CARILION CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CARILION CLINIC (EIN 54-1190771)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201312279349302121
Schema version
2011v1.2
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)
Timestamp2013-08-15T12:29:45-00:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2011-10-01TaxPeriodBeginDate

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)
NameG Robert Vaughan JrName
TitleTreasurerTitle
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrancis J BedardName
Phone6152591811Phone
Date Prepared2013-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Nancy Howell AgeeBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22934390GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carilionclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionCarilion Clinic is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care through medical education and research.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI-70615TotalGrossUBI
Net Unrelated Business Txbl Income-70615NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year756850ProgramServiceRevenuePriorYear
Program Service Revenue CY1487831ProgramServiceRevenueCY
Investment Income Prior Year-4969837InvestmentIncomePriorYear
Investment Income Current Year-1214439InvestmentIncomeCurrentYear
Other Revenue Prior Year20115090OtherRevenuePriorYear
Other Revenue Current Year22660622OtherRevenueCurrentYear
Total Revenue Prior Year15902103TotalRevenuePriorYear
Total Revenue Current Year22934014TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20000361GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY252734GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year141830SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20434845OtherExpensePriorYear
Other Expenses Current Year21409659OtherExpensesCurrentYear
Total Expenses Prior Year40435206TotalExpensesPriorYear
Total Expenses Current Year21804223TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-24533103RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1129791RevenuesLessExpensesCY
Total Assets BOY212454207TotalAssetsBOY
Total Assets EOY206812166TotalAssetsEOY
Total Liabilities BOY136827559TotalLiabilitiesBOY
Total Liabilities EOY131209208TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75626648NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY75602958NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionServes 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 and research.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1534243Expense
Grants252734Grants
Revenue20996118Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense1534243TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThe CorporationNamePerson
Telephone Number5402245112TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StreetAddressLine1
CityRoanokeCity
StateVAState
ZIP Code24011ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
John Bond
Director004.00X1070000
J Alexander Boone
Director004.00X1678000
Abney Boxley III
Director004.00X1414100
George Cartledge Jr
Director004.00X1478000
David Caudill
Director004.00X820000
Warner Dalhouse
Director004.00X1470000
Ronald Evans
Director004.00X670000
James Hartley
Chairman/Director004.00X1470000
Daniel Jones MD
Director004.00X0372732126734
Raymond Smoot PhD
Director004.00X1620000
James Thompson
Director004.00X745000
James Turner
Director004.00X1364100
William White Sr
Director004.00X820000
Danielle Yarber
Director004.00X770000
Nancy Howell Agee
President/CEO004.000931949551536X
Briggs Andrews
SVP/Secretary004.000348916281487X
Donald Lorton
EVP/Treasurer004.000680251528400X
R Wayne Gandee MD
EVP/Chief Medical Officer004.00060042049888X
Melina Perdue
EVP004.000386382266044X
G Robert Vaughan Jr
Asst.Treasurer004.00022221562388X
Rachel Mabe
Asst. Secretary004.0006799125993X
Edward Murphy MD
Former President/CEO000.0006120567118551X
Mark Werner
Former EVP000.000186004207114X
FieldValueIRS element (for citing)
Total Reportable Comp From Org153892TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9917427TotalReportableCompFrmRltdOrgs
Total Other Compensation2218135TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aaron J Conner General Contractor
221 Kesler Mill RdSalemVA24153Construction contractor244088
Avis Construction Co Inc
PO Box 11985RoanokeVA24022Construction Contractor3186390
Skanska USA Building Inc
PO Box 17167WinstonSalemNC271167167Construction Contractor684693
Breakell Inc
PO Box 6414RoanokeVA24017Construction Contractor424400
ISS Facility Services
18-A Oak Branch DrGreensboroNC27407Janitorial Services257775
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Program-related Investments90009913460011346001
Intercompany fees900099141830141830
FieldValueIRS element (for citing)
Total Program Service Revenue1487831TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-1214063TotalRevenueColumn
Unrelated Business Revenue-70615UnrelatedBusinessRevenue
Exclusion-$1,143,448ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real22614210Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22614210Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22614210TotalRevenueColumn
Exclusion$22,614,210ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other376Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-376Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-376TotalRevenueColumn
Exclusion-$376ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionParking FeesDescription
Business Code900099BusinessCode
Total Revenue Column46412TotalRevenueColumn
Related Or Exempt Function Income46412RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue46412TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22934014TotalRevenueColumn
Related Or Exempt Function Income1534243RelatedOrExemptFunctionIncome
Unrelated Business Revenue-70615UnrelatedBusinessRevenue
Exclusion$21,470,386ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total252734Total
Program Services252734ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total141830Total
Management And General141830ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total657312Total
Management And General657312ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total338Total
Program Services338ProgramServices
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2684513Total
Program Services2684513ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total461949Total
Program Services461697ProgramServices
Management And General252ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3962Total
Program Services3962ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5880522Total
Program Services5880522ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3298579Total
Program Services3298579ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8276164Total
Program Services8276164ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total137609Total
Program Services137609ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8711Total
Management And General8711ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21804223Total
Program Services20996118ProgramServices
Management And General808105ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17427647BOY
EOY12974748EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY199228BOY
EOY234092EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1095856BOY
EOY717570EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis232418667LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec66063030LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY172315550BOY
EOY166355637EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7460884BOY
EOY14028345EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY12178367BOY
EOY10862368EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1676675BOY
EOY1539406EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY212454207BOY
EOY206812166EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10010725BOY
EOY908271EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY19292BOY
EOY20114EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY96348000BOY
EOY96348000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30449542BOY
EOY33932823EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY136827559BOY
EOY131209208EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75626648BOY
EOY75602958EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75626648BOY
EOY75602958EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY212454207BOY
EOY206812166EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1129791ReconcilationRevenueExpenses
Reconcilation Other Changes-1153481ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (7 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Bedford Memorial Hospital
5405661003truetruetrue$0
Carilion Franklin Memorial Hospital
5404806063truetruetrue$0
Carilion Giles Community Hospital
5405496033truetruetrue$0
Carilion Medical Center
5405063323truetruetrue$0
Carilion New River Valley Medical Center
5405538053truetruetrue$0
Carilion Stonewall Jackson Hospital
5405680013truetruetrue$0
Carilion Tazewell Community Hospital
5460745803falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs7TotalNumberOfSupportedOrgs
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$338OtherActivitiesAmount
Total Lobbying Expenditures IIB338TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierII-BIdentifier
Return Reference1iReturnReference
ExplanationPortion of dues paid to Virginia Hospital and Healthcare Assn. spent on lobbying.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12650081OtherCostOrOtherBasis
Book Value12650081BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis210350040OtherCostOrOtherBasis
Depreciation60115316Depreciation
Book Value150234724BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6987566OtherCostOrOtherBasis
Depreciation4520463Depreciation
Book Value2467103BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2390666OtherCostOrOtherBasis
Depreciation1386937Depreciation
Book Value1003729BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings166355637TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value14028345BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities14028345TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment - SJH600000F
Investment - Bedford7246054F
Investment - Tazewell3002814F
Investment - Sun Health13500F
Investment- VHSAXF
FieldValueIRS element (for citing)
Total Of Book Value Program Related10862368TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Minority Interest Adjustment
2008 Fixed Swap Unrealized Losses$23,892,522
2005 SJH Swap Unrealized Losses
Due to Foundation$175,000
Pledge$5,501,507
Pledge Payable - LT$4,363,794
FieldValueIRS element (for citing)
Total Of Amounts33932823TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierXIdentifier
Return Reference2ReturnReference
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, 2012 and 2011. 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 MaintainedtrueRecordsMaintained

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
Virginia Rural Health Resource Center
1314 Peters Creek Rd Ste 230RoanokeVA24017541727204501c38517FMVDonated rentGeneral Support
Free Clinic of the New River Valley
219 S BuchananPearisburgVA24134510247098501c312282FMVDonated rentGeneral Support
Ronald McDonald House Charities
2224 S Jefferson StRoanokeVA24014541244769501c3231336FMVDonated rentGeneral Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference2ReturnReference
ExplanationThe Organization donates funds to other 501c3 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)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Daniel Jones MD
27937489016434210540221332499466
Nancy Howell Agee
621900164555145494538527130091483485144864
Briggs Andrews
2999204606629302724039084630403
Donald Lorton
4862001294256462650903419366120865163526
R Wayne Gandee MD
4923581008997163415928296650308
Melina Perdue
293247496414349425109214952652426
G Robert Vaughan Jr
18194129022112525032012068284603
Edward Murphy MD
4450003482455327322991851936662391182503674
Mark Werner
744672843583102203482363239311882580

Form990 Schedule J Part III Form990ScheduleJPartIII (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I7 --The 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.
I4b- Nancy Howell Agee 303,824, Briggs Andrews 85,406, Donald Lorton 250,219, Melina Perdue 121,120, Mark Werner 94,090.
I4aEdward Murphy 2,561,000
II8 --Edward Murphy, M.D. was employed by Carilion Clinic and related entities for 13 years, serving as President and CEO during the last 10 of those years. He left Carilion employment on June 30, 2011. Dr. Murphys 2011 base compensation for his employment during the six months of calendar 2011 is reported in column Bi.
II8 CONTINUEDBonus compensation in column B ii includes a scorecard bonus prorated for nine months of fiscal year 2011 which began on October 1, 2010 and prior period bonus accruals. In addition, Dr. Murphy was paid, or vested in, 5.3 million in other reportable compensation, reported in column B iii.
II8 CONTINUEDOf that amount, 2.7 million represented retirement benefits through a pension restoration plan. Pursuant to that plan, Carilion accrued a benefit for Dr. Murphy throughout the 13 years of his employment, which benefit vested and became taxable on July 1, 2011.
II8CONTINUED The pension restoration plan restored Dr. Murphys retirement benefit to the amount he would have received under Carilions pension plan but for restrictions imposed by the Internal Revenue Code on the amount any participant can receive from a tax qualified pension plan.
II8CONTINUED The remaining amount in Column B iii includes ending compensation of 2.6 million received by Dr. Murphy in lieu of certain earned or expected benefits, plus some small non-taxable reimbursements and benefit plan contributions. Column C recognizes the accrual for the year of benefits under the qualified pension plan for Dr. Murphy.
II8CONTINUED Finally, column F recognizes that, of the reportable compensation shown in column Biii, 2.5 million had previously been reported as deferred compensation on prior year Form 990s. All elements of Dr. Murphys compensation were approved by the Carilion Clinic Compensation Committee and/or Board of Directors in accordance with the process described in Schedule O in response to Form 990, Part VI, Section B, Line 15a.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds96350000TotalProceeds
Issuance Costs From Proceeds479138IssuanceCostsFromProceeds
Capital Expenditures95870862CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBS & CitigroupBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0000000033.000000000000TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNancy Howell AgeeNamePerson
FieldValueIRS element (for citing)
RelationshipPresident/CEORelationship
Amount Of Transaction124957AmountOfTransaction
Description Of TransactionUtilities purchasesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierIVIdentifier
Return Reference1 --ReturnReference
ExplanationNancy Howell Agee serves on the Roanoke Gas Company board and Carilion Clinic purchases gas from Roanoke Gas Company, the gas provider in this area.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI1a --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 VI2 --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. PhD - business relationship. 3. Abney S. Boxley, III and James M. Turner, Jr. - business relationship. 4. Abney S. Boxley, III and J. Alexander Boone - business relationship.
Form 990 Part VI11b -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 VI12c --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.
Form 990 Part VI12c CONTINUEDIn 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 VI15a and 15b --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 President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. 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 2011. A similar review was last performed in October 2012.
Form 990 Part VI15a and 15b CONTINUEDThis 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.
Form 990 Part VI15a and 15b CONTINUEDIn 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 VI19 --The organizations 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 web site.
Form 990 Part VI3 --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 XI5 --Other adjustments - transfer to affiliates of 900,000 minority interest of 253,482 and rounding of 1 for net of 1,153,481.
Form 990 Part III4a --As the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilions mission to improve the health of the communities it serves. Providing leadership and vision, Carilion Clinic oversees a core hospital business that admitted 50,304 patients and provided 227,562 days of care. Carilions hospitals delivered 4,517 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.
Form 990 Part III4a CONTINUEDTargeting 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 1,543 patients and a ground service providing 24,327 transports during the year. With 187,176 visits, Carilions 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 21 of emergency visits.
Form 990 Part III4a CONTINUEDCarilion Clinics hospitals supported community screenings and education on chronic disease prevention and management, sponsoring more than 1,500 events touching more than 102,500 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, bad debt, and unreimbursed Medicaid costs for the year exceeded 90.1 million.
Form 990 Part VIIColumn B --Directors and officers listed with less than 50 average hours per week who receive compensation from related organizations reported in column E also serve as directors and/or officers on other related organizations in the Carilion system. The difference between the hours shown in Column B and 50 hours would equal the hours worked by these individuals for related organizations.
Form 990 Part VI Section A, Line 1a -- 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 2 -- 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. PhD - business relationship. 3. Abney S. Boxley, III and James M. Turner, Jr. - business relationship. 4. Abney S. Boxley, III and J. Alexander Boone - business relationship. Form 990 Part VI Section B, Line 11b - 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 12c -- 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. Form 990 Part VI Section B, Line 12c CONTINUED 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 15a and 15b -- 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 President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. 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 2011. A similar review was last performed in October 2012. Form 990 Part VI Section B, Line 15a and 15b CONTINUED 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. Form 990 Part VI Section B, Line 15a and 15b CONTINUED 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 C, Line 19 -- The organizations 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 web site. Form 990 Part VI Section A, Line 3 -- 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 XI Line 5 -- Other adjustments - transfer to affiliates of 900,000 minority interest of 253,482 and rounding of 1 for net of 1,153,481. Form 990 Part III Line 4a -- As the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilions mission to improve the health of the communities it serves. Providing leadership and vision, Carilion Clinic oversees a core hospital business that admitted 50,304 patients and provided 227,562 days of care. Carilions hospitals delivered 4,517 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. Form 990 Part III Line 4a CONTINUED 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 1,543 patients and a ground service providing 24,327 transports during the year. With 187,176 visits, Carilions 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 21 of emergency visits. Form 990 Part III Line 4a CONTINUED Carilion Clinics hospitals supported community screenings and education on chronic disease prevention and management, sponsoring more than 1,500 events touching more than 102,500 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, bad debt, and unreimbursed Medicaid costs for the year exceeded 90.1 million. Form 990 Part VII Section A Line Column B -- Directors and officers listed with less than 50 average hours per week who receive compensation from related organizations reported in column E also serve as directors and/or officers on other related organizations in the Carilion system. The difference between the hours shown in Column B and 50 hours would equal the hours worked by these individuals for related organizations.

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
Direct Controlling Entity NAN/ADirectControllingEntityNA

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 organizationVA501c311 Type IN/Afalse
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501c33N/Afalse
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501c33N/Afalse
Carilion Medical Center
PO Box 12385RoanokeVA24025540506332HealthcareVA501c33N/Afalse
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501c33N/Afalse
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Supporting organizationVA501c311 Type IN/Afalse
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501c33N/Afalse
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501c33N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHS Inc and SubsidiariesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
EIN541725732EIN
Primary ActivityServicesPrimaryActivity
Legal Domicile StateVALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carilion Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carilion Medical Center
a8854039Cost
Carilion Services Inc
a6375309Cost
CHS Inc and Subsidiaries
a4683139Cost
CHS Inc and Subsidiaries
l1463684Cost
Carilion Services Inc
l657312Cost
Carilion Services Inc
k141830Cost
Carilion Services Inc
q900000Cash
Carilion New River Valley Medical Center
a29568Cost
Carilion Franklin Memorial Hospital
a76596Cost

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