2015-11-13T13:55:50-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 371140016 CARLE HEALTH CARE INCORPORATED % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 W Park Street Urbana IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2015-11-13 true JENNIFER D RHODERICK P00395735 3176817000 2014 2016-03-07 17:11:31Z Dennis Hesch Exec VP CFO 611 W Park Street Urbana IL 61801 261184610 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 1083 0 1212840 -118557 518859 384836 287139567 257798873 2989118 -2999099 75325 0 290722869 255184610 900 600 0 0 209080491 208035633 0 0 0 117654313 68100633 326735704 276136866 -36012835 -20952256 57137182 54884178 24185856 27607988 32951326 27276190 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 CORPORATION 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 true 262886893 600 240609885 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 2014, CPG performed approximately 806,236 outpatient visits and made nearly 24,500 physician admissions to the Carle Foundation Hospital (CFH). In addition, CPG physicians performed approximately 14,100 surgeries at CFH. 4185551 0 9288938 Champaign Surgicenter, LLC (ASC) 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 2014, nearly 4,600 procedures were performed across a wide variety of medical specialties. 5459581 0 6507258 Arrow Ambulance, LLC (Arrow) provides emergency medical assistance and transportation in the Champaign-Urbana (CU) area and many outlying communities. It has over 15 exclusive service agreements outside the CU area servicing over 1,400 square miles. Arrow has a total of 16 ambulances which provide over 17,755 transports per year. 1962807 0 1392792 274494832 true true false true false false false false false false true false false false false 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 47 0 true 1083 true true true false false false false false false false false false X 6 4 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP CFO 2173833311 611 W PARK ST URBANA IL 61801 X Donna Greene Chairman of Board 0.25 2.5 X X 0 0 0 Guy Hall Vice Chairman of Board 0.5 5.5 X X 0 0 0 Kenneth Aronson MD Secretary of Board 15.0 25.0 X X 326101 0 34589 J Michael Martin Trustee 1.25 2.75 X 0 30000 0 Paul Tender MD Trustee & Physican 39.0 2.0 X 435389 0 33023 Phillip Blankenburg Prev Chairman of Board 0.5 2.0 X 0 0 0 Matthew Gibb MD EXEC VP & CMO 18.0 22.0 X 0 627168 123799 James C Leonard MD Ex-Officio, President & CEO 3.0 37.0 X 0 1911504 401273 John Snyder Exec VP & COO 1.0 39.0 X 0 1075114 249002 Dennis Hesch Exec VP & CFO 15.0 25.0 X 0 878025 204201 BLAIR ROWITZ MD MED DIR - SURGICAL SERVICES 20.0 20.0 X 885045 0 40122 Laurence Fallon EXEC VP-Legal Affairs & HR 12.0 28.0 X 0 647842 159301 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 1.0 39.0 X 0 455993 141838 Stephanie Beever VP-Strat Devl/Surg Svcs/Neuro 1.0 39.0 X 0 409840 104223 Kim Johnston VP-Primary Care & Reg'l Health 5.0 35.0 X 0 345545 78853 Dawn Walden VP-Revenue Cycle Ops 8.8 31.2 X 0 328599 83082 Julianna Sellett VP-Diagnostic & Trans'l Care 10.0 30.0 X 0 220154 75689 MALEC MOKRAOUI MD MED DIR-HVI 40.0 0.0 X 649484 0 35477 ANDY ARWARI MD MED DIR - HOSPITAL MEDICINE 40.0 0.0 X 404405 0 41006 Craig Neitzel MD Physician 40.0 0.0 X 1105626 0 41385 Michael Tsipursky MD Physician 37.0 3.0 X 1038633 0 42779 Robert Bane MD Physician 38.0 2.0 X 1043426 0 40861 Huan Wang MD Physician 40.0 0.0 X 992932 0 32511 William Olivero MD Physician 40.0 0.0 X 980339 0 37099 Cora E Musial Phd MD PHYSICIAN 8.0 32.0 X 334290 0 23273 R Bruce Wellman MD CEO of CPG-FORMER 39.8 0.2 X 964843 0 85200 Philip Kubow SVP-HR-former 0.0 0.0 X 0 213955 11681 Mark Berlin VP-Surgical Spec-former 0.0 0.0 X 0 179782 0 9160513 