CARLE HEALTH MEDICAL GROUP: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CARLE HEALTH MEDICAL GROUP (EIN 37-1140016)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349308598
- Schema version
- 2016v3.1
- 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 I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T12:31:53-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371140016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Health Care Incorporated | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Dennis Hesch Exec VP & CFO | InCareOfNm |
| Business Name Control | CARL | BusinessNameControlTxt |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis Hesch | PersonNm |
| Person Title | Exec VP, CFO | PersonTitleTxt |
| Phone | 2173833311 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER D RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 164.57.159.253 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 35057220173195000031 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E1B97F0B523BF91F5EE03E781B24D2D618402045 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 67B2BC73841294F920BAF1B46A562EAEE307B1D6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dennis Hesch Exec VP CFO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $263,436,813 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARLE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 1197 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,009,736 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$171,163 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $533,851 | PYContributionsGrantsAmt |
| CY Contributions Grants | $796,663 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $253,269,152 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $256,014,939 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$3,684 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,308,079 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $253,799,319 | PYTotalRevenueAmt |
| CY Total Revenue | $260,119,681 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $450 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $663,600 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $229,190,804 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $247,907,133 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $67,472,470 | PYOtherExpensesAmt |
| CY Other Expenses | $59,952,627 | CYOtherExpensesAmt |
| PY Total Expenses | $296,663,724 | PYTotalExpensesAmt |
| CY Total Expenses | $308,523,360 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$42,864,405 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$48,403,679 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,879,821 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,531,519 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,828,389 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,962,862 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,051,432 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,568,657 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 SECITON 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 CORPORATIONS 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $297,438,562 | ExpenseAmt |
| Grant | $663,600 | GrantAmt |
| Revenue | $241,072,586 | RevenueAmt |
| Desc | 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 2016, CPG PERFORMED APPROXIMATELY 803,370 OUTPATIENT VISITS AND MADE NEARLY 25,900 PHYSICIAN ADMISSIONS TO THE CARLE FOUNDATION HOSPITAL (CFH). IN ADDITION, CPG PHYSICIANS PERFORMED APPROXIMATELY 14,700 SURGERIES AT CFH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,796,279 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,240,053 | RevenueAmt |
| Desc | 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 AND DEWITT COUNTIES WITH MULTIPLE, EXCLUSIVE SERVICE AGREEMENTS IN THE COUNTIES AND AREAS SERVICED. ARROW HAS A TOTAL OF 23 AMBULANCES, INCLUDING ONE SPECIFICALLY FOR NICU, OB AND PEDIATRIC PATIENTS. ARROW PROVIDES OVER 26,950 TRANSPORTS PER YEAR OVER APPROXIMATELY 1,960 SQUARE MILES. IN AUGUST OF 2016, DANVILLES MEDIX AMBULANCE WAS PURCHASED BY ARROW. THIS CHANGE EXPLAINS THE SIGNIFICANT INCREASE IN EXPENSES AND REVENUES FROM 2015 TO 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,734,486 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,326,193 | RevenueAmt |
