CARLE HEALTH MEDICAL GROUP: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CARLE HEALTH MEDICAL GROUP (EIN 37-1140016)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201443189349305094
- Schema version
- 2013v3.1
- 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 J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T13:11:36-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Urbana | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis Hesch | PersonNm |
| Person Title | Exec VP, CFO | PersonTitleTxt |
| Signature | 2014-11-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | Urbana | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $293,741,638 | 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 no EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 2131 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $473,533 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$82,395 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $310,046 | PYContributionsGrantsAmt |
| CY Contributions Grants | $518,859 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $375,096,326 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $287,139,567 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,989,118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $92,028 | PYOtherRevenueAmt |
| CY Other Revenue | $75,325 | CYOtherRevenueAmt |
| PY Total Revenue | $375,515,782 | PYTotalRevenueAmt |
| CY Total Revenue | $290,722,869 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $341 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $900 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $222,783,106 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $209,080,491 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $176,421,173 | PYOtherExpensesAmt |
| CY Other Expenses | $117,654,313 | CYOtherExpensesAmt |
| PY Total Expenses | $399,204,620 | PYTotalExpensesAmt |
| CY Total Expenses | $326,735,704 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,688,838 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$36,012,835 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $71,759,550 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,137,182 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,404,100 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,185,856 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $48,355,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,951,326 | 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 Section 501(c)(3) of the Internal Revenue Code of 1986. The corporation shall engage in any lawful activities within the purposes for which a Corporation may be organized under the Illinois General Not For Profit Corporation Act of 1986. The corporation's purposes shall include, but not be limited to operating facilities and divisions that will provide health care and other related services as well as employing physicians and others for that purpose. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $289,146,139 | ExpenseAmt |
| Grant | $900 | GrantAmt |
| Revenue | $245,283,580 | RevenueAmt |
| Desc | Patient service - 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 2013, CPG performed approximately 583,000 outpatient visits and made nearly 15,000 physician admissions to The Carle Foundation Hospital (CFH). In addition, CPG physicians performed approximately 18,800 surgeries at CFH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $27,222,727 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,380,157 | RevenueAmt |
| Desc | Patient service - Carle Foundation Physician Services (CFPS) - serving people through high quality care, research and education. Provide Physician and related services that maintain or enhance clinical services. In 2013, CFPS performed approximately 17,000 outpatient visits and made nearly 4,100 physician admissions to The Carle Foundation Hospital (CFH). In addition, CFPS physicians performed approximately 109 surgeries at CFH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $611,911 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,478,698 | RevenueAmt |
