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CARILION SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202312279349301211
Schema version
2021v4.2
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)
Return2023-08-15T13:33:33+00:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 WALNUT ST SUITE 1700AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541190879EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carilion Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARIBusinessNameControlTxt
Phone5402245102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonG ROBERT VAUGHAN JRPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5402245102PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstG ROBERT VAUGHANPersonFirstNm
Person LastJRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1NANCY HOWELL AGEEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$470,710,673GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARILIONCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2082TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$5,596TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$119NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$47,300PYContributionsGrantsAmt
CY Contributions Grants$439,878CYContributionsGrantsAmt
PY Program Service Revenue$326,278,657PYProgramServiceRevenueAmt
CY Program Service Revenue$372,552,991CYProgramServiceRevenueAmt
PY Investment Income$11,595,276PYInvestmentIncomeAmt
CY Investment Income$5,176,597CYInvestmentIncomeAmt
PY Other Revenue$1,495,474PYOtherRevenueAmt
CY Other Revenue$1,578,055CYOtherRevenueAmt
PY Total Revenue$339,416,707PYTotalRevenueAmt
CY Total Revenue$379,747,521CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$207,057,869PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$222,978,336CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$127,083,255PYOtherExpensesAmt
CY Other Expenses$154,116,907CYOtherExpensesAmt
PY Total Expenses$334,141,124PYTotalExpensesAmt
CY Total Expenses$377,095,243CYTotalExpensesAmt
PY Revenues Less Expenses$5,275,583PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,652,278CYRevenuesLessExpensesAmt
Total Assets BOY$929,594,621TotalAssetsBOYAmt
Total Assets EOY$995,517,464TotalAssetsEOYAmt
Total Liabilities BOY$219,864,261TotalLiabilitiesBOYAmt
Total Liabilities EOY$170,721,258TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$709,730,360NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$824,796,206NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$354,676,060ExpenseAmt
Revenue$374,131,046RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$354,676,060TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document569IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2082EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CORPORATION ATTN H KIRKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 S JEFFERSON STAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Halliwill
Director/Asst. Treasurer42.57.5Yes (X)Yes (X)$1,027,399$0$266,876
G Robert Vaughan Jr
Director/Treasurer/SVP44.55.5Yes (X)Yes (X)$415,087$0$180,417
Nancy Howell Agee
Director/President29.021.0Yes (X)Yes (X)$2,498,861$0$158,310
Jeanne Armentrout
Director46.04.0Yes (X)$1,014,076$0$145,790
David Hagadorn
Asst. Treasurer46.53.5Yes (X)$154,286$0$66,243
Nicholas Conte
Secretary34.016.0Yes (X)$799,125$0$197,025
Jonathan Tracy
Vice President50.00$300,206$0$35,929Yes (X)
Paul Hudgins
Senior Vice President/CHRO50.00$510,529$0$125,850Yes (X)
R Keith Perry
Senior Vice President/CIO50.00$519,117$0$120,744Yes (X)
Donna Littlepage
Senior Vice President50.00$423,295$0$216,272Yes (X)
Nathaniel Bishop DMin
Senior Vice President24.425.6$450,718$0$99,264Yes (X)
Patrice Weiss MD
Executive Vice President0.050.0$1,048,229$9,075$248,613Yes (X)
Stephen Morgan MD
Senior Vice President/CMIO50.00$521,454$0$201,871Yes (X)
Steven Arner
Executive Vice President0.050.0$1,100,977$0$280,265Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,783,359TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,075TotReportableCompRltdOrgAmt
Total Other Compensation$2,343,469TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K211IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORDIC CONSULTING PARTNERS INC
2601 W BELTINE HIGHWAYSUITE 600MADISONWI53715CONSULTING SERVICES$4,941,923
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE SERVICES$4,636,764
FIRSTSOURCE SOLUTIONS USA LLC
10400 LINN STATION ROADSUITE 100LOUISVILLEKY40223SOFTWARE SERVICES$4,449,718
MAINLINE INFORMATION SYSTEMS
1700 SUMMIT LAKE DRIVETALLAHASSEEFL32317SOFTWARE SERVICES$4,310,538
