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CARILION SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201312279349302091
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T12:41:12-00:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1424 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541190879EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carilion Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARINameControl
Phone5402245112Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code240252385ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameG Robert Vaughan JrName
TitleTreasurerTitle
Phone5402245112Phone
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts178164760GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carilionclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1639TotalNbrEmployees
Total Gross UBI7356711TotalGrossUBI
Net Unrelated Business Txbl Income-1325033NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year377990ContributionsGrantsCurrentYear
Program Service Revenue Prior Year185750653ProgramServiceRevenuePriorYear
Program Service Revenue CY174282167ProgramServiceRevenueCY
Investment Income Prior Year1470037InvestmentIncomePriorYear
Investment Income Current Year1847450InvestmentIncomeCurrentYear
Other Revenue Prior Year1871861OtherRevenuePriorYear
Other Revenue Current Year767361OtherRevenueCurrentYear
Total Revenue Prior Year189092551TotalRevenuePriorYear
Total Revenue Current Year177274968TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year332748GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY792744GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year107690006SalariesEtcPriorYear
Salaries Etc Current Year109615325SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year80599460OtherExpensePriorYear
Other Expenses Current Year68074915OtherExpensesCurrentYear
Total Expenses Prior Year188622214TotalExpensesPriorYear
Total Expenses Current Year178482984TotalExpensesCurrentYear
Revenues Less Expenses Prior Year470337RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1208016RevenuesLessExpensesCY
Total Assets BOY452933961TotalAssetsBOY
Total Assets EOY490813240TotalAssetsEOY
Total Liabilities BOY97520765TotalLiabilitiesBOY
Total Liabilities EOY125598892TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY355413196NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY365214348NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense173418344Expense
Grants792744Grants
Revenue167695492Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense173418344TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1639NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryEINameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThe CorporationNamePerson
Telephone Number5402245112TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StreetAddressLine1
CityRoanokeCity
StateVAState
ZIP Code240111705ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Nancy Howell Agee
President/Director050.00XX9319490551536
Donald Lorton
EVP/Treasurer/Director050.00XX6802510528400
Melina Perdue
EVP/Director050.00XX3863820266044
Briggs Andrews
Secretary050.00X3489160281487
R Wayne Gandee
Executive Vice President002.00X060042049888
G Robert Vaughan
Assistant Treasurer050.00X222215062388
Rachel Mabe
Assistant Secretary050.00X67991025993
Kay Hix
Senior Vice President050.003249340140643X
Curtis Mills
Senior Vice President050.003186050240729X
Donna Littlepage
Senior Vice President050.002476860101275X
Donald Halliwill
Senior Vice President050.00244181065903X
Jeanne Armentrout
Senior Vice President050.002387660116164X
Edward Murphy MD
Former President000.0061205670118551X
Mark Werner MD
Former EVP000.001860040207114X
Martha Boggs
Former SVP000.00270337036129X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10588784TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs600420TotalReportableCompFrmRltdOrgs
Total Other Compensation2792244TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Skanska US Building Inc
PO Box 17167WinstonSalemNC271167167Construction contractor4514946
Air Methods Corporation
PO Box 172892DenverCO802172892Medical helicopter services4227685
Epic Systems Corporation
Box 88314MilwaukeeWI532880314Software maintenance and consulting2583182
Deloitte Consulting LLP
PO Box 7247-6446PhiladelphiaPA171906446Consulting services5292012
Microsoft Corporation
PO Box 844510DallasTX752844510Software Maintenance1286575
FieldValueIRS element (for citing)
Number Of Contractors GT100 K55NumberOfContractorsGT100K
Related Organizations377990RelatedOrganizations
Total Contributions377990TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Unrelated Business Income56100073567117356711
Management Fees900099143322363143322363
Net Patient Revenues9000991035466710354667
Carilion Patient Transportation Services9000991315232813152328
Program-Related Investments9000999609896098
FieldValueIRS element (for citing)
Total Program Service Revenue174282167TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1872857TotalRevenueColumn
Exclusion$1,872,857ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities856777Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities882184Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-25407Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-25407TotalRevenueColumn
Exclusion-$25,407ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory4933GrossSalesOfInventory
Cost Of Goods Sold7608CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-2675TotalRevenueColumn
Exclusion-$2,675ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPurchase DiscountsDescription
Business Code900099BusinessCode
Total Revenue Column245835TotalRevenueColumn
Related Or Exempt Function Income245835RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column524201TotalRevenueColumn
Related Or Exempt Function Income524201RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue770036TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column177274968TotalRevenueColumn
Related Or Exempt Function Income167695492RelatedOrExemptFunctionIncome
Unrelated Business Revenue7356711UnrelatedBusinessRevenue
Exclusion$1,844,775ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total792744Total
Program Services792744ProgramServices

