2015-11-13T13:55:48-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 370673465 The Carle Foundation % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 W PARK URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2015-11-13 true Jennifer Rhoderick P00395735 3176817000 2014 2016-04-25 22:37:26Z DENNIS HESCH EXEC VP CFO 611 W PARK ST URBANA IL 61801 410707571 false X WWW.CARLE.ORG X 1946 IL THE CARLE FOUNDATION IS ORGANIZED AND EXCLUSIVELY OPERATES AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. 13 8 1682 0 7520481 1898969 432981 495528 173808011 215796542 65336025 48488783 9756328 3115387 249333345 267896240 278340 1616735 0 0 77275345 83008471 0 0 0 119613167 147195658 197166852 231820864 52166493 36075376 1388468002 1463428117 647395440 663510521 741072562 799917596 X THE CARLE FOUNDATION IS ORGANIZED AND EXCLUSIVELY OPERATES AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND 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Trustee 39.0 1.0 X 0 289228 18442 Jane Hays Trustee 1.0 0.0 X 0 0 0 J Michael Martin Trustee 2.0 2.0 X 0 30000 0 Mitch Melfi Trustee 0.5 0.0 X 0 0 0 Paul Mulhollem Trustee 2.0 0.0 X 0 0 0 Marty Smith Trustee 0.5 0.5 X 0 0 0 Jon Stewart Trustee 3.0 0.0 X 0 0 0 Paul Tender MD Trustee 1.0 39.0 X 0 435389 33023 SANJIV JAIN MD TRUSTEE 1.0 39.0 X 0 374139 40314 URETZ OLIPHANT MD TRUSTEE 1.0 39.0 X 0 402344 25718 KARL APPELQUIST TRUSTEE 1.0 0.0 X 0 0 0 BRENDA TIMMONS TRUSTEE 3.0 0.5 X 0 0 0 Matthew Gibb MD Exec VP & CMO 4.0 36.0 X 627168 0 123799 James C Leonard MD Ex-Officio, President & CEO 26.0 14.0 X 1911504 0 401273 John Snyder Exec VP & COO 25.0 15.0 X 1075114 0 249002 Dennis Hesch Exec VP & CFO 5.0 35.0 X 878025 0 204201 Laurence Fallon EXEC VP-Legal Affairs & HR 12.0 28.0 X 647842 0 159301 Richard Rinehart VP-IT & CIO 40.0 0.0 X 434247 0 111147 Scott Harding VP-Facilities & Support Svcs 1.0 39.0 X 351107 0 87567 Napoleon Knight MD Med Dir Hosp Med 0.2 39.8 X 856404 0 43287 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 37.48 2.52 X 455993 0 141838 William Schuh MD Chief Medical Info Officer 24.0 16.0 X 479871 0 115111 Pamela Bigler SVP-Nursing & CNO 1.0 39.0 X 435397 0 91979 Lynette Barnes VP-Hosp Ops & HVI 1.0 39.0 X 418596 0 85208 Cora E Musial Phd MD Prev Secretary/Treasurer of BD 0.0 40.0 X 0 334290 23273 R Bruce Wellman MD Ex-Officio, CEO of CPG-FORMER 0.0 40.0 X 0 964843 85200 Philip Kubow SVP-HR-former 0.0 0.0 X 179782 0 0 8751050 3156334 2074272 82 true true false HALL RENDER KILLIAN HEALTH LYMAN 39778 TREASURY CENTER CHICAGO IL 606949700 LEGAL SERVICES 837362 GA HC REIT 11 CHAMPAIGN MOB LLC 62739 COLLECTIONS CENTER DRIVE CHICAGO IL 606930627 office space leasing 523560 MCDERMOTT WILL EMERY LP PO BOX 6043 CHICAGO IL 606806043 LEGAL SERVICES 482995 LINCOLN SQUARE 201 LINCOLN SQUARE URBANA IL 61801 OFFICE SPACE LEASING 477502 CHAMPAIGN TELE CO DBA SPOC LLC 1300 SOUTH NEIL STREET CHAMPAIGN IL 61820 INFORMATION TECH 476659 39 495528 495528 RENT FROM RELATED ENTITIES 531120 55316292 54956445 359847 MANAGEMENT FEES 541610 142322194 139776838 2545356 INTERNAL SUPPORT SERVICE REVENUE 900099 18171140 15554411 2616729 PARTNERSHIP INCOME 541900 -14432 -14432 ALL OTHER PROGRAM SERVICE REVENUE 900099 1348 1348 215796542 19457367 1931342 17526025 35750 35750 0 