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 370673465 The Carle Foundation % Dennis P Hesch Exec VP/CFO CARL 2173833311 611 W PARK URBANA IL 61801 DENNIS P HESCH Exec VP & CFO 2173833311 2017-11-15 true JENNIFER D RHODERICK P00395735 3176817000 164.57.159.253 35057220173195000035 2017-11-15 P E1B97F0B523BF91F5EE03E781B24D2D618402045 67B2BC73841294F920BAF1B46A562EAEE307B1D6 2016 2021-01-29 14:40:06Z Dennis Hesch Exec VP CFO 611 W Park St Urbana IL 61801 378138349 false X WWW.CARLE.ORG X 1946 IL THE CARLE FOUNDATION IS ORGANIZED AND EXCLUSIVELY OPERATES AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. 14 9 1696 0 11441112 3453708 331666 1466765 215785955 220235455 60911672 33587426 3862022 4209896 280891315 259499542 51486056 1707954 0 0 97444277 107633656 0 0 0 124228781 125246256 273159114 234587866 7732201 24911676 1576207807 1941157795 680138606 867580425 896069201 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Paul Tender MD Term 9116 Trustee & Physician 1.0 39.0 X 0 457012 34300 SANJIV JAIN MD term 9116 TRUSTEE & Physician 8.0 32.0 X 0 532748 40307 URETZ OLIPHANT MD TRUSTEE & Physician 0.5 39.5 X 0 637334 30024 KARL APPELQUIST TRUSTEE 1.0 1.2 X 0 0 0 BRENDA TIMMONS VICE CHAIR OF BOARD 3.0 0.5 X X 0 0 0 Donna Greene IMMEDIATE PAST CHAIR 2.0 1.0 X 0 0 0 Guy Hall CHAIR OF BOARD 4.0 1.95 X X 0 0 0 Kenneth Aronson MD Secretary/Treasurer of Board 20.0 20.0 X X 0 408531 34726 Rajagopal Echambadi PhD Trustee 1.0 0.0 X 0 0 0 Rachel Schroeder Trustee 0.5 0.0 X 0 0 0 JONATHAN BAILEY MD EX-OFFICIO TRUSTEE & Physician 1.0 39.0 X 0 668700 41121 TIMOTHY MENEELY DO TRUSTEE & Physician 0.5 39.5 X 311657 0 91253 PAUL TUCKER TRUSTEE 3.0 0.0 X 0 0 0 James C Leonard MD Ex-Officio, President & CEO 25.0 15.0 X 2010908 0 467971 John Snyder Exec VP & COO 10.0 30.0 X 1237088 0 281116 Dennis Hesch Exec VP & CFO 10.0 30.0 X 998170 0 249197 Matthew Gibb MD Exec VP & CMO 3.2 36.8 X 727726 0 204999 Laurence Fallon EXEC 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24911676 14388728 0 0 0 138207765 X false true X true false X X 2 THE CARLE FOUNDATION HOSPITAL 371119538 3 true 278340 0 THE CARLE DEVELOPMENT FOUNDATION 371159978 7 true 1261321 0 2 1539661 0 true false false false false true false false false false false false false false false true true true X true true SCHEDULE A, PART IV, DESCRIPTION OF OTHER SUPPORT THE CARLE FOUNDATION (THE FOUNDATION) SERVES AS THE PARENT CORPORATION FOR AN INTEGRATED HEALTH CARE DELIVERY NETWORK AND MANAGES FIXED ASSETS AND EQUIPMENT UTILIZED BY ITS AFFILIATES ALONG WITH OTHER FIXED ASSETS AND REAL ESTATE HOLDINGS. THE FOUNDATION ALSO ADMINISTERS THE CASH MANAGEMENT AND INVESTMENTS AND PROVIDES GENERAL MANAGEMENT SERVICES TO THE AFFILIATES. IN ADDITION, THE FOUNDATION PROVIDES SUPPORT SERVICES INCLUDING ACCOUNTING AND OTHER FINANCIAL AND REVENUE CYCLE SERVICES, QUALITY AND INFECTION CONTROL, COMPLIANCE, SOCIAL WORK AND CASE MANAGEMENT, MARKETING AND PUBLIC RELATIONS, HUMAN RESOURCES, EDUCATION, INFORMATION TECHNOLOGY, FACILITIES AND ENGINEERING, SECURITY, PURCHASING, AND PROJECT MANAGEMENT SERVICES TO RELATED AFFILIATES. SCHEDULE A, PART IV, SECTION A, LINE 6 EFFECTIVE AUGUST 1, 2015, THE FOUNDATION ENTERED INTO AN AFFILIATION AGREEMENT WITH THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (UNIVERSITY) FOR THE DEVELOPMENT OF A COLLEGE OF MEDICINE AT ITS URBANA-CHAMPAIGN CAMPUS WITH AN ENGINEERING-FOCUSED CURRICULUM, TO BE KNOWN AS THE