FURP.ORG / PUBLIC DATA EXPLORER

RIVERSIDE MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE MEDICAL CENTER (EIN 36-2414944)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201823189349312242
Schema version
2017v2.2
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)
Return2018-11-14T18:03:35-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362414944EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverside Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIVEBusinessNameControlTxt
Phone8159331671PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1Txt
CityKankakeeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBill DouglasPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Signature2018-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMallory FairlessPreparerPersonNm
PTINP10321579PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Phillip KambicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1Txt
CityKankakeeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$458,239,457GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.riversidehealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo meet the health care needs of our community, by providing a comprehensive array of high value & quality services in a caring & effective manner.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3014TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$316,146TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,032,858PYContributionsGrantsAmt
CY Contributions Grants$767,384CYContributionsGrantsAmt
PY Program Service Revenue$303,045,735PYProgramServiceRevenueAmt
CY Program Service Revenue$329,270,135CYProgramServiceRevenueAmt
PY Investment Income$9,134,078PYInvestmentIncomeAmt
CY Investment Income$19,645,822CYInvestmentIncomeAmt
PY Other Revenue$5,360,681PYOtherRevenueAmt
CY Other Revenue$5,873,595CYOtherRevenueAmt
PY Total Revenue$318,573,352PYTotalRevenueAmt
CY Total Revenue$355,556,936CYTotalRevenueAmt
PY Grants And Similar Paid$67,970PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$76,623CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,215,548PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$170,208,574CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$138,585,376PYOtherExpensesAmt
CY Other Expenses$152,283,290CYOtherExpensesAmt
PY Total Expenses$294,868,894PYTotalExpensesAmt
CY Total Expenses$322,568,487CYTotalExpensesAmt
PY Revenues Less Expenses$23,704,458PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,988,449CYRevenuesLessExpensesAmt
Total Assets BOY$600,329,134TotalAssetsBOYAmt
Total Assets EOY$648,808,322TotalAssetsEOYAmt
Total Liabilities BOY$217,686,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$222,404,150TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$382,642,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$426,404,172NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRiverside Medical Center is committed to improving the well-being of the communities it serves, regardless of an individual's ability to pay. In addition to the day-to-day services provided to patients, Riverside Medical Center reaches beyond the walls of the medical center, and in collaboration with community partners, takes healthcare education, screenings and support services out to its primary and secondary community. Total charity care benefits provided to non-medicare patients for the year was over $3.5 million.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$253,752,477ExpenseAmt
Grant$76,623GrantAmt
Revenue$268,868,207RevenueAmt
DescRIVERSIDE MEDICAL CENTER OFFERS VARIOUS OTHER INPATIENT AND OUTPATIENT HEALTHCARE SERVICES THAT INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY CARE, AMBULANCE SERVICES, BEHAVIORAL HEALTH SERVICES, PHYSICAL REHABILITATION THERAPY, HOME HEALTH CARE, PERIOPERATIVE SERVICES, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, NURSERY AND OBSTETRICS. RIVERSIDE MEDICAL CENTER ALSO OPERATES MULTIPLE COMMUNITY PRIMARY AND SPECIALTY HEALTH CENTERS LOCATED IN KANKAKEE, WILL, IROQUOIS AND GRUNDY COUNTIES IN THE STATE OF ILLINOIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$23,870,710ExpenseAmt
Revenue$28,879,160RevenueAmt
DescCARDIOLOGY - THE RIVERSIDE HEART CENTER IS RECOGNIZED AS THE MOST ADVANCED CARDIAC CENTER IN THE REGION. PATIENTS ARE TRANSFERRED IN FROM SURROUNDING COUNTIES AND HOSPITALS FOR THE CARE PROVIDED BY THE NATIONALLY RANKED CARDIAC TEAMS AT RIVERSIDE. THE SOCIETY OF CHEST PAIN CENTERS HAS AWARDED ACCREDITATION TO RIVERSIDE AS AN ADVANCED CHEST PAIN CENTER FOR ITS ABILITY TO MEET THE HIGHEST STANDARDS FOR THE CARE OF INDIVIDUALS EXPERIENCING A HEART ATTACK AND RAPID INTERVENTION TO STOP THE HEART ATTACK. SERVICES INCLUDE COMPREHENSIVE CARDIAC SERVICES, SUCH AS: OPEN HEART SURGERY; HEART VALVE REPAIR AND VENTRICULAR REMODELING; MITRAL VALVE SURGERY; ATRIAL FIBRILLATION MANAGEMENT; HEART RHYTHM DISORDER DIAGNOSIS AND MANAGEMENT; THREE ADVANCED CARDIAC CATHETERIZATION LABS; A FULL ARRAY OF CARDIAC DIAGNOSTICS AND CARDIAC REHAB; WOMEN'S HEART AWARENESS AND EDUCATION PROGRAM; AND HEART SCAN TO IDENTIFY RISK FOR HEART ATTACK. IN 2017, THERE WERE 127 CARDIAC SURGERIES PERFORMED. ALSO, THERE WERE 2,345 CARDIAC CATHETERIZATION PROCEDURES PERFORMED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,120,387ExpenseAmt
Revenue$20,712,513RevenueAmt
DescONCOLOGY - THE RIVERSIDE CANCER INSTITUTE PROVIDES CARE TO PATIENTS ORIGINATING FROM THE 5 SURROUNDING COUNTIES. CANCER TREATMENTS BASED ON THE LATEST FINDINGS IN CANCER RESEARCH ARE PROVIDED BY BOARD CERTIFIED MEDICAL AND RADIATION ONCOLOGISTS AND NATIONALLY CERTIFIED ONCOLOGY NURSES. SERVICES INCLUDE HIGHLY INDIVIDUALIZED TREATMENT PLANS FOR SURGERY, MINIMALLY INVASIVE SURGERY, ROBOTIC SURGERY, CHEMOTHERAPY, MONOCLONAL ANTIBODY THERAPY, IMMUNOTHERAPY, HIGH-PRECISION RADIATION THERAPY, BLOOD TRANSFUSIONS, AND PAIN MANAGEMENT. TEAMS OF ONCOLOGY PHYSICIANS AND STAFF MEET TO SPECIFICALLY TAILOR PLANS TO THE INDIVIDUALS AND PROVIDE EXTENSIVE EDUCATION AND SUPPORT. THERE WERE OVER 6,950 SURGICAL, CHEMOTHERAPY, AND RADIATION PROCEDURES PERFORMED IN 2017.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$9,941,884ExpenseAmt
Revenue$12,027,848RevenueAmt
DescNEUROSCIENCES - THE NEUROSCIENCES SERVICES AT RIVERSIDE HAVE RECEIVED NATIONAL AWARDS FOR THE CLINICAL OUTCOMES ACHIEVED. RIVERSIDE'S TEAM OF NEUROLOGY EXPERTS ARE DEDICATED TO THE DIAGNOSIS, EVALUATION AND TREATMENT OF DISORDERS OF THE BRAIN, SPINE AND NERVES. USING THE LATEST MEDICAL ADVANCES AND TECHNOLOGY, HIGHLY SPECIALIZED SURGEONS DEVELOP PERSONALIZED TREATMENT PLANS FOR EACH PATIENT, RANGING FROM CONSERVATIVE CARE TO HIGHLY COMPLEX NON-INVASIVE SURGICAL TECHNIQUES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$9,941,884TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$12,027,848TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$304,685,458TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document112IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3014EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rich SchiltzBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159357256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N WALL STREETAddressLine1Txt
CityKANKAKEECityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Harry Bond
Chairman2.01.0Yes (X)Yes (X)$0$0$0
Phillip Kambic
President/CEO40.04.0Yes (X)Yes (X)$1,088,507$0$259,048
Harry Simmon
Vice Chairman1.01.0Yes (X)Yes (X)$0$0$0
Dr Nadeem Ansari
Director1.00Yes (X)$0$0$0
Connie Ashline
Director1.01.0Yes (X)$0$0$0
John Avendano
Director1.00Yes (X)$0$0$0
Lisa Dugan
Director1.00Yes (X)$0$0$0
Dr Marc Fisher
Director1.00Yes (X)$0$0$0
Johnny Jacobs
Director1.00Yes (X)$0$0$0
Dr Stonewall McCuiston
