2023-08-15T13:33:33+00:00 2022-09-30 440160260 FORVIS LLP 1201 WALNUT ST SUITE 1700 KANSAS CITY MO 641062246 990 2021-10-01 541190879 Carilion Services Inc CARI 5402245102 PO BOX 12385 Roanoke VA 240252385 G ROBERT VAUGHAN JR TREASURER 5402245102 2023-08-15 true G ROBERT VAUGHAN JR 999009999 MIKE ENGLE P00482834 8162216300 2021 2023-04-26 12:10:37Z NANCY HOWELL AGEE PO BOX 12385 Roanoke VA 240252385 470710673 false X WWW.CARILIONCLINIC.ORG X 1982 VA Our 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. 4 0 2082 0 5596 119 47300 439878 326278657 372552991 11595276 5176597 1495474 1578055 339416707 379747521 0 0 207057869 222978336 0 0 127083255 154116907 334141124 377095243 5275583 2652278 929594621 995517464 219864261 170721258 709730360 824796206 Our 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. false false 354676060 374131046 See Schedule O. 354676060 true true false true false false false false false true true true false true false false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true 569 0 true 2082 true true true false false false false false false false false false true false X 4 0 true false false false true true true true false false false true true true true true true true true false X THE CORPORATION ATTN H KIRK 5402245102 213 S JEFFERSON ST ROANOKE VA 24011 Donald Halliwill Director/Asst. Treasurer 42.5 7.5 X X 1027399 0 266876 G Robert Vaughan Jr Director/Treasurer/SVP 44.5 5.5 X X 415087 0 180417 Nancy Howell Agee Director/President 29.0 21.0 X X 2498861 0 158310 Jeanne Armentrout Director 46.0 4.0 X 1014076 0 145790 David Hagadorn Asst. Treasurer 46.5 3.5 X 154286 0 66243 Nicholas Conte Secretary 34.0 16.0 X 799125 0 197025 Jonathan Tracy Vice President 50.0 0 X 300206 0 35929 Paul Hudgins Senior Vice President/CHRO 50.0 0 X 510529 0 125850 R Keith Perry Senior Vice President/CIO 50.0 0 X 519117 0 120744 Donna Littlepage Senior Vice President 50.0 0 X 423295 0 216272 Nathaniel Bishop DMin Senior Vice President 24.4 25.6 X 450718 0 99264 Patrice Weiss MD Executive Vice President 0.0 50.0 X 1048229 9075 248613 Stephen Morgan MD Senior Vice President/CMIO 50.0 0 X 521454 0 201871 Steven Arner Executive Vice President 0.0 50.0 X 1100977 0 280265 10783359 9075 2343469 211 false true false NORDIC CONSULTING PARTNERS INC 2601 W BELTINE HIGHWAY SUITE 600 MADISON WI 53715 CONSULTING SERVICES 4941923 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE SERVICES 4636764 FIRSTSOURCE SOLUTIONS USA LLC 10400 LINN STATION ROAD SUITE 100 LOUISVILLE KY 40223 SOFTWARE SERVICES 4449718 MAINLINE INFORMATION SYSTEMS 1700 SUMMIT LAKE DRIVE TALLAHASSEE FL 32317 SOFTWARE SERVICES 4310538 SIRIUS COMPUTER SOLUTIONS INC 804 GREEN VALLEY ROAD GREENSBORO NC 27408 SOFTWARE SERVICES 3407193 123 396300 43578 439878 Net Patient Revenue 622110 15799147 15799147 Carilion Patient Transportation 621910 10934015 10934015 Management Fees 561110 338993337 338993337 Affiliate Insurance Premium Revenue 525100 6788767 6788767 Research Income 541715 37725 37725 0 0 0 0 372552991 728343 5596 722747 0 0 95380271 31134 90963152 4417119 31134 4448254 4448254 Purchase Discounts 900099 630559 630559 Health Analytics Research 900099 176091 176091 HIM Operations 900099 180300 180300 591105 591105 0 0 1578055 379747521 374131046 5596 5171001 X 8744803 2172529 6572274 314394 314394 167516346 167248783 267563 14595265 14571953 23312 20511277 19166306 1344971 11296251 10893859 402392 1546261 1546261 1066893 1066893 532526 532526 81771 81771 906012 906012 51078528 50150010 928518 0 2469383 2469337 46 11331837 10601885 729952 44897438 44799176 98262 13406028 8659237 4746791 583260 490149 93111 175576 175576 12668066 12668066 3670254 1746511 1923743 Dues Subscriptions 2833871 1713524 1120347 Recruitment 2424719 2423990 729 Medical Supplies 891907 891014 893 Education Training 1188579 1180973 7606 2363998 2257017 106981 0 377095243 354676060 22419183 0 3420 3420 175813514 107757420 2554502 2315467 0 0 0 0 11739353 7583989 18223251 22047961 214873283 181660875 33246838 33212408 100384579 109833728 29391964 67995962 544246485 608170024 13990715 36597085 929594621 995517464 89243065 108292180 91463 91000 3736470 763992 0 0 126793263 61574086 219864261 170721258 709730360 824796206 709730360 824796206 929594621 995517464 X 2652278 -21713488 134127056 X false true X true true true X X 7 CARILION MEDICAL CENTER 540506332 3 true 