2014-11-14T13:07:49-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 370673465 The Carle Foundation % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 W PARK Suite URBANA IL 61801 DENNIS P HESCH EXEC VP & CFO 2014-11-13 2013 2015-11-30 17:44:51Z DENNIS HESCH EXEC VP CFO 611 W PARK ST URBANA IL 61801 477538441 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. 13 4 1530 0 3944461 314157 453019 432981 184259128 173808011 31927895 65336025 1809022 9756328 218449064 249333345 278340 278340 0 0 82966695 77275345 0 0 0 113693630 119613167 196938665 197166852 21510399 52166493 1245997769 1388468002 667039364 647395440 578958405 741072562 X THE CARLE FOUNDATION IS ORGANIZED AND EXCLUSIVELY OPERATES AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. false false 102569199 278340 174265383 THE CARLE FOUNDATION (FOUNDATION) ENGAGES IN ACTIVITIES TO DEVELOP AND SUPPORT THE PROVISION OF HEALTH CARE SERVICES, INCLUDING CHARITY CARE, BY THE AFFILIATES RELATED TO THE FOUNDATION INCLUDING THE CARLE FOUNDATION HOSPITAL AND CARLE HEALTH CARE INCORPORATED. THE FOUNDATION's PURPOSE INCLUDES SERVING AS THE PARENT CORPORATION FOR RELATED AFFILIATES THAT TOGETHER FUNCTION AS AN INTEGRATED HEALTH CARE DELIVERY NETWORK IN FURTHERANCE AND SUPPORT OF CHARITABLE, HEALTH CARE EDUCATION AND RESEARCH ACTIVITIES. 102569199 true true false true false false false false false false true false false false true true false true false false true false false false false false false true false true true false false false false false false false false false true false false false false false true true true false false true 137 0 true 1530 true true true true CJ false false false false false false false false X 13 4 true false true false false false false true true false false true true true true true true true true true true IL X X DENNIS HESCH EXEC VP CFO 2173833311 611 W PARK ST URBANA IL 61801 X Donna Greene Chairman of Board 2.0 1.1 X X 0 0 0 Guy Hall Vice Chairman of Board 2.0 0.4 X X 0 0 0 Kenneth Aronson MD Secretary/Treasurer of Board 2.0 38.0 X X 0 270347 33985 Phillip Blankenburg Immediate Past Chair 2.0 2.5 X X 0 0 0 John Brockenbrough MD Trustee 1.0 39.0 X 0 437595 41487 Matthew Gibb MD Trustee 3.5 36.5 X 0 666017 23047 Jane Hays Trustee 1.0 0.0 X 0 0 0 J Michael Martin Trustee 4.0 2.0 X 0 30000 0 Mitch Melfi Trustee 0.5 0.0 X 0 0 0 Paul Mulhollem Trustee 1.0 0.0 X 0 0 0 Marty Smith Trustee 1.0 1.4 X 0 0 0 Jon Stewart Trustee 2.0 0.0 X 0 0 0 Paul Tender MD Trustee 1.0 39.0 X 0 566903 32836 Cora E Musial Phd MD Prev Secretary/Treasurer of BD 2.0 38.0 X X 0 367266 24411 Rick Stephens Prev Trustee 1.0 0.0 X 0 0 0 James C Leonard MD Ex-Officio, President & CEO 26.0 14.0 X 1674727 0 375019 R Bruce Wellman MD Ex-Officio, CEO of CPG 1.0 39.0 X 1143945 0 285224 John Snyder Exec VP & COO 9.7 30.3 X 957297 0 242479 Dennis Hesch Exec VP & CFO 10.0 30.0 X 686195 0 183568 Laurence Fallon SVP-Legal Affairs & HR 10.0 30.0 X 565126 0 146298 Richard Rinehart VP-IT & CIO 40.0 0.0 X 361394 0 98987 Scott Harding VP-Facilities & Support Svcs 10.0 30.0 X 328203 0 83461 Napoleon Knight MD Med Dir Hosp Med 0.2 39.8 X 919747 0 71129 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 1.0 39.0 X 494117 0 117808 William Schuh MD Chief Medical Info Officer 24.0 16.0 