2012-11-15T12:28:26-06:00 2011-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-01-01 371140016 CARLE HEALTH CARE INCORPORATED % DENNIS HESCH CARL 2173833311 611 WEST PARK STREET URBANA IL 61801 DENNIS P HESCH 2012-11-14 3176817000 2011 2016-02-24 21:20:13Z DENNIS HESCH EXEC VP CFO 611 W PARK ST URBANA IL 61801 345056128 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, scientific and educational purposes. 7 2 1953 0 0 0 88371 241627 175647953 344706781 98162 -22010 302369 55004 176136855 344981402 685 1300 0 0 99086471 203316409 0 0 0 100355900 160466284 199443056 363783993 -23306201 -18802591 61060659 62671316 16614199 13393625 44446460 49277691 X THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES. false false 302219120 1300 293792248 Patient service - Carle Physician Group (CPG) - serving people through high quality care, research and education. Provide Physician and related services that maintain or enhance clinical services. In 2011, CPG performed approximately 559,000 outpatient visits and made nearly 9,500 physician admissions to Carle Foundation Hospital (CFH). In addition, CPG physicians performed approximately 17,100 surgeries at CFH. 39484913 0 31730954 Patient service - Carle Foundation Physician Services (CFPS) - serving people through high quality care, research and education. Provide Physician and related services that maintain or enhance clinical services. In 2011, CFPS performed approximately 39,200 outpatient visits and made nearly 7,800 physician admissions to Carle Foundation Hospital (CFH). In addition, CFPS physicians performed approximately 100 surgeries at CFH. 6821434 0 12701737 The 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 2011, it served 4,177 patients across a wide variety of medical specialties. 6094279 0 6481842 354619746 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 36 0 true 1953 true false false false false false false false false false false X 7 2 true false false false true true true true true false true true true true true true true true true true false IL X X DENNIS HESCH 2173833311 611 W PARK ST Urbana IL 61801 X Phillip Blankenburg 0.5 X X 0 0 0 Donna Greene 0.5 X X 0 0 0 Cora E Musial PhD MD 3.0 X X 204938 0 35754 Mathew Gibb MD 24.0 X 888290 0 32727 J Michael Martin 0.2 X 0 0 0 Marty Smith 1.0 X 0 0 0 Paul Tender MD 20.0 X 493822 0 29294 David Ikenberry PhD term 91511 0.2 X 0 0 0 E Phillips Knox term 91511 0.2 X 0 0 0 Dennis Hesch 12.0 X X 0 510086 139104 James C Leonard MD 8.0 X 0 1040335 246421 R Bruce Wellman MD 20.0 X 0 805580 226995 John Snyder 15.0 X 0 640038 160811 Philip Kubow 12.4 X 0 408185 95490 Richard Brown term 92011 40.0 X 0 278029 323702 Stephanie Beever 0.0 X 0 246557 70001 Mark Berlin 20.0 X 0 234340 74664 Dawn Walden 19.0 X 0 230023 50809 Kim Johnston 30.0 X 0 227193 45898 Craig Neitzel MD 40.0 X 1258586 0 31989 Robert Bane MD 40.0 X 1112279 0 49150 James Harms MD 39.5 X 1097777 0 37356 Sanjay Mehta MD 20.0 X 965332 0 50545 Stephen Sabol MD 36.0 X 790063 0 53182 Robert Tonkinson 0.0 X 0 309933 0 6811087 4930299 1753892 390 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 STAFFING 1364383 COMPHEALTH INC PO BOX 972651 DALLAS TX 75397 STAFFING 820936 LOCUMTENENSCOM LLC PO BOX 405547 CUSTOMER ID 02 4148 ATLANTA GA 30384 STAFFING 736611 JACKSON COKER HOLDINGS LLC PO BOX 277638 ATLANTA GA 30384 STAFFING 639623 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 STAFFING 533239 10 21313 220314 241627 Patent service revenue 621110 288609565 288609565 Other physician and program revenue 621110 35631189 35631189 Surgicenter revenue 621400 12701737 12701737 Ambulance revenue 621910 4917606 4917606 Daycare revenue 624410 1104213 1104213 1742471 1742471 344706781 28041 28041 0 0 55004 55004 55004 55004 24675 74726 -50051 -50051 -50051 0 0 0 0 344981402 344706781 0 32994 X 1300 1300 0 0 0 1662746 1662746 0 170452291 169686327 765964 9099409 9041059 58350 13759678 13622223 137455 8342285 8287318 54967 0 1115 1115 0 0 0 0 37258408 36755369 503039 27831 24644 3187 14322342 13913310 409032 3748408 3419678 328730 0 15941224 15560262 380962 583083 564016 19067 0 954363 949259 5104 44092 44092 0 2978757 2832063 146694 48080 48080 Patient Care Supplies 31414459 31368473 45986 Internal Management Fees 52669400 46493466 6175934 PHYSICIAN RECRUITMENT 242715 242715 MOVING EXPENSES 142010 142010 89997 5428 84569 363783993 354619746 9164247 0 4045747 1492551 0 0 0 0 38860273 47011195 0 0 0 0 0 0 0 0 1588527 521940 11802314 7641301 7081495 4161013 0 0 0 0 0 0 9484617 9484617 0 0 61060659 62671316 10934444 12140783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5679755 1252842 16614199 13393625 X 44446460 49277691 0 0 0 0 44446460 49277691 61060659 62671316 X -18802591 23633822 X false true true X false X 220847 171273 319112 88371 241627 1041230 30718072 31390215 123671137 175977553 344706781 706463758 30938919 31561488 123990249 176065924 344948408 707504988 707504988 5995 5995 863712 115917 83045 1074664 5995 5995 863712 115917 83045 1074664 1822 2401 31340 11158 0 46721 30946736 31569884 124885301 176192999 345031453 708626373 0.99842 0.99731 0.00152 0.00257 X MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315724 315724 1735303 919885 815418 66141 34768 31373 7565552 5138848 2426704 2119594 1547800 571794 4161013 0 HAMP LIABILITY 1252842 1252842 Accounting for Uncertainty in Income Taxes Part XIV line 2 The Foundation adopted the guidance for accounting for uncertainty in income taxes on July 1, 2007. This guidance clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statement. The guidance prescribes a more-likely-than-not recognition threshold and measurement attribute for financial statement recognition of a tax position taken or expected to be taken. Amounts requiring recognition under tax accounting guidance are reflected as a liability for uncertain tax benefits along with any associated interest and penalties that would be payable to the taxing authorities upon examination. There are no uncertain tax benefits identified or recorded as a liability as of December 31, 2011 and December 31, 2010. X true false false true false false false false false Cora E Musial PhD MD 185965 0 0 0 18973 0 31336 0 4418 0 240692 0 0 0 Mathew Gibb MD 785511 0 0 0 102779 0 28756 0 3971 0 921017 0 0 0 Paul Tender MD 436180 0 0 0 57642 0 19051 0 10243 0 523116 0 0 0 Dennis Hesch 0 420264 0 62125 0 27697 0 120254 0 18850 0 649190 0 0 James C Leonard MD 0 811190 0 165375 0 63770 0 229762 0 16659 0 1286756 0 0 R Bruce Wellman MD 0 664501 0 116375 0 24704 0 216931 0 10064 0 1032575 0 0 John Snyder 0 517644 0 76197 0 46197 0 142807 0 18004 0 800849 0 0 Philip Kubow 0 319403 0 37333 0 51449 0 79214 0 16276 0 503675 0 17401 Richard Brown term 92011 0 169082 0 20125 0 88822 0 306070 0 17632 0 601731 0 0 Stephanie Beever 0 226358 0 17561 0 2638 0 52693 0 17308 0 316558 0 0 Mark Berlin 0 196419 0 18812 0 19109 0 55161 0 19503 0 309004 0 0 Dawn Walden 0 223334 0 0 0 6689 0 33905 0 16904 0 280832 0 0 Kim Johnston 0 206252 0 17937 0 3004 0 33069 0 12829 0 273091 0 0 Craig Neitzel MD 1216076 0 0 0 42510 0 13120 0 18869 0 1290575 0 0 0 Robert Bane MD 1069559 0 0 0 42720 0 31236 0 17914 0 1161429 0 0 0 James Harms MD 1088433 0 0 0 9344 0 25890 0 11466 0 1135133 0 0 0 Sanjay Mehta MD 859163 0 0 0 106169 0 31124 0 19421 0 1015877 0 0 0 Stephen Sabol MD 729374 0 0 0 60689 0 36903 0 16279 0 843245 0 0 0 Robert Tonkinson 0 6220 0 0 0 303713 0 0 0 0 0 309933 0 122321 Supplemental Compensation Information FORM 990, SCHEDULE J, PART 1, 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 THE FOLLOWING TWO EMPLOYEES RECEIVED THE NOTED AMOUNT OF SEVERANCE PAY DURING CALENDAR YEAR 2011; ROBERT TONKINSON-$209,809 AND RICHARD BROWN-$54,139. Form 990, Supplemental Information PART III, QUESTION 4D OTHER PROGRAMS INCLUDED IN CARLE HEALTH CARE INCORPORATED ARE THE CARING PLACE, ARROW AMBULANCE, LLC AND AIRLIFE. THE CARING PLACE FOSTERS THE DEVELOPMENT OF THE WHOLE CHILD IN A SAFE, NURTURING, NON-PRESSURED ATMOSPHERE THROUGH PLANNED AND VARIED EXPERIENCES. THE CARING PLACE CURRENTLY HAS 119 CHILDREN ENROLLED WITH 78 BEING CHILDREN OF CARLE EMPLOYEES, WHO RECEIVE A 10% DISCOUNT ON THEIR TUITION. THE CARING PLACE ALSO PARTICIPATES IN THE DEPARTMENT OF CHILD CARE RESOURCE SERVICE'S LOW-INCOME SUBSIDY PROGRAM. IN 2011, THE CARING PLACE ACCEPTED 17 FAMILIES (21 STUDENTS) UNDER THE STATE PROGRAM. ARROW AMBULANCE 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 1,200 SQUARE MILES. ARROW AMBULANCE HAS A TOTAL OF 12 AMBULANCES WHICH PROVIDE OVER 11,000 TRANPORTS PER YEAR. ARROW AMBULANCE'S HIGHLY TRAINED STAFF IS COMPRISED OF PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS AND DISPATCHERS. THEY WORK HARD BOTH TO SAVE LIVES IN EMERGENCIES AND PREVENT EMERGENCIES FROM OCCURRING THROUGH EXTENSIVE EDUCATIONAL EFFORTS. IN AN EMERGENCY, ARROW AMBULANCE OFFERS PRE-ARRIVAL INSTRUCTIONS THROUGH ITS DISPATCH SERVICE, ADVANCED LIFE SUPPORT, STATE OF THE ART EQUIPMENT AND DELIVERY TO THE HOSPITAL OF THE PATIENT'S CHOICE. AIRLIFE, A COLLABORATIVE EFFORT BETWEEN AIR METHODS AND CARLE, PROVIDES COMPLETE AIR MEDICAL TRANSPORTATION SERVICES THROUGHOUT EAST CENTRAL ILLINOIS. AIRLIFE IS STATIONED AT 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, AND CRITICAL CARE FLIGHT PARAMEDICS. PART VI, QUESTION 2 DURING THE APPLICABLE PERIOD, TRUSTEE, DAVID IKENBERRY HAD A BUSINESS RELATIONSHIP WITH TRUSTEE, E. PHILLIPS KNOX. PART VI, QUESTION 6 CARLE HEALTH CARE INCORPORATED HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. 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. PART VI, QUESTION 7B CARLE HEALTH CARE'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 $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY NEW OR ANY CHANGES TO EXISTING LONG TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; THE APPROVING OF ANY MERGER, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE AUTHORIZATION TO ENTER 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; AND THE AUTHORIZATION TO ENTER INTO ANY CONTRACT WHICH EXTENDS FOR 5 OR MORE YEARS OR INVOLVES THE EXPENDITURE OF MORE THAN $100,000 BY THE CORPORATION. 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. AS NECESSARY, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. 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. PART VI, QUESTIONS 15A & 15B 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. PART VI, QUESTION 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. 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. 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. PART IX LINE 11G OTHER SERVICES IS COMPRISED LARGELY OF INTERNAL EXPENSE RESULTING IN THE PURCHASE OF SERVICES FROM OTHER RELATED ENTITIES IN THE CARLE FOUNDATION CONSOLIDATED GROUP BY CARLE FOUNDATION PHYSICIAN SERVICES AND CARLE PHYSICIAN GROUP. PART XI, QUESTION 5 THE CARLE HEALTH CARE INCORPORATED 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 CERAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. PART XII, QUESTION 2B & C AND PART IV, QUESTION 12B THE FINANCIAL STATEMENTS FOR CARLE HEALTH CARE INCORPORATED WERE AUDITED 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 AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 5471 FILING REQUIREMENTS CARLE HEALTH CARE, INCORPORATED (CHC) EIN 37-1140016 FORM 5471 FILING REQUIREMENTS HAVE BEEN SATISFIED. CHC CONSTRUCTIVELY OWNED A CONTROLLED FOREIGN CORPORATION IN 2011 THROUGH ITS PARENT THE CARLE FOUNDATION EIN 37-0673465. PURSUANT TO IRS SECTION 6038, THE 2011 CONTROLLED FOREIGN CORPORATION FILING REQUIREMENT OF CHC WAS FULFILLED ON THE 2011 FORM 5471 FILED ON ITS BEHALF BY THE CARLE FOUNDATION. RETURN WITH WHICH THE REQUIRED INFORMATION WAS FILED: THE CARLE FOUNDATION 2011 FORM 990-T EIN 37-0673465 611 WEST PARK URBANA, IL 61801 THE 2011 FORM 5471 WAS FILED WITH THE CARLE FOUNDATION 2011 FORM 990-T. IRS SERVICE CENTER WHERE THE RETURN WAS FILED - OGDEN, UTAH. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Phillip Blankenburg TITLE:Chairman of Board HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Donna Greene TITLE:Vice Chairman of Board HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Cora E. Musial, PhD MD TITLE:Secretary of Board HOURS:37 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mathew Gibb, MD TITLE:Trustee HOURS:16 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J. Michael Martin TITLE:Trustee HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Marty Smith TITLE:Immediate Past Chair HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Paul Tender, MD TITLE:Trustee HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Ikenberry, PhD (term 9/15/11) TITLE:Trustee HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:E. Phillips Knox (term 9/15/11) TITLE:Trustee HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dennis Hesch TITLE:Past Treas of Bd, Exec VP/CFO HOURS:28 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James C. Leonard, MD TITLE:Pres & CEO HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:R. Bruce Wellman, MD TITLE:CEO of CPG HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Snyder TITLE:Exec VP & COO HOURS:25 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Philip Kubow TITLE:SVP Human Resources HOURS:23 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard Brown (term 9/20/11) TITLE:VP-Medical Spec HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephanie Beever TITLE:VP Strat Devl & Diag Svces HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark Berlin TITLE:VP-Surgical Spec HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dawn Walden TITLE:VP-Revenue Cycle Ops HOURS:21 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kim Johnston TITLE:VP-Primary Care Services HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Craig Neitzel, MD TITLE:Physician HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Bane, MD TITLE:Physician HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James Harms, MD TITLE:Physician HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sanjay Mehta, MD TITLE:Physician HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephen Sabol, MD TITLE:Physician HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Tonkinson TITLE:SVP & CFO-former HOURS: CARLE FOUNDATION PHYSICIAN SERVICES LLC 611 W PARK ST URBANA IL 618012595 200860864 PHYSICIAN SER IL 31329621 5594982 NA CHAMPAIGN SURGICENTER LLC 201915925 SURGERY CTR IL 12701737 12295618 NA ARROW AMBULANCE LLC 611 W PARK ST URBANA IL 618012595 273054181 AMBULANCE IL 5095314 2411042 NA CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 618012595 371119538 HOSPITAL SERV IL 501(c)(3) 3 TCF true THE CARLE FOUNDATION 611 W PARK ST URBANA IL 618012595 370673465 PARENT/INVEST IL 501(c)(3) 11b TYPE II NA false CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 618012595 371159978 FUNDRAISING IL 501(c)(3) 7 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 618012595 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 61801 364458371 FNDN MISSION IL 501(c)(3) 11a TYPE I TCF true HEALTH SYSTEMS INSURANCE LTD GOVERNORS SQ 2ND FL BLDG 3 GRAND CAYMAN CJ KY1-1102 INSURANCE CJ NA C-CORP CARLE HOLDING CO INC 611 W PARK ST URBANA IL 618012595 371188284 FOR PROFIT HOLDIN IL TCF C-CORP false false true false false false false false false true true true false false true true false false Carle Foundation Hospital o 67554 Book value Carle Foundation Hospital l 861687 Book value Carle Foundation Hospital k 8794559 Book value Carle Holding Co Inc l 155897 Book value Carle Holding Co Inc k 332476 Book value