CARLE HEALTH MEDICAL GROUP: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CARLE HEALTH MEDICAL GROUP (EIN 37-1140016)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349304788
- Schema version
- 2011v1.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:28:26-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371140016 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLE HEALTH CARE INCORPORATED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DENNIS HESCH | InCareOfName |
| Name Control | CARL | NameControl |
| Phone | 2173833311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 WEST PARK STREET | AddressLine1 |
| City | URBANA | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENNIS P HESCH | Name |
| Title | EXEC VP & CFO | Title |
| Date Signed | 2012-11-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS HESCH EXEC VP CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 345056128 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CARLE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | The 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 Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1953 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 88371 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 241627 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 175647953 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 344706781 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 98162 | InvestmentIncomePriorYear |
| Investment Income Current Year | -22010 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 302369 | OtherRevenuePriorYear |
| Other Revenue Current Year | 55004 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 176136855 | TotalRevenuePriorYear |
| Total Revenue Current Year | 344981402 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 685 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1300 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 99086471 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 203316409 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 100355900 | OtherExpensePriorYear |
| Other Expenses Current Year | 160466284 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 199443056 | TotalExpensesPriorYear |
| Total Expenses Current Year | 363783993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -23306201 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -18802591 | RevenuesLessExpensesCY |
| Total Assets BOY | 61060659 | TotalAssetsBOY |
| Total Assets EOY | 62671316 | TotalAssetsEOY |
| Total Liabilities BOY | 16614199 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13393625 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 44446460 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 49277691 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 302219120 | Expense |
| Grants | 1300 | Grants |
| Revenue | 293792248 | Revenue |
| Description | Patient 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 2011, CPG performed approximately 559,000 outpatient visits and made nearly 9,500 physician admissions to Carle Foundation Hospital (CFH). In addition, CPG physicians performed approximately 17,100 surgeries at CFH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 39484913 | Expense |
| Grants | 0 | Grants |
| Revenue | 31730954 | Revenue |
| Description | 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 2011, CFPS performed approximately 39,200 outpatient visits and made nearly 7,800 physician admissions to Carle Foundation Hospital (CFH). In addition, CFPS physicians performed approximately 100 surgeries at CFH. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6821434 | Expense |
| Grants | 0 | Grants |
| Revenue | 12701737 | Revenue |
| Description | The 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 2011, it served 4,177 patients across a wide variety of medical specialties. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6094279 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 6481842 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 354619746 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1953 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DENNIS HESCH | NamePerson |
| Telephone Number | 2173833311 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Phillip Blankenburg | |||||||||
| Chairman of Board | 0.5 | X | X | 0 | 0 | 0 | |||
| Donna Greene | |||||||||
| Vice Chairman of Board | 0.5 | X | X | 0 | 0 | 0 | |||
| Cora E Musial PhD MD | |||||||||
| Secretary of Board | 3.0 | X | X | 204938 | 0 | 35754 | |||
| Mathew Gibb MD | |||||||||
| Trustee | 24.0 | X | 888290 | 0 | 32727 | ||||
| J Michael Martin | |||||||||
| Trustee | 0.2 | X | 0 | 0 | 0 | ||||
| Marty Smith | |||||||||
| Immediate Past Chair | 1.0 | X | 0 | 0 | 0 | ||||
| Paul Tender MD | |||||||||
| Trustee | 20.0 | X | 493822 | 0 | 29294 | ||||
| David Ikenberry PhD term 91511 | |||||||||
| Trustee | 0.2 | X | 0 | 0 | 0 | ||||
| E Phillips Knox term 91511 | |||||||||
| Trustee | 0.2 | X | 0 | 0 | 0 | ||||