SIRIUS COMPUTER SOLUTIONS INC
804 GREEN VALLEY ROADGREENSBORONC27408SOFTWARE SERVICES$3,407,193
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K123CntrctRcvdGreaterThan100KCnt
Government Grants$396,300GovernmentGrantsAmt
All Other Contributions$43,578AllOtherContributionsAmt
Total Contributions$439,878TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$15,799,147$15,799,147
Carilion Patient Transportation621910$10,934,015$10,934,015
Management Fees561110$338,993,337$338,993,337
Affiliate Insurance Premium Revenue525100$6,788,767$6,788,767
Research Income541715$37,725$37,725

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$372,552,991TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$728,343TotalRevenueColumnAmt
Unrelated Business Revenue$5,596UnrelatedBusinessRevenueAmt
Exclusion$722,747ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$95,380,271SecuritiesAmt
Other$31,134OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$90,963,152SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,417,119SecuritiesAmt
Other$31,134OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,448,254TotalRevenueColumnAmt
Exclusion$4,448,254ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$630,559$630,559
Health Analytics Research900099$176,091$176,091
HIM Operations900099$180,300$180,300

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$591,105TotalRevenueColumnAmt
Related Or Exempt Func Income$591,105RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,578,055OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379,747,521TotalRevenueColumnAmt
Related Or Exempt Func Income$374,131,046RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,596UnrelatedBusinessRevenueAmt
Exclusion$5,171,001ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,744,803TotalAmt
Program Services$2,172,529ProgramServicesAmt
Management And General$6,572,274ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$314,394TotalAmt
Program Services$314,394ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$167,516,346TotalAmt
Program Services$167,248,783ProgramServicesAmt
Management And General$267,563ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,595,265TotalAmt
Program Services$14,571,953ProgramServicesAmt
Management And General$23,312ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,511,277TotalAmt
Program Services$19,166,306ProgramServicesAmt
Management And General$1,344,971ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,296,251TotalAmt
Program Services$10,893,859ProgramServicesAmt
Management And General$402,392ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,546,261TotalAmt
Management And General$1,546,261ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,066,893TotalAmt
Management And General$1,066,893ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$532,526TotalAmt
Management And General$532,526ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$81,771TotalAmt
Program Services$81,771ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$906,012TotalAmt
Management And General$906,012ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,078,528TotalAmt
Program Services$50,150,010ProgramServicesAmt
Management And General$928,518ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,469,383TotalAmt
Program Services$2,469,337ProgramServicesAmt
Management And General$46ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,331,837TotalAmt
Program Services$10,601,885ProgramServicesAmt
Management And General$729,952ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,897,438TotalAmt
Program Services$44,799,176ProgramServicesAmt
Management And General$98,262ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,406,028TotalAmt
Program Services$8,659,237ProgramServicesAmt
Management And General$4,746,791ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$583,260TotalAmt
Program Services$490,149ProgramServicesAmt
Management And General$93,111ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$175,576TotalAmt
Program Services$175,576ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,668,066TotalAmt
Program Services$12,668,066ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,670,254TotalAmt
Program Services$1,746,511ProgramServicesAmt
Management And General$1,923,743ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues Subscriptions$2,833,871$1,713,524$1,120,347
Recruitment$2,424,719$2,423,990$729
Medical Supplies$891,907$891,014$893
Education Training$1,188,579$1,180,973$7,606

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,363,998TotalAmt
Program Services$2,257,017ProgramServicesAmt
