CARLE HEALTH MEDICAL GROUP: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CARLE HEALTH MEDICAL GROUP (EIN 37-1140016)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202313199349319901
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-15T14:51:54+00:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLEAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371140016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carle Health Care IncorporatedBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARLBusinessNameControlTxt
Phone2173833311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS HESCHPersonNm
Person TitleEXEC VP & CFOPersonTitleTxt
Phone2173833311PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastHESCHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer D RhoderickPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum
Preparation2023-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS HESCH EXEC VP & CFOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$314,973,561GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARLE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1815TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$1,805,990TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,922,604PYContributionsGrantsAmt
CY Contributions Grants$6,076,126CYContributionsGrantsAmt
PY Program Service Revenue$291,951,447PYProgramServiceRevenueAmt
CY Program Service Revenue$308,796,533CYProgramServiceRevenueAmt
PY Investment Income$30,628PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$185,412PYOtherRevenueAmt
CY Other Revenue$100,902CYOtherRevenueAmt
PY Total Revenue$301,090,091PYTotalRevenueAmt
CY Total Revenue$314,973,561CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$339,092,580PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$358,853,634CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$83,496,022PYOtherExpensesAmt
CY Other Expenses$89,170,909CYOtherExpensesAmt
PY Total Expenses$422,588,602PYTotalExpensesAmt
CY Total Expenses$448,024,543CYTotalExpensesAmt
PY Revenues Less Expenses-$121,498,511PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$133,050,982CYRevenuesLessExpensesAmt
Total Assets BOY$56,725,719TotalAssetsBOYAmt
Total Assets EOY$60,256,326TotalAssetsEOYAmt
Total Liabilities BOY$68,662,997TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,280,170TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$11,937,278NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$16,023,844NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT- FOR- PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. THE CORPORATION SHALL ENGAGE IN ANY LAWFUL ACTIVITIES WITHIN THE PURPOSES FOR WHICH A CORPORATION MAY BE ORGANIZED UNDER THE ILLINOIS GENERAL NOT FOR PROFIT ACT OF 1986. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, OPERATING FACILITIES AND DIVISIONS THAT WILL PROVIDE HEALTH CARE AND OTHER RELATED SERVICES AS WELL AS EMPLOYING PHYSICIANS AND OTHERS FOR THAT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$417,798,014ExpenseAmt
Grant$0GrantAmt
Revenue$282,687,183RevenueAmt
DescCARLE PHYSICIAN GROUP (CPG) - SERVING PEOPLE THROUGH HIGH QUALITY CARE, RESEARCH AND EDUCATION. TO PROVIDE PHYSICIAN AND RELATED SERVICES THAT MAINTAIN OR ENHANCE CLINICAL SERVICES. IN 2022, CPG PERFORMED APPROXIMATELY 868,719 OUTPATIENT VISITS AND MADE APPROXIMATELY 25,402 PHYSICIAN ADMISSIONS TO THE CARLE FOUNDATION HOSPITAL (CFH). IN ADDITION, CPG PHYSICIANS PERFORMED APPROXIMATELY 13,582 SURGERIES AT CFH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,201,752ExpenseAmt
Grant$0GrantAmt
Revenue$16,373,160RevenueAmt
DescARROW AMBULANCE, LLC (ARROW) PROVIDES EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION IN THE CHAMPAIGN-URBANA AREA AND MANY OUTLYING COMMUNITIES IN CHAMPAIGN COUNTY. IN ADDITION, ARROW PROVIDES SERVICES IN VERMILION, DOUGLAS AND RICHLAND COUNTIES WITH MULTIPLE, EXCLUSIVE SERVICE AGREEMENTS IN THE COUNTIES AND AREAS SERVICED. ARROW HAS A TOTAL OF 35 AMBULANCES, INCLUDING ONE SPECIFICALLY FOR NICU, OB, PEDIATRIC AND ADULT CRITICAL CARE PATIENTS. ARROW PROVIDES OVER 34,000 TRANSPORTS PER YEAR OVER APPROXIMATELY 2,500 SQUARE MILES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,172,687ExpenseAmt
