CRUSADERS CENTRAL CLINIC ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CRUSADERS CENTRAL CLINIC ASSOCIATION (EIN 23-7076080)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-03-04
- IRS object ID
- 201300639349300700
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-03-04T08:43:40-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237076080 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRUSADERS CENTRAL CLINIC ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SAMUEL MILLER CFO | InCareOfName |
| Name Control | CRUS | NameControl |
| Phone | 8154901600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WEST STATE STREET | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61102 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SAMUEL MILLER | Name |
| Title | CFO | Title |
| Date Signed | 2013-02-27 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRUSADER COMMUNITY HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GORDON EGGERS CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WEST STATE STREET | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 31948048 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CRUSADERHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | CRUSADER COMMUNITY HEALTH IS A COMMUNITY-BASED, NOT-FOR-PROFIT COMMUNITY HEALTH CENTER. SEE SCHEDULE O FOR MORE INFORMATION | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 322 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11470455 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7998196 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20453635 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23901739 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -41349 | InvestmentIncomePriorYear |
| Investment Income Current Year | 33993 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31882741 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31933928 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16302285 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17761340 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9197730 | OtherExpensePriorYear |
| Other Expenses Current Year | 10247227 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25500015 | TotalExpensesPriorYear |
| Total Expenses Current Year | 28008567 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6382726 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3925361 | RevenuesLessExpensesCY |
| Total Assets BOY | 29864014 | TotalAssetsBOY |
| Total Assets EOY | 32278186 | TotalAssetsEOY |
| Total Liabilities BOY | 4159570 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2715988 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25704444 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29562198 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CRUSADER COMMUNITY HEALTH SERVES THE ROCK RIVER VALLEY AREA WITH QUALITY PRIMARY CARE FOR ALL PEOPLE IN NEED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 14885458 | Expense |
| Revenue | 17599801 | Revenue |
| Description | 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 6/30/12, THE ORGANIZATION PROVIDED APPROXIMATELY 150,000 MEDICAL ENCOUNTERS. SEE SCHEDULE O FOR ADDITIONAL PROGRAM DESCRIPTIONS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3548009 | Expense |
| Revenue | 3658739 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2950395 | Expense |
| Revenue | 2626294 | Revenue |
| Description | 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 6/30/12, THE ORGANIZATION PROVIDED APPROXIMATELY 25,000 DENTAL ENCOUNTERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1327055 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 48385 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 22710917 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 322 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SAMUEL MILLER CFO | NamePerson |
| Telephone Number | 8154901600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WEST STATE STREET | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61102 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ANNE MAYOCK | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| TODD STEFFEN | |||||||
| SECRETARY, ENDING 1/12 | 1.0 | X | 0 | 0 | 0 | X | |
| PETE ROCHE | |||||||
| CHAIR | 1.0 | X | 0 | 0 | 0 | X | |
| DAVID RUFFIN | |||||||
| DIRECTOR, ENDING 1/12 | 1.0 | X | 0 | 0 | 0 | ||
| GLADYS SANDERS | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JAMES POWERS JR | |||||||
| PROGRAM QUALITY REVIEW CHAIR | 1.0 | X | 0 | 0 | 0 | X | |
| LEON HANSEN | |||||||
| VICE CHAIR, ENDING 1/12 | 1.0 | X | 0 | 0 | 0 | X | |
| CATHERINE BROWN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DENNIS CASE | |||||||
| OPERATIONS COMMITTEE CHAIR | 1.0 | X | 0 | 0 | 0 | X | |
| TRISHA COLE | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| BARBARA JACKSON | |||||||
| TREASURER/CHAIR ELECT | 1.0 | X | 0 | 0 | 0 | X | |
| 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 | ||
| ALVIN ENGLISH | |||||||
| DIRECTOR, ENDING 3/12 | 1.0 | X | 0 | 0 | 0 | ||
| GORDON EGGERS | |||||||