X 463066 0 112194 Pamela Bigler SVP-Nursing & CNO 1.0 39.0 X 406197 0 89701 Lynette Barnes VP-Hosp Ops & HVI 2.0 38.0 X 380138 0 79655 Philip Kubow SVP-HR-former 0.0 0.0 X 512487 0 7509 Kirk Moberg Exec VP & CMO-former 0.0 0.0 X 486948 0 20025 9379587 2338128 2068823 69 true true false PHILIPS MEDICAL CAPITAL LLC PO BOX 92449 CLEVELAND OH 441930003 EQUIPMENT LEASING 3359142 MCDERMOTT WILL EMERY LP PO BOX 6043 CHICAGO IL 606806043 LEGAL SERVICES 1075172 DELOITTE CONSULTING LLP PO BOX 7247-6447 PHILADELPHIA PA 191706447 CONSULTING SERVICES 749693 NEAL GERBER EISENBERG LLP 28987 NETWORK PLACE CHICAGO IL 606731289 LEGAL SERVICES 556555 THE NEW LINCOLN SQUARE LLC 201 LINCOLN SQUARE URBANA IL 61801 OFFICE SPACE LEASING 529833 34 1 0 9175 423805 0 432981 RENT FROM RELATED ENTITIES 531120 42354283 41610529 743754 0 MANAGEMENT FEES 541610 113224890 112417008 807882 0 INTERNAL SUPPORT SERVICE REVENUE 900099 18194866 16110248 2084618 0 PARTNERSHIP INC RELATED TO PROGRAM SVCS 541900 31112 0 31112 0 OTHER PATIENT REVENUE 900099 2860 2860 0 0 173808011 24529224 205431 24323793 -92000 -92000 0 639248 891383 -252135 0 -252135 -252135 268202121 10393 227186635 127078 41015486 -116685 40898801 40898801 0 0 0 PROPERTY TAX REFUNDS 900099 6696005 0 0 6696005 DINING SERVICES REVENUE 722100 1844793 0 580 1844213 PARKING RAMP REVENUE 812930 857343 0 0 857343 610322 457372 71084 81866 10008463 249333345 170598017 3944461 74357886 X 278340 278340 0 0 0 0 0 0 6469954 3234977 3234977 0 0 0 0 0 57777042 26817275 30959767 0 2464491 1115219 1349272 0 6245695 4756578 1489117 0 4318163 1866292 2451871 0 0 0 0 0 2857556 0 2857556 0 356605 0 356605 0 22596 0 22596 0 0 0 1615232 0 1615232 0 15746558 7423353 8323205 0 2753469 45305 2708164 0 11904972 5387388 6517584 0 8194335 3532272 4662063 0 0 0 0 0 7401109 2988491 4412618 0 459981 82794 377187 0 0 0 0 0 366126 146489 219637 0 18207314 18207007 307 0 0 0 0 0 27455756 17920206 9535550 0 864591 -32764 897355 0 INTERNAL SUPPORT SVCS FEES 16896237 6940608 9955629 0 REAL ESTATE TAXES 217269 140175 77094 0 PATIENT CARE SUPPLIES 1806875 1644314 162561 0 FEDERAL & STATE TAXES 195634 0 195634 0 2290952 74880 2216072 197166852 102569199 94597653 0 0 0 0 58413873 85684932 0 0 226194 0 0 0 0 0 0 0 0 0 3265261 3991612 782429047 340020942 399196198 442408105 715901486 778424297 36281761 47117307 5739639 2884346 0 0 26973357 27957403 1245997769 1388468002 30169895 28214489 0 0 0 0 568159793 561350081 0 0 0 0 0 0 0 0 68709676 57830870 667039364 647395440 X 578958405 741072562 0 0 0 0 578958405 741072562 1245997769 1388468002 X 52166493 33633022 76314642 X false true X true false X X X false false false THE CARLE FOUNDATION HOSPITAL 371119538 03 true 278340 CARLE HEALTH CARE INCORPORATED 371140016 09 true 0 THE CARLE DEVELOPMENT FOUNDATION 371159978 07 true 1261129 CARLE RETIREMENT CENTERS INC 371160033 09 true 0 HOOPESTON COMMUNITY MEMORIAL HOSPITAL 363637465 03 true 0 5 1539469 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 true 50 false 0 false 0 true 22546 false 0 false 0 22596 false SCHEDULE C SUPPLEMENTAL INFORMATION SCHEDULE C, PART II-B, LINES 1D AND 1G During 2013, The Carle Foundation employed a person whose primary duties included Government Relations. Approximately 20% of this person's time is estimated to be