Carle Cancer Institute Normal LLC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- Carle Cancer Institute Normal LLC (EIN 37-1363717)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202103199349325510
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T16:30:49-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371363717 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Cancer Institute Normal LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DENNIS HESCH EXEC VP & CFO | InCareOfNm |
| Business Name Control | CARL | BusinessNameControlTxt |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park St | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 2173833311 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DENNIS | PersonFirstNm |
| Person Last | HESCH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER D RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2021-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Name Change | Yes (X) | NameChangeInd |
| Principal Officer | DENNIS HESCH EXEC VP CFO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park St | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,059,814 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARLE.ORG | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | LLC | OtherOrganizationDsc |
| Formation | 1996 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO BE THE DESTINATION OF CHOICE FOR CANCER TREATMENT SERVICES IN THE EASTERN REGION OF CENTRAL ILLINOIS THROUGH EFFECTIVE PARTNERSHIPS COUPLED WITH PERSONALIZED CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $175,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $339,176 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,856,921 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,438,790 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $281,848 | CYOtherRevenueAmt |
| PY Total Revenue | $9,031,921 | PYTotalRevenueAmt |
| CY Total Revenue | $8,059,814 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $600,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,361,046 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,955,539 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,504,918 | PYOtherExpensesAmt |
| CY Other Expenses | $4,249,331 | CYOtherExpensesAmt |
| PY Total Expenses | $9,465,964 | PYTotalExpensesAmt |
| CY Total Expenses | $8,204,870 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$434,043 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$145,056 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,390,605 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,644,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,075,162 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,152,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,315,443 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,491,323 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE THE DESTINATION OF CHOICE FOR CANCER SERVICES IN THE EASTERN REGION OF CENTRAL ILLINOIS THROUGH OUR EFFECTIVE PARTNERSHIPS COUPLED WITH PERSONALIZED CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,158,670 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,720,638 | RevenueAmt |
| Desc | PROMOTE, SUPPORT AND CARRY ON EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTH CARE FACILITIES, HUMAN SERVICES PROGRAMS AND OTHER CHARITABLE ACTIVITIES DEVOTED TO IMPROVING AND PROTECTING THE HEALTH AND WELFARE OF ALL PERSONS, INCLUDING PERSONS SUFFERING FROM CANCER AND THOSE WHO CARE FOR THEM. THE CENTER SHALL PROMOTE AND SUPPORT THE INTERESTS OF ITS TAX EXEMPT SOLE MEMBER, THE CARLE FOUNDATION, AND OTHER RELATED ORGANIZATIONS INCLUDING CARLE BROMENN MEDICAL CENTER. CARLE CANCER INSITUTE NORMAL, LLC SERVED 10,812 PATIENTS IN 2020. | Desc |
| Total Program Service Expenses | $6,158,670 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 45 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH EXEC VP CFO | PersonNm |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| James C Leonard MD | |||||||||
| Ex-Officio, President & CEO | 1.0 | 39.0 | Yes (X) | $0 | $4,774,129 | $512,006 | |||
| Dennis Hesch | |||||||||
| Exec VP & CFO | 1.0 | 39.0 | Yes (X) | $0 | $1,470,712 | $354,224 | |||
| Matthew Kolb | |||||||||
| Exec VP & COO | 1.0 | 39.0 | Yes (X) | $0 | $975,723 | $292,435 | |||
| Sinisa Stanic MD | |||||||||
| Vice Chair/ Physician | 1.0 | 39.0 | Yes (X) | $0 | $920,783 | $49,180 | Yes (X) | ||
| Shermain Woodhouse MD | |||||||||
| Physician & Medical Director | 40.0 | 0.0 | $635,041 | $0 | $36,946 | Yes (X) | |||
