STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CRUSADERS CENTRAL CLINIC ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CRUSADERS CENTRAL CLINIC ASSOCIATION (EIN 23-7076080)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-02-28
IRS object ID
202240599349300989
Schema version
2020v4.1
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)
Return2022-02-28T14:35:39-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237076080EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRUSADERS CENTRAL CLINIC ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LUIS DELGADOInCareOfNm
Business Name ControlCRUSBusinessNameControlTxt
Phone8154901600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 WEST STATE STREETAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAMUEL MILLERPersonNm
Person TitleCEOPersonTitleTxt
Phone8154901600PhoneNum
Signature2022-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSAMUELPersonFirstNm
Person LastMILLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal K CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CRUSADER COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSAMUEL MILLER CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 WEST STATE STREETAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,785,770GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CRUSADERHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionCRUSADER COMMUNITY HEALTH IS A COMMUNITY-BASED, NOT-FOR-PROFIT COMMUNITY HEALTH CENTER. SEE SCHEDULE O FOR MORE INFORMATION.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee415TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,640,436PYContributionsGrantsAmt
CY Contributions Grants$13,933,232CYContributionsGrantsAmt
PY Program Service Revenue$39,274,869PYProgramServiceRevenueAmt
CY Program Service Revenue$38,323,985CYProgramServiceRevenueAmt
PY Investment Income$1,541,383PYInvestmentIncomeAmt
CY Investment Income$1,522,052CYInvestmentIncomeAmt
PY Other Revenue$13,790PYOtherRevenueAmt
CY Other Revenue$6,501CYOtherRevenueAmt
PY Total Revenue$50,470,478PYTotalRevenueAmt
CY Total Revenue$53,785,770CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,817,401PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,941,120CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,146,711PYOtherExpensesAmt
CY Other Expenses$17,169,717CYOtherExpensesAmt
PY Total Expenses$46,964,112PYTotalExpensesAmt
CY Total Expenses$47,110,837CYTotalExpensesAmt
PY Revenues Less Expenses$3,506,366PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,674,933CYRevenuesLessExpensesAmt
Total Assets BOY$78,506,357TotalAssetsBOYAmt
Total Assets EOY$89,366,480TotalAssetsEOYAmt
Total Liabilities BOY$11,044,495TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,879,033TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$67,461,862NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,487,447NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCRUSADER COMMUNITY HEALTH SERVES THE ROCK RIVER VALLEY AREA WITH QUALITY PRIMARY CARE FOR ALL PEOPLE IN NEED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,300,532ExpenseAmt
Revenue$21,461,432RevenueAmt
DescCRUSADER COMMUNITY HEALTH'S MEDICAL SERVICE MODEL EMPHASIZES HIGH QUALITY SERVICES, CONTINUITY OF CARE, EFFICIENT OPERATIONS, AND CONTINUOUS IMPROVEMENT. THE MEDICAL DEPARTMENT OFFERS A FULL ARRAY OF PRIMARY MEDICAL CARE SERVICES FOR PATIENTS OF ALL AGES. MEDICAL SERVICES ARE FOCUSED IN THE AREAS OF PEDIATRICS, FAMILY PRACTICE, INTERNAL MEDICINE AND SPECIALTY SERVICES. SEE SCHEDULE O FOR ADDITIONAL PROGRAM DESCRIPTIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,085,866ExpenseAmt
Revenue$6,131,838RevenueAmt
DescWOMEN'S HEALTH SERVICES DEPARTMENT PROVIDES PRENATAL CARE, WELLNESS EXAMS, CANCER SCREENING AND FOLLOW-UP, AND GYNECOLOGIC SERVICES. SERVICES ARE PROVIDED BY A TEAM OF OBSTETRICIANS, FAMILY PRACTITIONERS, CERTIFIED NURSE MIDWIVES AND NURSE PRACTITIONERS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,423,300ExpenseAmt
Revenue$3,449,159RevenueAmt
