2014-02-27T15:36:27-06:00 2013-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-07-01 237076080 CRUSADERS CENTRAL CLINIC ASSOCIATION % SAMUEL MILLER CFO CRUS 8154901600 1200 WEST STATE STREET Suite ROCKFORD IL 61102 SAMUEL G MILLER 8154901600 2014-02-14 true Gary V Garwitz 4178658701 2012 2015-11-30 17:44:51Z CRUSADER COMMUNITY HEALTH GORDON EGGERS CEO 1200 WEST STATE STREET ROCKFORD IL 61102 33611866 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. 17 17 336 17 0 0 7998196 6470802 23901739 27137198 33993 3866 0 0 31933928 33611866 0 0 0 0 17761340 19558222 0 0 0 10247227 11129152 28008567 30687374 3925361 2924492 32278186 36050458 2715988 3325256 29562198 32725202 X CRUSADER COMMUNITY HEALTH SERVES THE ROCK RIVER VALLEY AREA WITH QUALITY PRIMARY CARE FOR ALL PEOPLE IN NEED. false false 16424290 19830286 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 6/30/13, THE ORGANIZATION PROVIDED APPROXIMATELY 165,000 MEDICAL ENCOUNTERS. SEE SCHEDULE O FOR ADDITIONAL PROGRAM DESCRIPTIONS. 3680037 5289553 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. 3154174 2017359 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 6/30/13, THE ORGANIZATION PROVIDED APPROXIMATELY 30,400 DENTAL ENCOUNTERS. 704185 23962686 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 25 0 true 336 true false false false false false false false false false false X 17 17 false false false 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 1.0 X X GLADYS SANDERS 1.0 X 0 0 JAMES POWERS JR 1.0 X X 0 0 LEON HANSEN 1.0 X 0 0 CATHERINE BROWN 1.0 X 0 0 DENNIS CASE 1.0 X 0 0 TRISHA SINGER 1.0 X 0 0 BARBARA JACKSON 1.0 X X 0 0 LINDSAY O'BRIEN 1.0 X 0 0 JUDITH BARRERA TULIAN 1.0 X 0 0 REBECCA ALSING 1.0 X 0 0 LAWRENCE BLAKELY 1.0 X 0 0 NELUN DE AWLIS 1.0 X 0 0 TINA GOMEZ 1.0 X 0 0 BARB HUFFMAN 1.0 X X 0 0 ROGER JANSEN 1.0 X X 0 0 TRACY RICHTER 1.0 X X 0 0 DAVID RUFFIN 1.0 X 0 0 ANNE MAYOCK 1.0 X 0 0 GORDON EGGERS 40.0 X 198979 0 21421 SAMUEL G MILLER 40.0 X 134712 0 36089 LISA MALONE MD 40.0 X 333059 0 26332 TAREK HARB MD 40.0 X 371044 0 33182 ANTOUN AL KHABBAZ MD 40.0 X 373373 0 36069 ANSELMA RAMILO MD 40.0 X 190488 0 31454 HEATHER BARRETT MD 40.0 X 274779 0 16789 1876434 0 201336 36 false true false BUTLER BENEFIT SVCS EMPLOYEE BENEFITS 689288 SWEDISH AMERICAN HEALTH MGMT LAB & OTHER 453189 FURST STAFFING SERVICES TEMPORARY STAFF 225059 ECLINICAL WORKS EMR MAINTENANCE 319085 HEALTH CARE SERVICES CORP HEALTH CARE SERVICES 1333768 9 498881 5106507 865414 727038 6470802 NET PATIENT SERVICE REVENUE 624100 26409148 26409148 MANAGEMENT FEES 900099 120800 120800 OTHER REVENUE 624100 607250 607250 27137198 3866 3866 0 0 0 0 0 0 0 0 0 0 33611866 27137198 3866 0 0 0 0 411633 411633 0 67244 67244 15893890 13098403 2795487 292362 244437 47925 1816653 1503845 312808 1076440 868636 207804 0 74944 74944 61528 61528 0 0 0 2753384 1311984 1441400 35299 35299 202078 48339 153739 274591 228577 46014 0 447996 338587 109409 217880 7972 209908 0 122494 74702 47792 2803 2803 0 1924206 1490809 433397 0 BAD DEBT 843591 843591 MEDICAL SUPPLIES & DRUGS 3416502 3416502 LICENSES, DUES, SUBSCRIPTIONS 204180 15748 188432 REPAIRS & MAINTENANCE 534372 390006 144366 13304 13304 30687374 23962686 6724688 0 8171569 13745763 752280 753937 409813 416627 3850723 2163382 0 0 0 0 0 0 416399 453629 143502 157038 28024921 12893126 16263199 15131795 0 0 0 0 0 0 0 0 2270701 3228287 32278186 36050458 2564467 3312836 0 0 0 12420 0 0 0 0 0 0 151521 0 0 0 0 0 2715988 3325256 X 27063380 29925284 1659669 1927678 839149 872240 29562198 32725202 32278186 36050458 X 2924492 238512 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 OTHER LOBBYING SCHEDULE C, PART II-B QUESTION 1I THE ORGANIZATION PAYS DUES TO NACHC AND IPHCA. 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 $26,190. 