| Patrick Fernandes MD | |||||||||
| Physician | 40.0 | 0.0 | $569,790 | $0 | $34,880 | Yes (X) | |||
| Luke Sullivan | |||||||||
| Secretary & Treasurer | 1.0 | 39.0 | Yes (X) | $0 | $272,301 | $74,378 | Yes (X) | ||
| Colleen Kannaday | |||||||||
| President | 1.0 | 39.0 | Yes (X) | $0 | $247,066 | $43,043 | Yes (X) | ||
| James Nevin Jr MD | |||||||||
| Chair/ ACMO | 1.0 | 39.0 | Yes (X) | $0 | $194,745 | $26,506 | Yes (X) | ||
| Joseph Prosser | |||||||||
| Director of CCIN | 40.0 | 0.0 | $189,195 | $0 | $9,717 | Yes (X) | |||
| Keith Schultz | |||||||||
| Sr. Dosimetrist | 40.0 | 0.0 | $142,052 | $0 | $14,378 | Yes (X) | |||
| Rebecca Powell | |||||||||
| Health Educator | 40.0 | 0.0 | $110,781 | $0 | $9,717 | Yes (X) | |||
| Angela Thompson | |||||||||
| Clinical Manager | 40.0 | 0.0 | $84,653 | $0 | $16,999 | Yes (X) | |||
| Sarah Burnett | |||||||||
| Finance Director (End 9/20) | 20.0 | 20.0 | $96,099 | $0 | $2,326 | Yes (X) | |||
| John M Wieland MD | |||||||||
| Member | 1.0 | 39.0 | $0 | $8,325 | $0 | Yes (X) | |||
| Michelle Houchin | |||||||||
| Vice Chair (Until 10/2020) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Roger Hunt | |||||||||
| Member (Until 6/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Diana Hauman | |||||||||
| Member (7/2020 until 10/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Axel Jimenez | |||||||||
| Member (Until 12/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Omar Khokhar MD | |||||||||
| Member (Until 6/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| William Phillips | |||||||||
| Member (Until 12/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| John R Zell | |||||||||
| Treasurer (Until 6/2020) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Paul Lawrence | |||||||||
| Member (Until 12/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Lynn Fulton | |||||||||
| Member (Until 6/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Roger Hunt | |||||||||
| Member (Until 6/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Steve Wannemacher | |||||||||
| Member (Until 12/2020) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,827,611 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,863,784 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,476,735 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Community Cancer Center JV | |||||
| 407 East Vernon Ave | NORMAL | IL | 61761 | Facilities & Equip | $1,464,348 |
| CI Physics LLC | |||||
| 2401 W Alta Rd 202 | PEORIA | IL | 61615 | Staffing | $417,600 |
| GE Healthcare Systems | |||||
| PO Box 641419 | PITTSBURGH | PA | 152641419 | Billing Services | $532,948 |
| Pointcore Inc | |||||
| 800 NE Glen Oak Ave | PEORIA | IL | 616033200 | Healthcare Tech | $281,407 |
| Integrity Technology Solutions Inc | |||||
| PO Box 841118 | KANSAS CITY | MO | 641841118 | Healthcare Tech | $153,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $339,176 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $68,046 | NoncashContributionsAmt |
| Total Contributions | $339,176 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $6,946,334 | $6,946,334 |
| REIMBURSED SERVICES | 621400 | $213,242 | $213,242 |
| RENTAL INCOME | 531120 | $163,086 | $163,086 |
| PROPERTY MANAGEMENT FEES | 531310 | $116,128 | $116,128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,438,790 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INTEREST ON PATIENT BILLING | 900099 | $369 | $369 |
| OTHER REVENUE | 900099 | $281,479 | $281,479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $281,848 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,059,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,720,638 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,637 | TotalAmt |
| Program Services | $703,102 | ProgramServicesAmt |
| Management And General | $321,535 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,445,294 | TotalAmt |
| Program Services | $2,008,359 | ProgramServicesAmt |
| Management And General | $436,935 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,361 | TotalAmt |
| Program Services | $18,929 | ProgramServicesAmt |
| Management And General | $31,432 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,265 | TotalAmt |
| Program Services | $179,651 | ProgramServicesAmt |
| Management And General | $100,614 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,982 | TotalAmt |
| Program Services | $126,495 | ProgramServicesAmt |
| Management And General | $28,487 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,874 | TotalAmt |