Grant$0GrantAmt
Revenue$822,127RevenueAmt
DescTHE CARING PLACE FOSTERS THE DEVELOPMENT OF THE WHOLE CHILD IN A SAFE, NURTURING, NON-PRESSURED ATMOSPHERE THROUGH PLAY AND VARIED EXPERIENCES. THE CARING PLACE AND CAMP CARING PLACE CURRENTLY HAVE 93 CHILDREN ENROLLED WITH 80 BEING CHILDREN OF CARLE EMPLOYEES, WHO RECEIVE A 10% DISCOUNT ON THEIR TUITION. THE CARING PLACE ALSO ACCEPTS FAMILIES WHO UTILIZE CHILD-CARE RESOURCE SERVICES WHICH IS A STATE LEVEL LOW-INCOME SUBSIDY PROGRAM. IN 2022, THE CARING PLACE ACCEPTED 17 FAMILIES WITH 19 STUDENTS UNDER THE STATE PROGRAM.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,588,184ExpenseAmt
Grant$0GrantAmt
Revenue$8,914,063RevenueAmt
DescOTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CHAMPAIGN SURGICENTER, LLC (ASC) AND AIRLIFE. THE CHAMPAIGN SURGICENTER 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 2022, APPROXIMATELY 11,615 PROCEDURES WERE PERFORMED ACROSS A WIDE VARIETY OF MEDICAL SPECIALTIES. AIRLIFE, A COLLABORATIVE EFFORT BETWEEN AIR METHODS AND CARLE, PROVIDES COMPLETE AIR MEDICAL TRANSPORTATION SERVICES THROUGHOUT EAST CENTRAL ILLINOIS. AIRLIFE IS STATIONED AT THE CARLE FOUNDATION HOSPITAL AROUND THE CLOCK WITH A TEAM ON SITE AND READY FOR TAKE-OFF WITHIN MINUTES. THE FLIGHT CREW CONSISTS OF EXPERIENCED EMERGENCY MEDICAL PILOTS, PHYSICIANS, CRITICAL CARE FLIGHT REGISTERED NURSES, NEONATAL NURSES, HIGH-RISK OBSTETRIC NURSES AND CRITICAL CARE FLIGHT PARAMEDICS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,588,184TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$8,914,063TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$442,760,637TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1815EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS HESCH EXEC VP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2173833311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Karl Appelquist
Immediate Past Chair1.00.0Yes (X)Yes (X)$0$0$0
Mark Czys
Vice Chair1.00.0Yes (X)Yes (X)$0$0$0
Paul Tucker PhD
Chair1.00.0Yes (X)Yes (X)$0$0$0
Uretz Oliphant MD
Secretary/Treasurer of Board1.039.0Yes (X)Yes (X)$552,134$0$61,943
Aja Lystila MD
Trustee1.039.0Yes (X)$339,330$0$48,786
Jon Stewart
Trustee (THU 8/31/22)1.00.0Yes (X)$0$0$0
Michael Devocelle
Trustee1.00.0Yes (X)$0$0$0
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer4.036.0Yes (X)$0$1,286,099$414,800
James C Leonard MD
Ex-Officio, Officer - President & CEO0.239.8Yes (X)$0$2,140,109$661,809
Matthew Kolb JD MHA
Officer - EVP, Chief Operating Officer10.030.0Yes (X)$0$1,363,262$394,190
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer3.037.0Yes (X)$20,050$724,696$114,067
Blair Rowitz MD
Associate Chief Medical Officer1.039.0$688,479$0$66,786Yes (X)
Caleb Miller
SVP, Surgical Services & Amb Care28.012.0$0$563,204$165,713Yes (X)
David Chan MD
Associate Chief Medical Director20.020.0$485,695$0$61,699Yes (X)
Issam Moussa MD
Medical Director1.039.0$759,953$0$47,760Yes (X)
Kenneth Aronson MD
Medical Director40.00.0$623,336$0$63,263Yes (X)
Lauren Schmid
EVP, Chief Human Resources Officer1.039.0$0$772,322$228,747Yes (X)
Nicholas Crompton
VP, Construction & Facility Services1.041.0$0$281,961$73,600Yes (X)
Sally Salmons MD
Associate Chief Medical Officer, Amb Care1.039.0$0$456,156$89,543Yes (X)
Andrew Batey MD
Physician - Gastroenterology40.00.0$1,216,063$0$72,779Yes (X)
Craig Neitzel MD
Physician - Dermatology40.00.0$1,629,978$0$70,786Yes (X)
Robert Bane MD
Physician - Orthopedics40.00.0$1,176,876$0$69,286Yes (X)
Sinisa Stanic MD
Physician - Radiology/Oncology40.00.0$1,278,863$0$51,663Yes (X)
William Holmes MD
Physician - Dermatology40.00.0$1,287,657$0$69,286Yes (X)
Charles Dennis MD
Officer - Former0.020.0$409,605$28,300$44,150Yes (X)
Laurence Fallon
Key Employee - Former0.018.0$0$851,281$289,874Yes (X)
Malec Mokraoui MD
Key Employee - Former0.040.0$463,283$0$58,813Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,931,302TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,467,390TotReportableCompRltdOrgAmt
Total Other Compensation$3,219,343TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K922IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEATHERBY LOCUMS
