2024-11-15T16:53:41+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 850703768 Carle West Physician Group Inc CARL 2173833311 611 W PARK STREET URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2024-11-15 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-15 2023 2024-10-15 13:58:12Z X DENNIS HESCH EXEC VP & CFO 611 W PARK STREET URBANA IL 61801 62095086 false X www.carle.org X 2020 IL Carle West Physician Group's mission is to be the trusted partner in all healthcare decisions and improve health by providing highly accessible, world-class care and service. 6 4 548 10 0 0 21449 956119 49306649 60388916 0 6 54603 748220 49382701 62093261 22500 7500 0 0 68563330 78079542 0 0 30246979 36982717 98832809 115069759 -49450108 -52976498 7428847 8947797 8784844 9930481 -1355997 -982684 CARLE WEST PHYSICIAN GROUP'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIIDNG HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. false false 104855226 7500 61137136 CARLE WEST PHYSICIAN GROUP ("CWPG") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF PROVIDING INPATIENT AND OUTPATIENT PHYSICIAN MEDICAL SERVICES. CWPG OPERATES AS A PRIVATE, MULTISPECIALTY GROUP MEDICAL PRACTICE COMPRISED OF PHYSICIANS, SURGEONS, AND AFFILIATED CLINICAL STAFF. CWPG OFFERS QUALITY HEALTH CARE IN APPROXIMATELY NINETEEN SPECIALTIES IN TWENTY-THREE CLINIC LOCATIONS. IN 2023, CWPG HAD APPROXIMATELY 270,167 OUTPATIENT VISITS WITH APPROXIMATELY 19,362 CONVENIENT CARE VISITS. 104855226 true true false true false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 35 0 true 548 true false false false false false false false false false false false false X 6 4 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK STREET URBANA IL 61801 Karl Appelquist Immediate Past Chair 1.0 4.3 X X 0 0 0 Mark Czys Vice Chair 1.0 6.5 X X 0 0 0 Paul Tucker PhD Chair 1.0 6.0 X X 0 0 0 Uretz Oliphant MD Secretary/Treasurer 1.0 39.0 X X 0 589881 35685 Aja Lystila MD TRUSTEE 1.0 39.0 X 0 406916 34166 Michael Devocelle TRUSTEE 1.0 5.5 X 0 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0.5 39.5 X 0 1395995 366889 James C Leonard MD Officer - President & CEO 0.5 39.5 X 0 5690001 36885 Matthew Kolb JD MHA OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, COO 1.0 39.0 X 0 1567331 363305 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 1.0 39.0 X 0 940875 115459 Aaron Traeger MD Associate Medical Director 40.0 0.0 X 702963 0 34429 Amanda Smith VP, BroMenn & Eureka Ambulatory Care 0.0 40.0 X 251312 0 21754 John Wieland MD Associate Chief Medical Officer, BroMenn & Eureka 1.0 39.0 X 0 653589 33314 Kenneth Aronson MD Physician - Neurology 1.0 39.0 X 0 674882 36405 Lauren Schmid MBA EVP, Chief Human Resources Officer 1.0 39.0 X 0 945711 209640 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 364372 68059 Emilio Nardone MD Physician - Neurosurgery 40.0 0.0 X 2180960 0 15415 Jason Seibly DO Physician - Neurosurgery 40.0 0.0 X 1193297 0 7452 Jerome Oakey MD Physician - Hand, Orthopedics & Sports Medicine 40.0 0.0 X 1199482 0 35350 Joseph Newcomer MD Physician - Orthopedics & Sports Medicine 40.0 0.0 X 1036980 0 37216 Joseph Novotny MD Physician - Orthopedics & Sports Medicine 40.0 0.0 X 1245547 0 34166 Charles Dennis MD Former - Officer 0.0 40.0 X 0 283641 35014 7810541 13513194 1520603 177 true true false WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 1495264 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN STAFFING 1188707 ALLIANCE HEALTH STAFFING 332 CIMARRON ROAD EAST LOMBARD IL 60148 PHYSICIAN STAFFING 1083543 ON LINE RADIOLOGY MEDICAL GROUP PO BOX 207965 DALLAS TX 753207965 MEDICAL IMAGING SERVICES 894662 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 606801122 PHYSICIAN STAFFING 622529 21 956119 956119 PATIENT SERVICE REVENUE 621110 57915194 57915194 OTHER PHYSICIAN/PROG REV 621110 2473722 2473722 0 0 0 0 60388916 0 0 1831 1825 0 6 6 6 CHPP INCENTIVE 900099 693748 693748 DEPOSITION PAYMENTS 900099 39500 39500 INTEREST ON BILLED ACCOUNTS 561440 4597 4597 10375 10375 0 0 748220 62093261 61137136 0 6 7500 7500 4374704 4374704 65701219 62762957 2938262 1015055 843151 171904 3421004 3265153 155851 3567560 3119612 447948 218 218 10074576 10017512 57064 0 62679 62679 485738 480365 5373 198093 117627 80466 1553124 1371308 181816 113644 113596 48 51058 51058 599787 599559 228 2197425 149407 2048018 INTERNAL