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CARILION CLINIC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CARILION CLINIC (EIN 54-1190771)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202332279349301868
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)
Return2023-08-15T15:30:15+00:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541190771EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carilion ClinicBusinessNameLine1Txt
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 PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstG ROBERT VAUGHANPersonFirstNm
Person LastJRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
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$46,909,170GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARILIONCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$482,542TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$309,018NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$220,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$37,582,267PYProgramServiceRevenueAmt
CY Program Service Revenue$40,103,652CYProgramServiceRevenueAmt
PY Investment Income$22,813PYInvestmentIncomeAmt
CY Investment Income$1,302,695CYInvestmentIncomeAmt
PY Other Revenue$1,613,701PYOtherRevenueAmt
CY Other Revenue$1,938,411CYOtherRevenueAmt
PY Total Revenue$39,438,781PYTotalRevenueAmt
CY Total Revenue$43,344,758CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$180,611PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$162,295CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,535,878PYOtherExpensesAmt
CY Other Expenses$36,207,562CYOtherExpensesAmt
PY Total Expenses$33,716,489PYTotalExpensesAmt
CY Total Expenses$36,369,857CYTotalExpensesAmt
PY Revenues Less Expenses$5,722,292PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,974,901CYRevenuesLessExpensesAmt
Total Assets BOY$281,656,126TotalAssetsBOYAmt
Total Assets EOY$277,918,782TotalAssetsEOYAmt
Total Liabilities BOY$186,176,542TotalLiabilitiesBOYAmt
Total Liabilities EOY$171,111,101TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$95,479,584NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$106,807,681NetAssetsOrFundBalancesEOYAmt
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$33,710,777ExpenseAmt
Revenue$39,652,481RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$33,710,777TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
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 BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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 PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
James Hartley
Director/Chair7.01.7Yes (X)Yes (X)$22,875$0$0
Nancy Howell Agee
Director/President/CEO8.042.0Yes (X)Yes (X)$0$2,498,861$158,310
Abney Boxley III
Director4.50.5Yes (X)$11,873$0$0
Damon Williams
Director4.52.0Yes (X)$6,836$0$0
Danielle Yarber
Director4.50Yes (X)$15,748$0$0
Elizabeth McClanahan
Director2.40Yes (X)$1,550$0$0
Garry Norris
Director2.40Yes (X)$2,175$0$0
J Alexander Boone
Director4.50Yes (X)$15,748$0$0
James C Thompson
Director2.42.5Yes (X)$9,458$0$0
James Williams Jr
Director2.41.2Yes (X)$2,175$0$0
Jason Bingham
Director2.42.0Yes (X)$9,950$0$0
Jeri Lantz MD
Director2.447.6Yes (X)$1,550$283,254$137,635
John Bond
Director4.50Yes (X)$12,750$0$0
Joseph Scartelli PhD
Director2.40Yes (X)$11,500$0$0
Joseph Sheffey
Director2.40Yes (X)$7,450$0$0
Neil Wilkin Jr
Director4.50Yes (X)$12,125$0$0
Terry Austin
Director2.40Yes (X)$7,450$0$0
William Kingery Jr
Director2.43.0Yes (X)$8,400$0$0
David Hagadorn
Asst. Treasurer0.549.5Yes (X)$0$154,286$66,243
Donald Halliwill
Asst. Treasurer/CFO/EVP4.046.0Yes (X)$0$1,027,399$266,876
G Robert Vaughan Jr
Treasurer2.048.0Yes (X)$0$415,087$180,417
Jeanne Armentrout
Chief Administrative Officer/EVP4.046.0Yes (X)$0$1,014,076$145,790
Julie Smith-Hamilton
Asst. Secretary0.549.5Yes (X)$0$51,831$18,964
Nicholas Conte
Secretary/EVP/Chief Legal Officer6.044.0Yes (X)$0$799,125$197,025
Patrice Weiss MD
Chief Medical Officer/EVP50.0Yes (X)$0$1,057,304$248,613
Steven Arner
Chief Operating Officer/EVP4.046.0Yes (X)$0$1,100,977$280,265
FieldValueIRS element (for citing)
Total Reportable Comp From Org$159,613TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,402,200TotReportableCompRltdOrgAmt
Total Other Compensation$1,700,138TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MB CONTRACTORS INC
3825 BLUE RIDGE DRIVE SWROANOKEVA24018CONSTRUCTION SERVICES$23,389,748
KEGLEY ELECTRIC CO
55 EXECUTIVE CIRCLEROANOKEVA24012CONSTRUCTION SERVICES$487,994
EPLUS TECHNOLOGY INC
13595 DULLES TECHNOLOGY DRIVEHERNDONVA201713413TECH CONSULTING SERVICES$446,922
SERVICEMASTER COMMERCIAL CLEAN
6580 VALLEY CENTER DRIVERADFORDVA24141MAINTENANCE SERVICES$419,012SUITE 164
AECOM SERVICES INC
10 S JEFFERSON STREETROANOKEVA24011INFRASTRUCTURE CONSULTING SERVICES$413,251SUITE 1600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Rent from Affiliates531120$39,538,526$39,538,526
Program Related Investment Income523000-$41,805-$41,805
Interco Mgmt Fee551112$155,760$155,760
Unrelated Business Income523000$451,171$451,171

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$40,103,652TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,907,040RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,907,040RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,907,040TotalRevenueColumnAmt
