2020-11-16T13:20:05-06:00 2019-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2019-01-01 371140016 CARLE HEALTH CARE INCORPORATED % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 W Park Street Urbana IL 61801 DENNIS HESCH Exec VP & CFO 2173833311 2020-11-16 true JENNIFER D RHODERICK P00395735 3176817000 69.136.161.74 35057220203215000035 2020-11-16 P 2EF722B56E1BCDDC445E4E7FAAD8245590B511AD 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 2019 2021-01-29 14:40:06Z Dennis Hesch Exec VP CFO 611 W Park Street Urbana IL 61801 299446222 false X WWW.CARLE.ORG X 1983 IL THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES. 7 5 1518 0 995866 -276224 643526 812752 296018115 298611901 945690 0 0 21569 297607331 299446222 0 0 0 0 292439188 310885787 0 0 0 85831550 92989095 378270738 403874882 -80663407 -104428660 45340823 45241513 44298978 52776826 1041845 -7535313 X THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. THE CORPORATION SHALL ENGAGE IN ANY LAWFUL ACTIVITIES WITHIN THE PURPOSES FOR WHICH A CORPORATION MAY BE ORGANIZED UNDER THE ILLINOIS GENERAL NOT FOR PROFIT ACT OF 1986. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, OPERATING FACILITIES AND DIVISIONS THAT WILL PROVIDE HEALTH CARE AND OTHER RELATED SERVICES AS WELL AS EMPLOYING PHYSICIANS AND OTHERS FOR THAT PURPOSE. false false 384282437 287029473 CARLE PHYSICIAN GROUP (CPG) - SERVING PEOPLE THROUGH HIGH QUALITY CARE, RESEARCH AND EDUCATION. TO PROVIDE PHYSICIAN AND RELATED SERVICES THAT MAINTAIN OR ENHANCE CLINICAL SERVICES. IN 2019, CPG PERFORMED APPROXIMATELY 863,485 OUTPATIENT VISITS AND MADE NEARLY 26,151 PHYSICIAN ADMISSIONS TO THE CARLE FOUNDATION HOSPITAL (CFH). IN ADDITION, CPG PHYSICIANS PERFORMED APPROXIMATELY 14,577 SURGERIES AT CFH. 10396186 12013546 ARROW AMBULANCE, LLC (ARROW) PROVIDES EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION IN THE CHAMPAIGN-URBANA AREA AND MANY OUTLYING COMMUNITIES IN CHAMPAIGN COUNTY. IN ADDITION, ARROW PROVIDES SERVICES IN VERMILION, DOUGLAS, DEWITT, AND RICHLAND COUNTIES WITH MULTIPLE, EXCLUSIVE SERVICE AGREEMENTS IN THE COUNTIES AND AREAS SERVICED. ARROW HAS A TOTAL OF 32 AMBULANCES, INCLUDING ONE SPECIFICALLY FOR NICU, OB AND PEDIATRIC PATIENTS. ARROW PROVIDES OVER 32,900 TRANSPORTS PER YEAR OVER APPROXIMATELY 2,500 SQUARE MILES. 2046436 1101504 THE CARING PLACE FOSTERS THE DEVELOPMENT OF THE WHOLE CHILD IN A SAFE, NURTURING, NON-PRESSURED ATMOSPHERE THROUGH PLAY AND VARIED EXPERIENCES. THE CARING PLACE AND CAMP CARING PLACE CURRENTLY HAVE 204 CHILDREN ENROLLED WITH 96 BEING CHILDREN OF CARLE EMPLOYEES, WHO RECEIVE A 10% DISCOUNT ON THEIR TUITION. THE CARING PLACE ALSO ACCEPTS FAMILIES WHO UTILIZE CHILD CARE RESOURCE SERVICES WHICH IS A STATE LEVEL LOW-INCOME SUBSIDY PROGRAM. IN 2019, THE CARING PLACE ACCEPTED 23 FAMILIES WITH 31 STUDENTS UNDER THE STATE PROGRAM. 2718691 -1532622 399443750 true true false true false false false false false false true false true false true true false true false false false false false false false false false false false true false false false false false false true false true false false false true true true true false false true 64 0 true 1518 true true true false false false false false false false false false false false X 7 5 true false false false true true true true true false false true true true true true true false false true true IL X X DENNIS HESCH EXEC VP CFO 2173833311 611 W PARK ST URBANA IL 61801 X John Snyder Exec VP & COO (Thru 6/2019) 0.0 0.0 X 0 2476327 2177803 James C Leonard MD Ex-Officio, President & CEO 0.2 39.8 X 0 2367391 541616 Matthew Gibb MD Exec VP & CMO Thru 2/19 0.0 0.0 X 0 1574149 1110158 Stephanie Beever Key Employee -Former thru 6/19 0.0 0.0 X 0 1171532 1090024 Dennis Hesch Exec VP & CFO 6.0 34.0 X 0 1293567 288860 Craig Neitzel MD Physician 40.0 0.0 X 1384812 0 46116 Robert Bane MD Physician 40.0 0.0 X 1143705 0 44616 Laurence Fallon KEY EMPLOYEE - FORMER 5.0 35.0 X 0 948548 230518 William Holmes MD Physician 40.0 0.0 X 1055100 0 47316 Amrendra Miranpuri MD Physician 40.0 0.0 X 1072681 0 25251 Kevin Teal MD Physician 40.0 0.0 X 1040547 0 45196 Matthew Kolb Exec VP & COO 7.0 33.0 X 0 703948 129541 Charles Dennis MD STA Exec VP, Chief Medical Officer 19.0 21.0 X 0 677106 99150 Blair Rowitz MD Assoc CMO - Surgical Services 10.0 30.0 X 712168 0 43544 Lynette Barnes COO-CFH & SVP-Facilities 5.0 35.0 X 0 585085 118683 Malec Mokraoui MD KEY EMPLOYEE - FORMER 30.0 10.0 X 654426 0 33804 Andy Arwari MD Secretary & Physician 0.2 39.8 X X 582601 0 48616 Issam Moussa MD Med Dir-HVI 39.0 1.0 X 597393 0 24611 Uretz Oliphant MD Trustee & Physician 39.0 1.0 X 538611 0 18310 Lauren Schmid Exec VP, Chief HR Officer 2.0 38.0 X 0 430309 98880 Sally Salmons MD VP-Assoc CMO Hosp Med 28.0 12.0 X 0 405652 77564 Dawn Walden Key Employee - Former 10.0 30.0 X 0 391471 90301 Caleb Miller SVP Surg/Diag Svcs, Prim Care 34.0 6.0 X 0 375903 100840 Kenneth Aronson MD Med Dir - Neuroscience Inst 0.2 39.8 X 416957 0 34750 Julianna Sellett Key Employee - Former 0.0 0.0 X 0 311822 86204 Jon Stewart Trustee 1.0 2.0 X 0 22500 0 Karl Appelquist Chair of Board 0.5 7.5 X X 0 0 0 Paul Tucker Vice Chair of Board 0.5 6.5 X X 0 0 0 Guy Hall Immediate Past Chair 1.0 4.5 X 0 0 0 Mark Czys Trustee (START 09/19) 2.0 4.0 X 0 0 0 9199001 13712810 6652272 763 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 3824477 HAYES HEALTHCARE LLC 6700 NORTH ANDREWS AVE STE 600 FT LAUDERDALE FL 33309 PHYSICIAN STAFFING 2410239 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN STAFFING 1763221 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 MEDICAL STAFFING 892543 MEDICUS HEALTHCARE SOLUTIONS 22 ROULSTON ROAD WINDHAM NH 03087 MEDICAL STAFFING 842555 32 X 332015 480737 0 105856 812752 PATIENT SERVICE REVENUE 621110 246890271 246890271 OTHER PHYSICIAN/PROG REV 621110 34734988 34100522 634466 SURGICENTER REVENUE 621400 -2720858 -2720858 AMBULANCE REVENUE 621910 12005226 12005226 DAYCARE REVENUE 624410 1101504 787568 313936 6600770 6553306 47464 298611901 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INTEREST ON BILLED ACCOUNTS 21569 21569 21569 299446222 297616035 995866 21569 0 0 0 0 3100053 3100053 273519 273519 270409254 269868187 541067 12568812 12531649 37163 12907116 12828870 78246 11627033 11576134 50899 0 0 0 939 939 0 0 24449258 23757312 691946 7272 7272 1666122 1523544 142578 445695 357215 88480 0 1981658 1971642 10016 2020619 1914860 105759 0 965596 962101 3495 67544 48284 19260 0 1148216 664931 483285 2962625 2805685 156940 INTERNAL MANAGEMENT FEES 46113367 44115447 1997920 PATIENT CARE SUPPLIES 9489365 9489365 OTHER PURCHASED SERVICE 925252 901261 23991 RECRUITMENT 292875 292875 452692 452605 87 403874882 399443750 4431132 0 -1339721 1320786 0 0 0 0 30030693 26136562 0 0 0 0 0 0 0 0 771968 284698 13656748 9078000 4112778 4578748 0 0 0 0 11765105 12040146 0 0 0 880573 45340823 45241513 44298978 52334820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442006 