MANAGEMENT FEES 17989890 13930279 4059611 PATIENT CARE SUPPLIES 3377015 3377015 Moving Expense 127500 127500 NON-PHYSICIAN RECRUITMENT 83750 78750 5000 68220 68173 47 0 115069759 104855226 10214533 0 2340 2190 4418474 5427545 0 0 0 0 247541 272518 50098 207135 3714766 1428395 1958356 2286371 0 0 752038 752038 7428847 8947797 8032806 9178443 0 0 752038 752038 8784844 9930481 X -1355997 -982684 -1355997 -982684 7428847 8947797 X -52976498 53349811 X X false true X true false X 1180330 1121340 21449 956119 3279238 12471446 39571716 49361252 61137142 162541556 0 0 0 0 13651776 40693056 49382701 62093261 165820794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165820794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13651776 40693056 49382701 62093261 165820794 X Schedule A, Part III LINE 7A & 7B HEATH CARE RELATED SERVICES PROVIDED BY CARLE WEST PHYSICIAN GROUP, INC. DURING THE ORDINARY COURSE OF BUSINESS ARE PROVIDED TO DISREGARDED PERSONS UNDER THE SAME TERMS AS PROVIDED TO THE GENERAL PUBLIC AND ARE CHARGED NORMAL CUSTOMARY CHARGES FOR HEALTH CARE SERVICES. DUE TO PATIENT PRIVACY CONCERNS, HEALTH CARE SERVICES PROVIDED TO DISREGARDED PERSONS HAVE NOT BEEN QUANTIFIED. HOWEVER, CARLE WEST PHYSICIAN GROUP, INC. DOES NOT BELIEVE IT WOULD MATERIALLY IMPACT THE PUBLIC SUPPORT PERCENTAGE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 218 218 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $218 - PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING. 3067753 1348798 1718955 647013 79597 567416 2286371 DEFERRED COMP PLAN ASSETS 752038 752038 DEFERRED COMP PLAN LIABILITY 752038 752038 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2023 AND 2022. true Redbird Sports Property PO Box 843038 Kansas City MO 641843038 470911648 7500 PROGRAM SUPPORT 0 1 Schedule I, Part II, Line 1 REDBIRD SPORTS PROPERTY CARLE WEST PHYSICIAN GROUP, INC HAS A SPONSORSHIP AGREEMENT WITH REDBIRD SPORTS PROPERTY, WHO HAS THE EXCLUSIVE MARKETING AND SPONSORSHIP RIGHTS FOR ILLINOIS STATE UNIVERSITY. THE SPONSORSHIP PROVIDES EXPOSURE OF PRODUCTS AND SERVICES FOR CARLE WEST PHYSICIAN GROUP, INC BY SPONSORING ILLINOIS STATE UNIVERSITY ATHLETICS. AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH REDBIRDS SPORTS PROPERTY, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. false true false false false false false true false Uretz Oliphant MD Secretary/Treasurer 0 563944 0 0 0 25937 0 16500 0 19185 0 625566 0 0 Aja Lystila MD TRUSTEE 0 336287 0 67393 0 3236 0 6600 0 27566 0 441082 0 0 Charles Dennis MD Former - Officer 0 255906 0 24328 0 3407 0 12918 0 22096 0 318655 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 1104200 0 262608 0 29187 0 346286 0 20603 0 1762884 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0 775491 0 136231 0 29153 0 103114 0 12345 0 1056334 0 0 Matthew Kolb JD MHA OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, COO 0 1092613 0 219046 0 255672 0 335494 0 27811 0 1930636 0 226485 James C Leonard MD Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Kenneth Aronson MD Physician - Neurology 0 548487 0 100158 0 26237 0 16500 0 19905 0 711287 0 0 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 Amanda Smith VP, BroMenn & Eureka Ambulatory Care 225328 0 24276 0 1708 0 4890 0 16864 0 273066 0 0 0 Aaron Traeger MD Associate Medical Director 525097 0 148250 0 29616 0 6600 0 27829 0 737392 0 0 0 John Wieland MD Associate Chief Medical Officer, BroMenn & Eureka 0 564563 0 64313 0 24713 0 6600 0 26714 0 686903 0 0 Emilio Nardone MD Physician - Neurosurgery 1998087 0 158160 0 24713 0 6600 0 8815 0 2196375 0 0 0 Joseph Newcomer MD Physician - Orthopedics & Sports Medicine 917704 0 86363 0 32913 0 6600 0 30616 0 1074196 0 0 0 Joseph Novotny MD Physician - Orthopedics & Sports Medicine 997514 0 223120 0 24913 0 6600 0 27566 0 1279713 0 0 0 Jerome Oakey MD Physician - Hand, Orthopedics & Sports Medicine 946563 0 228206 0 24713 0 6600 0 28750 0 1234832 0 0 0 Jason Seibly DO Physician - Neurosurgery 1028440 0 140044 0 24813 0 6600 0 852 0 1200749 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE WEST PHYSICIAN GROUP, INC, 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 ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON 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 MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE WEST PHYSICIAN GROUP, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, NAPOLEON KNIGHT, MD, MBA, LAUREN SCHMID, MBA, AND AMANDA SMITH. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($226,485), JAMES C. LEONARD, MD ($3,526,792), AND LAUREN SCHMID, MBA ($128,983). Schedule J, Part I, Line 7 Non-fixed payments 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. Schedule J, Part I, Line 5a COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION PHYSICIAN'S COMPENSATION IS PARTIALLY BASED ON PRODUCTION. Form 990, Part VI, Line 15 15A & 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL CARLE WEST PHYSICIAN GROUP, INC DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE WEST PHYSICIAN GROUP, INC, 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 ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON 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 MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NAPOLEON KNIGHT, MD, MBA (OFFICER - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (DIRECTOR), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (DIRECTOR), KARL APPELQUIST (BOARD IMMEDIATE PAST CHAIR), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AJA LYSTILA, MD (DIRECTOR), AND LAUREN SCHMID, MBA (KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, JAMES C. LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), MARK CZYS (BOARD VICE CHAIR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, DENNIS HESCH (OFFICER) AND MATTHEW KOLB, JD, MHA (OFFICER) - Business relationship, JOHN WIELAND, MD (KEY EMPLOYEE), JEROME OAKEY, MD (HIGHEST COMPENSATED), AND CHARLES DENNIS, MD (FORMER) - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CARLE WEST PHYSICIAN GROUP, INC HAS ONE MEMBER WHICH IS CARLE HEALTH CARE INCORPORATED. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CARLE WEST PHYSICIAN GROUP, INC'S SOLE MEMBER, CARLE HEALTH CARE INCORPORATED, 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CARLE WEST PHYSICIAN GROUP, INC MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH CARE INCORPORATED ,THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE BROMENN BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. Form 990, Part VI, Line 12c Conflict of interest policy 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 COMPLIANCE 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 DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE WEST PHYSICIAN GROUP, INC, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. Form 990, Part VII, Section A COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 3459, Related or Exempt Function Revenue: 3459, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: 3458, Related or Exempt Function Revenue: 3458, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: 3458, Related or Exempt Function Revenue: 3458, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 53349811; Form 990, Part XII, Line 2c Change of oversight process or selection process FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR CARLE WEST PHYSICIAN GROUP, INC WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA IL 61801 850682363 Hospital Services IL 501(c)(3) 3 CHCR true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA IL 61801 364458371 FNDN Mission IL 501(c)(3) Type I TCDF true CARLE EUREKA HOSPITAL 611 W PARK STREET URBANA IL 61801 850688306 Hospital Services IL 501(c)(3) 3 CHCR true CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA IL 61801 990548510 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA IL 61801 990582680 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA IL 61801 990614340 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA IL 61801 371111135 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA IL 61801 371140016 Various Medical Services IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA IL 61801 371160033 Retirement Living IL 501(c)(3) 10 TCF true CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 363637465 Hospital Services IL 501(c)(3) 3 CHER true HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA IL 61801 363510390 Wellness Services IL 501(c)(3) 7 PH true HUMAN SERVICE CENTER 611 W PARK STREET URBANA IL 61801 371004882 Behavioral Health Services IL 501(c)(3) 7 TP true METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA IL 61801 510186460 Fundraising IL 501(c)(3) 7 CHWR true METHODIST SERVICES INC 