| Desc | 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 150 CHILDREN ENROLLED WITH 111 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 2016, THE CARING PLACE ACCEPTED 14 FAMILIES WITH 17 STUDENTS UNDER THE STATE PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $253,382 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $4,376,107 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $306,222,709 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1197 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis Hesch Exec VP CFO | PersonNm |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park St | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Guy Hall | ||||||||||
| Chair of Board | 0.25 | 5.7 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Brenda Timmons | ||||||||||
| Vice Chair of Board | 0.2 | 3.7 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Kenneth Aronson MD | ||||||||||
| Secretary of Board | 15.0 | 25.0 | Yes (X) | Yes (X) | $408,531 | $0 | $34,726 | |||
| Donna Greene | ||||||||||
| Immediate Past Chair | 0.25 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| Karl Appelquist | ||||||||||
| Trustee | 0.2 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| J Michael Martin | ||||||||||
| Trustee | 0.2 | 2.75 | Yes (X) | $0 | $30,000 | $0 | ||||
| Uretz Oliphant MD | ||||||||||
| Trustee | 39.0 | 1.0 | Yes (X) | $637,334 | $0 | $30,024 | ||||
| Paul Tender MD | ||||||||||
| Trustee (term 9/1/16) | 38.0 | 2.0 | Yes (X) | $457,012 | $0 | $34,300 | ||||
| James C Leonard MD | ||||||||||
| Ex-Officio, President & CEO | 2.0 | 38.0 | Yes (X) | $0 | $2,010,908 | $467,971 | ||||
| John Snyder | ||||||||||
| Exec VP & COO | 5.0 | 35.0 | Yes (X) | $0 | $1,237,088 | $281,116 | ||||
| Dennis Hesch | ||||||||||
| Exec VP & CFO | 8.0 | 32.0 | Yes (X) | $0 | $998,170 | $249,197 | ||||
| Matthew Gibb MD | ||||||||||
| Exec VP & CMO | 18.4 | 21.6 | Yes (X) | $0 | $727,726 | $204,999 | ||||
| Laurence Fallon | ||||||||||
| Exec VP-Legal Affairs & HR | 10.0 | 30.0 | $0 | $760,462 | $194,127 | Yes (X) | ||||
| Blair Rowitz MD | ||||||||||
| Med Dir - Surgical Services | 20.0 | 20.0 | $747,929 | $0 | $40,641 | Yes (X) | ||||
| Malec Mokraoui MD | ||||||||||
| Med Dir - HVI | 20.0 | 20.0 | $668,258 | $0 | $30,360 | Yes (X) | ||||
| Matthew Kolb | ||||||||||
| VP-Neuro & HVI | 15.0 | 25.0 | $0 | $260,374 | $83,545 | Yes (X) | ||||
| Caleb Miller | ||||||||||
| VP-Surgical & Diag Svcs | 17.0 | 23.0 | $0 | $223,088 | $73,101 | Yes (X) | ||||
| Craig Neitzel MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,389,329 | $0 | $42,641 | Yes (X) | ||||
| Sanjay Mehta MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,286,021 | $0 | $42,738 | Yes (X) | ||||
| Robert Bane MD | ||||||||||
| Physician | 38.0 | 2.0 | $1,155,655 | $0 | $40,838 | Yes (X) | ||||
| William Olivero MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,082,397 | $0 | $35,024 | Yes (X) | ||||
| Huan Wang MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,076,028 | $0 | $36,289 | Yes (X) | ||||
| R Bruce Wellman MD | ||||||||||
| Ex-Officio, CEO of CPG-Former | 9.8 | 30.2 | $623,246 | $0 | $28,831 | Yes (X) | ||||
| Stephanie Beever | ||||||||||
| Key Employee - Former | 5.0 | 35.0 | $0 | $584,358 | $134,626 | Yes (X) | ||||
| Andy Arwari MD | ||||||||||
| Key Employee - Former | 0.0 | 40.0 | $556,955 | $0 | $40,874 | Yes (X) | ||||
| Joseph Barkmeier MD | ||||||||||
| Key Employee - Former | 0.5 | 39.5 | $0 | $427,577 | $89,563 | Yes (X) | ||||
| Dawn Walden | ||||||||||
| Key Employee - Former | 16.0 | 24.0 | $0 | $334,644 | $87,559 | Yes (X) | ||||
| Julianna Sellett | ||||||||||
| Key Employee - Former | 10.0 | 30.0 | $0 | $250,621 | $80,354 | Yes (X) | ||||
| Cora E Musial Phd MD | ||||||||||