Exclusion$1,907,040ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,512SecuritiesAmt
Other$4,844,595OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,564,412OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,512SecuritiesAmt
Other$1,280,183OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,302,695TotalRevenueColumnAmt
Exclusion$1,302,695ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPARKING FEESDesc
Business812930BusinessCd
Total Revenue Column$31,371TotalRevenueColumnAmt
Unrelated Business Revenue$31,371UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$31,371OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,344,758TotalRevenueColumnAmt
Related Or Exempt Func Income$39,652,481RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$482,542UnrelatedBusinessRevenueAmt
Exclusion$3,209,735ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$157,439TotalAmt
Management And General$157,439ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$4,856TotalAmt
Management And General$4,856ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,000,710TotalAmt
Management And General$2,000,710ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,353TotalAmt
Management And General$11,353ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$885TotalAmt
Program Services$885ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,502,750TotalAmt
Program Services$4,462,718ProgramServicesAmt
Management And General$40,032ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$247,422TotalAmt
Program Services$243,314ProgramServicesAmt
Management And General$4,108ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,613TotalAmt
Management And General$24,613ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,186,749TotalAmt
Program Services$13,186,749ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,316,652TotalAmt
Program Services$3,316,652ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,491,343TotalAmt
Program Services$12,491,343ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$423,513TotalAmt
Program Services$9,116ProgramServicesAmt
Management And General$414,397ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOther ExpensesDesc
Total$1,572TotalAmt
Management And General$1,572ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,369,857TotalAmt
Program Services$33,710,777ProgramServicesAmt
Management And General$2,659,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,631,376BOYAmt
EOY$3,582,314EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,106BOYAmt

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,317,606BOYAmt
EOY$1,363,380EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$362,830,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$168,305,662LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$200,458,115BOYAmt
EOY$194,524,669EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,946,846BOYAmt
EOY$6,975,251EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,684,179BOYAmt
EOY$11,334,802EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,986,536BOYAmt
EOY$7,902,482EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,630,362BOYAmt
EOY$52,235,884EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$281,656,126BOYAmt
EOY$277,918,782EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,907,406BOYAmt
EOY$1,714,809EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,957,924BOYAmt
EOY$95,973,776EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,311,212BOYAmt
EOY$73,422,516EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$186,176,542BOYAmt
EOY$171,111,101EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$95,479,584BOYAmt
EOY$106,807,681EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,479,584BOYAmt
EOY$106,807,681EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$281,656,126BOYAmt
EOY$277,918,782EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,974,901ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,034,452NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,681,256OtherChangesInNetAssetsAmt
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 Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CARILION MEDICAL CENTER
5405063323Yes (true)$0$109,504
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$21,186
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$4,347
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$4,876
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
5405680013Yes (true)$0$4,586
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$1,893
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$146,392OtherSupportSumAmt

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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12 IRS Determination LetterAlthough the filing organization has an IRS letter determining that it is a Type I supporting organization under Section 509(a)(3), the organization's status is more appropriately described under the Type II test as an organization supervised or controlled in connection with its supported organizations by having control or management of the supporting organization vested in the same persons that control or manage the supported organizations.