| PRESIDENT & CEO | 40.0 | 193640 | 0 | 30624 | X | ||
| SAMUEL G MILLER | |||||||
| CFO | 40.0 | 111384 | 0 | 34860 | X | ||
| LISA MALONE MD | |||||||
| PROVIDER | 40.0 | 324870 | 0 | 27449 | X | ||
| TAREK HARB MD | |||||||
| PROVIDER | 40.0 | 334104 | 0 | 27389 | X | ||
| ANTOUN AL KHABBAZ MD | |||||||
| PROVIDER | 40.0 | 359058 | 0 | 14362 | X | ||
| ANSELMA RAMILO MD | |||||||
| PROVIDER | 40.0 | 183334 | 0 | 28267 | X | ||
| HEATHER BARRETT MD | |||||||
| PROVIDER | 40.0 | 282019 | 0 | 10865 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1788409 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 173816 | TotalOtherCompensation |
| Number Individuals GT100 K | 30 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| BUTLER BENEFIT SVCS | |
| EMPLOYEE BENEFITS | 435068 |
| SWEDISH AMERICAN HEALTH MGMT | |
| LAB & OTHER | 484178 |
| FURST STAFFING SERVICES | |
| TEMPORARY STAFF | 295275 |
| ECLINICAL WORKS | |
| EMR MAINTENANCE | 213733 |
| PETERSON CLEANING INC | |
| HOUSEKEEPING | 165189 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 425358 | RelatedOrganizations |
| Government Grants | 6681382 | GovernmentGrants |
| All Other Contributions | 891456 | AllOtherContributions |
| Noncash Contributions | 883300 | NoncashContributions |
| Total Contributions | 7998196 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 22955563 | 22955563 |
| MANAGEMENT FEES | 624100 | 118698 | 118698 |
| OTHER REVENUE | 624100 | 827478 | 827478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23901739 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2513 | TotalRevenueColumn |
| Exclusion | $2,513 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 45600 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14120 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 31480 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31480 | TotalRevenueColumn |
| Exclusion | $31,480 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31933928 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23901739 | RelatedOrExemptFunctionIncome |
| Exclusion | $33,993 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411017 | Total |
| Management And General | 411017 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66894 | Total |
| Program Services | 66894 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14654042 | Total |
| Program Services | 12329746 | ProgramServices |
| Management And General | 2324296 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68956 | Total |
| Program Services | 61355 | ProgramServices |
| Management And General | 7601 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569175 | Total |
| Program Services | 1349711 | ProgramServices |
| Management And General | 219464 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 991256 | Total |
| Program Services | 816154 | ProgramServices |
| Management And General | 175102 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103509 | Total |
| Management And General | 103509 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62000 | Total |
| Management And General | 62000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2140104 | Total |
| Program Services | 1347357 | ProgramServices |
| Management And General | 792747 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25172 | Total |
| Management And General | 25172 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218495 | Total |
| Program Services | 62690 | ProgramServices |
| Management And General | 155805 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238813 | Total |
| Program Services | 205341 | ProgramServices |
| Management And General | 33472 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433439 | Total |
| Program Services | 343791 | ProgramServices |
| Management And General | 89648 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200724 | Total |
| Program Services | 2338 | ProgramServices |
| Management And General | 198386 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95762 | Total |
| Program Services | 79593 | ProgramServices |
| Management And General | 16169 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42566 | Total |
| Management And General | 42566 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1869185 | Total |
| Program Services | 1515640 | ProgramServices |
| Management And General | 353545 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 713051 | 713051 | |
| MEDICAL SUPPLIES & DRUGS | 3430875 | 3430875 | |
| LICENSES, DUES, SUBSCRIPTIONS | 191301 | 10622 | 180679 |
| RECRUITING & RETENTION | 20126 | 20126 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462105 | Total |
| Program Services | 355633 | ProgramServices |
| Management And General | 106472 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28008567 | Total |
| Program Services | 22710917 | ProgramServices |
| Management And General | 5297650 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6589550 | BOY |
| EOY | 8171569 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1693601 | BOY |
| EOY | 752280 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 807761 | BOY |