PO Box 972633DallasTX753972633PHYSICIAN STAFFING$2,885,334
LOCUMTENENSCOM
PO Box 405547AtlantaGA303845547PHYSICIAN STAFFING$2,046,523
ALLIANCE HEALTH STAFFING
332 Cimarron Road EastLombardIL60148PHYSICIAN STAFFING$1,415,883
CHRISTIE CLINIC
101 W University AveChampaignIL61820PHYSICIAN STAFFING$1,297,110
SBG HEALTHCARE
PO Box 823473PhiladelphiaPA191823473PHYSICIAN STAFFING$1,280,851
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Related Organizations$159,181RelatedOrganizationsAmt
Government Grants$5,916,945GovernmentGrantsAmt
Noncash Contributions$11,274NoncashContributionsAmt
Total Contributions$6,076,126TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621110$257,879,254$257,879,254
OTHER PHYSICIAN/PROG REV621110$19,931,327$18,631,369$1,299,958
SURGICENTER REVENUE621400$5,935,929$5,935,929
AMBULANCE REVENUE621910$16,371,330$16,371,330
DAYCARE REVENUE624410$822,127$316,095$506,032

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,856,566TotalRevenueColumnAmt
Related Or Exempt Func Income$7,856,566RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$308,796,533TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINTEREST ON BILLED ACCOUNTSDesc
Business561440BusinessCd
Total Revenue Column$100,902TotalRevenueColumnAmt
Exclusion$100,902ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$100,902OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,973,561TotalRevenueColumnAmt
Related Or Exempt Func Income$306,990,543RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,805,990UnrelatedBusinessRevenueAmt
Exclusion$100,902ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,363,154TotalAmt
Program Services$5,363,154ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$180,512TotalAmt
Program Services$180,512ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$309,093,867TotalAmt
Program Services$308,530,622ProgramServicesAmt
Management And General$563,245ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,683,981TotalAmt
Program Services$15,644,798ProgramServicesAmt
Management And General$39,183ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,234,523TotalAmt
Program Services$14,129,059ProgramServicesAmt
Management And General$105,464ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,297,597TotalAmt
Program Services$14,259,283ProgramServicesAmt
Management And General$38,314ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,343TotalAmt
Management And General$2,343ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,742,118TotalAmt
Program Services$23,820,037ProgramServicesAmt
Management And General$922,081ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,177TotalAmt
Program Services$10,177ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,209,217TotalAmt
Program Services$2,036,272ProgramServicesAmt
Management And General$172,945ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$463,104TotalAmt
Program Services$322,115ProgramServicesAmt
Management And General$140,989ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,534,449TotalAmt
Program Services$2,531,449ProgramServicesAmt
Management And General$3,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,528,839TotalAmt
Program Services$1,492,315ProgramServicesAmt
Management And General$36,524ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,168,692TotalAmt
Program Services$2,168,692ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$28,294TotalAmt
Program Services$16,557ProgramServicesAmt
Management And General$11,737ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,183,553TotalAmt
Program Services$680,951ProgramServicesAmt
Management And General$502,602ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,473,214TotalAmt
Program Services$1,091,689ProgramServicesAmt
Management And General$381,525ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERNAL MANAGEMENT FEES$39,925,686$37,663,595$2,262,091
PATIENT CARE SUPPLIES$10,317,285$10,317,285
OTHER PURCHASED SERVICES$1,953,477$1,872,182$81,295
RECRUITMENT$545,800$545,800

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$84,661TotalAmt
Program Services$84,093ProgramServicesAmt