spent on direct lobbying activities. Direct lobbying efforts include discussions with members of the Illinois General Assembly, Congress, and their respective staffs. In-person and telephonic conversations primarily revolve 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 occurs via standard mail and e-mail. 0 26764477 26764477 0 545563272 190544214 355019058 0 7631801 6248636 1383165 0 172510074 131468511 41041563 29959423 11759581 18199842 442408105 0 CURRENT PORTION OF LT DEBT 340835 INTEREST PAYABLE 2009 1161530 INTEREST PAYABLE 2011A 5139285 ACCRUED HEALTH INSURANCE 11301257 INTEREST RATE SWAP 11874979 ASSET RETIREMENT OBLIGATION 6520286 LIABILITY FOR UNASSERTED CLAIM 11802018 457(F) PLAN PAYABLE 9690680 57830870 X SCHEDULE D FIN48 FOOTNOTE sCHEDULE D, PART X, LINE 2 The guidance on accounting FOR uncertainty in income taxes prescribes a more-likely-than-not recognition threshold and measurement attribute for financial statement 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, 2013 and December 31, 2012. Central America and the Caribbean Program Services SELF INSURANCE-INVEST 147477807 Central America and the Caribbean Program Services SELF INSURANCE-EXPENSE 21444850 North America Investments, program-relate 188940 169111597 169111597 true false true true true false SCHEDULE F, SUPPLEMENTAL INFORMATION PART I, LINE 3 CENTRAL AMERICA / CARIBBEAN HEALTH SYSTEMS INSURANCE, LIMITED INVESTMENT: $147,477,807. false THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 371119538 501(c)(3) 278340 0 INTERNAL FUNDING THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 501(C)(3) 1261129 INTERNAL FUNDING 2 0 Form 990, Schedule I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS The grants were made to a related affiliate, The Carle Foundation HospitAl. The grants were made to support the organization's mission for meeting the needs of the community we serve. X X X X X true true false false false false false true false Kenneth Aronson MD Secretary/Treasurer of Board 0 248234 0 0 0 22113 0 20676 0 13309 0 304332 0 0 John Brockenbrough MD Trustee 0 434987 0 0 0 2608 0 20676 0 20811 0 479082 0 0 Matthew Gibb MD Trustee 0 629527 0 29913 0 6577 0 20676 0 2371 0 689064 0 0 Paul Tender MD Trustee 0 545917 0 16879 0 4107 0 20676 0 12160 0 599739 0 0 Cora E Musial Phd MD Prev Secretary/Treasurer of BD 0 350184 0 0 0 17082 0 20676 0 3735 0 391677 0 0 James C Leonard MD Ex-Officio, President & CEO 936771 0 315346 0 422610 0 362949 0 12070 0 2049746 0 381241 0 R Bruce Wellman MD Ex-Officio, CEO of CPG 756787 0 222014 0 165144 0 281794 0 3430 0 1429169 0 131758 0 John Snyder Exec VP & COO 614041 0 150065 0 193191 0 223675 0 18804 0 1199776 0 152776 0 Dennis Hesch Exec VP & CFO 468947 0 116351 0 100897 0 161988 0 21580 0 869763 0 70558 0 Laurence Fallon SVP-Legal Affairs & HR 399625 0 71040 0 94461 0 125343 0 20955 0 711424 0 82833 0 Richard Rinehart VP-IT & CIO 285349 0 39545 0 36500 0 77343 0 21644 0 460381 0 33238 0 Scott Harding VP-Facilities & Support Svcs 231096 0 53826 0 43281 0 62106 0 21355 0 411664 0 35850 0 Napoleon Knight MD Med Dir Hosp Med 747111 0 52968 0 119668 0 45447 0 25682 0 990876 0 93028 0 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 441547 0 43515 0 9055 0 108200 0 9608 0 611925 0 0 0 William