DescCRUSADER COMMUNITY HEALTH'S DENTAL PROGRAM'S FOCUS IS ON PREVENTIVE EXAMS WHILE ALSO PROVIDING FILLINGS, CLEANINGS AND EMERGENCY TREATMENT FOR CHILDREN AND ADULTS. DENTAL SERVICES FOR CHILDREN ARE AVAILABLE AT MOST CRUSADER COMMUNITY HEALTH LOCATIONS. ADULT SERVICES ARE OFFERED AT THE WEST STATE STREET AND BROADWAY LOCATIONDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,226,967TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$7,281,556TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$38,036,665TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee415EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLUIS DELGADOPersonNm
Phone8154901600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 WEST STATE STREETAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61102ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANTOUN AL KHABBAZ
WHS - DEPARTMENT CHAIR40.00.0Yes (X)$483,498$0$40,705
JESSICA ZANDRI
PHYSICIAN40.00.0$313,548$0$9,421Yes (X)
VERNEE EDWARDS
PHYSICIAN END 12/2040.00.0$312,177$0$8,140Yes (X)
SAMUEL MILLER
CEO40.00.0$277,552$0$42,000Yes (X)
GORDON EGGERS
FORMER CEO40.00.0$298,135$0$2,443Yes (X)
MARIA CASTILLO-CLAVIJO
PHYSICIAN40.00.0$223,306$0$35,946Yes (X)
SARA ZIBERT
PEDIATRICS - DPT CHAIR40.00.0Yes (X)$243,419$0$13,484
TERRY WHITE
COO40.00.0Yes (X)$201,294$0$32,833
JITHINRAJ EDAKKANAMBETH VARAYIL
PHYSICIAN END 10/2140.00.0$192,209$0$38,501Yes (X)
NIVEDITA KARMAKAR
PHYSICIAN40.00.0$193,305$0$36,125Yes (X)
KIMBERLY MILLER
FAMILY MEDICINE - DEPARTMENT C32.00.0Yes (X)$193,794$0$9,591
LUIS DELGADO
VP FINANCE40.00.0$103,089$0$32,780Yes (X)
CATHERINE BROWN
CHAIR ELECT; CHAIR BEG 1/211.00.0$0$0$0Yes (X)Yes (X)
RICHARD WALSH
TREASURER; VICE CHAIR BEG 1/211.00.0$0$0$0Yes (X)Yes (X)
JAMES MILLIKIN
DIRECTOR; TREASURER BEG 1/211.00.0$0$0$0Yes (X)Yes (X)
EDDIE VALDES
CHAIR/IMDT PAST CHAIR BEG 1/211.00.0$0$0$0Yes (X)Yes (X)
LEON HANSEN
DIRECTOR BEG 1/211.00.0$0$0$0Yes (X)
BARBARA WILLIAMS
CHAIR QUALITY/OPERATIONS1.00.0$0$0$0Yes (X)Yes (X)
LUZ RAMIREZ
DIRECTOR1.00.0$0$0$0Yes (X)
CAROL JACKSON
DIRECTOR1.00.0$0$0$0Yes (X)
CRISTINA MORANTE
DIRECTOR END 2/211.00.0$0$0$0Yes (X)
KRIS HARDEN
DIRECTOR1.00.0$0$0$0Yes (X)
DAVID CHENG
DIRECTOR END 12/201.00.0$0$0$0Yes (X)
DENNIS ROOP
DIRECTOR BEG 1/211.00.0$0$0$0Yes (X)
PETER MAZANEC
DIRECTOR1.00.0$0$0$0Yes (X)
JANICE FORREST
DIRECTOR1.00.0$0$0$0Yes (X)
DAVID POWELL
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,035,326TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$301,969TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K73IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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/ZIPCdServicesServicesDescCompensationCompensationAmt
STENSTROM GENERAL CONTRACTOR
2420 20TH STREETROCKFORDIL61104CONSTRUCTION$10,638,607
KLH CONSULTING
2324 BETHARDS DRSANTA ROSECA95405IT CONSULTING$724,234
ECLINICALWORKS LLC
2 TECHNOLOGY DRWESTBOROUGHMA01581EMR MAINTENANCE$378,024
FURST STAFFING SERVICES
2580 CHARLES STROCKFORDIL61108TEMPORARY STAFF$371,024
VANS BUILDING SERVICE
633 PORGRESSIVE LN UNIT 1SOUTH BELOITIL61108JANITORIAL$338,997
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$572,057RelatedOrganizationsAmt
Government Grants$13,352,645GovernmentGrantsAmt
All Other Contributions$8,530AllOtherContributionsAmt
Total Contributions$13,933,232TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$37,821,855$37,821,855
OTHER REVENUE624100$313,991$313,991
MANAGEMENT FEES624100$188,139$188,139
FieldValueIRS element (for citing)
Total Program Service Revenue$38,323,985TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$521,009TotalRevenueColumnAmt
Exclusion$521,009ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,501RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,501RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,501TotalRevenueColumnAmt
Exclusion$6,501ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,001,043SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,001,043SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,001,043TotalRevenueColumnAmt
Exclusion$1,001,043ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,785,770TotalRevenueColumnAmt
Related Or Exempt Func Income$38,323,985RelatedOrExemptFuncIncomeAmt
Exclusion$1,528,553ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,674,039TotalAmt
Program Services$1,170,423ProgramServicesAmt
Management And General$503,616ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$300,578TotalAmt
Management And General$300,578ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,738,896TotalAmt
Program Services$18,409,560ProgramServicesAmt