Management And General$568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$448,024,543TotalAmt
Program Services$442,760,637ProgramServicesAmt
Management And General$5,263,906ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$841,335EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,710,498BOYAmt
EOY$34,108,540EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,100BOYAmt
EOY$4,100EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$173,661BOYAmt
EOY$188,623EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,893,290LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,941,846LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,698,454BOYAmt
EOY$4,951,444EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$17,381,196BOYAmt
EOY$19,613,266EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$757,810BOYAmt
EOY$549,018EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,725,719BOYAmt
EOY$60,256,326EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,293,880BOYAmt
EOY$76,196,640EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$369,117BOYAmt
EOY$83,530EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,662,997BOYAmt
EOY$76,280,170EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$11,937,278BOYAmt
EOY-$16,023,844EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$11,937,278BOYAmt
EOY-$16,023,844EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,725,719BOYAmt
EOY$60,256,326EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$133,050,982ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$128,964,416OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$643,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$812,752CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,889,334CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,922,604CurrentTaxYearMinus1YearAmt
Current Tax Year$6,076,126CurrentTaxYearAmt
Total$25,344,342TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$294,739,419CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$297,616,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$297,675,043CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,402,455CurrentTaxYearMinus1YearAmt
Current Tax Year$306,990,543CurrentTaxYearAmt
Total$1,487,423,495TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,382,945CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,428,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$306,564,377CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,325,059CurrentTaxYearMinus1YearAmt
Current Tax Year$313,066,669CurrentTaxYearAmt
Total$1,512,767,837TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,512,767,837PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,661CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$185,412CurrentTaxYearMinus1YearAmt
Current Tax Year$100,902CurrentTaxYearAmt
Total$409,136TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,661CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$185,412CurrentTaxYearMinus1YearAmt
Current Tax Year$100,902CurrentTaxYearAmt
Total$409,136TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,385,537CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,450,356CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$306,663,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,510,471CurrentTaxYearMinus1YearAmt
Current Tax Year$313,167,571CurrentTaxYearAmt
Total$1,513,176,973TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9997PublicSupportCY509Pct
Public Support PY5090.9998PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0002InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III Line 7A and 7BFormAndLineReferenceDesc
ExplanationHEATH CARE RELATED SERVICES PROVIDED BY CARLE HEALTH CARE INCORPORATED 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 HEALTH CARE INCORPORATED DOES NOT BELIEVE IT WOULD MATERIALLY IMPACT THE PUBLIC SUPPORT PERCENTAGE.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,343OtherActivitiesAmt
Total Lobbying Expenditures$2,343TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
Explanation$2,343 - portion of dues attributable to lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,041OtherCostOrOtherBasisAmt
