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CARILION SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202512279349303961
Schema version
2023v6.0
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)
Return2025-08-15T18:16:41+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS 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 Begin2023-10-01TaxPeriodBeginDt

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
Signature2025-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2025-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$457,638,131GrossReceiptsAmt
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 Employee2855TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$20,095TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$134,616PYContributionsGrantsAmt
CY Contributions Grants$679,330CYContributionsGrantsAmt
PY Program Service Revenue$377,336,282PYProgramServiceRevenueAmt
CY Program Service Revenue$409,171,271CYProgramServiceRevenueAmt
PY Investment Income$3,496,656PYInvestmentIncomeAmt
CY Investment Income$15,420,372CYInvestmentIncomeAmt
PY Other Revenue$1,634,999PYOtherRevenueAmt
CY Other Revenue$1,799,978CYOtherRevenueAmt
PY Total Revenue$382,602,553PYTotalRevenueAmt
CY Total Revenue$427,070,951CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$217,718,774PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$239,815,133CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$158,306,245PYOtherExpensesAmt
CY Other Expenses$172,326,545CYOtherExpensesAmt
PY Total Expenses$376,025,019PYTotalExpensesAmt
CY Total Expenses$412,141,678CYTotalExpensesAmt
PY Revenues Less Expenses$6,577,534PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,929,273CYRevenuesLessExpensesAmt
Total Assets BOY$1,131,010,157TotalAssetsBOYAmt
Total Assets EOY$1,225,982,731TotalAssetsEOYAmt
Total Liabilities BOY$156,899,481TotalLiabilitiesBOYAmt
Total Liabilities EOY$198,297,807TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$974,110,676NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,027,684,924NetAssetsOrFundBalancesEOYAmt
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$383,502,819ExpenseAmt
Revenue$410,971,249RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$383,502,819TotalProgramServiceExpensesAmt
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 OutstandingYes (true)LoanOutstandingInd
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 Document474IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2855EmployeeCnt
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 Line1MATTHEW BARRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245021PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Donald Halliwill
Director/Asst. Treasurer42.57.5Yes (X)Yes (X)$1,119,248$0$167,911
G Robert Vaughan Jr
Director/Treasurer/SVP44.55.5Yes (X)Yes (X)$458,008$0$71,002
Nancy Howell Agee
Director/President/CEO, Carilion Clinic39.011.0Yes (X)Yes (X)$3,830,705$0$1,792
Jeanne Armentrout
Director46.04.0Yes (X)$1,093,617$0$47,026
J Harrison Lapuasa
Asst. Treasurer36.53.5Yes (X)$34,109$0-$1,202
Julie Smith-Hamilton
Asst. Secretary36.04.0Yes (X)$60,728$0$18,375
Nicholas Conte
Secretary34.016.0Yes (X)$1,023,717$0$174,893
Steven Arner
Vice President/COO, Carilion Clinic0.050.0Yes (X)$1,410,192$0$209,618
Matthew Barr
VP Accounting Services/Revenue Cycle50.00$344,943$0$31,993Yes (X)
Paul Hudgins
Senior Vice President/CHRO50.00$566,125$0$111,355Yes (X)
R Keith Perry
Senior Vice President/CIO50.00$595,777$0$88,226Yes (X)
Donna Littlepage
Senior Vice President50.00$417,109$0$77,483Yes (X)
Fred Greear
Vice President50.00$572,943$0$177,036Yes (X)
Nathaniel Bishop DMin
Senior Vice President50.00.0$405,958$0$4,086Yes (X)
Stephen Morgan MD
Senior Vice President/CMIO50.00$704,037$0$82,804Yes (X)
Tom Hill
Senior Vice President50.00$437,104$0$43,434Yes (X)
David Hagadorn
Former Officer0.00.0$159,104$0$25,072Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,233,424TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,330,904TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K386IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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$5,830,435
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE SERVICES$5,190,774
SIRIUS COMPUTER SOLUTIONS INC
804 GREEN VALLEY ROAD104GREENSBORONC27408SOFTWARE SERVICES$4,060,089
FIRSTSOURCE SOLUTIONS USA LLC
10400 LINN STATION ROADSUITE 100LOUISVILLEKY40223SOFTWARE SERVICES$3,908,884
MAINLINE INFORMATION SYSTEMS
1700 SUMMIT LAKE DRSUITE 201TALLAHASSEEFL32317SOFTWARE SERVICES$3,453,974