Management And General$4,329,336ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$485,027TotalAmt
Program Services$406,314ProgramServicesAmt
Management And General$78,713ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,043,373TotalAmt
Program Services$2,572,770ProgramServicesAmt
Management And General$470,603ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,699,207TotalAmt
Program Services$1,428,107ProgramServicesAmt
Management And General$271,100ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$131,228TotalAmt
Management And General$131,228ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$99,476TotalAmt
Management And General$99,476ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,251,499TotalAmt
Program Services$3,081,139ProgramServicesAmt
Management And General$1,170,360ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,087TotalAmt
Management And General$67,087ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$421,475TotalAmt
Program Services$285,422ProgramServicesAmt
Management And General$136,053ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$416,980TotalAmt
Program Services$150,411ProgramServicesAmt
Management And General$266,569ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$814,516TotalAmt
Program Services$648,950ProgramServicesAmt
Management And General$165,566ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57,892TotalAmt
Program Services$44,576ProgramServicesAmt
Management And General$13,316ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$102,849TotalAmt
Program Services$65,887ProgramServicesAmt
Management And General$36,962ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$48,222TotalAmt
Management And General$48,222ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,201,945TotalAmt
Program Services$1,748,675ProgramServicesAmt
Management And General$453,270ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$5,903,964$5,903,964
REPAIRS & MAINTENANCE$1,514,805$1,142,842$371,963
BAD DEBT$852,943$852,943
LICENSES, DUES, SUBSCRIPTIONS$267,889$124,682$143,207

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,947TotalAmt
Management And General$16,947ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,110,837TotalAmt
Program Services$38,036,665ProgramServicesAmt
Management And General$9,074,172ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,079,328BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,922,394BOYAmt
EOY$9,556,644EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,103BOYAmt
EOY$7,707EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,913,457BOYAmt
EOY$3,661,703EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$66,812BOYAmt
EOY$104,032EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$262,651BOYAmt
EOY$369,419EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,534,081LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,117,108LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,292,913BOYAmt
EOY$28,416,973EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,702,960BOYAmt
EOY$36,610,563EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,263,739BOYAmt
EOY$10,639,439EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,506,357BOYAmt
EOY$89,366,480EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,404,139BOYAmt
EOY$6,915,717EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$47,056BOYAmt
EOY$370,016EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,593,300BOYAmt
EOY$4,593,300EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,044,495BOYAmt
EOY$11,879,033EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,559,477BOYAmt
EOY$70,762,718EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,902,385BOYAmt
EOY$6,724,729EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,461,862BOYAmt
EOY$77,487,447EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,506,357BOYAmt
EOY$89,366,480EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,674,933ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$514,557NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,836,095OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, QUESTIONS 1A, 1B, 1D, 1G, & 1HLOBBYING ACTIVITIES: PERIODICALLY, MANAGEMENT AND BOARD MEMBERS WRITE LETTERS AND MAKE PRESENTATIONS ON HEALTH CARE RELATED MATTERS TO EDUCATE ELECTED OFFICIALS AND THE PUBLIC. A DE MINIMIS AMOUNT OF FUNDS ARE SPENT ON THESE ACTIVITIES (LESS THAN $5,000).
