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CARLE HEALTH MEDICAL GROUP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARLE HEALTH MEDICAL GROUP (EIN 37-1140016)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349309264
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T21:39:42-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371140016EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARLE HEALTH CARE INCORPORATEDBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DENNIS HESCHInCareOfName
Name ControlCARLNameControl
Phone2173833311Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 WEST PARK STREETAddressLine1
Address Line2SuiteAddressLine2
CityURBANACity
StateILState
ZIP Code61801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS P HESCHName
TitleEVP/CFOTitle
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS HESCH EXEC VP CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1
CityURBANACity
StateILState
ZIP Code61801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts375575148GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CARLE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe corporation is organized and shall be exclusively operated as a not-for-profit corporation for charitable, scientific and educational purposes.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees1983TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year241627ContributionsGrantsPriorYear
Contributions Grants Current Year310046ContributionsGrantsCurrentYear
Program Service Revenue Prior Year344706781ProgramServiceRevenuePriorYear
Program Service Revenue CY375096326ProgramServiceRevenueCY
Investment Income Prior Year-22010InvestmentIncomePriorYear
Investment Income Current Year17382InvestmentIncomeCurrentYear
Other Revenue Prior Year55004OtherRevenuePriorYear
Other Revenue Current Year92028OtherRevenueCurrentYear
Total Revenue Prior Year344981402TotalRevenuePriorYear
Total Revenue Current Year375515782TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1300GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY341GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year203316409SalariesEtcPriorYear
Salaries Etc Current Year222783106SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year160466284OtherExpensePriorYear
Other Expenses Current Year176421173OtherExpensesCurrentYear
Total Expenses Prior Year363783993TotalExpensesPriorYear
Total Expenses Current Year399204620TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-18802591RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-23688838RevenuesLessExpensesCY
Total Assets BOY62671316TotalAssetsBOY
Total Assets EOY71759550TotalAssetsEOY
Total Liabilities BOY13393625TotalLiabilitiesBOY
Total Liabilities EOY23404100TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49277691NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48355450NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense327549809Expense
Grants341Grants
Revenue313912681Revenue
DescriptionPatient service - Carle Physician Group (CPG) - serving people through high quality care, research and education. Provide Physician and related services that maintain or enhance clinical services. In 2012, CPG performed approximately 570,000 outpatient visits and made nearly 9,400 physician admissions to Carle Foundation Hospital (CFH). In addition, CPG performed approximately 17,500 surgeries at CFH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense48744493Expense
Revenue39160082Revenue
DescriptionPatient 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 2012, CFPS performed approximately 41,000 outpatient visits and made nearly 9,300 physician admissions to Carle Foundation Hospital (CFH). In addition, CFPS performed approximately 250 surgeries at CFH.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7324815Expense
Revenue15733736Revenue
DescriptionChampaign 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 2012, 4,228 procedures were performed across a wide variety of medical specialties.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5619636TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev6289827TotalOfOtherProgramServiceRev
Total Program Service Expense389238753TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1983NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDENNIS HESCHNamePerson
Telephone Number2173833311TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1
CityUrbanaCity
StateILState
ZIP Code61801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Phillip Blankenburg
Chairman of Board0.23.2XX000
Donna Greene
Vice Chairman of Board0.52.4XX000
Cora E Musial Phd MD
Secretary of Board3.037.0XX278602025525
Matthew Gibb MD
Trustee18.022.0X754820022639
J Michael Martin
Trustee0.27.7X000
Marty Smith
Immediate Past Chair1.03.0X000
Paul Tender MD
Trustee38.02.0X456017033444
James C Leonard MD
Ex-Officio, Pres & CEO8.032.0X01210256399947
R Bruce Wellman MD
Ex-Officio, CEO of CPG20.020.0X0947859307991
John Snyder
Exec VP & COO10.030.0X0750240239964
Dennis Hesch
Exec VP & CFO12.028.0X0573934193752
Philip Kubow term 7-16-12
SVP Human Resources0.23.00433449390050X
Stephanie Beever
VP Strat Devl & Diag Svces15.025.0028743085220X
Kim Johnston