0 220419812 CARILION NEW RIVER VALLEY MEDICAL CENTER 540553805 3 true 0 42645199 CARILION GILES COMMUNITY HOSPITAL 540549603 3 true 0 8749777 CARILION FRANKLIN MEMORIAL HOSPITAL 540480606 3 true 0 9814116 CARILION ROCKBRIDGE COMMUNITY HOSPITAL 540568001 3 true 0 9231844 CARILION TAZEWELL COMMUNITY HOSPITAL 546074580 3 true 0 3809726 CARILION CLINIC FOUNDATION 541190773 7 true 0 0 7 0 294670474 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 12g Description of Support Carilion 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 detail The 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 78974 false true 2797 81771 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A 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. 2788825 2788825 7191513 6629047 562466 123054 112882 10172 198745383 174492438 24252945 6024508 426508 5598000 33212408 Investments Investments in Affiliates Interest Investment Minority Alternative Investments 67995962 F Commingled Funds 67995962 Investments in Affiliates 608170024 C 608170024 Pension Liability 10388094 BRIC Claims Payable 32798199 Deferred Compensation Payable 10504294 Due to Affiliates 7143078 Lease Liability 740421 61574086 X X false true false true false false false false false true false Nancy Howell Agee Director/President 1469225 0 788983 0 240653 0 145721 0 12589 0 2657171 0 0 0 Donald Halliwill Director/Asst. Treasurer 628026 0 276629 0 122744 0 249075 0 17801 0 1294275 0 118313 0 G Robert Vaughan Jr Director/Treasurer/SVP 291047 0 98416 0 25624 0 161498 0 18919 0 595504 0 21586 0 Jeanne Armentrout Director 633478 0 274404 0 106194 0 137492 0 8298 0 1159866 0 96266 0 Nicholas Conte Secretary 552419 0 240712 0 5994 0 182985 0 14040 0 996150 0 0 0 David Hagadorn Asst. Treasurer 144952 0 3120 0 6214 0 60261 0 5982 0 220529 0 0 0 Paul Hudgins Senior Vice President/CHRO 375009 0 127638 0 7882 0 113129 0 12721 0 636379 0 0 0 R Keith Perry Senior Vice President/CIO 386491 0 126681 0 5945 0 112651 0 8093 0 639861 0 0 0 Jonathan Tracy Vice President 228219 0 64288 0 7699 0 26403 0 9526 0 336135 0 0 0 Steven Arner Executive Vice President 710945 0 320483 0 69549 0 261164 0 19101 0 1381242 0 64231 0 Nathaniel Bishop DMin Senior Vice President 307164 0 97718 0 45836 0 96737 0 2527 0 549982 0 0 0 Donna Littlepage Senior Vice President 300551 0 99546 0 23198 0 202408 0 13864 0 639567 0 16354 0 Stephen Morgan MD Senior Vice President/CMIO 368665 0 124879 0 27910 0 186404 0 15467 0 723325 0 18574 0 Patrice Weiss MD Executive Vice President 637518 9075 278012 0 132699 0 228029 0 20584 0 1296842 9075 125067 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments EMPLOYEES 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 fees Directors 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 expenses Provision 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 compensation The 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 plan Ms. 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 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. Jessica Lemons Family Member of Jeanne Armentrout, Director 99975 Employee false David Danco Family member of G. Robert Vaughan, Officer 214419 Employee false Form 990, Part III, Line 4a Program Service Accomplishments Carilion 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 Positions Management 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 persons Nancy 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 stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, 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 body The filing organization has no committees. Form 990, Part VI, Line 11b Review of form 990 by governing body The 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 policy Our 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 official The 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 employees See response to line 15A. Form 990, Part VI, Line 19 Required documents available to the public The 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 Revenue Other 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 Fees Physician/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 balances Pension-related changes other than net periodic pension costs - 59215690; Transfers to/from Affiliates - Net - 74911366; BLUE RIDGE INDEMNITY COMPANY LLC 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 