Management And General$106,981ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$377,095,243TotalAmt
Program Services$354,676,060ProgramServicesAmt
Management And General$22,419,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,420BOYAmt
EOY$3,420EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$175,813,514BOYAmt
EOY$107,757,420EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,554,502BOYAmt
EOY$2,315,467EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,739,353BOYAmt
EOY$7,583,989EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,223,251BOYAmt
EOY$22,047,961EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$214,873,283LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$181,660,875LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,246,838BOYAmt
EOY$33,212,408EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$100,384,579BOYAmt
EOY$109,833,728EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,391,964BOYAmt
EOY$67,995,962EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$544,246,485BOYAmt
EOY$608,170,024EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,990,715BOYAmt
EOY$36,597,085EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$929,594,621BOYAmt
EOY$995,517,464EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$89,243,065BOYAmt
EOY$108,292,180EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$91,463BOYAmt
EOY$91,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,736,470BOYAmt
EOY$763,992EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,793,263BOYAmt
EOY$61,574,086EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$219,864,261BOYAmt
EOY$170,721,258EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$709,730,360BOYAmt
EOY$824,796,206EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$709,730,360BOYAmt
EOY$824,796,206EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$929,594,621BOYAmt
EOY$995,517,464EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,652,278ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$21,713,488NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$134,127,056OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CARILION MEDICAL CENTER
5405063323Yes (true)$0$220,419,812
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$42,645,199
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$8,749,777
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$9,814,116
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
5405680013Yes (true)$0$9,231,844
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$3,809,726
CARILION CLINIC FOUNDATION
5411907737Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$294,670,474OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g Description of SupportCarilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves by providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality. CSI supports Carilion Clinic's core hospital business and related activities by providing technology, human resources, legal services, patient billing, accounting and finance, internal audit and compliance, materials management, executive leadership, and strategic planning services.
Schedule A, Part IV, Section C, Line 1 Majority director detailThe filing organization is supervised or controlled in connection with its supported organizations consistent with the Type II supporting organization requirements because a majority of the officers or directors who control or manage the filing organization also serve as a majority of the officers or directors of its supported organizations. Therefore, the same people who control or manage the filing organization also control or manage its supported organizations. Further, the filing organization's bylaws require that a majority of its directors or officers, as the case may be, must be serving concurrently as directors or officers of at least one of the filing organization's supported organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$78,974DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,797OtherActivitiesAmt
Total Lobbying Expenditures$81,771TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA portion of dues paid to various healthcare industry associations is attributable to lobbying activities. Carilion employs an individual to monitor and inform management about legislative activity regarding health care. A portion of the individual's time is spent on lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,788,825OtherCostOrOtherBasisAmt
Book Value$2,788,825BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,191,513OtherCostOrOtherBasisAmt
Depreciation$6,629,047DepreciationAmt
