2023-11-15T14:51:54+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2022-01-01 371140016 Carle Health Care Incorporated CARL 2173833311 611 W PARK STREET 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 STREET URBANA IL 61801 314973561 false X WWW.CARLE.ORG X 1983 IL THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES. 6 4 1815 8 1805990 0 8922604 6076126 291951447 308796533 30628 0 185412 100902 301090091 314973561 0 0 0 0 339092580 358853634 0 0 83496022 89170909 422588602 448024543 -121498511 -133050982 56725719 60256326 68662997 76280170 -11937278 -16023844 X THE 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. false false 417798014 0 282687183 CARLE 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. 18201752 0 16373160 ARROW 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. 2172687 0 822127 THE 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. 4588184 0 8914063 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. 4588184 8914063 442760637 true true false true false false false false false true false true false true true false true false false false false false false false false false false false true false false false false false false true false true false false false true true true true false false true 50 0 true 1815 true true true 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 true true IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK ST URBANA IL 61801 Karl Appelquist Immediate Past Chair 1.0 0.0 X X 0 0 0 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 552134 0 61943 Aja Lystila MD Trustee 1.0 39.0 X 339330 0 48786 Jon Stewart Trustee (THU 8/31/22) 1.0 0.0 X 0 0 0 Michael Devocelle Trustee 1.0 0.0 X 0 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 4.0 36.0 X 0 1286099 414800 James C Leonard MD Ex-Officio, Officer - President & CEO 0.2 39.8 X 0 2140109 661809 Matthew Kolb JD MHA Officer - EVP, Chief Operating Officer 10.0 30.0 X 0 1363262 394190 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 3.0 37.0 X 20050 724696 114067 Blair Rowitz MD Associate Chief Medical Officer 1.0 39.0 X 688479 0 66786 Caleb Miller SVP, Surgical Services & Amb Care 28.0 12.0 X 0 563204 165713 David Chan MD Associate Chief Medical Director 20.0 20.0 X 485695 0 61699 Issam Moussa MD Medical Director 1.0 39.0 X 759953 0 47760 Kenneth Aronson MD Medical Director 40.0 0.0 X 623336 0 63263 Lauren Schmid EVP, Chief Human Resources Officer 1.0 39.0 X 0 772322 228747 Nicholas Crompton VP, Construction & Facility Services 1.0 41.0 X 0 281961 73600 Sally Salmons MD Associate Chief Medical Officer, Amb Care 1.0 39.0 X 0 456156 89543 Andrew Batey MD Physician - Gastroenterology 40.0 0.0 X 1216063 0 72779 Craig Neitzel MD Physician - Dermatology 40.0 0.0 X 1629978 0 70786 Robert Bane MD Physician - Orthopedics 40.0 0.0 X 1176876 0 69286 Sinisa Stanic MD Physician - Radiology/Oncology 40.0 0.0 X 1278863 0 51663 William Holmes MD Physician - Dermatology 40.0 0.0 X 1287657 0 69286 Charles Dennis MD Officer - Former 0.0 20.0 X 409605 28300 44150 Laurence Fallon Key Employee - Former 0.0 18.0 X 0 851281 289874 Malec Mokraoui MD Key Employee - Former 0.0 40.0 X 463283 0 58813 10931302 8467390 3219343 922 true true false WEATHERBY LOCUMS PO Box 972633 Dallas TX 753972633 PHYSICIAN STAFFING 2885334 LOCUMTENENSCOM PO Box 405547 Atlanta GA 303845547 PHYSICIAN STAFFING 2046523 ALLIANCE HEALTH STAFFING 332 Cimarron Road East Lombard IL 60148 PHYSICIAN STAFFING 1415883 CHRISTIE CLINIC 101 W University Ave Champaign IL 61820 PHYSICIAN STAFFING 1297110 SBG HEALTHCARE PO Box 823473 Philadelphia PA 191823473 PHYSICIAN STAFFING 1280851 25 159181 5916945 11274 6076126 PATIENT SERVICE REVENUE 621110 257879254 257879254 OTHER PHYSICIAN/PROG REV 621110 19931327 18631369 1299958 SURGICENTER REVENUE 621400 5935929 5935929 AMBULANCE REVENUE 621910 16371330 16371330 DAYCARE REVENUE 624410 822127 316095 506032 7856566 7856566 0 0 308796533 0 0 0 0 INTEREST ON BILLED ACCOUNTS 561440 100902 100902 0 0 0 0 100902 314973561 306990543 1805990 100902 0 0 0 0 0 0 0 0 5363154 5363154 180512 180512 309093867 308530622 563245 15683981 15644798 39183 14234523 14129059 105464 14297597 14259283 38314 2343 2343 24742118 23820037 922081 0 10177 10177 2209217 2036272 172945 463104 322115 140989 2534449 2531449 3000 1528839 1492315 36524 2168692 2168692 28294 16557 11737 1183553 680951 502602 1473214 1091689 381525 INTERNAL MANAGEMENT FEES 39925686 37663595 2262091 PATIENT CARE SUPPLIES 10317285 10317285 OTHER PURCHASED SERVICES 1953477 1872182 81295 RECRUITMENT 545800 545800 84661 84093 568 0 448024543 442760637 5263906 0 841335 33710498 34108540 0 0 0 0 4100 4100 173661 188623 17893290 12941846 4698454 4951444 0 17381196 19613266 757810 549018 56725719 60256326 68293880 76196640 0 0 369117 83530 68662997 76280170 X -11937278 -16023844 -11937278 -16023844 56725719 60256326 X -133050982 128964416 X X false true X true true true X 643526 812752 8889334 8922604 6076126 25344342 294739419 297616035 297675043 290402455 306990543 1487423495 0 0 0 295382945 298428787 306564377 299325059 313066669 1512767837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1512767837 2592 21569 98661 185412 100902 409136 0 2592 21569 98661 185412 100902 409136 0 0 0 0 0 0 0 295385537 298450356 306663038 299510471 313167571 1513176973 0.9997 0.9998 0 0.0002 X Schedule A, Part III Line 7A and 7B HEATH 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2343 2343 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $2,343 - portion of dues attributable to lobbying. 