Schedule A, Part I, Line 12g Support to Supported OrganizationsCarilion Clinic provides leadership, governance, and strategic direction to its supported organizations.
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$885OtherActivitiesAmt
Total Lobbying Expenditures$885TotalLobbyingExpendituresAmt
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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,625,309OtherCostOrOtherBasisAmt
Book Value$23,625,309BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$284,984,016OtherCostOrOtherBasisAmt
Depreciation$151,440,860DepreciationAmt
Book Value$133,543,156BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,871,852OtherCostOrOtherBasisAmt
Depreciation$5,243,996DepreciationAmt
Book Value$31,627,856BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,958,863OtherCostOrOtherBasisAmt
Depreciation$7,192,824DepreciationAmt
Book Value$1,766,039BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,390,291OtherCostOrOtherBasisAmt
Depreciation$4,427,982DepreciationAmt
Book Value$3,962,309BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$194,524,669TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Carilion Services, Inc.$1,140,839
Right of Use Asset$51,095,045
FieldValueIRS element (for citing)
Total Book Value Other Assets$52,235,884TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Pension Liability$8,065,521
Interest Rate Swap Liability$8,725,111
Lease Liability Total$56,631,884
FieldValueIRS element (for citing)
Total Liability$73,422,516TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Investments$577,195,310
North America (Canada Mexico only)00Investments$20,925,159
Europe (Including Iceland and Greenland)00Investments$102,334,018
Middle East and North Africa00Investments$1,889,523
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$702,344,010SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$702,344,010TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA MEXICO ONLY)-AccrualExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (9 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/CEO$0$1,469,225$0$788,983$0$240,653$0$145,721$0$12,589$0$2,657,171$0$0
Jeri Lantz MD
Director$1,550$228,583$0$51,362$0$3,309$0$126,245$0$11,390$1,550$420,889$0$0
Jeanne Armentrout
Chief Administrative Officer/EVP$0$633,478$0$274,404$0$106,194$0$137,492$0$8,298$0$1,159,866$0$96,266
Steven Arner
Chief Operating Officer/EVP$0$710,945$0$320,483$0$69,549$0$261,164$0$19,101$0$1,381,242$0$64,231
Nicholas Conte
Secretary/EVP/Chief Legal Officer$0$552,419$0$240,712$0$5,994$0$182,985$0$14,040$0$996,150$0$0
David Hagadorn
Asst. Treasurer$0$144,952$0$3,120$0$6,214$0$60,261$0$5,982$0$220,529$0$0
Donald Halliwill
Asst. Treasurer/CFO/EVP$0$628,026$0$276,629$0$122,744$0$249,075$0$17,801$0$1,294,275$0$118,313
G Robert Vaughan Jr
Treasurer$0$291,047$0$98,416$0$25,624$0$161,498$0$18,919$0$595,504$0$21,586
Patrice Weiss MD
Chief Medical Officer/EVP$0$646,593$0$278,012$0$132,699$0$228,029$0$20,584$0$1,305,917$0$125,067

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesAll Directors are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. The organization provided this benefit to four reported individuals, the value of which is included in reported compensation.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesProvision of the health club benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMs. Armentrout, Mr. Arner, Mr. Conte, Mr. Halliwill, 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: $118,313 - Donald Halliwill $125,067 - Patrice Weiss $96,266 - Jeanne Armentrout $64,231 - Steven Arner $21,586 - G. Robert Vaughan, Jr. 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 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 determined in the discretion of the Carilion Clinic Board of Directors and its Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ECON DEV AUTHORITY-CITY OF ROANOKE VA HOSPITAL REV BONDS CARILION CLINIC OB
