2013-11-14T11:40:30-06:00 2012-12-31 EISNERAMPER LLP 111 WOOD AVE SO STE 600 ISELIN NJ 088302700 990 2012-01-01 221714106 CARRIER CLINIC INC % DONALD PARKER CARR 9082811000 PO BOX 147 Suite BELLE MEAD NJ 085020147 DONALD PARKER 9082811000 2013-11-15 true RICHARD A SACKIN 7322437000 2012 2016-02-25 16:41:14Z DONALD PARKER PO BOX 147 BELLE MEAD NJ 08502 76087485 false X WWW.CARRIERCLINIC.ORG X 1910 NJ CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. 15 12 902 0 4167 3167 133977 166460 56394493 59837958 2380652 1234130 415606 225733 59324728 61464281 1250 750 0 0 41339134 43703407 0 0 190342 14797344 15835565 56137728 59539722 3187000 1924559 51742137 55394874 21997772 22586661 29744365 32808213 X REFER TO SCHEDULE O FOR MISSION STATEMENT. false false 33265854 750 35887769 PSYCHIATRIC HOSPITAL WHICH CARED FOR 3,754 INPATIENTS AND HAD A TOTAL OF 39,959 PATIENT DAYS. 6784135 6831017 EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 106 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2012 AVERAGE DAILY ENROLLMENT. 5532438 5642302 BLAKE RECOVERY CENTER WHICH CARED FOR 1,590 INPATIENTS AND HAD A TOTAL OF 10,063 PATIENT DAYS. 9816128 10367330 55398555 true true false true false false false false false false true false false true true true true false false false false false false false true false true true false false true false false false false false false false false false false false false false false false false false true 17 0 true 902 true true true false false false false true true false false false false X 15 12 false false false false false false false true true false false true true true true true true true true false NJ X X DONALD PARKER 9082811000 252 ROUTE 601 BELLE MEAD NJ 085020147 X C RICHARD SARLE 40.0 X X 413918 20518 ALLAN CLELLAND 0.0 X THOMAS G AMATO 0.0 X CAROL HOLZER 0.0 X JEAN M KRAUSS 0.0 X GORDON PINGICER 0.0 X BRUCE HERDMAN PHD 0.0 X SUSAN Q SWAIN DNP 0.0 X ANN DAMSGAARD 0.0 X JOHN KOLLIGAN JR PHD 0.0 X ASMA NISAR MD 40.0 X 278665 0 36075 MARIE HASSON MD 40.0 X X 294836 0 14512 THOMAS R WILSON 0.0 X THOMAS HARTMANN 0.0 X DONALD HUNT 0.0 X RANDOLPH JACOBSON 40.0 X 233774 0 35878 MARY PAWLIKOWSKI 40.0 X 222748 0 25451 PATRICIA TOOLE 40.0 X 202071 0 33687 CAROL KOSZTYO 40.0 X 203611 0 20888 UMESH MEHTA MD 40.0 X 429359 0 42188 CLAIRE MARSH MD 40.0 X 236602 0 10423 WOJCIECH SZULACZKOWSKI MD 40.0 X 270865 0 40811 DAVID BUCH MD 40.0 X 231804 0 36663 ABDUL KAZI MD 40.0 X 234394 0 37294 3252647 0 354388 29 false true false SODEXO INC AFFILIATES PO BOX 905374 CHARLOTTE NC 282905374 DIETARY & HOUSEKEEP 2031287 DRINKER BIDDLE REATH LLP 500 CAMPUS DRIVE FLORHAM PARK NJ 07932 LEGAL SERVICES 224433 GAMIL MAKAR LLC 20 RENSHAW DRIVE MONTVILLE NJ 07045 INTERNAL MEDICINE 202325 LIFE HEALTH PHYSICAL THERAPY 245 TOWNSHIP LINE ROAD BELLE MEAD NJ 08502 PHYSICAL THERAPY 141670 KPMG LLP 150 JOHN F KENNEDY PARKWAY SHORT HILLS NJ 07078 AUDITING SERVICES 136425 6 39080 127380 166460 NET PATIENT SERVICES 624100 51892316 51892316 EDUCATIONAL PROGRAMS 611710 6836102 6836102 SERVICES & MANAGEMENT 561000 1109540 871977 237563 59837958 727336 2823 724513 0 0 0 0 0 9047800 5757808 8620849 5677965 426951 79843 506794 1344 505450 108739 39080 36941 71798 71798 0 236896 287449 -50553 -50553 EASEMENT REVENUE 900099 154517 154517 PHARMACY/PHONE/VENDING 900099 24934 24934 MISCELLANEOUS REVENUE 900099 25037 25037 204488 61464281 59549842 4167 1743812 X 0 750 750 0 