| Dennis Hesch | |||||||||
| Past Treas of Bd, Exec VP/CFO | 12.0 | X | X | 0 | 510086 | 139104 | |||
| James C Leonard MD | |||||||||
| Pres & CEO | 8.0 | X | 0 | 1040335 | 246421 | ||||
| R Bruce Wellman MD | |||||||||
| CEO of CPG | 20.0 | X | 0 | 805580 | 226995 | ||||
| John Snyder | |||||||||
| Exec VP & COO | 15.0 | X | 0 | 640038 | 160811 | ||||
| Philip Kubow | |||||||||
| SVP Human Resources | 12.4 | 0 | 408185 | 95490 | X | ||||
| Richard Brown term 92011 | |||||||||
| VP-Medical Spec | 40.0 | 0 | 278029 | 323702 | X | ||||
| Stephanie Beever | |||||||||
| VP Strat Devl & Diag Svces | 0.0 | 0 | 246557 | 70001 | X | ||||
| Mark Berlin | |||||||||
| VP-Surgical Spec | 20.0 | 0 | 234340 | 74664 | X | ||||
| Dawn Walden | |||||||||
| VP-Revenue Cycle Ops | 19.0 | 0 | 230023 | 50809 | X | ||||
| Kim Johnston | |||||||||
| VP-Primary Care Services | 30.0 | 0 | 227193 | 45898 | X | ||||
| Craig Neitzel MD | |||||||||
| Physician | 40.0 | 1258586 | 0 | 31989 | X | ||||
| Robert Bane MD | |||||||||
| Physician | 40.0 | 1112279 | 0 | 49150 | X | ||||
| James Harms MD | |||||||||
| Physician | 39.5 | 1097777 | 0 | 37356 | X | ||||
| Sanjay Mehta MD | |||||||||
| Physician | 20.0 | 965332 | 0 | 50545 | X | ||||
| Stephen Sabol MD | |||||||||
| Physician | 36.0 | 790063 | 0 | 53182 | X | ||||
| Robert Tonkinson | |||||||||
| SVP & CFO-former | 0.0 | 0 | 309933 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6811087 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4930299 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1753892 | TotalOtherCompensation |
| Number Individuals GT100 K | 390 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | STAFFING | 1364383 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | STAFFING | 820936 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 CUSTOMER ID 02 4148 | ATLANTA | GA | 30384 | STAFFING | 736611 |
| JACKSON COKER HOLDINGS LLC | |||||
| PO BOX 277638 | ATLANTA | GA | 30384 | STAFFING | 639623 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | STAFFING | 533239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 21313 | RelatedOrganizations |
| Government Grants | 220314 | GovernmentGrants |
| Total Contributions | 241627 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patent service revenue | 621110 | 288609565 | 288609565 |
| Other physician and program revenue | 621110 | 35631189 | 35631189 |
| Surgicenter revenue | 621400 | 12701737 | 12701737 |
| Ambulance revenue | 621910 | 4917606 | 4917606 |
| Daycare revenue | 624410 | 1104213 | 1104213 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1742471 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1742471 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 344706781 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28041 | TotalRevenueColumn |
| Exclusion | $28,041 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 55004 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 55004 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55004 | TotalRevenueColumn |
| Exclusion | $55,004 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 24675 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 74726 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -50051 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -50051 | TotalRevenueColumn |
| Exclusion | -$50,051 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 344981402 | TotalRevenueColumn |
| Related Or Exempt Function Income | 344706781 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $32,994 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1300 | Total |
| Program Services | 1300 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1662746 | Total |
| Program Services | 1662746 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170452291 | Total |
| Program Services | 169686327 | ProgramServices |
| Management And General | 765964 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9099409 | Total |
| Program Services | 9041059 | ProgramServices |
| Management And General | 58350 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13759678 | Total |
| Program Services | 13622223 | ProgramServices |
| Management And General | 137455 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8342285 | Total |
| Program Services | 8287318 | ProgramServices |
| Management And General | 54967 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1115 | Total |
| Management And General | 1115 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37258408 | Total |
| Program Services | 36755369 | ProgramServices |
| Management And General | 503039 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27831 | Total |
| Program Services | 24644 | ProgramServices |
| Management And General | 3187 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14322342 | Total |
| Program Services | 13913310 | ProgramServices |
| Management And General | 409032 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3748408 | Total |
| Program Services | 3419678 | ProgramServices |