| EOY | 409813 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1612533 | BOY |
| EOY | 3850723 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 398728 | BOY |
| EOY | 416399 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110373 | BOY |
| EOY | 143502 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27232119 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10968920 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16313160 | BOY |
| EOY | 16263199 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338308 | BOY |
| EOY | 2270701 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29864014 | BOY |
| EOY | 32278186 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2895570 | BOY |
| EOY | 2564467 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64000 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200000 | BOY |
| EOY | 151521 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4159570 | BOY |
| EOY | 2715988 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23058242 | BOY |
| EOY | 27063380 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1795882 | BOY |
| EOY | 1659669 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850320 | BOY |
| EOY | 839149 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25704444 | BOY |
| EOY | 29562198 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29864014 | BOY |
| EOY | 32278186 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3925361 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -67607 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING | Identifier |
| Return Reference | SCHEDULE C, PART II-B QUESTION 1I | ReturnReference |
| Explanation | 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 $25,390. 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). | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 774127 | OtherCostOrOtherBasis |
| Book Value | 774127 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19955469 | OtherCostOrOtherBasis |
| Depreciation | 6638609 | Depreciation |
| Book Value | 13316860 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5796160 | OtherCostOrOtherBasis |
| Depreciation | 3983317 | Depreciation |
| Book Value | 1812843 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 706363 | OtherCostOrOtherBasis |
| Depreciation | 346994 | Depreciation |
| Book Value | 359369 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16263199 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST IN NET ASSETS OF CHF | Description |
| Book Value | 2270701 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2270701 | TotalBookValueOtherAssets |
| Total Revenue | 31933928 | TotalRevenue |
| Total Expenses | 28008567 | TotalExpenses |
| Excess Or Deficit For Year | 3925361 | ExcessOrDeficitForYear |
| Other | -$67,607 | OtherAmount |
| Total Adjustments | -67607 | TotalAdjustments |
| Excess Or Deficit Per FS | 3857754 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 31866321 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -67607 | OtherRevenues |
| Revenue Not Rptd F990 | -67607 | RevenueNotRptdF990 |
| Revenue Subtotal | 31933928 | RevenueSubtotal |
| Total Revenue Per Form990 | 31933928 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 28008567 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 28008567 | ExpensesSubtotal |
| Total Expenses Per Form990 | 28008567 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER RECONCILING ITEMS | SCHEDULE D, PART XII, LINE 2D | (56,436) CHANGE IN INTEREST IN NET ASSETS OF CHF- TEMPORARY (11,171) CHANGE IN INTEREST IN NET ASSETS OF CHF- PERMANENT --------- (67,607) |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GORDON EGGERS | |||||||||||||
| 166934 | 0 | 19081 | 0 | 7625 | 0 | 2868 | 0 | 27756 | 0 | 224264 | 0 | 0 | 0 |
| LISA MALONE MD | |||||||||||||
| 324236 | 0 | 250 | 0 | 384 | 0 | 60 | 0 | 27389 | 0 | 352319 | 0 | 0 | |
| TAREK HARB MD | |||||||||||||
| 321305 | 0 | 250 | 0 | 12549 | 0 | 0 | 0 | 27389 | 0 | 361493 | 0 | 0 | |
| ANTOUN AL KHABBAZ MD | |||||||||||||
| 357778 | 0 | 1250 | 0 | 30 | 0 | 0 | 0 | 14362 | 0 | 373420 | 0 | 0 | |
| ANSELMA RAMILO MD | |||||||||||||
| 179486 | 0 | 2750 | 0 | 1098 | 0 | 2700 | 0 | 25567 | 0 | 211601 | 0 | 0 | |
| HEATHER BARRETT MD | |||||||||||||
| 281548 | 0 | 250 | 0 | 221 | 0 | 0 | 0 | 10865 | 0 | 292884 | 0 | 0 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SOCIAL CLUB DUES | SCHEDULE J, PART I, LINE 1A | THE ORGANIZATION REIMBURSED GORDON EGGERS, PRESIDENT/CEO $1,843 DUES TO THE UNIVERSITY CLUB OF ROCKFORD. THE BENEFIT IS ONLY PROVIDED TO THE CEO. THE AMOUNT OF THE DUES PAID 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. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROSE EGGERS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SPOUSE OF G. EGGERS | Relationship |
| Amount Of Transaction | 66894 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | 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. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 883300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | 340b PRICE FOR DRUG | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PHARMACEUTICAL DONATIONS | Identifier |