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K159CntrctRcvdGreaterThan100KCnt
Related Organizations$10,485RelatedOrganizationsAmt
Government Grants$629,902GovernmentGrantsAmt
All Other Contributions$38,943AllOtherContributionsAmt
Total Contributions$679,330TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue804905$18,376,469$18,376,469
Carilion Patient Transportation621910$15,265,156$15,265,156
Management Fees561110$369,989,053$369,989,053
Affiliate Insurance Premium Revenue525190$5,439,318$5,439,318
Research Income561110$96,466$96,466

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,809TotalRevenueColumnAmt
Related Or Exempt Func Income$4,809RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$409,171,271TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,667,180TotalRevenueColumnAmt
Unrelated Business Revenue-$20,095UnrelatedBusinessRevenueAmt
Exclusion$6,687,275ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$39,308,119SecuritiesAmt
Other$12,253OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,566,532SecuritiesAmt
Other$648OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,741,587SecuritiesAmt
Other$11,605OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,753,192TotalRevenueColumnAmt
Exclusion$8,753,192ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$1,002,095$1,002,095
Health Education Support561110$393,676$393,676
HIM Operations561110$225,359$225,359

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,848TotalRevenueColumnAmt
Related Or Exempt Func Income$178,848RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,799,978OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$427,070,951TotalRevenueColumnAmt
Related Or Exempt Func Income$410,971,249RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$20,095UnrelatedBusinessRevenueAmt
Exclusion$15,440,467ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,765,323TotalAmt
Program Services$2,423,922ProgramServicesAmt
Management And General$7,341,401ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$326,890TotalAmt
Program Services$326,890ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$188,389,269TotalAmt
Program Services$186,803,569ProgramServicesAmt
Management And General$1,585,700ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,489,683TotalAmt
Program Services$6,434,534ProgramServicesAmt
Management And General$55,149ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,822,157TotalAmt
Program Services$20,550,398ProgramServicesAmt
Management And General$1,271,759ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,021,811TotalAmt
Program Services$12,464,861ProgramServicesAmt
Management And General$556,950ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$279,311TotalAmt
Management And General$279,311ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,094,420TotalAmt
Management And General$1,094,420ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$816,445TotalAmt
Management And General$816,445ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$83,079TotalAmt
Program Services$83,079ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,511,799TotalAmt
Management And General$1,511,799ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$54,465,629TotalAmt
Program Services$47,702,828ProgramServicesAmt
Management And General$6,762,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,380,890TotalAmt
Program Services$2,375,768ProgramServicesAmt
Management And General$5,122ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,494,858TotalAmt
Program Services$7,570,336ProgramServicesAmt
Management And General$1,924,522ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$60,358,322TotalAmt
Program Services$60,358,322ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,792,779TotalAmt
Program Services$13,409,370ProgramServicesAmt
Management And General$383,409ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$853,691TotalAmt
Program Services$756,324ProgramServicesAmt
Management And General$97,367ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,867TotalAmt
Program Services$12,867ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,321,793TotalAmt
Program Services$11,321,793ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,061,349TotalAmt
Program Services$1,112,924ProgramServicesAmt
Management And General$1,948,425ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$3,180,722$1,522,724$1,657,998
Recruitment$2,524,411$2,514,723$9,688
Education & Training$1,972,426$1,971,411$1,015
Bad Debt$1,687,446$1,687,446

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,434,308TotalAmt
Program Services$2,098,730ProgramServicesAmt