695360 988294 -292934 0 -292934 -292934 170818703 141823037 28995666 28995666 28995666 0 0 0 DINING SERVICES REVENUE 722320 2193352 3226 2190126 PARKING RAMP REVENUE 812930 843965 843965 ALL OTHER REVENUE 900099 371004 215156 78413 77435 3408321 267896240 210504198 7520481 49376033 1616735 1616735 0 0 0 6441670 3220835 3220835 0 63395193 29839956 33555237 2694491 1223310 1471181 5703604 5333789 369815 4773513 2100391 2673122 0 1996113 1996113 208016 208016 22300 22300 0 1873052 1873052 16958999 9147363 7811636 2565351 36731 2528620 12701570 6208539 6493031 8989024 4291343 4697681 0 8283487 3529079 4754408 471801 104089 367712 0 432814 129613 303201 29688108 29682604 5504 0 31497881 18531657 12966224 301898 -358535 660433 INTERNAL SUPPORT SVCS FEES 23554697 11785273 11769424 REAL ESTATE TAXES 504000 288900 215100 PATIENT CARE SUPPLIES 2236922 2127148 109774 CONTRACTED SVCS MATERIAL 1577290 615726 961564 3332335 294985 3037350 231820864 129749531 102071333 0 0 0 85684932 87586592 0 0 0 0 0 0 0 0 0 0 0 0 3991612 4633102 810035465 350500640 442408105 459534825 778424297 800759663 47117307 63206998 2884346 3094636 0 0 27957403 44612301 1388468002 1463428117 28214489 25982363 0 0 0 0 561350081 554083094 0 0 0 0 0 0 0 0 57830870 83445064 647395440 663510521 X 741072562 799917596 0 0 0 0 741072562 799917596 1388468002 1463428117 X 36075376 -6643683 29413341 X X false true X true false X X 2 THE CARLE FOUNDATION HOSPITAL 371119538 03 true 278340 0 CARLE HEALTH CARE INCORPORATED 371140016 09 true 0 0 2 278340 false false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION A, LINE 1 WHILE THE CARLE FOUNDATION HOSPITAL AND THE CARLE DEVELOPMENT FOUNDATION SCHEDULE A, PART IV, SECTION C, LINE 1 WHEN EXCLUDING EX-OFFICIO MEMBERS, A MAJORITY OF THE ORGANIZATION'S RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 50 false false true 21808 false true 442 22300 false SCHEDULE C, PART II-B, LINES 1D AND 1G DURING 2014, THE CARLE FOUNDATION EMPLOYED A PERSON WHOSE PRIMARY DUTIES INCLUDED GOVERNMENT RELATIONS. APPROXIMATELY 20% OF THIS PERSON'S TIME WAS ESTIMATED TO HAVE BEEN SPENT ON DIRECT LOBBYING ACTIVITIES. DIRECT LOBBYING EFFORTS INCLUDED DISCUSSIONS WITH MEMBERS OF THE ILLINOIS GENERAL ASSEMBLY, CONGRESS, AND THEIR RESPECTIVE STAFFS. IN-PERSON AND TELEPHONIC CONVERSATIONS PRIMARILY REVOLVED AROUND HEALTH CARE POLICY MAKING, THE APPROPRIATIONS PROCESS, AND THE IMPACT OF PROPOSED LEGISLATION ON THE OPERATIONS OF THE CARLE FOUNDATION AND ITS RELATED ORGANIZATIONS. OCCASIONAL CORRESPONDANCE WITH THE ELECTED OFFICIALS AND THEIR STAFF MEMBERS OCCURRED VIA STANDARD MAIL AND EMAIL. SCHEDULE C, PART II-B, LINE 1I $442 - A PORTION OF ANNUAL MEMBERSHIP DUES TO VARIOUS PROFESSIONAL ORGANIZATIONS WAS ESTIMATED TO BE ATTRIBUTED TO LOBBYING ACTIVITIES. 