CARLE ILLINOIS COLLEGE OF MEDICINE (CI COM). THIS AGREEMENT RESULTED IN AN UNCONDITIONAL COMMITMENT OF $50,000,000 IN 2015 TO BE USED EXCLUSIVELY FOR THE CREATION OF THE CI COM. THE UNIVERSITY OF ILLINOIS FOUNDATION, A 501(C)(3) ENTITY, ACCEPTED THE GRANT AS AGENT FOR THE UNIVERSITY OF ILLINOIS, WHICH IS DESCRIBED IN IRC 511(A)(2)(B) AS A PERMISSIBLE BENEFICIARY UNDER REG 1.509(A)-4(E). AS THE UNIVERSITY OF ILLINOIS FOUNDATIONS 2016 FINANCIAL REPORT DISCLOSES, IT IS A NONPROFIT CORPORATION RESPONSIBLE FOR ENCOURAGING AND ADMINISTERING PRIVATE GIFTS MADE TO FURTHER THE MISSION OF THE UNIVERSITY OF ILLINOIS (UNIVERSITY). ALTHOUGH THE FOUNDATION IS A SEPARATE LEGAL ENTITY FROM THE UNIVERSITY, THE FOUNDATIONS SOLE REASON FOR EXISTENCE IS TO SERVE THE UNIVERSITY. THE FOUNDATION IS CONSIDERED A DISCRETELY-PRESENTED COMPONENT UNIT OF THE UNIVERSITY AND IS THEREFORE INCLUDED IN THE UNIVERSITYS GOVERNMENT-WIDE FINANCIAL STATEMENTS SCEDULE A, PART IV, SECTION D, LINE 3 THE CARLE FOUNDATION SERVES AS THE PARENT OF ITS SUPPORTED ORGANIZATIONS. AT A MINIMUM, ONE MEMBER OF THE GOVERNING BOARD ALSO SERVES ON THE BOARDS OF THE SUPPORTED ORGANIZATIONS. THERE IS AN INTERCONNECTEDNESS OF MANAGEMENT THROUGHOUT THE ORGANIZATION WHEREBY MANAGEMENT OVERSEES ACTIVITIES OF EACH OF THE SUPPORTED ORGANIZATIONS IN ADDITION TO THOSE OF THE CARLE FOUNDATION. MANAGEMENT OVERSIGHT OVER THE USE OF THE ORGANIZATIONS INCOME AND ASSETS IS LED BY THE SAME EXECUTIVE LEADERSHIP TEAM OVER EACH OF THE SUPPORTING AND SUPPORTED ORGANIZATIONS. SCEDULE A, PART IV, SECTION E, LINE 3A & 3B THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS, 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 SUPPORTED ORGANIZATIONS IN ADDITION TO FILLING VACANCIES. THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS ALSO HAS THE EXCLUSIVE RIGHT AND POWER: TO AMEND THE BY-LAWS; TO AMEND THE ARTICLES OF THE CORPORATION; TO AUTHORIZE ANY NON-BUDGETED EXPENDITURE IN EXCESS OF DETERMINED THRESHOLDS; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO PLEDGE ALL OR ANY PART OF THE CORPORATIONS ASSETS AS SECURITY FOR A DEBT; AND AUTHORIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 true 50 false 0 false 0 true 22310 false 0 true 39960 62320 false SCHEDULE C, PART II-B, LINES 1D AND 1G DURING 2016, THE CARLE FOUNDATION EMPLOYED A PERSON WHOSE PRIMARY DUTIES INCLUDED GOVERNMENT RELATIONS. APPROXIMATELY 20% OF THIS PERSON'S TIME WAS ESTIMATED TO HAVE BEEN SPENT ON DIRECT LOBBYING ACTIVITIES. DIRECT LOBBYING EFFORTS INCLUDED DISCUSSIONS WITH MEMBERS OF THE ILLINOIS GENERAL ASSEMBLY, CONGRESS, AND THEIR RESPECTIVE STAFFS. IN-PERSON AND TELEPHONIC CONVERSATIONS PRIMARILY REVOLVED AROUND HEALTH CARE POLICY MAKING, THE APPROPRIATIONS PROCESS, AND THE IMPACT OF PROPOSED LEGISLATION ON THE OPERATIONS OF THE CARLE FOUNDATION AND ITS RELATED ORGANIZATIONS. OCCASIONAL CORRESPONDENCE WITH THE ELECTED OFFICIALS AND THEIR STAFF MEMBERS OCCURRED VIA STANDARD MAIL AND EMAIL. SCHEDULE C, PART II-B, LINE 1I $39,960 - A PORTION OF ANNUAL MEMBERSHIP DUES TO VARIOUS PROFESSIONAL ORGANIZATIONS WAS ESTIMATED TO BE ATTRIBUTED TO LOBBYING ACTIVITIES. 