2015-03-02T17:01:58-06:00 2014-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-07-01 237076080 CRUSADERS CENTRAL CLINIC ASSOCIATION % SAMUEL MILLER CFO CRUS 8154901600 1200 WEST STATE STREET Suite ROCKFORD IL 61102 SAMUEL G MILLER CFO 8154901600 2015-02-27 true Brian D Todd P00422601 8154901600 2013 2016-03-07 17:11:31Z CRUSADER COMMUNITY HEALTH GORDON EGGERS CEO 1200 WEST STATE STREET ROCKFORD IL 61102 35607316 false X WWW.CRUSADERHEALTH.ORG X 1972 IL CRUSADER COMMUNITY HEALTH IS A COMMUNITY-BASED, NOT-FOR-PROFIT COMMUNITY HEALTH CENTER. SEE SCHEDULE O FOR MORE INFORMATION. 16 16 340 25 0 0 6470802 6488896 27137198 28920332 3866 198088 0 0 33611866 35607316 0 0 0 0 19558222 20264993 0 0 0 11129152 12207398 30687374 32472391 2924492 3134925 36050458 39826556 3325256 3370361 32725202 36456195 X CRUSADER COMMUNITY HEALTH SERVES THE ROCK RIVER VALLEY AREA WITH QUALITY PRIMARY CARE FOR ALL PEOPLE IN NEED. false false 17502480 17294358 CRUSADER 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, SPECIALTY SERVICES, AND WOMEN'S HEALTH. DURING FY 6/30/14, THE ORGANIZATION PROVIDED APPROXIMATELY 165,000 MEDICAL ENCOUNTERS. SEE SCHEDULE O FOR ADDITIONAL PROGRAM DESCRIPTIONS. 4059560 8676100 A FULL-SERVICE PHARMACY IS AVAILABLE WITHIN EACH ROCKFORD LOCATION. THE CRUSADER COMMUNITY HEALTH PHARMACY OFFERS PATIENTS ACCESS TO LOW COST PRESCRIPTION MEDICATIONS. A MEDICATION SUBSIDY COORDINATOR IS AVAILABLE TO ASSIST ELIGIBLE PATIENTS OBTAIN PRESCRIBED MEDICATIONS AT A LOW COST THROUGH A VARIETY OF PROGRAMS. IN AN EFFORT TO EXPAND AFFORDABLE ACCESS TO PRESCRIPTION MEDICATIONS, CRUSADER ENTERED INTO AN AGREEMENT WITH SEVERAL AREA WALGREENS STORES. CRUSADER PATIENTS MAY NOW ACCESS AFFORDABLE PHARMACEUTICALS AT MORE CONVENIENT TIMES AND LOCATIONS. 3163192 2140105 CRUSADER COMMUNITY HEALTH'S DENTAL PROGRAM HAS DENTAL EQUIPMENT THAT IS STATE OF THE ART, AND THE FOCUS IS ON PREVENTIVE EXAMS WHILE ALSO PROVIDING FILLINGS, CLEANINGS AND EMERGENCY TREATMENT FOR CHILDREN AND ADULTS. DENTAL SERVICES FOR CHILDREN ARE AVAILABLE AT ALL CRUSADER COMMUNITY HEALTH LOCATIONS. ADULT SERVICES ARE CURRENTLY OFFERED AT THE WEST STATE STREET AND BROADWAY LOCATIONS. DURING FY 6/30/14, THE ORGANIZATION PROVIDED APPROXIMATELY 32,000 DENTAL ENCOUNTERS. 1181340 809769 25906572 true true false true false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false true false true false false false false true false false false true 31 0 true 340 true false false false false false false false false false false X 16 16 false false true false false false false true true false false true true true true true true true true false IL X SAMUEL MILLER CFO 8154901600 1200 WEST STATE STREET ROCKFORD IL 61102 PETE ROCHE DIRECTOR, ENDING 12/2013 1.0 X X 0 0 0 TODD STEFFEN CHAIR OPERATIONS, BEGIN 1/2014 1.0 X X 0 0 0 JAMES POWERS JR CHAIR PROGRAM QUALITY 1.0 X X 0 0 0 LEON HANSEN DIRECTOR 1.0 X 0 0 0 CATHERINE BROWN DIRECTOR 1.0 X 0 0 0 DENNIS CASE DIRECTOR 1.0 X 0 0 0 TRISHA SINGER DIRECTOR 1.0 X 0 0 0 BARBARA JACKSON PAST CHAIR 1.0 X X 0 0 0 