44298978 52776826 X 1041845 -7535313 0 0 1041845 -7535313 45340823 45241513 X -104428660 95851502 X false true X true true true X 533851 796663 622739 643526 812752 3409531 252158964 255005203 279266571 294739419 297616035 1378786192 0 0 0 252692815 255801866 279889310 295382945 298428787 1382195723 0 0 0 1382195723 16 211 0 2592 21569 24388 0 16 211 0 2592 21569 24388 0 0 252692831 255802077 279889310 295385537 298450356 1382220111 0.99998 1.00000 0.00002 0.00000 X Schedule A, Part III, Line 7a & 7b HEATH CARE RELATED SERVICES PROVIDED BY CARLE HEALTH CARE INCORPORATED DURING THE ORDINARY COURSE OF BUSINESS ARE PROVIDED TO DISREGARDED PERSONS UNDER THE SAME TERMS AS PROVIDED TO THE GENERAL PUBLIC AND ARE CHARGED NORMAL CUSTOMARY CHARGES FOR HEALTH CARE SERVICES. DUE TO PATIENT PRIVACY CONCERNS, HEALTH CARE SERVICES PROVIDED TO DISREGARDED PERSONS HAVE NOT BEEN QUANTIFIED. HOWEVER, CARLE HEALTH CARE INCORPORATED DOES NOT BELIEVE IT WOULD MATERIALLY IMPACT THE PUBLIC SUPPORT PERCENTAGE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 939 939 false Schedule C, Part II-B, line (i) $939-PORTION OF DUES ATTRIBUTABLE TO MISCELLANEOUS HEALTH CARE ORGANIZATIONS. 137041 137041 1151594 798530 353064 90150 62202 27948 7049112 4636767 2412345 5228851 3580501 1648350 4578748 CHAMPAIGN SURGICENTER LLC 12040146 C 12040146 0 FINANCE LEASE LIABILITY - LT 442006 442006 X FIN 48 (ASC740) FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2019 AND 2018. true true false true false false false true false Andy Arwari MD Secretary & Physician 544198 0 25060 0 13343 0 22542 0 26074 0 631217 0 0 0 Uretz Oliphant MD Trustee & Physician 501705 0 1463 0 35443 0 16942 0 1368 0 556921 0 0 0 Kenneth Aronson MD Med Dir - Neuroscience Inst 364735 0 24960 0 27262 0 22542 0 12208 0 451707 0 0 0 James C Leonard MD Ex-Officio, President & CEO 0 1364934 0 467565 0 534892 0 534231 0 7385 0 2909007 0 501708 John Snyder Exec VP & COO (Thru 6/2019) 0 482857 0 298156 0 1695314 0 2161020 0 16783 0 4654130 0 1076615 Dennis Hesch Exec VP & CFO 0 817104 0 188433 0 288030 0 273284 0 15576 0 1582427 0 262322 Matthew Gibb MD Exec VP & CMO Thru 2/19 0 105783 0 164915 0 1303451 0 1099022 0 11136 0 2684307 0 663578 Laurence Fallon KEY EMPLOYEE - FORMER 0 586747 0 145606 0 216195 0 208671 0 21847 0 1179066 0 187071 Blair Rowitz MD Assoc CMO - Surgical Services 651656 0 38025 0 22487 0 22542 0 21002 0 755712 0 0 0 Malec Mokraoui MD KEY EMPLOYEE - FORMER 578226 40100 36100 22542 11262 688230 0 Lynette Barnes COO-CFH & SVP-Facilities 0 346208 0 72337 0 166540 0 112772 0 5911 0 703768 0 127249 Matthew Kolb Exec VP & COO 0 537981 0 58621 0 107346 0 104199 0 25342 0 833489 0 40837 Lauren Schmid Exec VP, Chief HR Officer 0 322593 0 40818 0 66898 0 76250 0 22630 0 529189 0 44771 Sally Salmons MD VP-Assoc CMO Hosp Med 0 350208 0 48601 0 6843 0 62826 0 14738 0 483216 0 0 Caleb Miller SVP Surg/Diag Svcs, Prim Care 0 261283 0 51283 0 63337 0 74476 0 26364 0 476743 0 31645 Issam Moussa MD Med Dir-HVI 583512 0 8775 0 5106 0 0 0 24611 0 622004 0 0 0 Craig Neitzel MD Physician 1359981 0 2500 0 22331 0 22542 0 23574 0 1430928 0 0 0 Robert Bane MD Physician 1111399 0 10100 0 22206 0 22542 0 22074 0 1188321 0 0 0 William Holmes MD Physician 1007707 0 25050 0 22343 0 22542 0 24774 0 1102416 0 0 0 Kevin Teal MD Physician 1015006 0 0 0 25541 0 22542 0 22654 0 1085743 0 0 0 Stephanie Beever Key Employee -Former thru 6/19 0 243318 0 127452 0 800762 0 1078177 0 