ALIGATED GRP SERIES 2005A (REISSUED)541106038770082AZ82017-03-01$123,110,000Reissuance of Series 2005A original 12/14/05falsefalsefalse
VA Small Business Fin AUTHORITY HOSPITAL REV BONDS CARILION CLINIC OBLIGATE
BD GRP SERIES 2008A 2008B (REISSUED)541300845928101AH72017-04-03$160,000,000Reissuance of Series 2008 AB original 7/16/08falsefalsefalse
ECON DEV AUTH CITY OF ROANOKE VA HOSP REV BONDS CARILION CLINIC OBLIG GRP R
CEF SER 2005B 2005C 2010 PARTIAL REF SERIES 2005A2008B541106038770082CB92020-04-02$440,220,786See Part VI Supplemental Information.Yes (true)falsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYr
A$43,640,000$123,110,000$123,110,000Yes (true)falseYes (true)Yes (true)
B$45,800,000$160,000,000$160,000,000Yes (true)falseYes (true)Yes (true)
C$2,735,000$440,931,986$287,584,073Yes (true)falsefalseYes (true)$2,636,713$99,159,990$51,551,2102024

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.0060.00.006falsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.0110.00.011falsefalseYes (true)
Cfalsefalsefalsefalse0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I All Bond IssuesBond issuance total proceeds are allocated to each subsidiary obligated group member entity.
Schedule K, Part I, Column (f) ROW CRefunding of Series 2005B, 2005C, and 2010. Partial Refunding of Series 2005A and 2008B Bonds, Costs of Issuance, and Capital Projects.
Schedule K, Part II, Line 3 Column C$711,200 of Investment Earnings
Schedule K, Part IV, Line 2c COLUMN AIssuer name: ECON. DEV. AUTHORITY-CITY OF ROANOKE, VA, HOSPITAL REV. BONDS, CARILION CLINIC OBLIGATED GRP., SERIES 2005A (REISSUED) The calculation for computing no rebate due was performed on 02/04/2021
Schedule K, Part IV, Line 2c COLUMN BIssuer name: VA Small Business Fin. AUTHORITY, HOSPITAL REV. BONDS, CARILION CLINIC OBLIGATED GRP., SERIES 2008A 2008B (REISSUED) The calculation for computing no rebate due was performed on 04/03/2017
Schedule K, Part IV, Line 2c COLUMN CIssuer name: ECON. DEV. AUTH. CITY OF ROANOKE, VA, HOSP. REV. BONDS, CARILION CLINIC OBLIG. GRP., REF. SER. 2005B, 2005C 2010 PARTIAL REF. SERIES 2005A2008B The calculation for computing no rebate due was performed on 09/19/2022

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service DescriptionAs the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilion's mission to improve the health of the communities it serves. Carilion Clinic is an organization of physicians working together as a team. In June 2006, Carilion Health System announced plans to transform the not-for-profit hospital system into a Clinic organization headquartered in Roanoke, Virginia. The clinic structure aligns hospital and physician goals with a focus on evidence-based medical practice, consistency in care and service based on proven methods and procedures, attention to the optimal length of each patient's stay in the hospital and to using costly resources as efficiently as possible, and an environment of active medical research and education to further advance the practice of medicine. Integration of inpatient and outpatient services across the continuum of care and seamless, convenient access to services for the patient also are integral to the clinic model. Carilion Clinic emphasizes the integration of care, clinical quality, and safety. Carilion Clinic, through its affiliates, employs a staff of over 900 physicians with continued development of outcomes-based clinical performance metrics, a fully integrated clinical information system, including an Electronic Medical Record (EMR) shared by all hospitals and physician practices, and numerous medical education residency and fellowship programs. Providing leadership and vision, Carilion Clinic also oversees a core hospital business that admitted 41,446 patients, delivered 3,947 babies and provided 242,605 days of care. Carilion's hospitals provided comprehensive heart and vascular care, surgical excellence in orthopaedics, advanced surgery and care for oncology and new pain management protocols. A state-of-the-art communications center coordinates