0 1529522 178879 1350643 0 34140807 29124097 4876952 139758 2374053 1950270 414481 9302 2736794 2248260 477810 10724 2922231 2400597 510185 11449 574607 574607 255281 255281 191896 45836 146060 0 0 51548 51548 1332578 889156 443422 789632 789632 1068429 640077 419749 8603 228221 23288 204933 0 1234792 1234792 87042 83648 3394 0 74713 31744 38463 4506 305189 305189 0 1226595 49371 1177224 1214093 1214093 DIETARY/ENVIRONMENTAL SVCS 2146784 6564 2139924 296 PATIENT-RELATED 1518598 1518598 BAD DEBTS 1949884 1763531 186353 MAINTENANCE/EMPLOYEE 1585683 324544 1258759 2380 59539722 55398555 3950825 190342 2341989 5256332 1000482 1586401 0 58000 5036842 4996127 0 0 0 0 0 0 134328 130418 1145969 989731 42915328 31520825 11277106 11394503 21797920 23149096 1030498 1069605 0 0 0 0 7977003 6764661 51742137 55394874 8731651 9151310 0 0 0 0 0 0 0 0 0 0 6447044 5721266 0 0 6819077 7714085 21997772 22586661 X 29481946 32384916 262419 423297 0 0 29744365 32808213 51742137 55394874 X 1924559 1887968 -748679 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 4488 false false 4488 false PART II-B, LINE 1 (I), OTHER LOBBYING ACTIVITIES: This expense represents a portion of Carrier Clinic's membership dues paid to the American Hospital Association (AHA) and NJ Hospital Association (NJHA) that both associations identified to pertain to their lobbying activities on behalf of their members. OTHER DUES ARE PAID TO THE NEW JERSEY ALLIANCE FOR CHILDREN, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEM (NAPHS) AND NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES (NJAMHAA). LOBBYING ACTIVITIES ARE PERFORMED BY THESE ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE SPECIFIC LOBBYING ALLOCATION IS NOT AVAILABLE. 278290 278290 24113126 16420238 7692888 10124659 9493773 630886 8399253 5606814 2792439 11394503 OTHER RECEIVABLES 1783011 ASSETS WHOSE USE IS LIMITED 4041643 CHARITABLE REMAINDER TRUST 601367 FUNDED DEFERRED COMPENSATION 338640 6764661 0 DEFERRED COMPENSATION 690548 DUE TO THIRD-PARTY PAYORS 1751164 ACCRUED PENSION AND BENEFITS 5258541 OTHER LIABILITIES 13832 7714085 X 58505264 345449 345449 58159815 3304466 3304466 61464281 58028591 287449 287449 57741142 1798580 1798580 59539722 PART X, LINE 2 THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(a) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 287,449 PLEDGES RECEIVABLE 58,000 TOTAL PART XI, LINE 2D 345,449 PART XI, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 35,049 PATIENT BAD DEBTS 1,763,531 ACTUAL DONATIONS VS. INCOME STATEMENT 160,878 INVESTMENT INCOME 1,234,129 CONTRIBUTIONS RECEIVED 110,878 ROUNDING 1 TOTAL PART XI, LINE 4B 3,304,466 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 287,449 TOTAL PART XII, LINE 2D 287,449 PART XII, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 35,049 PATIENT BAD DEBTS 1,763,531 TOTAL PART XII, LINE 4B 1,798,580 GALA 89540 27800 61740 16500 5892 GOLF OUTING 27880 11280 16600 9516 274 2 30399 30399 4759 147819 39080 108739 26016 10925 36941 71798 true true X true X true X 100 true true true false false 381279 381279 0.00660 2666038 2432204 233834 0.00400 3047317 2432204 615113 0.01060 5917 5917 0.00010 7897 7897 0.00010 269549 148476 121073 0.00210 23088 23088 0.00040 306451 148476 157975 0.00270 3353768 2580680 773088 0.01330 15120 15120 0.00030 15120 15120 0.00030 true 953874 10576155 9309246 1266909 X true false 1 1 CARRIER CLINIC INC