11847 0 2261556 0 465733 Dawn Walden Key Employee - Former 0 282455 0 41872 0 67144 0 78254 0 12047 0 481772 0 53610 Julianna Sellett Key Employee - Former 0 212845 0 33471 0 65506 0 62087 0 24117 0 398026 0 38528 Charles Dennis MD START 0219 Exec VP, Chief Medical Officer 0 562415 0 89059 0 25632 0 79334 0 19816 0 776256 0 0 Amrendra Miranpuri MD Physician 1066018 0 0 0 6663 0 5600 0 19651 0 1097932 0 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION FOR CARLE HEALTH CARE INCORPORATED, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE FORM 990, SCHEDULE J, PART I, QUESTION 4A FORM 990, SCHEDULE J, PART I, QUESTION 4A IN 2019, SEVERANCE PAYMENTS WERE PAID TO STEPHANIE BEEVER ($301,898), MATTHEW GIBB, MD ($602,729), AND JOHN SNYDER ($586,504). FORM 990, SCHEDULE J, PART I, QUESTION 4B THE 2019 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HEALTH CARE INCORPORATED, THAT ARE LISTED IN THE 990 PART VII INCLUDE LYNETTE BARNES, STEPHANIE BEEVER, CHARLES DENNIS, MD, LAURENCE FALLON, MATTHEW GIBB, MD, DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, CALEB MILLER, SALLY SALMONS, MD, LAUREN SCHMID, JULIANNA SELLETT, JOHN SNYDER, AND DAWN WALDEN. THE 2019 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO LYNETTE BARNES ($127,249), STEPHANIE BEEVER ($465,733), LAURENCE FALLON ($187,071), MATTHEW GIBB, MD ($663,578), DENNIS HESCH ($262,322), MATTHEW KOLB ($40,837), JAMES LEONARD, MD ($501,708), CABLEB MILLER ($31,645), LAUREN SCHMID ($44,771), JULIANNA SELLETT ($38,528), JOHN SNYDER ($1,076,615), AND DAWN WALDEN ($53,610). FORM 990, SCHEDULE J, PART I, QUESTION 5A PHYSICIAN'S COMPENSATION IS PARTIALLY BASED ON PRODUCTION. FORM 990, SCHEDULE J, PART I, QUESTION 7 PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. JANETTE GIBB FAMILY MEMBER OF OFFICER 62467 EMPLOYMENT false JOHN SELLET FAMILY MEMBER OF FORMER KEY EMPLOYEE 188033 EMPLOYMENT false SARI ARONSON FAMILY MEMBER OF KEY EMPLOYEE 23019 EMPLOYMENT false X SEE PART II 1 105856 FMV false false false SCHEDULE M, PART I, LINE 25 DESCRIPTION OF OTHER PROPERTY Televisions for Cancer infusion suite, Prescription to Read pediatric patient book program, breast pump, diversional toys for children, etc to further support patient experiences, and other materials for various patient support groups. THE CARLE DEVELOPMENT FOUNDATION IS THE SOURCE OF ALL THESE CONTRIBUTIONS AND HAS A POLICY THAT MANDATES REVIEW OF ANY NON-STANDARD CONTRIBUTION. FORM 990, PART III, QUESTION 4D OTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CHAMPAIGN SURGICENTER, LLC (ASC) AND AIRLIFE. THE CHAMPAIGN SURGICENTER IS A FREE-STANDING AMBULATORY SURGERY CENTER LOCATED IN CHAMPAIGN, IL. THE ASC IS A FULL SERVICE OUTPATIENT SURGERY CENTER WITH OPERATING ROOMS, A RECOVERY AREA AND LIMITED LABORATORY AND RADIOLOGY SERVICES AVAILABLE. IN 2019, NEARLY 8,956 PROCEDURES WERE PERFORMED ACROSS A WIDE VARIETY OF MEDICAL SPECIALTIES. AIRLIFE, A COLLABORATIVE EFFORT BETWEEN AIR METHODS AND CARLE, PROVIDES COMPLETE AIR MEDICAL TRANSPORTATION SERVICES THROUGHOUT EAST CENTRAL ILLINOIS. AIRLIFE IS STATIONED AT THE CARLE FOUNDATION HOSPITAL AROUND THE CLOCK WITH A TEAM ON SITE AND READY FOR TAKE-OFF WITHIN MINUTES. THE FLIGHT CREW CONSISTS OF EXPERIENCED EMERGENCY MEDICAL PILOTS, PHYSICIANS, CRITICAL CARE FLIGHT REGISTERED NURSES, NEONATAL NURSES, HIGH-RISK OBSTETRIC NURSES AND CRITICAL CARE FLIGHT PARAMEDICS. FORM 990, PART VI, QUESTION 2 JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW KOLB (OFFICER), CHARLES DENNIS, MD (OFFICER), SALLY SALMONS, MD (KEY EMPLOYEE), BLAIR ROWITZ, MD (KEY EMPLOYEE) AND LAURENCE FALLON (FORMER KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. GUY HALL (IMMEDIATE PAST CHAIR), JAMES C. LEONARD, MD (EX-OFFICIO), KARL APPELQUIST (CHAIR OF THE BOARD), URETZ OLIPHANT, MD (TRUSTEE), PAUL TUCKER (VICE CHAIRMAN OF THE BOARD), ANDY ARWARI, MD (SECRETARY OF THE BOARD), MARK CZYS (TRUSTEE), AND JON STEWART (TRUSTEE) HAD A BUSINESS RELATIONSHIP. GUY HALL (IMMEDIATE PAST CHAIR), JAMES C. LEONARD, MD (EX-OFFICIO), URETZ OLIPHANT, MD (TRUSTEE), PAUL TUCKER (VICE CHAIRMAN OF THE BOARD), ANDY ARWARI, MD (SECRETARY OF THE BOARD), MARK CZYS (TRUSTEE), AND JON STEWART (TRUSTEE) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW KOLB (OFFICER), AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), JON STEWART (TRUSTEE), CHARLES DENNIS, MD (OFFICER), AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. MATTHEW KOLB (OFFICER) AND CHARLES DENNIS, MD (OFFICER) HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, QUESTION 6 CARLE HEALTH CARE INCORPORATED HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. FORM 990, PART VI, QUESTION 7A CARLE HEALTH CARE INCORPORATED'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. FORM 990, PART VI, QUESTION 7B CARLE HEALTH CARE INCORPORATED'S (CHCI) BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF THE CORPORATION; AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF THE PRESIDENT/CEO'S AUTHORIZED SPENDING AUTHORITY AS DESCRIBED IN THE FINANCE POLICIES OF THE CARLE FOUNDATION (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGETS; TO APPROVE THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE CORPORATION, ANY SUBSIDIARY AND/OR AFFILIATE; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO APPROVE ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INCURRENCE OF INDEBTEDNESS BY OR IN THE NAME OF THE CORPORATION; TO PLEDGE ALL OR PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION OF THE CORPORATION, SUBSIDIARY AND/OR AFFILIATE OF THE CORPORATION; TO AUTHORIZE ENTRY INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD FOR A PERMIT OR CERTIFICATE OF NEED; TO APPROVE PAYMENT TO THE MEMBERS OF THE CHCI BOARD OF TRUSTEES OF THEIR EXPENSES, IF ANY, FOR ATTENDANCE AT THE MEETINGS OF THE CHCI BOARD OF TRUSTEES OR ANY SUMS AS COMPENSATION FOR ATTENDANCE AT SUCH MEETINGS OR AS STATED SALARY FOR SERVICE AS TRUSTEES. FORM 990, PART VI, QUESTION 11A & 11B THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO BEFORE FILING, EACH TRUSTEE RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION, EACH TRUSTEE HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. FORM 990, PART VI, QUESTION 12-16 QUESTIONS ANSWERED AFFIRMATIVELY ARE APPLICABLE TO ALL DISREGARDED ENTITIES. FORM 990, PART VI, QUESTION 12C THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE HUMAN RESOURCES DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER, DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, QUESTION 15A & 15B CARLE HEALTH CARE INCORPORATED DOES NOT COMPENSATE THE CEO OR MAJORITY OF OFFICERS AND KEY EMPLOYEES. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION FOR CARLE HEALTH CARE INCORPORATED, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: * THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. * THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. * THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. * THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTION 18 & 19 THE CARLE FOUNDATION PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. FORM 990, PART VII, SECTION A, COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. FORM 990, PART VIII, LINE 2 OTHER PHYSICIAN AND PROGRAM REVENUE IS COMPRISED LARGELY OF INTERNAL REVENUE RESULTING FROM CARLE PHYSICIAN GROUP PROVIDING SERVICES TO OTHER RELATED ORGANIZATIONS IN THE CONSOLIDATED GROUP. FORM 990, PART XI, LINE 9 CARLE HEALTH CARE INCORPORATED SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $95,851,502. THESE INTERCOMPANY RECEIVABLE/PAYABLE BALANCES RESULT FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSE. ARROW AMBULANCE LLC 611 W Park Street Urbana IL 61801 273054181 AMBULANCE IL 12442331 5435904 CHCI The Carle Foundation 611 W Park Street Urbana IL 61801 370673465 Parent/Invmgt IL 501(c)(3) 12C III-FI NA false The Carle Foundation Hospital 611 W Park Street Urbana IL 61801 371119538 Hospital SVCS IL 501(c)(3) 3 TCF true The Carle Development Foundation 611 W Park Street Urbana IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true Carle Retirement Centers Inc 611 W Park Street Urbana IL 61801 371160033 RTRMT LIVING IL 501(c)(3) 10 TCF true Carle Community Health Corporation 611 W Park Street Urbana IL 61801 364458371 FNDN MISSION IL 501(c)(3) 12a TYPE I TCDF true Hoopeston Community Memorial Hospital 701 E Orange Street Hoopeston IL 60942 363637465 Hospital SVCS IL 501(c)(3) 3 TCF true Richland Memorial Hospital Inc 800 East Locust Street Olney IL 62450 371363001 Hospital SVCS IL 501(C)(3) 3 TCF true CHAMPAIGN SURGICNTR 611 W PARK ST URBANA IL 61801 201915925 SURGICAL CENT IL CHCI RELATED -2720858 22043568 false false 0.60000 Health Systems Insurance Limited Governors Sq 2nd FL Bldg 3 Grand Cayman CJ KY1-1102 INSURANCE CJ NA C Corp true Carle Risk Management Company 611 W Park Street Urbana IL 618012595 371217973 RISK MANAGEME IL NA C Corp true Evalidata Inc 611 W Park Street Urbana IL 618012595 462022658 Phys Credenti IL NA C Corp true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 HOLDING COMPA IL NA C CORP true Carle Holding Company Inc 611 W Part Street Urbana IL 618012595 371188284 HOLDING COMPA IL NA C Corp true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 HEALTH COVERA IL NA C CORP true Health Alliance Connect Inc 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 HEALTH CARE C IL NA C CORP true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING COMPA WA NA C CORP true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVENUE WENATCHEE WA 98801 461966323 HEALTH COVERA WA NA C CORP true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 HEALTH COVERA IL N/A C corp true false false true false false false false false false true true true false true true true false true HOOPESTON COMMUNITY MEMORIAL HOSPITAL l 13016792 BOOK VALUE HEALTH ALLIANCE CONNECT INC l 11807526 BOOK VALUE HEALTH ALLIANCE MEDICAL PLANS INC l 50510173 BOOK VALUE THE CARLE FOUNDATION HOSPITAL l 12054827 BOOK VALUE THE CARLE FOUNDATION HOSPITAL m 3405191 BOOK VALUE THE CARLE FOUNDATION HOSPITAL q 1138848 BOOK VALUE THE CARLE FOUNDATION HOSPITAL s 514439 BOOK VALUE HEALTH SYSTEMS INSURANCE LIMITED m 2756853 BOOK VALUE THE CARLE DEVELOPMENT FOUNDATION c 332015 BOOK VALUE CARLE RISK MANAGEMENT CO l 117204 BOOK VALUE RICHLAND MEMORIAL HOSPITAL l 3059214 BOOK VALUE RICHLAND MEMORIAL HOSPITAL INC o 2437700 BOOK VALUE