SCHEDULE C, PART II-B, QUESTION 1IOTHER LOBBYING: THE ORGANIZATION PAYS DUES TO NACHC AND IPHCA AND MEDICATION PROFESSONAL ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,007,238OtherCostOrOtherBasisAmt
Book Value$2,007,238BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,618,758OtherCostOrOtherBasisAmt
Depreciation$11,579,704DepreciationAmt
Book Value$23,039,054BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,950,180OtherCostOrOtherBasisAmt
Depreciation$4,062,049DepreciationAmt
Book Value$1,888,131BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,957,905OtherCostOrOtherBasisAmt
Depreciation$475,355DepreciationAmt
Book Value$1,482,550BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,416,973TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets of CHF$6,724,729
Other Receivables$3,914,710
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,639,439TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$53,461,135TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$514,557NetUnrealizedGainsInvstAmt
Other Revenue-$839,192OtherRevenueAmt
Revenue Not Reported-$324,635RevenueNotReportedAmt
Revenue Subtotal$53,785,770RevenueSubtotalAmt
Total Revenue Per Form990$53,785,770TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,257,894TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$46,257,894ExpensesSubtotalAmt
Other Expenses Not Included$852,943OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$852,943ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$47,110,837TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (852,943) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 13,751 NET ASSETS RELEASED FROM RESTRICTION ------------- $ (839,192)
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 852,943 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
SAMUEL MILLER
CEO$266,510$0$0$0$11,042$0$12,825$0$29,175$0$319,552$0$0$0
GORDON EGGERS
FORMER CEO$5,539$0$0$0$292,596$0$2,443$0$0$0$300,578$0$0$0
MARIA CASTILLO-CLAVIJO
PHYSICIAN$216,004$0$6,913$0$389$0$10,345$0$25,601$0$259,252$0$0$0
JESSICA ZANDRI
PHYSICIAN$303,895$0$9,280$0$373$0$0$0$9,421$0$322,969$0$0$0
NIVEDITA KARMAKAR
PHYSICIAN$187,823$0$4,429$0$1,053$0$6,454$0$29,671$0$229,430$0$0$0
JITHINRAJ EDAKKANAMBETH VARAYIL
PHYSICIAN END 10/21$186,079$0$5,819$0$311$0$9,598$0$28,903$0$230,710$0$0$0
VERNEE EDWARDS
PHYSICIAN END 12/20$303,806$0$7,998$0$373$0$0$0$8,140$0$320,317$0$0$0
TERRY WHITE
COO$184,105$0$4,331$0$12,858$0$10,406$0$22,427$0$234,127$0$0$0
KIMBERLY MILLER
FAMILY MEDICINE - DEPARTMENT C$186,023$0$7,444$0$327$0$9,591$0$0$0$203,385$0$0$0
SARA ZIBERT
PEDIATRICS - DPT CHAIR$236,982$0$5,226$0$1,211$0$12,109$0$1,375$0$256,903$0$0$0
ANTOUN AL KHABBAZ
WHS - DEPARTMENT CHAIR$453,136$0$12,368$0$17,994$0$12,825$0$27,880$0$524,203$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 6AA PORTION OF THE CEO'S PERFORMANCE INCENTIVE WAS BASED ON ACHIEVING CERTAIN FINANCIAL GOALS.