Director1.00Yes (X)$0$0$0
Francis Smith
Director1.01.0Yes (X)$0$0$0
Bill Douglas
Treasurer/CFO40.04.0Yes (X)$528,698$0$85,712
Kyle Benoit
Vice President of Operations40.00$269,309$0$32,393Yes (X)
Rebecca Hinrichs
Vice President of Human Resources40.00$310,955$0$68,617Yes (X)
Paula Jacobi
Senior Vice President / General Counsel40.00$209,985$0$17,212Yes (X)
Matthew McBurnie
Vice President of Institutional Advancement20.020.0$174,381$0$31,813Yes (X)
Dr Keith Moss
Vice President, Chief Medical Officer, and Chief Medical Information Officer40.01.0$551,278$0$53,814Yes (X)
Michael Mutterer
Senior Vice President/CNO20.020.0$325,016$0$70,858Yes (X)
Patricia Vilt
Vice President of Finance40.00$300,734$0$50,762Yes (X)
Dawn Willbarger
Vice President40.00$231,707$0$32,977Yes (X)
Dr Raju Abraham
Physician40.00$708,592$0$42,304Yes (X)
Dr Charles Harvey
Physician40.01.0$776,644$0$52,903Yes (X)
Dr Vijay Haryani
Physician40.00$1,353,249$0$33,941Yes (X)
Dr Juan Jimenez
Physician40.00$1,323,105$0$109,492Yes (X)
Dr Vikas Patel
Physician40.00$976,299$0$54,049Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,128,458TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$995,896TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K194IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ASSOCIATES OF INTEGRATED MEDICINE LTD
700 E OGDEN SUITE 202WESTMONTIL60559MEDICAL SERVICES$1,415,277
JENSEN & HALSTEAD
358 W ONTARIO ST UNIT 3-ECHICAGOIL60654CONSTRUCTION$574,260
Fresenious Medical Care
16343 Collections Center DriveChicagoIL60693Dialysis Services$553,091
KPMG LLP
DEPT 0970 PO BOX 12001DALLASTX75312ACCOUNTING$363,414
SOUND PHYSICIANS OF KANKAKEE ILLINOIS LLC
1498 PACIFIC AVENUETACOMAWA98402Hospitalists$313,068SUITE 400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$600,341RelatedOrganizationsAmt
Government Grants$106,487GovernmentGrantsAmt
All Other Contributions$60,556AllOtherContributionsAmt
Total Contributions$767,384TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Laboratory621500$34,207,926$33,891,780$316,146
Operating Room900099$26,760,944$26,760,944
Cardiac Cathertization900099$22,623,290$22,623,290
Pharmacy446110$13,745,509$13,745,509
Emergency Room900099$21,611,107$21,611,107

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,321,359TotalRevenueColumnAmt
Related Or Exempt Func Income$210,321,359RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$329,270,135TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,660,683TotalRevenueColumnAmt
Exclusion$7,660,683ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,835,337RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$234,231RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,601,106RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,601,106TotalRevenueColumnAmt
Exclusion$2,601,106ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$114,433,429SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$102,448,290SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,985,139SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,985,139TotalRevenueColumnAmt
Exclusion$11,985,139ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR Incentive Payments900099$1,122,930$1,122,930
Cafeteria Revenue900099$1,470,790$1,470,790
Coffee Shop Revenue900099$267,960$267,960

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$410,809TotalRevenueColumnAmt
Related Or Exempt Func Income$410,809RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,272,489OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$355,556,936TotalRevenueColumnAmt
Related Or Exempt Func Income$330,487,728RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$316,146UnrelatedBusinessRevenueAmt
Exclusion$23,985,678ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$76,623TotalAmt
Program Services$76,623ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,693,776TotalAmt
Management And General$4,693,776ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$56,815TotalAmt
Management And General$56,815ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,367,942TotalAmt
Program Services$131,284,855ProgramServicesAmt
Management And General$4,083,087ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,734,598TotalAmt
Program Services$4,436,108ProgramServicesAmt
Management And General$298,490ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,263,245TotalAmt
Program Services$15,249,693ProgramServicesAmt
Management And General$1,013,552ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,092,198TotalAmt
Program Services$8,518,987ProgramServicesAmt
Management And General$573,211ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$254,619TotalAmt
Management And General$254,619ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$333,121TotalAmt
Management And General$333,121ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,306,297TotalAmt
Management And General$1,306,297ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,053,528TotalAmt
Program Services$24,816,748ProgramServicesAmt
Management And General$3,236,780ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,385,002TotalAmt
Management And General$1,385,002ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,784,415TotalAmt
Program Services$2,604,922ProgramServicesAmt
Management And General$179,493ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,872,911TotalAmt
Program Services$6,872,911ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,336,061TotalAmt
Program Services$4,336,061ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$101,962TotalAmt
Program Services$101,962ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$962,069TotalAmt
Program Services$696,587ProgramServicesAmt
Management And General$265,482ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,038,575TotalAmt
Program Services$5,038,575ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,935,810TotalAmt
Program Services$23,935,810ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,719,059TotalAmt
Program Services$6,719,059ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies Expense$56,610,432$56,484,649$125,783
Provider Assessment$10,715,402$10,715,402
Maintenance & Repair-Equipment$1,552,778$1,552,104$674
Lease/Rental$1,084,005$1,084,005

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$237,244TotalAmt
Program Services$160,397ProgramServicesAmt
Management And General$76,847ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$322,568,487TotalAmt
Program Services$304,685,458ProgramServicesAmt
Management And General$17,883,029ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,483,380BOYAmt
EOY$69,760,415EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,837,008BOYAmt
EOY$42,165,183EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,910,180BOYAmt
EOY$7,070,530EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,821,970BOYAmt
EOY$4,781,251EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$444,535,520LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$219,539,110LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$220,683,026BOYAmt
EOY$224,996,410EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$234,176,545BOYAmt
EOY$248,851,234EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$23,299,292BOYAmt
EOY$25,239,982EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,117,733BOYAmt
EOY$25,943,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$600,329,134BOYAmt
EOY$648,808,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$79,528,606BOYAmt
EOY$87,822,005EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$138,157,768BOYAmt
EOY$134,582,145EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,686,374BOYAmt
EOY$222,404,150EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$379,885,438BOYAmt