PO BOX 147 BELLE MEAD NJ 08502

X CARRIER CLINIC INC 1 true true 100 true 100 true X X X X true true X X true false true X X false false 5 EAST MOUNTAIN SCHOOL

PO BOX 147 BELLE MEAD NJ 08502

PRIVATE SCHOOL FOR THE HANDICAPPED EAST MOUNTAIN YOUTH LODGE

PO BOX 147 BELLE MEAD NJ 08502

RESIDENTIAL TREATMENT FACILITY BLAKE RECOVERY CENTER

PO BOX 147 BELLE MEAD NJ 08502

RESIDENTIAL SUBSTANCE ABUSE FACILITY SWAN LODGE

PO BOX 147 BELLE MEAD NJ 08502

INTENSIVE RESIDENTIAL TREATMENT FACILITY SUNFLOWER LODGE

PO BOX 147 BELLE MEAD NJ 08502

PSYCHIATRIC COMMUNITY HOME FOR CHILDREN Part I, Line 7 COLUMN F BAD DEBT EXPENSE FOR 2012 IS $1,763,531 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. PART I, LINE 7 THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART III, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSABLE OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE CLINIC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE CLINIC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE CLINIC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE CLINIC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. PART V, LINE 20D PATIENTS WHO ARE RESIDENTS OF NEW JERSEY AND DO NOT HAVE INSURANCE ARE billed pursuant to New Jersey State billing regulations. ALL PATIENTS REGARDLESS OF RESIDENCY ARE ABLE TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, SUPPLEMENTAL INFORMATION 2 NEEDS ASSESSMENT AS PART OF CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, CARRIER GATHERS AND INCORPORATES NATIONAL, STATE AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS. ADDITIONALLY, CARRIER STAFF ATTENDS AN AVERAGE OF 15 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES US TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES OF IMPORTANCE. READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY. CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 94,000 PER YEAR, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. CARRIER ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT CARRIER'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHAT SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. PART VI, SUPPLEMENTAL INFORMATION 3 PATIENT EDUCATION AT TIME OF ADMISSION OR PRIOR TO DISCHARGE: PATIENTS ARE GIVEN A PATIENT HANDBOOK UPON ADMISSION, OR AS PRACTICAL THEREAFTER, WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A PATIENT SERVICE REPRESENTATIVE MEETS WITH THE PATIENT, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN INDIVIDUALLY EITHER AT TIME OF ADMISSION OR DURING THE HOSPITALIZATION PRIOR TO DISCHARGE. THE REPRESENTATIVE PROVIDES EDUCATION REGARDING INSURANCE COVERAGE AND PERSONAL FINANCIAL RESPONSIBILITIES. THE PATIENT IS INFORMED OF PAYMENT OPTIONS WHICH INCLUDE AN APPLICATION FOR COMPASSIONATE CARE. THE REPRESENTATIVE PROVIDES ASSISTANCE IN COMPLETING THE APPLICATION AND EXPLAINS WHAT SUPPORTING DOCUMENTATION IS NEEDED FOR CONSIDERATION. PATIENT IS EXPECTED TO MAIL SUPPORTING DOCUMENTATION TO THE PATIENT ACCOUNT DEPARTMENT FOR CONSIDERATION. POST DISCHARGE: PATIENTS WHO INFORM COLLECTOR THAT THEY CANNOT MEET THEIR FINANCIAL OBLIGATION ARE ASKED IF THEY WOULD LIKE TO APPLY FOR CHARITY CARE. IF THEY AGREE, THE APPLICATION IS MAILED TO THE PATIENT FOR COMPLETION. PART VI, SUPPLEMENTAL INFORMATION 4 COMMUNITY INFORMATION CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2012 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE FIVE COUNTIES, AN AVERAGE OF 7.58% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2007-2011 CENSUS STATISTICS. PART VI, SUPPLEMENTAL INFORMATION 5 COMMUNITY BUILDING ACTIVITIES & COALITION BUILDING CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 15 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. X X X X false false false false false false false false false C RICHARD SARLE 413918 20518 434436 RANDOLPH JACOBSON 233774 0 35878 269652 0 MARY PAWLIKOWSKI 222748 0 25451 248199 0 PATRICIA TOOLE 202071 0 33687 235758 0 CAROL KOSZTYO 182811 0 20800 20888 224499 0 UMESH MEHTA MD 429359 0 42188 471547 0 CLAIRE MARSH MD 236602 0 10423 247025 0 ASMA NISAR MD 278665 0 36075 314740 0 MARIE HASSON MD 294836 0 0 0 0 0 0 0 14512 309348 0 0 0 WOJCIECH SZULACZKOWSKI MD 270865 0 40811 311676 0 DAVID BUCH MD 231804 0 36663 268467 0 ABDUL KAZI MD 234394 0 37294 271688 0 PART I, LINE 3 THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. PART II CAROL KOSZTYO'S OTHER REPORTABLE COMPENSATION OF $20,800 REPRESENTS PENSION CONTRIBUTION THAT FAILED DISCRIMINATION TESTING. PART III, LINE 1, MISSION PROVIDING CARING SOLUTIONS SINCE 1910, CARRIER CLINIC'S MISSION IS TO PROVIDE THE BEST CARE AND TREATMENT TO THESE PERSONS WHO COME TO US STRUGGLING WITH EMOTIONAL AND BEHAVIORAL DISTRESS AND ADDICTIVE AND PSYCHIATRIC DISORDERS. AS ONE OF NEW JERSEY'S LARGEST, NOT-FOR-PROFIT BEHAVIORAL HEALTHCARE ORGANIZATIONS, WE REMAIN DEDICATED TO HEALING, SUPPORTING AND TEACHING ADOLESCENTS, ADULTS AND THEIR FAMILIES IN A SAFE, COMPASSIONATE AND RESPECTFUL ENVIRONMENT. WITHIN OUR CONTINUUM OF CARE, HOPE IS RESTORED AND RECOVERY BEGINS. PART III, LINE 4D, OTHER PROGRAMS EAST MOUNTAIN YOUTH LODGE, SWAN LODGE AND SUNFLOWER LODGE FOR EMOTIONALLY DISTURBED ADOLESCENTS WHICH CARED FOR 99 RESIDENTS AND HAD A TOTAL OF 27,192 PATIENT DAYS. PART VI, SECTION B, LINE 11A&B THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD OF TRUSTEES FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL REVIEW THE DOCUMENT IN ADVANCE OF THE FILING WITH THE IRS. THE FINANCE COMMITTEE WILL ACKNOWLEDGE AND REPORT ON THE STATUS OF ITS REVIEW PROCESS TO THE FULL BOARD IN ADVANCE OF THE FILING DEADLINE. THE BOARD OF TRUSTEES IS PROVIDED A COPY OF THE REVIEWED AND APPROVED 990 PRIOR TO FILING. PART VI, SECTION B, LINE 12C EACH TRUSTEE, OFFICER AND MEDICAL STAFF MEMBER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PART VI, SECTION B, LINE 15B CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTIVE COMPENSATION BASES. THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE SALARY STRUCTURE FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES AND REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. PART VI, SECTION C, LINE 19 CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO ACCESSIBLE FROM GUIDESTAR ON THE INTERNET. PART VII, SECTION A DRS. NISAR, MEHTA AND SZULACZKOWSKI RECEIVE COMPENSATION FOR ELECTRO-CONVULSIVE THERAPY (ECT) SERVICES IN ADDITION TO THEIR BASE SALARY. PART IX, LINE 24E OVERHEAD ALLOCATION REPRESENTS FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO CARRIER'S VARIOUS PROGRAMS USING ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. PART XI, LINE 5 CHANGES IN NET ASSETS: PLEDGES RECEIVABLE 58,000 MINIMUM PENSION LIABILITY (1,039,556) CHANGE IN DERIVATIVE INSTRUMENT 192,423 CHANGE IN TRUST 40,454 TOTAL (748,679) PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART VI, QUESTION 1A THE EXECUTIVE COMMITTEE OF THE BOARD EXERCISES ALL POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF AFFAIRS OF CARRIER CLINIC DURING INTERVALS BETWEEN BOARD MEETINGS. BOX F & PART VI, SECTION C, LINE 20 & PART VII, SECTION A & SCHEDULE J C. RICHARD SARLE RETIRED AS CEO EFFECTIVE JANUARY 1, 2013 AND DONALD PARKER IS THE NEW CEO EFFECTIVE JANUARY 2, 2013.