| Management And General | $2,874 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,024 | TotalAmt |
| Program Services | $103,447 | ProgramServicesAmt |
| Management And General | $40,577 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,734 | TotalAmt |
| Program Services | $32,789 | ProgramServicesAmt |
| Management And General | $13,945 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,486,922 | TotalAmt |
| Program Services | $1,790,450 | ProgramServicesAmt |
| Management And General | $696,472 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,481 | TotalAmt |
| Program Services | $42,736 | ProgramServicesAmt |
| Management And General | $7,745 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,066,579 | TotalAmt |
| Program Services | $803,738 | ProgramServicesAmt |
| Management And General | $262,841 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60 | TotalAmt |
| Management And General | $60 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,535 | TotalAmt |
| Program Services | $45,767 | ProgramServicesAmt |
| Management And General | $32,768 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER PURCHASED SERVICES | $292,534 | $228,097 | $64,437 |
| PATIENT CARE SUPPLIES | $61,144 | $61,144 | |
| ALL OTHER EXPENSES | $19,444 | $13,966 | $5,478 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,204,870 | TotalAmt |
| Program Services | $6,158,670 | ProgramServicesAmt |
| Management And General | $2,046,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,206,633 | BOYAmt |
| EOY | $2,926,343 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,458 | BOYAmt |
| EOY | $111,250 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,941 | BOYAmt |
| EOY | $68,017 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,974 | BOYAmt |
| EOY | $538,410 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,599 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,390,605 | BOYAmt |
| EOY | $3,644,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,162 | BOYAmt |
| EOY | $1,152,697 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,075,162 | BOYAmt |
| EOY | $1,152,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,245,502 | BOYAmt |
| EOY | $2,491,323 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,941 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,315,443 | BOYAmt |
| EOY | $2,491,323 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,390,605 | BOYAmt |
| EOY | $3,644,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$145,056 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $320,936 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $135,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $230,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $154,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $175,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $339,176 | CurrentTaxYearAmt |
| Total | $1,033,642 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,883,616 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,332,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,945,639 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,856,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,720,638 | CurrentTaxYearAmt |
| Total | $44,739,136 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,018,616 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,562,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,100,105 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,031,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,059,814 | CurrentTaxYearAmt |
| Total | $45,772,778 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,772,778 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $205,847 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $205,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $232,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,086 | CurrentTaxYearAmt |
| Total | $1,057,157 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $205,847 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $205,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,634 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $232,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,086 | CurrentTaxYearAmt |
| Total | $1,057,157 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,224,463 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,767,494 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,350,739 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,264,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,222,900 | CurrentTaxYearAmt |