EOY$422,030,575EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,282,846BOYAmt
EOY$3,877,549EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$474,476BOYAmt
EOY$496,048EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$382,642,760BOYAmt
EOY$426,404,172EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$600,329,134BOYAmt
EOY$648,808,322EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,988,449ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,639,618NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,133,345OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$32,875OtherActivitiesAmt
Total Lobbying Expenditures$32,875TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYRiverside Medical Center is a member of the Illinois Hospital Association. Per the Illinois Hospital Association, a portion of the dues paid are allocable to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYRiverside Medical Center is a member of the Illinois Hospital Association. Per the Illinois Hospital Association, a portion of the dues paid are allocable to lobbying activities.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,020,853OtherCostOrOtherBasisAmt
Book Value$8,020,853BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$234,713,605OtherCostOrOtherBasisAmt
Depreciation$109,853,229DepreciationAmt
Book Value$124,860,376BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,515,895OtherCostOrOtherBasisAmt
Depreciation$108,642,258DepreciationAmt
Book Value$89,873,637BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,285,167OtherCostOrOtherBasisAmt
Depreciation$1,043,623DepreciationAmt
Book Value$2,241,544BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$224,996,410TotalBookValueLandBuildingsAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$366,552,970TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,628,458NetUnrealizedGainsInvstAmt
Other Revenue$2,133,345OtherRevenueAmt
Revenue Not Reported$10,761,803RevenueNotReportedAmt
Revenue Subtotal$355,791,167RevenueSubtotalAmt
Other Revenues Not Included-$234,231OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$234,231RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$355,556,936TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$322,802,718TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$234,231OtherExpensesIncludedAmt
Expenses Not Reported$234,231ExpensesNotReportedAmt
Expenses Subtotal$322,568,487ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$322,568,487TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteRiverside Medical Center accounts for uncertain tax positions in accordance with ASC Topic 740-10, Accounting for Uncertainty in Income Taxes. ASC Topic 740-10 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740-10, Riverside Medical Center must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Topic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods, and requires increased disclosures. Riverside Medical Center does not have a liability for unrecognized tax benefits. The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990CHANGE IN FAIR VALUE OF DERIVATIVES - 710112 EQUITY TRANSFER FROM AFFILATE - 1423233
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRental Expenses - -234231
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990RENTAL EXPENSES - 234231

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,928,963TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,928,963NetCommunityBenefitExpnsAmt
Total Expense0.0060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,878,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,344,705DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,533,396NetCommunityBenefitExpnsAmt
Total Expense0.0420TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$58,807,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,344,705DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,462,359NetCommunityBenefitExpnsAmt
Total Expense0.0479TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,511,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$813,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$697,954NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,950,128TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,709,488DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,240,640NetCommunityBenefitExpnsAmt
Total Expense0.0782TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,623NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$54,537,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,522,653DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,015,217NetCommunityBenefitExpnsAmt
Total Expense0.0807TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$113,344,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,867,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,477,576NetCommunityBenefitExpnsAmt
Total Expense0.1286TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,589,300BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$100,418,196ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$107,464,745CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,046,549MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverside Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1Txt
CityKankakeeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.riversidehealthcare.orgWebsiteAddressTxt
State License0002014StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Riverside Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.riversidehealthcare.org/county-community-health-assessment.htmlOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.riversidehealthcare.org/county-community-health-assessment.htmlStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.riversidehealthcare.org/financial-services/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.riversidehealthcare.org/financial-services/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.riversidehealthcare.org/financial-services/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Riverside Medical Center. Riverside Medical Center partners with the Kankakee County Health Department, Presence St. Mary's Hospital, The United Way, and representatives from multiple other service lines within the community to provide leadership, staffing, and funding in the Partnership for a Healthy Community. For this most recent Community Health Needs Assessment (CHNA), this group began its work in 2014 and continued through 2015 to develop a refreshed plan for 2016-2018. The Partnership for a Healthy Community contracted with the Illinois Public Health Institute to facilitate the assessment and development of action plans. The Partnership utilized the standardized process termed 'Mobilizing for Action through Planning and Partnerships' (MAPP) to gather data and develop a strategic plan. This planning process utilized four formal assessments from which to identify the top strategic priorities for the CHNA. Those four processes are: Community Health Status Assessment (CHSA): Forces of Change Assessment (FOCA): Local Public Health System Assessment (LPHSA): Community Themes & Strengths Assessment (CTSA): These four assessments were used to develop the Kankakee County Data Sharing/Strategic Priorities: Riverside Leadership and Participation More than ten representatives from Riverside participated in the assessment and planning process including Matt McBurnie who serves on the Steering Committee to guide the partnership. (Dr. John Jurica and Maggie Frogge served initially on the Steering Committee, but as they transitioned away from Riverside in late 2014 and early 2015 respectively, Matt McBurnie took their place through the remainder of the assessment process).
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Riverside Medical Center. Presence St. Mary's Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Riverside Medical Center. Riverside Medical Center partners with the Kankakee County Health Department, Presence St. Mary's Hospital, The United Way, and representatives from multiple other service lines within the community to provide leadership, staffing, and funding in the Partnership for a Healthy Community. For this most recent Community Health Needs Assessment (CHNA), this group began its work in 2014 and continued through 2015 to develop a refreshed plan for 2016-2018. The Partnership for a Healthy Community contracted with the Illinois Public Health Institute to facilitate the assessment and development of action plans.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Riverside Medical Center. Six Prioritized Strategic Areas The MAPP process used by the Partnership for a Healthy Community allowed the community partners to identify six areas of priority to improve residents' health. For reference, these are listed below in alphabetical order. I. Access to Care II. Chronic Disease III. Education and Employment IV. Mental Health and Substance Abuse V. Teen Pregnancy, Infant Mortality, and STDs VI. Violence and Safety I. Access to Care update * MyChart use: Riverside successfully implemented Epic systems in 2016. One key feature of Epic is MyChart, which allows patients web portal access to their health information. At the conclusion of 2017, Riverside MyChart users doubled the previous year at more than 17,000 and continues to grow steadily. * Riverside Immediate Care Sites: Riverside continues to operate these services in Bourbonnais Wal-Mart, Dwight, Monee, Manhattan, Coal City, and Gilman and will look to add one more in 2018. * The Emergency Department reduced the median door to needle time for stroke patients by 28 minutes. * The Emergency Department added a Provider in Triage to streamline efficiency of treating patients as quickly as possible with the right level of care. * Riverside's EMS Department educated nearly every police officer in the county to administer the lifesaving drug of Naloxone to Opioid Overdose victims. * Riverside accreditations: Riverside is the area's only Magnet-designated hospital, having been redesignated in 2016. * Physician Recruitment: In total, Riverside Medical Group recruited and hired 31 new providers in primary and specialty care to increase ease and accessibility for healthcare in our community bringing the total group to over 140. * Language Solutions System: Riverside implemented the LanguageLine Solutions system allowing each unit within the organization to have phone or tablet access to provide interpretation services for the patient populations in need. II. Chronic Disease update * Riverside Heart and Vascular Institute: Riverside added 14 members to the Team increasing its size to 37. Included are Dr. Yousuf, a dedicated onsite heart surgeon with the University of Chicago and Elizabeth Choung, PA. * Riverside's Healthy Heroes program screened additional police officers, bringing the total screened so far to 200. * Riverside's Heart Failure Clinic: - The number of patients participating in the Clinic increased by 60% over the prior year. - Added Heart Failure Clinic visits to Miller Healthcare patients. - Added a PA to give dedicated inpatient Heart Failure support. * Riverside's Neurosciences added a Neuro Hospitalist which increases access and continuity of care for the inpatient and outpatient settings. * The Riverside Cancer Institute added a social work program to their services to help patients with counseling and healing beyond medical treatment. * Pulmonary services were centralized and physically relocated near the Heart and Vascular Institute to reduce barriers for patients needing both services. * Distinguished Hospital for Clinical Excellence by Healthgrades. - Among the Top 5 percent of hospitals nationwide for clinical performance 5 times! 2012, 2014, 2015, 2016, 2017 * America's 100 Best Hospitals for Cardiac Care, two years in a row 2016-2017. * Outstanding Patient Experience Award which places Riverside in the top 10% in the nation for Outstanding Patient Experience. * Cardiac - Five-star recipient for Treatment of Heart Failure (2014-2017) - Five-star recipient for Treatment of Heart Attack - Five-star recipient for Valve Surgery - Five-star recipient for Defibrillator Procedures - Five-star recipient for Coronary Intervention Procedures * Critical care - Five-star recipient for Treatment of Sepsis for 5 years in a row (2013-2017) - Five-star recipient for Treatment of Respiratory Failure for 8 years in a row (2010-2017) - Five-star recipient for Treatment of Pulmonary Embolism for 3 years in a row (2015-2017) * Pulmonary - Pulmonary Care Excellence Award - Five-star recipient for Treatment of Pneumonia for 3 years in a row (2014-2017) * Orthopedic - Five-star recipient for Hip Fracture Treatment for 6 years in a row (2012-2017) * Labor and Delivery - Five-star recipient for Vaginal Delivery for 2 years in a row (2016-2017) - Five-star recipient for C-Section Delivery for 3 years in a row (2015-2017) III. Education and Employment update * CHEE: At the conclusion of 2016, the funding for the office and staff for CHEE has ceased but the program it began in Kankakee District 111 has been adopted by the school district to continue to implement, connecting High School Education with college and career paths that lead to an employable workforce for local industry. While the vision to extend this program to additional school districts in the community has paused for now, the program's adoption by Kankakee District 111's leadership and staff is encouraging for continued progress. * Riverside Employment Awards for 2017, pertinent to CHNA Implementation: - Riverside was named Illinois' Healthiest Employer. - Riverside Healthcare was named as one of the 100 Healthiest Workplaces in America by Healthiest Employers, LLC from over 5,000 applicant organizations for the fourth consecutive year. - Riverside has been named as one of the 150 Great Places to Work in Healthcare by Becker's Hospital Review since 2012. - Riverside Medical Center is the area's only Magnet designated Hospital. Magnet is the highest distinction recognizing healthcare organizations for quality patient care, nursing excellence and i innovations in professional nursing practice. The American Nurses Credentialing Center (ANCC) has recognized only 448 Magnet-designated hospitals worldwide. IV. Mental Health and Substance Abuse * Riverside opened the Centralized Intake Department to streamline access for patients to behavioral health services. The launch also condensed what had been multiple access numbers to one, simplifying access for all. * Riverside successfully recruited two new child adolescent psychiatrists and one post-doctoral psychologist to the community. * Riverside gave $5,000 of support to the County's Sherriff's Department for the purchase of Narcan, an overdose-reversal medicine being used by first responders to prevent the rising epidemic of opioid related overdose deaths. V. Teen Pregnancy, Infant Mortality, STDs * Pediatric Hospitalist program: Beginning in August 2016, Riverside Medical Center began 24/7 coverage with onsite U of C Pediatricians for children in the inpatient care setting, for births that have elevated risk, and for Emergency Department consults as needed. VI. Violence and Safety * Riverside is currently represented on the Board of Harbor House by its Emergency Services Director, Kathy O'Grady. * Sexual Assault/Human Trafficking: Riverside Medical Center posts human trafficking help signage in English and two other most common languages in inconspicuous locations with instructions on how to ask for help. * Wait to Text: As a Level II Trauma Center, Riverside has a responsibility to the community we serve to provide trauma prevention activities. Texting and driving is a potentially preventable trauma patient. Riverside targeted the novice driving group because today's teenagers have literally grown up with their cell phones. Riverside's Emergency Preparedness Director attended the driver's education programs in area high schools to educate them through a lecture that contains videos, pictures, and facts to make the students stop and think before using their cell phones while driving. If the students at the end of the lecture state that they won't text and drive they get a parting gift of a thumb band that says "W8 2 txt". * Parent Education: The programs listed in the initial plan were completed in 2016.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - Riverside Medical Center. * Riverside's Heart Failure Clinic: More than 100 patients are actively seen in the Clinic, an increase from 2015. * Home Health Care: Event examples for 2016 were on the topics of Cancer, Wound Treatments, COPD, Coronary Artery Disease, The Importance of Vitamin D, Palliative Care and Diabetes. The Home Based Chronic Disease Management Program was issued licensure by IDPH as a home health program. This program admits patients with chronic illnesses who benefit from being followed by a nurse, but who no longer meet the strict criteria for third party (Medicare and other) reimbursement. * Diabetes Wellness Center: Services for Diabetes were expanded to Riverside's Wilmington site in 2016. In addition, Riverside hosts a monthly Diabetes Support Group, launched DSMT and MNT services in Wilmington, received a Kankakee Health Dept grant to launch a CDASH Diabetes Prevention Program, developed a collaboration with U of I on a diabetes-related research study, trained staff from five schools on the management of children with diabetes, and provided education as art of the Health Forward Program. For National Diabetes Month, Riverside offered a series of weekly events which included a cooking demo, panel discussion, diabetes 101 lecture, and discussion on skin care with diabetes/wound center presented. Riverside also assisted in the MACRA initiative. * Other Activities Related to Chronic Disease: A glucose management system called Glytec was added to Riverside's inpatient care setting to constantly manage and bring consistency to the glucose level of patients Wound Care: Additional staff received Wound Care Certifications, and services were extended to Watseka. Inatropic Infusion: For those that qualify with Stage D/ Class 4 heart failure, an evaluation occurs every three months by the Heart Failure team with oversight by the prescribing cardiologist, which documents cardiac symptoms and the continuing response and need for therapy. * Childhood Obesity: Numerous speaking engagements were completed for students, their parents and families at school functions in Bourbonnais, Bradley, Limestone, Herscher and Bonfield. In addition, Programs were presented at St. George for a MOPs group and an outdoor program at a church in Pembroke with Dr. McCuiston. There is a regular monthly program at the Coal City Library which is well attended. Hand-out materials are offered in English and Spanish at health fairs. Riverside Walking Paths: A second .5 mile path was completed on Riverside's Kankakee Campus and an additional sidewalk was constructed along Butterfield Trail to advance the next walking loop. In addition, construction for the Trails Initiative for the Community began and will be completed in 2017. III. Education and Employment Update * CHEE: As 2016 concludes, the funding for the office and staff for CHEE has ceased but the program it began in Kankakee Schools 111 has been adopted by the school district to continue to implement, connecting High School Education with college and career paths that lead to an employable workforce for local industry. While the vision to extend this program to additional school districts in the community has paused for now, the program's adoption by Kankakee District 111's leadership and staff is encouraging for continued progress. IV. Mental Health and Substance Abuse Update Psychiatric Services: Frankfort Terrace was added as an agency site. Riverside offered support to the County's Sherriff's Department for purchase of Narcan, an overdose-reversal medicine being used by first responders to prevent the rising epidemic of opioid related overdose deaths. Program support for Jerome Combs Detention Center Program support for Kankakee Area Probation Office V. Teen Pregnancy, Infant Mortality, STDs Pediatric Hospitalist program: Beginning in August, Riverside Medical Center began 24/7 coverage with onsite U of C Pediatricians for children in the inpatient care setting, for births that have elevated risk, and for Emergency Department consults as needed. * Riverside began early recognition and treatment of Hypertension in pregnancy and Perinatal hemorrhage * During 2016, the communities lost some OB/GYN providers, plans are in place to add additional ones for 2017. VI. Violence and Safety * Riverside is currently represented on the Board of Harbor House by its Emergency Services Director, Kathy O'Grady. * Sexual Assault/Human Trafficking: Riverside Medical Center posts human trafficking help signage in English and two other most common languages in inconspicuous locations with instructions on how to ask for help. * Wait to Text: Riverside's Emergency Preparedness Director attended the driver's education programs in area high schools to educate.
FieldValueIRS element (for citing)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Riverside Medical Plaza
300 Riverside DriveBourbonnaisIL60914Outpatient Center
Pembroke Rural Health Center
3400 S Main StreetHopkins ParkIL60944Rural Health Center
Riverside Ambulatory Surgery Center
300 Riverside DriveBourbonnaisIL60914Outpatient Surgery Center
Riverside Medical Center Fastcare
2080 N State Route 50BourbonnaisIL60914Physician Services
Primary Care Associates of Kankakee
401 N Wall Street Suite 206KankakeeIL60901Community Health Center
Women and Children's Health Center
338 Larry Power RoadBourbonnaisIL60914Community Health Center
Riverside Corporate Health Center
400 S Kennedy DriveBradleyIL60915Corporate Health Center
Peotone Community Health Center
611 Division StreetPeotoneIL60468Community Health Center
Riverside Resolve Center
411 W Division StreetMantenoIL60950Inpatient Substance Abuse Program
Monee Community Health Center
25711 S Egyptian TrailMoneeIL60449Community Health Center
Watseka Specialty Services
1490 E Walnut StreetWatsekaIL60970Outpatient Center
East Court Community Health Center
1701 E Court StreetKankakeeIL60901Community Health Center
Manteno Community Health Center
395 N Locust StreetMantenoIL60950Community Health Center
Manhattan Community Health Center
380 W North StreetManhattanIL60442Community Health Center
Momence Community Health Center
3761 N Rt 1-17MomenceIL60954Community Health Center
Wilmington Community Health Center
105 S First StreetWilmingtonIL60481Community Health Center
Frankfort Specialty Services
23120 LaGrange RoadFrankfortIL60423OutpatientCenter
DWIGHT COMMUNITY HEALTH CENTER
106B WATTERS DRIVEDWIGHTIL60420COMMUNITY HEALTH CENTER
COAL CITY COMMUNITY HEALTH CENTER
5775 HIGHWAY 113COAL CITYIL60416COMMUNITY HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Bad Debt ExpenseBad Debt expense was not booked as an expense in Part IX Statement of Functional Expenses so this amount is properly reported at zero. The bad debt was netted with revenues on the Part VIII Statement of Revenue.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad debt expense is determined using the cost to charge ratio. Payments on patient accounts is a reduction of bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyNone of the amount the organization reported as bad debt was attributable to patients eligible under the organization's financial assistance polic
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe medical center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for Uncollectible accounts and provision for bad debts. Management regularly reviews data about these major sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables Associated with services provided to patients who have third-party coverage, the medical center analyzes contractually due amounts and provides an Allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on Accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many Patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the Allowance for doubtful accounts. For uninsured patients that do not qualify for charity care, the medical center recognizes revenue on the basis of its Standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy).
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE. ANY SHORTFALLS THAT RESULT FROM MEDICARE ALLOWABLE COSTS EXCEEDING MEDICARE REVENUE CAN BE CONSIDERED A COMMUNITY BENEFIT IF THE ACTIVITY IS SOMETHING THAT the MEDICAL CENTER IS DOING TO CREATE THE AWARENESS AND WELL-BEING OF THE HOSPITAL COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceWhen a patient has been approved under the hospital's Charity Care Policy for a partial discount, the hospital will work with the patient or responsible party to establish a reasonable payment plan. The plan will take into account available income and assets, the amount of the discounted bill(s), and any prior payments. The hospital will also advise the patient of his or her responsibilities under these collection practices guidelines. Riverside may offer prompt payment discounts to charity care patients who are eligible for partial discounts on their hospital bills. The hospital will not pursue legal action for non-payment of bills against charity care patients who have clearly demonstrated that they have neither sufficient income nor assets to meet their financial obligations. Legal action, including the garnishment of wages, may be taken by the hospital to enforce the terms of the payment plan. Such measures would only take place when there is evidence that the charity care patient or responsible party has sufficient income and/or assets to meet his or her obligation. The hospital will not place a lien on a charity care patients primary residence. The hospital will not execute a lien by forcing the sale or foreclosure of a charity care patients primary residence to pay for an outstanding medical bill. The hospital will not use body attachment to require the charity care patient or responsible party to appear in court, however Riverside recognizes that the court system may take this action independently. The hospital will ensure that the guidelines outlined above are followed by any external collection agency engaged to assist in obtaining payment on outstanding bills from charity care patients. Additionally, external collection agencies will identify patients that may qualify for charity care and will assist in communicating Riverside's financial assistance policy and mail applications to patients requesting assistance.
Schedule H, Part V, Section B, Line 16a FAP website- Riverside Medical Center: Line 16a URL: https://www.riversidehealthcare.org/financial-services/;
Schedule H, Part V, Section B, Line 16b FAP Application website- Riverside Medical Center: Line 16b URL: https://www.riversidehealthcare.org/financial-services/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Riverside Medical Center: Line 16c URL: https://www.riversidehealthcare.org/financial-services/;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to conducting a Community Health Needs Assessment (CHNA) every three years, the organization continually assesses the needs of the communities it serves. Specifically, the organization assesses whether progress has been made on the specific areas identified in the Implementation Plan, as determined by the CHNA. Each year the organization revisits the needs identified in the CHNA and documents progress made towards addressing these needs. For more information regarding these assessments, please see Schedule H, Part V, Section B, Line 11.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceRiverside uses various tools to communicate the availability of charity care to all patients. Examples include, but are not limited to: Signage, Brochures, Placing a note on the hospital bill and statements regarding how to request information about financial assistance. This includes statements from our bad debt agency. Designated individuals who can explain the hospital's charity care policy, including a Spanish-speaking representative. Reference in our patient handbook Notice on in-house television Lobby Kiosks Website Employee Charity Lesson Riverside also screens identified patients for eligibility for various federal, state or local government programs. We use both internal and external staff to assist in the identification of patients and to assist with the education of our patients.
Schedule H, Part VI, Line 4 Community informationRiverside serves the Illinois counties of Kankakee, Ford, Grundy, Iroquois, Livingston and Will. Riverside's primary service area, Kankakee County has a population of 111,493 (2012-2016 American Community Survey), and includes the communities of Bradley, Bourbonnais, Kankakee and Manteno. The racial composition of the county is 81.5% White, 16.4% Black or African American, 9.8% Hispanic or Latino and 0.7% Native American. The medium household income is $54,697 and 15.7% of the population lives below the poverty line. The Medical Center is located in the city of Kankakee. Over 32.7% of the individuals living in the city are below the poverty level, which exceeds the State of Illinois average of 8.2%. The racial makeup of the city is 55.1% White, 40.9% Black or African American, 18.9% Hispanic or Latino and 1.2% Native American. The medium household income is $39,931, well below the Illinois average of $59,196. The 2010 County Well-Being Index placed Kankakee County on its Poverty Warning List in the 2017 County Well-Being Index report published from the U.S. Census Bureau's American Community Survey and Social IMPACT Research Center, a program of Heartland Alliance. Four key indicators of well-being are assessed in each of Illinois' 102 counties: high school graduation rates, unemployment rates, teen birth rates, and poverty rates. Kankakee's Poverty Warning List placement elevates he county from its previous Watch status to a level requiring corrective action initiatives. Sixty-five percent of the Medical Center's services are provided to the elderly and the poor-some of the area's most vulnerable citizens.