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). false 774127 774127 20375261 7867483 12507778 0 6169170 4638230 1530940 706363 387413 318950 15131795 INTEREST IN NET ASSETS OF CHF 2542831 OTHER RECEIVABLES 685456 3228287 33006787 -605079 -605079 33611866 33611866 29843783 -843591 -843591 30687374 30687374 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $ 239,039 CHANGE IN INTEREST IN NET ASSETS OF CHF- TEMPORARY 33,091 CHANGE IN INTEREST IN NET ASSETS OF CHF- PERMANENT (843,591) BAD DEBT EXPENSE (33,618) NET ASSETS RELEASED FROM RESTRICTIONS --------- $(605,079) AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XII, LINE 2D $(843,591) BAD DEBT EXPENSE X X true true X X X X false false false false false true false true false GORDON EGGERS 165450 0 18292 0 15237 0 6146 0 15275 0 220400 0 0 0 LISA MALONE MD 325022 0 6428 0 1609 0 650 0 25682 0 359391 0 0 0 TAREK HARB MD 350889 0 7428 0 12727 0 7500 0 25682 0 404226 0 0 0 ANTOUN AL KHABBAZ MD 366278 0 6855 0 240 0 6500 0 29569 0 409442 0 0 0 ANSELMA RAMILO MD 185612 0 3777 0 1099 0 5889 0 25565 0 221942 0 0 0 SAMUEL G MILLER 112214 0 17486 0 5012 0 4407 0 31682 0 170801 0 0 0 HEATHER BARRETT MD 269433 0 5154 0 192 0 7500 0 9289 0 291568 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A THE ORGANIZATION REIMBURSED GORDON EGGERS, PRESIDENT/CEO $1,051 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 $1,044. THESE BENEFITS ARE ONLY PROVIDED TO THE CEO. THE AMOUNT REIMBURSED IS SUBSTANTIATED AND INCLUDED ON HIS W-2. BONUSES SCHEDULE J, PART I, QUESTION 6A & 7 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 PEFORMANCE GOALS. ROSE EGGERS SPOUSE OF G. EGGERS 67244 SEE PART V false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV 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 727038 340b PRICE FOR DRUG false true false PHARMACEUTICAL DONATIONS SCHEDULE M, PART I, LINE 20 THE ORGANIZATION RECEIVED DONATIONS FROM THREE VENDORS DURING FISCAL YEAR 2013. THE CONTRIBUTIONS WERE FOR VARIOUS DONATED PHARMACEUTICALS. ORGANIZATION GENERAL INFORMATION FORM 990, PART I, LINE 1 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. THE COMMUNITY'S DEMAND FOR AFFORDABLE HEALTH CARE THROUGH CRUSADER IS GROWING RAPIDLY. LAST YEAR OVER 48,000 INDIVIDUALS RECEIVED CRUSADER'S CARE. APPROXIMATELY 97 PERCENT OF CRUSADER COMMUNITY HEALTH PATIENTS HAVE INCOMES AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. APPROXIMATELY 25 PERCENT HAVE NO HEALTH INSURANCE AND ANOTHER 63 PERCENT ARE MEDICAID RECIPIENTS. MEDICAL SERVICES ARE PROVIDED ON AN AFFORDABLE SLIDING DISCOUNT BASIS AND INTEGRATE HEALTH PROMOTION AND DISEASE PREVENTION INTO A PROGRAM OF COMPREHENSIVE HEALTH CARE. MEDICAL SERVICES FORM 990, PART III, LINE 4A 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. 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, PULMONARY FUNCTION TESTING, 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 1,200 BABIES DURING THE YEAR. SPECIALTY SERVICES A WIDE RANGE OF SPECIALTY SERVICES ARE AVAILABLE TO CRUSADER COMMUNITY HEALTH PATIENTS, SOME OF WHICH INCLUDE: PODIATRY, ORTHOPEDICS, PAIN MANAGEMENT, AND INFECTIOUS DISEASE. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D CRUSADER COMMUNITY HEALTH PROVIDES OTHER PROGRAMS THROUGH ITS ANCILLARY AND COMMUNITY SERVICES AS OUTLINED BELOW. OPTOMETRY SERVICES THE OPTOMETRY CENTER PROVIDES COMPLETE EYE EXAMINATIONS, SCREENINGS FOR DIAGNOSIS OF CATARACTS AND GLAUCOMA, AND CORRECTIVE LENS PRESCRIPTIONS. ALL SERVICES ARE PROVIDED BY ILLINOIS-LICENSED OPTOMETRISTS. IN ADDITION, THE DEPARTMENT OPERATES AN OPTICAL DISPENSARY FOR CORRECTIVE LENSES AND EYEGLASS FRAMES. 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. PROCESS FOR 990 REVIEW FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICT OF INTEREST MONITORING FORM 990, PART VI, SECTION B, LINE 12C 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B IN DECEMBER 2012, 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 JULY 2012, 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 JULY 2012 EXECUTIVE COMMITTEE MINUTES OF THE ORGANIZATION. DISCLOSURE OF DOCUMENTS FORM 990, PART VI, QUESTION 19 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. OTHER RECONCILIATION ITEMS FORM 990, PART XI, LINE 9 $239,039 CHANGE IN INTEREST IN NET ASSETS OF CHF- TEMPORARY 33,091 CHANGE IN INTEREST IN NET ASSETS OF CHF- PERMANENT (33,618) NET ASSETS RELEASED FROM RESTRICTIONS --------- $238,512 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 I 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 498881 FMV