2718842 62954 172913 72373 2882336 2464402 219279 47166 12005 2718842 2228143 114467 142334 20542 2464402 1796140 130478 314670 13145 2228143 1291637 388510 173934 56507 1434 1796140 1.00000 false true true 35727685 35727685 626159706 249523339 376636367 11081762 8451351 2630411 177699276 131625399 46073877 72341359 15104497 57236862 518305202 0 Federal income taxes 200000 Interest Rate Swap Valuation 16862535 Accrued Health Insurance 13336130 457 (f) Plan Payable 11047973 Accrued Commitment 20000000 Liability for Unasserted Claim 10496777 Asset Retirement Obligation 6215327 Current Portion of LT Debt 412549 ACCRUED LEASE TERMINATION FEE 1586539 80157830 SCHEDULE D, PART V prior year figures were revised to reflect the spendable portion of the organization's permanent endowment funds. schedule d, part v, line 4 THE CARLE DEVELOPMENT FOUNDATION, WHOSE SOLE MEMBER IS THE CARLE FOUNDATION, HAD TWENTY ENDOWMENTS, RANGING IN AMOUNTS FROM APPROXIMATELY $20,000 TO $406,000. THE PURPOSES DESIGNATED BY THE DONORS VARIED, BUT CONSISTED OF SUPPORT FOR CANCER RESEARCH, THE CARLE GUEST HOUSE, CONTINUED EDUCATION FOR VARIOUS PROFESSIONAL STAFF AND OTHER HEALTHCARE RELATED PURPOSES. SCHEDULE D, PART X, LINE 2 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 DECEMBER 31, 2015. Central America and the Caribbean Program services Self Insurance 129819245 Central America and the Caribbean Program services Self Insurance 2589194 132408439 132408439 true false true true true false SCHEDULE F, SUPPLEMENTAL INFORMATION PART I, LINE 3(1) CENTRAL AMERICA / CARIBBEAN HEALTH SYSTEMS INSURANCE, LIMITED INVESTMENT: $129,819,245. PART I, LINE 3(2) CENTRAL AMERICA / CARIBBEAN HEALTH SYSTEMS INSURANCE, LIMITED PREMIUMS PAID ON SELF INSURANCE: $2,589,194. true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 501(c)(3) 1261321 INTERNAL FUNDING THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 371119538 501(c)(3) 278430 INTERNAL FUNDING Board of Trustees of University of IL 506 S Wright St 209 HAB MC-339 Urbana IL 61801 376000511 501(c)(3) 168293 SUPPORT FOR COLLEGE OF MEDICINE 3 0 FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS two grants were MADE TO RELATED AFFILIATES, THE CARLE FOUNDATION HOSPITAL AND THE CARLE DEVELOPMENT FOUNDATION. THE GRANTS WERE MADE TO SUPPORT THE ORGANIZATION'S MISSION FOR MEETING THE NEEDS OF THE COMMUNITY SERVEd by the carle foundation. IN 2016, THE CARLE FOUNDATION, ON BEHALF OF THE CARLE FOUNDATION HOSPITAL, PROVIDED A TRANSLATIONAL RESEARCH GRANT FOR $168,293 TO THE UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN. 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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, THAT ARE LISTED IN THE 990 PART VII INCLUDE JOSEPH BARKMEIER, MD, LYNETTE BARNES, STEPHANIE BEEVER, PAMELA BIGLER, LAURENCE FALLON, MATTHEW GIBB, MD, SCOTT HARDING, DENNIS HESCH, JAMES LEONARD, MD, TIMOTHY MENEELY, DO, RICHARD RINEHART, WILLIAM SCHUH, MD AND JOHN SNYDER. THE 2016 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JOSEPH BARKMEIER, MD ($116,663), LYNETTE BARNES ($67,310), STEPHANIE BEEVER ($116,495), PAMELA BIGLER ($74,154), LAURENCE FALLON ($117,672), SCOTT HARDING ($45,851), DENNIS HESCH ($164,751) , NAPOLEON KNIGHT, MD ($3), JAMES LEONARD, MD ($376,469), RICHARD RINEHART ($71,819), WILLIAM SCHUH, MD ($80,420), JOHN SNYDER ($232,667), AND R. BRUCE WELLMAN, MD ($299,361). FORM 990, SCHEDULE J, PART 1, QUESTION 7 PART OF THE OVERALL EMPLOYEES' 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. A ILLINOIS FINANCE AUTHORITY 861091967 42500FVH9 2009-03-18 240717712 SEE PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 000000000 2011-06-16 100000000 SEE PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 201915925 