Schuh MD Chief Medical Info Officer 330118 0 47408 0 85540 0 93261 0 18933 0 575260 0 74582 0 Pamela Bigler SVP-Nursing & CNO 271982 0 55737 0 78478 0 86262 0 3439 0 495898 0 54409 0 Lynette Barnes VP-Hosp Ops & HVI 288232 0 39775 0 52131 0 79648 0 7 0 459793 0 45573 0 Kirk Moberg Exec VP & CMO-former 0 0 0 0 486948 0 0 0 20025 0 506973 0 486948 0 Philip Kubow SVP-HR-former 0 0 41067 0 471420 0 0 0 7509 0 519996 0 472863 0 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART 1, QUESTION 3 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, SCHEDULE J, PART 1, QUESTION 4A KIRK MOBERG AND PHILIP KUBOW RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $497,797 AND $293,132, RESPECTIVELY. FORM 990, SCHEDULE J, PART I, QUESTION 4B THE 2013 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THAT ARE LISTED IN THE 990 PART VII INCLUDE JAMES LEONARD, MD, R. BRUCE WELLMAN, MD, JOHN SNYDER, DENNIS HESCH, LAURENCE FALLON, RICHARD REINHART, SCOTT HARDING, NAPOLEAN KNIGHT, JOSEPH BARKMEIER, WILLIAM SCHUH, PAMELA BIGLER, AND LYNETTE BARNES. THE 2013 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES LEONARD, MD ($381,241), R. BRUCE WELLMAN, MD ($131,758), JOHN SNYDER ($152,776), DENNIS HESCH ($70,558), LAURENCE FALLON ($82,833), RICHARD REINHART ($33,238), SCOTT HARDING ($35,850), NAPOLeoN KNIGHT ($93,028), WILLIAM SCHUH ($74,582), PAMELA BIGLER ($54,409), LYNETTE BARNES ($45,573), AND PHILIP KUBOW ($179,731). 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 FINACE AUTHORITY 861091967 45200FVH9 2009-03-18 240717712 CONSTR OF FACILITY & REF PRIOR ISS false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HBT8 2011-05-19 233719141 CONSTR FACILITY & REF PRIOR ISSUE false false false C ILLINOIS FINANCE AUTHORITY 861091967 2011-06-16 100000000 CONSTR FACILITY & REF PRIOR ISSUES false false false A 23960000 0 240723013 0 0 0 2482257 543040 0 19958620 217739096 0 2010 true false true true B 0 0 234444580 0 20657977 0 0 860364 2900349 166836522 24612281 18577087 true false false true C 0 0 100343380 0 2249088 0 0 0 1243007 71364126 10484515 15002644 true false false true A false false false true true 0.00001 0.00000 0.00001 false false 0.00000 false true B false false false true true 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true true true false 0 false 0 false true B false true true false false false 0 false 0 false true C false true true false true false 0 false 0 false true A true B true C true SUPPLEMENTAL INFORMATION Part I, Line A, Column (f) - Construct Facility & refund prior issues (6/9/98, 7/1/98, 11/10/04) Part I, Line B, Column (f) - Construct Facility & refund prior issues (7/15/05, 11/7/08, 3/10/10) Part I, Line C, Column (f) - Construct Facility & refund prior issues (7/15/05, 11/7/08, 3/10/10) 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. FIRST BUSEY CORPORATION SEE PART V 434925 SEE PART V false THE NEWS-GAZETTE INC SEE PART V 106027 SEE PART V false TSI COMMERCIAL FLOOR COVERING SEE PART V 113339 SEE PART V false TUSCANY POINTE LLC SEE PART V 4502820 SEE PART V false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FORM 990, SCHEDULE L, PART IV, COLUMN B DONNA GREENE, BOARD MEMBER, IS A BOARD MEMBER OF BUSEY WEALTH MANAGEMENT, INC. AND ITS WHOLLY-OWNED SUBSIDIARIES, BUSEY TRUST COMPANY