Facility Profile and Agreement

Service Agreement and Terms Summary

(See Full Service Agreement and Terms, Link provided below).

This agreement is entered into between Illiana Nurse Network, LLC (Provider), represented by Crystal Lopez-Kroll, Licensed Practical Nurse, and the Facility named above. The Provider will work as a 1099 independent contractor under the supervision of the facility’s licensed RN and/or physician and facility policies. The Provider supplies their own liability insurance ($1 Million per incident / $6 Million aggregated) and will provide current copy of Certificate of Insurance, proof of active unencumbered state license(s), certifications, vaccines, TB test results and W-9 & Direct Deposit Information for timely Invoice payments.

Cancellations: If Facility cancels less than 2 hours before the shift, 2 hours will be billed at the agreed rate. If cancellation occurs after the nurse arrives, the full shift will be billed.

If Provider cancels less than 2 hours before the shift or no-shows, Facility receives a credit equal to 2 hours at the bill rate, unless an emergency can be proven.

Non-compete/Non-disclosure: Provider will not recruit Facility staff or discuss pay/contract terms with Facility Staff. Provider will only state that she works for an agency.

Scheduling & Availability Notice

Illiana Nurse does not require facilities to commit to a guaranteed minimum number of hours. Likewise, the provider cannot guarantee availability for all requested shifts. If specific dates, shifts, or hours are needed, we encourage facilities to schedule as early as possible. All bookings are honored on a first-come, first-served basis.

Termination: Agreement can be terminated with 7 days written notice. Provider reserves the right to cancel a shift if nurse-to-patient ratios are unsafe, CNA support is insufficient, or the facility/location is deemed unsafe by the provider.