VP-Primary Care Services25.015.0026367065801X
Dawn Walden
VP-Revenue Cycle Ops20.020.0026608067990X
Mark Berlin
VP-Surgical Spec20.020.0026110084205X
Craig Neitzel MD
Physician40.00.01249860040187X
Robert Bane MD
Physician40.00.0957646039658X
James Harms MD
Physician39.50.5858979033525X
William Olivero MD
Physician38.02.0844574036256X
Douglas Filipov MD
Physician40.00.0841998026570X
Robert Tonkinson
SVP & CFO-former0.00.001784660X
Richard Brown
VP-Medical Spec-former0.00.0031467422488X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6242496TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5487158TotalReportableCompFrmRltdOrgs
Total Other Compensation2115212TotalOtherCompensation
Number Individuals GT100 K408NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397STAFFING2729766
LOCUMTENENSCOM LLC
PO BOX 405547ATLANTAGA30384STAFFING1231540
COMPHEALTH INC
PO BOX 972651DALLASTX75397STAFFING1119375
JACKSON COKER HOLDINGS LLC
PO BOX 277638ATLANTAGA30384STAFFING929295
ST FRANCIS MED CTROSF MED GRP
1420 W PIONEER PKWYPEORIAIL61615STAFFING736000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations12857RelatedOrganizations
Government Grants286389GovernmentGrants
All Other Contributions10800AllOtherContributions
Total Contributions310046TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient service revenue621110309883170309883170
Other physician and program revenue6211104182641441826414
Surgicenter revenue6214001573373615733736
Ambulance revenue62191051595105159510
Daycare revenue62441010812671081267

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1412229TotalRevenueColumn
Related Or Exempt Function Income1412229RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue375096326TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real92028Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real92028Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column92028TotalRevenueColumn
Exclusion$92,028ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other76748Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other59366Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other17382Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17382TotalRevenueColumn
Exclusion$17,382ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column375515782TotalRevenueColumn
Related Or Exempt Function Income375096326RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$109,410ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total341Total
Program Services341ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1613123Total
Program Services1613123ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total186579762Total
Program Services185823079ProgramServices
Management And General756683ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8840359Total
Program Services8790601ProgramServices
Management And General49758ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16687650Total
Program Services16563862ProgramServices
Management And General123788ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9062212Total
Program Services8997155ProgramServices
Management And General65057ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2831Total
Management And General2831ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4125Total
Management And General4125ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44071770Total
Program Services43564630ProgramServices
Management And General507140ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20352Total
Program Services18850ProgramServices
Management And General1502ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11827225Total
Program Services11450951ProgramServices
Management And General376274ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4630060Total
Program Services4358835ProgramServices
Management And General271225ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18218181Total
Program Services17917081ProgramServices
Management And General301100ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total654905Total
Program Services635276ProgramServices
Management And General19629ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total971647Total
Program Services966377ProgramServices
Management And General5270ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total40537Total
Management And General40537ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3411945Total
Program Services3264754ProgramServices
Management And General147191ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total47218Total
Program Services47218ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Patient care supplies351903843516887621508
Internal management fees56854559496085207246039
Non physician recruitment266012266012
Moving expense173044173044

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total36378Total
Program Services10168ProgramServices
Management And General26210ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total399204620Total
Program Services389238753ProgramServices
Management And General9965867ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1492551BOY
EOY73493EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47011195BOY
EOY58404242EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY521940BOY