7323521 2120267 506 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 2840691 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 303845547 PHYSICIAN STAFFING 1169895 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN STAFFING 647651 MEDICAL DOCTOR ASSOCIATES LLC PO BOX 277185 ATLANTA GA 303847185 PHYSICIAN STAFFING 584659 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 PHYSICIAN STAFFING 583758 9 X 88499 284912 11425 80701 384836 PATIENT SERVICE REVENUE 621110 220727207 220727207 OTHER PHYSICIAN/PROG REV 621110 18835476 18589915 245561 SURGICENTER REVENUE 621400 9288938 9288938 AMBULANCE REVENUE 621910 6507258 6507258 DAYCARE REVENUE 624410 1336992 618787 718205 1103002 853928 249074 257798873 27 27 0 0 0 0 0 3000874 6000000 -2999126 -2999126 -2999126 0 0 0 0 255184610 256586033 1212840 -2999099 600 600 0 0 0 2960067 2960067 434887 434887 178802711 178483282 319429 8779026 8757754 21272 9297236 9257874 39362 7761706 7739357 22349 0 0 0 1950 1950 0 0 13278323 12820576 457747 4539 4144 395 1131395 1052904 78491 764204 701363 62841 0 2731206 2727006 4200 1160316 1140138 20178 0 1098864 1094581 4283 34654 34654 0 865767 784741 81026 6814892 6806430 8462 PATIENT CARE SUPPLIES 5864370 5864370 INTERNAL MANAGEMENT FEES 29606328 29120983 485345 ASC EXPENSE 4185550 4185550 RECRUITMENT 472384 472384 85891 85841 50 276136866 274494832 1642034 0 X 731626 4549068 0 0 0 0 38900278 36017072 0 0 0 0 0 0 0 0 1209809 616322 13357606 9140507 2774544 4217099 0 0 0 0 13520925 0 0 9484617 0 0 57137182 54884178 22485871 27607988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1699985 0 24185856 27607988 X 32951326 27276190 0 0 0 0 32951326 27276190 57137182 54884178 X -20952256 15277120 X X false true X true false X 88371 241627 310046 518859 304135 1463038 175977553 344706781 375096326 286666034 256586033 1439032727 0 0 0 176065924 344948408 375406372 287184893 256890168 1440495765 0 0 0 1440495765 115917 83045 92028 75372 27 366389 0 115917 83045 92028 75372 27 366389 0 0 0 11158 0 0 11158 176192999 345031453 375498400 287260265 256890195 1440873312 0.99974 0.99903 0.00025 0.00094 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1950 1950 false Schedule C, Part II-B, line (i) $1,658-portion of American Ambulance Association dues attributable to lobbying. $170-portion of American Association of Nurse Anesthetists dues attributable to lobbying. $13-portion of America Association of Neurological Surgeons dues attributable to lobbying. $18-portion of American Association of Nurse Practitioners dues attributable to lobbying. $3-portion of American College of Healthcare Executives dues attributable to lobbying. $50-portion of Illinois Society for Advanced Practice Nursing dues attributable to lobbying. $28-portion of North American Spine Society dues attributable to lobbying. $10-portion of Society for Human Resouce Management dues attributable to lobbying. 76284 76284 728730 609492 119238 90150 18727 71423 9756504 6721220 3035284 2705938 1791068 914870 4217099 0 0 X FIN 48 (ASC740) 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, 2014 AND 2013. true true false true false false false true false Kenneth Aronson MD Secretary of Board 296814 0 7644 0 21643 0 21060 0 13529 0 360690 0 0 0 BLAIR ROWITZ MD MED DIR - SURGICAL SERVICES 881640 0 0 0 3405 0 21060 0 19062 0 925167 0 0 0 Matthew Gibb MD EXEC VP & CMO 0 589454 0 30940 0 6774 0 121009 0 2790 0 750967 0 0 Paul Tender MD Trustee & Physican 419813 0 11232 0 4344 0 21060 0 11963 0 468412 0 0 0 Cora E Musial Phd MD PHYSICIAN 315281 0 0 0 19009 0 21060 0 2213 0 357563 0 0 0 James C Leonard MD Ex-Officio, President & CEO 0 1087114 0 335876 0 488514 0 388768 0 12505 0 2312777 0 368316 R Bruce Wellman MD CEO of CPG-FORMER 