2016-11-10 205002138 SEE PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45200FVH9 2011-05-19 233719141 SEE PART VI false false false A 126490000 0 240723013 0 0 0 2482257 543040 0 19958620 217739096 0 2010 true false true true B 0 0 100365148 0 2882629 0 0 0 2285375 84712629 10484515 0 2014 true false true true C 0 0 205026183 0 0 0 0 0 0 39639844 55000000 110386339 true false false true D 4450000 0 234462863 0 20762837 0 0 860364 3304035 184923346 24612281 0 2014 true false true true A false false false true true 0.00001 0.00001 false false false true B false false false true true 0 false false false true C false false false true true 0 false false false true D false false false true true 0 false false false true A false false true true true false 0 false 0 false true B false false true true true false 0 false 0 true true C false true true false false false 0 false 0 false true D false false true true false false 0 false 0 true true A true B true C true D true FORM 990, SCHEDULE K PART I, LINE A, COLUMN (F) CONSTRUCT FACILITY & REFUND PRIOR ISSUES (06/09/1998, 07/01/1998, 11/10/2004) PART I, LINE B, COLUMN (F) CONSTRUCT FACILITY & REFUND PRIOR ISSUES (07/15/2005, 11/07/2008, 03/10/2010) PART I, LINE C, COLUMN (F) CONSTRUCT FACILITY & REFUND PRIOR ISSUES (11/10/2016) PART I, LINE D, COLUMN (F) CONSTRUCT FACILITY & REFUND PRIOR ISSUES (07/15/2005, 11/07/2008, 03/10/2010) PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INTEREST EARNINGS. PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/18/2010 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS SO NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART IV, ARBITRAGE, LINE 2C: (B) ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2015 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS SO NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART IV, ARBITRAGE, LINE 2C: (C) ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/08/2015 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS SO NO FURTHER REBATE CALCULATIONS ARE NECESSARY. FORM 990, PART III, LINE 4A THE CARLE FOUNDATION IS ORGANIZED AND AT ALL TIMES OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE FOLLOWING HEALTHCARE ORGANIZATIONS WHICH ARE AFFILIATED WITH THE CORPORATION THROUGH THE PROVISION OF FINANCIAL AND MANAGEMENT ASSISTANCE: THE CARLE FOUNDATION HOSPITAL, CARLE HEALTH CARE INCORPORATED, THE CARLE DEVELOPMENT FOUNDATION, OR ANY OTHER NOT-FOR-PROFIT CORPORATION THAT IS OR BECOMES AFFILIATED WITH THE CORPORATION, OR ANY OF THE HEALTH CARE ORGANIZATIONS DESCRIBED IN THIS SECTION, WHICH QUALIFIES FOR EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) AND AS A PUBLIC CHARITY UNDER SECTIONS 509(A)(1) OR (2) OF THE CODE. THE CARLE FOUNDATION: (A) SERVES AS THE PARENT CORPORATION FOR AN INTEGRATED HEALTH CARE DELIVERY NETWORK (B) PROVIDES FINANCING AND MANAGEMENT ASSISTANCE TO THE ORGANIZATIONS DESCRIBED ABOVE (C) ACQUIRES, OWNS, USES, LEASES AS LESSOR OR LESSEE, CONVEYS AND OTHERWISE DEALS IN AND WITH REAL PROPERTY AND ANY INTEREST THEREIN, ALL IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE (D) CONTRACTS WITH OTHER ORGANIZATIONS (FOR PROFIT AND NOT-FOR-PROFIT), WITH INDIVIDUALS, AND WITH GOVERNMENTAL AGENCIES IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE AND (E) OWNS OR OPERATES FACILITIES OR OWNS OTHER ASSETS FOR PUBLIC USE AND WELFARE IN FURTHERANCE OF THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE. FORM 