EOY481754EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11321118LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8005674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4161013BOY
EOY3315444EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY9484617BOY
EOY9484617EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62671316BOY
EOY71759550EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12140783BOY
EOY22248465EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1252842BOY
EOY1155635EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13393625BOY
EOY23404100EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49277691BOY
EOY48355450EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49277691BOY
EOY48355450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62671316BOY
EOY71759550EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-23688838ReconcilationRevenueExpenses
Reconcilation Other Changes22766597ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years171273CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years319112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year241627CurrentTaxYearMinus1Year
Current Tax Year310046CurrentTaxYear
Total1130429Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31390215CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123671137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175977553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344706781CurrentTaxYearMinus1Year
Current Tax Year375096326CurrentTaxYear
Total1050842012Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31561488CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123990249CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years176065924CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344948408CurrentTaxYearMinus1Year
Current Tax Year375406372CurrentTaxYear
Total1051972441Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091051972441PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years863712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83045CurrentTaxYearMinus1Year
Current Tax Year92028CurrentTaxYear
Total1160697Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years863712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83045CurrentTaxYearMinus1Year
Current Tax Year92028CurrentTaxYear
Total1160697Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31340CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11158CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total44899Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31569884CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years124885301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years176192999CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345031453CurrentTaxYearMinus1Year
Current Tax Year375498400CurrentTaxYear
Total1053178037Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99886PublicSupportPercentage509
Prior Year Support Percentage0.99842PriorYearSupportPercentage
Investment Income Percentage0.00110InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00152PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationMISCELLANEOUS INCOMEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,125OtherActivitiesAmount
Total Lobbying Expenditures IIB4125TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther Lobbying ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, line (i)ReturnReference
Explanation$1,375-portion of American Ambulance Assoc dues attributable to lobbying. $2,750-portion of American Medical Group Assoc dues attributable to lobbying.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis315724OtherCostOrOtherBasis
Book Value315724BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis670369OtherCostOrOtherBasis
Depreciation568312Depreciation
Book Value102057BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7957141OtherCostOrOtherBasis
Depreciation5703640Depreciation
Book Value2253501BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2377884OtherCostOrOtherBasis
Depreciation1733722Depreciation
Book Value644162BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3315444TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionHamp LiabilityDescription
Amount$1,155,635Amount
FieldValueIRS element (for citing)
Total Of Amounts1155635TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierAccounting for Uncertainty in Income TaxesIdentifier
Return ReferenceSchedule D, Part X line 2ReturnReference
ExplanationThe Foundation adopted the guidance for accounting for uncertainty in income taxes on July 1, 2007. This guidance clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statement. The guidance 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. Amounts requiring recognition under tax accounting guidance are reflected as a liability for uncertain tax benefits along with any associated interest and penalties that would be payable to the taxing authorities upon examination. There are no uncertain tax benefits identified or recorded as a liability as of December 31, 2012 and December 31, 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Cora E Musial Phd MD
Secretary of Board26380400014798020298052270304127000
Matthew Gibb MD
