2011-08-15T13:36:20-00:00 2010-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37027 990 2009-10-01 541190771 Carilion Clinic CARI 5402245112 PO Box 12385 Roanoke VA 240252385 Donald Lorton 2011-08-15 true Francis Bedard 6152591811 2011-08-12 2009 2016-02-24 21:20:13Z Edward Murphy MD PO Box 12385 Roanoke VA 24025 508528 false X www.carilion.com X 1981 VA 0 See Schedule O 16 9 0 110840 0 2596458 -133054 -6417645 -5330298 1275 4954824 -3819912 -508528 5881619 0 144034 0 0 0 7073522 8743032 7217556 14624651 -11037468 -15133179 158392294 205682171 125729962 120090158 32662332 85592013 See Shedule O. false false 14443670 5881619 -128926 See Schedule O. 14443670 true false false false false false false false false true false false false false false false false false false false false true false true true false false false false false false false false false false false false false false true true true false false true 0 0 true 0 true true false false false false false false false false 16 9 false true false false false false false true true false false true true true true true true true true false VA X X The Corporation 5402245112 213 S Jefferson Street Roanoke VA 240111331 X George Cartledge Jr 004.00 X 10480 0 0 J Alexander Boone 004.00 X 10900 0 0 Charles Carr 004.00 X 7700 0 0 David Caudill 004.00 X 8700 0 0 Warner Dalhouse 004.00 X 11700 0 0 James Thompson 004.00 X 9650 0 0 Daniel Jones MD 040.00 X 0 382871 120776 Guy Murray 004.00 X 10200 0 0 Raymond Smoot PhD 004.00 X 15200 0 0 James Turner 004.00 X 12231 0 0 William White Sr 004.00 X 7700 0 0 Danielle Yarber 004.00 X 8141 0 0 Abney Boxley 004.00 X 7341 0 0 Charles Lunsford II 004.00 X 0 0 0 Ronald Evans 004.00 X 7700 0 0 John Bond 004.00 X 0 0 0 James Hartley 004.00 X X 12200 0 0 Edward Murphy MD 040.00 X X 0 1328088 805186 Nancy Agee 040.00 X 0 486454 568551 Briggs Andrews 040.00 X 0 336244 250796 Donald Lorton 040.00 X 0 545546 565924 Rayburn Thompson 040.00 X 0 439191 183089 Hugh Thornhill 040.00 X 0 439246 334562 Mark Werner MD 040.00 X 0 523991 168459 G Robert Vaughan Jr 040.00 X 0 209964 88153 Rachel Mabe 002.00 X 0 68552 28346 139843 4760147 3113842 false true false Skanska USA Building Inc PO Box 17167 WinstonSalem NC 271167167 Construction contractor 15226052 Five Star Fab & Fixture 2161 Salem Industrial Dr Salem VA 24153 Construction contractor 1374768 IES Commercial Inc PO Box 23989 Tempe AZ 85285 Electrical contractor 287520 Hayes Seay Mattern & Mattern 109 Norfolk Ave Roanoke VA 24011 Architecture and Engineering services 256994 4 Intercompany fees 136742 136742 -133054 -5357149 110840 -5467989 26851 26851 4950696 4950696 4950696 4950696 Miscellaneous 4128 4128 4128 -508528 -128926 110840 -490442 5881619 5881619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1193090 1046602 146488 0 24192 19574 4618 0 0 1314881 1314881 0 0 0 3430807 3430807 0 2741698 2741698 21768 21768 Donations 8489 8489 Miscellaneous 8107 8107 0 14624651 14443670 180981 0 50464564 22813150 752700 100000 100000 165810 24552 211721173 47144407 84384553 164576766 10662899 5504511 11856973 11684560 757495 225932 158392294 205682171 2847422 2655564 375000 110000000 98000000 12882540 19059594 125729962 120090158 X 32662332 85592013 32662332 85592013 158392294 205682171 X false true true X X X X X false false false Bedford Memorial Hospital 540566100 3 true true true 0 Carilion Franklin Memorial Hospital 540480606 3 true true true 0 Carilion Giles Community Hospital 540549603 3 true true true 0 Carilion Medical Center 540506332 3 true true true 0 Carilion New River Valley Medical Center 540553805 3 true true true 0 Carilion Stonewall Jackson Hospital 540568001 3 true true true 0 Carilion Tazewell Community Hospital 546074580 3 false true true 0 7 0.00000 0.00000 0.00000 false 10111252 10111252 173629839 42035979 131593860 40314 38970 1344 6190127 3902182 2287945 21749641 1167276 20582365 164576766 Investment - SJH 600000 F Investment - Bedford 5322363 F Investment - Tazewell 5664814 F Investment - Sun Health 13500 F Investment - VHSAX 83883 F 11684560 Minority Interest Adjustment 2315942 2008 Fixed Swap Unrealized Losses 15499543 2005 SJH Swap Unrealized Losses 242805 Due to Foundation 175000 Pledge 826304 19059594 true Virginia Tech Carilion School of Medicine 2 Riverside Circle Suite M140 Roanoke VA 24016 264556177 501c3 5881619 X X X X X false true false false false false false false false Daniel Jones MD 341942 38928 2001 98789 21987 503647 Edward Murphy MD 890000 344825 93263 717538 87648 2133274 219561 Nancy Agee 436800 49620 34 547184 21367 1055005 Briggs Andrews 301600 34262 382 239565 11231 587040 Donald Lorton 436800 49620 59126 548892 17032 1111470 55087 Rayburn Thompson 350530 39820 48841 162120 20969 622280 49804 Hugh Thornhill 274482 168422 -3658 312530 22032 773808 Mark Werner MD 436800 49620 37571 150140 18319 692450 35901 G Robert Vaughan Jr 185936 21122 2906 72835 15318 298117 I 7 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. I 4b Edward 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. VA Small Business Financing Authority 541300845 928101AE4 2008-07-09 97000000 Capital projects, cost of issuance false false 97000000 543200 96279229 2009 false false true true false false false false true true true true UBS & Citigroup 0000000033.000000000000 false false true Form 990 III 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 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 III 4a contd 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 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 III 4a contd 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 82.5 million. Form 990 VI 11 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 VI 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 VI 12c contd 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 VI 15a and b 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, 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 VI 15a and b contd 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 VI 15a and b contd 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 VI 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 I 1 Carilion 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 III 1 Carilion 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 VI 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. 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