433906 0 234099 0 296838 0 81276 0 3924 0 1050043 0 252344 0 John Snyder Exec VP & COO 0 693310 0 159572 0 222232 0 230263 0 18739 0 1324116 0 192223 Dennis Hesch Exec VP & CFO 0 574941 0 123194 0 179890 0 182686 0 21515 0 1082226 0 152969 Laurence Fallon EXEC VP-Legal Affairs & HR 0 473396 0 81195 0 93251 0 138667 0 20634 0 807143 0 88905 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 0 383446 0 64029 0 8518 0 131763 0 10075 0 597831 0 0 Stephanie Beever VP-Strat Devl/Surg Svcs/Neuro 0 297799 0 41726 0 70315 0 84859 0 19364 0 514063 0 49913 Kim Johnston VP-Primary Care & Reg'l Health 0 255625 0 35779 0 54141 0 66161 0 12692 0 424398 0 48075 Dawn Walden VP-Revenue Cycle Ops 0 248822 0 35779 0 43998 0 65443 0 17639 0 411681 0 38914 Julianna Sellett VP-Diagnostic & Trans'l Care 0 179293 0 20190 0 20671 0 49534 0 26155 0 295843 0 0 Craig Neitzel MD Physician 1085246 0 0 0 20380 0 21060 0 20325 0 1147011 0 0 0 Michael Tsipursky MD Physician 1035617 0 0 0 3016 0 21060 0 21719 0 1081412 0 0 0 Robert Bane MD Physician 1040452 0 0 0 2974 0 21060 0 19801 0 1084287 0 0 0 Huan Wang MD Physician 990052 0 0 0 2880 0 21060 0 11451 0 1025443 0 0 0 William Olivero MD Physician 973697 0 0 0 6642 0 21060 0 16039 0 1017438 0 0 0 Philip Kubow SVP-HR-former 0 0 0 14693 0 199262 0 0 0 11681 0 225636 0 201507 Mark Berlin VP-Surgical Spec-former 0 0 0 0 0 179782 0 0 0 0 0 179782 0 179782 MALEC MOKRAOUI MD MED DIR-HVI 622720 0 0 0 26764 0 21060 0 14417 0 684961 0 0 0 ANDY ARWARI MD MED DIR - HOSPITAL MEDICINE 391693 0 0 0 12712 0 21060 0 19946 0 445411 0 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, PART 1, QUESTION 4A MARK BERLIN RECEIVED SEVERANCE PAYMENTS IN 2014 IN THE AMOUNT OF $156,904. FORM 990, SCHEDULE J, PART I, QUESTION 4B THE 2014 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 JAMES LEONARD, MD, JOHN SNYDER, DENNIS HESCH, MATTHEW GIBB, MD, LAURENCE FALLON, JOSEPH BARKMEIER, MD, STEPHANIE BEEVER, KIM JOHNSTON, DAWN WALDEN, JULIANNA SELLETT, AND R. BRUCE WELLMAN, MD. THE 2014 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES LEONARD, MD ($368,316), JOHN SNYDER ($192,223), DENNIS HESCH ($152,969), LAURENCE FALLON ($88,905), STEPHANIE BEEVER ($49,913), KIM JOHNSTON ($48,075), DAWN WALDEN ($38,914), R. BRUCE WELLMAN, MD ($252,344), MARK BERLIN ($44,603), AND PHILIP KUBOW ($179,782). FORM 990, SCHEDULE J, PART I, QUESTION 5A PHYSICIAN'S COMPENSATION IS PARTIALLY BASED ON PRODUCTION. FORM 990, SCHEDULE J, PART I, QUESTION 7 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. JAMES BARKMEIER DO FAMILY MEMBER OF KEY EMP 271306 EMPLOYMENT false JOHN SELLETT MD FAMILY MEMBER OF KEY EMP 151116 EMPLOYMENT false SARI G ARONSON MD FAMILY MEMBER OF SEC BD 12466 EMPLOYMENT false X SEE PART II 0 80701 FMV false false false SCHEDULE M, PART I, LINE 25 DESCRIPTION OF OTHER PROPERTY Refreshments for Better Breathers support group, Lymphedema early detection device, Smart Systems for the Eye department , Telemetry monitors, food and non-food items for Cancer patients and their families, speaker expenses/food/marketing for Community Diabetes Education Event, computer equipment for food allergy education program, music series at Mills Breast Cancer Institute, books for Prescription to Read program. THE CARLE DEVELOPMENT FOUNDATION IS THE SOURCE OF ALL THESE CONTRIBUTIONS AND HAS A POLICY THAT MANDATES REVIEW OF ANY NON-STANDARD CONTRIBUTION. FORM 990, PART III, QUESTION 3 ON JUNE 30, 2014, CARLE HEALTH CARE INCORPORATED (HEALTH CARE) EXERCISED ITS RIGHT UNDER THE CHAMPAIGN SURGICENTER, LLC (SURGICENTER) OPERATING AGREEMENT TO REPURCHASE CHRISTIE CLINIC (CHRISTIE) ASC LLC'S 25% MEMBERSHIP INTEREST IN SURGICENTER FOR $6 MILLION. UPON THE DISSOLUTION OF THE PARTNERSHIP, SURGICENTER DISTRIBUTED $1,695K TO CHRISTIE AND $5,084K TO HEALTH CARE. THEREFORE FOR THE FIRST HALF OF THE YEAR, THE SURGICENTER WAS A PARTNERSHIP AND FOR THE LAST HALF, IT WAS A DISREGARDED ENTITY. FORM 990, PART III, QUESTION 4D OTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CARING PLACE AND AIRLIFE. 