CARILION SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CARILION SERVICES INC (EIN 54-1190879)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201402259349300220
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T11:28:46-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 Church Street | AddressLine1 |
| City | Nashville | City |
| State | TN | State |
| ZIP Code | 37219 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541190879 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARILION SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARI | NameControl |
| Phone | 5402245112 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12385 | AddressLine1 |
| City | ROANOKE | City |
| State | VA | State |
| ZIP Code | 240252385 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donald Halliwill | Name |
| Title | Chief Financial Officer | Title |
| Phone | 5402245112 | Phone |
| Date Signed | 2014-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Francis J Bedard | Name |
| PTIN | P00752421 | PTIN |
| Phone | 6152591811 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Nancy Howell Agee | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12385 | AddressLine1 |
| City | ROANOKE | City |
| State | VA | State |
| ZIP Code | 240252385 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 210899841 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.carilionclinic.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O.The organization supports the activities of Carilion Clinic, a healthcare organization in western Virginia that includes a large multi-specialty physician group, hospitals and ancillary services, focused on the goal of providing the best possible health outcome and health care experience for each patient. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1608 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 7786294 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -1625456 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 377990 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174282167 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 173028103 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1847450 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4898215 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 767361 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9919445 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 177274968 | TotalRevenuePriorYear |
| Total Revenue Current Year | 187845763 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 792744 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2370308 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 109615325 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 118452836 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 14647 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 68074915 | OtherExpensePriorYear |
| Other Expenses Current Year | 66430286 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 178482984 | TotalExpensesPriorYear |
| Total Expenses Current Year | 187253430 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1208016 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 592333 | RevenuesLessExpensesCY |
| Total Assets BOY | 490813240 | TotalAssetsBOY |
| Total Assets EOY | 547369880 | TotalAssetsEOY |
| Total Liabilities BOY | 125598892 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 117823043 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 365214348 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 429546837 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O.The principal purpose of this corporation is to generate, through subsidiaries engaged in both taxable and tax-exempt activities, funds for contribution to parent or affiliated organizations in the provision of quality health care services and to promote physical fitness and preventive medicine.Our mission is to improve the health of the communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 181142787 | Expense |
| Grants | 2370308 | Grants |
| Revenue | 175161254 | Revenue |
| Description | See Schedule O.By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality, Carilion Services, Inc. supports Carilion's mission to improve the health of the communities it serves. CSI supports Carilion Clinic's core hospital business and related activities by providing technology; human resources; legal services; patient billing; accounting and finance; internal audit and compliance; materials management; and strategic planning services. This assisted the Clinic's hospitals in admitting 47,568 patients and providing 222,532 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion provided extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded $82.7 million. | Description |