| Desc | Champaign Surgicenter, LLC (ASC) 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 2013, 4,422 procedures were performed across a wide variety of meDICAL specialties. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,198,721 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $7,523,599 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $323,179,498 | 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 | Yes (true) | 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 | false | 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2131 | 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 | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | AddressLine1 |
| City | URBANA | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Donna Greene | ||||||||||
| Chairman of Board | 0.25 | 2.85 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Guy Hall | ||||||||||
| Vice Chairman of Board | 0.2 | 2.2 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Kenneth Aronson MD | ||||||||||
| Secretary of Board | 1.0 | 39.0 | Yes (X) | Yes (X) | $270,347 | $0 | $33,985 | |||
| Marty Smith | ||||||||||
| Immediate Past Chair | 0.2 | 2.2 | Yes (X) | $0 | $0 | $0 | ||||
| Matthew Gibb MD | ||||||||||
| Trustee | 18.0 | 22.0 | Yes (X) | $666,017 | $0 | $23,047 | ||||
| J Michael Martin | ||||||||||
| Trustee | 1.0 | 5.0 | Yes (X) | $0 | $30,000 | $0 | ||||
| Paul Tender MD | ||||||||||
| Trustee | 38.0 | 2.0 | Yes (X) | $566,903 | $0 | $32,836 | ||||
| Phillip Blankenburg | ||||||||||
| Prev Chairman of Board | 1.0 | 3.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Cora E Musial Phd MD | ||||||||||
| Prev Secretary of Board | 3.0 | 37.0 | Yes (X) | Yes (X) | $367,266 | $0 | $24,411 | |||
| James C Leonard MD | ||||||||||
| Ex-Officio, President & CEO | 3.0 | 37.0 | Yes (X) | $0 | $1,674,727 | $375,019 | ||||
| R Bruce Wellman MD | ||||||||||
| Ex-Officio, CEO of CPG | 20.0 | 20.0 | Yes (X) | $0 | $1,143,945 | $285,224 | ||||
| John Snyder | ||||||||||
| Exec VP & COO | 15.0 | 25.0 | Yes (X) | $0 | $957,297 | $242,479 | ||||
| Dennis Hesch | ||||||||||
| Exec VP & CFO | 12.0 | 28.0 | Yes (X) | $0 | $686,195 | $183,568 | ||||
| Laurence Fallon | ||||||||||
| SVP-Legal Affairs & HR | 15.0 | 25.0 | $0 | $565,126 | $146,298 | Yes (X) | ||||
| Joseph Barkmeier MD | ||||||||||
| Med Dir, Strat Devel/Diag | 1.0 | 39.0 | $0 | $494,117 | $117,808 | Yes (X) | ||||
| Stephanie Beever | ||||||||||
| VP-Strat Devl/Surg Svcs/Neuro | 15.0 | 25.0 | $0 | $357,334 | $91,574 | Yes (X) | ||||
| Kim Johnston | ||||||||||
| VP-Primary Care & Reg'l Health | 25.0 | 15.0 | $0 | $325,463 | $76,269 | Yes (X) | ||||
| Dawn Walden | ||||||||||
| VP-Revenue Cycle Ops | 15.0 | 25.0 | $0 | $283,627 | $81,447 | Yes (X) | ||||
| Julianna Sellett | ||||||||||
| VP-Diagnostic & Trans'l Care | 2.0 | 38.0 | $0 | $181,380 | $21,949 | Yes (X) | ||||
| Craig Neitzel MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,211,379 | $0 | $41,066 | Yes (X) | ||||
| Michael Tsipursky MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,146,273 | $0 | $40,794 | Yes (X) | ||||
| Robert Bane MD | ||||||||||
| Physician | 38.0 | 2.0 | $962,006 | $0 | $40,542 | Yes (X) | ||||
| Sanjay Mehta MD | ||||||||||
| Physician | 40.0 | 0.0 | $895,299 | $0 | $41,372 | Yes (X) | ||||
| George Panagakis MD | ||||||||||
| Physician | 40.0 | 0.0 | $842,583 | $0 | $40,172 | Yes (X) | ||||
| Philip Kubow | ||||||||||
| SVP-HR-former | 0.0 | 0.0 | $0 | $512,487 | $7,509 | Yes (X) | ||||
| Mark Berlin | ||||||||||
| VP-Surgical Spec-former | 0.0 | 0.0 | $0 | $340,114 | $211,203 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,928,073 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,551,812 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,158,572 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 461 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN STAFFING | $3,234,341 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | PHYSICIAN STAFFING | $2,278,827 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 303845547 | PHYSICIAN STAFFING | $2,194,574 |