1762802 107179 1869981 1632324 130478 1762802 1250909 382849 1434 1632324 1172145 78764 1250909 1098271 73874 1172145 1.00000 false true true 31286289 31286289 571892820 209919884 361972936 9240939 6899717 2341222 162805680 120927739 41877941 34809737 12753300 22056437 459534825 0 CURRENT PORTION OF LT DEBT 362614 INTEREST PAYABLE 2009 471530 INTEREST PAYABLE 2011A 5245853 ACCRUED HEALTH INSURANCE 10960104 INTEREST RATE SWAP 19288340 ASSET RETIREMENT OBLIGATION 6402833 LIABILITY FOR UNASSERTED CLAIM 10063003 457(F) PLAN PAYABLE 10650787 INTERCOMPANY ACCOUNT PAYABLES 20000000 83445064 X SCHEDULE D, PART V, LINE 4 THE CARLE DEVELOPMENT FOUNDATION, WHOSE SOLE MEMBER IS THE CARLE FOUNDATION, HAD NINETEEN ENDOWMENTS, RANGING IN AMOUNTS FROM APPROXIMATELY $20K TO $323k. THE PURPOSES DESIGNATED BY THE DONORS VARIED, BUT CONSISTED OF SUPPORT FOR CANCER RESEARCH, THE CARLE GUEST HOUSE, CONTINUED EDUCATION FOR VARIOUS PROFESSIONAL STAFF AND OTHER HEALTHCARE RELATED PURPOSES. SCHEDULE D, PART X, LINE 2 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 DECEMBER 31, 2013. Central America and the Caribbean Program Services SELF INSURANCE 144024043 Central America and the Caribbean Program Services SELF INSURANCE 13918934 North America Investments 96860 North America Program Services SELF INSURANCE 1623 Central America and the Caribbean Conduct board meetings SELF INSURANCE 4749 158046209 158046209 true false true true true false SCHEDULE F, SUPPLEMENTAL INFORMATION PART I, LINE 3(1) CENTRAL AMERICA / CARIBBEAN HEALTH SYSTEMS INSURANCE, LIMITED INVESTMENT: $144,024,043. PART I, LINE 3(2) CENTRAL AMERICA / CARIBBEAN HEALTH SYSTEMS INSURANCE, LIMITED PREMIUMS PAID ON SELF INSURANCE: $13,918,934. PART I, LINE 3(5) NORTH AMERICA (BERMUDA): hEALTH SYSTEMS INSURANCE, LIMITED TRAVEL EXPENSES TO UNDERWRITER'S MEETING: $1,623. true THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 371119538 501(c)(3) 278340 INTERNAL FUNDING THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 501(C)(3) 1338395 INTERNAL FUNDING 2 0 FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE GRANTS WERE MADE TO RELATED AFFILIATES, THE CARLE FOUNDATION HOSPITAL and THE CARLE DEVELOPMENT FOUNDATION. THE GRANTS WERE MADE TO SUPPORT THE ORGANIZATION'S MISSION FOR MEETING THE NEEDS OF THE COMMUNITY WE SERVE. X X X X X false true false false false false false true false Kenneth Aronson MD Secretary/Treasurer of Board 0 296814 0 7644 0 21643 0 21060 0 13529 0 360690 0 0 John Brockenbrough MD Trustee 0 287068 0 0 0 2160 0 5200 0 13242 0 307670 0 0 Matthew Gibb MD Exec VP & CMO 589454 0 30940 0 6774 0 121009 0 2790 0 750967 0 0 0 Paul Tender MD Trustee 0 419813 0 11232 0 4344 0 21060 0 11963 0 468412 0 0 Cora E Musial Phd MD Prev Secretary/Treasurer of BD 0 315281 0 0 0 19009 0 21060 0 2213 0 357563 0 0 James C Leonard MD Ex-Officio, President & CEO 1087114 0 335876 0 488514 0 388768 0 12505 0 2312777 0 368316 0 R Bruce Wellman MD Ex-Officio, CEO of CPG-FORMER 0 433906 0 234099 0 296838 0 81276 0 3924 0 1050043 0 252344 John Snyder Exec VP & COO 693310 0 159572 0 222232 0 230263 0 18739 0 1324116 0 192223 0 Dennis Hesch Exec VP & CFO 574941 0 123194 0 179890 0 182686 0 21515 0 1082226 0 152969 0 Laurence Fallon EXEC VP-Legal Affairs & HR 473396 0 81195 0 93251 0 138667 0 20634 0 807143 0 88905 0 Richard Rinehart VP-IT & CIO 328566 0 43804 0 61877 0 90239 0 20908 0 545394 0 58168 0 Scott Harding VP-Facilities & Support Svcs 256628 0 35646 0 58833 0 66020 0 21547 0 438674 0 55196 0 Napoleon Knight MD Med Dir Hosp Med 680260 0 53670 0 122474 0 21060 0 22227 0 899691 0 94718 0 Joseph Barkmeier MD Med Dir, Strat Devel/Diag 383446 0 64029 0 8518 0 131763 0 10075 0 597831 0 0 0 William Schuh MD Chief Medical Info Officer 342798 0 48584 0 88489 