| Sec/Treas of Board - Former | 6.0 | 5.0 | $141,350 | $0 | $10,351 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,230,045 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,845,016 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,393,795 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 596 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Physician Staffing | $2,240,340 |
| OSF Multispecialty Group Peoria LLC | |||||
| 420 North East Glan Oak Ave | Peoria | IL | 61603 | Physician Services | $1,865,174 |
| Staff Care Inc | |||||
| PO Box 281923 | Atlanta | GA | 303841923 | Physician Staffing | $1,133,835 |
| Interim Physicians | |||||
| PO Box 679139 | Dallas | TX | 75267 | Physician Services | $539,010 |
| Hayes Locum LLC | |||||
| 6700 N Andrews Ave Ste 600 | Ft Lauderdale | FL | 33309 | Physician Staffing | $522,497 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $404,992 | RelatedOrganizationsAmt |
| Government Grants | $378,859 | GovernmentGrantsAmt |
| All Other Contributions | $12,812 | AllOtherContributionsAmt |
| Noncash Contributions | $125,234 | NoncashContributionsAmt |
| Total Contributions | $796,663 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient service revenue | 621110 | $207,627,866 | $207,627,866 | |
| Other physician/prog rev | 621110 | $28,449,269 | $28,221,841 | $227,428 |
| SURGICENTER REVENUE | 621400 | $4,307,407 | $4,307,407 | |
| Ambulance revenue | 621910 | $9,240,053 | $9,240,053 | |
| Daycare revenue | 624410 | $1,326,193 | $775,668 | $550,525 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,064,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,832,368 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $231,783 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $256,014,939 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211 | TotalRevenueColumnAmt |
| Exclusion | $211 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,625,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,317,132 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,307,868 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,307,868 | TotalRevenueColumnAmt |
| Exclusion | $3,307,868 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $260,119,681 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $255,005,203 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,009,736 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,308,079 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,600 | TotalAmt |
| Program Services | $663,600 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,168,176 | TotalAmt |
| Program Services | $3,168,176 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,831,417 | TotalAmt |
| Program Services | $1,831,417 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,803,038 | TotalAmt |
| Program Services | $214,381,246 | ProgramServicesAmt |
| Management And General | $421,792 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,337,616 | TotalAmt |
| Program Services | $9,309,467 | ProgramServicesAmt |
| Management And General | $28,149 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,885,745 | TotalAmt |
| Program Services | $9,832,632 | ProgramServicesAmt |
| Management And General | $53,113 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,881,141 | TotalAmt |
| Program Services | $8,845,114 | ProgramServicesAmt |
| Management And General | $36,027 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,652 | TotalAmt |
| Program Services | $5,652 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,119,016 | TotalAmt |
| Program Services | $14,606,616 | ProgramServicesAmt |
| Management And General | $512,400 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,411 | TotalAmt |
| Program Services | $938,523 | ProgramServicesAmt |
| Management And General | $92,888 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,001,226 | TotalAmt |
| Program Services | $902,366 | ProgramServicesAmt |
| Management And General | $98,860 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,679,552 | TotalAmt |
| Program Services | $1,676,289 | ProgramServicesAmt |
| Management And General | $3,263 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,837 | TotalAmt |
| Program Services | $1,160,666 | ProgramServicesAmt |