| Return Reference | SCHEDULE M, PART I, LINE 20 | ReturnReference |
| Explanation | THE ORGANIZATION RECEIVED DONATIONS FROM THREE VENDORS DURING FISCAL YEAR 2012. THE CONTRIBUTIONS WERE FOR VARIOUS DONATED PHARMACEUTICALS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 46,000 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. DURING THE YEAR ENDED JUNE 30, 2012, CRUSADER COMMUNITY HEALTH PROVIDED SLIDING SCALE DISCOUNTS AND CHARITY CARE TOTALING $6.3 MILLION. IN ADDITION, THE ORGANIZATION DISPENSED DONATED PHARMACEUTICALS TO ELIGIBLE PATIENTS TOTALING $800,000. |
| 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 BEHAVIORIAL 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. SPECIALTY SERVICES 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. |
| CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PART VI, QUESTION 4 | THE ORGANIZATION AMENDED ITS BYLAWS DURING THE FISCAL YEAR. SIGNIFICANT CHANGES ARE AS FOLLOWS: -THE ORGANIZATION SPECIFICALLY DESIGNATED THAT IT SHALL NOT PARTICIPATE OR INTERVENE IN ANY POLITICAL CAMPAIGN, AND THAT NO PART OF THE NET EARNINGS OF THE ORGANIZATION SHOULD INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL. -UPON DISSOLUTION OF THE ORGANIZATION, NO DIRECTOR, OFFICER, OR EMPLOYEE IS ENTITLED TO SHARE IN THE DISTRIBUTION OF ANY OF THE CORPORATE ASSETS. THE ASSETS ARE TO BE DISTRIBUTED EXCLUSIVELY TO CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY OR EDUCATION ORGANIZATIONS. -THE BOARD MEMBERS NOW HAVE THE POWER TO DO THE FOLLOWING FOR THE CORPORATION: ADOPT THE HEALTH CARE POLICIES, APPROVE THE PRIORITIES AND ELIGIBILITY FOR SERVICES, ESTABLISH FINANCIAL AND PERSONNEL POLICIES, EVALUATE THE ACTIVITIES, ASSURE THAT ACTIVITIES ARE CONDUCTED IN COMPLIANCE WITH APPLICABLE LAWS, EVALUATE THE ACHIEVEMENTS, MISSION, GOALS, OBJECTIVES, PLANS, AND BUDGETS, AND EVALUATE ITSELF FOR EFFICIENT, EFFECTIVENESS, AND COMPLIANCE. -UPON RECOMMENDATION OF THE EXECUTIVE COMMITTEE, A DIRECTOR MAY NOW SERVE ONE ADDITIONAL YEAR AFTER HIS OR HER TWO CONSECUTIVE TERMS. -THE 51 PERCENT OF BOARD MEMBERS WHO ARE TO BE INDIVIDUALS SERVED BY THE ORGANIZATION SHOULD UTILIZE THE ORGANIZATION AS THEIR PRINCIPAL SOURCE OF PRIMARY CARE AND SHOULD HAVE USED THE ORGANIZATION'S SERVICES WITHIN THE PAST YEAR. NO MORE THAN HALF OF THE OTHER DIRECTORS CAN BE INDIVIDUALS WHO DERIVE MORE THAN 10 PERCENT OF THEIR ANNUAL INCOME FROM THE HEALTH CARE INDUSTRY. -PARENTS OR SIBLINGS OF AN EMPLOYEE OF THE ORGANIZATION ARE NOW PROHIBITED FROM SERVING ON THE BOARD. FORMER EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE TO BE DIRECTORS AS LONG AS THEY HAVE NOT BEEN EMPLOYED IN THE PRECEDING THREE YEAR PERIOD. -THE BOARD MEMBER OF CRUSADERS HEALTH FOUNDATION, A RELATED ORGANIZATION, WHO SERVES AS A LIAISON TO THE BOARD OF CRUSADERS CENTRAL CLINIC ASSOCIATION SHOULD ATTEND BOARD MEETINGS AT THE BOARD'S DISCRETION, BUT DOES NOT HAVE STATUS AS A DIRECTOR. -THE IMMEDIATE PAST-CHAIRPERSON OF THE ORGANIZATION IS NOW DESIGNATED TO SERVE AS LIAISON TO THE BOARD OF DIRECTORS OF CRUSADERS HEALTH FOUNDATION. -THE BYLAWS NOW SPECIFY THAT EACH BOARD MEMBER SHALL HAVE ONE VOTE. -ANY DIRECTOR CAN NOW BE REMOVED WITH OR WITHOUT CAUSE BY A TWO-THIRDS VOTE OF THE REMAINING BOARD OF DIRECTORS, AND THE BOARD MAY APPROVE A DIRECTOR TO TAKE A LEAVE OF ABSENCE FROM THE BOARD FOR A PERIOD OF UP TO ONE YEAR. -PARTS OF A MEETING MAY BE CONDUCTED IN EXECUTIVE SESSION, WHICH EXCLUDES THE PUBLIC AND STAFF PERSONNEL FROM ATTENDANCE. -OFFICER POSITIONS FOR AN IMMEDIATE PAST-CHAIRPERSON, CHAIRPERSON OF THE OPERATION COMMITTEE, AND CHAIRPERSON OF THE PROGRAM QUALITY REVIEW COMMITTEE WERE CREATED, AND THE SECRETARY OFFICER POSITION WAS TERMINATED. THE CHAIR-ELECT IS NOW RESPONSIBLE FOR ORGANIZING THE MINUTES OF THE BOARD MEETINGS AND ACTING AS THE GENERAL CUSTODIAN OF THE CORPORATE RECORDS AND SEAL. |
| PROCESS FOR 990 REVIEW | FORM 990, PART VI, QUESTION 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 PRESENTATION OF THE RETURN IS MADE BY THE CFO TO THE FINANCE COMMITTEE OF THE BOARD AND THE CEO. A FINAL DRAFT OF THE RETURN IS EMAILED TO ALL BOARD MEMBERS BEFORE FILING. |
| CONFLICT OF INTEREST MONITORING | FORM 990, PART VI, QUESTION 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, QUESTION 15A & 15B | IN DECEMBER 2011, 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 SURVEY 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 2011, 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 2011 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 5 | (56,436) CHANGE IN INTEREST IN NET ASSETS OF CHF- TEMPORARY (11,171) CHANGE IN INTEREST IN NET ASSETS OF CHF- PERMANENT ---------- (67,607) OTHER CHANGES IN NET ASSETS OR FUND BALANCES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRUSADERS HEALTH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WEST STATE STREET | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363259761 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11A I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |