2024-02-28T13:36:16-06:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 237076080 CRUSADERS CENTRAL CLINIC ASSOCIATION % LUIS DELGADO CRUS 8154901600 1200 WEST STATE STREET ROCKFORD IL 61102 SAMUEL MILLER CEO 8154901600 2023-09-26 true SAMUEL MILLER XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z CRUSADER COMMUNITY HEALTH SAMUEL MILLER 1200 WEST STATE STREET ROCKFORD IL 61102 59586976 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. 13 13 462 13 0 0 18016055 14888750 40554511 41632471 1205213 1586291 11973 10967 59787752 58118479 0 11000 0 0 31564063 33851423 0 0 0 17102672 18436273 48666735 52298696 11121017 5819783 89354596 96027695 6379934 6627925 82974662 89399770 X CRUSADER COMMUNITY HEALTH SERVES THE ROCK RIVER VALLEY AREA WITH QUALITY PRIMARY CARE FOR ALL PEOPLE IN NEED. SEE SCHEDULE O FOR MORE INFORMATION. false false 29563931 27201656 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 AND SPECIALTY SERVICES. SEE SCHEDULE O FOR ADDITIONAL PROGRAM DESCRIPTIONS. 9512572 9193777 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 MIDWIVES AND NURSE PRACTITIONERS. 4283196 4235394 CRUSADER COMMUNITY HEALTH'S DENTAL PROGRAM'S FOCUS IS ON PREVENTIVE EXAMS WHILE ALSO PROVIDING FILLINGS, CLEANINGS AND EMERGENCY TREATMENT FOR CHILDREN AND ADULTS. DENTAL SERVICES FOR CHILDREN ARE AVAILABLE AT MOST CRUSADER COMMUNITY HEALTH LOCATIONS. ADULT SERVICES ARE OFFERED AT THE WEST STATE STREET AND BROADWAY LOCATION. 441950 11000 1001644 43801649 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 true false true false false false false false false false false false false false false false false false false false true 26 0 true 462 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false IL X LUIS DELGADO 8154901600 1200 WEST STATE STREET ROCKFORD IL 61102 ANTOUN AL KHABBAZ WHS - DEPT CHAIR 40.0 0.0 X 512292 0 45261 SAMUEL MILLER CEO 40.0 0.0 X 445853 0 46124 KAREN MOSES PHYSICIAN 40.0 0.0 X 317054 0 38633 VANESSA NIENHOUSE PHYSICIAN 40.0 0.0 X 312008 0 32326 CARLY KRUSE PHYSICIAN 40.0 0.0 X 300022 0 5056 MARIA CASTILLO CLAVIJO PHYSICIAN 40.0 0.0 X 247318 0 40405 NIVEDITA KARMAKAR PHYSICIAN 40.0 0.0 X 239057 0 44116 TERRY WHITE COO 40.0 0.0 X 249198 0 22608 KIMBERLY MILLER FAMILY MEDICINE - DEPT CHAIR 28.0 0.0 X 241178 0 10842 GARY FERNANDO CMO 32.0 0.0 X 211120 0 30327 ELIZABETH HENNING VP OF RISK MANAGEMENT 40.0 0.0 X 182774 0 34019 KERIN CUMMINS CRUSADERNOW LEAD 40.0 0.0 X 183484 0 8251 DINA GIRGIS DENTAL - DEPT CHAIR 40.0 0.0 X 171122 0 19619 LUIS DELGADO VP FINANCE 40.0 0.0 X 147278 0 37830 BARBARA WILLIAMS DIRECTOR END 03/23 1.0 0.0 X 0 0 0 CAROL JACKSON DIRECTOR 1.0 0.0 X 0 0 0 CATHERINE BROWN CHAIR; PAST CHAIR BEG 01/23 1.0 0.0 X X 0 0 0 DAVID POWELL DIRECTOR 1.0 0.0 X 0 0 0 DAVID RUFFIN DIRECTOR; VICE CHAIR BEG 01/23 1.0 0.0 X X 0 0 0 DENNIS ROOP DIRECTOR; TREASURER BEG 01/23 1.0 0.0 X X 0 0 0 EDDIE VALDES DIRECTOR 1.0 0.0 X 0 0 0 JAMES MILLIKIN TREASURER END 12/23; DIRECTOR 1.0 0.0 X X 0 0 0 JANICE FORREST DIRECTOR 1.0 0.0 X 0 0 0 KRIS HARDEN DIRECTOR 1.0 0.0 X 0 0 0 LEON HANSEN DIRECTOR 1.0 0.0 X 0 0 0 LUZ RAMIREZ DIRECTOR 1.0 0.0 X 0 0 0 PETER MAZANEC DIRECTOR 1.0 0.0 X 0 0 0 RICHARD WALSH VICE CHAIR; CHAIR BEG 01/23 1.0 0.0 X X 0 0 0 3759758 0 415417 73 false true false SCHMELLING CONSTRUCTION 315 HARRISON AVE ROCKFORD IL 61104 CONSTRUCTION 2799539 KLH CONSULTING 2324 BETHARDS DR SANTA ROSA CA 95405 IT CONSULTING 842357 FURST STAFFING SERVICES 2580 CHARLES ST ROCKFORD IL 61108 TEMPORARY STAFF 497286 ECLINICALWORKS LLC 2 TECHNOLOGY DR WESTBOROUGH MA 01581 EMR MAINTENANCE 426939 VANS BUILDING SERVICE INC 633 PROGRESSIVE LN UNIT 1 ROCKFORD IL 61108 JANITORIAL 351542 8 123709 14633146 131895 14888750 NET PATIENT SERVICE REVENUE 624100 41304152 41304152 MANAGEMENT FEES 624100 184978 184978 OTHER REVENUE 624100 143341 143341 41632471 1554788 1554788 0 0 10967 10967 0 10967 10967 1500000 1468497 31503 31503 31503 0 0 0 0 0 0 0 0 0 0 58118479 41632471 1597258 11000 11000 0 0 0 2599180 1846002 753178 0 25429138 21764195 3664943 520247 441324 78923 3349318 2743575 605743 1953540 1757416 196124 0 191860 191860 138658 138658 0 0 0 4347716 3097242 1250474 74374 74374 659409 479326 180083 350403 154525 195878 0 946054 798719 147335 171816 92746 79070 0 154472 116487 37985 0 0 2242194 1893002 349192 0 MEDICAL SUPPLIES & DRUGS 7212435 7212435 REPAIRS & MAINTENANCE 1589405 1278243 311162 LICENSES, DUES, SUBSCRIPTIONS 301818 115412 186406 RECRUITING & RETENTION 55659 55659 52298696 43801649 8497047 0 0 0 9735638 10412148 934 1010 2545220 2257503 0 0 0 0 0 0 65715 82193 241615 329107 50761079 20549837 28425221 30211242 39771351 43228833 0 0 0 0 0 0 8568902 9505659 89354596 96027695 6317466 6529466 0 0 62468 98459 0 0 0 0 0 0 0 0 0 0 0 0 6379934 6627925 X 76279499 82491516 6695163 6908254 82974662 89399770 89354596 96027695 X 5819783 246073 359252 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, QUESTIONS 1A, 1B, 1D, 1G, & 1H LOBBYING ACTIVITIES: PERIODICALLY, MANAGEMENT AND BOARD MEMBERS WRITE LETTERS AND MAKE PRESENTATIONS ON HEALTH CARE RELATED MATTERS TO EDUCATE ELECTED OFFICIALS AND THE PUBLIC. A DE MINIMIS AMOUNT OF FUNDS ARE SPENT ON THESE ACTIVITIES (LESS THAN $5,000). SCHEDULE C, PART II-B, QUESTION 1I OTHER LOBBYING: THE ORGANIZATION PAYS DUES TO NACHC AND IPHCA AND MEDICATION PROFESSONAL ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. false 3050534 3050534 37422726 14320811 23101915 7713217 5444396 2268821 2574602 784630 1789972 30211242 Interest in Net Assets of CHF 6908254 Other Receivables 2597405 9505659 58510713 246073 146161 392234 58118479 58118479 52298696 52298696 52298696 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: $ 146,141 NET ASSETS RELEASED FROM RESTRICTIONS true ROCK VALLEY COLLEGE 3301 N MULFORD ROAD ROCKFOD IL 611145699 501(C)(3) 11000 TO FUND SCHOLARSHIPS FOR MA STUDENTS 1 X X X X X false false false false false true false true false LUIS DELGADO VP FINANCE 131401 0 4442 0 11435 0 7231 0 30599 0 185108 0 0 0 SAMUEL MILLER CEO 368720 0 45271 0 31862 0 13725 0 32399 0 491977 0 0 0 TERRY WHITE COO 227964 0 7431 0 13803 0 11177 0 11431 0 271806 0 0 0 KIMBERLY MILLER FAMILY MEDICINE - DEPT CHAIR 233283 0 7583 0 312 0 10842 0 0 0 252020 0 0 0 ANTOUN AL KHABBAZ WHS - DEPT CHAIR 460155 0 17215 0 34922 0 13725 0 31536 0 557553 0 0 0 CARLY KRUSE PHYSICIAN 279206 