Book Value$562,466BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$123,054OtherCostOrOtherBasisAmt
Depreciation$112,882DepreciationAmt
Book Value$10,172BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,745,383OtherCostOrOtherBasisAmt
Depreciation$174,492,438DepreciationAmt
Book Value$24,252,945BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,024,508OtherCostOrOtherBasisAmt
Depreciation$426,508DepreciationAmt
Book Value$5,598,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,212,408TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investments
Investments in Affiliates
Interest
Investment Minority
Alternative Investments$67,995,962F
Commingled Funds
FieldValueIRS element (for citing)
Total Book Value Securities$67,995,962TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestments in AffiliatesDesc
Book Value$608,170,024BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$608,170,024TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Pension Liability$10,388,094
BRIC Claims Payable$32,798,199
Deferred Compensation Payable$10,504,294
Due to Affiliates$7,143,078
Lease Liability$740,421
FieldValueIRS element (for citing)
Total Liability$61,574,086TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nancy Howell Agee
Director/President$1,469,225$0$788,983$0$240,653$0$145,721$0$12,589$0$2,657,171$0$0$0
Donald Halliwill
Director/Asst. Treasurer$628,026$0$276,629$0$122,744$0$249,075$0$17,801$0$1,294,275$0$118,313$0
G Robert Vaughan Jr
Director/Treasurer/SVP$291,047$0$98,416$0$25,624$0$161,498$0$18,919$0$595,504$0$21,586$0
Jeanne Armentrout
Director$633,478$0$274,404$0$106,194$0$137,492$0$8,298$0$1,159,866$0$96,266$0
Nicholas Conte
Secretary$552,419$0$240,712$0$5,994$0$182,985$0$14,040$0$996,150$0$0$0
David Hagadorn
Asst. Treasurer$144,952$0$3,120$0$6,214$0$60,261$0$5,982$0$220,529$0$0$0
Paul Hudgins
Senior Vice President/CHRO$375,009$0$127,638$0$7,882$0$113,129$0$12,721$0$636,379$0$0$0
R Keith Perry
Senior Vice President/CIO$386,491$0$126,681$0$5,945$0$112,651$0$8,093$0$639,861$0$0$0
Jonathan Tracy
Vice President$228,219$0$64,288$0$7,699$0$26,403$0$9,526$0$336,135$0$0$0
Steven Arner
Executive Vice President$710,945$0$320,483$0$69,549$0$261,164$0$19,101$0$1,381,242$0$64,231$0
Nathaniel Bishop DMin
Senior Vice President$307,164$0$97,718$0$45,836$0$96,737$0$2,527$0$549,982$0$0$0
Donna Littlepage
Senior Vice President$300,551$0$99,546$0$23,198$0$202,408$0$13,864$0$639,567$0$16,354$0
Stephen Morgan MD
Senior Vice President/CMIO$368,665$0$124,879$0$27,910$0$186,404$0$15,467$0$723,325$0$18,574$0
Patrice Weiss MD
Executive Vice President$637,518$9,075$278,012$0$132,699$0$228,029$0$20,584$0$1,296,842$9,075$125,067$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsEMPLOYEES ARE OCCASIONALLY PROVIDED SMALL GIFTS, PRIZES OR AWARDS WHICH MAY BE INCLUDED IN TAXABLE COMPENSATION AT AMOUNTS GROSSED UP FOR TAXES. DURING THE REPORTING PERIOD Dr. Weiss and Dr. Morgan RECEIVED SUCH BENEFIT.
Schedule J, Part I, Line 1a Health or social club dues or initiation feesDirectors of Carilion Clinic and its related hospital and foundation organizations are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. Mr. Arner received this benefit and the value was included in taxable compensation from the organization.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesProvision of the benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of independent Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a comparison of total compensation and each element thereof, including base salary, bonus, 'at-risk and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMs. Armentrout, Mr. Arner, Mr. Bishop, Mr. Conte, Mr. Halliwill, Mr. Hudgins, Ms. Littlepage, Dr. Morgan, Mr. Perry, Mr. Vaughan, and Dr. Weiss 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: $125,067 - Patrice Weiss $118,313 - Donald Halliwill $96,266 - Jeanne Armentrout $64,231 - Steven Arner $21,586 - G. Robert Vaughan, Jr. $18,574 - Stephen Morgan $16,354 - Donna Littlepage Vested and paid in current year: $38,100 - Nathaniel Bishop Ms. Agee participates in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. In prior years, the amount of allowance in excess of elected benefits was credited to a capital accumulation account (CAA) with various deferred vesting dates of at least two years from the first day of the plan year, distributable upon vesting while employed by a Carilion Clinic affiliate, death, disability, or 24 months following certain qualifying separations from service. Deferrals no longer occur under this plan. $229,385 was distributed under this plan in the reporting year.
