2023-11-15T14:16:57+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2022-01-01 850703768 Carle West Physician Group Inc CARL 2173833311 611 W PARK ST URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2023-11-15 true DENNIS HESCH 999009999 true Jennifer D Rhoderick P00395735 3176817000 2023-11-11 2022 2023-04-26 12:10:37Z DENNIS HESCH EXEC VP & CFO 611 W PARK ST URBANA IL 61801 49382701 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 4 505 14 0 0 1121340 21449 39474005 49306649 0 0 97711 54603 40693056 49382701 8250 22500 0 0 56525831 68563330 0 0 0 26087756 30246979 82621837 98832809 -41928781 -49450108 7904406 7428847 9171931 8784844 -1267525 -1355997 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 90852368 22500 49361252 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 2022, CWPG HAD APPROXIMATELY 255,843 OUTPATIENT VISITS WITH APPROXIMATELY 22,028 CONVENIENT CARE VISITS. 90852368 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 31 0 true 505 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 ST URBANA IL 61801 Mark Czys Vice Chair 1.0 0.0 X X 0 0 0 Paul Tucker PhD Chair 1.0 0.0 X X 0 0 0 Uretz Oliphant MD Secretary/Treasurer of Board 1.0 39.0 X X 0 552134 61943 Aja Lystila MD Trustee 1.0 39.0 X 0 339330 48786 Jon Stewart Trustee (THRU 08/31/22) 1.0 0.0 X 0 0 0 Karl Appelquist Immediate Past Chair 1.0 0.0 X 0 0 0 Michael Devocelle Trustee 1.0 0.0 X 0 0 0 Dennis Hesch EVP, Chief Finance & Strategy Officer 1.0 39.0 X 0 1286099 414800 James C Leonard MD Ex-Officio - President & CEO 0.2 39.8 X 0 2140109 661809 Matthew Kolb JD MHA EVP, Chief Operating Officer 1.0 39.0 X 0 1363262 394190 Napoleon Knight MD MBA EVP, Chief Medical Officer 1.0 39.0 X 0 744746 114067 Aaron Traeger MD Associate Medical Director 1.0 39.0 X 631056 0 69549 Amanda Smith VP, BroMenn & Eureka Amb Care 1.0 39.0 X 227228 0 53817 John Wieland MD Associate Chief Medical Officer 1.0 39.0 X 116053 448243 68434 Lauren Schmid EVP, Chief Human Resources Officer 1.0 39.0 X 0 772322 228747 Emilio Nardone Physician - Neurosurgery 40.0 0.0 X 1662705 0 52778 Jason Seibly Physician - Neurosurgery 40.0 0.0 X 1027857 0 45862 Jerome Oakey Physician Hand - Orthopedics 40.0 0.0 X 1070853 0 70830 Joseph Novotny Physician - Orthopedics 40.0 0.0 X 1134426 0 48786 Mark Hanson Physician - Orthopedics 40.0 0.0 X 954146 0 41983 Charles Dennis MD Former - Officer (THRU 12/31/21) 0.0 20.0 X 0 437905 44150 Girishkumar Dhorajia MD Former - Highest Compensated Employee 40.0 0.0 X 768959 768959 103164 7593283 8853109 2523695 139 true true false ALLIANCE HEALTH STAFFING 332 CIMARRON ROAD EAST LOMBARD IL 60148 Physician Staffing 2255660 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 Physician Staffing 808358 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 Physician Staffing 602541 KINDRED STEPHEN 2004 N TOWANDA BARNES RD BLOOMINGTON IL 61705 Physician Services 463700 ENDOVASCULARNEURO 11 LEXIS COURT BLOOMINGTON IL 61704 Clinical Services 405563 10 3187 18262 21449 PATIENT SERVICE REVENUE 621110 46722732 46722732 OTHER PHYSICAN/PROG REV 621110 2583917 2583917 0 0 0 0 49306649 0 0 0 0 Deposition Payments 900099 27300 27300 INTEREST ON BILLED ACCOUNTS 561440 15321 15321 INTERNAL PROFESSIONAL REVENUE 900099 5293 5293 6689 6689 0 0 54603 49382701 49361252 0 0 22500 22500 0 0 0 0 0 0 983753 983753 59383500 56390170 2993330 2500165 2428545 71620 2892166 2775358 116808 2803746 2685152 118594 542 542 6603312 6505380 97932 0 258634 258634 571105 550430 20675 524670 457840 66830 1654095 1461745 192350 66723 66349 374 35782 35782 486394 485649 745 107878 107878 INTERNAL MANAGEMENT FEES 16894883 12975879 3919004 PATIENT CARE SUPPLIES 2965138 2965138 Non-Physician Recruitment 44250 29250 15000 Moving Expense 20000 20000 13573 13448 125 0 98832809 90852368 7980441 0 -510243 2340 6048245 4418474 0 0 0 0 247541 247541 21345 50098 2788714 830358 1283974 1958356 0 0 813544 752038 7904406 7428847 8340126 8032806 18261 0 0 0 813544 752038 9171931 8784844 X -1267525 -1355997 -1267525 -1355997 7904406 7428847 X -49450108 49361636 X X false true X true false X 1180330 1121340 