| JACKSON COKER HOLDINGS LLC | |||||
| PO BOX 277638 | ATLANTA | GA | 303847638 | PHYSICIAN STAFFING | $724,910 |
| MEDICAL DOCTOR ASSOCIATES LLC | |||||
| PO BOX 277185 | ATLANTA | GA | 303847185 | PHYSICIAN STAFFING | $719,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $218,931 | RelatedOrganizationsAmt |
| Government Grants | $289,128 | GovernmentGrantsAmt |
| All Other Contributions | $10,800 | AllOtherContributionsAmt |
| Noncash Contributions | $150,799 | NoncashContributionsAmt |
| Total Contributions | $518,859 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient service revenue | 621110 | $245,283,580 | $245,283,580 | $0 | $0 |
| Other physician/prog rev | 621110 | $27,380,157 | $27,380,157 | $0 | $0 |
| Surgicenter revenue | 621400 | $6,478,698 | $6,478,698 | $0 | $0 |
| Ambulance revenue | 621910 | $5,761,228 | $5,761,228 | $0 | $0 |
| Daycare revenue | 624410 | $1,148,243 | $674,710 | $473,533 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,087,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,087,661 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $287,139,567 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47 | TotalRevenueColumnAmt |
| Exclusion | $47 | 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,325 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,325 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,325 | TotalRevenueColumnAmt |
| Exclusion | $75,325 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,007,840 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,018,769 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,989,071 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,989,071 | TotalRevenueColumnAmt |
| Exclusion | $2,989,071 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $290,722,869 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $286,666,034 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $473,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,064,443 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900 | TotalAmt |
| Program Services | $900 | 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 | $2,040,131 | TotalAmt |
| Program Services | $2,040,131 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,391 | TotalAmt |
| Program Services | $522,391 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,188,390 | TotalAmt |
| Program Services | $176,725,577 | ProgramServicesAmt |
| Management And General | $462,813 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,423,528 | TotalAmt |
| Program Services | $8,393,454 | ProgramServicesAmt |
| Management And General | $30,074 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,635,700 | TotalAmt |
| Program Services | $12,559,378 | ProgramServicesAmt |
| Management And General | $76,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,270,351 | TotalAmt |
| Program Services | $8,228,039 | ProgramServicesAmt |
| Management And General | $42,312 | 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 | $8,075 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $8,075 | 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 | $4,292 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $4,292 | 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 | $30,306,467 | TotalAmt |
| Program Services | $29,797,462 | ProgramServicesAmt |
| Management And General | $509,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,760 | TotalAmt |
| Program Services | $17,852 | ProgramServicesAmt |
| Management And General | $908 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,075,587 | TotalAmt |
| Program Services | $4,887,519 | ProgramServicesAmt |
| Management And General | $188,068 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,619,953 | TotalAmt |
| Program Services | $2,468,275 | ProgramServicesAmt |
| Management And General | $151,678 | 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 | $10,101,830 | TotalAmt |
| Program Services | $9,972,592 | ProgramServicesAmt |
| Management And General | $129,238 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,052 | TotalAmt |