Management And General$1,335,578ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$412,141,678TotalAmt
Program Services$383,502,819ProgramServicesAmt
Management And General$28,638,859ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,070BOYAmt
EOY$1,770EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,585,409BOYAmt
EOY$17,490,947EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,621,907BOYAmt
EOY$11,442,715EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$3,167EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$25,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,048,110BOYAmt
EOY$6,086,991EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$27,184,588BOYAmt
EOY$28,829,373EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$220,926,031LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$178,214,293LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,406,732BOYAmt
EOY$42,711,738EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$140,011,528BOYAmt
EOY$154,901,332EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$124,978,056BOYAmt
EOY$108,030,679EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$749,883,901BOYAmt
EOY$801,469,242EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,287,856BOYAmt
EOY$54,989,777EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,131,010,157BOYAmt
EOY$1,225,982,731EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$87,721,360BOYAmt
EOY$104,061,404EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$69,091BOYAmt
EOY$138,875EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$641,164BOYAmt
EOY$974,812EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,467,866BOYAmt
EOY$93,122,716EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,899,481BOYAmt
EOY$198,297,807EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$974,110,676BOYAmt
EOY$1,027,684,924EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$974,110,676BOYAmt
EOY$1,027,684,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,131,010,157BOYAmt
EOY$1,225,982,731EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$14,929,273ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,511,894NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,133,081OtherChangesInNetAssetsAmt
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$237,687,175
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$44,744,289
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$10,443,569
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$12,481,571
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
5405680013Yes (true)$0$10,993,129
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$4,234,653
CARILION CLINIC FOUNDATION
5411907737Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$320,584,386OtherSupportSumAmt

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 shared management services and administrative functions to Carilion Clinic subsidiaries 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$91,591DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$4,105OtherActivitiesAmt
Total Lobbying Expenditures$95,696TotalLobbyingExpendituresAmt
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$1,471,728OtherCostOrOtherBasisAmt
Book Value$1,471,728BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,321,682OtherCostOrOtherBasisAmt
Depreciation$6,864,801DepreciationAmt
Book Value$456,881BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$302,763OtherCostOrOtherBasisAmt
Depreciation$244,483DepreciationAmt
Book Value$58,280BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,464,330OtherCostOrOtherBasisAmt
Depreciation$170,614,308DepreciationAmt
Book Value$20,850,022BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,365,528OtherCostOrOtherBasisAmt
Depreciation$490,701DepreciationAmt
Book Value$19,874,827BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,711,738TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investments
Interest
Investment Minority
Alternative Investments$108,030,679F
Commingled Funds
FieldValueIRS element (for citing)
Total Book Value Securities$108,030,679TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestments in AffiliatesDesc
Book Value$801,469,242BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$801,469,242TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Pension Liability$45,735,971
BRIC Claims Payable$25,838,999
Deferred Compensation Payable$12,695,709
Due to Affiliates$4,739,139
Lease Liability$4,112,898
FieldValueIRS element (for citing)
Total Liability$93,122,716TotalLiabilityAmt