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 175 CHILDREN ENROLLED WITH 102 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 2014, THE CARING PLACE ACCEPTED 23 FAMILIES WITH 25 STUDENTS UNDER THE STATE PROGRAM. 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, QUESTION 2 DONNA GREENE (BOARD CHAIRMAN), GUY HALL (VICE CHAIR), KENNETH ARONSON, MD (SECRETARY), PHILLIP BLANKENBURG (IMMEDIATE PAST CHAIR), J. MICHAEL MARTIN (TRUSTEE), PAUL TENDER, MD (TRUSTEE) AND JAMES C. LEONARD, MD (EX-OFFICIO) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), PAUL TENDER, MD (TRUSTEE), JOHN SNYDER (OFFICER), MATTHEW GIBB, MD (OFFICER), LAURENCE FALLON (KEY EMPLOYEE) AND R. BRUCE WELLMAN, MD (FORMER EX-OFFICIO) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER), DENNIS HESCH (OFFICER), AND JOSEPH BARKMEIER, MD (KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. J. MICHAEL MARTIN (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), AND MATTHEW GIBB, MD (OFFICER), HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, QUESTION 6 CARLE HEALTH CARE INCORPORATED HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. FORM 990, PART VI, QUESTION 7A 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, QUESTION 7B CARLE HEALTH CARE INCORPORATED'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; 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; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO APPOROVE 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 OR ANY AFFILIATE THAT IS A MEMBER 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 CORPORATION'S BOARD OF TRUSTEES OF THEIR EXPENSES, IF ANY, FOR ATTENDANCE AT THE MEETINGS OF THE 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, QUESTION 11A & 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, THE GOVERNING MEMBERS RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR THEIR REVIEW. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. FORM 990, PART VI, QUESTIONS 12-16 QUESTIONS ANSWERED AFFIRMATIVELY ARE APPLICABLE TO ALL DISREGARDED ENTITIES. 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 RELATED TO THEIR CONFLICTS. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH CONFLICTS OF INTEREST. FORM 990, PART VI, QUESTION 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 COMPANY OF 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTION 18 & 19 THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE HEALTH CARE INCORPORATED, PUBLISHES THROUGH WWW.DACBOND.COM 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. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. 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 X, LINES 13 & 14 LARGE VARIATIONS IN THESE TWO LINES ARE DUE TO THE REPURCHASE OF THE 25% INTEREST IN CHAMPAIGN SURGICENTER, LLC (ASC). IN 2013, LINE 13 REPRESENTED CARLE HEALTH CARE INCORPORATED'S MAJORITY INVESTMENT IN THE ASC. FOR 2014, LINE 14 REFLECTS THE INTANGIBLE ASSET PUT BACK ON CARLE HEALTH CARE INCORPORATED'S BALANCE SHEET AS A RESULT OF THEIR 100% OWNERSHIP OF THE ASC. FORM 990, PART XI, LINE 9 CARLE HEALTH CARE INCORPORATED SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $14,658,495. THESE INTERCOMPANY RECEIVABLE/PAYABLE BALANCES RESULT FROM THE NORMAL COURSE OF OPERATIONS AND WERE 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 PURPOSE. IN ADDITION, THIS LINE CONTAINS A $618,625 BOOK/TAX DIFFERENCE RESULTING FROM FINANCIAL