| Total | $46,829,935 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97743 | PublicSupportCY509Pct |
| Public Support PY509 | 0.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.02257 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 7A & 7B | FormAndLineReferenceDesc |
| Explanation | HEATH CARE RELATED SERVICES PROVIDED BY CARLE CANCER INSTITUTE NORMAL LLC 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 CANCER INSTITUTE NORMAL LLC DOES NOT BELIEVE IT WOULD MATERIALLY IMPACT THE PUBLIC SUPPORT PERCENTAGE. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 SCHEDULE D, PART X | FormAndLineReferenceDesc |
| Explanation | 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, 2020 AND 2019. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James C Leonard MD | ||||||||||||||
| Ex-Officio, President & CEO | $0 | $1,419,366 | $0 | $486,297 | $0 | $2,868,466 | $0 | $512,006 | $0 | $0 | $0 | $5,286,135 | $0 | $2,824,169 |
| Dennis Hesch | ||||||||||||||
| Exec VP & CFO | $0 | $885,848 | $0 | $286,489 | $0 | $298,375 | $0 | $335,530 | $0 | $18,694 | $0 | $1,824,936 | $0 | $272,173 |
| Matthew Kolb | ||||||||||||||
| Exec VP & COO | $0 | $760,841 | $0 | $138,991 | $0 | $75,891 | $0 | $266,294 | $0 | $26,141 | $0 | $1,268,158 | $0 | $52,128 |
| Sinisa Stanic MD | ||||||||||||||
| Vice Chair/ Physician | $0 | $882,048 | $0 | $35,600 | $0 | $3,135 | $0 | $22,896 | $0 | $26,284 | $0 | $969,963 | $0 | $0 |
| Shermain Woodhouse MD | ||||||||||||||
| Physician & Medical Director | $582,541 | $0 | $52,500 | $0 | $0 | $0 | $14,185 | $0 | $22,761 | $0 | $671,987 | $0 | $0 | $0 |
| Patrick Fernandes MD | ||||||||||||||
| Physician | $569,790 | $0 | $0 | $0 | $0 | $0 | $14,250 | $0 | $20,630 | $0 | $604,670 | $0 | $0 | $0 |
| Luke Sullivan | ||||||||||||||
| Secretary & Treasurer | $0 | $235,218 | $0 | $32,312 | $0 | $4,771 | $0 | $48,293 | $0 | $26,085 | $0 | $346,679 | $0 | $2,590 |
| Colleen Kannaday | ||||||||||||||
| President | $0 | $245,132 | $0 | $75 | $0 | $1,859 | $0 | $30,691 | $0 | $12,352 | $0 | $290,109 | $0 | $0 |
| James Nevin Jr MD | ||||||||||||||
| Chair/ ACMO | $0 | $181,721 | $0 | $0 | $0 | $13,024 | $0 | $22,644 | $0 | $3,862 | $0 | $221,251 | $0 | $0 |
| Joseph Prosser | ||||||||||||||
| Director of CCIN | $179,161 | $0 | $10,034 | $0 | $0 | $0 | $8,368 | $0 | $1,349 | $0 | $198,912 | $0 | $0 | $0 |
| Keith Schultz | ||||||||||||||
| Sr. Dosimetrist | $140,746 | $0 | $1,306 | $0 | $0 | $0 | $7,092 | $0 | $7,286 | $0 | $156,430 | $0 | $0 | $0 |
| Sarah Burnett | ||||||||||||||
| Finance Director (End 9/20) | $91,274 | $0 | $4,825 | $0 | $0 | $0 | $2,248 | $0 | $78 | $0 | $98,425 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, QUESTION 3 | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE CANCER INSTITUTE NORMAL LLC, 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 | THE 2020 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE CANCER INSTITUTE NORMAL LLC, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB AND JAMES LEONARD, MD. IN 2020, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO DENNIS HESCH ($272,173), MATTHEW KOLB ($52,128) AND JAMES LEONARD, MD ($2,824,169), AND LUKE SULLIVAN ($2,590). |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | SEE ATTACHED | Desc |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $68,046 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, LINE 25 | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS NONCASH CONTRIBUTIONS FROM THE CARLE FOUNDATION INCLUDED PATIENT AND NON-PATIENT SUPPLIES, MAINTENANCE SUPPLIES, AND EQUIPMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, QUESTION 2 | JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW KOLB (OFFICER) AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. FORM 990 PART VI, QUESTION 4 ON JULY 1, 2020, THE CARLE FOUNDATION PURCHASED 50% OWNERSHIP STAKE IN CARLE CANCER INSTITUTE NORMAL, LLC (FORMERLY COMMUNITY CANCER CENTER LLC) UNDER AN ASSET PURCHASE AGREEMENT. ON OCTOBER 1, 2020, THE CARLE FOUNDATION PURCHASED THE REMAINING 50% MEMBERSHIP STAKE. UPON INTEGRATION INTO THE CARLE HEALTH SYSTEM, A REVISED SUPPLEMENT TO RESTATED ARTICLES OF ORGANIZATION AND AMENDED AND RESTATED OPERATING AGREEMENT WERE ESTABLISHED. A PORTION OF THE MOST MATERIAL REVISIONS INCLUDE: - CHANGING THE NAME OF THE ORGANIZATION FROM COMMUNITY CANCER CENTER, LLC TO CARLE CANCER INSTITUTE NORMAL, LLC. - CONFIRMING THE SOLE MEMBER OF CARLE CANCER INSTITUTE NORMAL, LLC IS THE CARLE