2012-11-15T13:39:04-06:00 2011-12-31 EISNERAMPER LLP 2015 LINCOLN HIGHWAY PO BOX 988 EDISON NJ 08818 990 2011-01-01 221714106 CARRIER CLINIC INC % C RICHARD SARLE CARR 9082811000 PO BOX 147 BELLE MEAD NJ 085020147 C RICHARD SARLE 2012-11-15 true RICHARD SACKIN CPA 7322871000 2011 2016-02-24 21:20:13Z C RICHARD SARLE PO BOX 147 BELLE MEAD NJ 08502 82261185 false X WWW.CARRIERCLINIC.ORG X 1910 NJ CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. 13 10 903 6620 2674 96716 133977 56276879 56394493 1818106 2380652 90950 415606 58282651 59324728 1000 1250 0 0 40762924 41339134 0 0 133525 14615397 14797344 55379321 56137728 2903330 3187000 53520532 51742137 25894491 21997772 27626041 29744365 X REFER TO SCHEDULE O FOR MISSION STATEMENT. false false 31277772 1250 34223636 PSYCHIATRIC HOSPITAL WHICH CARED FOR 3,366 INPATIENTS AND HAD A TOTAL OF 39,797 PATIENT DAYS. 5980429 6173966 EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 102 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2011 AVERAGE DAILY ENROLLMENT. 4970307 5035943 BLAKE RECOVERY CENTER WHICH CARED FOR 1,510 INPATIENTS AND HAD A TOTAL OF 9,499 PATIENT DAYS. 9509030 9899887 51737538 true true false true false false false false false false true false false true true true true false false false false false false false true false true true false false true false false false false false false false false false false false false false false false false false false true 24 0 true 903 true true true false false false false true true false false false false X 13 10 false false false false false false false true true false false true true true true true true true true false NJ X X C RICHARD SARLE 9082811000 252 ROUTE 601 BELLE MEAD NJ 085020147 X C RICHARD SARLE 40.0 X X 1038412 0 20309 ALLAN CLELLAND X THOMAS G AMATO X CAROL HOLZER X JEAN M KRAUSS X GORDON PINGICER X BRUCE HERDMAN PHD X SUSAN Q SWAIN DNP X ANN DAMSGAARD X JOHN KOLLIGAN JR PHD X ASMA NISAR MD 40.0 X 257223 34098 MARIE HASSON MD 40.0 X X 127424 582 THOMAS R WILSON X RANDOLPH JACOBSON 40.0 X 223997 0 33787 DAVID GREENSPAN MD 40.0 X 159227 0 14584 MARY PAWLIKOWSKI 40.0 X 216656 23787 PATRICIA TOOLE 40.0 X 194604 10779 CAROL KOSZTYO 40.0 X 195114 33757 UMESH MEHTA MD 40.0 X 408514 42072 LINDA LANG MD 40.0 X 174996 20684 CLAIRE MARSH MD 40.0 X 224146 34818 WOJCIECH SZULACZKOWSKI MD 40.0 X 240435 38924 ANTHONY MARINO MD 40.0 X 194123 23778 3654871 0 331959 35 false true false SODEXO INC AFFILIATES PO BOX 905374 CHARLOTTE NC 282905374 DIETARY & HOUSEKEEP 1821328 NASS TECH MECHANICAL LLC 1204 LOWER FERRY ROAD EWING NJ 08618 HVAC SERVICES 164922 GAMIL MAKAR LLC 20 RENSHAW DRIVE MONTVILLE NJ 07045 INTERNAL MEDICINE 155000 KPMG LLP 150 JOHN F KENNEDY PARKWAY SHORT HILLS NJ 07078 AUDITING SERVICES 136425 DRINKER BIDDLE REATH LLP 500 CAMPUS DRIVE FLORHAM PARK NJ 07932 LEGAL SERVICES 130286 6 133977 133977 NET PATIENT SERVICES 624100 49159466 49159466 EDUCATIONAL PROGRAMS 611710 6173966 6173966 SERVICES & MANAGEMENT 561000 1061061 824387 236674 56394493 883454 3493 879961 0 0 24094195 22596997 1497198 1497198 3127 1494071 128565 33661 94904 94904 0 222746 305799 -83053 -83053 INSURANCE SETTLEMENT 900099 192096 192096 VENDING/PHONE/PHARMACY 900099 32556 32556 GAIN ON ASSET REPLACEMENT 900099 165144 165144 13959 13959 403755 59324728 56074766 6620 3109365 X 0 1250 1250 0 0 2116394 171829 1944565 0 31624318 27509027 4014690 100601 2754300 2259625 486463 8212 1984927 1628432 350576 5919 2859195 2345681 