990, PART VI, QUESTION 2 - DONNA GREENE (IMMEDIATE PAST CHAIR) AND JON STEWART (TRUSTEE) HAD A BUSINESS RELATIONSHIP. - GUY HALL (CHAIR OF BOARD), DONNA GREENE (IMMEDIATE PAST CHAIR), J. MICHAEL MARTIN (TRUSTEE), KENNETH ARONSON, MD (SECRETARY/TREASURER 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) AND JOHN SNYDER (OFFICER) HAD A BUSINESS RELATIONSHIP. - JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER) AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. -PAUL TENDER, MD (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW GIBB, MD (OFFICER), JOHN SNYDER (OFFICER), HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, QUESTIONS 6, 7a & 7b THE CARLE FOUNDATION HAS ONE (1) CLASS OF MEMBERS. THE NUMBER OF MEMBERS SHALL BE AS DETERMINED FROM TIME TO TIME BY THE BOARD OF TRUSTEES. EACH MEMBER SHALL BE ELECTED BY THE BOARD OF TRUSTEES FOR A TERM OF THREE (3) YEARS AND SHALL HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED AND QUALIFIED OR UNTIL HIS OR HER DEATH, RESIGNATION OR REMOVAL, WHICHEVER COMES FIRST. NO LICENSED PHYSICIAN, LICENSED DENTIST OR OTHER LICENSED HEALTH CARE PROFESSIONAL SHALL BE ELECTED AS A MEMBER IF SUCH ELECTION WOULD RESULT IN MEMBERS WHO ARE LICENSED PHYSICIANS, LICENSED DENTISTS, OR OTHER LICENSED HEALTH CARE PROFESSIONALS COMPRISING A MAJORITY OF THE MEMBERS OF THE CORPORATION. THE ANNUAL MEETING OF THE MEMBERS IS HELD FOR THE PURPOSE OF ELECTING TRUSTEES. THE MEMBERS SHALL ELECT THE TRUSTEES OF THE CORPORATION BY VOTING UPON THE SLATE OF NOMINEES PRESENTED TO THEM AT THE ANNUAL MEETING (OR ANY ADJOURNMENT THEREOF) BY A REPRESENTATIVE OF EITHER THE NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES OR THE BOARD OF TRUSTEES. THE NOMINATING COMMITTEE SHALL HAVE THE SOLE AND EXCLUSIVE POWER TO NOMINATE INDIVIDUALS TO SERVE AS TRUSTEES, EXCEPT AS PROVIDED IN ARTICLE V, SECTION 4 OF THE ORGANIZATION'S BYLAWS. EACH MEMBER SHALL HAVE ONE VOTE WITH RESPECT TO THE SLATE OF NOMINEES PRESENTED FOR ELECTION AS TRUSTEES. IF THE ELECTION OF TRUSTEES SHALL NOT BE HELD ON THE DAY DESIGNATED HEREIN FOR ANY ANNUAL MEETING, OR AT ANY ADJOURNMENT THEREOF, THE BOARD OF TRUSTEES SHALL CAUSE THE ELECTION TO BE HELD AT A SPECIAL MEETING OF THE MEMBERS AS SOON THEREAFTER AS SUCH MEETING MAY CONVENIENTLY BE HELD. FORM 990, PART VI, QUESTION 11B THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO BEFORE FILING, EACH TRUSTEE RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION, EACH TRUSTEE HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. FORM 990, PART VI, QUESTION 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, QUESTIONS 15A & 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, 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, QUESTIONS 18 & 19 THE CARLE FOUNDATION 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 also 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE: $138,659,813 THE CARLE FOUNDATION SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED 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 PURPOSES; AND $452,048 K-1 INVESTMENT INCOME. FORM 990, PART XII, #2A,B,C AND PART IV, #12 THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION WERE AUDITED ON A CONSOLIDATED BASIS. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 371119538 HOSPITAL SVCS IL 501(c)(3) 3 TCF true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 FUNDRAISING IL 501(c)(3) 7 TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 61801 371140016 VAR med SVCS IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 61801 371160033 RTRMT LIVING IL 501(c)(3) 10 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 61801 364458371 FDN MISSION IL 501(c)(3) 12a, Type I TCDF true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE ST HOOPESTON IL 60942 363637465 HOSPITAL SVCS IL 501(c)(3) 3 TCF true CHAMPAIGN SURGICNTR 611 W PARK ST URBANA IL 61801 201915925 SURGICAL CENTER IL NA N/A 0 0 HEALTH SYSTEMS INSURANCE LIMITED GOVERNORS SQ 2ND FL BLDG 3 GRAND CAYMAN CJ KY1-1102 INSURANCE CJ TCF C Corp 3796460 129819245 1.00000 true CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 HOLDING COmpany IL CHA HOLD C Corp -61600 322814858 1.00000 true HEALTH ALLIANCE MEDICAL PLANS INC 301 S VINE ST URBANA IL 61801 371260731 HEALTH COVERAge IL CARLE HOLD C Corp 1249082124 589685692 1.00000 true HEALTH ALLIANCE MIDWEST INC 301 S VINE ST URBANA IL 61801 371354502 HEALTH COVERAge IL HAMPI C Corp 18916455 9694675 1.00000 true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING COmpany WA CHA HOLD C Corp 0 0 0.60000 true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 CHELAN AVE WENATCHEE WA 98801 461966323 HEALTH COVERAge WA HANWH C Corp 27163156 10990032 0.60000 true CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 RISK MANAGEMEnt IL TCFH C Corp 1472914 118958 1.00000 true EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 PHYS CREDENTIals IL TCFH C Corp 366434 35257 1.00000 true HEALTH ALLIANCE CONNECT INC 301 S VINE ST URBANA IL 61801 464796891 HEALTH CARE Coord IL CHA HOLD C Corp 648396505 159446682 1.00000 true CHA HOLDING INC 301 S VINE ST URBANA IL 61801 471854275 HOLDING COmpany IL TCF C CORP 3246012 77825925 1.00000 true true true true false false false false false false false false true true false false true true true true THE CARLE FOUNDATION HOSPITAL a 33639295 BOOK HEALTH ALLIANCE MEDICAL PLANS INC a 3501207 BOOK CARLE HEALTH CARE INCORPORATED a 1093366 BOOK CHAMPAIGN SURGICENTER LLC a 751571 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL a 844867 BOOK THE CARLE DEVELOPMENT FOUNDATION a 51372 BOOK CARLE RISK MANAGEMENT COMPANY a 50196 BOOK EVALIDATA INC a 27972 BOOK THE CARLE DEVELOPMENT FOUNDATION b 1261321 BOOK THE CARLE FOUNDATION HOSPITAL b 278340 BOOK THE CARLE DEVELOPMENT FOUNDATION c 1466765 BOOK HEALTH ALLIANCE MEDICAL PLANS INC l 623568 BOOK CARLE HEALTH CARE INCORPORATED l 200477 BOOK THE CARLE FOUNDATION HOSPITAL l 139362 BOOK EVALIDATA INC m 364174 BOOK HEALTH ALLIANCE MEDICAL PLANS INC m 2904180 BOOK CARLE HEALTH CARE INCORPORATED m 1775953 BOOK HEALTH SYSTEMS INSURANCE LIMITED m 388878 BOOK CARLE RISK MANAGEMENT COMPANY p 1472914 BOOK THE CARLE FOUNDATION HOSPITAL q 134977902 BOOK CARLE HEALTH CARE INCORPORATED q 31310505 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL q 8287483 BOOK HEALTH ALLIANCE MEDICAL PLANS INC q 5154930 BOOK CHAMPAIGN SURGICENTER LLC q 1931063 BOOK CARLE RETIREMENT CENTERS INC q 924932 BOOK CARLE RISK MANAGEMENT COMPANY q 104585 BOOK THE CARLE DEVELOPMENT FOUNDATION q 81175 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL r 88685 BOOK CARLE RETIREMENT CENTERS INC r 51646 BOOK THE CARLE FOUNDATION HOSPITAL s 1036559 BOOK SCHEDULE R, SUPPLEMENTAL INFORMATION PART II, LINE 3 CARLE HEALTH CARE INCORPORATED Carle Health Care Incorporated's primary activities include Emergency Transport, Day Care, and Physician Services.