| Program Services | $688,480 | ProgramServicesAmt |
| Management And General | $25,572 | 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 | $1,087,445 | TotalAmt |
| Program Services | $1,076,820 | ProgramServicesAmt |
| Management And General | $10,625 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,017 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $40,017 | 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 | $1,864,355 | TotalAmt |
| Program Services | $1,753,608 | ProgramServicesAmt |
| Management And General | $110,747 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,996,025 | TotalAmt |
| Program Services | $10,903,347 | ProgramServicesAmt |
| Management And General | $92,678 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient care supplies | $14,452,110 | $14,452,110 | $0 | $0 |
| Internal management fees | $39,124,697 | $37,451,340 | $1,673,357 | $0 |
| ASC expense | $611,911 | $611,911 | $0 | $0 |
| Recruitment | $623,132 | $623,132 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,605 | TotalAmt |
| Program Services | $5,180 | ProgramServicesAmt |
| Management And General | $425 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,735,704 | TotalAmt |
| Program Services | $323,179,498 | ProgramServicesAmt |
| Management And General | $3,556,206 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,493 | BOYAmt |
| EOY | $731,626 | 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 | $58,404,242 | BOYAmt |
| EOY | $38,900,278 | 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 | $481,754 | BOYAmt |
| EOY | $1,209,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,033,350 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,258,806 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,315,444 | BOYAmt |
| EOY | $2,774,544 | 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 | $13,520,925 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,484,617 | BOYAmt |
| EOY | $0 | 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 | $71,759,550 | BOYAmt |
| EOY | $57,137,182 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,248,465 | BOYAmt |
| EOY | $22,485,871 | 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 | $1,155,635 | BOYAmt |
| EOY | $1,699,985 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,404,100 | BOYAmt |
| EOY | $24,185,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,355,450 | BOYAmt |
| EOY | $32,951,326 | 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 | $48,355,450 | BOYAmt |
| EOY | $32,951,326 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,759,550 | BOYAmt |
| EOY | $57,137,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$36,012,835 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $20,608,711 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $319,112 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $241,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $310,046 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $518,859 | CurrentTaxYearAmt |
| Total | $1,478,015 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $123,671,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $175,977,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $344,706,781 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $375,096,326 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $286,666,034 | CurrentTaxYearAmt |
| Total | $1,306,117,831 | 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 | $123,990,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,065,924 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $344,948,408 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $375,406,372 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $287,184,893 | CurrentTaxYearAmt |
| Total | $1,307,595,846 | 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 | $1,307,595,846 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $863,712 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,917 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,028 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,372 | CurrentTaxYearAmt |