0 17250 0 3566 0 0 0 5056 0 305078 0 0 0 KAREN MOSES PHYSICIAN 290996 0 18250 0 7808 0 3306 0 35327 0 355687 0 0 0 MARIA CASTILLO CLAVIJO PHYSICIAN 228733 0 7572 0 11013 0 11449 0 28956 0 287723 0 0 0 NIVEDITA KARMAKAR PHYSICIAN 230169 0 7826 0 1062 0 11209 0 32907 0 283173 0 0 0 VANESSA NIENHOUSE PHYSICIAN 292113 0 18250 0 1645 0 3482 0 28844 0 344334 0 0 0 ELIZABETH HENNING VP OF RISK MANAGEMENT 176144 0 5858 0 772 0 8586 0 25433 0 216793 0 0 0 DINA GIRGIS DENTAL - DEPT CHAIR 164933 0 5444 0 745 0 7915 0 11704 0 190741 0 0 0 GARY FERNANDO CMO 205521 0 5330 0 269 0 0 0 30327 0 241447 0 0 0 KERIN CUMMINS CRUSADERNOW LEAD 132854 0 6201 0 44429 0 8251 0 0 0 191735 0 0 0 SCHEDULE J, PART I, LINE 6A A PORTION OF THE CEO'S PERFORMANCE INCENTIVE WAS BASED ON ACHIEVING CERTAIN FINANCIAL GOALS. SCHEDULE J, PART 1, LINE 7 EMPLOYEES WERE GRANTED A BONUS THAT WAS NOT TIED TO ANY PERFORMANCE GOALS. FORM 990, PART 1, 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 ROCK RIVER VALLEY WITH QUALITY, PRIMARY HEALTH CARE FOR ALL PEOPLE IN NEED. CRUSADER COMMUNITY HEALTH PLAYS A VITAL HEALTH CARE ROLE IN THIS COMMUNITY, SERVING PATIENTS UNABLE TO AFFORD THE RISING COST OF HEALTH CARE. WHILE THERE ARE NO RESTRICTIONS ON WHO CAN UTILIZE ITS SERVICES, CRUSADER SPECIALIZES IN SERVING MEDICALLY UNDERSERVED INDIVIDUAL - THE HOMELESS, FAMILIES IN POVERTY, HIGH-RISK PREGNANT WOMEN, PERSONS WITH HIV/AIDS, THE ELDERLY AND THOSE WITH CHRONIC DISEASES. WITHOUT CRUSADER, A BROAD AND GROWING SEGMENT OF THE COMMUNITY WOULD FAIL TO RECEIVE THE PRIMARY HEALTH CARE THAT REDUCES THE COST OF CATASTROPHIC ILLNESS. MEDICAL SERVICES ARE PROVIDED ON AN AFFORDABLE SLIDING DISCOUNT BASIS AND INTEGRATE HEALTH PROMOTION AND DISEASE PREVENTION INTO A PROGRAM OF COMPREHENSIVE HEALTH CARE. FORM 990, PART III, LINE 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. ADULTS FOR ADULT PATIENTS, CRUSADER PROVIDES PREVENTATIVE CARE AND DIAGNOSIS AND TREATMENT FOR A WIDE RANGE OF ACUTE AND CHRONIC DISEASES. CARE IS DELIVERED THROUGH A TEAM OF BOARD-CERTIFIED MEDICAL PROVIDERS. SOME OF THE SPECIFIC SERVICES AVAILABLE INCLUDE: CHRONIC DISEASE MANAGEMENT, MEDICAL TREATMENT FOR ACUTE CONDITIONS, PHYSICALS, DIABETES EDUCATION AND TREATMENT, HEALTH EDUCATION SERVICES, ASTHMA EDUCATION AND TREATMENT, IMMUNIZATIONS, LABORATORY SERVICES, AND MINOR INJURY CARE. BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY LICENSED CLINICAL SOCIAL WORKERS AND LICENSED CLINICAL PROFESSIONAL COUNSELORS ON-SITE AT EACH OF OUR LOCATIONS. THE BEHAVIORAL HEALTH SPECIALISTS SCHEDULE APPOINTMENTS AND ALSO PLAY AN IMPORTANT ROLE BY BEING EMBEDDED ON THE MEDICAL UNITS TO BE AVAILABLE WHEN A BEHAVIORAL HEALTH ISSUE ARISESDURING ROUTINE MEDICAL APPOINTMENTS. SPECIALTY SERVICES A RANGE OF SPECIALTY SERVICES ARE AVAILABLE TO CRUSADER COMMUNITY HEALTH PATIENTS, SOME OF WHICH INCLUDE: PODIATRY AND INFECTIOUS DISEASE. TO BETTER SERVE OUR PEDIATRIC AND ADULT PATIENTS, CRUSADERS OFFERS WALK-IN CLINICS AT THREE CONVENIENT LOCATIONS, BROADWAY, ALPINE, AND WEST STATE. FORM 990, PART III, LINE 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 WEST STATE STREET. SERVICES ARE OFFERED CONFIDENTIALLY