CARILION CLINIC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CARILION CLINIC (EIN 54-1190771)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201132279349302903
Schema version
2009v1.4
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)
Timestamp2011-08-15T13:36:20-00:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Code37027ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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 LortonName
TitleTreasurerTitle
Date Signed2011-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrancis BedardName
Phone6152591811Phone
Date Prepared2011-08-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEdward Murphy MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts508528GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.carilion.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission Description0 See Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI110840TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2596458ProgramServiceRevenuePriorYear
Program Service Revenue CY-133054ProgramServiceRevenueCY
Investment Income Prior Year-6417645InvestmentIncomePriorYear
Investment Income Current Year-5330298InvestmentIncomeCurrentYear
Other Revenue Prior Year1275OtherRevenuePriorYear
Other Revenue Current Year4954824OtherRevenueCurrentYear
Total Revenue Prior Year-3819912TotalRevenuePriorYear
Total Revenue Current Year-508528TotalRevenueCurrentYear
Grants And Similar Amnts CY5881619GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year144034SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7073522OtherExpensePriorYear
Other Expenses Current Year8743032OtherExpensesCurrentYear
Total Expenses Prior Year7217556TotalExpensesPriorYear
Total Expenses Current Year14624651TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11037468RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15133179RevenuesLessExpensesCY
Total Assets BOY158392294TotalAssetsBOY
Total Assets EOY205682171TotalAssetsEOY
Total Liabilities BOY125729962TotalLiabilitiesBOY
Total Liabilities EOY120090158TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32662332NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY85592013NetAssetsOrFundBalancesEOY
Mission DescriptionSee Shedule O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14443670Expense
Grants5881619Grants
Revenue-128926Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense14443670TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
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
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
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 Code240111331ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
George Cartledge Jr
Director004.00X1048000
J Alexander Boone
Director004.00X1090000
Charles Carr
Director004.00X770000
David Caudill
Director004.00X870000
Warner Dalhouse
Director004.00X1170000
James Thompson
Director004.00X965000
Daniel Jones MD
Director040.00X0382871120776
Guy Murray
Director004.00X1020000
Raymond Smoot PhD
Director004.00X1520000
James Turner
Director004.00X1223100
William White Sr
Director004.00X770000
Danielle Yarber
Director004.00X814100
Abney Boxley
Director004.00X734100
Charles Lunsford II
Director004.00X000
Ronald Evans
Director004.00X770000
John Bond
Director004.00X000
James Hartley
Chairman004.00X1220000X
Edward Murphy MD
President/CEO040.00X01328088805186X
Nancy Agee
EVP040.000486454568551X
Briggs Andrews
Secretary/SVP040.000336244250796X
Donald Lorton
Treasurer/EVP040.000545546565924X
Rayburn Thompson
EVP040.000439191183089X
Hugh Thornhill
EVP040.000439246334562X
Mark Werner MD
EVP040.000523991168459X
G Robert Vaughan Jr
Asst.Treasurer040.00020996488153X
Rachel Mabe
Asst. Secretary002.0006855228346X
FieldValueIRS element (for citing)
Total Reportable Comp From Org139843TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4760147TotalReportableCompFrmRltdOrgs
Total Other Compensation3113842TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Skanska USA Building Inc
PO Box 17167WinstonSalemNC271167167Construction contractor15226052
Five Star Fab & Fixture
2161 Salem Industrial DrSalemVA24153Construction contractor1374768
IES Commercial Inc
PO Box 23989TempeAZ85285Electrical contractor287520
Hayes Seay Mattern & Mattern
109 Norfolk AveRoanokeVA24011Architecture and Engineering services256994
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionIntercompany feesDescription
Total Revenue Column136742TotalRevenueColumn
Related Or Exempt Function Income136742RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue-133054TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-5357149TotalRevenueColumn
Unrelated Business Revenue110840UnrelatedBusinessRevenue
Exclusion-$5,467,989ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column26851TotalRevenueColumn
Exclusion$26,851ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4950696Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4950696Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4950696TotalRevenueColumn
Exclusion$4,950,696ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Total Revenue Column4128TotalRevenueColumn
Related Or Exempt Function Income4128RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4128TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column-508528TotalRevenueColumn
Related Or Exempt Function Income-128926RelatedOrExemptFunctionIncome
Unrelated Business Revenue110840UnrelatedBusinessRevenue
Exclusion-$490,442ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5881619Total
Program Services5881619ProgramServices

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)
Total0Total

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)
Total0Total

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)
Total0Total
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)
Total1193090Total
Program Services1046602ProgramServices
Management And General146488ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24192Total
Program Services19574ProgramServices
Management And General4618ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1314881Total
Program Services1314881ProgramServices

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)
Total3430807Total
Program Services3430807ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2741698Total
Program Services2741698ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total21768Total
Management And General21768ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Donations84898489
Miscellaneous81078107

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14624651Total
Program Services14443670ProgramServices
Management And General180981ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY50464564BOY
EOY22813150EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY752700EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY165810BOY
EOY24552EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis211721173LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec47144407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY84384553BOY
EOY164576766EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10662899BOY
EOY5504511EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY11856973BOY
EOY11684560EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY757495BOY
EOY225932EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY158392294BOY
EOY205682171EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2847422BOY
EOY2655564EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY375000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY110000000BOY
EOY98000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12882540BOY
EOY19059594EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY125729962BOY
EOY120090158EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32662332BOY
EOY85592013EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32662332BOY
EOY85592013EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY158392294BOY
EOY205682171EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10111252OtherCostOrOtherBasis
Book Value10111252BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis173629839OtherCostOrOtherBasis
Depreciation42035979Depreciation
Book Value131593860BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis40314OtherCostOrOtherBasis
Depreciation38970Depreciation
Book Value1344BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6190127OtherCostOrOtherBasis
Depreciation3902182Depreciation
Book Value2287945BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21749641OtherCostOrOtherBasis
Depreciation1167276Depreciation
Book Value20582365BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings164576766TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment - SJH600000F
Investment - Bedford5322363F
Investment - Tazewell5664814F
Investment - Sun Health13500F
Investment - VHSAX83883F
FieldValueIRS element (for citing)
Total Of Book Value Program Related11684560TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Minority Interest Adjustment$2,315,942
2008 Fixed Swap Unrealized Losses$15,499,543
2005 SJH Swap Unrealized Losses$242,805
Due to Foundation$175,000
Pledge$826,304
FieldValueIRS element (for citing)
Total Of Amounts19059594TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Virginia Tech Carilion School of MedicineBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 Riverside Circle Suite M140AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24016ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient264556177EINOfRecipient
IRC Section501c3IRCSection
Amount Of Cash Grant5881619AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 PaymentsfalseAnyNonFixedPayments
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
3419423892820019878921987503647
Edward Murphy MD
89000034482593263717538876482133274219561
Nancy Agee
4368004962034547184213671055005
Briggs Andrews
3016003426238223956511231587040
Donald Lorton
436800496205912654889217032111147055087
Rayburn Thompson
35053039820488411621202096962228049804
Hugh Thornhill
274482168422-365831253022032773808
Mark Werner MD
43680049620375711501401831969245035901
G Robert Vaughan Jr
1859362112229067283515318298117

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I7The 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.
I4bEdward Murphy MD - 360,623, Nancy Agee - 299,742, Briggs Andrews - 82,342, Donald Lorton - 308,492, Rayburn Thompson - 85,182, Hugh Thornhill - 73,678, Mark Werner MD - 50,706.

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds97000000TotalProceeds
Issuance Costs From Proceeds543200IssuanceCostsFromProceeds
Capital Expenditures96279229CapitalExpenditures
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
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 III4aAs 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 46,886 patients and provided 215,238 days of care. Carilions hospitals delivered 4,637 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
Form 990 III4a contdand 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 has two medical air transport helicopters flying 1,279 patients and a ground service providing 23,014 transports during the year. With 165,364 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 over 20 of emergency visits. Carilion Clinics hospitals supported community screenings and education on chronic disease prevention and management, sponsoring 1,000 events touching more than 78,500 people.
Form 990 III4a contdIn 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 82.5 million.
Form 990 VI11A 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 VI12cA 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 VI12c contdIn 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 VI15a and bExecutive 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, the Chief Medical Officer and the Chief Operating Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of the Senior Vice President for Human Resources and the Senior Vice President and General Counsel. This review was performed in October 2008. A similar review was last performed in October 2009.
Form 990 VI15a and b contdThis 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 VI15a and b contdIn 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 VI19The 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 I1Carilion 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.
Form 990 III1Carilion Clinic is a not-for-profit healthcare organization serving 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.
Form 990 VI3Certain 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.

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 Income-106001TotalIncome
EOY Assets170825358EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Supporting organizationVA501c311 Type IN/A
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501c33N/A
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501c33N/A
Carilion Medical Center
PO Box 12385RoanokeVA24025540506332HealthcareVA501c33N/A
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501c33N/A
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Supporting organizationVA501c311 Type IN/A
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501c33N/A
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501c33N/A
Hugh Trout Memorial Foundation
PO Box 12385RoanokeVA24025510236357Supporting organizationVA501c311 Type IN/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Carilion Labs LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
EIN203159634EIN
Primary ActivityLab ServicesPrimaryActivity
Legal Domicile StateVALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carilion Reference Laboratory CorpationBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income-4250432ShareOfTotalIncome
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

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 OwnershipPercentageOwnership
CHS Inc and Subsidiaries
PO Box 12385RoanokeVA24025541725732ServicesVACarilion Services IncC Corp1683450232474596771.00000
CHI Solutions Inc
PO Box 12385RoanokeVA24025870643589Laboratory ManagementVACarilion Reference Laboratory CorporationC Corp2589918
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
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 OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Carilion Medical Center
a4780405
Carilion Services Inc
k124743
CHS Inc and Subsidiaries
a2788431
CHS Inc and Subsidiaries
l1991737
Carilion Services Inc
q12500000
Carilion Services Inc
r30383913
CHS Inc and Subsidiaries
r50028345

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