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 (15 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, Carilion Clinic$1,718,407$0$353,685$0$1,758,613$0-$14,700$0$16,492$0$3,832,497$0$1,500,000$0
Donald Halliwill
Director/Asst. Treasurer$767,976$0$117,511$0$233,761$0$142,915$0$24,996$0$1,287,159$0$227,735$0
G Robert Vaughan Jr
Director/Treasurer/SVP$353,161$0$41,359$0$63,488$0$46,006$0$24,996$0$529,010$0$57,282$0
Jeanne Armentrout
Director$823,698$0$124,081$0$145,838$0$30,054$0$16,972$0$1,140,643$0$0$0
David Hagadorn
Former Officer$120,679$0$0$0$38,425$0$13,363$0$11,709$0$184,176$0$0$0
Steven Arner
Vice President/COO, Carilion Clinic$1,044,670$0$164,317$0$201,205$0$184,622$0$24,996$0$1,619,810$0$195,888$0
Nicholas Conte
Secretary$731,687$0$111,366$0$180,664$0$156,813$0$18,080$0$1,198,610$0$172,601$0
Matthew Barr
VP Accounting Services/Revenue Cycle$273,778$0$59,272$0$11,893$0$8,425$0$23,568$0$376,936$0$0$0
Paul Hudgins
Senior Vice President/CHRO$446,405$0$51,488$0$68,232$0$93,275$0$18,080$0$677,480$0$60,168$0
R Keith Perry
Senior Vice President/CIO$477,910$0$54,582$0$63,285$0$78,315$0$9,911$0$684,003$0$57,291$0
Nathaniel Bishop DMin
Senior Vice President$325,165$0$36,399$0$44,394$0$1,506$0$2,580$0$410,044$0$0$0
Fred Greear
Vice President$328,942$0$236,113$0$7,888$0$153,099$0$23,937$0$749,979$0$99,123$0
Tom Hill
Senior Vice President$260,235$0$33,649$0$143,220$0$29,813$0$13,621$0$480,538$0$0$0
Donna Littlepage
Senior Vice President$322,050$0$37,054$0$58,005$0$59,458$0$18,025$0$494,592$0$50,021$0
Stephen Morgan MD
Senior Vice President/CMIO$396,885$0$45,448$0$261,704$0$64,724$0$18,080$0$786,841$0$0$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 MS. ARMENTROUT, Mr. BISHOP AND MR. HALLIWILL 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 health club benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly. MANAGEMENT MAKES TAX GROSS-UP DECISIONS AT ITS DISCRETION FOR NON-ROUTINE SMALL GIFTS, PRIZES OR AWARDS CONSIDERING IRS REQUIREMENTS, AMOUNT, AND NON-CASH STATUS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationExecutive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee, which 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. The Compensation Committee reviews the compensation of the Board of Governors annually, which includes the individual serving as Carilion Services, Inc.'s President. 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 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 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planSelect members of management participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer, at the discretion of the Carilion Clinic Board of Directors Compensation Committee, makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date the account shall be forfeited. A lump sum distribution shall be made upon the participant's scheduled vesting date, attainment of certain age and years of service, death, disability, or certain separations from service. Vested contributions paid out during the year are included in Part II, Column B(iii). Select team members are eligible for department-level incentive compensation featuring a bonus deferral to the following 2 years. Amounts are determined based on a scorecard and at the discretion of the Carilion Clinic Board of Directors Finance Committee, and vest upon payment after the end of the applicable fiscal year. Unvested amounts are subject to forfeiture upon separation of employment. Vested amounts paid out during the year are included in Part II, Column B(ii). Unvested deferrals applicable to the current reporting period are included in Part II of this schedule with "Retirement and Other Deferred Compensation". The following distributions of amounts under these arrangements were made in the reporting year: Deferred in prior year and paid out in current year: $57,291 - R. Keith Perry $172,601 - Nicholas Conte $60,168 - Paul Hudgins $195,888 - Steven Arner $57,282 - G. Robert Vaughan, Jr. $227,735 - Donald Halliwill $50,021 - Donna Littlepage $ 99,123 - Fred Greear Both vested and paid in current year: $135,774 - Jeanne Armentrout $35,497 - Nathaniel Bishop $136,940 - Tom Hill $253,641 - Stephen Morgan 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, with the excess credited to a capital accumulation account with various deferred vesting dates and distribution requirements until certain age and years of service thresholds are met. Deferrals no longer occur under this plan. In the reporting year, the amount distributed under this plan was $245,365. Ms. Agee also received $1,500,000 per a retention agreement that had been previously reported in Part II Col. C.