0 95654 0 19457 0 594982 0 80023 0 Pamela Bigler SVP-Nursing & CNO 290798 0 58428 0 86171 0 88899 0 3080 0 527376 0 61612 0 Lynette Barnes VP-Hosp Ops & HVI 316237 0 43729 0 58630 0 85208 0 0 0 503804 0 50968 0 Philip Kubow SVP-HR-former 0 0 0 0 179782 0 0 0 0 0 179782 0 179782 0 SANJIV JAIN MD TRUSTEE 0 371055 0 0 0 3084 0 21060 0 19254 0 414453 0 0 URETZ OLIPHANT MD TRUSTEE 0 396018 0 0 0 6326 0 15860 0 9858 0 428062 0 0 SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, 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 I, QUESTION 4B THE 2014 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THAT ARE LISTED IN THE 990 PART VII INCLUDE JAMES LEONARD, MD, JOHN SNYDER, DENNIS HESCH, MATTHEW GIBB, MD, LAURENCE FALLON, RICHARD REINHART, SCOTT HARDING, WILLIAM SCHUH, JOSEPH BARKMEIER, PAMELA BIGLER, LYNETTE BARNES, 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), RICHARD REINHART ($58,168), SCOTT HARDING ($55,196), NAPOLEON KNIGHT, md ($94,718), WILLIAM SCHUH, md ($80,023), PAMELA BIGLER ($61,612), LYNETTE BARNES ($50,968), R. BRUCE WELLMAN, MD ($252,344), AND PHILIP KUBOW ($179,782). FORM 990, SCHEDULE J, PART 1, QUESTION 7 PART OF THE OVERALL EMPLOYEES' 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. A Illinois Finance Authority 861091967 45200FVH9 2009-03-18 240717712 CONSTR FACILITY & REF PRIOR ISSUE false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HBT8 2011-05-19 233719141 CONSTR FACILITY & REF PRIOR ISSUE false false false C illinois finance authority 861091967 2011-06-06 100000000 CONSTR FACILITY & REF PRIOR ISSUE false false false D ILLINOIS FINANCE AUTHORITY 861091967 45203HZU9 2014-08-08 26095000 PARTIALLY REFUND 03/18/2009 BOND false false false A 56850000 0 240723013 0 0 0 2482257 543040 0 19958620 217739096 0 2010 true false true true B 0 0 234462863 0 20762837 0 0 860364 3304035 184923346 24612281 0 2014 true false true true C 0 0 100364799 0 2882629 0 0 0 1589704 84712629 10484515 695322 2014 true false false true D 0 0 26095000 0 0 0 0 0 0 0 26095000 0 2014 true false true true A false false false true true 0.00001 0.00001 false false 0.00001 false true B false false false true true 0 false false false true C false false false true true 0 false false false true D false false false true true 0.00001 0.00000 0.00001 false false 0.00000 false true A false false true true true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 true true D false true false false true false 0 false 0 false true A true B true C true D true FORM 990, SCHEDULE K Part I, Line A, Column (f) - Construct Facility & refund prior issues (6/9/98, 7/1/98, 11/10/04) Part I, Line B, Column (f) - Construct Facility & refund prior issues (7/15/05, 11/7/08, 3/10/10) Part I, Line C, Column (f) - Construct Facility & refund prior issues (7/15/05, 11/7/08, 3/10/10) PART II, LINE 3 IF THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) IT IS DUE TO INTEREST EARNINGS PART IV, ARBITRAGE, LINE 2C (A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/18/2010 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS SO NO FURTHER REBATE CALCULATIONS ARE NECESSARY. 0 TSI COMMERCIAL FLOOR COVERING SEE PART V 214796 SEE PART V false TUSCANY POINTE LLC SEE PART V 1448305 SEE PART V false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FORM 990, SCHEDULE L, PART IV, COLUMN B MARTY SMITH (TRUSTEE) HAD MORE THAN A 35% OWNERSHIP IN TSI COMMERCIAL FLOOR COVERING AND TUSCANY POINTE, LLC. FORM 990, SCHEDULE L, PART IV, COLUMN D TSI COMMERCIAL FLOOR COVERING - VARIOUS COMMERCIAL FLOORING INSTALLATION AND REPAIRS TUSCANY POINTE, LLC - PURCHASE OF REAL PROPERTY FORM 990, PART III, LINE 4A THE CARLE FOUNDATION IS ORGANIZED AND AT ALL TIMES OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE FOLLOWING HEALTHCARE ORGANIZATIONS WHich ARE AFFILIATED WITH THE CORPORATION THROUGH THE PROVISION OF FINANCIAL AND MANAGEMENT ASSISTANCE: THE CARLE FOUNDATION HOSPITAL, CARLE HEALTH CARE INCORPORATED, THE CARLE DEVELOPMENT FOUNDATION, OR ANY OTHER NOT-FOR-PROFIT CORPORATION THAT IS OR BECOMES AFFILIATED WITH THE CORPORATION, OR ANY OF THE HEALTH CARE ORGANIZATIONS DESCRIBED IN THIS SECTION, WHICH QUALIFIES FOR EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) AND AS A PUBLIC CHARITY UNDER SECTIONS 509(A)(1) OR (2) OF THE CODE. THE CARLE FOUNDATION: (A) SERVES AS THE PARENT CORPORATION FOR AN INTEGRATED HEALTH CARE DELIVERY NETWORK (B) PROVIDES FINANCING AND MANAGEMENT ASSISTANCE TO THE ORGANIZATIONS DESCRIBED ABOVE (C) ACQUIRES, OWNS, USES, LEASES AS LESSOR OR LESSEE, CONVEYS AND OTHERWISE DEALS IN AND WITH REAL PROPERTY AND ANY INTEREST THEREIN, ALL IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE (D) CONTRACTS WITH OTHER ORGANIZATIONS (FOR PROFIT AND NOT-FOR-PROFIT), WITH INDIVIDUALS, AND WITH GOVERNMENTAL AGENCIES IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE AND (E) OWNS OR OPERATES FACILITIES OR OWNS OTHER ASSETS FOR PUBLIC USE AND WELFARE IN FURTHERANCE OF THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED ABOVE. 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. - DONNA GREENE (BOARD CHAIRMAN) AND JON STEWART (TRUSTEE) 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 (FORMER CEO OF CPG) HAD A BUSINESS RELATIONSHIP. - JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER) AND DENNIS HESCH (OFFICER) 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 4 ARTICLE IV, SECTION 2 NUMBER, TENURE AND QUALIFICATIONS: THE NUMBER OF TRUSTEES ON THE BOARD WAS DECREASED FROM SIXTEEN (16) TO FIFTEEN (15) TRUSTEES. ALSO, FOUR (4) TRUSTEES SHALL BE CARLE HEALTH CARE INCORPORATED, D/B/A CARLE PHYSICIAN GROUP EMPLOYED PHYSICIAN MEMBERS INSTEAD OF EMPLOYED BY THE HOSPITAL. IN ADDITION, THE NUMBER OF EX-OFFICIO, NON-VOTING MEMBERS WAS DECREASED FROM TWO (2) TO ONE (1) WITH THE DELETION OF THE POSITION OF CEO OF CARLE PHYSICIAN GROUP. ARTICLE V, SECTION 1 STANDING COMMITTEES: THE COMPENSATION COMMITTEE WAS FORMALLY LISTED AS A COMMITTEE OF THE BOARD. IN ADDITION, THE POSITION OF CEO OF CARLE PHYSICIAN GROUP WAS DELETED AS A MEMBER OF THE COMMITEES AND THE POSITION OF CHIEF MEDICAL OFFICER (CMO) WAS ADDED AS AN EX-OFFICIO, NON-VOTING MEMBER OF THE NOMINATING COMMITTEE. ARTICLE V, SECTION 9 VACANCIES: VERBIAGE WAS ADDED CLARIFYING THAT A VACANCY IN THE POSITION OF AN EX-OFFICIO COMMITTEE MEMBER SHALL BE FILLED BY THE SUCCESSOR TO THE POSITION BY VIRTUE OF WHICH THE PREDECESSOR COMMITTEE MEMBER SERVED EX-OFFICIO ON THE COMMITTEE. ARTICLE VI OFFICERS, SECTION 1 NUMBER: THE POSITION OF CEO OF CARLE PHYSICIAN GROUP WAS DELETED AND THE POSITION OF CMO WAS ADDED AS AN OFFICER. THE POSITION OF CMO SHALL BE APPOINTED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO). ARTICLE VI OFFICERS, SECTION 8 CHIEF MEDICAL OFFICER: CLARIFIES THE POSITION OF CMO SHALL BE FILLED BY A PHYSICIAN AND PERFORM SUCH DUTIES AS MAY FROM TIME TO TIME BE ASSIGNED TO HIM OR HER BY THE PRESIDENT/CEO. FORM 990, PART VI, QUESTION 6, 7A, & 7B THE CARLE FOUNDATION HAS ONE (1) CLASS OF MEMBERS. THE NUMBER OF MEMBERS SHALL BE AS DETERMINED FROM TIME TO TIME BY THE BOARD OF TRUSTEES. EACH MEMBER SHALL BE ELECTED BY THE BOARD OF TRUSTEES FOR A TERM OF THREE (3) YEARS AND SHALL HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED AND QUALIFIED OR UNTIL HIS OR HER DEATH, RESIGNATION OR REMOVAL, WHICHEVER COMES FIRST. NO LICENSED PHYSICIAN, LICENSED DENTIST OR OTHER LICENSED HEALTH CARE PROFESSIONAL SHALL BE ELECTED AS A MEMBER IF SUCH ELECTION WOULD RESULT IN MEMBERS WHO ARE LICENSED PHYSICIANS, LICENSED DENTISTS, OR OTHER LICENSED HEALTH CARE PROFESSIONALS COMPRISING A MAJORITY OF THE MEMBERS OF THE CORPORATION. THE ANNUAL MEETING OF THE MEMBERS IS HELD FOR THE PURPOSE OF ELECTING TRUSTEES. THE MEMBERS SHALL ELECT THE TRUSTEES OF THE CORPORATION BY VOTING UPON THE SLATE OF NOMINEES PRESENTED TO THEM AT THE ANNUAL MEETING (OR ANY ADJOURNMENT THEREOF) BY A REPRESENTATIVE OF EITHER THE NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES OR THE BOARD OF TRUSTEES. THE NOMINATING COMMITTEE SHALL HAVE THE SOLE AND EXCLUSIVE POWER TO NOMINATE INDIVIDUALS TO SERVE AS TRUSTEES, EXCEPT AS PROVIDED IN ARTICLE V, SECTION 4 OF THE ORGANIZATION'S BYLAWS. EACH MEMBER SHALL HAVE ONE VOTE WITH RESPECT TO THE SLATE OF NOMINEES PRESENTED FOR ELECTION AS TRUSTEES. IF THE ELECTION OF TRUSTEES SHALL NOT BE HELD ON THE DAY DESIGNATED HEREIN FOR ANY ANNUAL MEETING, OR AT ANY ADJOURNMENT THEREOF, THE BOARD OF TRUSTEES SHALL CAUSE THE ELECTION TO BE HELD AT A SPECIAL MEETING OF THE MEMBERS AS SOON THEREAFTER AS SUCH MEETING MAY CONVENIENTLY BE HELD. 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, 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, 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, QUESTIONS 15A & 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, 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, QUESTIONS 18 & 19 THE CARLE FOUNDATION 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.COM. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE: $49,344,978 THE CARLE FOUNDATION SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED 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 PURPOSES; ($20,000,000) CONTRIBUTION TO CHA HOLDING, INC THROUGH AN EQUITY TRANSFER; AND $68,363 K-1 INVESTMENT LOSS. FORM 990, PART XII, #2A,B,C AND PART IV, #12 THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION WERE AUDITED ON A CONSOLIDATED BASIS. 