LINDSAY O'BRIEN DIRECTOR 1.0 X 0 0 0 JUDITH BARRERA TULIAN DIRECTOR 1.0 X 0 0 0 REBECCA ALSING DIRECTOR 1.0 X 0 0 0 LAWRENCE BLAKELY DIRECTOR 1.0 X 0 0 0 NELUN DE AWLIS DIRECTOR, ENDING 9/2013 1.0 X 0 0 0 BARBARA WILLIAMS DIRECTOR, BEGINNING 1/2014 1.0 X 0 0 0 BARB HUFFMAN CHAIR 1.0 X X 0 0 0 ROGER JANSEN DIRECTOR, ENDING 5/2014 1.0 X 0 0 0 TRACY RICHTER TREASURER 1.0 X X 0 0 0 DAVID RUFFIN CHAIR ELECT 1.0 X X 0 0 0 PAUL HARRIS DIRECTOR, BEGINNING 6/2014 1.0 X 0 0 0 GORDON EGGERS PRESIDENT & CEO 40.0 X 233741 0 23006 SAMUEL G MILLER CFO 40.0 X 140483 0 25998 LISA MALONE MD PHYSICIAN 40.0 X 340281 0 26332 TAREK HARB MD PHYSICIAN 40.0 X 314757 0 28904 ANTOUN AL KHABBAZ MD PHYSICIAN 40.0 X 396233 0 27484 ANSELMA RAMILO MD PHYSICIAN 40.0 X 194809 0 31843 HEATHER BARRETT MD PHYSICIAN 40.0 X 300934 0 16789 1921238 0 180356 38 false true false ROCKFORD STRUCTURES CONSTRUCTION SRVCS 384401 SWEDISH AMERICAN HEALTH MGMT LAB SERVICES 509301 PETERSON CLEANING CLEANING SRVCS 216647 ECLINICAL WORKS LLC EMR MAINTENANCE 361140 HEALTH CARE SERVICES CORP HEALTH CARE SERVICES 2021469 20 309914 5288243 890739 555617 6488896 NET PATIENT SERVICE REVENUE 624100 28278626 28278626 MANAGEMENT FEES 900099 132662 132662 OTHER REVENUE 624100 173294 173294 EHR INCENTIVE REVENUE 624100 335750 335750 28920332 198088 198088 0 0 0 0 0 0 0 0 0 0 35607316 28920332 198088 0 0 0 0 450765 450765 49386 49386 16544179 14245115 2299064 0 207575 174086 33489 1848142 1549974 298168 1164946 977001 187945 0 93770 93770 76145 76145 0 0 0 3182880 1347312 1835568 10885 10885 193947 43938 150009 313018 264952 48066 0 484577 375494 109083 186473 5108 181365 0 105818 85305 20513 468 468 0 1940212 1533601 406611 0 MEDICAL SUPPLIES & DRUGS 3612912 3612912 BAD DEBT 1142481 1142481 REPAIRS & MAINTENANCE 605952 466206 139746 LICENSES, DUES, SUBSCRIPTIONS 239765 15606 224159 18095 18095 32472391 25906572 6565819 0 13745763 9543381 753937 1349137 416627 10772 2163382 2144049 0 0 0 0 0 0 453629 455195 157038 156848 28622227 14831137 15131795 13791090 0 8188665 0 0 0 0 0 0 3228287 4187419 36050458 39826556 3312836 3321403 0 0 12420 48958 0 0 0 0 0 0 0 0 0 0 0 0 3325256 3370361 X 29925284 33058310 1927678 2476157 872240 921728 32725202 36456195 36050458 39826556 X 3134925 596068 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false true true true false SCHEDULE C, PART II-B QUESTION 1I OTHER 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 INTERESTS IN LEGISLATIVE, REGULATORY AND ADMINISTRATIVE MATTERS. FEES PAID TO LARGENT TOTALED $27,600. 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). 