AND BUSEY CAPITAL MANAGEMENT, INC. (BUSEY WEALTH MANAGEMENT, INC. IS A WHOLLY-OWNED SUBSIDIARY OF FIRST BUSEY CORPORATION.) JON STEWART, TRUSTEE IS A DIRECTOR OF BUSEY BANK, A WHOLLY-OWNED SUBSIDIARY OF FIRST BUSEY CORPORATION. IN ADDITION, THE SPOUSE OF JANE HAYS, BOARD MEMBER, IS A BOARD MEMBER OF FIRST BUSEY CORPORATION. THE CARLE FOUNDATION HAD TRANSACTIONS WITH THE FOLLOWING ORGANIZATIONS IN THE AMOUNTS NOTED: $23,892 BUSEY BANK, $93,759 BUSEY CAPITAL MANAGEMENT, and $317,274 BUSEY TRUST COMPANY. J. MICHAEL MARTIN, TRUSTEE, IS A BOARD MEMBER OF THE NEWS-GAZETTE, INC. IN ADDITION, THE SPOUSE OF JANE HAYS, BOARD MEMBER, IS A BOARD MEMBER OF THE NEWS-GAZETTE, INC. IMMEDIATE PAST CHAIR, MARTY SMITH, HAD MORE THAN A 35% OWNERSHIP IN TSI Commercial Floor Covering and Tuscany Pointe, LLC. FORM 990, SCHEDULE L, PART IV, COLUMN D -FIRST BUSEY CORPORATION CAPITAL MANAGEMENT SERVICES, EMPLOYEE RETIREMENT PLAN SERVICES, AND OTHER VARIOUS FINANCIAL SERVICES -THE NEWS-GAZETTE INC. - ADVERTISING AND SUBSCRIPTIONS -TSI Commercial Floor Covering VARIOUS COMMERCIAL FLOORING INSTALLATION AND REPAIRS -TUSCANY POINTE, LLC - PURCHASE OF REAL PROPERTY Form 990, SUPPLEMENTAL INFORMATION FORM 990, PART VI, QUESTION 2 -DONNA GREENE (CHAIRMAN OF BOARD) AND JON STEWART (TRUSTEE) HAD A BUSINESS RELATIONSHIP. -DONNA GREENE (CHAIRMAN OF BOARD), GUY HALL (VICE CHAIRMAN OF BOARD), KENNETH ARONSON, MD (SECRETARY/TREASURER OF BOARD), JAMES LEONARD, MD (EXOFFICIO), J. MICHAEL MARTIN (TRUSTEE), MATTHEW GIBB, MD (TRUSTEE), MARTY SMITH (TRUSTEE), AND PAUL TENDER, MD (TRUSTEE) HAD BUSINESS RELATIONSHIPS. -JAMES LEONARD, MD (EXOFFICIO), R. BRUCE WELLMAN, MD (EXOFFICIO) AND J. MICHAEL MARTIN (TRUSTEE) HAD A BUSINESS RELATIONSHIP. -JAMES LEONARD, MD (EXOFFICIO), R. BRUCE WELLMAN, MD (EXOFFICIO), PAUL TENDER, MD (TRUSTEE), JOHN SNYDER (OFFICER) AND LAURENCE FALLON (OFFICER) HAD BUSINESS RELATIONSHIPS. FORM 990, PART VI, QUESTION 4 ARTICLE IV, SECTION 2 NUMBER, TENURE AND QUALIFICATIONS: THE ADDITION OF PARAGRAPH (i) STATING ONE OF THE BOARD'S COMMUNITY MEMBERS SHALL BE SELECTED FROM THE BOARD OF HEALTH ALLIANCE MEDICAL PLANS (HAMP), AND ONE OF THE BOARD'S PHYSICIAN MEMBERS SHALL BE THE CHAIR OF THE PHYSICIAN COUNCIL. UNLESS OTHERWISE DETERMINED BY THE BOARD OF TRUSTEES, EACH OF THESE INDIVIDUALS SHALL SERVE ON THE BOARD OF TRUSTEES ONLY SO LONG AS HE OR SHE CONTINUES TO SERVE ON THE HAMP BOARD OR AS PRESIDENT OF THE PHYSICIAN COUNCIL, AS APPLICABLE. 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, THE GOVERNING MEMBERS RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR THEIR REVIEW. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE 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 RELATED TO THEIR CONFLICTS. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH 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.COM. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE: $77,812,314 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;($1,261,129) CONTRIBUTION TO THE CARLE DEVELOPMENT FOUNDATION THROUGH AN EQUITY TRANSFER; K-1 INVESTMENT INCOME ($236,543). 