| Management And General | $24,171 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,066 | TotalAmt |
| Program Services | $670,498 | ProgramServicesAmt |
| Management And General | $4,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,253 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $28,253 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $826,322 | TotalAmt |
| Program Services | $707,261 | ProgramServicesAmt |
| Management And General | $119,061 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,467 | TotalAmt |
| Program Services | $967,324 | ProgramServicesAmt |
| Management And General | $143 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient care supplies | $5,886,772 | $5,886,772 | |
| Internal management fees | $30,290,916 | $29,425,974 | $864,942 |
| Recruitment | $496,383 | $496,383 | |
| Other purchased service | $629,591 | $616,955 | $12,636 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,163 | TotalAmt |
| Program Services | $129,778 | ProgramServicesAmt |
| Management And General | $385 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,523,360 | TotalAmt |
| Program Services | $306,222,709 | ProgramServicesAmt |
| Management And General | $2,300,651 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,051 | BOYAmt |
| EOY | $346,533 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,247,874 | BOYAmt |
| EOY | $29,618,332 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,705 | BOYAmt |
| EOY | $92,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,394,639 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,673,129 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,314,574 | BOYAmt |
| EOY | $3,721,510 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $14,214,978 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,484,617 | BOYAmt |
| EOY | $5,537,462 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,879,821 | BOYAmt |
| EOY | $53,531,519 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,828,389 | BOYAmt |
| EOY | $39,962,862 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,828,389 | BOYAmt |
| EOY | $39,962,862 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,051,432 | BOYAmt |
| EOY | $13,568,657 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,051,432 | BOYAmt |
| EOY | $13,568,657 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,879,821 | BOYAmt |
| EOY | $53,531,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$48,403,679 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $58,920,904 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $310,046 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $518,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $304,135 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $533,851 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $796,663 | CurrentTaxYearAmt |
| Total | $2,463,554 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $375,096,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $286,666,034 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $256,586,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $252,158,964 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255,005,203 | CurrentTaxYearAmt |
| Total | $1,425,512,560 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $375,406,372 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $287,184,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $256,890,168 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $252,692,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255,801,866 | CurrentTaxYearAmt |
| Total | $1,427,976,114 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,427,976,114 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $211 | CurrentTaxYearAmt |
| Total | $167,654 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $211 | CurrentTaxYearAmt |
| Total | $167,654 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $375,498,400 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $287,260,265 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $256,890,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $252,692,831 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255,802,077 | CurrentTaxYearAmt |