| Management And General | 328730 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15941224 | Total |
| Program Services | 15560262 | ProgramServices |
| Management And General | 380962 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 583083 | Total |
| Program Services | 564016 | ProgramServices |
| Management And General | 19067 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954363 | Total |
| Program Services | 949259 | ProgramServices |
| Management And General | 5104 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44092 | Total |
| Management And General | 44092 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2978757 | Total |
| Program Services | 2832063 | ProgramServices |
| Management And General | 146694 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48080 | Total |
| Program Services | 48080 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Patient Care Supplies | 31414459 | 31368473 | 45986 |
| Internal Management Fees | 52669400 | 46493466 | 6175934 |
| PHYSICIAN RECRUITMENT | 242715 | 242715 | |
| MOVING EXPENSES | 142010 | 142010 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89997 | Total |
| Program Services | 5428 | ProgramServices |
| Management And General | 84569 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363783993 | Total |
| Program Services | 354619746 | ProgramServices |
| Management And General | 9164247 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4045747 | BOY |
| EOY | 1492551 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38860273 | BOY |
| EOY | 47011195 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1588527 | BOY |
| EOY | 521940 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11802314 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7641301 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7081495 | BOY |
| EOY | 4161013 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9484617 | BOY |
| EOY | 9484617 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61060659 | BOY |
| EOY | 62671316 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10934444 | BOY |
| EOY | 12140783 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5679755 | BOY |
| EOY | 1252842 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16614199 | BOY |
| EOY | 13393625 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44446460 | BOY |
| EOY | 49277691 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44446460 | BOY |
| EOY | 49277691 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61060659 | BOY |
| EOY | 62671316 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -18802591 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 23633822 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 220847 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 171273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 319112 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 88371 | CurrentTaxYearMinus1Year |
| Current Tax Year | 241627 | CurrentTaxYear |
| Total | 1041230 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30718072 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31390215 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 123671137 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 175977553 | CurrentTaxYearMinus1Year |
| Current Tax Year | 344706781 | CurrentTaxYear |
| Total | 706463758 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30938919 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31561488 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 123990249 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 176065924 | CurrentTaxYearMinus1Year |
| Current Tax Year | 344948408 | CurrentTaxYear |
| Total | 707504988 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 707504988 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5995 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5995 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 863712 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 115917 | CurrentTaxYearMinus1Year |
| Current Tax Year | 83045 | CurrentTaxYear |
| Total | 1074664 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5995 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5995 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 863712 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 115917 | CurrentTaxYearMinus1Year |
| Current Tax Year | 83045 | CurrentTaxYear |
| Total | 1074664 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1822 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2401 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11158 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 46721 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30946736 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31569884 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 124885301 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 176192999 | CurrentTaxYearMinus1Year |
| Current Tax Year | 345031453 | CurrentTaxYear |