504989 8525 555976 555976 215362 367 214995 205588 45452 160136 0 0 47806 47806 1207345 830156 377189 841686 841686 907493 493293 411877 2323 204278 23655 180623 0 1299898 1299898 90651 78538 12113 0 90760 35457 50567 4736 338163 338163 0 1174414 49567 1124847 978633 978633 DIETARY/ENVIRONMENTAL SVCS 2131783 57665 2073789 329 PATIENT-RELATED 1539439 1539439 BAD DEBTS 1538114 1221252 316862 MAINTENANCE/EMPLOYEE/MISC 1429955 342629 1086802 524 56137728 51737538 4266665 133525 3178862 2341989 1812732 1000482 0 0 5044820 5036842 298127 0 0 0 0 0 103019 134328 1084786 1145969 41584969 30307863 10859317 11277106 22293310 21797920 1064390 1030498 0 0 0 0 7781169 7977003 53520532 51742137 8659088 8731651 0 0 0 0 0 0 0 0 0 0 7140218 6447044 0 0 10095185 6819077 25894491 21997772 X 27448068 29481946 177973 262419 0 0 27626041 29744365 53520532 51742137 X 3187000 -1068676 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3973 false false 3973 false PART II-B, LINE 1 (I), OTHER LOBBYING ACTIVITIES: This expense represents a portion of Carrier Clinic's membership dues paid to the American Hospital Association (AHA) and NJ Hospital Association (NJHA) that both associations identified to pertain to their lobbying activities on behalf of their members. OTHER DUES ARE PAID TO THE NEW JERSEY ALLIANCE FOR CHILDREN, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEM (NAPHS) AND NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES (NJAMHAA). LOBBYING ACTIVITIES ARE PERFORMED BY THESE ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE SPECIFIC LOBBYING ALLOCATION IS NOT AVAILABLE. 278290 278290 23477401 15747682 7729719 9873467 9269360 604107 7955811 5290821 2664990 11277106 OTHER RECEIVABLES 1645717 OTHER ASSETS 47870 CHARITABLE REMAINDER TRUST 560914 FUNDED DEFERRED COMPENSATION 249732 LAND 5472770 7977003 0 DEFERRED COMPENSATION 953547 DUE TO THIRD-PARTY PAYORS 1400374 ACCRUED PENSION AND BENEFITS 4451324 OTHER LIABILITIES 13832 6819077 59324728 56137728 3187000 -2860333 1791659 -1068674 2118326 57032723 305799 305799 56726924 2597804 2597804 59324728 56405724 305799 305799 56099925 37803 37803 56137728 PART X, LINE 2 THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTIONS 501(a) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. PART XI, LINE 8 - OTHER ADJUSTMENTS: MINIMUM PENSION LIABILITY 1,753,358 CHANGE IN DERIVATIVE INSTRUMENT 51,363 CHANGE IN TRUST (13,062) TOTAL PART XI, LINE 8 1,791,659 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 305,799 TOTAL PART XII, LINE 2D 305,799 PART XII, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 37,802 ACTUAL DONATIONS VS. INCOME STATEMENT 84,446 INVESTMENT INCOME 2,380,652 CONTRIBUTIONS RECEIVED 94,904 TOTAL PART XII, LINE 4B 2,597,804 PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 305,799 TOTAL PART XIII, LINE 2D 305,799 PART XIII, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 37,802 ROUNDING 1 TOTAL PART XIII, LINE 4B 37,803 GALA 86700 86700 16610 3940 GOLF OUTING 25340 25340 9071 303 1 16525 16525 3737 128565 128565 25681 7980 33661 94904 true true X true X true X 100 true true true false false 301663 301663 0.00550 2707461 2268979 438482 0.00800 3009124 2268979 740145 0.01350 6125 500 5625 0.00010 7747 7747 0.00010 1180401 862367 318034 0.00580 19883 19883 0.00040 1214156 862867 351289 0.00640 4223280 3131846 1091434 0.01990 17925 17925 0.00030 17925 17925 0.00030 true 648209 0 10733958 9355356 1378602 X true false 1 1 CARRIER CLINIC INC

