Skip to content
Nonprofiteer
← RIVERSIDE HEALTH SYSTEM

Form 990 for tax year 2022

Filed by RIVERSIDE HEALTH SYSTEM.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$533,452
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$533,452
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $533,452 · end of year $533,452

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $533,452 · end of year $533,452

Mission and programs · 2022

Mission

The mission of Riverside Health System is to support and encourage health and human services by providing management assistance to the Riverside healthcare delivery system.

  • Riverside Health System acts as an agent for Riverside Medical Center, a related tax-exempt entity. All income and expenses are recorded on the books and records of Riverside Medical Center, FEIN 36-2414944.

As filed on the 2022 return.

Listed in Part VII

  • Harry Bond

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Harry Simmon

    Vice Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Patrick Martin

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Phillip Kambic

    President/CEO

    Total calculated
    $1,501,673
    From this org
    $0
    From related orgs
    $1,258,830
    Other
    $242,843
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $787,355 related
    Bonus
    $0 + $187,063 related
    Other
    $0 + $284,412 related
    Deferred
    $0 + $218,124 related
    Nontaxable benefits
    $0 + $24,719 related
    Filer's total
    $0 + $1,501,673 related

  • Bruce Payne

    Director

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Saroja Yalamanchili MD

    Director (beg. Dec. 2022)

    Total calculated
    $689,387
    From this org
    $0
    From related orgs
    $651,019
    Other
    $38,368
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $627,522 related
    Bonus
    $0 + $14,160 related
    Other
    $0 + $9,337 related
    Deferred
    $0 + $32,700 related
    Nontaxable benefits
    $0 + $5,668 related
    Filer's total
    $0 + $689,387 related

  • Tim Milner

    Director

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Pamela Hull

    Assistant Secretary

    Total calculated
    $128,177
    From this org
    $0
    From related orgs
    $101,937
    Other
    $26,240
    Hours/week
    1 + 39 related

  • Patricia K Vilt

    Treasurer/CFO

    Total calculated
    $482,391
    From this org
    $0
    From related orgs
    $433,155
    Other
    $49,236
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $351,424 related
    Bonus
    $0 + $68,300 related
    Other
    $0 + $13,431 related
    Deferred
    $0 + $36,056 related
    Nontaxable benefits
    $0 + $13,180 related
    Filer's total
    $0 + $482,391 related

  • Bill Douglas

    Former Officer

    Total calculated
    $225,774
    From this org
    $0
    From related orgs
    $180,463
    Other
    $45,311
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $123,656 related
    Bonus
    $0 + $54,692 related
    Other
    $0 + $2,115 related
    Deferred
    $0 + $28,534 related
    Nontaxable benefits
    $0 + $16,777 related
    Filer's total
    $0 + $225,774 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE ORGANIZATION RELIED ON RIVERSIDE MEDICAL CENTER, A RELATED TAX-EXEMPT ORGANIZATION, to establish and pay compensation of the organization's CEO. Riverside Medical Center used the following to establish reasonable compensation: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPARABILITY DATA AND REQUIRED APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN WITH A RELATED ORGANIZATION, RIVERSIDE MEDICAL CENTER. Total contributions to the plan for the year ended December 31, 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 PATRICIA K. VILT - $2,167

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202303119349304045

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.