| Total | $1,428,143,768 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99988 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00012 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 7a & 7b | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,652 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,652 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, line (i) | FormAndLineReferenceDesc |
| Explanation | $3,050-PORTION OF AMERICAN MEDICAL GROUP ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING. $1,715-PORTION OF AMERICAN AMBULANCE ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING. $525-PORTION OF AMERICAN ASSOCIATION OF NURSE ANESTHETISTS DUES ATTRIBUTABLE TO LOBBYING. $55-PORTION OF NORTH AMERICAN SPINE SOCIETY DUES ATTRIBUTABLE TO LOBBYING. $23-PORTION OF AMERICAN ASSOCIATION OF NURSE PRACTITIONERS DUES ATTRIBUTABLE TO LOBBYING. $85-PORTION OF AMERICAN COLLEGE OF NURSE-MIDWIVES DUES ATTRIBUTABLE TO LOBBYING. $91-PORTION OF ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSING DUES ATTRIBUTABLE TO LOBBYING. $45-PORTION OF AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS DUES ATTRIBUTABLE TO LOBBYING. $14-PORTION OF AMERICAN ASSOCIATION OF NEUROSCIENCE NURSES DUES ATTRIBUTABLE TO LOBBYING. $44-PORTION OF AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING. $5-PORTION OF AMERICAN academy OF SLEEP MEDICINE DUES ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $137,041 | OtherCostOrOtherBasisAmt |
| Book Value | $137,041 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,089,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $670,016 | DepreciationAmt |
| Book Value | $419,628 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,111 | DepreciationAmt |
| Book Value | $52,039 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,806,539 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,653,268 | DepreciationAmt |
| Book Value | $2,153,271 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,271,265 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,311,734 | DepreciationAmt |
| Book Value | $959,531 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,721,510 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHAMPAIGN SURGICENTER LLC | Desc |
| Book Value | $14,214,978 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $14,214,978 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 (ASC 740) FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | 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, 2016 AND 2015. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University of Illinois Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 West Green St | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 376006007 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $663,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | College of Medicine support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART IV | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATIONS PROCEDURES FOR MONITORING THE USE OF GRANTS THE GRANT WAS MADE TO THE UNIVERSITY OF ILLINOIS (U OF I) TO FULFILL A COMMITMENT TO FUND 51% OF A $1.3M OBLIGATION WHICH AROSE FROM THE U OF I BOARD OF TRUSTEES APPROVING A CONTRACT AMENDMENT AT THEIR DECEMBER 2016 SESSION. THE GRANT WAS MADE TO SUPPORT THE ENGINEERING-BASED MEDICAL SCHOOL BEING DEVELOPED AS A PARTNERSHIP BETWEEN U OF I AND THE CARLE HEALTH CARE SYSTEM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kenneth Aronson MD | ||||||||||||||
| Secretary of Board | $362,807 | $0 | $22,464 | $0 | $23,260 | $0 | $21,480 | $0 | $13,246 | $0 | $443,257 | $0 | $0 | $0 |
| Uretz Oliphant MD | ||||||||||||||
| Trustee | $625,990 | $0 | $2,223 | $0 | $9,121 | $0 | $16,180 | $0 | $13,844 | $0 | $667,358 | $0 | $0 | $0 |
| Paul Tender MD | ||||||||||||||
| Trustee (term 9/1/16) | $439,178 | $0 | $13,686 | $0 | $4,148 | $0 | $21,480 | $0 | $12,820 | $0 | $491,312 | $0 | $0 | $0 |
| James C Leonard MD | ||||||||||||||
| Ex-Officio, President & CEO | $0 | $1,220,394 | $0 | $375,771 | $0 | $414,743 | $0 | $462,601 | $0 | $5,370 | $0 | $2,478,879 | $0 | $376,469 |