Schedule J, Part I, Line 7 Non-fixed paymentsThe 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Jessica Lemons
Family Member of Jeanne Armentrout, Director$99,975Employeefalse
David Danco
Family member of G. Robert Vaughan, Officer$214,419Employeefalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service AccomplishmentsCarilion Services Inc., (CSI), provides management services and administrative functions for Carilion Clinic affiliates to enhance our core hospital and system business services for cost-effectiveness, compliance, and quality. CSI provides management leadership and oversight for information technology, human resources, legal services, patient billing, accounting and finance, internal audit, privacy and compliance, materials management, marketing communications, community health and outreach, market planning and development and overall wellness services. In addition, through its ownership of Carilion Clinic Patient Transportation, LLC, the organization staffs medical air transport helicopters which flew 1,762 patients and operates a ground service which provided 15,766 medical transports during the year. It also provides medical staffing to its supported affiliate hospitals through its Carilion Professional Services, LLC division. These measures assisted the Clinic's hospitals in admitting 41,446 patients and providing 242,605 days of care during the year and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, the Carilion Clinic hospitals collectively provided over $85 million in uncompensated care and other community benefits.
Form 990, Part IV, Line 11f Disclosure of Uncertain Tax PositionsManagement has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsNancy Howell Agee, Jeanne Armentrout, Nicholas Conte, David Hagadorn, Donald Halliwill, G. Robert Vaughan, Jr, and Paul Hudgins - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersThe 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, Line 7a Members or stockholders electing members of governing bodyThe 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, Line 7b Decisions requiring approval by members or stockholdersThe 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, among others. 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. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe filing organization has no committees.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments, as applicable, and reviewed by internal Accounting management and an independent CPA firm. Prior to filing, all Board Members were notified via email that the final Form 990 was posted on the organization's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have.
Form 990, Part VI, Line 12c Conflict of interest policyOur organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by the Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of independent Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, the Executive Vice Presidents (Chief Financial Officer, Chief Medical Officer, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for employed physicians. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for certain select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonus, 'at-risk and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee response to line 15A.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's governing documents, conflict of interest statement, and financial statements are released from time to time during the tax year upon request. The conflict of interest policy is included in our Code of Excellence which is available to the public on our website. The Articles of Incorporation are available from the Virginia State Corporation Commission. Limited financial information for the Carilion Clinic companies as a whole is available on the Carilion Clinic website.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenue - Total Revenue: 591105, Related or Exempt Function Revenue: 591105, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPhysician/Professional/Staffing Services - Total Expense: 3141301, Program Service Expense: 3141301, Management and General Expenses: , Fundraising Expenses: ; Billing Collection Services - Total Expense: 543702, Program Service Expense: , Management and General Expenses: 543702, Fundraising Expenses: ; Other Purchased Services - Total Expense: 2505826, Program Service Expense: 2489366, Management and General Expenses: 16460, Fundraising Expenses: ; Contract Fees/Consulting - Total Expense: 40313039, Program Service Expense: 39945023, Management and General Expenses: 368016, Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 4335195, Program Service Expense: 4334855, Management and General Expenses: 340, Fundraising Expenses: ; Reference Labs - Total Expense: 239465, Program Service Expense: 239465, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPension-related changes other than net periodic pension costs - 59215690; Transfers to/from Affiliates - Net - 74911366;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BLUE RIDGE INDEMNITY COMPANY LLC