21449 2323119 12471446 39571716 49361252 101404414 0 0 0 0 0 13651776 40693056 49382701 103727533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 103727533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13651776 40693056 49382701 103727533 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 542 542 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $542 - PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING. 2729818 824063 1905755 58896 6295 52601 1958356 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 THERESHOLD 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, 2022 AND 2021. true Redbirds Sports Property PO Box 843038 Kansas City MO 641843038 470911648 22500 Program Support 0 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. CARLE WEST PHYSICIAN GROUP, INC HAS A SPONSORSHIP AGREEMENT WITH REDBIRDS 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. false true false false false false false true false Uretz Oliphant MD Secretary/Treasurer of Board 0 505354 0 44417 0 2363 0 45010 0 16933 0 614077 0 0 Aja Lystila MD Trustee 0 253745 0 83766 0 1819 0 24510 0 24276 0 388116 0 0 James C Leonard MD Ex-Officio - President & CEO 0 1607032 0 528517 0 4560 0 643876 0 17933 0 2801918 0 497 Dennis Hesch EVP, Chief Finance & Strategy Officer 0 993973 0 288063 0 4063 0 396203 0 18597 0 1700899 0 0 Matthew Kolb JD MHA EVP, Chief Operating Officer 0 979097 0 225035 0 159130 0 368388 0 25802 0 1757452 0 155067 Napoleon Knight MD MBA EVP, Chief Medical Officer 0 735215 0 0 0 9531 0 96568 0 17499 0 858813 0 5621 Lauren Schmid EVP, Chief Human Resources Officer 0 550105 0 123287 0 98930 0 204706 0 24041 0 1001069 0 95210 John Wieland MD Associate Chief Medical Officer 91053 400221 25000 45755 0 2267 0 45010 0 23424 116053 516677 0 0 Aaron Traeger MD Associate Medical Director 465947 0 162188 0 2921 0 45010 0 24539 0 700605 0 0 0 Amanda Smith VP, BroMenn & Eureka Amb Care 199536 0 26120 0 1572 0 38856 0 14961 0 281045 0 0 0 Emilio Nardone Physician - Neurosurgery 1612508 0 47984 0 2213 0 45010 0 7768 0 1715483 0 0 0 Jason Seibly Physician - Neurosurgery 969790 0 55854 0 2213 0 45010 0 852 0 1073719 0 0 0 Joseph Novotny Physician - Orthopedics 888976 0 243237 0 2213 0 24510 0 24276 0 1183212 0 0 0 Jerome Oakey Physician Hand - Orthopedics 841666 0 226974 0 2213 0 45010 0 25820 0 1141683 0 0 0 Mark Hanson Physician - Orthopedics 790681 0 161102 0 2363 0 24510 0 17473 0 996129 0 0 0 Girishkumar Dhorajia MD Former - Highest Compensated Employee 419399 419399 347347 347347 2213 2213 24510 24510 27072 27072 820541 820541 0 0 Charles Dennis MD Former - Officer (THRU 12/31/21) 0 261683 0 173935 0 2287 0 24510 0 19640 0 482055 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, 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 2022 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, NAPOLEON KNIGHT, MD, LAUREN SCHMID, AND AMANDA SMITH. -IN 2022, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB ($155,067), JAMES LEONARD, MD ($497), NAPOLEON KNIGHT, MD ($5,621), AND LAUREN SCHMID ($95,210). 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 PHYSICIAN'S COMPENSATION IS PARTIALLY BASED ON PRODUCTION. Form 990, Part VI, Line 15 15A & 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE WEST PHYSICIAN GROUP, 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 - Matthew Kolb (Officer), James Leonard (Officer), Napoleon Knight (Officer), and Charles Dennis (Former) - Business relationship, - Matthew Kolb (Officer) and Charles Dennis (Former) - Business relationship, - Paul Tucker (Chair of Board), Mark Czys (Vice Chair of Board), Uretz Oliphant (Secretary and Treasurer of Board), Michael Devocelle (Trustee), Aja Lystila (Trustee), Jon Stewart (Trustee), and James Leonard (Officer) - Business relationship, - Paul Tucker (Chair of Board), Mark Czys (Vice Chair of Board), Uretz Oliphant (Secretary and Treasurer of Board), Karl Appelquist (Immediate Past Chair of Board), Michael Devocelle (Trustee), Aja Lystila (Trustee), Jon Stewart (Trustee), and James Leonard (Officer) - Business relationship, - Jon Stewart (Trustee), Dennis