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. THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 371119538 HOSPITAL SVCS IL 501(c)(3) 3 TCF true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 FUNDRAISING IL 501(c)(3) 7 TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 61801 371140016 VAR SVCS IL 501(c)(3) 9 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 61801 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 61801 364458371 FDN MISSION IL 501(c)(3) 11a, Type I TCDF true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE ST HOOPESTON IL 609421801 363637465 HOSPITAL SVCS IL 501(c)(3) 3 TCF true CHAMPAIGN SURGICENTER LLC 611 W PARK ST URBANA IL 618012595 201915925 SURGICAL CENTER IL HEALTH SYSTEMS INSURANCE LIMITED GOVERNORS SQ 2ND FL BLDG 3 KY1-11 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 INSURANCE CJ TCF C Corp 16194515 144024043 1.00000 true CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 HOLDING COMPANY IL CHA HOLD C Corp 0 336659769 1.00000 true HEALTH ALLIANCE MEDICAL PLANS INC 301 S VINE ST URBANA IL 61801 371260731 HEALTH COVERAGE IL CARLE HOLD C Corp 1282512922 650049862 1.00000 true HEALTH ALLIANCE MIDWEST INC 301 S VINE ST URBANA IL 61801 371354502 HEALTH COVERAGE IL HAMPI C Corp 0 0 1.00000 true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING CO. WA CHA HOLD C Corp 0 0 0.60000 true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 CHELAN AVE WENATCHEE WA 98801 461966323 HEALTH COVERAGE WA HANWH C Corp 14597672 5635834 0.60000 true CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 RISK MANAGEMENT IL TCFH C Corp 1477556 80824 1.00000 true EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 PHYS CREDENTIAL. IL TCFH C Corp 169578 27943 1.00000 true HEALTH ALLIANCE CONNECT INC 301 S VINE ST URBANA IL 61801 464796891 HEALTH CARE COORD IL CHA HOLD C Corp 31460929 39950711 1.00000 true CHA HOLDING INC 301 S VINE ST URBANA IL 61801 471854275 HOLDING CO IL TCF C CORP 0 14334637 1.00000 true true true true false false false false false false false true true true false false true true true false THE CARLE FOUNDATION HOSPITAL a 34368660 BOOK THE CARLE DEVELOPMENT FOUNDATION A 139536 BOOK CARLE RISK MANAGEMENT COMPANY A 73920 BOOK HEALTH ALLIANCE MEDICAL PLANS INC a 2116923 BOOK CARLE HEALTH CARE INCORPORATED a 2448770 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL a 262470 BOOK CHAMPAIGN SURGICENTER LLC a 279429 BOOK EVALIDATA INC a 16548 BOOK THE CARLE FOUNDATION HOSPITAL b 278340 BOOK THE CARLE DEVELOPMENT FOUNDATION b 1338395 BOOK THE CARLE FOUNDATION HOSPITAL l 370170 BOOK HEALTH ALLIANCE MEDICAL PLANS INC m 2307475 BOOK CARLE HEALTH CARE INCORPORATED m 1386312 BOOK HEALTH SYSTEMS INSURANCE LIMITED m 1798787 BOOK CARLE RISK MANAGEMENT COMPANY p 1477556 BOOK THE CARLE FOUNDATION HOSPITAL q 114141043 BOOK CARLE RISK MANAGEMENT COMPANY q 92517 BOOK HEALTH ALLIANCE MEDICAL PLANS INC q 3352645 BOOK CARLE HEALTH CARE INCORPORATED q 31209140 BOOK HOOPESTON COMMUNITY MEMORIAL HOSPITAL q 4767024 BOOK HEALTH SYSTEMS INSURANCE LIMITED q 50751 BOOK CHAMPAIGN SURGICENTER LLC q 852271 BOOK CARLE RETIREMENT CENTERS INC q 638821 BOOK THE CARLE DEVELOPMENT FOUNDATION c 495528 book HEALTH ALLIANCE MEDICAL PLANS INC l 848998 book CARLE HEALTH CARE INCORPORATED l 159127 book THE CARLE DEVELOPMENT FOUNDATION Q 64290 BOOK CHA HOLDING INC R 20000000 BOOK THE CARLE FOUNDATION HOSPITAL R 6282328 BOOK CARLE HEALTH CARE INCORPORATED R 76947 BOOK SCHEDULE R, SUPPLEMENTAL INFORMATION PART II, LINE 3 CARLE HEALTH CARE INCORPORATED Carle Health Care Incorporated's primary activities include Emergency Transport, Day Care, and Physician Services.