270927178 INSURANCE VT -2761345 70992684 CARILION SERVICES INC CARILION CLINIC PATIENT TRANSPORTATION LLC PO BOX 12385 ROANOKE VA 24025 541864693 TRANSPORTATION VA 10839555 3323382 CARILION SERVICES INC CARILION PROFESSIONAL SERVICES LLC PO BOX 12385 ROANOKE VA 24025 542030773 CRNAS VA 15569215 222180 CARILION SERVICES INC CARILION CLINIC PO BOX 12385 ROANOKE VA 24025 541190771 SUPPORTING ORGANIZATION VA 501(c)(3) Type II NA false CARILION CLINIC FOUNDATION PO BOX 12385 ROANOKE VA 24025 541190773 FUNDRAISING VA 501(c)(3) 7 CARILION CLINIC true CARILION FRANKLIN MEMORIAL HOSPITAL PO BOX 12385 ROANOKE VA 24025 540480606 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION GILES COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 540549603 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540506332 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION NEW RIVER VALLEY MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540553805 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION ROCKBRIDGE COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 540568001 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION TAZEWELL COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 546074580 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true FRANKLIN COUNTY VENTURES LLC PO BOX 12385 ROANOKE VA 24025 474365316 REAL ESTATE VA NA N/A CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC PO BOX 12385 ROANOKE VA 24025 455235473 MEDICARE ACO VA NA N/A RAVEN ASSET-BASED OPPORTUNITY FUND IV LP 75 Spring St 6th FL New York NY 10012 824119491 Investments DE NA N/A SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC 1102 Jefferson Street SE Roanoke VA 24016 010691570 REAL ESTATE VA NA N/A STARWOOD VEP II CO-INVEST LLC 591 W Putnam Avenue Greenwich CT 06830 833262407 INVESTMENTS DE NA N/A TI PLATFORM CC SMA LP 255 Kansas Street Suite 300 San Francisco CA 94103 842852539 INVESTMENTS DE NA N/A ROANOKE AMBULATORY SURGERY CENTER LLC 1102 JEFFERSON ST SE ROANOKE VA 24016 010691564 SURGERY CENTER VA NA N/A TI FBV GR LP 255 Kansas Street Suite 300 San Francisco CA 94103 862597246 INVESTMENTS DE NA N/A TI Platform DCI SPV LP 800 Town and Country Suite 500 Houston TX 77024 871897835 INVESTMENTS DE NA N/A CHS INC PO BOX 12385 ROANOKE VA 24025 541725732 SERVICES VA CARILION SERVICES INC C Corporation 61927850 779583249 1 true CARILION BEHAVIORAL HEALTH INC PO BOX 12385 ROANOKE VA 24025 203136891 HEALTHCARE VA CHS INC C Corporation 808941 146736 1 true CARILION EMERGENCY SERVICES INC PO BOX 12385 ROANOKE VA 24025 542033006 HEALTHCARE VA CHS INC C Corporation 13578466 5041952 1 true SCA CREDIT SERVICES INC PO BOX 12385 ROANOKE VA 24025 541180398 COLLECTION AGENCY VA CHS INC C Corporation 2702946 484508 1 true CARILION HEALTHCARE CORPORATION PO BOX 12385 ROANOKE VA 24025 541586601 HEALTHCARE VA CHS INC C Corporation 157114744 56100528 1 true MEDKEY INC PO BOX 12385 ROANOKE VA 24025 541645357 FINANCING SERVICES VA CHS INC C Corporation 773885 237936 1 true SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP 981378742 INVESTMENTS CA NA C Corporation true BLACKMOOR OWNERSHIP HOLDINGS LIMITED INVESTMENTS CJ NA C Corporation true Doubleblue Argentina Consumer Finance Fund II LP 205 East 42nd St 20th FL New York NY 10017 INVESTMENTS CJ NA C Corporation true CARILION DTC SERVICES INC PO BOX 12385 ROANOKE VA 24025 872635239 HEALTHCARE VA CHS INC C Corporation 24603 13726 1 true false false true true false false false false false false true true true false true false false true true CARILION MEDICAL CENTER L 244096227 COST CARILION MEDICAL CENTER K 1122605 COST CARILION NEW RIVER VALLEY MEDICAL CENTER L 47612984 COST CARILION GILES COMMUNITY HOSPITAL L 11792373 COST CARILION FRANKLIN MEMORIAL HOSPITAL L 10701417 COST CARILION ROCKBRIDGE COMMUNITY HOSPITAL L 10757940 COST CARILION TAZEWELL COMMUNITY HOSPITAL L 3840709 COST CHS INC L 23347322 COST CARILION ROCKBRIDGE COMMUNITY HOSPITAL K 51997 COST CARILION CLINIC FOUNDATION M 1333301 COST CHS INC K 85417 MARKET RATES CHS INC M 159413 COST Carilion Medical Center S 101947021 Cash Carilion New River Valley Medical Center S 10130641 Cash Carilion Giles Community Hospital R 4758000 Cash Carilion Franklin Memorial Hospital R 2136381 Cash Carilion Rockbridge Community Hosptial R 1502000 Cash Carilion Clinic S 51230085 Cash CHS Inc R 40000000 Cash