Book Value$137,041BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,252,871OtherCostOrOtherBasisAmt
Depreciation$920,428DepreciationAmt
Book Value$332,443BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,150OtherCostOrOtherBasisAmt
Depreciation$69,410DepreciationAmt
Book Value$20,740BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,571,306OtherCostOrOtherBasisAmt
Depreciation$6,510,965DepreciationAmt
Book Value$2,060,341BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,841,922OtherCostOrOtherBasisAmt
Depreciation$5,441,043DepreciationAmt
Book Value$2,400,879BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,951,444TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescCHAMPAIGN SURGICENTER LLCDesc
Book Value$19,613,266BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$19,613,266TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFINANCE LEASE LIABILITY - LTDesc
Amt$83,530Amt
FieldValueIRS element (for citing)
Total Liability$83,530TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE 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, 2022 AND 2021.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Uretz Oliphant MD
Secretary/Treasurer of Board$505,354$0$44,417$0$2,363$0$45,010$0$16,933$0$614,077$0$0$0
Aja Lystila MD
Trustee$253,745$0$83,766$0$1,819$0$24,510$0$24,276$0$388,116$0$0$0
James C Leonard MD
Ex-Officio, Officer - President & CEO$0$1,607,032$0$528,517$0$4,560$0$643,876$0$17,933$0$2,801,918$0$497
Matthew Kolb JD MHA
Officer - EVP, Chief Operating Officer$0$979,097$0$225,035$0$159,130$0$368,388$0$25,802$0$1,757,452$0$155,067
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer$0$993,973$0$288,063$0$4,063$0$396,203$0$18,597$0$1,700,899$0$0
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer$20,050$715,165$0$0$0$9,531$0$96,568$0$17,499$20,050$838,763$0$5,621
Lauren Schmid
EVP, Chief Human Resources Officer$0$550,105$0$123,287$0$98,930$0$204,706$0$24,041$0$1,001,069$0$95,210
Issam Moussa MD
Medical Director$644,416$0$113,324$0$2,213$0$45,010$0$2,750$0$807,713$0$0$0
Blair Rowitz MD
Associate Chief Medical Officer$597,394$0$88,797$0$2,288$0$42,510$0$24,276$0$755,265$0$0$0
Caleb Miller
SVP, Surgical Services & Amb Care$0$412,704$0$66,505$0$83,995$0$137,541$0$28,172$0$728,917$0$80,918
Kenneth Aronson MD
Medical Director$509,212$0$111,911$0$2,213$0$45,010$0$18,253$0$686,599$0$0$0
David Chan MD
Associate Chief Medical Director$413,689$0$69,832$0$2,174$0$45,010$0$16,689$0$547,394$0$0$0
Sally Salmons MD
Associate Chief Medical Officer, Amb Care$0$396,944$0$56,199$0$3,013$0$69,824$0$19,719$0$545,699$0$8
Nicholas Crompton
VP, Construction & Facility Services$0$252,006$0$27,955$0$2,000$0$45,832$0$27,768$0$355,561$0$0
Craig Neitzel MD
Physician - Dermatology$1,254,889$0$372,876$0$2,213$0$45,010$0$25,776$0$1,700,764$0$0$0
William Holmes MD
Physician - Dermatology$1,068,387$0$217,057$0$2,213$0$45,010$0$24,276$0$1,356,943$0$0$0
Sinisa Stanic MD
Physician - Radiology/Oncology$715,374$0$561,276$0$2,213$0$24,510$0$27,153$0$1,330,526$0$0$0
Andrew Batey MD
Physician - Gastroenterology$1,065,170$0$148,530$0$2,363$0$45,010$0$27,769$0$1,288,842$0$0$0
Robert Bane MD
Physician - Orthopedics$977,766$0$196,897$0$2,213$0$45,010$0$24,276$0$1,246,162$0$0$0
Laurence Fallon
Key Employee - Former$0$678,156$0$168,917$0$4,208$0$264,214$0$25,660$0$1,141,155$0$0
Malec Mokraoui MD
Key Employee - Former$461,431$0$0$0$1,852$0$39,510$0$19,303$0$522,096$0$0$0
Charles Dennis MD
Officer - Former$233,383$28,300$173,935$0$2,287$0$24,510$0$19,640$0$453,755$28,300$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION FOR 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 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 planTHE 2022 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HEALTH CARE INCORPORATED, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, NAPOLEON KNIGHT, MD, LAUREN SCHMID, NICHOLAS CROMPTON, SALLY SALMONS, MD, CALEB MILLER, AND LAURENCE FALLON. THE 2022 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB ($155,067), JAMES LEONARD, MD ($497), NAPOLEON KNIGHT, MD ($5,621), LAUREN SCHMID ($95,210), SALLY SALMONS ($8), AND CALEB MILLER ($80,918).