611 W PARK STREET URBANA IL 61801 371111134 Property Holding Co. IL 501(c)(3) 10 CHWR true PARK COURT LIMITED 611 W PARK STREET URBANA IL 61801 371178386 Property Holding Co. IL 501(c)(3) Type II CHWR true PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 370692351 Hospital Services IL 501(c)(3) 3 CHWR true PEKIN MEMORIAL HOSPITAL FOUNDATION 611 W PARK STREET URBANA IL 61801 371200267 Fundraising IL 501(c)(3) 7 CHWR true PRAIRIE VIEW VILLAS NO 1 1900 SPRING ROAD STE 300 OAK BROOK IL 605231480 261755679 Housing Services IL 501(c)(3) 7 TMHC true PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA IL 61801 364147437 Physician Services IL 501(c)(3) 3 CHWR true PROCTOR HOSPITAL 611 W PARK STREET URBANA IL 61801 370681540 Hospital Services IL 501(c)(3) 3 CHWR true RICHLAND MEMORIAL HOSPITAL INC 611 W PARK STREET URBANA IL 61801 371363001 Hospital Services IL 501(c)(3) 3 CHSR true TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA IL 61801 371278969 Behavioral Health Services IL 501(c)(3) 7 TP true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true THE CARLE FOUNDATION 611 W PARK STREET URBANA IL 61801 370673465 Parent/Inv Mgmt IL 501(c)(3) Type III-FI NA false THE CARLE FOUNDATION HOSPITAL 611 W PARK STREET URBANA IL 61801 371119538 Hospital Services IL 501(c)(3) 3 CHER true THE METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA IL 61801 370661223 Hospital Services IL 501(c)(3) 3 CHWR true THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT 611 W PARK STREET URBANA IL 61801 376181831 Self Insurance IL 501(c)(3) Type I MMCI true TRILLIUM PLACE 611 W PARK STREET URBANA IL 61801 834051901 Behavioral Health Services IL 501(c)(3) 10 CHWR true CHAMPAIGN SURGICENTER LLC 611 W PARK STREET URBANA IL 61801 201915925 Surgical Center IL NA N/A FIELDS SOUTH LLC 611 W PARK STREET URBANA IL 61801 823187698 Property & Facility Management IL NA N/A MOUPH LLC 611 W PARK STREET URBANA IL 61801 921791534 Outpatient Orthopedic Services IL NA N/A REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA IA 61603 810584193 Rehabilitation Therapy IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 270934895 Outpatient Orthopedic Services IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 371356453 Outpatient Orthopedic Services IL NA N/A BELCREST SERVICES LTD 611 W PARK STREET URBANA IL 61801 371196307 Medical Services IL NA C Corporation true CARLE HEALTH JUNCTION MEDICAL LLC 611 W PARK STREET URBANA IL 61801 814609769 Care Coordination IL NA C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA IL 61801 850718392 Physician Services IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA IL 61801 371188284 Holding Co. IL NA C Corporation true CARLE RESEARCH PRODUCTS INC 611 W PARK STREET URBANA IL 61801 999999999 Medical Research - INACTIVE IL NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA IL 61801 371217973 Risk Management IL NA C Corporation true CARLE VENTURES INC 611 W PARK STREET URBANA IL 61801 371313150 Health Care Partnerships IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST NC 28374 331160597 Insurance IL NA C Corporation true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 Health Coverage IL NA C Corporation true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH PLUS INC 611 W PARK STREET URBANA IL 61801 371295532 Contracting IL NA C Corporation true HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Lime Tree Bay Ave Grand Cayman CJ KY11102 980638449 Insurance CJ NA C Corporation true METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA IL 61801 371140939 Holding Co. IL NA C Corporation true OPTIMUM HEALTH SOLUTIONS INC 611 W PARK STREET URBANA IL 61801 205430137 Care Coordination - INACTIVE IL NA C Corporation true PEKIN PROHEALTH INC 611 W PARK STREET URBANA IL 61801 371117052 Clinical Operations IL NA C Corporation true PROVIDER RESOURCE MANAGEMENT INC 611 W PARK STREET URBANA IL 61801 371223550 Physician Services IL NA C Corporation true false false true false false false false false false false true true true false false false false false true CARLE BROMENN MEDICAL CENTER L 2049973 BOOK CARLE EUREKA HOSPITAL L 410828 BOOK CARLE DEVELOPMENT FOUNDATION C 956119 BOOK HEALTH ALLIANCE CONNECT L 810242 BOOK HEALTH ALLIANCE MEDICAL PLANS L 2718141 BOOK THE CARLE FOUNDATION HOSPITAL S 166047 BOOK HEALTH SYSTEMS INSURANCE LIMITED M 1710370 BOOK