FOUNDATION AND THE ORGANIZATION SHALL BE OPERATED EXCLUSIVELY TO FURTHER THE CODE SECTION 501(C)(3) PURPOSES OF ITS MEMBER, DETAILING ADDITIONAL PURPOSES AND PROHIBITED ACTIVITIES SO THAT THESE ARE LIMITED TO THOSE CONSISTENT WITH THE CODE 501(C)(3). - TERMS IN THE CASE OF DISSOLUTION - THE SOLE MEMBER, THE CARLE FOUNDATION, HAS THE POWER TO ALTER, AMEND, OR REPEAL THE ARTICLES OF THE OPERATING AGREEMENT PROVIDED THAT THE PROCESS OF ALTERING, AMENDING, OR REPEALING THE ARTICLES OR THE OPERATING AGREEMENT AND MAKING AND ADOPTING NEW ARTICLES OR A NEW OPERATING AGREEMENT MAY BE INITIATED EITHER BY THE MEMBER OR BY THE BOARD OF MANAGERS WHILE ANY AMENDMENT MUST BE CONSISTENT WITH THE CODE SECTION 501(C)(3) - THE BOARD OF MANAGERS WILL BE COMPRISED OF NO FEWER THAN FIVE VOTING MANAGERS AND NO MORE THAN NINE - EACH VOTING MANAGER IS ELECTED ANNUALLY BY THE MEMBER AND WILL SERVE FOR ONE YEAR AND MAY SERVE AN UNLIMITED NUMBER OF CONSECUTIVE TERMS - ESTABLISHED THE RESPONSIBILITIES AND LIMITS OF MANAGERS - THE BOARD OF MANAGERS WILL MEET AT LEAST FOUR TIMES PER YEAR - THE SOLE MEMBER HAS THE AUTHORITY TO REMOVE A MANAGER OR FILL MANAGER VACANCIES. - ESTABLISHES OFFICER POSITIONS WITHIN THE BOARD OF MANAGERS TO BE CHAIR, VICE CHAIR, PRESIDENT, SECRETARY, AND TREASURER - THE BOARD OF MANAGERS HAVE THE AUTHORITY TO ESTABLISH COMMITTEES OF TWO OR MORE PERSONS AND - THE ADOPTION OF THE CARLE FOUNDATION'S CONFLICT OF INTEREST POLICY. - THE BOARD OF MANAGERS WILL MEET AT LEAST FOUR TIMES PER YEAR - THE SOLE MEMBER HAS THE AUTHORITY TO REMOVE A MANAGER OR FILL MANAGER VACANCIES. - ESTABLISHES OFFICER POSITIONS WITHIN THE BOARD OF MANAGERS TO BE CHAIR, VICE CHAIR, PRESIDENT, SECRETARY, AND TREASURER - THE BOARD OF MANAGERS HAVE THE AUTHORITY TO ESTABLISH COMMITTEES OF TWO OR MORE PERSONS AND - THE ADOPTION OF THE CARLE FOUNDATION'S CONFLICT OF INTEREST POLICY. - THE BOARD OF MANAGERS HAVE THE AUTHORITY TO ESTABLISH COMMITTEES OF TWO OR MORE PERSONS AND - THE ADOPTION OF THE CARLE FOUNDATION'S CONFLICT OF INTEREST POLICY. |
| FORM 990 PART VI, QUESTION 6 | CARLE CANCER INSITUTE NORMAL, LLC HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. |
| FORM 990 PART VI, QUESTION 7A | CARLE CANCER INSITUTE NORMAL, LLC'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, QUESTION 7B | CARLE CANCER INSITUTE NORMAL, LLC'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF THE CORPORATION; THE ADDING OF MEMBERS, AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF THE AUTHORIZED SPENDING AUTHORITY OF THE PRESIDENT/CEO OF THE CARLE FOUNDATION, TO ADOPT ANY ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGETS, THE APPROVAL OF ANY MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION INCLUDING REAL PROPERTY; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE APPROVAL OF ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INCURRENCE OF INDEBTEDNESS BY OR IN THE NAME OF THE CORPORATION IN ADDITION TO THE PLEDGING OF ALL OR PART OF THE CORPORATION'S ASSETS AS SECURITY FOR DEBT, LIABILITY OR OTHER OBLIGATION; TO AUTHORIZE THE CORPORATION, SUBSIDIARY OR AFFILIATE TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES AND SERVICES BOARD FOR A PERMIT OR CERTIFICATE OF NEED; TO APPROVE PAYMENT TO THE MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES OF THEIR EXPENSES FOR ATTENDANCE AT THE MEETINGS OR ANY SUMS AS COMPENSATION FOR ATTENDANCE AT SUCH MEETINGS OR AS STATED SALARY FOR SERVICE AS TRUSTEES; AND TO ADOPT A PLAN OF DISSOLUTION OF THE CORPORATION. |
| FORM 990 PART VI, QUESTION 11B | THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO BEFORE FILING, 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, QUESTION 12C | THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE HUMAN RESOURCES DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER, DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON MATTERS 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, QUESTIONS 15A & 15B | CARLE CANCER INSITUTE NORMAL, LLC DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE CANCER INSITUTE NORMAL, LLC,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, QUESTION 18 & 19 | 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 | VICE PRESIDENTS OF THE CARLE FOUNDATION ARE CONSIDERED KEY EMPLOYEES FOR CARLE CANCER INSITUTE NORMAL, LLC. THE COMPENSATION FOR ALL VICE PRESIDENTS OF CARLE ENITITES IS PAID BY THE CARLE FOUNDATION. |
