2017-11-15T12:31:53-06:00 2016-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2016-01-01 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 2017-11-15 true JENNIFER D RHODERICK P00395735 3176817000 164.57.159.253 35057220173195000031 2017-11-15 P E1B97F0B523BF91F5EE03E781B24D2D618402045 67B2BC73841294F920BAF1B46A562EAEE307B1D6 2016 2021-01-29 14:40:06Z Dennis Hesch Exec VP CFO 611 W Park Street Urbana IL 61801 263436813 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 4 1197 0 1009736 -171163 533851 796663 253269152 256014939 -3684 3308079 0 0 253799319 260119681 450 663600 0 0 229190804 247907133 0 0 0 67472470 59952627 296663724 308523360 -42864405 -48403679 41879821 53531519 38828389 39962862 3051432 13568657 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 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. false false 297438562 663600 241072586 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. 6796279 0 9240053 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. 1734486 0 1326193 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. 253382 0 4376107 306222709 true true false true false false false false false false true false true false false true false true false false false false false false false false false true false true false false false false false false true false true false false false true true true true false false true 49 0 true 1197 true true true false false false false false false false false false X 7 4 true false true false true true true true true false false true true true true true true false false false IL X X Dennis Hesch Exec VP CFO 2173833311 611 W Park St Urbana IL 61801 X Guy Hall Chair of Board 0.25 5.7 X X 0 0 0 Brenda Timmons Vice Chair of Board 0.2 3.7 X X 0 0 0 Kenneth Aronson MD Secretary of Board 15.0 25.0 X X 408531 0 34726 Donna Greene Immediate Past Chair 0.25 3.0 X 0 0 0 Karl Appelquist Trustee 0.2 2.0 X 0 0 0 J Michael Martin Trustee 0.2 2.75 X 0 30000 0 Uretz Oliphant MD Trustee 39.0 1.0 X 637334 0 30024 Paul Tender MD Trustee (term 9/1/16) 38.0 2.0 X 457012 0 34300 James C Leonard MD Ex-Officio, President & CEO 2.0 38.0 X 0 2010908 467971 John Snyder Exec VP & COO 5.0 35.0 X 0 1237088 281116 Dennis Hesch Exec VP & CFO 8.0 32.0 X 0 998170 249197 Matthew Gibb MD Exec VP & CMO 18.4 21.6 X 0 727726 204999 Laurence Fallon Exec VP-Legal Affairs & HR 10.0 30.0 X 0 760462 194127 Blair Rowitz MD Med Dir - Surgical Services 20.0 20.0 X 747929 0 40641 Malec Mokraoui MD Med Dir - HVI 20.0 20.0 X 668258 0 30360 Matthew Kolb VP-Neuro & HVI 15.0 25.0 X 0 260374 83545 Caleb Miller VP-Surgical & Diag Svcs 17.0 23.0 X 0 223088 73101 Craig Neitzel MD Physician 40.0 0.0 X 1389329 0 42641 Sanjay Mehta MD Physician 40.0 0.0 X 1286021 0 42738 Robert Bane MD Physician 38.0 2.0 X 1155655 0 40838 William Olivero MD Physician 40.0 0.0 X 1082397 0 35024 Huan Wang MD Physician 40.0 0.0 X 1076028 0 36289 R Bruce Wellman MD Ex-Officio, CEO of CPG-Former 9.8 30.2 X 623246 0 28831 Stephanie Beever Key Employee - Former 5.0 35.0 X 0 584358 134626 Andy Arwari MD Key Employee - Former 0.0 40.0 X 556955 0 40874 Joseph Barkmeier MD Key Employee - Former 0.5 39.5 X 0 427577 89563 Dawn Walden Key Employee - Former 16.0 24.0 X 0 334644 87559 Julianna Sellett Key Employee - Former 10.0 30.0 X 0 250621 80354 Cora E Musial Phd MD Sec/Treas of Board - Former 6.0 5.0 X 141350 0 10351 10230045 7845016 2393795 596 true true false Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physician Staffing 2240340 OSF Multispecialty Group Peoria LLC 420 North East Glan Oak Ave Peoria IL 61603 Physician Services 1865174 Staff Care Inc PO Box 281923 Atlanta GA 303841923 Physician Staffing 1133835 Interim Physicians PO Box 679139 Dallas TX 75267 Physician Services 539010 Hayes Locum LLC 6700 N Andrews Ave Ste 600 Ft Lauderdale FL 33309 Physician Staffing 522497 23 X 0 404992 378859 12812 125234 796663 Patient service revenue 621110 207627866 207627866 Other physician/prog rev 621110 28449269 28221841 227428 SURGICENTER REVENUE 621400 4307407 4307407 Ambulance revenue 621910 9240053 9240053 Daycare revenue 624410 1326193 775668 550525 5064151 4832368 231783 256014939 211 211 0 0 0 0 0 6625000 3317132 3307868 3307868 3307868 0 0 0 0 0 0 0 0 0 0 260119681 255005203 1009736 3308079 663600 663600 0 0 0 0 0 0 3168176 3168176 0 0 1831417 1831417 0 0 214803038 214381246 421792 0 9337616 9309467 28149 0 9885745 9832632 53113 0 8881141 8845114 36027 0 0 0 0 0 0 0 0 0 0 0 0 0 5652 5652 0 0 0 0 0 0 0 0 15119016 14606616 512400 0 0 0 0 0 1031411 938523 