STATEMENT INCOME IN EXCESS OF K-1 INCOME FOR JAN-JUNE IN THE CHAMPAIGN SURGICENTER, LLC. FORM 990, PART XII, QUESTIONS 2B & 2C, AND PART IV, QUESTION 12B THE FINANCIAL STATEMENTS FOR CARLE HEALTH CARE INCORPORATED 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. Arrow Ambulance LLC 611 W Park Street Urbana IL 61801 273054181 Ambulance IL 6788759 2260593 CHCI Champaign Surgicenter LLC 611 W Park Street Urbana IL 61801 201915925 SURGERY CTR IL 7045356 18045515 CHCI The Carle Foundation Hospital 611 W Park Street Urbana IL 61801 371119538 Hospital Serv IL 501(c)(3) 3 TCF true The Carle Foundation 611 W Park Street Urbana IL 61801 370673465 Parent/Invest IL 501(c)(3) 11b TYPE II NA false The Carle Development Foundation 611 W Park Street Urbana IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true Carle Retirement Centers Inc 611 W Park Street Urbana IL 61801 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true Carle Community Health Corporation 611 W Park Street Urbana IL 61801 364458371 FNDN MISSION IL 501(c)(3) 11a TYPE I TCDF true Hoopeston Community Memorial Hospital 701 E Orange Street Hoopeston IL 60942 363637465 Hospital Serv IL 501(c)(3) 3 TCF true CHAMPAIGN SURGICENTER LLC 611 W Park Street Urbana IL 618012595 201915925 SURGICAL CENT IL CHCI RELATED 2243582 0 false false 0.75000 Health Systems Insurance Limited Governors Sq 2nd FL Bldg 3 Grand Cayman CJ KY1-1102 Insurance CJ NA C Corp true Carle Holding Company Inc 611 W Part Street Urbana IL 618012595 371188284 HOLDING COMPA IL NA C Corp true Carle Risk Management Company 611 W Park Street Urbana IL 618012595 371217973 Risk Manageme IL NA C Corp true Evalidata Inc 611 W Park Street Urbana IL 618012595 462022658 Credentialing IL NA C Corp true Health Alliance Connect Inc 611 W PARK ST URBANA IL 61801 464796891 HEALTH CARE C IL NA C CORP true HEALTH ALLIANCE MEDICAL PLANS INC 301 S VINE ST URBANA IL 61801 371260731 HEALTH COVERA IL NA C CORP true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING COMPAANY WA NA C CORP true CHA HOLDING INC 301 S VINE STREET URBANA IL 61801 471854275 HOLDING COMPANY IN NA C CORP true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVENUE WENATCHEE WA 98801 461966323 HEALTH COVERAGE WA NA C CORP true HEALTH ALLIANCE MIDWEST INC 301 S VINE ST URBANA IL 61801 371354502 HEALTH COVERAGE IL NA C CORP true true false true false false false true false false false true true true false false true true false true The Carle Foundation Hospital a 30056 Book Value THE CARLE FOUNDATION HOSPITAL l 11248654 Book Value THE CARLE FOUNDATION HOSPITAL m 1680452 Book Value The Carle Foundation Hospital q 1196884 Book Value CARLE RISK MANAGEMENT COMPANY L 68440 BOOK VALUE Hoopeston Community Memorial Hospital l 5274037 Book Value HEALTH ALLIANCE MEDICAL PLANS INC l 73828614 Book Value HEALTH ALLIANCE MEDICAL PLANS INC m 248401 Book Value Evalidata Inc m 65935 Book Value Hoopeston Community Memorial Hospital g 594419 Book Value Health Systems Insurance Limited m 6995347 Book Value THE CARLE DEVELOPMENT FOUNDATION S 80701 FMV CHAMPAIGN SURGICENTER LLC S 5084445 OP AGREEMENT THE CARLE FOUNDATION HOSPITAL S 559388 BOOK VALUE Schedule R, Parts I, III, & V On June 30, 2014, Carle Health Care Incorporated (HEALTH CARE)exercised its right under the Champaign Surgicenter, LLC (SURGICENTER) Operating Agreement to repurchase Christie Clinic ASC, LLC's (CHRISTIE) 25% membership interest in Surgicenter for $6 million. Upon the dissolution of the partnership, Surgicenter distributed $1.695M to Christie and $5.084M to Health Care. Therefore for the first six months of the year, the Surgicenter was a partnership and for the last six months of the year, it was a disregarded entity for tax purposes.