patients' transportation to all our hospitals. All our programs are supported by diagnostic testing capabilities in radiology, including advanced imaging in CT, MRI and PET/CT. We've grown our expertise in molecular imaging and nuclear medicine procedures and ultrasound and provide screening mammography and diagnostic breast imaging. Additional programs include the region's only neonatal intensive care unit, advanced diagnostics and expertise for gastroenterology conditions, inpatient and outpatient psychiatric services, a comprehensive inpatient rehabilitation unit, and inpatient and outpatient surgical care utilizing advanced techniques in robotic and endovascular procedures. Carilion Children's is our region's only pediatric center of excellence with an inpatient hospital within Carilion Medical Center, a pediatric intensive care unit, NICU, and trauma care. Pediatric sub-specialists support the facility in areas of surgery, pulmonology, oncology, cardiology, gastroenterology, psychiatry, orthopaedics, neurosurgery, dentistry, neurology, endocrinology. The Clinic provides several services and programs to target the specific health needs of the area, including diabetes management, medically supervised weight loss, urgent care, physical, speech and occupational therapy programs, cardiac and pulmonary rehabilitation, and home health and hospice care. Carilion Clinic maintains both a Level I designated trauma center (Carilion Medical Center) serving the western Virginia area and a Level III trauma center (Carilion New River Valley Medical Center) serving its surrounding area. As part of its commitment to trauma response, Carilion staffs medical air transport helicopters which flew 1,762 patients and operates a ground service providing 15,766 medical transports during the year. With 150,583 visits, Carilion's emergency departments are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise nearly 6% of emergency visits. Carilion Clinic's hospitals supported community screenings and education on chronic disease prevention and management. In furtherance of its mission to improve health regardless of patient ability to pay, Carilion Clinic provided extensive uncompensated care. Stated at cost, the Carilion Clinic system together 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 V, Line 1a Forms 10991099s are issued on Carilion Clinic's behalf by Carilion Services, Inc., a related organization providing management and administrative services, including payment processing.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeCarilion Clinic has an Executive Committee authorized to act when the Board is not in session. The Executive Committee has 9 members, made up of the Chair of the Board, the CEO, the Chairs of each of the 6 standing committees, and the Chair of the Board of Carilion Medical Center, which is the organization that holds the flagship hospital. The Executive Committee typically meets three (3) times a year, at times the full Board does not meet and can act on behalf of the Board, except it cannot elect directors or take certain extraordinary actions, such as a sale, merger, or dissolution of the corporation. Full board meetings are occasionally substituted for Executive Committee meetings.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsNancy Howell Agee, Abney Boxley and Elizabeth McClanahan - Business relationship, Nancy Howell Agee, Steven Arner, Jeanne Armentrout, Nicholas Conte, David Hagadorn, Donald Halliwill, Jeri Lantz, Patrice Weiss, G. Robert Vaughan, Jr, and Julie Smith-Hamilton - Business relationship, NICK CONTE and TERRY AUSTIN - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesCertain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization to the filing organization. Some or all of the compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nancy Howell Agee, Jeanne Armentrout, Steven Arner, Nicholas Conte, David Hagadorn, Donald Halliwill, Julie Smith-Hamilton, G. Robert Vaughan, Jr., and Patrice Weiss, M.D.