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 metrics. 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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Matt BarrBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgKey EmployeeRelationshipWithOrgTxt
Loan PurposeEducation benefitLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$9,500OriginalPrincipalAmt
Balance Due$3,167BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$3,167TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Jessica Lemons
Family Member of Jeanne Armentrout, Director$118,217Employeefalse
David Danco
Family member of G. Robert Vaughan, Officer$208,652Employeefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IIFormAndLineReferenceDesc
ExplanationLoan was initiated prior to becoming a key employee.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service AccomplishmentsCarilion Services, Inc. (CSI) is an affiliate of Carilion Clinic, a not-for-profit health system headquartered in Roanoke, Virginia serving a population of approximately 1 million Virginians and West Virginians. Carilion is the largest private employer west of Richmond, Virginia with nearly 15,000 employees, including more than 800 physicians and 500 Advanced Practice Professionals across 86 medical specialties at nearly 300 practice sites and seven hospitals (1,026 beds) over a 200-mile geography in western Virginia. CSI assists in fulfilling Carilion's mission to improve the health of the communities it services by providing management and administrative support services to Carilion affiliates. Its centralized services enhance our core hospital and physician business 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, CSI staffs medical air transport helicopters which flew 1,765 patients and operates a ground service which provided 16,735 medical transports during the year. It also provides medical staffing to its supported affiliate hospitals through its Carilion Professional Services, LLC division. CSI's support assisted the Clinic's hospitals in admitting 48,209 patients, serving 174,201 emergency visits, and providing 270,789 days of care during the year, supporting patient services at physician practices, and providing programs designed to serve the health needs of the area. Such programs led or supported by CSI include community health screenings, education on chronic disease prevention and management, a community health workforce, collaboration with community organizations to identify and address health needs, and providing patients with financial assistance. To advance its mission to improve health regardless of patient ability to pay, Carilion provides extensive uncompensated care and community benefits. Stated at cost, the Carilion Clinic system together provided nearly $87 million in uncompensated care and other community support in fiscal year 2024.
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, Donald Halliwill, G. Robert Vaughan, Jr, J. Harrison Lapuasa, Julie Smith-Hamilton 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 management and an independent CPA firm. Prior to filing, all Board Members were notified via email that the final Form 990 was available for their access on the organization's Board portal and were provided contact information to reach out to for any questions.
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. The Carilion Clinic Board of Directors Compensation Committee reviews the compensation of the Carilion Clinic Board of Governors annually, which includes the Carilion Clinic President and Chief Executive Officer, Executive Vice Presidents (Chief Financial Officer, Chief Physician Executive, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician Chairs of the Clinical Departments. Certain of these same individuals also hold roles as officers of Carilion Services, Inc., including its President. The Compensation 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. The Compensation Committee also annually reviews the compensation philosophy for all executive leaders in the health system, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, among them Carilion Services, Inc.'s Treasurer and key employees. 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 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 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. For officers and key employees who are not directly reviewed by the Compensation Committee, the independent external compensation consultant conducts the same analysis and shares the data/findings with the system EVP/COO. Assistant officers 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 or consultant review but are compared to market benchmarks by the Human Resources department.
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 consolidated 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 consolidated financial information is available on our website.