Schedule H, Part VI, Line 5 Promotion of community healthRiverside Medical Center is governed by a community board comprised of key community leaders who volunteer their time to assist in directing the organization. The Medical Staff is an open medical staff comprised of all board-certified or board-eligible physicians and mid-level providers. Riverside Medical Center is a not-for-profit organization that commits its resources and talents to advance healthcare services and promote overall health for the residents of the communities we serve. The organization continuously assess the health care needs of the community and assumes the leadership role to fill gaps in care and assure that individuals in our community have their health care needs met. One of the methods Riverside uses to advance health is a formal needs assessment process and multi-year health development plan detailed above. The key issues identified through the Assessment of Community Health Needs included: (a) access to health care, (b) prevention, and (c) disease management.
Schedule H, Part VI, Line 6 Affiliated health care systemRiverside Medical Center is part of Riverside Health System, which is the parent corporation of the Riverside health care delivery system. Riverside Health System was incorporated in 1982 to support and encourage health and human services by providing management assistance and in all other relevant ways. Also affiliated with Riverside Health System are Oakside Corporation, Riverside Senior Living Center, and Riverside Healthcare Foundation. Oakside Corporation, which was incorporated in 1982, provides counseling services and promotes participation in charitable, educational, and public service programs. Oakside also operates a health and fitness facility. Riverside Senior Living Center, incorporated in 1990, operates a retirement housing community with both independent and assisted living services for senior persons. Riverside Senior Living Center also operates a skilled nursing facility. Riverside Healthcare Foundation promotes charitable activities through donation, educational programs, and other human services programs. Riverside Medical Center operates a short-term general acute care hospital, an off-site substance abuse center, and various community primary and specialty care clinics. Riverside Medical Center provides general health care services to residents within its geographic service areas, including inpatient, outpatient, emergency room, physician, and other services.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Bishop McNamara High School
550 Brookmont BlvdKankakeeIL60901362317629501(c)(3)$15,000Support Education
American Cancer Society
147 S Michigan AveBradleyIL60915362167721501(c)(3)$12,000Relay for Life
Hospice of Kankakee Valley
482 Main Street NWBourbonnaisIL60914363320227501(c)(3)$5,000Community Support
Kankakee Community College Foundation
100 College DriveKankakeeIL60901262126437501(c)(3)$5,000Community Support
Life Compass Church
8784 B East 4500 S RoadSaint AnneIL60964461740967501(c)(3)$5,000Community Support
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationRiverside MEDICAL CENTER (RMC) PROVIDES UNRESTRICTED GRANTS, DONATIONS OR SPONSORSHIPS TO VARIOUS ORGANIZATIONS. PRIOR TO MAKING THESE DONATIONS, RMC confirms the recipient organization is a qualified public charity under section 501(c)(3) and is in good standing. ALL grants, donations and sponsorships MUST BE APPROVED AND SIGNED OFF BY THE organization's CEO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Phillip Kambic
President/CEO$682,949$0$197,195$0$208,363$0$231,029$0$28,019$0$1,347,555$0$18,000$0
Bill Douglas
Treasurer/CFO$361,424$0$100,854$0$66,419$0$65,656$0$20,056$0$614,410$0$0$0
Kyle Benoit
Vice President of Operations$213,607$0$51,231$0$4,471$0$8,679$0$23,714$0$301,702$0$0$0
Rebecca Hinrichs
Vice President of Human Resources$239,837$0$60,561$0$10,557$0$52,095$0$16,522$0$379,572$0$0$0
Paula Jacobi
Senior Vice President / General Counsel$164,744$0$42,241$0$3,000$0$3,783$0$13,429$0$227,197$0$0$0
Matthew McBurnie
Vice President of Institutional Advancement$136,423$0$34,455$0$3,503$0$8,299$0$23,514$0$206,194$0$0$0
Dr Keith Moss
Vice President, Chief Medical Officer, and Chief Medical Information Officer$418,802$0$115,979$0$16,496$0$34,200$0$19,614$0$605,092$0$0$0
Michael Mutterer
Senior Vice President/CNO$252,702$0$64,228$0$8,086$0$54,243$0$16,615$0$395,874$0$0$0
Patricia Vilt
Vice President of Finance$230,643$0$59,425$0$10,666$0$32,312$0$18,450$0$351,496$0$0$0
Dawn Willbarger
Vice President$178,721$0$43,571$0$9,415$0$8,608$0$24,369$0$264,684$0$0$0
Dr Raju Abraham
Physician$606,660$0$98,160$0$3,772$0$28,800$0$13,504$0$750,896$0$0$0
Dr Charles Harvey
Physician$621,930$0$150,000$0$4,714$0$34,200$0$18,703$0$829,546$0$0$0
Dr Vijay Haryani
Physician$936,025$0$410,016$0$7,208$0$10,800$0$23,141$0$1,387,190$0$0$0
Dr Juan Jimenez
Physician$1,026,341$0$294,304$0$2,460$0$84,200$0$25,292$0$1,432,597$0$0$0
Dr Vikas Patel
Physician$749,496$0$222,419$0$4,384$0$28,800$0$25,249$0$1,030,348$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesThe President has country club dues paid on his behalf from Riverside Medical Center as a benefit. The country club dues are treated as taxable compensation.