92888 0 1001226 902366 98860 0 0 0 0 0 1679552 1676289 3263 0 1184837 1160666 24171 0 0 0 0 0 675066 670498 4568 0 28253 0 28253 0 0 0 0 0 826322 707261 119061 0 967467 967324 143 0 Patient care supplies 5886772 5886772 Internal management fees 30290916 29425974 864942 Recruitment 496383 496383 Other purchased service 629591 616955 12636 130163 129778 385 308523360 306222709 2300651 0 0 X 613051 346533 0 0 0 0 27247874 29618332 0 0 0 0 0 0 0 0 219705 92704 10394639 6673129 4314574 3721510 0 0 0 0 0 14214978 9484617 5537462 0 0 41879821 53531519 38828389 39962862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38828389 39962862 X 3051432 13568657 0 0 0 0 3051432 13568657 41879821 53531519 X -48403679 0 0 0 0 58920904 X false true X true false X 310046 518859 304135 533851 796663 2463554 375096326 286666034 256586033 252158964 255005203 1425512560 0 0 0 375406372 287184893 256890168 252692815 255801866 1427976114 0 0 0 1427976114 92028 75372 27 16 211 167654 0 92028 75372 27 16 211 167654 0 0 375498400 287260265 256890195 252692831 255802077 1428143768 0.99988 0.99980 0.00012 0.00020 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 0 false 0 false 0 false 0 false 0 false 0 true 5652 5652 false Schedule C, Part II-B, line (i) $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. 137041 137041 1089644 670016 419628 90150 38111 52039 5806539 3653268 2153271 3271265 2311734 959531 3721510 CHAMPAIGN SURGICENTER LLC 14214978 F 14214978 0 0 X FIN 48 (ASC 740) 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, 2016 AND 2015. true University of Illinois Foundation 1305 West Green St Urbana IL 61801 376006007 501(c)(3) 663000 0 College of Medicine support 1 0 FORM 990, SCHEDULE I, PART IV 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. false true false true false false false true false Kenneth Aronson MD Secretary of Board 362807 0 22464 0 23260 0 21480 0 13246 0 443257 0 0 0 Uretz Oliphant MD Trustee 625990 0 2223 0 9121 0 16180 0 13844 0 667358 0 0 0 Paul Tender MD Trustee (term 9/1/16) 439178 0 13686 0 4148 0 21480 0 12820 0 491312 0 0 0 James C Leonard MD Ex-Officio, President & CEO 0 1220394 0 375771 0 414743 0 462601 0 5370 0 2478879 0 376469 John Snyder Exec VP & COO 0 797762 0 168392 0 270934 0 268423 0 12693 0 1518204 0 232667 Dennis Hesch Exec VP & CFO 0 656169 0 146042 0 195959 0 226314 0 22883 0 1247367 0 164751 Matthew Gibb MD Exec VP & CMO 0 587706 0 129834 0 10186 0 196912 0 8087 0 932725 0 0 Laurence Fallon Exec VP-Legal Affairs & HR 0 500157 0 115258 0 145047 0 173433 0 20694 0 954589 0 117672 Blair Rowitz MD Med Dir - Surgical Services 690427 0 35978 0 21524 0 21480 0 19161 0 788570 0 0 0 Malec Mokraoui MD Med Dir - HVI 597141 0 36590 0 34527 0 21480 0 8880 0 698618 0 0 0 Matthew Kolb VP-Neuro & HVI 0 225043 0 30065 0 5266 0 59995 0 23550 0 343919 0 0 Caleb Miller VP-Surgical & Diag Svcs 0 186646 0 24053 0 12389 0 49482 0 23619 0 296189 0 0 Craig Neitzel MD Physician 1363005 0 5000 0 21324 0 21480 0 21161 0 1431970 0 0 0 Sanjay Mehta MD Physician 1277434 0 5000 0 3587 0 21480 0 21258 0 1328759 0 0 0 Robert Bane MD Physician 1142331 0 10000 0 3324 0 21480 0 19358 0 1196493 0 0 0 William Olivero MD Physician 1073196 0 0 0 9201 0 21480 0 13544 0 1117421 0 0 0 Huan Wang MD Physician 1062728 0 10000 0 3300 0 21480 0 14809 0 1112317 0 0 0 R Bruce Wellman MD Ex-Officio, CEO of CPG-Former 294598 0 0 0 328648 0 21480 0 7351 0 652077 0 299361 0 Stephanie Beever Key Employee - Former 0 368961 0 69343 0 146054 0 116227 0 18399 0 718984 0 116495 Andy Arwari MD Key Employee - Former 522172 0 22464 0 12319 0 21480 0 19394 0 597829 0 0 0 Joseph Barkmeier MD Key Employee - Former 0 267283 0 36340 0 123954 0 77441 0 12122 0 517140 0 116663 Dawn Walden Key Employee - Former 0 248886 0 33771 0 51987 0 67926 0 19633 0 422203 0 45907 Julianna Sellett Key Employee - Former 0 188886 0 27986 0 33749 0 55352 0 25002 0 330975 0 10762 Cora E Musial Phd MD Sec/Treas of Board - Former 139623 0 0 0 1727 0 10351 0 0 0 151701 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 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. James Barkmeier MD FAMILY MEMBER OF KEY EMP 224931 Employment false John Sellett MD FAMILY MEMBER OF KEY EMP 189354 Employment false Sari G Aronson MD FAMILY MEMBER OF SEC BD 11535 Employment false X SEE PART II 1 125234 FMV false false false SCHEDULE M, PART I, LINE 25 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. 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. 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