IN A CARING AND SUPPORTIVE ENVIRONMENT. IN ADDITION TO PROVIDING SERVICES THROUGH ITS PHYSICIAN STAFF, CRUSADER COMMUNITY HEALTH CONTRACTS WITH SWEDISH AMERICAN-INFECTIOUS DISEASE TO PROVIDE ADDITIONAL SUPPORT. OTHER SERVICES OFFERED THROUGH A NURSE PRACTITIONER, PHYSICIAN ASSISTANT, NURSES, CASE MANAGERS AND A LICENSED CLINICAL SOCIAL WORKER. HOMELESS SERVICES CRUSADER COMMUNITY HEALTH'S HEALTH CARE FOR THE HOMELESS PROGRAM WAS ESTABLISHED IN 1988. ITS MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL CARE FOR HOMELESS INDIVIDUALS WITHIN THE ROCKFORD AREA. THE PROGRAM CONSISTS OF PHYSICIANS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES AND CARE MANAGERS COMMITTED TO HELPING CLIENTS ACCESS MEDICAL SERVICES. SERVICES ARE PROVIDED WITHIN CRUSADER COMMUNITY HEALTH AND AT A VARIETY OF SITES THROUGHOUT THE COMMUNITY. HEALTH EDUCATION THE HEALTH EDUCATION DEPARTMENT OFFERS INTENSIVE CASE MANAGEMENT SERVICES FOR PATIENTS LIVING WITH CHRONIC DISEASES INCLUDING DIABETES, ASTHMA, CONGESTIVE HEART FAILURE (CHF), AND OBESITY (WEIGHT MANAGEMENT). THE DEPARTMENT OFFERS EDUCATION SERVICES IN BOTH A CLASSROOM SETTING AND ONE-TO-ONE SESSIONS IN BOTH ENGLISH AND SPANISH. THE CLINICAL STAFF OF THE PROGRAM IS MADE UP OF HEALTH EDUCATORS. THE DEPARTMENT OFFERS COMMUNITY PROGRAMS THROUGHOUT THE AREA (PRIMARILY WINNEBAGO, BOONE AND STEPHENSON COUNTIES). COMMUNITY SERVICES INCLUDE BLOOD GLUCOSE SCREENINGS FOR DIABETES THROUGH THE COSMOPOLITAN DIABETES PROGRAM AND PUBLIC SPEAKING ENGAGEMENTS ON A VARIETY OF HEALTH-RELATED TOPICS. FORM 990, PART VI, 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 FINANCE DEPARTMENT OF THE ORGANIZATION. THE CEO REVIEWS THE FORM 990. A FINAL DRAFT OF THE RETURN IS EMAILED TO ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST MONITORING: THE CORPORATION PROHIBITS STAFF MEMBERS OR MEMBERS OF THE BOARD OF DIRECTORS FROM USING THEIR POSITION FOR PURPOSES THAT ARE, OR GIVE THE APPEARANCE OF BEING, MOTIVATED BY A DESIRE FOR PRIVATE FINANCIAL GAIN FOR THEMSELVES OR OTHERS WITH WHOM THEY HAVE FAMILY BUSINESS OF OTHER TIES. BOARD MEMBERS AND EXECUTIVE MANAGEMENT DISCLOSE IN WRITING (AND UPDATED YEARLY) ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT. IN ADDITION, THE INDIVIDUAL STAFF MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT IS PROHIBITED FROM INVOLVEMENT IN THE SELECTION, AWARD AND ADMINISTRATION OF ANY SUCH CONTRACT; A CONFLICTED BOARD MEMBER DISQUALIFIES HIMSELF/HERSELF FROM VOTING AND COMMENTING ON THE CONTRACTOR'S SELECTION AND ANY MONITORING OR OVERSIGHT FUNCTION. FORM 990, PART VI, SECTION B, LINE 15A & B PROCESS FOR DETERMINING COMPENSATION: ANNUALLY THE CEO'S COMPENSATION REVIEW IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD, WITH APPROVAL BY THE FULL BOARD. THE IPHCA, MGMA AND NACHC COMPENSATION SURVEYS ARE USED AS COMPARABILITY DATA. THE PROCESS IS DOCUMENTED IN A REPORT REFERENCED BY THE EXECUTIVE COMMITTEE MINUTES AND THE BOARD MINUTES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS WOULD BE AVAILABLE FOR VIEWING AT THE ORGANIZATION'S OFFICE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $359,252 INCREASE IN NET ASSETS FOUNDATION