8579 19118 1200826 1200826 2344620 2344620 299223 47961 251262 Equipment Rental & Maintenance 219912 219912 Supplies 1511716 1509666 2050 Food 1065575 1065575 998044 275794 722250 0 27429184 21964998 5464186 0 6661911 4255691 2439510 1902501 0 0 0 35309 38350 35824 70346 68082981 30969455 37130712 37113526 28918765 25193748 0 0 8445016 7282170 83667047 75856332 24158511 16215990 29388116 28006005 0 7028551 5721570 60575178 49943565 X 23020766 25862424 71103 50343 23091869 25912767 83667047 75856332 X 2699490 84636 36772 X false true X true false X 0 0 0 0 21958152 23231171 24186050 26612203 27781745 123769321 0 0 0 21958152 23231171 24186050 26612203 27781745 123769321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123769321 497266 930112 276671 1445568 1905412 5055029 0 497266 930112 276671 1445568 1905412 5055029 0 0 0 0 0 0 0 22455418 24161283 24462721 28057771 29687157 128824350 0.9608 0.9675 0.0392 0.0325 X 95638 95638 53301713 20662320 32639393 14646824 10307135 4339689 38806 38806 37113526 Trustee Held Funds 1481759 Deposits under residency agreements 5276660 Due from Riverside Healthcare Foundation 473408 Donor-Restricted Investments 50343 7282170 Other Long-Term Liabilities 444910 Refundable Advance Residency Fees 5276660 Construction Payables 5721570 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 affiliates do not have a liability for unrecognized tax benefits. RHS and its obligated affiliates are separate not-for-profit corporations in Section 501(c)(3) of the Internal Revenue Code (Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. RHS and its obligated affiliates are separate not-for-profit corporation as described in Section 501(c)(3) of the internal revenue service (the code) and are exempt from federal income taxes on related income pursuant to section 501(a) of the code. false true false false false false false false false Phillip Kambic President 0 682949 0 197195 0 208363 0 231029 0 28019 0 1347555 0 18000 Dr Keith Moss Director 0 418802 0 115979 0 16496 0 34200 0 19614 0 605092 0 0 Bill Douglas Treasurer 0 361424 0 100854 0 66419 0 65656 0 20056 0 614410 0 0 Michael Mutterer Senior Vice President/CNO 0 252702 0 64228 0 8086 0 54243 0 16615 0 395874 0 0 Jamee O'Brien Administrator 141955 0 7175 0 427 0 5762 0 10173 0 165492 0 0 0 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, which used a Compensation Committee, Independent Compensation Consultant, Comparability Data and Require Approval by the Board or Compensation Committee, to determine the compensation for the President/CEO. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participate in the organization's 457(f) plan. Total contributions to the plan for the year ended December 31, 2017 are as follows: PHILLIP KAMBIC - $196,829 BILL DOUGLAS - $49,456 MICHAEL MUTTERER - $33,574 AMOUNTS INCLUDIBLE IN INCOME FOR THIS PLAN for the year ended December 31, 2017, were as follows: PHILLIP KAMBIC - $18,000 Form 990, Part VI, Line 15b Process Used to Establish Compensation The organization does not have any other officers or key employees, as such, Form 990, Part VI, Line 15b is not applicable and have been answered no, in accordance with the instructions to the Form 990. Form 990, Part VI, Line 1a Material differences in voting rights Standing committees of the Board shall be the standing committees as established by and for Riverside Healthcare which committees are the executive committee, governance committee, finance committee, audit committee, investment committee and quality of care committee. The purpose, membership, authority and responsibilities of the standing committees shall be designated in the charter for each committee. 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 15a Process to establish compensation of top management official Compensation for the organization's officers is determined by Riverside Medical Center (RMC), a related tax-exempt organization. RMC's compensation review process is as follows: 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. 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 IX, Line 11g Other Fees Purchased Services - Total Expense: 3147168, Program Service Expense: 2946953, Management and General Expenses: 200215, 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 - 36772; 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) Type II Riverside Health System false Butterfield Service Corp 350 N Wall Street Kankakee IL 60901 363166197 Health Services IL RHS C Corporation 0 0 0 false false false false true false false false false false false false false false false true true false false false