| Total | $1,230,074 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $863,712 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,917 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,028 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,372 | CurrentTaxYearAmt |
| Total | $1,230,074 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,158 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $42,498 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $124,885,301 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,192,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $345,031,453 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $375,498,400 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $287,260,265 | CurrentTaxYearAmt |
| Total | $1,308,868,418 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99903 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99886 | PublicSupportPY509Pct |
| Investment Income CY | 0.00094 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00110 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME | 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 | $4,292 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,292 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other Lobbying Activities | FormAndLineReferenceDesc |
| Explanation | $1,500-portion of American Ambulance Assoc dues attributable to lobbying. $2,750-portion of American Medical Society dues attributable to lobbying. $42-portion of American Association of Nurse Anesthetists 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 | $76,284 | OtherCostOrOtherBasisAmt |
| Book Value | $76,284 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $670,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $588,182 | DepreciationAmt |
| Book Value | $82,187 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,610 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,739 | DepreciationAmt |
| Book Value | $41,871 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,745,702 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,857,739 | DepreciationAmt |
| Book Value | $1,887,963 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,496,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,810,146 | DepreciationAmt |
| Book Value | $686,239 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,774,544 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MAJORITY INTEREST IN CASC | Desc |
| Book Value | $13,520,925 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $13,520,925 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Hamp liability | Desc |
| Amt | $1,699,985 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,699,985 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48(ASC740) 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 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 2012. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (21 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 | $248,234 | $0 | $0 | $0 | $22,113 | $0 | $20,676 | $0 | $13,309 | $0 | $304,332 | $0 | $0 | $0 |
| Matthew Gibb MD | ||||||||||||||
| Trustee | $629,527 | $0 | $29,913 | $0 | $6,577 | $0 | $20,676 | $0 | $2,371 | $0 | $689,064 | $0 | $0 | $0 |
| Paul Tender MD | ||||||||||||||
| Trustee | $545,917 | $0 | $16,879 | $0 | $4,107 | $0 | $20,676 | $0 | $12,160 | $0 | $599,739 | $0 | $0 | $0 |
| Cora E Musial Phd MD | ||||||||||||||
| Prev Secretary of Board | $350,184 | $0 | $0 | $0 | $17,082 | $0 | $20,676 | $0 | $3,735 | $0 | $391,677 | $0 | $0 | $0 |
| James C Leonard MD | ||||||||||||||
| Ex-Officio, President & CEO | $0 | $936,771 | $0 | $315,346 | $0 | $422,610 | $0 | $362,949 | $0 | $12,070 | $0 | $2,049,746 | $0 | $381,241 |
| R Bruce Wellman MD | ||||||||||||||
| Ex-Officio, CEO of CPG | $0 | $756,787 | $0 | $222,014 | $0 | $165,144 | $0 | $281,794 | $0 | $3,430 | $0 | $1,429,169 | $0 | $131,758 |
| John Snyder | ||||||||||||||
| Exec VP & COO | $0 | $614,041 | $0 | $150,065 | $0 | $193,191 | $0 | $223,675 | $0 | $18,804 | $0 | $1,199,776 | $0 | $152,776 |