Form 990, Part VIII, Line 2f Other Program Service RevenueRent from Affiliates - Total Revenue: 4809, Related or Exempt Function Revenue: 4809, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Revenue - Total Revenue: 178848, Related or Exempt Function Revenue: 178848, 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: 5102929, Program Service Expense: 5102929, Management and General Expenses: , Fundraising Expenses: ; Billing & Collection Services - Total Expense: 6738238, Program Service Expense: , Management and General Expenses: 6738238, Fundraising Expenses: ; Other Purchased Services - Total Expense: 4633871, Program Service Expense: 4616912, Management and General Expenses: 16959, Fundraising Expenses: ; Contract Fees/Consulting - Total Expense: 33420634, Program Service Expense: 33416478, Management and General Expenses: 4156, Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 4329284, Program Service Expense: 4325836, Management and General Expenses: 3448, Fundraising Expenses: ; Reference Labs - Total Expense: 240673, Program Service Expense: 240673, 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 - -29939471; Transfers to/from Affiliates - Net - 48072552;

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$18,454,878$97,316,227CARILION SERVICES INC
CARILION CLINIC PATIENT TRANSPORTATION LLC
PO BOX 12385ROANOKEVA24025541864693TRANSPORTATIONVA$13,761,313$6,475,272CARILION SERVICES INC
CARILION PROFESSIONAL SERVICES LLC
PO BOX 12385ROANOKEVA24025542030773HEALTHCAREVA$18,210,882$261,408CARILION 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 (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Franklin County Ventures LLC
PO Box 12385RoanokeVA24025474365316Real estateVANAN/A
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385RoanokeVA24025455235473Medicare ACOVANAN/A
Roanoke Ambulatory Surgery Center LLC
1102 Jefferson Street SERoanokeVA24016010691564SurgeryVANAN/A
Southwest Virginia Health Properties LLC
1102 Jefferson Street SERoanokeVA24016010691570Real estateVANAN/A
Raven Asset-Based Opportunity Fund IV LP
75 Spring Street 6th FloorNew YorkNY10012824119491Private equityDENAN/A
Starwood VEP II Co-Invest LLC
591 W Putman AveGreenwichCT06830833262407InvestmentsDENAN/A
TI Platform CC SMA LP
4304 18th Street 14427San FranciscoCA941149991842852539InvestmentsDENAN/A
TI FBV GR LP
4304 18th Street 14427San FranciscoCA941149991862597246InvestmentsDENAN/A
TI Platform DCI SPV LP
4304 18th Street 14427San FranciscoCA941149991871897835InvestmentsDENAN/A
Transpose Platform Zippedi SPV LP
4304 18th Street 14427San FranciscoCA941149991873425361InvestmentsDENAN/A
Transpose Platform Gorgias SPV LP
4304 18th Street 14427San FranciscoCA941149991874563291InvestmentsDENAN/A
Transpose Platform Fintech Fund II LP
4304 18th Street 14427San FranciscoCA941149991873126138InvestmentsDENAN/A
Opera Investment Two SCSP
InvestmentsNAN/A412F Route dEschLuxembourgLULU
VTC Innovation Fund III LP
c/o Middleand Capital 709 S JeffersRoanokeVA24016921362795InvestmentsDENAN/A
Pacific North of South Em All CAP Equity Fund
c/o Global Trust Company 12 Gill StWoburnMA01801842642916InvestmentsDENAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CHS Inc
PO Box 12385RoanokeVA24025541725732ServicesVACarilion Services IncC Corporation$90,292,504$876,250,3431Yes (true)
Carilion Behavioral Health Inc
PO Box 12385RoanokeVA24025203136891HealthcareVACHS IncC Corporation$1,134,995$118,3761Yes (true)
Carilion Emergency Services Inc
PO Box 12385RoanokeVA24025542033006HealthcareVACHS IncC Corporation$11,338,695$2,319,9081Yes (true)
SCA Credit Services Inc
PO Box 12385RoanokeVA24025541180398Collection AgencyVACHS IncC Corporation$194,589$241,8411Yes (true)
Carilion Healthcare Corporation
PO Box 12385RoanokeVA24025541586601HealthcareVACHS IncC Corporation$170,681,817$61,470,1121Yes (true)
MedKey Inc
PO Box 12385RoanokeVA24025541645357Financing ServicesVACHS IncC Corporation$126,933$125,6341Yes (true)
Carilion DTC Services Inc
PO Box 12385RoanokeVA24025872635239HealthcareVACHS IncC Corporation$155,149$7,7921Yes (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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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 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 (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Medical Center
A$4,809Cost
Carilion Medical Center
L$265,572,108Cost
Carilion New River Valley Medical Center
L$51,085,101Cost
Carilion Giles Community Hospital
L$13,698,888Cost
Carilion Franklin Memorial Hospital
L$13,368,820Cost
Carilion Rockbridge Community Hospital
L$12,872,871Cost
Carilion Tazewell Community Hospital
L$4,277,686Cost
CHS Inc
L$3,459,598Cost
Carilion Emergency Services Inc
L$2,195,628Cost
Carilion Healthcare Corporation
L$20,099,580Cost
Carilion Medical Center
K$255,010Cost
Carilion Rockbridge Community Hospital
K$54,636Cost
CHS Inc
K$96,062Cost
Carilion Medical Center
M$445,560Cost
Carilion Clinic Foundation
M$1,590,657Cost
Carilion Behavioral Health Inc
M$72,299Cost
CHS Inc
M$87,070Cost
Carilion Medical Center
S$2,938,536Cash
Carilion New River Valley Medical Center
S$21,470,388Cash
Carilion Franklin Memorial Hospital
S$10,837,572Cash
Carilion Rockbridge Community Hospital
S$5,182,837Cash
Carilion Clinic
S$7,643,218Cash
CHS Inc
R$48,072,551Cash