2023-11-07T23:30:58+00:00 2022-12-31 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 752013246 990 2022-01-01 363166033 Riverside Healthcare Foundation RIVE 8159337799 350 N Wall Street Kankakee IL 60901 Patricia Vilt CEO 8159337799 2023-11-07 true Patricia Vilt 999009999 Amy Bellanca P01572961 2147775200 2022 2023-04-26 12:10:37Z Phillip Kambic 350 N Wall Street Kankakee IL 60901 11505711 false X www.Riversidehealthcare.org X 1983 IL Established to promote by donation, loan or otherwise, organizations and other charitable activities that are devoted to improving and protecting the health and welfare of all persons. 20 18 0 50 0 0 992354 1469521 0 0 3696972 444979 39612 -179936 4728938 1734564 523235 540659 0 0 0 0 0 45788 320859 324900 844094 865559 3884844 869005 42587791 37211203 131450 26743 42456341 37184460 The Foundation was established to promote, by donation, loan or otherwise, educational programs, scientific research, treatment facilities, hospitals, rehabilitation centers, housing centers, human services programs and other charitable activities devoted to improving and protecting the health and welfare of all persons. false false 540659 540659 The Foundation promotes educational programs, scientific research, treatment facilities, hospitals, rehabilitation centers, housing centers, human services programs and other charitable activities devoted to improving and protecting the health and welfare of all persons. In particular, the Foundation promotes and supports the interests of the following Illinois not-for-profit organizations: Oakside Corporation, Riverside Senior Living Center, Riverside Medical Center, and other organizations formally affiliated with any of the foregoing organizations which fall within the category of Section 501(c)(3) of the Internal Revenue Code. 540659 true true false false false false false false true true false false false false true true false false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 5 0 true 0 false false false false false true true false false false false false false X 20 18 false false false false true true true true true false false true true true true true true false false false IL X Richard Schiltz 8159357256 350 N Wall Street Kankakee IL 60901 Linda Kay Mitchell RN BSN Vice Chairman (thru June 2022) 1.0 0 X X 0 0 0 Nina Epstien Vice Chairman (beg. July 2022) 1.0 0 X X 0 0 0 Patricia K Vilt Treasurer 1.0 43.0 X X 0 433155 49236 Phillip Kambic President 1.0 43.0 X X 0 1258830 242843 Shalone Graves Secretary 1.0 0 X X 0 0 0 Tim Milner Chairman 1.0 2.0 X X 0 0 0 Andy Czako Director 1.0 0 X 0 0 0 David Jaffe Director 1.0 0 X 0 0 0 David Tyson Director 1.0 1.0 X 0 0 0 Dr John Vallone Director 1.0 0 X 0 0 0 Dr Juan Jimenez Director 1.0 40.0 X 0 1194330 91392 Dr Simon Wu Director 1.0 0 X 0 0 0 Edward Meier Director 1.0 0 X 0 0 0 Elizabeth Kubal Director 1.0 0 X 0 0 0 Emily Gentry Director 1.0 0 X 0 0 0 Jacalyn Hawker Director 1.0 0 X 0 0 0 Jason Soucie Director 1.0 0 X 0 0 0 Robert Gessner Director 1.0 0 X 0 0 0 Staci Wilken Director (thru June 2022) 1.0 0 X 0 0 0 Stephanie Mitchell Director 1.0 0 X 0 0 0 Steve Lemon Director 1.0 0 X 0 0 0 Sue Smith Director 1.0 0 X 0 0 0 Suzy Brown Director 1.0 0 X 0 0 0 Willa White Director (thru June 2022) 1.0 0 X 0 0 0 R Matthew McBurnie Executive Director 20.0 20.0 X 0 201300 43097 Bill Douglas Former Officer 0.0 40.0 X 0 180463 45311 0 3268078 471879 0 true true false EDDIE THOMPSON & ASSOCIATES 112 Westwood Place Suite 250 Brentwood TN 37027 Charitable Estate Planning Services 120000 1 633241 836280 1469521 0 0 0 0 0 716506 716506 179297 58115 121182 0 121182 121182 9063412 9334939 -271527 0 -271527 -271527 76975 633241 378093 -301118 -301118 0 0 0 0 0 1734564 0 0 265043 540659 540659 9315 9315 48343 48343 0 0 0 0 18717 18717 Shared Services Fee 182279 182279 Bad Debt Expense 20458 20458 Other Fundraising Expenses 45788 45788 0 0 0 0 865559 540659 279112 45788 250 250 2496364 2649321 242292 362161 0 0 0 0 7987 0 2355663 32550 2323113 2323113 36297759 30558239 0 0 1220026 1318119 42587791 37211203 23049 10743 108401 16000 0 0 0 0 131450 26743 X 35868044 29960656 6588297 7223804 42456341 37184460 42587791 37211203 869005 -6140886 0 X false true X true false X 3102623 9084890 1641266 992354 1469521 16290654 0 0 3102623 9084890 1641266 992354 1469521 16290654 2959686 13330968 578905 636849 620543 915590 895803 3647690 0 0 0 0 0 0 84525 9800 13944 12400 76975 197644 20135988 0 0.6620 0.6808 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - FUNDRAISING REVENUE, COLUMN A - 84525.0, COLUMN B - 9800.0, COLUMN C - 13944.0, COLUMN D - 12400.0, COLUMN E - 76975.0, COLUMN F - 197644.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1376694 5500 1436 14089 1369541 1382180 7000 3764 16250 1376694 1310901 6652 79762 15135 1382180 1276277 14281 61843 41500 1310901 1224145 34349 17783 0 1276277 0.0 1.0 0.0 false false 2323113 2323113 32550 32550 0 2323113 0 X -4076572 -6140886 0 -6140886 2064314 48343 -378093 -329750 1734564 1195309 378093 378093 817216 48343 0 48343 865559 Schedule D, Part V, Line 4 Intended uses of endowment funds The Foundation's endowment consists of thirteen individual funds established by donors for a variety of purposes. All endowment funds of the Foundation are to be used for scholarships for various programs to benefit Riverside Medical Center. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Riverside Healthcare Foundation is organized as a not-for-profit corporation under Section 501(c)(3) of the Internal Revenue Code and, accordingly, is exempt from income taxes. The Foundation files federal and state tax returns. The statute of limitations on the Foundation's federal tax returns remains open for years 2020 through 2022. The Foundation makes an assessment of individual tax positions and follows a process for recognition and measurement of uncertain tax positions. Tax positions are evaluated on whether they meet the "more likely than not'' standard for sustainability on examination by tax authorities. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements FUNDRAISING EVENT EXPENSES - -378093 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 FUNDRAISING EVENT EXPENSES - 378093 Pro Am 171644 153869 17775 8450 15424 18897 20409 17058 Heart Ball 538572 479372 59200 8122 25000 100529 77499 86705 0 710216 633241 76975 8450 23546 43897 120938 77499 103763 378093 -301118 true RIVERSIDE MEDICAL CENTER 350 N WALL STREET KANKAKEE IL 60901 362414944 501(C)(3) 540659 0 N/A N/A HEALTH PROGRAMS 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Requests for assistance are provided to the Foundation's Board of Directors. The Board then decides which requests will be approved. Each grant is monitored by requesting information from the grantee regarding the use of the funds. This information is compared to the original request for assistance. In addition, the Foundation provided support to Riverside Medical Center for various different programs outlined below: $40,980 Partners In Caring $55,243 Samaritan $3,236 Patient Touches $42,514 Various other small programs false true false false false false false false false Phillip Kambic President 0 787355 0 187063 0 284412 0 218124 0 24719 0 1501673 0 233482 Patricia K Vilt Treasurer 0 351424 0 68300 0 13431 0 36056 0 13180 0 482391 0 2167 Dr Juan Jimenez Director 0 956141 0 99845 0 138344 0 60139 0 31253 0 1285722 0 117000 Bill Douglas Former Officer 0 123656 0 54692 0 2115 0 28534 0 16777 0 225774 0 54692 R Matthew McBurnie Executive Director 0 162205 0 35034 0 4061 0 10404 0 32693 0 244397 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION RELIED ON RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION, to establish and pay compensation of the organization's CEO. Riverside Medical Center used the following to establish reasonable compensation: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPARABILITY DATA AND REQUIRED APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. The Executive Director's compensation is also determined and paid by Riverside Medical Center. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. Total contributions to the plan for the year ended December 31, 2022 are as follows: PHILLIP KAMBIC - $179,324 PATRICIA VILT- $17,756 AMOUNTS INCLUDED IN INCOME FOR THIS PLAN for the year ended December 31, 2022, were as follows: PHILLIP KAMBIC - $233,482 BILL DOUGLAS - $54,692 Dr. Juan Jimenez - $117,000 PATRICIA K. VILT - $2,167 Form 990, Part VI, Line 15b Process Used to Determination Compensation for Other Officers The compensation of the organization's executive director is determined by Human Resources and approved by the President of Riverside Medical Center, a related tax-exempt organization. This question has been intentionally answered No due to the fact that independent individuals were not involved in the determination and approval process for this position. Form 990, Part VI, Line 15a Process Used to Establish Compensation of Top Management Official The CEO is compensated by Riverside Medical Center (RMC), a related tax-exempt organization. RMC's compensation review process is as follows: Riverside Medical Center's executive total compensation program is governed by the Executive Committee of the Board of Directors. The Committee is comprised of independent members of the system board who have no personal interest in any executive compensation transactions. The Committee governs the system's executive total compensation program for all positions at the level of Vice President, and above. Each year the Committee engages an independent compensation consultant to assist in determining appropriate compensation of the organization's top management officials. In setting the top management official's compensation, the Executive Committee relies on recent independent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The Committee follows all steps required by the Internal Revenue Service (IRS) to qualify for the safe harbor under the intermediate sanctions regulations. The Committee adequately documents its compensation determinations and deliberations regarding compensation in the minutes on a timely basis. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee membership will be the Chair of the RHC Board, the Vice Chair of the RHC Board, and 2 members at large from the RHC Board, and Chairman of the Finance Committee. Each Committee member has been determined by the Board not to have a conflict of interest with respect to the compensation transaction(s) to be reviewed. At the start of the year, each member will review the organization's conflict of interest policy to ensure he or she has no conflict of interest. If a real, potential, or perceived conflict of interest is identified, the member will review the issue with the Executive Committee Chair and legal counsel to determine the appropriate action. Except where prohibited by law, the Executive Committee may transact all regular business of the Corporation during the interim between the meetings of the Board of Directors, provided that any action taken shall not conflict with the policies and express wishes of the Board of Directors and it shall report all matters of major importance to the Board. The Committee may also review annually the performance of the president of the Corporation and report to the Board of Directors the conclusions of this report. The Executive Committee, acting in its role as the Executive Compensation Committee and in accordance with the Corporate Bylaws, is authorized to act on the Board's behalf in (i) determining appropriate compensation for RHC executives and other disqualified persons; (ii) evaluating executives other disqualified persons' compensation plans, policies, and programs; (iii) reviewing benefit plans for executives and other disqualified persons; and (iv) verifying that compensation information is appropriately and fully disclosed. In discharging its role, the Executive Committee is empowered to investigate any matter brought to its attention with access to all RHC books, records, facilities, and personnel. It has the authority to retain outside counsel, compensation consultants, and/or other experts and will receive adequate funding from RHC to engage such advisors. It shall have sole authority to retain, compensate, terminate, and oversee the advisors, who shall be accountable ultimately to the health system board. Form 990, Part VI, Line 6 Classes of members or stockholders The sole corporate member of Riverside Healthcare Foundation is Riverside Health System, a related tax exempt organization. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole corporate member, Riverside Health System has the right to appoint and/or remove members of the governing body. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Action on the following matters is reserved exclusively to the Member, provided that the Corporation may, at its option, 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 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 sale, transfer, encumbrance or otherwise dispose of any real property or interest therein or the purchase of any real estate; (p) Organize or acquire, or authorize the organization or acquisition of any subsidiary or affiliate of the Corporation ("affiliate" shall include any corporation, association, partnership, trust, joint venture, or other entity directly or indirectly controlling, controlled by, or under common control with the Corporation); (q) Establish policy guidelines and criteria for implementation of the Corporation's mission and periodically review and amend the mission statement; (r) Approve any policy by the Corporation or any action taken by the Corporation as to initiation, defense, or settlement of legal or administrative actions in excess of such amounts as shall be established pursuant to corporate policy; (s) Modify compensation and benefit policies, with the exception of those involving the president/chief executive officer, which are solely the responsibility of the Member's executive committee. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S MANAGEMENT. SUBSEQUENT TO THIS REVIEW, THE FORM 990 IS SUPPLIED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy The conflict of interest questionnaires are provided to all interested persons (board members, officers, key employees) annually. Interested persons 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 an issue related to the conflict. The process is monitored by the assistant to the CEO of Riverside Medical Center. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents and conflicts of interest policies are not required disclosures pursuant to IRC Section 6104. Currently, the organization does not make these documents available to the public. Riverside Medical Center 350 N Wall Street Kankakee IL 60901 362414944 Healthcare IL 501(c)(3) 3 Riverside Health System false Riverside Health System 350 N Wall Street Kankakee IL 60901 363167726 Parent IL 501(c)(3) Type III-FI NA false Riverside Senior Living Center 350 N Wall Street Kankakee IL 60901 363670744 Nursing Home IL 501(c)(3) 10 Riverside Health System false Oakside Corporation 350 N Wall Street Kankakee IL 60901 363166804 Healthcare IL 501(c)(3) Type III-FI Riverside Health System false false true false false true false false false false false false true false true true true false false false