Hesch (Officer), James Leonard (Officer), Napoleon Knight (Officer), and Charles Dennis (Former) - Business relationship, - Jon Stewart (Trustee), Dennis Hesch (Officer), James Leonard (Officer), and Charles Dennis (Former) - Business relationship, - Dennis Hesch (Officer), James Leonard (Officer), and Lauren Schmid (Key Employee) - Business relationship, - Paul Tucker (Chair of Board), Mark Czys (Vice Chair of Board), Michael Devocelle (Trustee), Jon Stewart (Trustee), and Dennis Hesch (Officer) - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CARLE WEST PHYSICIAN GROUP HAS ONE MEMBER WHICH IS THE ULTIMATE PARENT COMPANY, THE CARLE FOUNDATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CARLE WEST PHYSICIAN GROUP'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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CARLE WEST PHYSICIAN GROUP MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, 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, 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. 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 OTHER - Total Revenue: 6689, Related or Exempt Function Revenue: 6689, 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 - 49361636; 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 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. THE CARLE FOUNDATION 611 W PARK ST URBANA IL 618012595 370673465 Parent/Inv Mgnt IL 501(c)(3) Type III-FI NA false THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 618012595 371119538 Hospital Services IL 501(c)(3) 3 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 618012595 371160033 Retirement Living IL 501(c)(3) 10 TCF true CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 618012595 371159978 Fundraising IL 501(c)(3) 7 TCF true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE ST HOOPESTON IL 609421801 363637465 Hospital Services IL 501(c)(3) 3 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 618012595 364458371 FNDN mission IL 501(c)(3) Type I TCDF true CARLE BROMENN MEDICAL CENTER 611 W PARK ST URBANA IL 618012595 850682363 Hospital Services IL 501(c)(3) 3 TCF true CARLE EUREKA HOSPITAL 611 W PARK ST URBANA IL 618012595 850688306 Hospital Services IL 501(c)(3) 3 TCF true CARLE CANCER INSTITUTE NORMAL LLC 407 E VERNON AVE NORMAL IL 61761 371363717 Cancer Treatment IL 501(c)(3) Type I TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 618012595 371140016 Various Med Services IL 501(c)(3) 10 TCF true RICHLAND MEMORIAL HOSPITAL INC 800 EAST LOCUST STREET OLNEY IL 62450 371363001 Hospital Services IL 501(c)(3) 3 TCF true CRIS HEALTHY AGING 309 N FRANKLIN ST DANVILLE IL 618324509 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true CHAMPAIGN SURGICENTER LLC 611 W PARK ST URBANA IL 618012595 201915925 Surgical Center IL NA N/A HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Line Tree Bay Ave GRAND CAYMAN CJ KY11102 Insurance CJ NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 Risk Management IL NA C Corporation true EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 Physician Credentialing IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 Holding Co. 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 CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN INC 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE-MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true CARLE VENTURES INC 611 W PARK ST URBANA IL 618012595 371313150 Health Care Partnerships IL NA C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK ST URBANA IL 618012595 850718392 Physician Services IL NA C Corporation true FIRST CAROLINA CARE INSURANCE COMPANY 42 Memorial Drive PINEHURST IL 28374 331160597 Insurance IL NA C Corporation true false false true false false false false false false false true true true false false true false false true Health Alliance Medical Plans L 1862334 BOOK Health Alliance Connect Inc L 883717 BOOK Carle Health Care Incorporated L 141589 BOOK Carle Eureka Hospital L 350331 BOOK Carle BroMenn Medical Center L 2209797 BOOK The Carle Foundation Hospital S 283828 BOOK