Trustee71848002991306427020298023410777459000
Paul Tender MD
Trustee439965012659033930202980131460489461000
James C Leonard MD
Ex-Officio, Pres & CEO0877544029189804081403844270155200161020300
R Bruce Wellman MD
Ex-Officio, CEO of CPG0715548020616702614402967170112740125585000
John Snyder
Exec VP & COO057000201354480447900220201019763099020400
Dennis Hesch
Exec VP & CFO044319201104340203080173391020361076768600
Philip Kubow term 7-16-12
SVP Human Resources017497306459101938850371363018687082349900
Stephanie Beever
VP Strat Devl & Diag Svces024918203448603762066196019024037265000
Kim Johnston
VP-Primary Care Services022746003169804512053122012679032947100
Dawn Walden
VP-Revenue Cycle Ops022785303406204165050614017376033407000
Mark Berlin
VP-Surgical Spec0208596032887019617062446021759034530500
Craig Neitzel MD
Physician12301000001976002029801988901290047000
Robert Bane MD
Physician95488600027600202980193600997304000
James Harms MD
Physician832835000261440202980132270892504000
William Olivero MD
Physician83805200065220202980159580880830000
Douglas Filipov MD
Physician8387050003293020298062720868568000
Robert Tonkinson
SVP & CFO-former00000178466000001784660178466
Richard Brown
VP-Medical Spec-former000225590292115030190194690337162057512

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferenceFORM 990, SCHEDULE J, PART I, QUESTION 3ReturnReference
ExplanationTHE 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 1, QUESTION 4A THE FOLLOWING TWO EMPLOYEES RECEIVED THE NOTED AMOUNT OF SEVERANCE PAY DURING CALENDAR YEAR 2012; PHILIP KUBOW-$146,566 AND RICHARD BROWN-$234,603. FORM 990, SCHEDULE J, PART I, QUESTION 4B IN 2012, PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HEALTH CARE INCORPORATED, INCLUDED JAMES C. LEONARD, MD, JOHN SNYDER, R. BRUCE WELLMAN, MD, DENNIS HESCH, DAWN WALDEN, KIM JOHNSTON, MARK BERLIN, PHILIP KUBOW AND STEPHANIE BEEVER. IN 2012, PAYMENTS FROM THE 457(F) PLAN WERE PAID TO ROBERT TONKINSON ($178,466) AND RICHARD BROWN ($57,512). 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Supplemental InformationPART III, QUESTION 4DOTHER 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 77 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 2012, 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 1,200 SQUARE MILES. ARROW AMBULANCE, LLC HAS A TOTAL OF 12 AMBULANCES WHICH PROVIDE OVER 11,000 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 6CARLE 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 ITS OFFICERS OR 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 SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. PART VII, SECTION A, COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. PART VIII, LINE 2 OTHER PHYSICIAN AND PROGRAM REVENUE IS COMPRISED LARGELY OF INTERNAL REVENUE RESULTING FROM CARLE PHYSICIAN GROUP PROVIDING SERVICES TO OTHER RELATED ORGANIZATIONS IN THE CONSOLIDATED GROUP. PART IX, LINE 11G OTHER SERVICES IS COMPRISED LARGELY OF INTERNAL EXPENSE RESULTING IN THE PURCHASE OF SERVICES FROM OTHER RELATED ENTITIES IN THE CARLE FOUNDATION CONSOLIDATED GROUP BY CARLE FOUNDATION PHYSICIAN SERVICES AND CARLE PHYSICIAN GROUP. PART XI, LINE 9 CARLE HEALTH CARE INCORPORATED SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. PART XII, QUESTION 2B & C AND PART IV, QUESTION 12B THE FINANCIAL STATEMENTS FOR CARLE HEALTH CARE INCORPORATED WERE AUDITED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION DOES HAVE AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CARLE FOUNDATION PHYSICIAN SERVICES LLC
611 W PARK STURBANAIL618012595200860864PHYSICIAN SERIL375163345801330NA
CHAMPAIGN SURGICENTER LLC
611 W PARK STURBANAIL618012595201915925SURGERY CTRIL1573373613562101NA
ARROW AMBULANCE LLC
611 W PARK STURBANAIL618012595273054181AMBULANCEIL54157502059651NA

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
THE CARLE FOUNDATION HOSPITAL
611 W PARK STURBANAIL618012595371119538HOSPITAL SERVIL501(c)(3)3TCFtrue
THE CARLE FOUNDATION
611 W PARK STURBANAIL618012595370673465PARENT/INVESTIL501(c)(3)11b TYPE IINAfalse
THE CARLE DEVELOPMENT FOUNDATION
611 W PARK STURBANAIL618012595371159978FUNDRAISINGIL501(c)(3)7TCFtrue
CARLE RETIREMENT CENTERS INC
611 W PARK STURBANAIL618012595371160033RTRMT LIVINGIL501(c)(3)9TCFtrue
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK STURBANAIL618012595364458371FNDN MISSIONIL501(c)(3)11a TYPE ITCDFtrue
HOOPESTON COMMUNITY MEMORIAL HOSP
701 E ORANGE STHOOPESTONIL609421801363637465HOSPITAL SERVIL501(c)(3)3TCFtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
HEALTH SYSTEMS INSURANCE LIMITED
GOVERNORS SQ 2ND FL BLDG 3GRAND CAYMANCJKY1-1102INSURANCECJTCFC-CORPtrue
CARLE HOLDING COMPANY INC
HOLDING COMPANYTCFC-CORPtrue611 W PARK STURBANAIL618012595371188284IL
CARLE RISK MANAGEMENT COMPANY
RISK MANAGEMENTTCFC-CORPtrue611 W PARK STURBANAIL61801371217973IL
EVALIDATA INC
CREDENTIALINGCFHC-CORPtrue611 W PARK STURBANAIL618012595462022658IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
The Carle Foundation Hospital
l8713151Book Value
The Carle Foundation Hospital
m816487Book Value
The Carle Foundation Hospital
q1968235Book Value
Carle Holding Company Inc
l637706Book Value
Carle Holding Company Inc
m255201Book Value
Hoopeston Community Memorial Hospital
l57842Book Value