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 DOES HAVE 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. THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 618012595 371119538 HOSPITAL SVCS IL 501(c)(3) 3 TCF true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 618012595 371159978 FUNDRAISING IL 501(c)(3) 7 TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 618012595 371140016 VAR SVCS IL 501(c)(3) 9 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 618012595 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 618012595 364458371 FDN MISSION IL 501(c)(3) 11a, Type I TCDF true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE ST HOOPESTON IL 609421801 363637465 HOSPITAL SVCS IL 501(c)(3) 3 TCF true CHAMPAIGN SURGICENTER LLC 611 W PARK ST URBANA IL 618012595 201915925 SURGICAL CENTER IL HEALTH SYSTEMS INSURANCE LIMITED GOVERNORS SQ 2ND FL BLDG 3 KY1-11 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 INSURANCE CJ TCF C Corp 20819738 147477807 1.00000 CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 HOLDING COMPANY IL TCF C Corp 0 338712051 1.00000 HEALTH ALLIANCE MEDICAL PLANS INC 301 S VINE ST URBANA IL 61801 371260731 HEALTH COVERAGE IL CHCI C Corp 1140138813 654094613 1.00000 HEALTH ALLIANCE MIDWEST INC 301 S VINE ST URBANA IL 61801 371354502 HEALTH COVERAGE IL HAMP C Corp 0 0 1.00000 HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING CO. WA HAMP C Corp 0 0 0.60000 HEALTH ALLIANCE NORTHWEST HEALTH PLAN IN 820 CHELAN AVE WENATCHEE WA 98801 461966323 HEALTH COVERAGE WA HAMP C Corp 0 0 0.60000 HEALTH CARE HORIZONS OF ILLINOIS INC 209 W RB GARRETT DR PEORIA IL 61605 371394924 INSURANCE TPA IL HAMP C Corp 0 0 1.00000 HCH ADMINSTRATION INC 209 W RB GARRETT DR PEORIA IL 61605 371119685 INSURANCE ADMIN IL HCHII C Corp 0 0 1.00000 HCH ADMINISTRATION INC 111 LOMAS BLVD SUITE 122 ALBUQUERQUE NM 87102 850391732 INSURANCE ADMIN NM HCHAI C Corp 0 0 1.00000 CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 RISK MANAGEMENT IL TCF C Corp 1278837 71995 1.00000 EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 PHYS CREDENTIALNG IL TCF C Corp 151032 36337 1.00000 HEALTH ALLIANCE CONNECT INC 301 S VINE ST URBANA IL 61801 464796891 HEALTH CARE COORD IL TCF C Corp 0 0 1.00000 true true true false false false false false false false true true true false false true true false false THE CARLE FOUNDATION HOSPITAL a 23528263 BOOK CARLE RISK MANAGEMENT COMPANY a 73404 BOOK THE CARLE DEVELOPMENT FOUNDATION a 66311 BOOK HEALTH ALLIANCE MEDICAL PLANS INC a 351643 BOOK CARLE HEALTH CARE INCORPORATED a 8060496 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL a 240816 BOOK CHAMPAIGN SURGICENTER LLC a 545871 BOOK EVALIDATA INC a 16812 BOOK THE CARLE FOUNDATION HOSPITAL b 278340 BOOK THE CARLE DEVELOPMENT FOUNDATION b 1261129 BOOK THE CARLE FOUNDATION HOSPITAL l 406253 BOOK HEALTH ALLIANCE MEDICAL PLANS INC m 2221432 BOOK CARLE HEALTH CARE INCORPORATED m 287524 BOOK HEALTH SYSTEMS INSURANCE LIMITED m 1441640 BOOK CARLE RISK MANAGEMENT COMPANY p 1278837 BOOK THE CARLE FOUNDATION HOSPITAL q 75531792 BOOK CARLE RISK MANAGEMENT COMPANY q 74969 BOOK HEALTH ALLIANCE MEDICAL PLANS INC q 1952496 BOOK CARLE HEALTH CARE INCORPORATED q 42122513 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL q 3795519 BOOK HEALTH SYSTEMS INSURANCE LIMITED q 53227 BOOK CHAMPAIGN SURGICENTER LLC q 1672279 BOOK CARLE RETIREMENT CENTERS INC q 384326 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.