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)
Total2154938Total
Program Services2154938ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total82580994Total
Program Services81126278ProgramServices
Management And General1454716ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7181893Total
Program Services7181893ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12044278Total
Program Services11639916ProgramServices
Management And General404362ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5653222Total
Program Services5653222ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total141830Total
Management And General141830ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total798701Total
Management And General798701ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total518750Total
Management And General518750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total812Total
Program Services812ProgramServices
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1148Total
Management And General1148ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10941439Total
Program Services10019026ProgramServices
Management And General922413ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1853882Total
Program Services1853882ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20480404Total
Program Services20433275ProgramServices
Management And General47129ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10613968Total
Program Services10613968ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7319405Total
Program Services7319405ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total712191Total
Program Services697190ProgramServices
Management And General15001ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6855768Total
Program Services6855768ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3247690Total
Program Services3247690ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Education1219897536034683863
Dues Subscriptions10469471046947
Bad Debt994933994606327
Recruitment563126562810316

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total764024Total
Program Services687940ProgramServices
Management And General76084ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total178482984Total
Program Services173418344ProgramServices
Management And General5064640ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4188BOY
EOY4188EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY181513711BOY
EOY184540208EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10171490BOY
EOY11000879EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY1887708BOY
EOY1914950EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31494925BOY
EOY37339942EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3529635BOY
EOY3501890EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5665695BOY
EOY6779120EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis145944028LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec120722538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26930157BOY
EOY25221490EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY794419BOY
EOY794955EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY190187709BOY
EOY218453856EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY754324BOY
EOY1261762EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY452933961BOY
EOY490813240EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY95645057BOY
EOY51844879EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY5698371EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1875708BOY
EOY2383877EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY65671765EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY97520765BOY
EOY125598892EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY355413196BOY
EOY365214348EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY355413196BOY
EOY365214348EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY452933961BOY
EOY490813240EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1208016ReconcilationRevenueExpenses
Reconcilation Other Changes11009168ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (7 entries)