| Total Program Service Expense | 181142787 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 710 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1608 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CA | NameOfForeignCountry |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Name Of Foreign Country | EI | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5402245112 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 S Jefferson St | AddressLine1 |
| City | Roanoke | City |
| State | VA | State |
| ZIP Code | 24011 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Jeanne Armentrout | |||||||||
| Director/EVP | 50.00 | 0.00 | X | 292439 | 0 | 201588 | |||
| Kerri Thornton | |||||||||
| Director/VP | 50.00 | 0.00 | X | 225726 | 0 | 166646 | |||
| Nancy Howell Agee | |||||||||
| President/Director | 50.00 | 0.00 | X | 1124997 | 0 | 837490 | X | ||
| Donald Halliwill | |||||||||
| Asst. Treasurer/Director | 50.00 | 0.00 | X | 261453 | 0 | 102501 | X | ||
| G Robert Vaughan Jr | |||||||||
| Treasurer | 50.00 | 0.00 | 234629 | 0 | 107885 | X | |||
| David Hagadorn | |||||||||
| Asst. Treasurer | 50.00 | 0.00 | 106141 | 0 | 26365 | X | |||
| Briggs Andrews | |||||||||
| Secretary | 50.00 | 0.00 | 387488 | 0 | 344297 | X | |||
| Lauren Chen | |||||||||
| Asst. Secretary | 50.00 | 0.00 | 2800 | 0 | 0 | X | |||
| Curtis Mills | |||||||||
| SVP | 50.00 | 0.00 | 651222 | 0 | 194110 | X | |||
| Melina Perdue | |||||||||
| EVP | 50.00 | 0.00 | 399309 | 0 | 347954 | X | |||
| Kay Hix | |||||||||
| VP | 50.00 | 0.00 | 286602 | 0 | 183495 | X | |||
| Donna Littlepage | |||||||||
| SVP | 50.00 | 0.00 | 264366 | 0 | 158296 | X | |||
| Shirley Holland | |||||||||
| VP | 50.00 | 0.00 | 234275 | 0 | 189339 | X | |||
| Donald Lorton | |||||||||
| Former EVP/Treasurer/Director | 0.00 | 0.00 | 756751 | 0 | 353047 | X | |||
| Rayburn Thompson | |||||||||
| Former EVP | 0.00 | 0.00 | 697626 | 0 | 181304 | X | |||
| Hugh Thornhill | |||||||||
| Former EVP | 0.00 | 0.00 | 0 | 516527 | 372036 | X | |||
| R Wayne Gandee | |||||||||
| Former EVP | 0.00 | 0.00 | 0 | 689694 | 59113 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5925824 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1206221 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3825466 | TotalOtherCompensation |
| Number Individuals GT100 K | 68 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Epic Systems Corporation | |||||
| Box 88314 | Milwaukee | WI | 532880314 | Software Maintenance | 2780418 |
| Avaya Inc | |||||
| Po Box 5332 | New York | NY | 100875332 | Maintenance Contracts | 1752582 |
| Mainline Information Systems Inc | |||||
| PO Box 11407 Dept1659 | Birmingham | AL | 352461659 | Software Maintenance | 1692496 |
| S3 Telecom Inc | |||||
| PO Box 2888 | Coppell | TX | 75019 | Communications Contractor | 1318058 |
| Microsoft Corporation | |||||
| PO Box 844510 | Dallas | TX | 752844510 | Software Maintenance | 1284198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Management Fees | 900099 | 152297431 | 152297431 | |
| Carilion Patient Transportation S | 900099 | 11426375 | 11426375 | |
| Unrelated Business Income | 561000 | 7786294 | 7786294 | |
| Net Patient Revenue | 900099 | 1518003 | 1518003 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 173028103 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3068029 | TotalRevenueColumn |
| Exclusion | $3,068,029 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23287470 | Securities |
| Other | 1596794 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22598068 | Securities |
| Other | 456010 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 689402 | Securities |
| Other | 1140784 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1830186 | TotalRevenueColumn |
| Exclusion | $1,830,186 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Other Affiliate Revenue | 900099 | 9137944 | 9137944 |
| Purchase Discounts | 900099 | 271754 | 271754 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 509747 | TotalRevenueColumn |
| Related Or Exempt Function Income | 509747 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 9919445 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187845763 | TotalRevenueColumn |