Schedule J, Part I, Line 7 Non-fixed paymentsPART 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 5aPHYSICIAN'S COMPENSATION IS PARTIALLY BASED ON PRODUCTION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Sari Aronson MD
Family Member of Key Employee$52,082Employmentfalse
Madeline Salmons
Family Member of Key Employee$77,537Employmentfalse
Mercedita DeJesus
Family Member of Trustee$50,894Employmentfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Family RelationshipsFormAndLineReferenceDesc
ExplanationSARI ARONSON, MD IS AN EMPLOYEE OF CARLE HEALTH CARE INCORPORATED AND HAS A FAMILY RELATIONSHIP WITH KENNETH ARONSON, MD (KEY EMPLOYEE). MADELINE SALMONS IS AN EMPLOYEE OF CARLE HEALTH CARE INCORPORATED AND HAS A FAMILY RELATIONSHIP WITH SALLY SALMONS, MD (KEY EMPLOYEE). MERCEDITA DEJESUS IS AN EMPLOYEE OF CARLE HEALTH CARE INCORPORATED AND HAS A FAMILY RELATIONSHIP WITH URETZ OLIPHANT, MD (SECRETARY AND TREASURER OF BOARD).ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$11,274NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule M, Part I, Line 25 DESCRIPTION OF OTHER PROPERTYmeal service for patients & families, nursing medical education support.
Schedule M, Part I Explanations of reporting method for number of contributionsOther - CARLE HEALTH CARE INCORPORATE IS REPORTING THE NUMBER OF CONTRIBUTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 4,588,184 including grants of $ 0)(Revenue $ 8,914,063) OTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CHAMPAIGN SURGICENTER, LLC (ASC) AND AIRLIFE. THE CHAMPAIGN SURGICENTER 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 2022, APPROXIMATELY 11,615 PROCEDURES WERE PERFORMED ACROSS A WIDE VARIETY OF MEDICAL SPECIALTIES. AIRLIFE, A COLLABORATIVE EFFORT BETWEEN AIR METHODS AND CARLE, PROVIDES COMPLETE AIR MEDICAL TRANSPORTATION SERVICES THROUGHOUT EAST CENTRAL ILLINOIS. AIRLIFE IS STATIONED AT THE CARLE FOUNDATION HOSPITAL AROUND THE CLOCK WITH A TEAM ON SITE AND READY FOR TAKE-OFF WITHIN MINUTES. THE FLIGHT CREW CONSISTS OF EXPERIENCED EMERGENCY MEDICAL PILOTS, PHYSICIANS, CRITICAL CARE FLIGHT REGISTERED NURSES, NEONATAL NURSES, HIGH-RISK OBSTETRIC NURSES AND CRITICAL CARE FLIGHT PARAMEDICS.
Form 990, Part VI, Line 15 15A & 15BCARLE HEALTH CARE INCORPORATED DOES NOT COMPENSATE THE CEO OR MAJORITY OF OFFICERS AND KEY EMPLOYEES. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION FOR 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 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 personsMATTHEW KOLB (OFFICER), JAMES LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), BLAIR ROWITZ, MD (KEY EMPLOYEE), SALLY SALMONS, MD (KEY EMPLOYEE), LAURENCE FALLON (FORMER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, MATTHEW KOLB (OFFICER) AND CHARLES DENNIS, MD (FORMER) - Business relationship, PAUL TUCKER (CHAIR OF BOARD), MARK CZYS (VICE CHAIR OF BOARD), URETZ OLIPHANT, MD (SECRETARY AND TREASURER OF BOARD), MICHAEL DEVOCELLE (TRUSTEE), AJA LYSTILA, MD (TRUSTEE), JON STEWART (TRUSTEE), AND JAMES LEONARD, MD (OFFICER) - Business relationship, PAUL TUCKER (CHAIR OF BOARD), MARK CZYS (VICE CHAIR OF BOARD), URETZ OLIPHANT, MD (SECRETARY AND TREASURER OF BOARD), KARL APPELQUIST (IMMEDIATE PAST CHAIR OF BOARD), MICHAEL DEVOCELLE (TRUSTEE), AJA LYSTILA, MD (TRUSTEE), JON STEWART (TRUSTEE), AND JAMES LEONARD, MD (OFFICER) - Business relationship, JON STEWART (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), ROBERT BANE, MD (HIGHEST COMPENSATED), AND CHARLES DENNIS, MD (FORMER) - Business relationship, JON STEWART (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), ROBERT