774127 774127 20565398 9121082 11444316 6576339 5283678 1292661 706363 426377 279986 13791090 Interest in Net Assets of CHF 3138899 OTHER RECEIVABLES 1048520 4187419 34462936 -1142481 -1142481 35605417 1899 1899 35607316 31329910 31329910 1142481 1142481 32472391 SCHEDULE D, PART X, LINE 2 UNCERTAIN 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 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(1,142,481) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $1,899 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $1,142,481 BAD DEBT EXPENSE X X true true X X X X false false false false false true false true false GORDON EGGERS PRESIDENT & CEO 198153 0 18312 0 17276 0 7184 0 15822 0 256747 0 0 0 LISA MALONE MD PHYSICIAN 330130 0 9741 0 410 0 650 0 25682 0 366613 0 0 0 TAREK HARB MD PHYSICIAN 280511 0 9791 0 24455 0 7500 0 21404 0 343661 0 0 0 ANTOUN AL KHABBAZ MD PHYSICIAN 385502 0 10441 0 290 0 6500 0 20984 0 423717 0 0 0 ANSELMA RAMILO MD PHYSICIAN 185423 0 8205 0 1181 0 6018 0 25825 0 226652 0 0 0 SAMUEL G MILLER CFO 116560 0 18853 0 5070 0 4594 0 21404 0 166481 0 0 0 HEATHER BARRETT MD PHYSICIAN 292088 0 8613 0 233 0 7500 0 9289 0 317723 0 0 0 SCHEDULE J, PART I, LINE 1A SOCIAL CLUB DUES: THE ORGANIZATION REIMBURSED GORDON EGGERS, PRESIDENT/CEO $1,080 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 $1,054. THESE BENEFITS ARE ONLY PROVIDED TO THE CEO. THE AMOUNT REIMBURSED IS SUBSTANTIATED AND INCLUDED ON HIS W-2. SCHEDULE J, PART I, QUESTION 6A & 7 BONUSES: 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. ROSE EGGERS SPOUSE OF G. EGGERS 49386 SEE PART V false SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: ROSE EGGERS IS THE SPOUSE OF GORDON EGGERS, PRESIDENT & CEO. SHE IS A PART-TIME NURSE PRACTITIONER FOR THE ORGANIZATION. THE AMOUNT OF THE TRANSACTION REPORTED ON SCHEDULE L, PART IV, COLUMN D, REPRESENTS THE AMOUNT PAID IN SALARY AND BENEFITS. THE COMPENSATION AMOUNT PAID IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO ENSURE IT IS IN COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION-SETTING POLICIES. X 3 555617 REPLACEMENT COST false true false SCHEDULE M, PART I, LINE 20 PHARMACEUTICAL DONATIONS: THE ORGANIZATION RECEIVED DONATIONS FROM THREE VENDORS DURING FISCAL YEAR 2014. THE CONTRIBUTIONS WERE FOR VARIOUS DONATED PHARMACEUTICALS. FORM 990, PART I, LINE 1 ORGANIZATION 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 NORTHWEST ILLINOIS AREA 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 4A MEDICAL 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. TO BETTER SERVE PEDIATRIC PATIENTS, CRUSADER OPENED A WALK-IN CLINIC AT THE BROADWAY LOCATION. CRUSADER IS CURRENTLY WORKING WITH THE ROCKFORD PUBLIC SCHOOL DISTRICT AND OTHER AGENCIES TO OPEN A SCHOOL BASED MEDICAL, DENTAL AND BEHAVIORAL HEALTH CLINIC. THE SCHOOL BASED CLINIC WILL OPEN IN SEPTEMBER 2014. FOR ADULT PATIENTS, CRUSADER PROVIDES PREVENTIVE 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, MINOR INJURY CARE. WOMEN'S HEALTH SERVICES WOMEN'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. CRUSADER DELIVERED OVER 1,100 BABIES DURING THE YEAR. SPECIALTY SERVICES A WIDE RANGE OF SPECIALTY SERVICES ARE AVAILABLE TO CRUSADER COMMUNITY HEALTH PATIENTS, SOME OF WHICH INCLUDE: PODIATRY, PAIN MANAGEMENT, AND INFECTIOUS DISEASE. FORM 990, PART III, LINE 4D OTHER 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 ON WEST STATE STREET. ON AN ANNUAL BASIS, THE PROGRAM PROVIDES SERVICES TO APPROXIMATELY 300 INDIVIDUALS WITH HIV/AIDS. SERVICES ARE OFFERED CONFIDENTIALLY IN A CARING AND SUPPORTIVE ENVIRONMENT. IN ADDITION TO PROVIDING SERVICES THROUGH ITS PHYSICIAN STAFF, CRUSADER COMMUNITY HEALTH CONTRACTS WITH ROCKFORD INFECTIOUS DISEASE ASSOCIATES TO PROVIDE ADDITIONAL SUPPORT. OTHER SERVICES ARE OFFERED THROUGH A NURSE PRACTITIONER, NURSES, CASE MANAGERS, A LICENSED CLINICAL SOCIAL WORKER, AND A CONTRACTED PSYCHIATRIST. 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 INCLUDES A NURSE WHO IS A CERTIFIED DIABETES EDUCATOR, A REGISTERED DIETITIAN, AND A CLINICAL PHARMACIST (TO PROVIDE MEDICATION MANAGEMENT SERVICES). IN ADDITION, 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 / CRUSADER COMMUNITY HEALTH MOBILE DIABETES PROGRAM AND PUBLIC SPEAKING ENGAGEMENTS ON A VARIETY OF HEALTH RELATED TOPICS. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS: THE ORGANIZATION'S BYLAWS WERE AMENDED JANUARY 29, 2014 TO INCLUDE THE FOLLOWING SIGNIFICANT CHANGE: - A BOARD APPROVED MISSION, VISION STATEMENT AND COMMITMENT WERE ADDED TO THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS 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 12C CONFLICT OF INTEREST MONITORING: THE CORPORATION SHALL PROHIBIT STAFF MEMBERS, CONSULTANTS 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 OR OTHER TIES. BOARD MEMBERS AND EXECUTIVE MANAGEMENT SHALL DISCLOSE IN WRITING (AND UPDATE YEARLY) ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT. IN ADDITION, THE INDIVIDUAL STAFF MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT SHALL BE PROHIBITED FROM INVOLVEMENT IN THE SELECTION, AWARD AND ADMINISTRATION OF ANY SUCH CONTRACT; A CONFLICTED BOARD MEMBER SHALL DISQUALIFY HIMSELF/HERSELF FROM VOTING AND COMMENTING ON THE CONTRACTOR'S SELECTION AND ANY MONITORING OR OVERSIGHT FUNCTION. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: ANNUALLY THE CEO'S COMPENSATION REVIEW WAS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD, WITH APPROVAL BY THE FULL BOARD. THE IPHCA, MGMA AND NACHC COMPENSATION SURVEYS WERE USED AS COMPARABILITY DATA. THE PROCESS WAS 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 WERE 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 WERE USED AS COMPARABILITY DATA. THE PROCESS WAS DOCUMENTED BY THE CEO AND THE EXECUTIVE COMMITTEE APPROVAL WAS DOCUMENT IN THE EXECUTIVE COMMITTEE MINUTES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE OF DOCUMENTS: THE ORGANIZATION WOULD MAKE 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 ORGANIZATIONS OFFICE. FORM 990, PART XI, LINE 9 OTHER RECONCILIATION ITEMS: $546,580 CHANGE IN INTEREST IN NET ASSETS OF CHF- TEMPORARY 49,488 CHANGE IN INTEREST IN NET ASSETS OF CHF- PERMANENT --------- $596,068 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CRUSADERS HEALTH FOUNDATION 1200 WEST STATE STREET ROCKFORD IL 61102 363259761 FUNDRAISING IL 501(C)(3) 11A III-FI NA false false false true false false false false false false true false false true true false true true false false CRUSADERS HEALTH FOUNDATION C 309914 FMV