| Related Or Exempt Function Income | 175161254 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7786294 | UnrelatedBusinessRevenue |
| Exclusion | $4,898,215 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2370308 | Total |
| Program Services | 2370308 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4804578 | Total |
| Program Services | 4804578 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86349030 | Total |
| Program Services | 85817045 | ProgramServices |
| Management And General | 531985 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11395588 | Total |
| Program Services | 11395588 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10010560 | Total |
| Program Services | 9850298 | ProgramServices |
| Management And General | 160262 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5893080 | Total |
| Program Services | 5893080 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201257 | Total |
| Management And General | 201257 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819017 | Total |
| Management And General | 819017 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616940 | Total |
| Management And General | 616940 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61220 | Total |
| Program Services | 61220 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4422 | Total |
| Management And General | 4422 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9575021 | Total |
| Program Services | 9406998 | ProgramServices |
| Management And General | 168023 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2080692 | Total |
| Program Services | 2080692 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19078264 | Total |
| Program Services | 19028854 | ProgramServices |
| Management And General | 34763 | ManagementAndGeneral |
| Fundraising | 14647 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11296104 | Total |
| Program Services | 11296104 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7576374 | Total |
| Program Services | 5603898 | ProgramServices |
| Management And General | 1972476 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729306 | Total |
| Program Services | 707476 | ProgramServices |
| Management And General | 21830 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7283406 | Total |
| Program Services | 7283406 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2443821 | Total |
| Program Services | 1495686 | ProgramServices |
| Management And General | 948135 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Education | 1240010 | 1239885 | 125 |
| Dues & Subscriptions | 1175419 | 633574 | 541845 |
| Recruitment | 754011 | 753570 | 441 |
| Business Fees | 565167 | 491834 | 73333 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 929835 | Total |
| Program Services | 928693 | ProgramServices |
| Management And General | 1142 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187253430 | Total |
| Program Services | 181142787 | ProgramServices |
| Management And General | 6095996 | ManagementAndGeneral |
| Fundraising | 14647 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4188 | BOY |
| EOY | 3873 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184540208 | BOY |
| EOY | 193569612 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11000879 | BOY |
| EOY | 2989626 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1914950 | BOY |
| EOY | 2049139 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37339942 | BOY |
| EOY | 47397 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3501890 | BOY |
| EOY | 3916535 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6779120 | BOY |
| EOY | 7482606 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 154282032 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 124640930 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25221490 | BOY |
| EOY | 29641102 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 794955 | BOY |
| EOY | 34857301 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218453856 | BOY |
| EOY | 218464088 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1261762 | BOY |
| EOY | 54348601 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490813240 | BOY |
| EOY | 547369880 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51844879 | BOY |
| EOY | 52361082 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 370204 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5698371 | BOY |