SCHEDULE J, PART I, LINE 7THE VP FINANCE, COO, AND MEDICAL PROVIDERS WERE GRANED A BONUS THAT WAS NOT TIED TO ANY PERFORMANCE GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ORGANIZATION GENERAL INFORMATION: SINCE 1972, CRUSADER COMMUNITY HEALTH HAS STRIVED TO ENSURE THAT ALL PERSONS IN OUR COMMUNITY HAVE ACCESS TO QUALITY, PRIMARY HEALTH CARE. CRUSADER COMMUNITY HEALTH IS A COMMUNITY-BASED, NOT-FOR-PROFIT CORPORATION, WHOSE MISSION IS TO SERVE THE ROCK RIVER VALLEY WITH QUALITY, PRIMARY HEALTH CARE FOR ALL PEOPLE IN NEED. CRUSADER COMMUNITY HEALTH PLAYS A VITAL HEALTH CARE ROLE IN THIS COMMUNITY, SERVING PATIENTS UNABLE TO AFFORD THE RISING COST OF HEALTH CARE. WHILE THERE ARE NO RESTRICTIONS ON WHO CAN UTILIZE ITS SERVICES, CRUSADER SPECIALIZES IN SERVING MEDICALLY UNDERSERVED INDIVIDUAL - THE HOMELESS, FAMILIES IN POVERTY, HIGH-RISK PREGNANT WOMEN, PERSONS WITH HIV/AIDS, THE ELDERLY AND THOSE WITH CHRONIC DISEASES. WITHOUT CRUSADER, A BROAD AND GROWING SEGMENT OF THE COMMUNITY WOULD FAIL TO RECEIVE THE PRIMARY HEALTH CARE THAT REDUCES THE COST OF CATASTROPHIC ILLNESS. MEDICAL SERVICES ARE PROVIDED ON AN AFFORDABLE SLIDING DISCOUNT BASIS AND INTEGRATE HEALTH PROMOTION AND DISEASE PREVENTION INTO A PROGRAM OF COMPREHENSIVE HEALTH CARE.
FORM 990, PART III, LINE 4AMEDICAL SERVICES: PEDIATRICS THE PEDIATRIC DEPARTMENT OFFERS A WIDE RANGE OF SERVICES FOR CHILDREN, INCLUDING CARE FOR NEWBORNS THROUGH ADOLESCENCE. CRUSADER COMMUNITY HEALTH UTILIZES BOARD-CERTIFIED PEDIATRICIANS, FAMILY PRACTITIONERS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO DELIVER CARE FOR CHILDREN. SOME OF THE SERVICES AVAILABLE INCLUDE: IMMUNIZATIONS, WELL-CHILD CHECKS, LEAD SCREENING, ATTENTION DEFICIT DISORDER (ADD), ASTHMA EDUCATION AND TREATMENT AND MEDICAL TREATMENT FOR ACUTE CONDITIONS. ADULTS FOR ADULT PATIENTS, CRUSADER PROVIDES PREVENTATIVE CARE AND DIAGNOSIS AND TREATMENT FOR A WIDE RANGE OF ACUTE AND CHRONIC DISEASES. CARE IS DELIVERED THROUGH A TEAM OF BOARD-CERTIFIED MEDICAL PROVIDERS. SOME OF THE SPECIFIC SERVICES AVAILABLE INCLUDE: CHRONIC DISEASE MANAGEMENT, MEDICAL TREATMENT FOR ACUTE CONDITIONS, PHYSICALS, DIABETES EDUCATION AND TREATMENT, HEALTH EDUCATION SERVICES, ASTHMA EDUCATION AND TREATMENT, IMMUNIZATIONS, LABORATORY SERVICES, AND MINOR INJURY CARE. BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY LICENSED CLINICAL SOCIAL WORKERS AND LICENSED CLINICAL PROFESSIONAL COUNSELORS ON-SITE AT EACH OF OUR LOCATIONS. THE BEHAVIORAL HEALTH SPECIALISTS SCHEDULE APPOINTMENTS AND ALSO PLAY AN IMPORTANT ROLE BY BEING EMBEDDED ON THE MEDICAL UNITS TO BE AVAILABLE WHEN A BEHAVIORAL HEALTH ISSUE ARISESDURING ROUTINE MEDICAL APPOINTMENTS. SPECIALTY SERVICES A RANGE OF SPECIALTY SERVICES ARE AVAILABLE TO CRUSADER COMMUNITY HEALTH PATIENTS, SOME OF WHICH INCLUDE: PODIATRY AND INFECTIOUS DISEASE. TO BETTER SERVE OUR PEDIATRIC AND ADULT PATIENTS, CRUSADERS OFFERS WALK-IN CLINICS AT THREE CONVENIENT LOCATIONS, BROADWAY, ALPINE, AND WEST STATE.
FORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES: CRUSADER COMMUNITY HEALTH PROVIDES OTHER PROGRAMS THROUGH ITS ANCILLARY AND COMMUNITY SERVICES AS OUTLINED BELOW. HIV SERVICES SINCE 1991, THE LIVING WITH HIV PROGRAM OF CRUSADER COMMUNITY HEALTH HAS PROVIDED SERVICES TO INDIVIDUALS WITH HIV/AIDS. EMBRACING THE GOAL OF ASSURING CLIENT ACCESS TO MEDICAL CARE, THE PROGRAM ALSO PROVIDES ASSISTANCE WITH TRANSPORTATION, LINKAGE TO SOCIAL SERVICE PROGRAMS, COUNSELING, PSYCHIATRIC SERVICES, AND OBTAINING MEDICATIONS. SERVICES ARE PRIMARILY PROVIDED AT CRUSADER COMMUNITY HEALTH WEST STATE STREET. SERVICES ARE OFFERED CONFIDENTIALLY IN A CARING AND SUPPORTIVE ENVIRONMENT. IN ADDITION TO PROVIDING SERVICES THROUGH ITS PHYSICIAN STAFF, CRUSADER COMMUNITY HEALTH CONTRACTS WITH SWEDISH AMERICAN-INFECTIOUS DISEASE TO PROVIDE ADDITIONAL SUPPORT. OTHER SERVICES OFFERED THROUGH A NURSE PRACTITIONER, PHYSICIAN ASSISTANT, NURSES, CASE MANAGERS AND A LICENSED CLINICAL SOCIAL WORKER. HOMELESS SERVICES CRUSADER COMMUNITY HEALTH'S HEALTH CARE FOR THE HOMELESS PROGRAM WAS ESTABLISHED IN 1988. ITS MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL CARE FOR HOMELESS INDIVIDUALS WITHIN THE ROCKFORD AREA. THE PROGRAM CONSISTS OF PHYSICIANS, DENTISTS, NURSE PRACTITIONERS, NURSES AND CARE MANAGERS COMMITTED TO HELPING CLIENTS ACCESS MEDICAL SERVICES. SERVICES AR PROVIDED WITHIN CRUSADERS COMMUNITY HEALTH AND AT A VARIETY OF SITES THROUGHOUT THE COMMUNITY. HEALTH EDUCATION THE HEALTH EDUCATION DEPARTMENT OFFERS INTENSIVE CASE MANAGEMENT SERVICES FOR PATIENTS LIVING WITH CHRONIC DISEASES INCLUDING DIABETES, ASTHMA, CONGESTIVE HEART FAILURE (CHF), AND OBESITY (WEIGHT MANAGEMENT). THE DEPARTMENT OFFERS EDUCATION SERVICES IN BOTH A CLASSROOM SETTING AND ONE-TO-ONE SESSIONS IN BOTH ENGLISH AND SPANISH. THE CLINICAL STAFF OF THE PROGRAM IS MADE UP OF HEALTH EDUCATORS. THE DEPARTMENT OFFERS COMMUNITY PROGRAMS THROUGHOUT THE AREA (PRIMARILY WINNEBAGO, BOONE AND STEPHENSON COUNTIES). COMMUNITY SERVICES INCLUDE BLOOD GLUCOSE SCREENINGS FOR DIABETES THROUGH THE COSMOPOLITAN DIABETES PROGRAM AND PUBLIC SPEAKING ENGAGEMENTS ON A VARIETY OF HEALTH RELATED TOPICS.