| Dennis Hesch | ||||||||||||||
| Exec VP & CFO | $0 | $468,947 | $0 | $116,351 | $0 | $100,897 | $0 | $161,988 | $0 | $21,580 | $0 | $869,763 | $0 | $70,558 |
| Laurence Fallon | ||||||||||||||
| SVP-Legal Affairs & HR | $0 | $399,625 | $0 | $71,040 | $0 | $94,461 | $0 | $125,343 | $0 | $20,955 | $0 | $711,424 | $0 | $82,833 |
| Joseph Barkmeier MD | ||||||||||||||
| Med Dir, Strat Devel/Diag | $0 | $441,547 | $0 | $43,515 | $0 | $9,055 | $0 | $108,200 | $0 | $9,608 | $0 | $611,925 | $0 | $0 |
| Stephanie Beever | ||||||||||||||
| VP-Strat Devl/Surg Svcs/Neuro | $0 | $274,327 | $0 | $37,937 | $0 | $45,070 | $0 | $72,062 | $0 | $19,512 | $0 | $448,908 | $0 | $39,523 |
| Kim Johnston | ||||||||||||||
| VP-Primary Care & Reg'l Health | $0 | $233,236 | $0 | $59,903 | $0 | $32,324 | $0 | $63,644 | $0 | $12,625 | $0 | $401,732 | $0 | $27,034 |
| Dawn Walden | ||||||||||||||
| VP-Revenue Cycle Ops | $0 | $233,517 | $0 | $34,821 | $0 | $15,289 | $0 | $63,812 | $0 | $17,635 | $0 | $365,074 | $0 | $10,542 |
| Julianna Sellett | ||||||||||||||
| VP-Diagnostic & Trans'l Care | $0 | $146,230 | $0 | $13,413 | $0 | $21,737 | $0 | $17,736 | $0 | $4,213 | $0 | $203,329 | $0 | $0 |
| Craig Neitzel MD | ||||||||||||||
| Physician | $1,191,064 | $0 | $0 | $0 | $20,315 | $0 | $20,676 | $0 | $20,390 | $0 | $1,252,445 | $0 | $0 | $0 |
| Michael Tsipursky MD | ||||||||||||||
| Physician | $1,126,090 | $0 | $0 | $0 | $20,183 | $0 | $20,676 | $0 | $20,118 | $0 | $1,187,067 | $0 | $0 | $0 |
| Robert Bane MD | ||||||||||||||
| Physician | $959,191 | $0 | $0 | $0 | $2,815 | $0 | $20,676 | $0 | $19,866 | $0 | $1,002,548 | $0 | $0 | $0 |
| Sanjay Mehta MD | ||||||||||||||
| Physician | $891,914 | $0 | $0 | $0 | $3,385 | $0 | $20,676 | $0 | $20,696 | $0 | $936,671 | $0 | $0 | $0 |
| George Panagakis MD | ||||||||||||||
| Physician | $821,698 | $0 | $0 | $0 | $20,885 | $0 | $20,676 | $0 | $19,496 | $0 | $882,755 | $0 | $0 | $0 |
| Philip Kubow | ||||||||||||||
| SVP-HR-former | $0 | $0 | $0 | $41,067 | $0 | $471,420 | $0 | $0 | $0 | $7,509 | $0 | $519,996 | $0 | $472,863 |
| Mark Berlin | ||||||||||||||
| VP-Surgical Spec-former | $0 | $85,909 | $0 | $34,903 | $0 | $219,302 | $0 | $190,871 | $0 | $20,332 | $0 | $551,317 | $0 | $28,722 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE J, PART I, QUESTION 3 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF 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 4A PHILIP KUBOW AND MARK BERLIN RECEIVED SEVERANCE PAYMENTS IN 2013 IN THE AMOUNT OF $293,132 AND $137,858, RESPECTIVELY. FORM 990, SCHEDULE J, PART I, QUESTION 4B THE 2013 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 JAMES LEONARD, MD, R. BRUCE WELLMAN, MD, JOHN SNYDER, DENNIS HESCH, LAURENCE FALLON, JOSEPH BARKMEIER, STEPHANIE BEEVER, KIM JOHNSTON, DAWN WALDEN, JULIANNA SELLETT AND MARK BERLIN. 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), STEPHANIE BEEVER ($39,523), KIM JOHNSTON ($27,034), DAWN WALDEN ($10,542), PHILIP KUBOW ($179,731), AND MARK BERLIN ($28,722). FORM 990, SCHEDULE J, PART 1, QUESTION 5A PHYSICIAN'S COMPENSATION IS Partially BASED ON PRODUCTION. FORM 990, SCHEDULE J, PART 1, 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JAMES BARKMEIER DO | |||
| FAMILY MEMBER OF KEY EMP | $283,111 | EMPLOYMENT | false |
| JOHN SELLETT MD | |||
| FAMILY MEMBER OF KEY EMP | $239,280 | 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 | 0 | ContributionCnt |
| Noncash Contributions Rpt F990 | $150,799 | 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 REFRESHMENTS FOR SUPPORT GROUPS AND NOURISHMENT STATIONS, MAGAZINES, FACILITY RENTAL FEE, LANDSCAPING FOR OUTDOOR GARDEN SPACES, INSTRUCTION FOR YOGA FOR CANCER SURVIVORS CLASS, MEDICAL EQUIPMENT FOR PHYSICIAN HOUSE CALLS, BOOKS FOR PERSCRIPTION TO TREAD PROGRAM, PIANO TUNING, CREATION OF SPINE INSTITUTE QUALITY REPORT CARD, ICE MACHINE FOR CANCER CENTER, VISION SCREENING SYSTEMS, CROSS TRAINER, ERGOMETER, PATIO FURNITURE FOR DANVILLE CANCER CENTER, BEDS FOR PRIVATE INFUSION SUITES, SPEAKER EXPENSES/FOOD/MARKETING FOR COMMUNITY DIABETES EDUCATION EVENT. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, QUESTION 3 | FormAndLineReferenceDesc |