PO BOX 147 BELLE MEAD NJ 08502

X CARRIER CLINIC INC 1 true true 100 true 100 true X X X X true true X X true true X true X X false true 5 EAST MOUNTAIN YOUTH LODGE

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RESIDENTIAL TREATMENT FACILITY EAST MOUNTAIN SCHOOL

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PRIVATE SCHOOL FOR THE HANDICAPPED BLAKE RECOVERY CENTER

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RESIDENTIAL SUBSTANCE ABUSE FACILITY SWAN LODGE

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INTENSIVE RESIDENTIAL TREATMENT FACILITY SUNFLOWER LODGE

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PSYCHIATRIC COMMUNITY HOME FOR CHILDREN Part I, Line 7F BAD DEBT EXPENSE FOR 2011 IS $1,538,114 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. PART I, LINE 7 & PART III, LINE 8 THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART III, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSABLE OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE CLINIC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE CLINIC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE CLINIC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE CLINIC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. PART V, LINE 13G A PROVISION ABOUT THE FINANCIAL ASSISTANCE POLICY IS INCLUDED IN THE PATIENT HANDBOOK WHICH IS PROVIDED TO THE PATIENT AT THE TIME OF ADMISSION. PART V, LINE 19D PATIENTS WHO ARE RESIDENTS OF NEW JERSEY AND DO NOT HAVE INSURANCE ARE billed pursuant to New Jersey State billing regulations. ALL PATIENTS REGARDLESS OF RESIDENCY ARE ABLE TO APPLY FOR FINANCIAL ASSISTANCE. PART V, LINE 21 PATIENTS WHO ARE NOT RESIDENTS OF NEW JERSEY AND WHO DO NOT HAVE INSURANCE ARE BILLED FOR GROSS CHARGES, BUT CAN APPLY FOR FINANCIAL ASSISTANCE. PART VI, SUPPLEMENTAL INFORMATION 2 NEEDS ASSESSMENT AS PART OF CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, CARRIER GATHERS AND INCORPORATES NATIONAL, STATE AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS. ADDITIONALLY, CARRIER STAFF ATTENDS AN AVERAGE OF 25 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES US TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES OF IMPORTANCE. READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY. CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 77,000 PER YEAR, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. CARRIER ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT CARRIER'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHAT SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. PART VI, SUPPLEMENTAL INFORMATION 3 PATIENT EDUCATION PATIENTS OF CARRIER CLINIC ARE GIVEN A PATIENT HANDBOOK WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A CARRIER CLINIC FINANCIAL COUNSELOR MEETS WITH THE PATIENT, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN INDIVIDUALLY AND ADIVISES THEM THAT THEY CAN APPLY FOR CHARITY CARE FOR THEIR SELF PAY BALANCES IF THEY HAVE LIMITED INCOME. THE FINANCIAL COUNSELOR PROVIDES CHARITY CARE APPLICATIONS TO THE PATIENT ACCORDINGLY. PART VI, SUPPLEMENTAL INFORMATION 4 COMMUNITY INFORMATION CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2011 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE FIVE COUNTIES, AN AVERAGE OF 7.28% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2006-2010 CENSUS STATISTICS. PART VI, SUPPLEMENTAL INFORMATION 5 COMMUNITY BUILDING ACTIVITIES CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 25 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. PART V, LINE 16E IF AFTER FOUR BILLING STATEMENTS AND PHONE CALLS TO PATIENTS, THE PATIENT HAS NOT MADE A PAYMENT, THEN THE ACCOUNT IS DEEMED TO BE UNCOLLECTIBLE. IT IS THEN TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. X X X X false false false false false false false false false C RICHARD SARLE 415251 0 623161 20309 1058721 0 RANDOLPH JACOBSON 223997 0 33787 257784 0 DAVID GREENSPAN MD 159227 0 14584 173811 0 MARY PAWLIKOWSKI 216656 23787 240443 PATRICIA TOOLE 194604 10779 205383 CAROL KOSZTYO 175514 19600 33757 228871 UMESH MEHTA MD 408514 42072 450586 LINDA LANG MD 174996 20684 195680 CLAIRE MARSH MD 224146 34818 258964 ASMA NISAR MD 257223 34098 291321 WOJCIECH SZULACZKOWSKI MD 240435 38924 279359 ANTHONY MARINO MD 194123 23778 217901 PART I, LINE 3 THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. PART II C. RICHARD SARLE'S OTHER REPORTABLE COMPENSATION OF $623,161 REPRESENTS VESTED ADDITIONAL COMPENSATION IN ACCORDANCE WITH HIS CONTRACTUAL AGREEMENT. CAROL KOSZTYO'S OTHER REPORTABLE COMPENSATION OF $19,600 REPRESENTS PENSION CONTRIBUTION THAT FAILED DISCRIMINATION TESTING. PART III, LINE 1, MISSION PROVIDING CARING SOLUTIONS SINCE 1910, CARRIER CLINIC'S MISSION IS TO PROVIDE THE BEST CARE AND TREATMENT TO THESE PERSONS WHO COME TO US STRUGGLING WITH EMOTIONAL AND BEHAVIORAL DISTRESS AND ADDICTIVE AND PSYCHIATRIC DISORDERS. AS ONE OF NEW JERSEY'S LARGEST, NOT-FOR-PROFIT BEHAVIORAL HEALTHCARE ORGANIZATIONS, WE REMAIN DEDICATED TO HEALING, SUPPORTING AND TEACHING ADOLESCENTS, ADULTS AND THEIR FAMILIES IN A SAFE, COMPASSIONATE AND RESPECTFUL ENVIRONMENT. WITHIN OUR CONTINUUM OF CARE, HOPE IS RESTORED AND RECOVERY BEGINS. PART III, LINE 4D, OTHER PROGRAMS RESIDENTIAL PROGRAMS INCLUDE RESIDENTIAL TREATMENT CENTER, INTENSIVE RESIDENTIAL TREATMENT SERVICES AND PSYCHIATRIC COMMUNITY HOME FOR CHILDREN FOR EMOTIONALLY DISTURBED ADOLESCENTS WHICH CARED FOR 103 RESIDENTS AND HAD A TOTAL OF 26,303 PATIENT DAYS. PART VI, SECTION B, LINE 11A&B THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD OF TRUSTEES FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL REVIEW THE DOCUMENT IN ADVANCE OF THE FILING WITH THE IRS. THE FINANCE COMMITTEE WILL ACKNOWLEDGE AND REPORT ON THE STATUS OF ITS REVIEW PROCESS TO THE FULL BOARD IN ADVANCE OF THE FILING DEADLINE. THE BOARD OF TRUSTEES IS PROVIDED A COPY OF THE REVIEWED AND APPROVED 990 PRIOR TO FILING. PART VI, SECTIONS B, LINE 12C EACH TRUSTEE, OFFICER AND MEDICAL STAFF MEMBER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PART VI, SECTION B, LINE 15B CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTIVE COMPENSATION BASES. THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE SALARY STRUCTURE FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES AND REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. PART VI, SECTION C, LINE 19 CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO ACCESSIBLE FROM GUIDESTAR ON THE INTERNET. PART VII, SECTION A DRS. NISAR, MEHTA AND SZULACZKOWSKI RECEIVE COMPENSATION FOR ELECTRO-CONVULSIVE THERAPY (ECT) SERVICES IN ADDITION TO THEIR BASE SALARY. PART IX, LINE 24E, ALL OTHER EXPENSES OVERHEAD ALLOCATION REPRESENTS FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO CARRIER'S VARIOUS PROGRAMS USING ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. PART XI, LINE 5 CHANGES IN NET ASSETS: NET UNREALIZED LOSS ON INVESTMENTS (2,860,333) MINIMUM PENSION LIABILITY 1,753,358 CHANGE IN DERIVATIVE INSTRUMENT 51,363 CHANGE IN TRUST (13,062) ROUNDING (2) TOTAL (1,068,676) PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART IV, QUESTION 26 & PART X, LINE 5 THE LOAN TO C. RICHARD SARLE FOR TAXES PAID ON HIS BEHALF FOR DEFERRED COMPENSATION WAS SETTLED IN 2011 PURSUANT TO THE WRITTEN AGREEMENT. PART VI, QUESTION 1A THE EXECUTIVE COMMITTEE OF THE BOARD EXERCISES ALL POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF AFFAIRS OF CARRIER CLINIC DURING INTERVALS BETWEEN BOARD MEETINGS. PART VII, SECTION A IN 2011, THERE WAS A TRANSITION OF MEDICAL DIRECTOR. DR. DAVID GREENSPAN RESIGNED IN MAY 2011 AND DR. MARIE HASSON BECAME THE NEW MEDICAL DIRECTOR IN JULY 2011.