| John Snyder | ||||||||||||||
| Exec VP & COO | $0 | $797,762 | $0 | $168,392 | $0 | $270,934 | $0 | $268,423 | $0 | $12,693 | $0 | $1,518,204 | $0 | $232,667 |
| Dennis Hesch | ||||||||||||||
| Exec VP & CFO | $0 | $656,169 | $0 | $146,042 | $0 | $195,959 | $0 | $226,314 | $0 | $22,883 | $0 | $1,247,367 | $0 | $164,751 |
| Matthew Gibb MD | ||||||||||||||
| Exec VP & CMO | $0 | $587,706 | $0 | $129,834 | $0 | $10,186 | $0 | $196,912 | $0 | $8,087 | $0 | $932,725 | $0 | $0 |
| Laurence Fallon | ||||||||||||||
| Exec VP-Legal Affairs & HR | $0 | $500,157 | $0 | $115,258 | $0 | $145,047 | $0 | $173,433 | $0 | $20,694 | $0 | $954,589 | $0 | $117,672 |
| Blair Rowitz MD | ||||||||||||||
| Med Dir - Surgical Services | $690,427 | $0 | $35,978 | $0 | $21,524 | $0 | $21,480 | $0 | $19,161 | $0 | $788,570 | $0 | $0 | $0 |
| Malec Mokraoui MD | ||||||||||||||
| Med Dir - HVI | $597,141 | $0 | $36,590 | $0 | $34,527 | $0 | $21,480 | $0 | $8,880 | $0 | $698,618 | $0 | $0 | $0 |
| Matthew Kolb | ||||||||||||||
| VP-Neuro & HVI | $0 | $225,043 | $0 | $30,065 | $0 | $5,266 | $0 | $59,995 | $0 | $23,550 | $0 | $343,919 | $0 | $0 |
| Caleb Miller | ||||||||||||||
| VP-Surgical & Diag Svcs | $0 | $186,646 | $0 | $24,053 | $0 | $12,389 | $0 | $49,482 | $0 | $23,619 | $0 | $296,189 | $0 | $0 |
| Craig Neitzel MD | ||||||||||||||
| Physician | $1,363,005 | $0 | $5,000 | $0 | $21,324 | $0 | $21,480 | $0 | $21,161 | $0 | $1,431,970 | $0 | $0 | $0 |
| Sanjay Mehta MD | ||||||||||||||
| Physician | $1,277,434 | $0 | $5,000 | $0 | $3,587 | $0 | $21,480 | $0 | $21,258 | $0 | $1,328,759 | $0 | $0 | $0 |
| Robert Bane MD | ||||||||||||||
| Physician | $1,142,331 | $0 | $10,000 | $0 | $3,324 | $0 | $21,480 | $0 | $19,358 | $0 | $1,196,493 | $0 | $0 | $0 |
| William Olivero MD | ||||||||||||||
| Physician | $1,073,196 | $0 | $0 | $0 | $9,201 | $0 | $21,480 | $0 | $13,544 | $0 | $1,117,421 | $0 | $0 | $0 |
| Huan Wang MD | ||||||||||||||
| Physician | $1,062,728 | $0 | $10,000 | $0 | $3,300 | $0 | $21,480 | $0 | $14,809 | $0 | $1,112,317 | $0 | $0 | $0 |
| R Bruce Wellman MD | ||||||||||||||
| Ex-Officio, CEO of CPG-Former | $294,598 | $0 | $0 | $0 | $328,648 | $0 | $21,480 | $0 | $7,351 | $0 | $652,077 | $0 | $299,361 | $0 |
| Stephanie Beever | ||||||||||||||
| Key Employee - Former | $0 | $368,961 | $0 | $69,343 | $0 | $146,054 | $0 | $116,227 | $0 | $18,399 | $0 | $718,984 | $0 | $116,495 |
| Andy Arwari MD | ||||||||||||||
| Key Employee - Former | $522,172 | $0 | $22,464 | $0 | $12,319 | $0 | $21,480 | $0 | $19,394 | $0 | $597,829 | $0 | $0 | $0 |
| Joseph Barkmeier MD | ||||||||||||||
| Key Employee - Former | $0 | $267,283 | $0 | $36,340 | $0 | $123,954 | $0 | $77,441 | $0 | $12,122 | $0 | $517,140 | $0 | $116,663 |
| Dawn Walden | ||||||||||||||
| Key Employee - Former | $0 | $248,886 | $0 | $33,771 | $0 | $51,987 | $0 | $67,926 | $0 | $19,633 | $0 | $422,203 | $0 | $45,907 |
| Julianna Sellett | ||||||||||||||
| Key Employee - Former | $0 | $188,886 | $0 | $27,986 | $0 | $33,749 | $0 | $55,352 | $0 | $25,002 | $0 | $330,975 | $0 | $10,762 |
| Cora E Musial Phd MD | ||||||||||||||
| Sec/Treas of Board - Former | $139,623 | $0 | $0 | $0 | $1,727 | $0 | $10,351 | $0 | $0 | $0 | $151,701 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. |
| FORM 990, SCHEDULE J, PART I, QUESTION 4B | THE 2016 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 JOSEPH BARKMEIER, md, STEPANIE BEEVER, LAURENCE FALLON, MATThEW GIBB, md, DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, md, CALEB MILLER, JULIANNA SELLETT, JOHN SNYDER, AND DAWN WALDEN. THE 2016 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JOSEPH BARKMEIER, md ($116,663), STEPANIE BEEVER ($116,495), LAURENCE FALLON ($117,672), DENNIS HESCH ($164,751), JAMES LEONARD, md ($376,469), JULIANNA SELLETT ($10,762), JOHN SNYDER ($232,667), DAWN WALDEN ($45,907), AND R. BRUCE WELLMAN, md ($299,361). |
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| James Barkmeier MD | |||
| FAMILY MEMBER OF KEY EMP | $224,931 | Employment | false |
| John Sellett MD | |||
| FAMILY MEMBER OF KEY EMP | $189,354 | Employment | false |