| Total | 708626373 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99842 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99731 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00152 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00257 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | MISCELLANEOUS INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 315724 | OtherCostOrOtherBasis |
| Book Value | 315724 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1735303 | OtherCostOrOtherBasis |
| Depreciation | 919885 | Depreciation |
| Book Value | 815418 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66141 | OtherCostOrOtherBasis |
| Depreciation | 34768 | Depreciation |
| Book Value | 31373 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7565552 | OtherCostOrOtherBasis |
| Depreciation | 5138848 | Depreciation |
| Book Value | 2426704 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2119594 | OtherCostOrOtherBasis |
| Depreciation | 1547800 | Depreciation |
| Book Value | 571794 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4161013 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HAMP LIABILITY | Description |
| Amount | $1,252,842 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1252842 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Accounting for Uncertainty in Income Taxes | Identifier |
| Return Reference | Part XIV line 2 | ReturnReference |
| Explanation | The 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, 2011 and December 31, 2010. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cora E Musial PhD MD | |||||||||||||
| 185965 | 0 | 0 | 0 | 18973 | 0 | 31336 | 0 | 4418 | 0 | 240692 | 0 | 0 | 0 |
| Mathew Gibb MD | |||||||||||||
| 785511 | 0 | 0 | 0 | 102779 | 0 | 28756 | 0 | 3971 | 0 | 921017 | 0 | 0 | 0 |
| Paul Tender MD | |||||||||||||
| 436180 | 0 | 0 | 0 | 57642 | 0 | 19051 | 0 | 10243 | 0 | 523116 | 0 | 0 | 0 |
| Dennis Hesch | |||||||||||||
| 0 | 420264 | 0 | 62125 | 0 | 27697 | 0 | 120254 | 0 | 18850 | 0 | 649190 | 0 | 0 |
| James C Leonard MD | |||||||||||||
| 0 | 811190 | 0 | 165375 | 0 | 63770 | 0 | 229762 | 0 | 16659 | 0 | 1286756 | 0 | 0 |
| R Bruce Wellman MD | |||||||||||||
| 0 | 664501 | 0 | 116375 | 0 | 24704 | 0 | 216931 | 0 | 10064 | 0 | 1032575 | 0 | 0 |
| John Snyder | |||||||||||||
| 0 | 517644 | 0 | 76197 | 0 | 46197 | 0 | 142807 | 0 | 18004 | 0 | 800849 | 0 | 0 |
| Philip Kubow | |||||||||||||
| 0 | 319403 | 0 | 37333 | 0 | 51449 | 0 | 79214 | 0 | 16276 | 0 | 503675 | 0 | 17401 |
| Richard Brown term 92011 | |||||||||||||
| 0 | 169082 | 0 | 20125 | 0 | 88822 | 0 | 306070 | 0 | 17632 | 0 | 601731 | 0 | 0 |
| Stephanie Beever | |||||||||||||
| 0 | 226358 | 0 | 17561 | 0 | 2638 | 0 | 52693 | 0 | 17308 | 0 | 316558 | 0 | 0 |
| Mark Berlin | |||||||||||||
| 0 | 196419 | 0 | 18812 | 0 | 19109 | 0 | 55161 | 0 | 19503 | 0 | 309004 | 0 | 0 |
| Dawn Walden | |||||||||||||
| 0 | 223334 | 0 | 0 | 0 | 6689 | 0 | 33905 | 0 | 16904 | 0 | 280832 | 0 | 0 |
| Kim Johnston | |||||||||||||
| 0 | 206252 | 0 | 17937 | 0 | 3004 | 0 | 33069 | 0 | 12829 | 0 | 273091 | 0 | 0 |
| Craig Neitzel MD | |||||||||||||
| 1216076 | 0 | 0 | 0 | 42510 | 0 | 13120 | 0 | 18869 | 0 | 1290575 | 0 | 0 | 0 |
| Robert Bane MD | |||||||||||||
| 1069559 | 0 | 0 | 0 | 42720 | 0 | 31236 | 0 | 17914 | 0 | 1161429 | 0 | 0 | 0 |
| James Harms MD | |||||||||||||
| 1088433 | 0 | 0 | 0 | 9344 | 0 | 25890 | 0 | 11466 | 0 | 1135133 | 0 | 0 | 0 |
| Sanjay Mehta MD | |||||||||||||
| 859163 | 0 | 0 | 0 | 106169 | 0 | 31124 | 0 | 19421 | 0 | 1015877 | 0 | 0 | 0 |
| Stephen Sabol MD | |||||||||||||
| 729374 | 0 | 0 | 0 | 60689 | 0 | 36903 | 0 | 16279 | 0 | 843245 | 0 | 0 | 0 |
| Robert Tonkinson | |||||||||||||
| 0 | 6220 | 0 | 0 | 0 | 303713 | 0 | 0 | 0 | 0 | 0 | 309933 | 0 | 122321 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | FORM 990, SCHEDULE J, PART 1, QUESTION 3 | ReturnReference |
| 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 1, QUESTION 4A THE FOLLOWING TWO EMPLOYEES RECEIVED THE NOTED AMOUNT OF SEVERANCE PAY DURING CALENDAR YEAR 2011; ROBERT TONKINSON-$209,809 AND RICHARD BROWN-$54,139. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (28 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Supplemental Information | 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 119 CHILDREN ENROLLED WITH 78 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 2011, THE CARING PLACE ACCEPTED 17 FAMILIES (21 STUDENTS) UNDER THE STATE PROGRAM. ARROW AMBULANCE 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 HAS A TOTAL OF 12 AMBULANCES WHICH PROVIDE OVER 11,000 TRANPORTS PER YEAR. ARROW AMBULANCE'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 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 | DURING THE APPLICABLE PERIOD, TRUSTEE, DAVID IKENBERRY HAD A BUSINESS RELATIONSHIP WITH TRUSTEE, E. PHILLIPS KNOX. 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'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. AS NECESSARY, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. 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 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 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, QUESTION 5 THE 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 CERAIN 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. | |
