CARILION SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CARILION SERVICES INC (EIN 54-1190879)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201202279349302495
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- 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 | 2012-08-14T15:15:13-00:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | 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 Lorton | Name |
| Title | Treasurer | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Francis Bedard | Name |
| Phone | 6152591811 | Phone |
| Date Prepared | 2012-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 24025 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 190246449 | GrossReceipts |
| Group Return For Affiliates | false | 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 See Schedule O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 2 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1682 | TotalNbrEmployees |
| Total Gross UBI | 7486475 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -1329216 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3500 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 180238338 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 185750653 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 880929 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1470037 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4884522 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1871861 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 186007289 | TotalRevenuePriorYear |
| Total Revenue Current Year | 189092551 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 332748 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104647492 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 107690006 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 80897570 | OtherExpensePriorYear |
| Other Expenses Current Year | 80599460 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 185545062 | TotalExpensesPriorYear |
| Total Expenses Current Year | 188622214 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 462227 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 470337 | RevenuesLessExpensesCY |
| Total Assets BOY | 475930223 | TotalAssetsBOY |
| Total Assets EOY | 452933961 | TotalAssetsEOY |
| Total Liabilities BOY | 86179346 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 97520765 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 389750877 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 355413196 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 179566652 | Expense |
| Grants | 332748 | Grants |
| Revenue | 178347127 | Revenue |
| Description | See Schedule O | Description |
| Total Program Service Expense | 179566652 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 674 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1682 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CA | NameOfForeignCountry |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Name Of Foreign Country | EI | NameOfForeignCountry |
| Name Of Foreign Country | UK | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 2 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | The Corporation | NamePerson |
| Telephone Number | 5402245112 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 S Jefferson Street | AddressLine1 |
| City | Roanoke | City |
| State | VA | State |
| ZIP Code | 240111705 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Nancy Agee | |||||||
| President/Director | 050.00 | X | X | 508405 | 0 | 399109 | |
| Edward Murphy MD | |||||||
| President/Director | 050.00 | X | X | 1288078 | 0 | 680866 | |
| Donald Lorton | |||||||
| Treasurer/Director | 050.00 | X | X | 521051 | 0 | 332850 | |
| Melina Perdue | |||||||
| Executive Vice President/Director | 050.00 | X | X | 262194 | 0 | 96083 | |
| Briggs Andrews | |||||||
| Secretary | 050.00 | X | 334006 | 0 | 207297 | ||
| Rayburn Thompson | |||||||
| Executive Vice President | 050.00 | X | 215788 | 0 | 96291 | ||
| Hugh Thornhill | |||||||
| Executive Vice President | 050.00 | X | 113371 | 0 | 93948 | ||
| Mark Werner MD | |||||||
| Executive Vice President | 050.00 | X | 518369 | 0 | 154534 | ||
| G Robert Vaughan | |||||||
| Assistant Treasurer | 050.00 | X | 202072 | 0 | 45136 | ||
| Rachel Mabe | |||||||
| Assistant Secretary | 050.00 | X | 70949 | 0 | 17506 | ||
| Kay Hix | |||||||
| Vice President | 050.00 | 252286 | 0 | 98574 | X | ||
| Curtis Mills | |||||||
| Senior Vice President | 050.00 | 252197 | 0 | 148831 | X | ||
| Donna Littlepage | |||||||
| Vice President | 050.00 | 228951 | 0 | 66902 | X | ||
| Janet Lester | |||||||
| Project Consultant | 050.00 | 223471 | 0 | 313118 | X | ||
| John Webster | |||||||
| Vice President | 050.00 | 204570 | 0 | 91679 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5195758 | TotalReportableCompFromOrg |
| Total Other Compensation | 2842724 | TotalOtherCompensation |
| Number Individuals GT100 K | 56 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Skanska US Building Inc | |||||
| PO Box 17167 | WinstonSalem | NC | 271167167 | Construction contractor | 20566594 |
| Air Methods Corporation | |||||
| PO Box 676592 | Dallas | TX | 752676592 | Medical helicopter services | 3875935 |
| Epic Systems Corporation | |||||
| 1979 Milky Way | Verona | WI | 53593 | Software maintenance and consulting | 3089783 |
| Deloitte Consulting LLP | |||||
| 285 Peachtree Center Ave | Atlanta | GA | 303031234 | Consulting services | 16246641 |
| Microsoft Corporation | |||||
| 1950 N Stemmons Fwy Ste 5010 | Dallas | TX | 75207 | Software Maintenance | 1376565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 68 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Unrelated Business Income | 561000 | 7486475 | 7486475 | |
| Management Fees | 900099 | 149653834 | 149653834 | |
| Net Patient Revenues | 900099 | 9813271 | 9813271 | |
| Carilion Patient Transportation Services | 900099 | 18574026 | 18574026 | |
| Program-Related Investments | 900099 | 223047 | 223047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 185750653 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1389833 | TotalRevenueColumn |
| Exclusion | $1,389,833 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 297638 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 297638 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 297638 | TotalRevenueColumn |
| Exclusion | $297,638 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1232971 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1152767 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 80204 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80204 | TotalRevenueColumn |
| Exclusion | $80,204 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | -1080 | GrossSalesOfInventory |
| Cost Of Goods Sold | 1131 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2211 | TotalRevenueColumn |
| Exclusion | -$2,211 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Other Revenue | 900099 | 1124273 | $1,124,273 | |
| Miscellaneous | 900099 | 369212 | $369,212 | |
| Purchase Discounts | 900099 | 82949 | 82949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1576434 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 189092551 | TotalRevenueColumn |
| Related Or Exempt Function Income | 178347127 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7486475 | UnrelatedBusinessRevenue |
| Exclusion | $3,258,949 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332748 | Total |
| Program Services | 332748 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10060151 | Total |
| Program Services | 10060151 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74220959 | Total |
| Program Services | 68644052 | ProgramServices |
| Management And General | 5576907 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5760823 | Total |
| Program Services | 5760823 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12054236 | Total |
| Program Services | 11346788 | ProgramServices |
| Management And General | 707448 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5593837 | Total |
| Program Services | 5575880 | ProgramServices |
| Management And General | 17957 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183486 | Total |
| Management And General | 183486 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 722564 | Total |
| Management And General | 722564 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 576894 | Total |
| Management And General | 576894 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54752 | Total |
| Program Services | 54752 | ProgramServices |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2306 | Total |
| Management And General | 2306 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24594052 | Total |
| Program Services | 24496894 | ProgramServices |
| Management And General | 97158 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2093147 | Total |
| Program Services | 2093147 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9460675 | Total |
| Program Services | 9362900 | ProgramServices |
| Management And General | 97775 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9987769 | Total |
| Program Services | 9987769 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6178219 | Total |
| Program Services | 6178219 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670904 | Total |
| Program Services | 642666 | ProgramServices |
| Management And General | 28238 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -9197 | Total |
| Program Services | -9197 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20219975 | Total |
| Program Services | 20219975 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2566301 | Total |
| Program Services | 1766301 | ProgramServices |
| Management And General | 800000 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 488100 | 488100 | |
| Education | 1076501 | 1075532 | 969 |
| Recruitment | 636463 | 636463 | |
| Dues Subscriptions | 425369 | 288660 | 136709 |
| Business Fees | 593184 | 591541 | 1643 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77996 | Total |
| Program Services | -27512 | ProgramServices |
| Management And General | 105508 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188622214 | Total |
| Program Services | 179566652 | ProgramServices |
| Management And General | 9055562 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5163 | BOY |
| EOY | 4188 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173224026 | BOY |
| EOY | 181513711 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10934756 | BOY |
| EOY | 10171490 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1887708 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17151963 | BOY |
| EOY | 31494925 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3599134 | BOY |
| EOY | 3529635 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15072283 | BOY |
| EOY | 5665695 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 142277049 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 115346892 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83402918 | BOY |
| EOY | 26930157 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459970 | BOY |
| EOY | 794419 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170932985 | BOY |
| EOY | 190187709 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1147025 | BOY |
| EOY | 754324 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 475930223 | BOY |
| EOY | 452933961 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84303638 | BOY |
| EOY | 95645057 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1875708 | BOY |
| EOY | 1875708 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86179346 | BOY |
| EOY | 97520765 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389750877 | BOY |
| EOY | 355413196 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389750877 | BOY |
| EOY | 355413196 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 475930223 | BOY |
| EOY | 452933961 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 470337 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -34808018 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (7 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| Bedford Memorial Hospital | |||
| 540566100 | 3 | false | $0 |
| Carilion Franklin Memorial Hospital | |||
| 540480606 | 3 | false | $0 |
| Carilion Giles Community Hospital | |||
| 540549603 | 3 | false | $0 |
| Carilion Medical Center | |||
| 540506332 | 3 | true | $23,525,000 |
| Carilion New River Valley Medical Center | |||
| 540553805 | 3 | false | $0 |
| Carilion Stonewall Jackson Hospital | |||
| 540568001 | 3 | false | $0 |
| Carilion Tazewell Community Hospital | |||
| 546074580 | 3 | false | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 7 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 23525000 | SumOfAmounts |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $54,752 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 54752 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | false | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2301409 | OtherCostOrOtherBasis |
| Book Value | 2301409 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13190033 | OtherCostOrOtherBasis |
| Depreciation | 7979019 | Depreciation |
| Book Value | 5211014 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 89627 | OtherCostOrOtherBasis |
| Depreciation | 76583 | Depreciation |
| Book Value | 13044 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 123759769 | OtherCostOrOtherBasis |
| Depreciation | 106908343 | Depreciation |
| Book Value | 16851426 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2936211 | OtherCostOrOtherBasis |
| Depreciation | 382947 | Depreciation |
| Book Value | 2553264 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26930157 | TotalOfBookValueLandBuildings |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 190187709 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 190187709 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription |
|---|
| Qualified Pension Liability |
| Nonqualified Pension Liability |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | X | Identifier |
| Return Reference | 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, 2011 and 2010. 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 | true | RecordsMaintained |
Recipient Table RecipientTable (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BOYS & GIRLS CLUBS OF SOUTHWEST VIRGINIA | |||||||
| 1714 9TH ST SE | ROANOKE | VA | 24013 | 541867366 | 501c3 | 18000 | General Support |
| JUNIOR ACHIEVEMENT OF SOUTHWEST VIRGINIA | |||||||
| 3433 BRAMBLETON AVE SW STE 202B | ROANOKE | VA | 24018 | 540628293 | 501c3 | 5800 | General Support |
| VIRGINIA WESTERN COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC | |||||||
| PO BOX 14007 | ROANOKE | VA | 24038 | 521200913 | 501c3 | 10000 | College Access |
| STATE OF VIRGINIA | |||||||
| PO BOX 1971 | RICHMOND | VA | 23218 | 546116277 | 501c3 | 10000 | VA Tornado Relief |
| MARCH OF DIMES GREATER BLUE RIDGE DIVISION | |||||||
| 2840 ELECTRIC RD STE 102A | ROANOKE | VA | 24018 | 131846366 | 501c3 | 11500 | General Support |
| SMITH MOUNTAIN LAKE REGIONAL CHAMBER OF COMMERCE | |||||||
| 16430 BOOKER T WASHINGTON HWY 2 | MONETA | VA | 24121 | 541654288 | 501c6 | 6250 | General Support |
| TOWN OF ROCKY MOUNT | |||||||
| 345 DONALD AVE | ROCKY MOUNT | VA | 24151 | 546001585 | 501c3 | 5000 | Lights for Life |
| SUSAN B KOMEN FOR THE CURE GREATER ROANOKE VALLEY | |||||||
| 4910 VALLEY VIEW BLVD STE 212 | ROANOKE | VA | 24012 | 562619425 | 501c3 | 10000 | General Support |
| PATHFINDERS FOR GREENWAYS INC | |||||||
| PO BOX 8553 | ROANOKE | VA | 24014 | 541860804 | 501c3 | 5000 | General Support |
| JEFFERSON CENTER FOUNDATION LTD | |||||||
| 541 LUCK AVE SW | ROANOKE | VA | 24016 | 621392982 | 501c3 | 15000 | General Support |
| ROANOKE VALLEY ACADEMY OF MEDICINE ALLIANCE FOUNDATION | |||||||
| PO BOX 8602 | ROANOKE | VA | 24014 | 510218435 | 501c3 | 5000 | General Support |
| AMERICAN CANCER SOCIETY | |||||||
| 2840 ELECTRIC RD 106A | ROANOKE | VA | 24018 | 580659875 | 501c3 | 13500 | General Support |
| YMCA OF ROANOKE VALLEY INC | |||||||
| 520 CHURCH AVE SW | ROANOKE | VA | 24016 | 540515736 | 501c3 | 8333 | General Support |
| THE RESCUE MISSION OF ROANOKE INC | |||||||
| PO BOX 11525 | ROANOKE | VA | 24022 | 540573900 | 501c3 | 5500 | General Support |
| AMERICAN HEART ASSOCIATION | |||||||
| 4217 PARK PLACE CT | GLEN ALLEN | VA | 23060 | 135613797 | 501c3 | 10000 | General Support |
| SENIORNAVIGATOR | |||||||
| 7501 BOULDER VIEW DR 201 | RICHMOND | VA | 23225 | 541977334 | 501c3 | 8000 | General Support |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY BLUE RIDGE CHAPTER | |||||||
| ONE MORTON DR STE 106 | CHARLOTTESVILLE | VA | 22903 | 540834654 | 501c3 | 7500 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 16 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | 2 | ReturnReference |
| Explanation | The Hospital also donates funds to other 501c3 charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|
| Nancy Agee | ||||||
| 436800 | 21491 | 50114 | 386089 | 13020 | 907514 | 50278 |
| Edward Murphy MD | ||||||
| 890000 | 297223 | 100855 | 618095 | 62771 | 1968944 | 297392 |
| Donald Lorton | ||||||
| 436800 | 21491 | 62760 | 316614 | 16236 | 853901 | 61212 |
| Melina Perdue | ||||||
| 244617 | 11787 | 5790 | 85628 | 10455 | 358277 | |
| Briggs Andrews | ||||||
| 301600 | 14812 | 17594 | 195902 | 11395 | 541303 | |
| Rayburn Thompson | ||||||
| 164672 | 51116 | 87627 | 8664 | 312079 | 51800 | |
| Hugh Thornhill | ||||||
| 97212 | 16159 | 85412 | 8536 | 207319 | ||
| Mark Werner MD | ||||||
| 439300 | 21491 | 57578 | 136230 | 18304 | 672903 | 54246 |
| G Robert Vaughan | ||||||
| 186563 | 9132 | 6377 | 28287 | 16849 | 247208 | |
| Kay Hix | ||||||
| 214317 | 30384 | 7585 | 91151 | 7423 | 350860 | |
| Curtis Mills | ||||||
| 225563 | 11078 | 15556 | 137095 | 11736 | 401028 | 14447 |
| Donna Littlepage | ||||||
| 214897 | 10611 | 3443 | 59602 | 7300 | 295853 | |
| Janet Lester | ||||||
| 223471 | 312001 | 1117 | 536589 | |||
| John Webster | ||||||
| 190519 | 9357 | 4694 | 75100 | 16579 | 296249 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| I | 7 | The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures. |
| I | 4b | Edward Murphy MD - 273,199, Nancy Agee -192,697, Briggs Andrews - 60,550, Donald Lorton - 131,084, Mark Werner - 41,081, Rayburn Thompson - 29,648, Hugh Thornhill - 14,788 and Curtis Mills - 189. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (12 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Nancy Howell Agee | ||||||
| Split-dollar insurance premium | X | $7,875 | 160582 | false | true | true |
| Briggs Andrews | ||||||
| Split-dollar insurance premium | X | $6,220 | 132429 | false | true | true |
| Briggs Andrews | ||||||
| Split-dollar insurance premium | X | $2,550 | 120462 | false | true | true |
| Keith K Hunt | ||||||
| Split-dollar insurance premium | X | $19,200 | 397183 | false | true | true |
| Donald E Lorton | ||||||
| Split-dollar insurance premium | X | $6,200 | 277900 | false | true | true |
| Curtis Mills | ||||||
| Split-dollar insurance premium | X | $2,300 | 45300 | false | true | true |
| Curtis Mills | ||||||
| Split-dollar insurance premium | X | $3,000 | 120281 | false | true | true |
| Edward G Murphy | ||||||
| Split-dollar insurance premium | X | $17,025 | 404771 | false | true | true |
| Lucas A Snipes | ||||||
| Split-dollar insurance premium | X | $2,100 | 41466 | false | true | true |
| Lucas A Snipes | ||||||
| Split-dollar insurance premium | X | $625 | 80386 | false | true | true |
| Rayburn Thompson | ||||||
| Split-dollar insurance premium | X | 21253 | false | true | true | |
| Rayburn Thompson | ||||||
| Split-dollar insurance premium | X | 85696 | false | true | true | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 1887709 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 0 | ||
| 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 | 11b |
| 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 | 12c |
| 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 | 12c Contd. |
| 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 2010. A similar review was last performed in October 2011. | Form 990 Part VI | 15a and 15b |
| 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 | 15a and 15b Contd. |
| In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. | Form 990 Part VI | 15a and 15b Contd. |
| 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 | 6 |
| The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. | Form 990 Part VI | 19 |
| 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 | 7a |
| 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 | 7b |
| 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 I | 1 |
| 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 47,642 patients and providing 221,386 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. | Form 990 Part III | 4a |
| 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 85.6 million. | Form 990 Part III | 4a Contd. |
| 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 Contd. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 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 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b Contd. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 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 C Line 19 The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 Part VI Section A Line 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 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 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 47,642 patients and providing 221,386 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 Contd. 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 85.6 million. Form 990 Part XI Line 5 Decreased for transfer of property and equipment to related organizations of 43,861,525 decrease for pension related changes of 14,098,243 decrease for unrealized losses on investments of 54,833 increase for transfer of cash from related organization of 23,202,000 increase for FAS 158 adjustment related to 2010 of 4,583 net change of 34,808,018. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Carilion Clinic Medicare Resources LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 263729975 | Medicare HMO | VA | 4286023 | 14745645 | N/A |
| Carilion Clinic Patient Transportation Services LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541864693 | Transportation | VA | 18553571 | 8766026 | N/A |
| Carilion Professional Services LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 542030773 | CRNAs | VA | 9794739 | 329402 | N/A |
| Blue Ridge Indeminity Company LLC | |||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 270927175 | Insurance | VT | 8308424 | 24045288 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Hugh Trout Memorial Foundation | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 510236357 | Supporting organization | VA | 501c3 | 3 | N/A | false |
| Carilion Clinic | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190771 | Supporting organization | VA | 501c3 | 11 Type I | N/A | false |
| Carilion Clinic Foundation | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190773 | Supporting organization | VA | 501c3 | 11 Type I | N/A | false |
| Carilion Franklin Memorial Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540480606 | Healthcare | VA | 501c3 | 3 | N/A | false |
| Carilion Giles Community Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540549603 | Healthcare | VA | 501c3 | 3 | N/A | false |
| Carilion Medical Center | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540506332 | Healthcare | VA | 501c3 | 3 | N/A | false |
| Carilion New River Valley Medical Center | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540553805 | Healthcare | VA | 501c3 | 3 | N/A | false |
| Carilion Stonewall Jackson Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540568001 | Healthcare | VA | 501c3 | 3 | N/A | false |
| Carilion Tazewell Community Hospital | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 546074580 | Healthcare | VA | 501c3 | 3 | N/A | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHS Inc and Subsidiaries | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 12385 | AddressLine1 |
| City | Roanoke | City |
| State | VA | State |
| ZIP Code | 24025 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541725732 | EIN |
| Primary Activity | Services | PrimaryActivity |
| Legal Domicile State | VA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C Corp | TypeOfEntity |
| Share Of Total Income | 109635780 | ShareOfTotalIncome |
| Share Of EOY Assets | 227391964 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CHS Inc and Subsidiaries | ||
| a | 194076 | Market rates |
| CHS Inc and Subsidiaries | ||
| j | 690539 | Market rates |
| CHS Inc and Subsidiaries | ||
| k | 12751738 | Cost |
| CHS Inc and Subsidiaries | ||
| l | 484851 | Cost |
| CHS Inc and Subsidiaries | ||
| q | 17315000 | Cash |