| 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 XI, LINE 9 | CARLE CANCER INSITUTE NORMAL, LLC SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE OF $390,878 RESULTED FROM THE NORMAL COURSE OF OPERATIONS AND WAS PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. IN MAY 2020, THE ORGANIZATION THROUGH AN EQUITY TRANSFER, TRANSFERRED TEMPORARILY RESTRICTED ASSETS OF $69,942 TO THE COMMUNITY CANCER CENTER FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990 PART XII, QUESTIONS 2A, B, C AND PART IV, QUESTION 12 | THE FINANCIAL STATEMENTS FOR CARLE CANCER INSITUTE NORMAL, LLC WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION DOES HAVE AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE CARLE FOUNDATION | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 370673465 | PARENT/INVMGT | IL | 501C(3) | 12c, III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371119538 | Hospital Svcs | IL | 501C(3) | 3 | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371140016 | VAR MED SVCS | IL | 501C(3) | 10 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371160033 | RTRMT LIVING | IL | 501C(3) | 10 | TCF | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371159978 | Fundraising | IL | 501C(3) | 7 | TCF | Yes (true) |
| HOOPESTON COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 701 E ORANGE ST | HOOPESTON | IL | 609421801 | 363637465 | Hospital Svcs | IL | 501C(3) | 3 | TCF | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 364458371 | FNDN mission | IL | 501C(3) | 12a, Type I | TCDF | Yes (true) |
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 850682363 | Hospital Svcs | IL | 501C(3) | 3 | TCF | Yes (true) |
| CARLE EUREKA HOSPITAL | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 850688306 | Hospital Svcs | IL | 501C(3) | 3 | TCF | Yes (true) |
| COMMUNITY CANCER CENTER FOUNDATION | ||||||||||
| 407 E VERNON AVE | NORMAL | IL | 61761 | 364425147 | Fundraising | IL | 501C(3) | 7 | CCC LLC | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 850703768 | Phys Services | IL | 501C(3) | 10 | CHCI | Yes (true) |
| RICHLAND MEMORIAL HOSPITAL INC | ||||||||||
| 611 W Park Street | Urbana | IL | 618012595 | 371363001 | Hospital Svcs | IL | 501C(3) | 3 | TCF | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMPAIGN SURGICENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 618012595 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201915925 | EIN |
| Primary Activities | Surgical Ctr | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEMS INSURANCE LIMITED | ||||||||||||||
| GOVERNORS SQ 2ND FL BLDG 3 | GRAND CAYMAN | CJ | KY1-1102 | INSURANCE | CJ | NA | C Corp | Yes (true) | ||||||
| CARLE RISK MANAGEMENT COMPANY | ||||||||||||||
| RISK MANAGEMENT | NA | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 371217973 | IL | |||||
| EVALIDATA INC | ||||||||||||||
| PHYS CREDENTIAL | NA | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 462022658 | IL | |||||
| CHA HOLDING INC | ||||||||||||||
| Holding Co | NA | C Corp | Yes (true) | 3310 SOUTH FIELDS DR IL | CHAMPAIGN | IL | 61822 | 471854275 | IL | |||||
| CARLE HOLDING COMPANY INC | ||||||||||||||
| Holding Co | NA | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 371188284 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| Health Coverage | NA | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | IL | |||||
| HEALTH ALLIANCE CONNECT INC | ||||||||||||||
| HEALTH CARE COORD | NA | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | IL | |||||
| HEALTH ALLIANCE NORTHWEST HOLDING INC | ||||||||||||||
| Holding Co | NA | C Corp | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | WA | |||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN I | ||||||||||||||
| Health Coverage | NA | C Corp | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | WA | |||||
| HEALTH ALLIANCE-MIDWEST INC | ||||||||||||||
| Health Coverage | NA | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371354502 | IL | |||||
| Carle Ventures Inc | ||||||||||||||
| Health Care PSHIP | TCF | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 371313150 | IL | |||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | ||||||||||||||
| Phys Services | TCF | C Corp | Yes (true) | 611 W Park Street | Urbana | IL | 618012595 | 850718392 | IL | |||||
| FIRST CAROLINA CARE INSURANCE COMPANY | ||||||||||||||
| Insurance | CHA Holding | C Corp | Yes (true) | 42 Memorial Drive | Pinehurst | NC | 28374 | 331160597 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Cancer Center Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $260,267 | InvolvedAmt |
| Method Of Amount Determination | BOOK | MethodOfAmountDeterminationTxt |
Comments