| FORM 5471 FILING REQUIREMENTS | CARLE HEALTH CARE, INCORPORATED (CHC) EIN 37-1140016 FORM 5471 FILING REQUIREMENTS HAVE BEEN SATISFIED. CHC CONSTRUCTIVELY OWNED A CONTROLLED FOREIGN CORPORATION IN 2011 THROUGH ITS PARENT THE CARLE FOUNDATION EIN 37-0673465. PURSUANT TO IRS SECTION 6038, THE 2011 CONTROLLED FOREIGN CORPORATION FILING REQUIREMENT OF CHC WAS FULFILLED ON THE 2011 FORM 5471 FILED ON ITS BEHALF BY THE CARLE FOUNDATION. RETURN WITH WHICH THE REQUIRED INFORMATION WAS FILED: THE CARLE FOUNDATION 2011 FORM 990-T EIN 37-0673465 611 WEST PARK URBANA, IL 61801 THE 2011 FORM 5471 WAS FILED WITH THE CARLE FOUNDATION 2011 FORM 990-T. IRS SERVICE CENTER WHERE THE RETURN WAS FILED - OGDEN, UTAH. | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Phillip Blankenburg TITLE:Chairman of Board HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Donna Greene TITLE:Vice Chairman of Board HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Cora E. Musial, PhD MD TITLE:Secretary of Board HOURS:37 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mathew Gibb, MD TITLE:Trustee HOURS:16 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J. Michael Martin TITLE:Trustee HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Marty Smith TITLE:Immediate Past Chair HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Paul Tender, MD TITLE:Trustee HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Ikenberry, PhD (term 9/15/11) TITLE:Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:E. Phillips Knox (term 9/15/11) TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Dennis Hesch TITLE:Past Treas of Bd, Exec VP/CFO HOURS:28 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:James C. Leonard, MD TITLE:Pres & CEO HOURS:32 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:R. Bruce Wellman, MD TITLE:CEO of CPG HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:John Snyder TITLE:Exec VP & COO HOURS:25 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Philip Kubow TITLE:SVP Human Resources HOURS:23 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Richard Brown (term 9/20/11) TITLE:VP-Medical Spec HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Stephanie Beever TITLE:VP Strat Devl & Diag Svces HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mark Berlin TITLE:VP-Surgical Spec HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Dawn Walden TITLE:VP-Revenue Cycle Ops HOURS:21 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kim Johnston TITLE:VP-Primary Care Services HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Craig Neitzel, MD TITLE:Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Bane, MD TITLE:Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:James Harms, MD TITLE:Physician HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Sanjay Mehta, MD TITLE:Physician HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Stephen Sabol, MD TITLE:Physician HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Tonkinson TITLE:SVP & CFO-former HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CARLE FOUNDATION PHYSICIAN SERVICES LLC | |||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 200860864 | PHYSICIAN SER | IL | 31329621 | 5594982 | NA |
| CHAMPAIGN SURGICENTER LLC | |||||||||
| 201915925 | SURGERY CTR | IL | 12701737 | 12295618 | NA | ||||
| ARROW AMBULANCE LLC | |||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 273054181 | AMBULANCE | IL | 5095314 | 2411042 | NA |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371119538 | HOSPITAL SERV | IL | 501(c)(3) | 3 | TCF | true |
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 370673465 | PARENT/INVEST | IL | 501(c)(3) | 11b TYPE II | NA | false |
| CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371159978 | FUNDRAISING | IL | 501(c)(3) | 7 | TCF | true |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371160033 | RTRMT LIVING | IL | 501(c)(3) | 9 | TCF | true |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 364458371 | FNDN MISSION | IL | 501(c)(3) | 11a TYPE I | TCF | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEMS INSURANCE LTD | |||||||||||||
| GOVERNORS SQ 2ND FL BLDG 3 | GRAND CAYMAN | CJ | KY1-1102 | INSURANCE | CJ | NA | C-CORP | ||||||
| CARLE HOLDING CO INC | |||||||||||||
| FOR PROFIT HOLDIN | TCF | C-CORP | 611 W PARK ST | URBANA | IL | 618012595 | 371188284 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Carle Foundation Hospital | ||
| o | 67554 | Book value |
| Carle Foundation Hospital | ||
| l | 861687 | Book value |
| Carle Foundation Hospital | ||
| k | 8794559 | Book value |
| Carle Holding Co Inc | ||
| l | 155897 | Book value |
| Carle Holding Co Inc | ||
| k | 332476 | Book value |