| Explanation | UNTIL MAY 31, 2013, CARLE HEALTH CARE INCORPORATED OPERATED CARLE FOUNDATION PHYSICIAN SERVICES. EFFECTIVE JUNE 1, 2013, PHYSICIANS AND OTHER PROFESSIONAL STAFF, WHO HAD PROVIDED SERVICES UNDER CARLE FOUNDATION PHYSICIAN SERVICES, BEGAN PROVIDING THOSE SERVICES AS CARLE PHYSICIAN GROUP PROVIDERS. IN ADDITION, ON JANUARY 31, 2013, CARLE HEALTH CARE INCORPORATED SOLD A 25% INTEREST IN CHAMPAIGN SURGICENTER, LLC TO CHRISTIE CLINIC ASC, LLC, AN AFFILIATE OF A PRIVATE, MULTI-SPECIALTY GROUP MEDICAL PRACTICE HEADQUARTERED IN CHAMPAIGN, IL. PART III, QUESTION 4D OTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CARING PLACE, ARROW AMBULANCE, LLC AND AIRLIFE. THE CARING PLACE FOSTERS THE DEVELOPMENT OF THE WHOLE CHILD IN A SAFE, NURTURING, NON-PRESSURED ATMOSPHERE THROUGH PLANNED AND VARIED EXPERIENCES. THE CARING PLACE CURRENTLY HAS 125 CHILDREN ENROLLED WITH 75 BEING CHILDREN OF CARLE EMPLOYEES, WHO RECEIVE A 10% DISCOUNT ON THEIR TUITION. THE CARING PLACE ALSO PARTICIPATES IN THE DEPARTMENT OF CHILD CARE RESOURCE SERVICE'S LOW-INCOME SUBSIDY PROGRAM. IN 2013, THE CARING PLACE ACCEPTED 18 FAMILIES (21 STUDENTS) UNDER THE STATE PROGRAM. ARROW AMBULANCE, LLC PROVIDES EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION IN THE CHAMPAIGN-URBANA (CU) AREA AND MANY OUTLYING COMMUNITIES. IT HAS OVER 15 EXCLUSIVE SERVICE AGREEMENTS OUTSIDE THE CU AREA SERVICING OVER 1,400 SQUARE MILES. ARROW AMBULANCE, LLC HAS A TOTAL OF 16 AMBULANCES WHICH PROVIDE OVER 13,500 TRANSPORTS PER YEAR. ARROW AMBULANCE, LLC'S HIGHLY TRAINED STAFF IS COMPRISED OF PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS AND DISPATCHERS. THEY WORK HARD BOTH TO SAVE LIVES IN EMERGENCIES AND PREVENT EMERGENCIES FROM OCCURRING THROUGH EXTENSIVE EDUCATIONAL EFFORTS. IN AN EMERGENCY, ARROW AMBULANCE OFFERS PRE-ARRIVAL INSTRUCTIONS THROUGH ITS DISPATCH SERVICE, ADVANCED LIFE SUPPORT, STATE OF THE ART EQUIPMENT AND DELIVERY TO THE HOSPITAL OF THE PATIENT'S CHOICE. 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, AND CRITICAL CARE FLIGHT PARAMEDICS. PART VI, QUESTION 2 DONNA GREENE (CHAIRMAN OF BOARD), GUY HALL (VICE CHAIRMAN OF BOARD), KENNETH ARONSON, MD (SECRETARY OF BOARD), MARTY SMITH (IMMEDIATE PAST CHAIR), JAMES LEONARD, MD (EX-OFFICIO), R. BRUCE WELLMAN, MD (EX-OFFICIO), MATTHEW GIBB, MD (TRUSTEE), J. MICHAEL MARTIN (TRUSTEE), AND PAUL TENDER, MD (TRUSTEE) HAD BUSINESS RELATIONSHIPS. JAMES LEONARD, MD (EX-OFFICIO), R. BRUCE WELLMAN, MD (EX-OFFICIO) AND J. MICHAEL MARTIN (TRUSTEE) HAD A BUSINESS RELATIONSHIP. JAMES LEONARD, MD (EX-OFFICIO), R. BRUCE WELLMAN, MD (EX-OFFICIO), PAUL TENDER, MD (TRUSTEE), JOHN SNYDER (OFFICER) AND LAURENCE FALLON (KEY EMPLOYEE) HAD BUSINESS RELATIONSHIPS. PART VI, QUESTION 6 CARLE HEALTH CARE INCORPORATED HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. 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. PART VI, QUESTION 7B CARLE HEALTH CARE INCORPORATED'S 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 $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY NEW OR ANY CHANGES TO EXISTING LONG TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; THE APPROVING OF ANY MERGER, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE AUTHORIZATION TO ENTER 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; AND THE AUTHORIZATION TO ENTER INTO ANY CONTRACT WHICH EXTENDS FOR 5 OR MORE YEARS OR INVOLVES THE EXPENDITURE OF MORE THAN $100,000 BY THE CORPORATION. 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, 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. PART VI, QUESTIONS 12 - 16 QUESTIONS ANSWERED AFFIRMATIVELY ARE APPLICABLE TO ALL DISREGARDED ENTITIES. 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. PART VI, QUESTIONS 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 COMPANY OF 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. PART VI, QUESTION 18 & 19 THE CARLE FOUNDATION, THE PARENT COMPANY 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 SYST | ExplanationTxt |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Carle Foundation Physician Services LLC | |||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 200860864 | Physician Ser | IL | $17,706,527 | $40,746 | NA |