| EOY | 5505281 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2383877 | BOY |
| EOY | 3028646 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65671765 | BOY |
| EOY | 56557830 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125598892 | BOY |
| EOY | 117823043 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365214348 | BOY |
| EOY | 429546837 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365214348 | BOY |
| EOY | 429546837 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490813240 | BOY |
| EOY | 547369880 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 592333 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1024857 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -7650657 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 70365956 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (7 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Carilion Medical Center | |||||
| 540506332 | 501(c)(3) | 1 | 1 | 1 | $4,389,672 |
| Carilion New River Valley Medical Center | |||||
| 540553805 | 501(c)(3) | 0 | 1 | 1 | $11,188,963 |
| Carilion Giles Community Hospital | |||||
| 540549603 | 501(c)(3) | 0 | 1 | 1 | $3,282,466 |
| Carilion Franklin Memorial Hospital | |||||
| 540480606 | 501(c)(3) | 0 | 1 | 1 | $3,234,620 |
| Bedford Memorial Hospital | |||||
| 540566100 | 501(c)(3) | 0 | 1 | 1 | $0 |
| Carilion Stonewall Jackson Hospital | |||||
| 540568001 | 501(c)(3) | 0 | 1 | 1 | $0 |
| Carilion Tazewell Community Hospital | |||||
| 546074580 | 501(c)(3) | 0 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 7 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 22095721 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $60,785 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $435 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 61220 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Portion of dues paid to American Hospital Association and Virginia Hospital and Healthcare Association spent on lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2539232 | OtherCostOrOtherBasis |
| Book Value | 2539232 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13307535 | OtherCostOrOtherBasis |
| Depreciation | 9096146 | Depreciation |
| Book Value | 4211389 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94074 | OtherCostOrOtherBasis |
| Depreciation | 80263 | Depreciation |
| Book Value | 13811 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 137035508 | OtherCostOrOtherBasis |
| Depreciation | 115058821 | Depreciation |
| Book Value | 21976687 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1305683 | OtherCostOrOtherBasis |
| Depreciation | 405700 | Depreciation |
| Book Value | 899983 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 29641102 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Minor Investments | 54289 | F |
| Investments - CCMR | 90000 | C |
| Investments - CHS, INC | 307544556 | C |
| Investment Minority Interest | 1234605 | C |
| Investment - BRIC | 33458 | C |
| Unrecorded Intercompany Losses | -90492820 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 218464088 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interco Loan Receivable | 50583064 |
| Excess Unbrella Reinsurance | 1112672 |
| Other Long Term Assets | 31000 |
| Due from CCMR | 1743266 |
| Other Investments | 878599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 54348601 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Qualified Pension Laibility | $29,675,128 |
| Nonqualified Pension Liability | $4,898,840 |
| OSLR Reserves | $8,013,755 |
| LAE Reserves | $635,819 |
| IBRN Reserves | $9,663,201 |
| Losses Payable | $3,247,400 |
| Losses Payable-LPT | $423,687 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 56557830 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2013 and 2012. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (43 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Carilion New River Valley Medical Center | |||||||
| 2900 Lamb Circle | Christiansburg | VA | 24073 | 540553805 | 501(c)(3) | 28500 | Medication Assistance Program |
| United Way of Roanoke Valley | |||||||
| 325 Campbell Avenue | Roanoke | VA | 24016 | 540535302 | 501(c)(3) | 45793 | General Support |
| Roanoke Symphony Orchestra | |||||||
| 128 East Campbell Ave SE | Roanoke | VA | 24011 | 546016736 | 501(c)(3) | 20000 | Performance Sponsor |
| Junior Achievement of Roanoke Valley | |||||||
| 3433 Brambleton Avenue 202B | Roanoke | VA | 24018 | 540628293 | 501(c)(3) | 13300 | General Support |
| Southwest Virginia Ballet | |||||||
| PO Box 3275 | Roanoke | VA | 24015 | 541563448 | 501(c)(3) | 11950 | Outreach Performance |
| Scott Robertson Memorial Junior Golf Academy | |||||||
| 3707 Densmore Road | Roanoke | VA | 24017 | 201237999 | 501(c)(3) | 11000 | General Support |
| Project Access of the Roanoke Valley | |||||||
| 541 Luck Avenue 230 | Roanoke | VA | 24011 | 200549137 | 501(c)(3) | 20000 | General Support |
| American Heart Association | |||||||
| 4217 Park Place Court | Glen Allen | VA | 23060 | 135613797 | 501(c)(3) | 10750 | Event Sponsorship |
| American Cancer Society | |||||||
| 2840 Electric Road 106A | Roanoke | VA | 24018 | 580659875 | 501(c)(3) | 15500 | Event Sponsorship |
| Virginia Western Community College | |||||||
| PO Box 14007 | Roanoke | VA | 24016 | 521200913 | 501(c)(3) | 10000 | General Support |
| Susan G Komen for the Cure | |||||||
| 4910 Valley View Blvd | Roanoke | VA | 24012 | 562619425 | 501(c)(3) | 10000 | Event Sponsorship |
| March of Dimes Greater Roanoke | |||||||
| 2840 Electric Road - Suite 102A | Roanoke | VA | 24018 | 131846366 | 501(c)(3) | 10000 | General Support |
| Presbyterian Community Center | |||||||
| 1228 Jamison Avenue SE | Roanoke | VA | 24013 | 541610899 | 501(c)(3) | 10000 | Event Sponsorship |
| JDRF International | |||||||
| 3959 Electric Road | Roanoke | VA | 24018 | 231907729 | 501(c)(3) | 8000 | Event Sponsorship |
| SeniorNavigatorcom | |||||||
| 7501 Boulder View Drive 201 | Richmond | VA | 23219 | 541977334 | 501(c)(3) | 8000 | General Support |
| Smith Mountain Lake Regional Chamber of Commerce | |||||||
| 16430 Booker T Washington Hwy | Moneta | VA | 24121 | 541654288 | 501(c)(3) | 6200 | Event Sponsorship |
| The Rescue Mission of Roanoke | |||||||
| PO Box 11525 | Roanoke | VA | 24022 | 540573900 | 501(c)(3) | 5500 | Event Sponsorship |
| National Multiple Sclerosis Society | |||||||
| 1 Morton Drive 106 | Charlotte | VA | 22903 | 540834654 | 501(c)(3) | 5000 | Event Sponsorship |
| Virginia Amateur Sports | |||||||
| 711C 5th Street NE | Roanoke | VA | 24016 | 541500181 | 501(c)(3) | 5000 | Event Sponsorship |
| Jefferson Center Foundation | |||||||
| 541 Luck Avenue 221 | Roanoke | VA | 24016 | 621392982 | 501(c)(3) | 5000 | Event Sponsorship |
| RAMA Foundation | |||||||
| PO Box 8602 | Roanoke | VA | 24014 | 510218435 | 501(c)(3) | 5000 | Event Sponsorship |
| Virgina Tech | |||||||
| 150 Student Services Building | Blacksburg | VA | 24061 | 546001805 | 501(c)(3) | 5000 | Event Sponsorship |
| Alzheimers Association | |||||||
| 1160 Pepsi Place - Suite 306 | Charlottesville | VA | 22901 | 133039601 | 501(c)(3) | 5000 | Event Sponsorship |
| Boys & Girls Club of SW Virginia | |||||||
| 1714 9th Street SE | Roanoke | VA | 24013 | 541867366 | 501(c)(3) | 5000 | General Support |
| Blacksburg Country Club | |||||||
| 1064 Clubhouse Road | Blacksburg | VA | 24060 | 540536604 | 5000 | Support of Susan B. Komen for the Cure Foundation a 501(c)(3) organization. | |
| Virgina Tech Carilion School of Medicine | |||||||
| 1 Riverside Circle | Roanoke | VA | 24016 | 264556177 | 501(c)(3) | 1596794 | General Support |
| Mill Mountain Theatre | |||||||
| One Market Square SE - 2nd Floor | Roanoke | VA | 24011 | 540792067 | 501(c)(3) | 5000 | Event Sponsorship |
| The Salvation Army | |||||||
| PO Box 12088 | Roanoke | VA | 24022 | 580660607 | 501(c)(3) | 6000 | Event Sponsorship |
| SML Good Neighbors | |||||||
| PO Box 2 | Moneta | VA | 24121 | 261274000 | 501(c)(3) | 10000 | Summer Day Camp |
| Southern VA Child Advocacy Center | |||||||
| 1171 Franklin St | Rocky Mount | VA | 24151 | 541950268 | 501(c)(3) | 4800 | Health Resources |
| Free Clinic of NRV | |||||||
| 215 Roanoke St | Christiansburg | VA | 24073 | 510247098 | 501(c)(3) | 45000 | Operational support |
| Roanoke Outside | |||||||
| 111 Franklin Road SE Suite 333 | Roanoke | VA | 24011 | 451648056 | 501(c)(3) | 10000 | Event sponsorship |
| Central VA Area Agency of Aging | |||||||
| 1613 Oakwood Street | Bedford | VA | 24523 | 510189604 | 501(c)(3) | 20000 | Wheelchair Transport |
| Free Clinic of Franklin County | |||||||
| 490 S Main Street | Rocky Mount | VA | 24151 | 541634138 | 501(c)(3) | 20000 | Operational support |
| NRV Cares | |||||||
| 205 W Main Street | Christiansburg | VA | 24073 | 541773419 | 501(c)(3) | 10000 | Parenting Program |
| Mental Health of America Rke Valley | |||||||
| 10 E Church Ave 300 | Roanoke | VA | 24015 | 540703132 | 501(c)(3) | 32000 | Operational support |
| Greater Roanoke Transit | |||||||
| 1108 Campbell Ave SE | Roanoke | VA | 24013 | 540982022 | Roanoke, VA | 51672 | Trolley service |
| New Horizons | |||||||
| 3716 Melrose Ave | Roanoke | VA | 24017 | 541937835 | 501(c)(3) | 20000 | Nurition education |
| Rebuilding Together Roanoke | |||||||
| PO Box 4532 | Roanoke | VA | 24015 | 541961045 | 501(c)(3) | 10000 | Safe housing |
| Local Environmental Agriculture Project | |||||||
| PO Box 3249 | Roanoke | VA | 24015 | 271050909 | 501(c)(3) | 10000 | Double SNAP EBT Benefit |
| Rockbridge Area Free Clinic Inc | |||||||
| PO Box 1573 | Lexington | VA | 24450 | 541642220 | 501(c)(3) | 20000 | Operational support |
| RX Partnership | |||||||
| 2924 Emerywood Pky | Richmond | VA | 23294 | 541186937 | 501(c)(3) | 20000 | Medication assistance |
| VA Health Care Foundation | |||||||
| 707 E Main Street | Richmond | VA | 23219 | 541639924 | 501(c)(3) | 100000 | Access to healthcare |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 42 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I, Part I, Line 2 | Identifier |
| Explanation | For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives fo the project. By accepting a Carilion award, grantees must publicly acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle project report, a site visit for new grantees and a final program evaluation will be required for every funded project. Among other things, program evaluation will address organizational effectiveness, program impact and community benefit through collection of data measuring such items as clients served, cost effectiveness of the program (cost per client or service), tangible community or client outcomes and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeanne Armentrout | ||||||||||||||
| Director/EVP | 241043 | 0 | 40455 | 0 | 10941 | 0 | 199494 | 0 | 2094 | 0 | 494027 | 0 | 0 | 0 |
| Kerri Thornton | ||||||||||||||
| Director/VP | 191779 | 0 | 33189 | 0 | 758 | 0 | 161824 | 0 | 4822 | 0 | 392372 | 0 | 0 | 0 |
| Nancy Howell Agee | ||||||||||||||
| President/Director | 827518 | 0 | 297075 | 0 | 404 | 0 | 827266 | 0 | 10224 | 0 | 1962487 | 0 | 0 | 0 |
| Donald Halliwill | ||||||||||||||
| Asst. Treasurer/Director | 218246 | 0 | 38492 | 0 | 4715 | 0 | 91348 | 0 | 11153 | 0 | 363954 | 0 | 0 | 0 |
| G Robert Vaughan Jr | ||||||||||||||
| Treasurer | 192198 | 0 | 34369 | 0 | 8062 | 0 | 96243 | 0 | 11642 | 0 | 342514 | 0 | 0 | 0 |
| Briggs Andrews | ||||||||||||||
| Secretary | 327213 | 0 | 56811 | 0 | 3464 | 0 | 335696 | 0 | 8601 | 0 | 731785 | 0 | 0 | 0 |
| Curtis Mills | ||||||||||||||
| SVP | 223655 | 0 | 413946 | 0 | 13621 | 0 | 186208 | 0 | 7902 | 0 | 845332 | 0 | 374549 | 0 |
| Melina Perdue | ||||||||||||||
| EVP | 337912 | 0 | 58467 | 0 | 2930 | 0 | 339674 | 0 | 8280 | 0 | 747263 | 0 | 0 | 0 |
| Kay Hix | ||||||||||||||
| VP | 238782 | 0 | 41295 | 0 | 6525 | 0 | 178292 | 0 | 5203 | 0 | 470097 | 0 | 0 | 0 |
| Donna Littlepage | ||||||||||||||
| SVP | 221509 | 0 | 37737 | 0 | 5120 | 0 | 153121 | 0 | 5175 | 0 | 422662 | 0 | 0 | 0 |
| Shirley Holland | ||||||||||||||
| VP | 191016 | 0 | 34061 | 0 | 9198 | 0 | 178018 | 0 | 11321 | 0 | 423614 | 0 | 0 | 0 |
| Donald Lorton | ||||||||||||||
| Former EVP/Treasurer/Director | 586044 | 0 | 170036 | 0 | 671 | 0 | 342823 | 0 | 10224 | 0 | 1109798 | 0 | 67752 | 0 |
| Rayburn Thompson | ||||||||||||||
| Former EVP | 0 | 0 | 697626 | 0 | 0 | 0 | 181304 | 0 | 0 | 0 | 878930 | 0 | 529467 | 0 |
| Hugh Thornhill | ||||||||||||||
| Former EVP | 0 | 0 | 0 | 516527 | 0 | 0 | 0 | 372036 | 0 | 0 | 0 | 888563 | 0 | 516527 |
| R Wayne Gandee | ||||||||||||||
| Former EVP | 0 | 511598 | 0 | 169645 | 0 | 8451 | 0 | 50675 | 0 | 8438 | 0 | 748807 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | See Schedule O disclosure for Form 990, Part VI, Section B, Line 15 |
| Part I, Line 4b | Nancy Howell Agee $472,651 Briggs Andrews $119,656 Curtis Mills $263,875 Melina Perdue $130,244 Donald Lorton $53,644 Rayburn Thompson $453,452 Hugh Thornhill $202,629 |
| Part I, Line 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. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (10 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| 1 Nancy Howell Agee | |||||||
| Officer | Split-dollar ins. premium | X | $7,875 | 192082 | 0 | 1 | 1 |
| 2 Briggs Andrews | |||||||
| Officer | Split-dollar ins. premium | X | $6,220 | 157309 | 0 | 1 | 1 |
| 3 Briggs Andrews | |||||||
| Officer | Split-dollar ins. premium | X | $2,550 | 130662 | 0 | 1 | 1 |
| 4 Keith K Hunt | |||||||
| Former officer | Split-dollar ins. premium | X | $19,200 | 473983 | 0 | 1 | 1 |
| 5 Donald E Lorton | |||||||
| Officer | Split-dollar ins. premium | X | $6,200 | 302700 | 0 | 1 | 1 |
| 6 Curtis Mills | |||||||
| Officer | Split-dollar ins. premium | X | $3,000 | 132281 | 0 | 1 | 1 |
| 7 Curtis Mills | |||||||
| Officer | Split-dollar ins. premium | X | $2,300 | 54500 | 0 | 1 | 1 |
| 8 Edward G Murphy | |||||||
| Former Officer | Split-dollar ins. premium | X | $17,025 | 472871 | 0 | 1 | 1 |
| 9 Lucas A Snipes | |||||||
| Former Employee | Split-dollar ins. premium | X | $625 | 82886 | 0 | 1 | 1 |
| 10 Lucas A Snipes | |||||||
| Former Employee | Split-dollar ins. premium | X | $2,100 | 49865 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 2049139 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers. | |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason. | |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO, approval of borrowings, budgets and strategic plans and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization. | |
| Form 990, Part VI, Section B, line 11 | 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. 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 15 | Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer and Chairs of the clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2012. A similar review was last performed in October 2013.This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. | |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our website. | |
| Form 990, Part XI, line 9: | Transfers from Affiliates 42,540,664. Pension-Related Changes 27,825,292. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Blue Ridge Indemnity Company LLC | |||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 270927178 | Insurance | VT | 17023050 | 35451544 | Carilion Services Inc |
| Carilion Clinic Patient Transportation Services LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541864693 | Transportation | VA | 11064328 | 3251664 | Carilion Services Inc |
| Carilion Professional Services LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 542030773 | CRNAs | VA | 10651364 | 354635 | Carilion Services Inc |
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Carilion Clinic | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190771 | Supporting organization | VA | 501(c)(3) | Line 11a, I | N/A | 0 |
| Carilion Clinic Foundation | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190773 | Supporting organization | VA | 501(c)(3) | Line 11a, I | N/A | 0 |
| Carilion Franklin Memorial Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540480606 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
| Carilion Giles Community Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540549603 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
| Carilion Medical Center | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540506332 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
| Carilion New River Valley Medical Center | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540553805 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
| Carilion Stonewall Jackson Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540568001 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
| Carilion Tazewell Community Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 546074580 | Healthcare | VA | 501(c)(3) | Line 3 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHS Inc and Subsidiaries | ||||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541725732 | Services | VA | Carilion Services Inc | C | 164481226 | 275506897 | 1.00000 | 1 |
| Carilion Clinic Medicare Resources LLC | ||||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 263729975 | Medicare HMO | VA | Carilion Services Inc | C | 48876974 | 18042461 | 1.00000 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CHS Inc and Subsidiaries | ||
| K | 219038 | Market rates |
| CHS Inc and Subsidiaries | ||
| L | 13781355 | Cost |
| CHS Inc and Subsidiaries | ||
| M | 454497 | Cost |
| CHS Inc and Subsidiaries | ||
| R | 177723760 | Cash |
| Carilion Clinic Medicare Resources LLC | ||
| A | 2290518 | Cost |
| Carilion Clinic Medicare Resources LLC | ||
| D | 50583064 | Cost |
| Carilion Clinic Medicare Resources LLC | ||
| L | 255573 | Cost |
| Carilion Clinic Medicare Resources LLC | ||
| R | 90000 | Cash |