CARILION CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARILION CLINIC (EIN 54-1190771)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-12
IRS object ID
201412249349302471
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-12T16:23:46-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1424 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541190771EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARILION CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARINameControl
Phone5402245112Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1
CityROANOKECity
StateVAState
ZIP Code240252385ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDonald HalliwillName
TitleChief Financial OfficerTitle
Phone5402245112Phone
Date Signed2014-08-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrancis J BedardName
PTINP00752421PTIN
Phone6152591811Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNancy Howell AgeeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1
CityROANOKECity
StateVAState
ZIP Code240252385ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36604758GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carilionclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O.Carilion Clinic is committed to a common purpose of better patient care, better community health, and lower cost. Through our comprehensive network of hospitals, primary and specialty physician practices, and other complementary services, we work together to provide quality care close to home for nearly 1 million Virginians. With an enduring commitment to the health of our region, we also seek to advance care through medical education and research, help our community stay healthy, and inspire our region to grow stronger.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI1892135TotalGrossUBI
Net Unrelated Business Txbl Income1684990NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1487831ProgramServiceRevenuePriorYear
Program Service Revenue CY17156350ProgramServiceRevenueCY
Investment Income Prior Year-1214439InvestmentIncomePriorYear
Investment Income Current Year12223231InvestmentIncomeCurrentYear
Other Revenue Prior Year22660622OtherRevenuePriorYear
Other Revenue Current Year7225177OtherRevenueCurrentYear
Total Revenue Prior Year22934014TotalRevenuePriorYear
Total Revenue Current Year36604758TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year252734GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY257795GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year141830SalariesEtcPriorYear
Salaries Etc Current Year153468SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21409659OtherExpensePriorYear
Other Expenses Current Year22267702OtherExpensesCurrentYear
Total Expenses Prior Year21804223TotalExpensesPriorYear
Total Expenses Current Year22678965TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1129791RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13925793RevenuesLessExpensesCY
Total Assets BOY206812166TotalAssetsBOY
Total Assets EOY185508750TotalAssetsEOY
Total Liabilities BOY131209208TotalLiabilitiesBOY
Total Liabilities EOY114231404TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75602958NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY71277346NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OServes nearly one million people in Virginia through hospitals, outpatient specialty centers and advanced primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient first, Carilion is committed to improving health outcomes for every patient while advancing the quality of care through medical education in the community it serves.Our mission is to improve the health of the communities we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21017093Expense
Grants257795Grants
Revenue17204404Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense21017093TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1The CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5402245112TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StAddressLine1
CityRoanokeCity
StateVAState
ZIP Code24011ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
R Steve Blanks
Director2.000.00X900000
John Bond
Director2.000.00X1350000
J Alexander Boone
Director2.000.00X1358300
Abney Boxley III
Director2.000.00X1258200
George Cartledge Jr
Director2.000.00X1408000
Ronald Evans
Director2.000.00X1050000
Victor Iannello
Director2.000.00X944100
Daniel Jones MD
Director/physician employee2.0048.00X0436067134928
Raymond Smoot Jr PhD
Director2.000.00X1307500
James Thompson
Director2.000.00X812500
James Turner Jr
Director2.000.00X1364100
William White Sr
Director2.000.00X900000
Danielle Yarber
Director2.000.00X1244100
James Hartley
Chairman/Director2.000.00X1450000X
Nancy Howell Agee
President/CEO/Director2.0048.00X01124997837490X
Jeanne Armentrout
EVP/Chief Administrative Officer2.0048.000292439201588X
Thomas Denberg MD
EVP/Chief Strategy Officer2.0048.00000X
Donald Halliwill
EVP/Chief Financial Officer2.0048.000261453102501X
Donald Lorton
EVP/Treasurer2.0048.000756751353047X
Melina Perdue
EVP2.0048.000399309347954X
Briggs Andrews
SVP/General Counsel/Secretary2.0048.000387488344297X
G Robert Vaughan Jr
SVP/Treasurer2.0048.000234629107885X
R Wayne Gandee MD
Former EVP/Chief Medical officer0.000.00068969459113X
Rayburn Thompson
Former EVP0.000.000697626181304X
Hugh Thornhill
Former EVP0.000.000516527372036X
FieldValueIRS element (for citing)
Total Reportable Comp From Org153468TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5796980TotalReportableCompFrmRltdOrgs
Total Other Compensation3042143TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ISS Facility Services
18-A Oak Branch DriveGreensboroNC27407Janitorial Services229979
Valley Boiler
1129 Shenandah AvenueRoanokeVA24017Building Constructor202739
Avis Construction Co Inc
PO Box 11985RoanokeVA24022Construction Services167257
Thompson Services Inc
126 Woodside Drive - Suite BDanvilleVA24540Janitorial Services157778
Allman Landscaping Inc
1630 Jumping Run DriveGoodviewVA24095Grounds and Moving Services141289
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Program Related Investments9000991700314417003144
Interco Mgmt Fee900099153206153206
FieldValueIRS element (for citing)
Total Program Service Revenue17156350TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12223231TotalRevenueColumn
Unrelated Business Revenue1892135UnrelatedBusinessRevenue
Exclusion$10,331,096ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7177123Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7177123Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7177123TotalRevenueColumn
Exclusion$7,177,123ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionParking FeesDescription
Business Code900099BusinessCode
Total Revenue Column48054TotalRevenueColumn
Related Or Exempt Function Income48054RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue48054TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36604758TotalRevenueColumn
Related Or Exempt Function Income17204404RelatedOrExemptFunctionIncome
Unrelated Business Revenue1892135UnrelatedBusinessRevenue
Exclusion$17,508,219ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total257795Total
Program Services257795ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total153468Total
Management And General153468ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total556601Total
Management And General556601ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total228Total
Program Services228ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total681000Total
Management And General681000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3039981Total
Program Services2886776ProgramServices
Management And General153205ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total284260Total
Program Services284260ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3706Total
Program Services3706ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5876387Total
Program Services5876387ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total3257873Total
Program Services3257873ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8210812Total
Program Services8210812ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total348034Total
Program Services239256ProgramServices
Management And General108778ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8820Total
Management And General8820ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22678965Total
Program Services21017093ProgramServices
Management And General1661872ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12974748BOY
EOY7591435EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY234092BOY
EOY365298EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY100000BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY717570BOY
EOY719821EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis235168483LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74273842LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY166355637BOY
EOY160894641EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14028345BOY
EOY164314EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY10862368BOY
EOY14148788EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1539406BOY
EOY1624453EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY206812166BOY
EOY185508750EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY908271BOY
EOY1497080EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY4504008EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20114BOY
EOY8887EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY96348000BOY
EOY96348000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33932823BOY
EOY11873429EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY131209208BOY
EOY114231404EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75602958BOY
EOY71277346EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75602958BOY
EOY71277346EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206812166BOY
EOY185508750EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13925793ReconcilationRevenueExpenses
Reconcilation Other Changes-18251405ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (7 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Carilion Medical Center
5405063323111$0
Carilion New River Valley Medical Center
5405538053111$0
Carilion Giles Community Hospital
5405496033111$0
Carilion Franklin Memorial Hospital
5404806063111$0
Bedford Memorial Hospital
5405661003111$0
Carilion Stonewall Jackson Hospital
5405680013111$0
Carilion Tazewell Community Hospital
5460745803011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs7TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$228OtherActivitiesAmount
Total Lobbying Expenditures IIB228TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationA portion of dues paid to Virginia Hospital and Healthcare Association is spent on lobbying activities.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12753830OtherCostOrOtherBasis
Book Value12753830BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis210996645OtherCostOrOtherBasis
Depreciation67921625Depreciation
Book Value143075020BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis40314OtherCostOrOtherBasis
Depreciation40314Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7002554OtherCostOrOtherBasis
Depreciation4794402Depreciation
Book Value2208152BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4375140OtherCostOrOtherBasis
Depreciation1517501Depreciation
Book Value2857639BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings160894641TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment- Carilion Stonewall Jackson Hospital600000C
Investment- Bedford Memorial Hospital7870474C
Investment- Carilion Tazewell Community Hospital5664814C
Investment- Premier13500C
FieldValueIRS element (for citing)
Total Of Book Value Program Related14148788TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
2008 Fixed Swap Unrealized Losses$11,698,429
Due to Carilion Clinic Foundation$175,000
FieldValueIRS element (for citing)
Total Of Amounts11873429TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationCarilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2013 and 2012. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Ronald McDonald House
2224 S Jefferson StreetRoanokeVA24014541244769501(c)(3)240000FMVDonated RentGeneral Support
Virginia Rural Health Resources
1314 Peters Creek Road - Suite 230RoanokeVA24017541727204501(c)(3)8665FMVDonated RentGeneral Support
Free Clinic of the New River Valley
219 S Buchanan StreetPearisburgVA24134510247098501(c)(3)8520FMVDonated RentGeneral Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
Return ReferencePart I, Line 2ReturnReference
ExplanationThe Organization donates funds to other 501(c)(3) charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Daniel Jones MD
Director/physician employee037515005387007047012613708791057099500
Nancy Howell Agee
President/CEO/Director08275180297075040408272660102240196248700
Jeanne Armentrout
EVP/Chief Administrative Officer0241043040455010941019949402094049402700
Donald Halliwill
EVP/Chief Financial Officer021824603849204715091348011153036395400
Donald Lorton
EVP/Treasurer058604401700360671034282301022401109798067752
Melina Perdue
EVP033791205846702930033967408280074726300
Briggs Andrews
SVP/General Counsel/Secretary032721305681103464033569608601073178500
G Robert Vaughan Jr
SVP/Treasurer019219803436908062096243011642034251400
R Wayne Gandee MD
Former EVP/Chief Medical officer051159801696450845105067508438074880700
Rayburn Thompson
Former EVP0006976260001813040008789300529467
Hugh Thornhill
Former EVP0005165270003720360008885630516527

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4bNancy Howell Agee $472,651 Donald Lorton $53,644 Melina Perdue $130,244 Briggs Andrews $119,656 Rayburn Thompson $453,452 Hugh Thornhill $202,629
Part I, Line 7The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VA Small Business Financing AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN541300845IssuerEIN
CUSIP Number928101AE4CUSIPNumber
Date Issued2008-07-09DateIssued
Issue Price97000000IssuePrice
Description Of PurposeCapital projects, cost of issuanceDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds96350000TotalProceeds
Issuance Costs From Proceeds479138IssuanceCostsFromProceeds
Capital Expenditures95870862CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBS & CitigroupBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge33.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Part IIIdentifier
Return ReferenceBond proceedsReturnReference
ExplanationAll bond issues multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
Form 990, Part III, Line 4a - As the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilion's mission to improve the health of the communities it serves. Providing leadership and vision, Carilion Clinic oversees a core hospital business that admitted 47,568 patients and provided 222,532 days of care. Carilion's hospitals delivered 4,641 babies, and provided neonatal intensive care support to the region. Carilion administered a comprehensive heart program; stroke and chest pain protocols; oncology programs; psychiatric and rehabilitation units; a network of specialty and primary care physicians to ensure patient access; and diagnostic imaging services including PET, CT, MRI, and mammography. Targeting specific needs of its population, Carilion provided home health services; speech, occupational, and physical therapy; diabetes management; geriatric services; and cardiac and pulmonary rehab programs. Carilion Clinic maintains both a Level I designated trauma center (Carilion Medical Center) serving the western Virginia area and a Level III trauma center (Carilion New River Valley Medical Center) serving its surrounding area. As part of its commitment to trauma response, Carilion sponsors medical air transport helicopters flying 1,445 patients and a ground service providing 23,602 transports during the year. With 148,669 visits, Carilion's emergency departments are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise 20% of emergency visits. Carilion Clinic's hospitals supported community screenings and education on chronic disease prevention and management, sponsoring more than 1,300 events touching more than 55,000 people. In furtherance of its mission to improve health, regardless of patient ability to pay, Carilion Clinic provided extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded $87.2 million.
Carilion Clinic has an Executive Committee authorized to act when the Board is not in session. The Executive Committee has 8 members, made up of the Chair of the Board, past Chair of the Board, the CEO and the Chairs of each of the 5 standing committees. The Executive Committee meets during the months the full Board does not meet and can act on behalf of the Board, except it cannot elect directors or take extraordinary actions, such as a sale, merger or dissolution of the corporation.Form 990, Part VI, Section A, line 1
1. Nancy Howell Agee, George B. Cartledge, Jr., Warner Dalhouse, James M. Turner, Jr. and Danielle H. Yarber-business relationship. 2. Nancy Howell Agee, Abney S. Boxley, III and Raymond D. Smoot, Jr. PhDbusiness relationship. 3. Abney S. Boxley, III and James M. Turner, Jr.business relationship. 4. Abney S. Boxley, III and J. Alexander Boonebusiness relationship.Form 990, Part VI, Section A, line 2
Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization.Form 990, Part VI, Section A, line 3
A draft copy of the Form 990 was provided to the Audit and Compliance Committee of Carilion Clinic in advance of its August meeting and reviewed with Committee members at that meeting. The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have.Form 990, Part VI, Section B, line 11
A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors, and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations.Form 990, Part VI, Section B, line 12c
Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer and Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2012. A similar review was last performed in October 2013. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.Form 990, Part VI, Section B, line 15
The organization's governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our website.Form 990, Part VI, Section C, line 19
"Other Services": Program service expenses 2,886,776. Management and general expenses 153,205. Fundraising expenses 0. Total expenses 3,039,981.Form 990, Part IX, line 11gOther Fees
Transfer to Affiliates -20,473,443. Transfer to Carilion Clinic for effect of pension-related changes 2,222,036. Rounding 2.Form 990, Part XI, line 9:Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Carilion Clinic Properties LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
EIN205231645EIN
Primary ActivitiesReal estatePrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income35358030TotalIncome
EOY Assets163759427EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carilion ClinicBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Supporting organizationVA501(c)(3)Line 11a, IN/A0
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501(c)(3)Line 3N/A0
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501(c)(3)Line 3N/A0
Carilion Medical Center
PO Box 12385RoanokeVA24025540506332HealthcareVA501(c)(3)Line 3N/A0
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501(c)(3)Line 3N/A0
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Supporting organizationVA501(c)(3)Line 3N/A0
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501(c)(3)Line 11a, IN/A0
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501(c)(3)Line 3N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
Carilion Clinic Medicare Resources LLC
PO Box 12385RoanokeVA24025263729975Medicare HMOVACarilion Services IncC48876974180424611.000000
CHS Inc and Subsidiaries
PO Box 12385RoanokeVA24025541725732ServicesVACarilion Services IncC1644812262755068971.000000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carilion Medical Center
A9153356Cost
Carilion New River Valley Medical Center
A33420Cost
Carilion Franklin Memorial Hospital
A62832Cost
Carilion Services Inc
A6689152Cost
Carilion Clinic Medicare Resources LLC
A16652Cost
CHS Inc and Subsidiaries
A4585132Cost
CHS Inc and Subsidiaries
M1223117cost
Carilion Services Inc
L153206Cost
Carilion Services Inc
M710069Cost
Carilion Services Inc
R20473443Cash

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