| Arrow Ambulance LLC | |||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 273054181 | Ambulance | IL | $6,029,144 | $2,293,417 | NA |
| Champaign Surgicenter LLC | |||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 201915925 | SURGERY CTR | IL | $1,602,089 | $0 | NA |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| The Carle Foundation Hospital | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371119538 | Hospital Serv | IL | 501(c)(3) | 3 | TCF | Yes (true) |
| The Carle Foundation | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 370673465 | Parent/Invest | IL | 501(c)(3) | 11b TYPE II | NA | false |
| 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) | 9 | TCF | Yes (true) |
| Carle Community Health Corporation | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 364458371 | FNDN MISSION | IL | 501(c)(3) | 11a 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 Surgicenter LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1 |
| City | Urbana | City |
| State | IL | State |
| ZIP Code | 618012595 | ZIPCode |
| 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $4,876,609 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $14,088,749 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.75000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Systems Insurance Limited | ||||||||||||||
| Governors Sq 2nd FL Bldg 3 | Grand Cayman | CJ | KY1-1102 | Insurance | CJ | TCF | C Corp | Yes (true) | ||||||
| Carle Holding Company Inc | ||||||||||||||
| HOLDING COMPANY | TCF | C Corp | Yes (true) | 611 W Part Street | Urbana | IL | 618012595 | 371188284 | IL | |||||
| Carle Risk Management Company | ||||||||||||||
| Risk Management | CFH | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 371217973 | IL | |||||
| Evalidata Inc | ||||||||||||||
| Credentialing | CFH | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 462022658 | IL | |||||
| Health Alliance Connect Inc | ||||||||||||||
| HEALTH CARE COORD | TCF | C CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 61801 | 464796891 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| HEALTH COVERAGE | CHC | C CORP | Yes (true) | 301 S VINE ST | URBANA | IL | 61801 | 371260731 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | Yes (true) | 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| The Carle Foundation Hospital | ||
| a | $47,617 | Book Value |
| THE CARLE FOUNDATION HOSPITAL | ||
| l | $8,966,199 | Book Value |
| THE CARLE FOUNDATION HOSPITAL | ||
| m | $901,419 | Book Value |
| The Carle Foundation Hospital | ||
| q | $3,088,952 | Book Value |
| The Carle Development Foundation | ||
| c | $68,132 | Book Value |
| Hoopeston Community Memorial Hospital | ||
| l | $713,433 | Book Value |
| Hoopeston Community Memorial Hospital | ||
| q | $414,331 | Book Value |
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| l | $116,258,388 | Book Value |
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| m | $248,400 | Book Value |
| Evalidata Inc | ||
| m | $67,064 | Book Value |
| Hoopeston Community Memorial Hospital | ||
| g | $311,988 | Book Value |
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| o | $80,632 | Book Value |
| Health Systems Insurance Limited | ||
| m | $11,198,702 | Book Value |
| THE CARLE DEVELOPMENT FOUNDATION | ||
| S | $150,799 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Related Organizations | FormAndLineReferenceDesc |
| Explanation | On Jan 31, 2013, Carle Health Care, Incorporated sold a 25% interest in the Champaign Surgicenter, LLC to Christie Clinic ASC, LLC, an affiliate of a private, multi-specialty, group medical practice headquartered in Champaign, IL. Therefore, for one month of the year Champaign Surgicenter, LLC was a disregarded entity for tax purposes and for the remainder, it was a partnership. | ExplanationTxt |