BANE, MD (HIGHEST COMPENSATED), AND CHARLES DENNIS, MD (FORMER) - Business relationship, JON STEWART (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, AJA LYSTILA, MD (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (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 stockholdersCARLE HEALTH CARE INCORPORATED HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyCARLE 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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCARLE HEALTH CARE INCORPORATED'S (CHCI) 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 THE PRESIDENT/CEO'S AUTHORIZED SPENDING AUTHORITY AS DESCRIBED IN THE FINANCE POLICIES OF THE CARLE FOUNDATION (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGETS; TO APPROVE 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 CORPORATION, ANY SUBSIDIARY AND/OR AFFILIATE; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO APPROVE ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INCURRENCE OF INDEBTEDNESS BY OR IN THE NAME OF THE CORPORATION; TO PLEDGE ALL OR PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION OF THE CORPORATION, SUBSIDIARY AND/OR AFFILIATE OF THE CORPORATION; TO AUTHORIZE ENTRY 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; TO APPROVE PAYMENT TO THE MEMBERS OF THE CHCI BOARD OF TRUSTEES OF THEIR EXPENSES, IF ANY, FOR ATTENDANCE AT THE MEETINGS OF THE CHCI BOARD OF TRUSTEES OR ANY SUMS AS COMPENSATION FOR ATTENDANCE AT SUCH MEETINGS OR AS STATED SALARY FOR SERVICE AS TRUSTEES.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE 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, EACH TRUSTEE RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION, EACH TRUSTEE HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE 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 publicTHE CARLE FOUNDATION 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. 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 BTHE 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 2OTHER 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.
Form 990, Part VIII, Line 2f Other Program Service RevenueAll other program service revenue - Total Revenue: 7856566, Related or Exempt Function Revenue: 7856566, 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 balancesINTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - XXX-XX-XXXX; BOOK TO TAX ADJUSTMENTS FOR AMBULATORY SURGERY CENTER - -3703859;
Form 990, Part XII, Line 2c Change of oversight process or selection processFORM 990 PART XII, QUESTIONS 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR CARLE HEALTH CARE INCORPORATED 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.
Form 990, Part VI, Questions 12 16QUESTIONS ANSWERED AFFIRMATIVELY ARE APPLICABLE TO ALL DISREGARDED ENTITIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ARROW AMBULANCE LLC
611 W PARK STURBANAIL618012595273054181AmbulanceIL$17,168,747$5,481,470CHCI
MIDWEST CENTER FOR SLEEP MEDICINE LLC
1302 FRANKLIN AVE SUITE 3400NORMALIL61761383666668Medical ServicesIL$497,361$241,181CHCI

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE CARLE FOUNDATION
611 W PARK STURBANAIL618012595370673465Parent / Inv MgtIL501(c)(3)Type III-FINAfalse
THE CARLE FOUNDATION HOSPITAL
611 W PARK STURBANAIL618012595371119538Hospital ServicesIL501(c)(3)3TCFYes (true)
CARLE DEVELOPMENT FOUNDATION
611 W PARK STURBANAIL618012595371159978FundraisingIL501(c)(3)7TCFYes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK STURBANAIL618012595371160033Retirement LivingIL501(c)(3)10TCFYes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK STURBANAIL618012595364458371FNDN missionIL501(c)(3)Type ITCDFYes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