137041 137041 1252871 920428 332443 90150 69410 20740 8571306 6510965 2060341 7841922 5441043 2400879 4951444 CHAMPAIGN SURGICENTER LLC 19613266 C 19613266 FINANCE LEASE LIABILITY - LT 83530 83530 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, 2022 AND 2021. false true false false false false false true false Uretz Oliphant MD Secretary/Treasurer of Board 505354 0 44417 0 2363 0 45010 0 16933 0 614077 0 0 0 Aja Lystila MD Trustee 253745 0 83766 0 1819 0 24510 0 24276 0 388116 0 0 0 James C Leonard MD Ex-Officio, Officer - President & CEO 0 1607032 0 528517 0 4560 0 643876 0 17933 0 2801918 0 497 Matthew Kolb JD MHA Officer - EVP, Chief Operating Officer 0 979097 0 225035 0 159130 0 368388 0 25802 0 1757452 0 155067 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 993973 0 288063 0 4063 0 396203 0 18597 0 1700899 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 20050 715165 0 0 0 9531 0 96568 0 17499 20050 838763 0 5621 Lauren Schmid EVP, Chief Human Resources Officer 0 550105 0 123287 0 98930 0 204706 0 24041 0 1001069 0 95210 Issam Moussa MD Medical Director 644416 0 113324 0 2213 0 45010 0 2750 0 807713 0 0 0 Blair Rowitz MD Associate Chief Medical Officer 597394 0 88797 0 2288 0 42510 0 24276 0 755265 0 0 0 Caleb Miller SVP, Surgical Services & Amb Care 0 412704 0 66505 0 83995 0 137541 0 28172 0 728917 0 80918 Kenneth Aronson MD Medical Director 509212 0 111911 0 2213 0 45010 0 18253 0 686599 0 0 0 David Chan MD Associate Chief Medical Director 413689 0 69832 0 2174 0 45010 0 16689 0 547394 0 0 0 Sally Salmons MD Associate Chief Medical Officer, Amb Care 0 396944 0 56199 0 3013 0 69824 0 19719 0 545699 0 8 Nicholas Crompton VP, Construction & Facility Services 0 252006 0 27955 0 2000 0 45832 0 27768 0 355561 0 0 Craig Neitzel MD Physician - Dermatology 1254889 0 372876 0 2213 0 45010 0 25776 0 1700764 0 0 0 William Holmes MD Physician - Dermatology 1068387 0 217057 0 2213 0 45010 0 24276 0 1356943 0 0 0 Sinisa Stanic MD Physician - Radiology/Oncology 715374 0 561276 0 2213 0 24510 0 27153 0 1330526 0 0 0 Andrew Batey MD Physician - Gastroenterology 1065170 0 148530 0 2363 0 45010 0 27769 0 1288842 0 0 0 Robert Bane MD Physician - Orthopedics 977766 0 196897 0 2213 0 45010 0 24276 0 1246162 0 0 0 Laurence Fallon Key Employee - Former 0 678156 0 168917 0 4208 0 264214 0 25660 0 1141155 0 0 Malec Mokraoui MD Key Employee - Former 461431 0 0 0 1852 0 39510 0 19303 0 522096 0 0 0 Charles Dennis MD Officer - Former 233383 28300 173935 0 2287 0 24510 0 19640 0 453755 28300 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 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 plan THE 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 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. Sari Aronson MD Family Member of Key Employee 52082 Employment false Madeline Salmons Family Member of Key Employee 77537 Employment false Mercedita DeJesus Family Member of Trustee 50894 Employment false Schedule L, Part V Family Relationships SARI 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). X 1 11274 Market value 0 false true false Schedule M, Part I, Line 25 DESCRIPTION OF OTHER PROPERTY meal service for patients & families, nursing medical education support. Schedule M, Part I Explanations of reporting method for number of contributions Other - CARLE HEALTH CARE INCORPORATE IS REPORTING THE NUMBER OF CONTRIBUTIONS. 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 & 15B CARLE 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 persons MATTHEW 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 stockholders CARLE 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 body CARLE HEALTH CARE INCORPORATED'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CARLE 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 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 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 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 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 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 2 OTHER PHYSICIAN AND PROGRAM REVENUE IS COMPRISED LARGELY OF INTERNAL REVENUE RESULTING FROM CARLE PHYSICIAN GROUP PROVIDING SERVICES TO OTHER RELATED ORGANIZATIONS IN THE CONSOLIDATED GROUP. Form 990, Part VIII, Line 2f Other Program Service Revenue All 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 balances INTERCOMPANY 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 process FORM 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 16 QUESTIONS ANSWERED AFFIRMATIVELY ARE APPLICABLE TO ALL DISREGARDED ENTITIES. 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