FORM 990, PART VI, LINE 4SIGNIFICANT CHANGE IN ORGANIZATIONAL DOCUMENT: THE BYLAWS WERE UPDATED TO RELECT THE FOLLOWING SIGNIFICANT CHANGES: 1. DIRECTOR TENURE WAS UPDATED TO ALLOWANCE TO SERVE THREE CONSECUTIVE TERMS INSTEAD OF TWO CONSECUTIVE TERMS. 2. BOARD COMPOSITION WAS UPDATED TO INCLUDE AT LEAST ONE INDIVIDUAL TO REPRESENT THE INTERESTS OF EACH SPECIAL POPULATION GROUP FOR WHICH THE ORGANIZATION RECEIVES SPECIFIC SECTION 330 FUNDING.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. THE CEO REVIEWS THE FORM 990. A FINAL DRAFT OF THE RETURN IS EMAILED TO ALL BOARD MEMBERS BEFORE FILING. REGISTERED DIETITIAN, A RESPIRATORY THERAPIST, AND A CLINICAL PHARMACIST (TO PROVIDE MEDICATION MANAGEMENT SERVICES).
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST MONITORING: THE CORPORATION PROHIBITS STAFF MEMBERS OR MEMBERS OF THE BOARD OF DIRECTORS FROM USING THEIR POSITION FOR PURPOSES THAT ARE, OR GIVE THE APPEARANCE OF BEING, MOTIVATED BY A DESIRE FOR PRIVATE FINANCIAL GAIN FOR THEMSELVES OR OTHERS WITH WHOM THEY HAVE FAMILY BUSINESS OF OTHER TIES. BOARD MEMBERS AND EXECUTIVE MANAGEMENT DISCLOSE IN WRITING (AND UPDATED YEARLY) ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT. IN ADDITION, THE INDIVIDUAL STAFF MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT IF PROHIBITED FROM INVOLVEMENT IN THE SELECTION, AWARD AND ADMINISTRATION OF ANY SUCH CONTRACT; A CONFLICTED BOARD MEMBER DISQUALIFIES HIMSELF/HERSELF FROM VOTING AND COMMENTING ON THE CONTRACTOR'S SELECTION AND ANY MONITORING OR OVERSIGHT FUNCTION.
FORM 990, PART VI, SECTION B, LINE 15A & BPROCESS FOR DETERMINING COMPENSATION: ANNUALLY THE CEO'S COMPENSATION REVIEW IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD, WITH APPROVAL BY THE FULL BOARD. THE IPHCA, MGMA AND NACHC COMPENSATION SURVEYS ARE USED AS COMPARABILITY DATA. THE PROCESS IS DOCUMENTED IN A REPORT REFERENCED BY THE EXECUTIVE COMMITTEE MINUTES AND THE BOARD MINUTES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19DISCLOSURE OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS WOULD BE AVAILABLE FOR VIEWING AT THE ORGANIZATION'S OFFICE.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ 2,916,912 INCREASE IN NET ASSETS FOUNDATION (80,817) ASSETS RETURNED TO DONOR ----------- $ 2,836,095

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CRUSADER HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 WEST STATE STREETAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61102ZIPCd
FieldValueIRS element (for citing)
EIN363259761EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
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 OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd