STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CRUSADERS CENTRAL CLINIC ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CRUSADERS CENTRAL CLINIC ASSOCIATION (EIN 23-7076080)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-03-04
IRS object ID
201920639349300517
Schema version
2017v2.3
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)
Return2019-03-04T12:05:40-06:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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% SAMUEL MILLER EX VP/CFOInCareOfNm
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)
PersonGORDON EGGERSPersonNm
Person TitleCEOPersonTitleTxt
Phone8154901600PhoneNum
Signature2018-01-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032920190635000002FederalOriginalSubmissionId
Federal Original Submission Id2019-03-04FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id353840E92A19E57AE3D09FB5FB5D869273682438AtSubmissionCreationDeviceId
At Submission Filing Device IdC3432A87FBFF9491E59BD7298F2E512B0D9B3700AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CRUSADER COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGORDON EGGERS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 WEST STATE STREETAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,066,289GrossReceiptsAmt
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 Employee410TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$224NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,108,719PYContributionsGrantsAmt
CY Contributions Grants$10,629,989CYContributionsGrantsAmt
PY Program Service Revenue$35,127,476PYProgramServiceRevenueAmt
CY Program Service Revenue$37,853,271CYProgramServiceRevenueAmt
PY Investment Income$354,222PYInvestmentIncomeAmt
CY Investment Income$560,248CYInvestmentIncomeAmt
PY Other Revenue$11,980PYOtherRevenueAmt
CY Other Revenue$12,219CYOtherRevenueAmt
PY Total Revenue$45,602,397PYTotalRevenueAmt
CY Total Revenue$49,055,727CYTotalRevenueAmt
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$26,104,906PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,381,195CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,577,647PYOtherExpensesAmt
CY Other Expenses$16,399,520CYOtherExpensesAmt
PY Total Expenses$40,682,553PYTotalExpensesAmt
CY Total Expenses$43,780,715CYTotalExpensesAmt
PY Revenues Less Expenses$4,919,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,275,012CYRevenuesLessExpensesAmt
Total Assets BOY$57,715,650TotalAssetsBOYAmt
Total Assets EOY$62,883,579TotalAssetsEOYAmt
Total Liabilities BOY$5,161,692TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,428,679TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,553,958NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,454,900NetAssetsOrFundBalancesEOYAmt
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$16,742,144ExpenseAmt
Revenue$18,926,635RevenueAmt
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$5,823,354ExpenseAmt
Revenue$6,056,523RevenueAmt
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 MID-WIVES AND NURSE PRACTITIONERS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,639,597ExpenseAmt
Revenue$3,028,263RevenueAmt
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 CURRENTLY OFFERED AT THE WEST STATE STREET AND BROADWAY LOCATIONS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,190,870TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$9,841,850TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$36,395,965TotalProgramServiceExpensesAmt
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 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 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 Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee410EmployeeCnt
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
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 DocumentsfalseChangeToOrgDocumentsInd
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 OtherYes (true)CompensationProcessOtherInd
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)
PersonSAMUEL MILLER EX VPCFOPersonNm
Phone8154901600PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
REBECCA ALSING
CHAIR PROGRAM QUALITY1.00.0Yes (X)Yes (X)$0$0$0
PAUL HARRIS
DIRECTOR1.00.0Yes (X)$0$0$0
LEON HANSEN
BOARD CHAIR1.00.0Yes (X)Yes (X)$0$0$0
TODD STEFFEN
CHAIR OF OPERATIONS1.00.0Yes (X)Yes (X)$0$0$0
BARBARA WILLIAMS
DIRECTOR1.00.0Yes (X)$0$0$0
EDUARDO VALDEZ
CHAIR ELECT1.00.0Yes (X)Yes (X)$0$0$0
LUZ RAMIREZ
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID RUFFIN
IMDT PAST CHAIR1.00.0Yes (X)Yes (X)$0$0$0
CATHERINE FOSSE
DIRECTOR1.00.0Yes (X)$0$0$0
RICHARD WALSH
DIRECTOR1.00.0Yes (X)$0$0$0
CAROL JACKSON
DIRECTOR1.00.0Yes (X)$0$0$0
ROBERT GUIRL
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES MILLIKIN
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
GORDON EGGERS
CEO40.00.0Yes (X)$381,779$0$35,614
SAMUEL MILLER
CFO40.00.0Yes (X)$192,580$0$36,825
TERRY WHITE
COO40.00.0$203,936$0$30,424Yes (X)
ANTHOUN AL KHABBAZ
PHYSICIAN40.00.0$425,383$0$44,513Yes (X)
ZAKERA NANABAWA
PHYSICIAN40.00.0$293,366$0$38,645Yes (X)
BAKYTBUBU ARYNOVA
PHYSICIAN40.00.0$288,181$0$32,414Yes (X)
VERNEE EDWARDS
PHYSICIAN40.00.0$290,396$0$14,663Yes (X)
ANSELMA RAMILO
PHYSICIAN40.00.0$233,113$0$33,394Yes (X)
DAWN MELLISH
FORMER CMO0.00.0$200,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,508,734TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$266,492TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K68IndivRcvdGreaterThan100KCnt
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
ROCKFORD STRUCTURES CONSTRUCTION CO
10540 N 2ND STREETMACHESNEY PARKIL61115CONSTRUCTION$2,563,060
HEALTH CARE SERVICES CORPORATION
300 E RANDOLPH STREETCHICAGOIL60601HEALTH CARE SERVICES$2,286,871
ECLINICALWORKS LLC
2 TECHNOLOGY DRIVEWESTBOROUGHMA01581EMR MAINTENANCE$527,053
REMEDIES RENEWING LIVES
220 EASTON PKWYROCKFORDIL61108BEHAVIORAL HEALTH$444,140
FURST STAFFING SERVICES
2580 CHARLES STREETROCKFORDIL61108STAFFING AGENCY$304,412
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Related Organizations$498,514RelatedOrganizationsAmt
Government Grants$9,567,350GovernmentGrantsAmt
All Other Contributions$564,125AllOtherContributionsAmt
Total Contributions$10,629,989TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$37,320,109$37,320,109
MANAGEMENT FEES624100$187,470$187,470
OTHER REVENUE624100$175,692$175,692
EHR INCENTIVE REVENUE624100$170,000$170,000
FieldValueIRS element (for citing)
Total Program Service Revenue$37,853,271TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$570,810TotalRevenueColumnAmt
Exclusion$570,810ExclusionAmt

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$12,219RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,219RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,219TotalRevenueColumnAmt
Exclusion$12,219ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,562SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$10,562SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,562TotalRevenueColumnAmt
Exclusion-$10,562ExclusionAmt
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$49,055,727TotalRevenueColumnAmt
Related Or Exempt Func Income$37,853,271RelatedOrExemptFuncIncomeAmt
Exclusion$572,467ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

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$881,158TotalAmt
Program Services$192,235ProgramServicesAmt
Management And General$688,923ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$200,000TotalAmt
Program Services$200,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,045,134TotalAmt
Program Services$18,615,707ProgramServicesAmt
Management And General$3,429,427ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$568,326TotalAmt
Program Services$483,678ProgramServicesAmt
Management And General$84,648ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,079,835TotalAmt
Program Services$1,747,908ProgramServicesAmt
Management And General$331,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,606,742TotalAmt
Program Services$1,322,544ProgramServicesAmt
Management And General$284,198ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$176,950TotalAmt
Management And General$176,950ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,125TotalAmt
Management And General$74,125ManagementAndGeneralAmt

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$4,486,317TotalAmt
Program Services$3,644,250ProgramServicesAmt
Management And General$842,067ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,325TotalAmt
Management And General$67,325ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$366,802TotalAmt
Program Services$179,931ProgramServicesAmt
Management And General$186,871ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$292,434TotalAmt
Program Services$264,882ProgramServicesAmt
Management And General$27,552ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$672,943TotalAmt
Program Services$542,176ProgramServicesAmt
Management And General$130,767ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$241,574TotalAmt
Program Services$4,874ProgramServicesAmt
Management And General$236,700ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$168,526TotalAmt
Program Services$123,745ProgramServicesAmt
Management And General$44,781ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$332TotalAmt
Management And General$332ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,172,639TotalAmt
Program Services$1,786,359ProgramServicesAmt
Management And General$386,280ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$4,407,395$4,407,395
BAD DEBT$2,245,094$2,245,094
REPAIRS & MAINTENANCE$769,403$603,404$165,999
LICENSES, DUES, SUBSCRIPTIONS$239,247$13,369$225,878

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,414TotalAmt
Program Services$18,414ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,780,715TotalAmt
Program Services$36,395,965ProgramServicesAmt
Management And General$7,384,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,593,591BOYAmt
EOY$3,423,359EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$173,438BOYAmt
EOY$8,777,609EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,458BOYAmt
EOY$2,210EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,494,128BOYAmt
EOY$1,976,515EOYAmt

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$25,018BOYAmt
EOY$40,029EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$207,749BOYAmt
EOY$194,989EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,083,248LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,578,966LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,942,658BOYAmt
EOY$16,504,282EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,292,080BOYAmt
EOY$26,648,035EOYAmt

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$4,984,530BOYAmt
EOY$5,316,551EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,715,650BOYAmt
EOY$62,883,579EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,125,249BOYAmt
EOY$4,415,346EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$36,443BOYAmt
EOY$13,333EOYAmt

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$0BOYAmt
EOY$0EOYAmt

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$5,161,692BOYAmt
EOY$4,428,679EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,865,770BOYAmt
EOY$54,557,996EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,796,990BOYAmt
EOY$2,034,856EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$891,198BOYAmt
EOY$1,862,048EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,553,958BOYAmt
EOY$58,454,900EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,715,650BOYAmt
EOY$62,883,579EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,275,012ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$99,386NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$725,316OtherChangesInNetAssetsAmt
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

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
Other Activities$29,600OtherActivitiesAmt
Total Lobbying Expenditures$29,600TotalLobbyingExpendituresAmt
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 OF THESE ACTIVITIES (LESS THAN $5,000).
SCHEDULE C, PART II-B, QUESTION 1IOTHER LOBBYING: THE ORGANIZATION PAYS DUES TO NACHC AND IPHCA AND MEDICAL PROFESSIONAL ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. THE ORGANIZATION CONTRACTED WITH LARGENT GOVERNMENT SOLUTIONS, LLC TO REPRESENT THE ORGANIZATION'S INTEREST IN LEGISLATIVE, REGULATORY AND ADMINISTRATION MATTERS. FEES PAID TO LARGENT TOTALED $29,600.

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,584,127OtherCostOrOtherBasisAmt
Book Value$1,584,127BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,604,052OtherCostOrOtherBasisAmt
Depreciation$14,339,987DepreciationAmt
Book Value$12,264,065BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,398,949OtherCostOrOtherBasisAmt
Depreciation$6,547,789DepreciationAmt
Book Value$1,851,160BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,496,120OtherCostOrOtherBasisAmt
Depreciation$691,190DepreciationAmt
Book Value$804,930BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,504,282TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets of CHF$3,413,504
Other Receivables$1,903,047
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,316,551TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$46,227,847TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$99,386NetUnrealizedGainsInvstAmt
Other Revenue-$2,245,094OtherRevenueAmt
Revenue Not Reported-$2,344,480RevenueNotReportedAmt
Revenue Subtotal$48,572,327RevenueSubtotalAmt
Other Revenues Not Included$483,400OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$483,400RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$49,055,727TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$41,535,621TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$41,535,621ExpensesSubtotalAmt
Other Expenses Not Included$2,245,094OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,245,094ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$43,780,715TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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: $ (2,245,094) BAD DEBT EXPENSE
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LIN 1: $ 483,400 TEMPORARILY RESTRICTED CONTRIBUTIONS
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 $ 2,245,094 BAD DEBT EXPENSE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
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 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 (9 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
GORDON EGGERS
CEO$262,096$0$34,036$0$85,647$0$12,150$0$23,464$0$417,393$0$0$0
SAMUEL MILLER
CFO$166,029$0$20,222$0$6,329$0$9,192$0$27,633$0$229,405$0$0$0
ANTHOUN AL KHABBAZ
PHYSICIAN$377,961$0$11,694$0$35,728$0$12,150$0$32,363$0$469,896$0$0$0
ZAKERA NANABAWA
PHYSICIAN$268,212$0$8,409$0$16,745$0$12,150$0$26,495$0$332,011$0$0$0
BAKYTBUBU ARYNOVA
PHYSICIAN$269,329$0$8,130$0$10,722$0$12,150$0$20,264$0$320,595$0$0$0
VERNEE EDWARDS
PHYSICIAN$269,383$0$11,791$0$9,222$0$3,877$0$10,786$0$305,059$0$0$0
ANSELMA RAMILO
PHYSICIAN$223,290$0$7,030$0$2,793$0$10,704$0$22,690$0$266,507$0$0$0
TERRY WHITE
COO$190,611$0$5,813$0$7,512$0$9,284$0$21,140$0$234,360$0$0$0
DAWN MELLISH
FORMER CMO$100,000$0$0$0$100,000$0$0$0$0$0$200,000$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASOCIAL CLUB DUES: THE ORGANIZATION REIMBURSED GORDON EGGERS, PRESIDENT/CEO $1,543 DUES TO THE UNIVERSITY CLUB OF ROCKFORD. THE SPOUSE OF THE CEO PERIODICALLY TRAVELS WITH THE CEO WHILE THE CEO IS TRAVELING ON ORGANIZATION BUSINESS. THE ORGANIZATION REIMBURSED THE CEO FOR SPOUSE TRAVEL COSTS TOTALING $685. THE AMOUNT REIMBURSED IS SUBSTANTIATED AND INCLUDED ON HIS W-2. GROSS UP PAYMENTS: THE ORGANIZATION PROVIDES GROSS-UP PAYMENTS ON TAXABLE LIFE INSURANCE PREMIUM PAYMENTS INCLUDED IN THE COMPENSATION OF GORDON EGGERS, PRESIDENT/CEO. THE GROSS-UP PAYMENT IS INCLUDED ON HIS W-2.
SCHEDULE J, PART I, LINE 6ABONUSES: A PORTION OF THE CEO'S PERFORMANCE INCENTIVE IS BASED ON ACHIEVING CERTAIN FINANCIAL PERFORMANCE. THE CFO RECEIVED A DISCRETIONARY PERFORMANCE INCENTIVE. IN ADDITION, MEDICAL PROVIDERS WERE GRANTED A BONUS THAT WAS NOT TIED TO ANY PERFORMANCE GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 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 COMMUNITIES 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 INDIVIDUALS - 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 ARISES DURING ROUTINE MEDICAL APPOINTMENTS. SPECIALTY SERVICES A RANGE OF SPECIALTY SERVICES ARE AVAILABLE TO CRUSADER COMMUNITY HEALTH PATIENTS, SOME OF WHICH INCLUDE: PODIATRY, PAIN MANAGEMENT, AND INFECTIOUS DISEASE. TO BETTER SERVE OUR PEDIATRIC AND ADULT PATIENTS, CRUSADERS OFFERS WALK-IN CLINICS AT TWO CONVENIENT LOCATIONS, BROADWAY AND ALPINE.
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 ARE OFFERED THROUGH A NURSE PRACTITIONER, 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 CASE MANAGERS COMMITTED TO HELPING CLIENTS ACCESS MEDICAL SERVICES. SERVICES ARE PROVIDED WITHIN CRUSADER 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 REGISTERED DIETITIANS. 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, SECTION B, LINE 11BPROCESS FOR 990 REVIEW: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO REVIEWS THE FORM 990. A FINAL DRAFT OF THE RETURN IS EMAILED TO ALL BOARD MEMBERS BEFORE FILING.
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 UPDATE YEARLY) ALL BUSINESS AND FAMILY RELATIONSHIP 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 & 15BPROCESS 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. IN ADDITION, ANNUALLY, THE OTHER OFFICER'S AND KEY EMPLOYEES' COMPENSATION REVIEWS ARE CONDUCTED BY THE CEO WITH APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF THE PROCESS USED TO ESTABLISH THEIR COMPENSATION. THE IPHCA AND NACHC COMPENSATION SURVEY ARE USED AS COMPARABILITY DATA. THE PROCESS IS DOCUMENTED BY THE CEO AND THE EXECUTIVE COMMITTEE APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMMITTEE 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 RECONCILIATION ITEMS: $ (245,534) CHANGE IN INTEREST IN NET ASSETS OF CHF - TEMPORARY 970,850 CHANGE IN INTEREST IN NET ASSETS OF CHF - PERMANENT ----------- $ 725,316
FORM 990 PART IX LINE 11GDESCRIPTION:PHARMACY 340B TOTAL FEES:2336857
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:795309
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:794790
FORM 990 PART IX LINE 11GDESCRIPTION:LAB/RADIOLOGY TOTAL FEES:228772
FORM 990 PART IX LINE 11GDESCRIPTION:INTERPRETER SERVICES TOTAL FEES:106939
FORM 990 PART IX LINE 11GDESCRIPTION:PHARMACIST TOTAL FEES:84441
FORM 990 PART IX LINE 11GDESCRIPTION:PAYROLL SERVICES TOTAL FEES:66038
FORM 990 PART IX LINE 11GDESCRIPTION:PSYCHIATRIST TOTAL FEES:37600
FORM 990 PART IX LINE 11GDESCRIPTION:MAINTENANCE TOTAL FEES:21531
FORM 990 PART IX LINE 11GDESCRIPTION:SECURITY SERVICES TOTAL FEES:14040

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CRUSADERS 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