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$812OtherActivitiesAmount
Total Lobbying Expenditures IIB812TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2301409OtherCostOrOtherBasis
Book Value2301409BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13271473OtherCostOrOtherBasis
Depreciation8545894Depreciation
Book Value4725579BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis89627OtherCostOrOtherBasis
Depreciation73228Depreciation
Book Value16399BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis128128602OtherCostOrOtherBasis
Depreciation111706161Depreciation
Book Value16422441BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2152917OtherCostOrOtherBasis
Depreciation397255Depreciation
Book Value1755662BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25221490TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value218453856BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities218453856TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Qualified Pension Liability$55,299,841
Nonqualified Pension Liability$8,208,949
Accrued Unclaimed Property$1,911,141
Pledge$251,834
FieldValueIRS element (for citing)
Total Of Amounts65671765TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierXIdentifier
Return Reference2ReturnReference
ExplanationCarilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2012 and 2011. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (37 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
United Way of Roanoke Valley
325 Campbell AveRoanokeVA24016540535302501c315035General Support
New Century Technology Council
2000 Kraft DrBlacksburgVA24060541897618501c65500General Support
Boys & Girls Club of SW Virginia
1714 9th St SERoanokeVA24013541867366501c319500General Support
Total Action Against Poverty
PO Box 2868RoanokeVA24001546057095501c36500General Support
Children's Trust of Roanoke
541 Luck Ave 308RoanokeVA24016510235891501c35000Operational Support
JDRF International
3959 Electric RdRoanokeVA24018231907729501c36000Event sponsorship
American Red Cross
352 Church AveRoanokeVA24016530196605501c310200Disaster Preparedness
Roanoke Symphony Orchestra
541 Luck Ave 200RoanokeVA24016546019736501c317000Performance sponsorship
Roanoke Valley SPCA
1340 Baldwin AveRoanokeVA24012540679796501c315500New Clinic
Rx Partnership
2924 Emorywood PkyRichmondVA23294541186937501c320000Medication Assistance
NRV Cares
205 W Main StChristiansburgVA24073541773419501c310000Parenting Program
Rebuilding Together Roanoke
PO Box 4532ChristiansburgVA24073541961045501c35000Home Remediation
Smith Mtn Lake Regional Chamber of Commerce
16430 Booker T Washington HwyMonetaVA24121541654288501c66450Event sponsorships
Childrens Advocacy Programs of the Blue Ridge
300 S MainRocky MountVA24151541950268501c315000Child/Caretaker Program
Greater Roanoke Transit Company
1108 Campbell AveRoanokeVA24013540982022501c351672Trolley Service
Susan G Komen for the Cure
4910 Valley View BlvdRoanokeVA24012562619425501c310000Event sponsorship
West End Center Inc
PO Box 4562RoanokeVA24015541150320501c36250Event sponsorship
Presbyterian Community Center
1228 Jamison Ave SERoanokeVA24013541610899501c310000Event sponsorship
Roanoke Regional Partnership
111 Franklin RdRoanokeVA24011521327998501c610000Event sponsorship
SML Good Neighbors
PO Box 2MonetaVA24121261274000501c315000Summer day camp
Mental Health America
10 E Church AveRoanokeVA24011540703132501c333000Operational Support
Free Clinic of Franklin County
490S Main StRocky MountVA24151541634138501c320000Operational Support
Jefferson Center Foundation
541 Luck Ave SW 221RoanokeVA24016621392982501c37000Event sponsorship
RAMA Foundation
PO Box 8602RoanokeVA24014510218435501c35000Event sponsorship
American Cancer Society
2840 Electric Rd 106ARoanokeVA24018580659875501c313500Event sponsorship
The Rescue Mission of Roanoke
PO Box 11525RoanokeVA24022540573900501c35500Event sponsorship
American Heart Association
4217 Park Place CtGlen AllenVA23060135613797501c322500Event sponsorship
Council of Community Services
502 Campbell AveRoanokeVA24016540718859501c320000Dental Clinic
SeniorNavigatorcom
7501 Boulder View Dr 201RichmondVA23219541977334501c38000General Support
Free Clinic of the NRV
215 Roanoke StChristiansburgVA24073510247098501c350000Dental Clinic, Operations
Downtown Roanoke Inc
213 Market St SWRoanokeVA24011540681034501c65000Food Assistance
National Multiple Sclerosis Society
1 Morton Dr 106CharlotteVA22903540834654501c37500Event sponsorship
Kuumba Health & Wellness Ctr
3716 Melrose AveRoanokeVA24017541937835501c320000Nutrition Education
Roanoke Valley Greenway Commission
1206 Kessler Mill RdSalemVA24153546001572501c350000Trail Construction
Science Musuem of Western VA
1 Market SquareRoanokeVA24011541023953501c3175000Renovation Project
Carilion New River Valley Medical Center
2900 Lamb CircleChristiansburgVA24073540553805501c39500Medication Assistance
Virginia Chamber of Commerce
9 S 5th StRichmondVA23219540421190501c65000Healthcare Conference
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants32TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations5TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
Identifier1Identifier
Return Reference2ReturnReference
ExplanationFor Carilion Clinics Community grant program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives of 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

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Nancy Howell Agee
621900164555145494538527130091483485144864
Donald Lorton
4862001294256462650903419366120865163526
Melina Perdue
293247496414349425109214952652426
Briggs Andrews
2999204606629302724039084630403
R Wayne Gandee
4923581008997163415928296650308
G Robert Vaughan
18194129022112525032012068284603
Kay Hix
2343328611144911351635480465577
Curtis Mills
2196638592913013232371835855933451477
Donna Littlepage
21391533000771958595416348961
Donald Halliwill
210112337223475413911764310084
Jeanne Armentrout
1984953283974321141622002354930
Edward Murphy MD
4450003482455327322991851936662391182503674
Mark Werner MD
744672843583102203482363239311882580
Martha Boggs
27033736129306466145925

Form990 Schedule J Part III Form990ScheduleJPartIII (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I7 --The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures.
I4b- Nancy Howell Agee 303,824, Briggs Andrews 85,406, Curtis Mills 21,060, Melina Perdue 121,120, Mark Werner 94,090, Donald Lorton 250,129.
I4aEdward Murphy 2,561,000
II12Edward Murphy, M.D. was employed by Carilion Clinic and related entities for 13 years, serving as President and CEO during the last 10 of those years. He left Carilion employment on June 30, 2011. Dr. Murphys 2011 base compensation for his employment during the six months of calendar 2011 is reported in column Bi.
II12CONTINUED Bonus compensation in column B ii includes a scorecard bonus prorated for nine months of fiscal year 2011 which began on October 1, 2010 and prior period bonus accruals. In addition, Dr. Murphy was paid, or vested in, 5.3 million in other reportable compensation, reported in column B iii.
II12CONTINUED Of that amount, 2.7 million represented retirement benefits through a pension restoration plan. Pursuant to that plan, Carilion accrued a benefit for Dr. Murphy throughout the 13 years of his employment, which benefit vested and became taxable on July 1, 2011.
II12CONTINUED The pension restoration plan restored Dr. Murphys retirement benefit to the amount he would have received under Carilions pension plan but for restrictions imposed by the Internal Revenue Code on the amount any participant can receive from a tax qualified pension plan.
II12CONTINUED The remaining amount in Column B iii includes ending compensation of 2.6 million received by Dr. Murphy in lieu of certain earned or expected benefits, plus some small non-taxable reimbursements and benefit plan contributions. Column C recognizes the accrual for the year of benefits under the qualified pension plan for Dr. Murphy.
II12CONTINUED Finally, column F recognizes that, of the reportable compensation shown in column Biii, 2.5 million had previously been reported as deferred compensation on prior year Form 990s. All elements of Dr. Murphys compensation were approved by the Carilion Clinic Compensation Committee and/or Board of Directors in accordance with the process described in Schedule O in response to Form 990, Part VI, Section B, Line 15a.

Schedule L IRS990ScheduleL

Loan Table LoanTable (10 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Nancy Howell Agee
Split-dollar ins. premiumX$7,875176332falsetruetrue
Briggs Andrews
Split-dollar ins. premiumX$6,220144869falsetruetrue
Briggs Andrews
Split-dollar ins. premiumX$2,550125562falsetruetrue
Keith K Hunt
Split-dollar ins. premiumX$19,200435583falsetruetrue
Donald E Lorton
Split-dollar ins. premiumX$6,200290300falsetruetrue
Curtis Mills
Split-dollar ins. premiumX$2,30049900falsetruetrue
Curtis Mills
Split-dollar ins. premiumX$3,000126281falsetruetrue
Edward G Murphy
Split-dollar ins. premiumX$17,025438821falsetruetrue
Lucas A Snipes
Split-dollar ins. premiumX$2,10045666falsetruetrue
Lucas A Snipes
Split-dollar ins. premiumX$62581636falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due1914950TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Nancy Howell Agee
President/Director121647lab servicesfalse
Donald Lorton
EVP/Treasurer/Director121647lab servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierIVIdentifier
Return Reference1 and 2 --ReturnReference
ExplanationNancy Howell Agee and Donald Lorton serve on the Board of Solstas Lab Partners, LLC of which Carilion has a minority financial interest, and from whom the organization purchases lab services.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part I1 --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.
Form 990 Part III1 --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.
Form 990 Part III4a --By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality Carilion Services, Inc. supports Carilions mission to improve the health of the communities it serves. CSI supports Carilion Clinics 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 Clinics hospitals in admitting 50,304 patients and providing 227,562 days of care during the year, and supporting numerous programs designed to serve the health needs of the area.
Form 990 Part III4a CONTINUEDHonoring 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, bad debt, and unreimbursed Medicaid costs for the year exceeded 90.1 million.
Form 990 Part VI6 and 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 VI7b --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 VI11b --The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have.
Form 990 Part VI12c --A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee.
Form 990 Part VI12c CONTINUEDIn addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations.
Form 990 Part VI15a and 15b --Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2011. A similar review was last performed in October 2012.
Form 990 Part VI15a and 15b CONTINUEDThis review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives.
Form 990 Part VI15a and 15b CONTINUEDIn addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.
Form 990 Part VI19 --The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site.
Form 990 Part VIIColumn B --Directors and officers listed with less than 50 average hours per week who receive compensation from related organizations reported in column E also serve as directors and/or officers on other related organizations in the Carilion system. The difference between the hours shown in Column B and 50 hours would equal the hours worked by these individuals for related organizations.
Form 990 Part XI5 --Other adjustments - unrealized gain on investments 104,709 transfer to Carilion Clinic for effect of pension-related changes 17,238,347 transfer from affiliates of 28,475,000 and rounding of 1 for net of 11,341,361.
Form 990 Part I Line 1 -- 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. Form 990 Part III Line 1 -- 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. Form 990 Part III Line 4a -- By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality Carilion Services, Inc. supports Carilions mission to improve the health of the communities it serves. CSI supports Carilion Clinics 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 Clinics hospitals in admitting 50,304 patients and providing 227,562 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Form 990 Part III Line 4a CONTINUED 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, bad debt, and unreimbursed Medicaid costs for the year exceeded 90.1 million. Form 990 Part VI Section A Line 6 and 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 11b -- The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c -- A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c CONTINUED In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 Part VI Section B Line 15a and 15b -- Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2011. A similar review was last performed in October 2012. Form 990 Part VI Section B Line 15a and 15b CONTINUED This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b CONTINUED In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 Part VI Section C Line 19 -- The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 Part VII Section A Line Column B -- Directors and officers listed with less than 50 average hours per week who receive compensation from related organizations reported in column E also serve as directors and/or officers on other related organizations in the Carilion system. The difference between the hours shown in Column B and 50 hours would equal the hours worked by these individuals for related organizations. Form 990 Part XI Line 5 -- Other adjustments - unrealized gain on investments 104,709 transfer to Carilion Clinic for effect of pension-related changes 17,238,347 transfer from affiliates of 28,475,000 and rounding of 1 for net of 11,341,361.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Carilion Clinic Medicare Resources LLC
PO Box 12385RoanokeVA24025263729975Medicare HMOVA3450750516770691Carilion Services Inc
Carilion Clinic Patient Transportation Services LLC
PO Box 12385RoanokeVA24025541864693TransportationVA123578243351625Carilion Services Inc
Carilion Professional Services LLC
PO Box 12385RoanokeVA24025542030773CRNAsVA10183262374199Carilion Services Inc
Blue Ridge Indeminity Company LLC
76 St Paul Street Suite 500BurlingtonVT05401270927175InsuranceVT1186502231093909Carilion Services Inc

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501c33N/Afalse
Carilion Clinic
PO Box 12385RoanokeVA24025541190771Supporting organizationVA501c311 Type IN/Afalse
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Supporting organizationVA501c311 Type IN/Afalse
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501c33N/Afalse
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501c33N/Afalse
Carilion Medical Center
PO Box 12385RoanokeVA24025540506332HealthcareVA501c33N/Afalse
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501c33N/Afalse
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501c33N/Afalse

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 Corp1571241932560129421.00000
Carilion Clinic Medicare Resources LLC
PO Box 12385RoanokeVA24025263729975Medicare HMOVACarilion Services IncC Corp34507505167706911.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
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 (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHS Inc and Subsidiaries
j230491Market rates
CHS Inc and Subsidiaries
k12370985Cost
CHS Inc and Subsidiaries
l331459Cost
CHS Inc and Subsidiaries
q22041000Cash