| Sari G Aronson MD | |||
| FAMILY MEMBER OF SEC BD | $11,535 | Employment | false |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | SEE PART II | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $125,234 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, LINE 25 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF OTHER PROPERTY LYMPHEDEMA EARLY DETECTION DEVICES, FOOD AND NON-FOOD ITEMS FOR CANCER PATIENTS AND THEIR FAMILIES, SPEAKER EXPENSES/FOOD/MARKETING FOR COMMUNITY DIABETES EDUCATION EVENT, MUSIC SERIES AT MILLS BREAST CANCER INSTITUTE, CARDIOMYOPATHY SUPPORT GROUP, BETTER BREATHERS SUPPORT GROUP, CARDIAC ASSESSMENT SYSTEM FOR EXERCISE OPERATING SYSTEM FOR CYSTIC FIBROSIS CLINIC, PHONE CHARGING STATIONS FOR PATIENTS AND FAMILIES, PRESCRIPTION TO READ PROGRAM SUPPORT, PARENT-CHILD INTERACTION THERAPY PROGRAM SUPPORT, MILLS BREAST CANCER INSTITUTE OUTREACH PROGRAM SUPPORT. THE CARLE DEVELOPMENT FOUNDATION IS THE SOURCE OF ALL THESE CONTRIBUTIONS AND HAS A POLICY THAT MANDATES REVIEW OF ANY NON-STANDARD CONTRIBUTION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 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 2016, NEARLY 5,100 PROCEDURES WERE PERFORMED ACROSS A WIDE VARIETY OF MEDICAL SPECIALTIES. ON JANUARY 1, 2016, CARLE HEALTH CARE INCORPORATED SOLD A 25% INTEREST IN THE CHAMPAIGN SURGICENTER, LLC (ASC) TO CHRISTIE CLINIC ASC, LLC. THEREFORE IN 2015, THE ASC WAS A DISREGARDED ENTITY AND IN 2016, IT WAS A PARTNERSHIP. 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), PAUL TENDER, MD (TRUSTEE), MATTHEW GIBB, MD (OFFICER), AND JOHN SNYDER (OFFICER) HAD A BUSINESS RELATIONSHIP. GUY HALL (CHAIR OF BOARD), DONNA GREENE (IMMEDIATE PAST CHAIR), J. MICHAEL MARTIN (TRUSTEE), KENNETH ARONSON, MD (SECRETARY OF BOARD), PAUL TENDER, MD (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), BRENDA TIMMONS (VICE CHAIR OF BOARD) AND KARL APPELQUIST (TRUSTEE) HAD A BUSINESS RELATIONSHIP. J. MICHAEL MARTIN (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW GIBB, MD (OFFICER), JOHN SNYDER (OFFICER), AND DENNIS HESCH (OFFICEr) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER), DENNIS HESCH (OFFICER) AND JOSEPH BARKMEIER, MD (FORMER KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, QUESTION 4 | ARTICLE IV TRUSTEES WAS EXPANDED TO INCLUDE A SECTION TO COVER RESIGNATIONS AND A SECTION TO COVER REMOVALS. IN SECTION 5 OF ARTICLE VI OFFICERS, THE PRESIDENT/CEO HAS BEEN GIVEN THE OPTION TO APPOINT A DESIGNEE TO SERVE AS EX-OFFICIO, NON-VOTING MEMBER OF EACH STANDING OR SPECIAL COMMITTEE, RATHER THAN PERSONALLY FULFILLING THAT FUNCTION. ADDITIONALLY, IN THAT SAME SECTION, THE PRESIDENT/CEO HAS BEEN GIVEN THE OPTION TO DELEGATE THE SIGNING OF DEEDS, MORTGAGES, BONDS, CONTRACTS AND OTHER INSTRUMENTS PROPERLY AUTHORIZED AND CONSISTENT WITH the carle foundation POLICIES, RATHER THAN PERSONALLY SIGNING THOSE DOCUMENTS. |
| 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, QUESTIONS 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, QUESTION 18 & 19 | THE CARLE FOUNDATION, THE PARENT ORGANZATION OF CARLE HEALTH CARE INCORPORATED, PUBLISHES THROUGH WWW.DACBOND.COM 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 VIII, LINE 7C | EFFECTIVE JANUARY 1, 2016, CARLE HEALTH CARE INCORPORATED SOLD A 25% INTEREST IN THE CHAMPAIGN SURGICENTER, LLC (ASC) TO CHRISTIE CLINIC ASC FOR $6,625,000 WHICH REPRESENTS THE FAIR MARKET VALUE. THIS TRANSACTION RESULTED IN A GAIN ON THE SALE OF ApPROXIMATELY $3,308,000. |
| FORM 990, PART X, LINE 13 & 14 | LARGE VARIATIONS IN PART X, LINE 13 & 14 ARE DUE TO THE SALE DESCRIBED ABOVE. LINE 13 REPRESENTS CARLE HEALTH CARE INCORPORATEDS MAJORITY INVESTMENT IN THE ASC AND LINE 14 REPRESENTS THE GOODWILL IN ARROW AMBULANCE AS A RESULT OF PURCHASING A COMPETING AMBULANCE SERVICE IN july 2016. THE PRIOR YEARS GOODWILL WAS LOCATED IN the ASCS BALANCE SHEET WHICH IS NO LONGER INCLUDED IN EACH LINE OF PART X. |
| 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 $58,920,904. 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. THIS ALSO INCLUDES AN ADJUSTMENT OF $42,361 WHICH REPRESENTS THE DIFFERENCE BETWEEN THE BOOK INCOME AND THE TAX INCOME OF THE ASC. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARROW AMBULANCE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 618012595 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273054181 | EIN |