Schedule J, Part I, Line 1a Personal servicesThe President and CFO receive an annual benefit to use toward consulting with a personal financial planner or consultant. This benefit is treated as taxable compensation to these individuals.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe 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 REBECCA HINRICHS - $31,658 MICHAEL MUTTERER - $33,574 DR. JUAN JIMENEZ - $50,000 AMOUNTS INCLUDIBLE IN INCOME FOR THIS PLAN for the year ended December 31, 2017, were as follows: PHILLIP KAMBIC - $18,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Illinois Finance Authority
A86109196745200FZN22009-08-13$65,829,204Refunding and Capital Improvementsfalsefalsefalse
Illinois Finance Authority
B86109196745203HRT12013-05-16$34,154,777Refunding and Capital Purchasesfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C86109196745204ELJ52016-09-28$87,177,173REFUNDING AND CAPITAL PURCHASESfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
D8610919670000000002015-10-14$37,165,000Refunding 2004 and 2006 bondsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$46,490,000$0$65,829,204$0$0$0$1,179,707$0$999,750$35,000,000$28,649,747$02009Yes (true)falseYes (true)Yes (true)
B$0$0$34,154,777$0$0$0$726,250$0$0$7,419,077$26,009,450$02013Yes (true)Yes (true)Yes (true)Yes (true)
C$0$0$87,177,173$0$0$0$1,155,791$0$0$11,537,493$71,021,382$3,462,5072016Yes (true)Yes (true)Yes (true)Yes (true)
D$12,709,221$0$37,165,000$0$0$0$0$0$0$0$37,165,000$02015Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.010.00.01falsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.00.00.0falsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.010.01falsefalseYes (true)
DfalsefalseYes (true)Yes (true)false0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
BfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
CfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
DfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 2c COLUMN AIssuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/13/2017
Schedule K, Part IV, Line 2c COLUMN BIssuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 05/30/2015
Schedule K, Part IV, Line 2c COLUMN CIssuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/28/2017

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN KAMBICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF PHILLIP KAMBIC, PRESIDENT/CEORelationshipDescriptionTxt
Transaction$56,815TransactionAmt
TransactionINDEPENDENT CONTRACTORTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 9,941,884 including grants of $)(Revenue $ 12,027,848) NEUROSCIENCES - THE NEUROSCIENCES SERVICES AT RIVERSIDE HAVE RECEIVED NATIONAL AWARDS FOR THE CLINICAL OUTCOMES ACHIEVED. RIVERSIDE'S TEAM OF NEUROLOGY EXPERTS ARE DEDICATED TO THE DIAGNOSIS, EVALUATION AND TREATMENT OF DISORDERS OF THE BRAIN, SPINE AND NERVES. USING THE LATEST MEDICAL ADVANCES AND TECHNOLOGY, HIGHLY SPECIALIZED SURGEONS DEVELOP PERSONALIZED TREATMENT PLANS FOR EACH PATIENT, RANGING FROM CONSERVATIVE CARE TO HIGHLY COMPLEX NON-INVASIVE SURGICAL TECHNIQUES.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe executive committee shall consist of the chairman of the board of directors, the president of the corporation, the vice chairman of the board of directors and the chairman of the finance committee and audit committee. The executive officer shall be an ex officio member with vote provided, however, he shall not participate in matters regarding the evaluation of the president's salary. Powers and functions: the executive committee shall perform the following duties: (a)Transact all regular business of the corporation during the interim between 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. (b)Review annually the performance of the president of the corporation and report to the board of directors the conclusion of this report.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe sole corporate member of Riverside Medical Center is Riverside Health System, a related tax exempt organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAs the sole corporate member, Riverside Health System, a related tax exempt organization, has the authority to elect and/or remove, with or without cause, the Directors of the Corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe 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 bodyThe 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 policyThe conflict of interest questionnaires are mailed to all board members, officers and key employees 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialRiverside's executive total compensation program is governed by the Executive Committee of the Board of Directors. The Committee is comprised of independent members of the System Board who have no personal interest in any executive compensation transaction. The Committee governs the System's executive total compensation program for all positions at the level of Vice President, and above. Each year the committee engages an independent compensation consultant to assist in determining appropriate compensation of the organization's top management officials. In setting the top management official's compensation, the Executive Committee relies on recent independent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The Committee follows all steps required by the Internal Revenue Service (IRS) to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee adequately documents its compensation determinations and deliberations regarding compensation in the minutes on a timely basis. This process is done annually and was last undertaken in 2017.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesRiverside's executive total compensation program is governed by the Executive Committee of the Board of Directors. The Committee is comprised of independent members of the System Board who have no personal interest in any executive compensation transaction. The Committee governs the System's executive total compensation program for all positions at the level of Vice President, and above. Each year the committee engages an independent compensation consultant to assist in determining appropriate compensation of the organization's top management officials. In setting the top management official's compensation, the Executive Committee relies on recent independent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The Committee follows all steps required by the Internal Revenue Service (IRS) to qualify for the safe harbor under the Intermediate Sanctions regulations. The Committee adequately documents its compensation determinations and deliberations regarding compensation in the minutes on a timely basis. Positions for which this process was used are: - Senior Vice President for Finance & Chief Financial Officer -SENIOR VICE PRESIDENT/CNO -SENIOR VICE PRESIDENT/GENERAL COUNSEL -VICE PRESIDENT OF OPERATIONS -VICE PRESIDENT OF INSTITUTIONAL ADVANCEMENT -VICE PRESIDENT OF HUMAN RESOURCE -VICE PRESIDENT OF FINANCE -VICE PRESIDENT, CHIEF MEDICAL OFFICER AND CHIEF MEDICAL INFORMATION OFFICER -VICE PRESIDENT This process was last undertaken in 2017.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial 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 2f Other Program Service RevenueOther - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther - Total Revenue: 410809, Related or Exempt Function Revenue: 410809, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in Fair Value of Derivatives - 710112; Equity Transfer from Affilate - 1423233;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RIVERSIDE HEALTH SYSTEM
350 N WALL STREETKANKAKEEIL60901363167726PARENTIL501(c)(3)Type III-FINAfalse
RIVERSIDE SENIOR LIVING CENTER
350 N WALL STREETKANKAKEEIL60901363670744NURSING HOMEIL501(c)(3)10RHSfalse
OAKSIDE CORPORATION
350 N WALL STREETKANKAKEEIL60901363166804HEALTHCAREIL501(c)(3)Type III-FIRHSfalse
RIVERSIDE HEALTHCARE FOUNDATION
350 N WALL STREETKANKAKEEIL60901363166033SUPPORT ORG.IL501(c)(3)Type IIRHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
RIVERSIDE AMBULATORY SURGERY CTR LLC
300 RIVERSIDE DRBOURBONNAISIL60914320082320SURGERY CENTERILNARelated$684,309$1,344,761falsefalse0.72
THE CENTER FOR DIGESTIVE HEALTH
1615 N CONVENT STREETBOURBONNAISIL60914364532301PATIENT SERVICESILNARelated$281,314$23,428falsefalse0.1

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Butterfield Service CorpBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 N Wall StreetAddressLine1Txt
CityKankakeeCityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
EIN363166197EIN
Primary ActivitiesHEALTH SERVICESPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd