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Nonprofiteer
← CARILION CLINIC FOUNDATION

Form 990 for tax year 2022

Filed by CARILION CLINIC FOUNDATION.

Totals

Total revenue
$7,219,421
Total expenses
$2,703,221
Contributions and grants received
$4,613,739
Grants paid
$1,044,261
Program service revenue
$1,302,760
Investment income
$1,289,126
Other revenue
$13,796
Total assets, end of year
$58,873,163
Total liabilities, end of year
$179,225
Net assets or fund balances, end of year
$58,693,938
Program services expenses (Part IX)
$1,433,941
Management and general expenses
$541,809
Fundraising expenses
$727,471
Program service expenses (Part III)
$1,433,941

Program services were 53.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Robert Bennett

    Director/Chair

    Total calculated
    $0
    Hours/week
    1

  • Abney Boxley III

    Director

    Total calculated
    $11,248
    From this org
    $0
    From related orgs
    $11,248
    Other
    $0
    Hours/week
    0.5 + 4.5 related

  • George Cartledge Jr

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • J David Wine

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • James Hall Jr

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • James Hartley

    Director

    Total calculated
    $23,000
    From this org
    $0
    From related orgs
    $23,000
    Other
    $0
    Hours/week
    0.5 + 8.2 related

  • Kimberly Blair

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Nancy Howell Agee

    Director/CEO, Carilion Clinic

    Total calculated
    $3,187,971
    From this org
    $0
    From related orgs
    $2,186,283
    Other
    $1,001,688
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,567,773 related
    Bonus
    $0 + $358,583 related
    Other
    $0 + $259,927 related
    Deferred
    $0 + $987,742 related
    Nontaxable benefits
    $0 + $13,946 related
    Filer's total
    $0 + $3,187,971 related

  • Sandra Lovinguth PhD

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Stephen Musselwhite

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Virginia Jarrett

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • William Kingery Jr

    Director

    Total calculated
    $11,825
    From this org
    $0
    From related orgs
    $11,825
    Other
    $0
    Hours/week
    0.5 + 4.9 related

  • Donald Halliwill

    Asst. Treasurer

    Total calculated
    $850,652
    From this org
    $0
    From related orgs
    $988,973
    Other
    -$138,321
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $745,723 related
    Bonus
    $0 + $125,641 related
    Other
    $0 + $117,609 related
    Deferred
    $0 + -$159,617 related
    Nontaxable benefits
    $0 + $21,296 related
    Filer's total
    $0 + $850,652 related

  • G Robert Vaughan Jr

    Treasurer

    Total calculated
    $155,807
    From this org
    $0
    From related orgs
    $409,821
    Other
    -$254,014
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,967 related
    Bonus
    $0 + $44,219 related
    Other
    $0 + $23,635 related
    Deferred
    $0 + -$275,310 related
    Nontaxable benefits
    $0 + $21,296 related
    Filer's total
    $0 + $155,807 related

  • Nicholas Conte

    Secretary

    Total calculated
    $901,704
    From this org
    $0
    From related orgs
    $817,822
    Other
    $83,882
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $642,289 related
    Bonus
    $0 + $107,354 related
    Other
    $0 + $68,179 related
    Deferred
    $0 + $68,334 related
    Nontaxable benefits
    $0 + $15,548 related
    Filer's total
    $0 + $901,704 related

  • Katherine Strickland

    Chief Development Officer

    Total calculated
    $140,418
    From this org
    $172,243
    From related orgs
    $0
    Other
    -$31,825
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $167,720
    Bonus
    $2,700
    Other
    $1,823
    Deferred
    -$38,536
    Nontaxable benefits
    $6,711
    Filer's total
    $140,418

  • Ralph Alee

    Vice President

    Total calculated
    $258,573
    From this org
    $241,831
    From related orgs
    $0
    Other
    $16,742
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $208,831
    Bonus
    $22,550
    Other
    $10,450
    Deferred
    $0
    Nontaxable benefits
    $16,742
    Filer's total
    $258,573

  • Taylor Adkins

    Director of Philanthropy

    Total calculated
    $147,061
    From this org
    $141,051
    From related orgs
    $0
    Other
    $6,010
    Hours/week
    50

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Mr. Conte, Mr. Halliwill, and Mr. Vaughan participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP). Contributions to the plan are at the discretion of Carilion Clinic's Compensation Committee. Amounts vest and become non-forfeitable and payable upon the first of the following (1) attainment of scheduled vesting date (2) attainment of age and years of service requirements (3) disability or death while an eligible employee or (4) entitlement to severance benefits from an involuntary termination without reasonable cause or resignation with good reason. Unvested contributions made to the DC SERP in the reporting period are included in Part II, Column C of this schedule with "retirement and other deferred compensation," while vested contributions paid out during the year are included in Part II, Column B(iii). The following distributions were made to these individuals under this plan in the reporting year. Deferred in prior year and paid out in current year: $60,115 - Nicholas Conte $113,415 - Donald Halliwill $19,258 - G. Robert Vaughan, Jr. Ms. Agee participates in an Executive Flexible Benefit Plan, under which she receives an allowance which can be used to obtain certain benefits, with the excess deferred until the applicable vesting date. Amounts now received under this plan vest immediately and thus are no longer deferred. $245,365 was distributed under this plan in the reporting year.
Schedule J, Part I, Line 7 Non-fixed payments
THE ORGANIZATION PAYS ANNUAL "AT-RISK" COMPENSATION TO CERTAIN MEMBERS OF MANAGEMENT BASED ON PERFORMANCE OF AN APPLICABLE SCORECARD. WHILE THE SCORECARD CONTAINS A FORMULA AS A BASIS FOR DETERMINING OVERALL PERFORMANCE, IN CERTAIN CASES, SENIOR MANAGERS HAVE DISCRETION TO INCLUDE ADDITIONAL ELEMENTS IN THEIR ASSESSMENT OF MANAGERS REPORTING TO THEM. IN ADDITION, FOR TOP MANAGEMENT, THE ACTUAL NON-FIXED PAYMENT AWARDED IS IN THE DISCRETION OF THE CARILION CLINIC BOARD OF DIRECTORS AND ITS COMPENSATION COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • HARWICK REAL ESTATE LLC

    REAL ESTATE · VA · income $3,000 · assets $187,356

    Directly controlled by Carilion Clinic Foundation

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
16 August 2024
IRS schema version
2022v5.0
Source object
202422289349304217

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