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 management. 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 officialExecutive 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, which list 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 IX, Line 11g Other FeesOther Purchased Services - Total Expense: 438483, Program Service Expense: 438483, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Service - Total Expense: 1923722, Program Service Expense: 1923722, Management and General Expenses: , Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 2099603, Program Service Expense: 2099603, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 40942, Program Service Expense: 910, Management and General Expenses: 40032, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS (TO)/FROM AFFILIATES - NET - -11230085; Unrelated Business Income - -451171;
Schedule F, Part I, Line 3 InvestmentsInvestment assets are held in custody under the name of Carilion Clinic and allocated to related entities based on their ownership interest in the investment pool.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CARILION CLINIC PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24025ZIPCd
FieldValueIRS element (for citing)
EIN205231645EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$58,707,516TotalIncomeAmt
End Of Year Assets$249,769,328EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CARILION CLINICBusinessNameLine1Txt

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 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 SERVICES INC
PO BOX 12385ROANOKEVA24025541190879SUPPORTING ORGANIZATIONVA501(c)(3)Type IICARILION 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 TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctUBI Code VUBICodeVAmt
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385ROANOKEVA24025455235473MEDICARE ACOVANAN/A
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385ROANOKEVA24025474365316REAL ESTATEVACARILION CLINICRelated-$36,780$1,780,454falsefalse0.9
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 Jefferson Street SERoanokeVA24016010691570REAL ESTATEVANAN/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
75 Spring St 6th FLNew YorkNY10012824119491InvestmentsDECARILION CLINICExcluded$772,975$54,498,132falsefalse0.3871-$483,318
STARWOOD VEP II CO-INVEST LLC
591 W Putnam AvenueGreenwichCT06930833262407INVESTMENTSDENAExcluded$1,818,811$6,038,255falsefalse0.3652$220,498
TI PLATFORM CC SMA LP
255 Kansas Street Suite 300San FranciscoCA94103842852539INVESTMENTSDECARILION CLINICExcluded$2,347$7,085,932falsefalse0.7999
ROANOKE AMBULATORY SURGERY CENTER LLC
1102 JEFFERSON ST SEROANOKEVA24016010691564SURGERY CENTERVANAN/A
TI FBV GR LP
255 Kansas Street Suite 300San FranciscoCA94103862597246INVESTMENTSDECARILION CLINICExcluded$0$4,560,999falsefalse0.5806
TI PLATFORM DCI SPV LP
800 TOWN AND COUNTRYHOUSTONTX77024871897835INVESTMENTSDECARILION CLINICExcluded$0$7,520,229falsefalse0.4762

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdOwnershipOwnershipPct
CHS INC
PO BOX 12385ROANOKEVA24025541725732SERVICESVANAC CorporationYes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385ROANOKEVA24025203136891HEALTHCAREVANAC CorporationYes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385ROANOKEVA24025542033006HEALTHCAREVANAC CorporationYes (true)
SCA CREDIT SERVICES INC
PO BOX 12385ROANOKEVA24025541180398COLLECTION AGENCYVANAC CorporationYes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385ROANOKEVA24025541586601HEALTHCAREVANAC CorporationYes (true)
MEDKEY INC
PO BOX 12385ROANOKEVA24025541645357FINANCING SERVICESVANAC CorporationYes (true)
SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP
981378742INVESTMENTSNAC CorporationYes (true)CA0.5
BLACKMOOR OWNERSHIP HOLDINGS LIMITED
INVESTMENTSNAC CorporationYes (true)CJ0.3694
Doubleblue Argentina Consumer Finance Fund II LP
205 East 42nd St 20th FLNew YorkNY10017INVESTMENTSNAC CorporationYes (true)CJ0.2846
CARILION DTC SERVICES INC
PO BOX 12385ROANOKEVA24025872635239HEALTHCAREVANAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
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 (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Medical Center
A$17,619,538Cost
Carilion New River Medical Center
A$333,094Cost
Carilion Giles Community Hospital
A$1,821,208Cost
Carilion Rockbridge Community Hospital
A$158,172Cost
Carilion Services Inc
A$12,195,474Cost
CHS Inc
A$695,450Cost
Carilion Behavioral Health Inc
A$42,350Cost
Carilion Emergency Services Inc
A$269,831Cost
Carilion Healthcare Corporation
A$6,403,409Cost
Carilion Services Inc
L$155,760Cost
Carilion Services Inc
M$2,000,710Cost
CHS Inc
M$1,540,226Cost
Carilion Medical Center
S$30,000,000Cash
CHS Inc
R$40,000,000Cash
Carilion Services Inc
S$11,230,085Cash