76 ST PAUL STREETSUITE 500BURLINGTONVT05401270927178INSURANCEVT-$2,761,345$70,992,684CARILION SERVICES INC
CARILION CLINIC PATIENT TRANSPORTATION LLC
PO BOX 12385ROANOKEVA24025541864693TRANSPORTATIONVA$10,839,555$3,323,382CARILION SERVICES INC
CARILION PROFESSIONAL SERVICES LLC
PO BOX 12385ROANOKEVA24025542030773CRNASVA$15,569,215$222,180CARILION SERVICES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARILION CLINIC
PO BOX 12385ROANOKEVA24025541190771SUPPORTING ORGANIZATIONVA501(c)(3)Type IINAfalse
CARILION CLINIC FOUNDATION
PO BOX 12385ROANOKEVA24025541190773FUNDRAISINGVA501(c)(3)7CARILION CLINICYes (true)
CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385ROANOKEVA24025540480606HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION GILES COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025540549603HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540506332HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION NEW RIVER VALLEY MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540553805HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025540568001HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025546074580HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385ROANOKEVA24025474365316REAL ESTATEVANAN/A
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385ROANOKEVA24025455235473MEDICARE ACOVANAN/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
75 Spring St 6th FLNew YorkNY10012824119491InvestmentsDENAN/A
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 Jefferson Street SERoanokeVA24016010691570REAL ESTATEVANAN/A
STARWOOD VEP II CO-INVEST LLC
591 W Putnam AvenueGreenwichCT06830833262407INVESTMENTSDENAN/A
TI PLATFORM CC SMA LP
255 Kansas Street Suite 300San FranciscoCA94103842852539INVESTMENTSDENAN/A
ROANOKE AMBULATORY SURGERY CENTER LLC
1102 JEFFERSON ST SEROANOKEVA24016010691564SURGERY CENTERVANAN/A
TI FBV GR LP
255 Kansas Street Suite 300San FranciscoCA94103862597246INVESTMENTSDENAN/A
TI Platform DCI SPV LP
800 Town and Country Suite 500HoustonTX77024871897835INVESTMENTSDENAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHS INC
PO BOX 12385ROANOKEVA24025541725732SERVICESVACARILION SERVICES INCC Corporation$61,927,850$779,583,2491Yes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385ROANOKEVA24025203136891HEALTHCAREVACHS INCC Corporation$808,941$146,7361Yes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385ROANOKEVA24025542033006HEALTHCAREVACHS INCC Corporation$13,578,466$5,041,9521Yes (true)
SCA CREDIT SERVICES INC
PO BOX 12385ROANOKEVA24025541180398COLLECTION AGENCYVACHS INCC Corporation$2,702,946$484,5081Yes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385ROANOKEVA24025541586601HEALTHCAREVACHS INCC Corporation$157,114,744$56,100,5281Yes (true)
MEDKEY INC
PO BOX 12385ROANOKEVA24025541645357FINANCING SERVICESVACHS INCC Corporation$773,885$237,9361Yes (true)
SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP
981378742INVESTMENTSNAC CorporationYes (true)CA
BLACKMOOR OWNERSHIP HOLDINGS LIMITED
INVESTMENTSNAC CorporationYes (true)CJ
Doubleblue Argentina Consumer Finance Fund II LP
205 East 42nd St 20th FLNew YorkNY10017INVESTMENTSNAC CorporationYes (true)CJ
CARILION DTC SERVICES INC
PO BOX 12385ROANOKEVA24025872635239HEALTHCAREVACHS INCC Corporation$24,603$13,7261Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARILION MEDICAL CENTER
L$244,096,227COST
CARILION MEDICAL CENTER
K$1,122,605COST
CARILION NEW RIVER VALLEY MEDICAL CENTER
L$47,612,984COST
CARILION GILES COMMUNITY HOSPITAL
L$11,792,373COST
CARILION FRANKLIN MEMORIAL HOSPITAL
L$10,701,417COST
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
L$10,757,940COST
CARILION TAZEWELL COMMUNITY HOSPITAL
L$3,840,709COST
CHS INC
L$23,347,322COST
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
K$51,997COST
CARILION CLINIC FOUNDATION
M$1,333,301COST
CHS INC
K$85,417MARKET RATES
CHS INC
M$159,413COST
Carilion Medical Center
S$101,947,021Cash
Carilion New River Valley Medical Center
S$10,130,641Cash
Carilion Giles Community Hospital
R$4,758,000Cash
Carilion Franklin Memorial Hospital
R$2,136,381Cash
Carilion Rockbridge Community Hosptial
R$1,502,000Cash
Carilion Clinic
S$51,230,085Cash
CHS Inc
R$40,000,000Cash