701 E ORANGE STHOOPESTONIL609421801363637465Hospital ServicesIL501(c)(3)3TCFYes (true)
RICHLAND MEMORIAL HOSPITAL INC
800 EAST LOCUST STREETOLNEYIL62450371363001Hospital ServicesIL501(c)(3)3TCFYes (true)
CARLE BROMENN MEDICAL CENTER
611 W PARK STURBANAIL618012595850682363Hospital ServicesIL501(c)(3)3TCFYes (true)
CARLE EUREKA HOSPITAL
611 W PARK STURBANAIL618012595850688306Hospital ServicesIL501(c)(3)3TCFYes (true)
CARLE CANCER INSTITUTE NORMAL LLC
407 E VERNON AVENORMALIL61761371363717Cancer TreatmentIL501(c)(3)Type ITCFYes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK STURBANAIL618012595850703768Physician ServicesIL501(c)(3)10CHCIYes (true)
CRIS HEALTHY AGING
309 N FRANKLIN STDANVILLEIL618324509370948852Senior Citizen ServicesIL501(c)(3)7CHCIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHAMPAIGN SURGICENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP618012595ZIPCd
FieldValueIRS element (for citing)
EIN201915925EIN
Primary ActivitiesSurgical CenterPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHCIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$24,056,919ShareOfTotalIncomeAmt
Share Of EOY Assets$29,608,273ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.6000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
HEALTH SYSTEMS INSURANCE LIMITED
Governors Square 2nd Floor Bldg 323 Line Tree Bay AveGRAND CAYMANCJKY11102InsuranceCJNAC CorporationYes (true)
CARLE RISK MANAGEMENT COMPANY
Risk ManagementNAC CorporationYes (true)611 W PARK STURBANAIL618012595371217973IL
EVALIDATA INC
Physician CredentialingNAC CorporationYes (true)611 W PARK STURBANAIL618012595462022658IL
CHA HOLDING INC
Holding Co.NAC CorporationYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822471854275IL
CARLE HOLDING COMPANY INC
Holding Co.NAC CorporationYes (true)611 W PART STURBANAIL618012595371188284IL
HEALTH ALLIANCE MEDICAL PLANS INC
Health CoverageNAC CorporationYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822371260731IL
HEALTH ALLIANCE CONNECT INC
Health Care CoordinationNAC CorporationYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822464796891IL
HEALTH ALLIANCE NORTHWEST HOLDING INC
Holding Co.NAC CorporationYes (true)820 N CHELAN AVEWENATCHEEWA98801461717578WA
HEALTH ALLIANCE NORTHWEST HEALTH PLAN INC
Health CoverageNAC CorporationYes (true)820 N CHELAN AVEWENATCHEEWA98801461966323WA
HEALTH ALLIANCE MIDWEST INC
Health CoverageNAC CorporationYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822371354502IL
CARLE VENTURES INC
Health Care PartnershipsTCFC CorporationYes (true)611 W PARK STURBANAIL618012595371313150IL
CARLE HEALTH PHYSICIAN PARTNERS INC
Physician ServicesTCFC CorporationYes (true)611 W PARK STURBANAIL618012595850718392IL
FIRST CAROLINA CARE INSURANCE COMPANY
InsuranceCHA HOLDINGC CorporationYes (true)42 MEMORIAL DRIVEPINEHURSTNC28374331160597IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARLE DEVELOPMENT FOUNDATION
C$159,181BOOK
CARLE EUREKA HOSPTIAL
L$109,600BOOK
HEALTH ALLIANCE CONNECT INC
L$12,819,326BOOK
HEALTH ALLIANCE MEDICAL PALNS INC
L$34,085,406BOOK
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
L$1,006,499BOOK
THE CARLE FOUNDATION HOSPITAL
L$13,114,787BOOK
CARLE WEST PHYSICIAN GROUP INC
M$141,589BOOK
THE CARLE FOUNDATION HOSPITAL
M$4,582,657BOOK
HEALTH SYSTEMS INSURANCE LIMITED
M$1,225,404BOOK
CARLE RISK MANAGEMENT COMPANY
P$1,739,374BOOK
THE CARLE FOUNDATION HOSPITAL
Q$1,568,470BOOK
THE CARLE FOUNDATION HOSPITAL
S$526,528BOOK

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