| Primary Activities | AMBULANCE | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Total Income | $9,871,644 | TotalIncomeAmt |
| End Of Year Assets | $9,674,671 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHCI | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| The Carle Foundation | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 370673465 | Parent/Invest | IL | 501(c)(3) | 12C III-FI | NA | false |
| The Carle Foundation Hospital | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371119538 | Hospital Serv | IL | 501(c)(3) | 3 | TCF | Yes (true) |
| The Carle Development Foundation | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371159978 | Fundraising | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| Carle Retirement Centers Inc | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371160033 | RTRMT LIVING | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| Carle Community Health Corporation | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 364458371 | FNDN MISSION | IL | 501(c)(3) | 12a TYPE I | TCDF | Yes (true) |
| Hoopeston Community Memorial Hospital | ||||||||||
| 701 E Orange Street | Hoopeston | IL | 609421801 | 363637465 | Hospital Serv | IL | 501(c)(3) | 3 | TCF | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMPAIGN SURGICNTR | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201915925 | EIN |
| Primary Activities | SURGICAL CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHCI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $4,307,589 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $15,517,553 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.75000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Systems Insurance Limited | ||||||||||||||
| Governors Sq 2nd FL Bldg 3 | Grand Cayman | CJ | KY1-1102 | Insurance | CJ | NA | C Corp | Yes (true) | ||||||
| Carle Holding Company Inc | ||||||||||||||
| HOLDING COMPANY | NA | C Corp | Yes (true) | 611 W Part Street | Urbana | IL | 618012595 | 371188284 | IL | |||||
| Carle Risk Management Company | ||||||||||||||
| Risk Management | NA | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 371217973 | IL | |||||
| Evalidata Inc | ||||||||||||||
| phys credentials | NA | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 462022658 | IL | |||||
| Health Alliance Connect Inc | ||||||||||||||
| HEALTH CARE COORD | NA | C CORP | Yes (true) | 301 S Vine St | URBANA | IL | 61801 | 464796891 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 301 S VINE ST | URBANA | IL | 61801 | 371260731 | IL | |||||
| HEALTH ALLIANCE NORTHWEST HOLDING INC | ||||||||||||||
| HOLDING COMPANY | NA | C CORP | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | WA | |||||
| CHA HOLDING INC | ||||||||||||||
| HOLDING COMPANY | NA | C CORP | Yes (true) | 301 S VINE STREET | URBANA | IL | 61801 | 471854275 | IL | |||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 820 N CHELAN AVENUE | WENATCHEE | WA | 98801 | 461966323 | WA | |||||
| HEALTH ALLIANCE MIDWEST INC | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 301 S VINE ST | URBANA | IL | 61801 | 371354502 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hoopeston Community Memorial Hospital | ||
| l | $13,173,628 | Book Value |
| Health Alliance Connect Inc | ||
| l | $14,386,200 | Book Value |
| Health Alliance Medical Plans Inc | ||
| l | $47,102,725 | Book Value |
| The Carle Foundation Hospital | ||
| l | $9,607,630 | Book Value |
| The Carle Foundation Hospital | ||
| m | $1,850,177 | Book Value |
| The Carle Foundation Hospital | ||
| q | $632,257 | Book Value |
| The Carle Foundation Hospital | ||
| s | $708,909 | Book Value |
| Health Systems Insurance Limited | ||
| m | $862,660 | Book Value |
| The Carle Development Foundation | ||
| c | $125,234 | FMV |
| The Carle Development Foundation | ||
| c | $279,758 | Book Value |
| Champaign Surgicenter LLC | ||
| b | $3,316,644 | FMV |