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CARILION SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201912279349303661
Schema version
2017v2.3
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)
Return2019-08-15T18:54:25-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

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
Phone5402245112PhoneNum

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
Phone5402245137PhoneNum
Signature2019-08-15SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.168.121.4IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-15IPDt
IP Tm18:54:22IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id5C19F522D5420FF5E836576D684E4322057EF973AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNancy Howell AgeePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$287,106,642GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2488TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$410,156NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$109,337PYContributionsGrantsAmt
CY Contributions Grants$121,947CYContributionsGrantsAmt
PY Program Service Revenue$247,611,531PYProgramServiceRevenueAmt
CY Program Service Revenue$260,084,942CYProgramServiceRevenueAmt
PY Investment Income$5,446,037PYInvestmentIncomeAmt
CY Investment Income$5,491,038CYInvestmentIncomeAmt
PY Other Revenue$1,370,213PYOtherRevenueAmt
CY Other Revenue$2,009,590CYOtherRevenueAmt
PY Total Revenue$254,537,118PYTotalRevenueAmt
CY Total Revenue$267,707,517CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$157,646,167PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$158,393,378CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$21,481CYTotalFundraisingExpenseAmt
PY Other Expenses$101,159,919PYOtherExpensesAmt
CY Other Expenses$107,083,065CYOtherExpensesAmt
PY Total Expenses$258,806,086PYTotalExpensesAmt
CY Total Expenses$265,476,443CYTotalExpensesAmt
PY Revenues Less Expenses-$4,268,968PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,231,074CYRevenuesLessExpensesAmt
Total Assets BOY$733,606,657TotalAssetsBOYAmt
Total Assets EOY$805,087,779TotalAssetsEOYAmt
Total Liabilities BOY$185,777,827TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,188,680TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$547,828,830NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$631,899,099NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$249,074,937ExpenseAmt
Revenue$261,352,651RevenueAmt
DescSee Schedule O.By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality; Carilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves. 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, and strategic planning services. This assisted the Clinic's hospitals in admitting 52,717 patients and providing 250,906 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion Clinic's hospitals collectively provided extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $100.2 million.Desc
Total Program Service Expenses$249,074,937TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document849IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2488EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
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 (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jeanne S Armentrout
Director/Exec. VP/CAO46.004.00Yes (X)$517,207$0$151,120
Kerri L Thornton
Director/Vice President48.801.20Yes (X)$257,557$0$106,265
Nancy Howell Agee
Director/President/CEO29.0021.00Yes (X)$11,987,536$0$205,141Yes (X)
Donald B Halliwill
Director/Asst. Treasurer/EVP42.507.50Yes (X)$537,739$0$127,331Yes (X)
Nicholas C Conte
Secretary/Exec. Vice President35.0015.00$454,577$4,359$158,490Yes (X)
David S Hagadorn
Assistant Treasurer/Dept. Director47.003.00$131,632$0$26,984Yes (X)
Lauren J Schantz
Asst.Secretary/Governance Secretary18.5031.50$72,129$0$15,236Yes (X)
G Robert Vaughan Jr
Treasurer/Senior Vice President43.506.50$280,967$0$79,903Yes (X)
Carolyn H Chrisman
Senior Vice President50.00$295,801$0$100,771Yes (X)
R Keith Perry
Senior Vice President/CIO50.00$289,860$0$49,728Yes (X)
Steven C Arner
Executive Vice President/CEO/COO0.0050.00$497,909$0$119,052Yes (X)
Stephen A Morgan MD
Senior Vice President/CMIO50.00$387,293$0$93,161Yes (X)
Curtis Mills
Senior Vice President50.00$321,089$0$61,459Yes (X)
Paul Hudgins
Senior Vice President/CHRO50.00$325,812$0$26,516Yes (X)
Patrice M Weiss MD
Executive Vice President/CMO0.0050.00$634,135$1,469$135,987Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,991,243TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,828TotReportableCompRltdOrgAmt
Total Other Compensation$1,457,144TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K160IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Epic Systems Corporation
1979 Milky WayVeronaWI53593Software Services$4,091,239
Accenture LLP
161 N Clark StChicagoIL60601Consulting Services$3,380,878
Microsoft Corporation
1950 N Stemmons Fwy Ste 5010DallasTX75207Software Services$2,643,398
Huron Consulting Services LLC
3005 Momentum PlaceChicagoIL606895330Professional Services$2,393,836
AECOM Technical Services Inc
1178 Paysphere CircleChicagoIL60674Professional Services$2,249,248
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K138CntrctRcvdGreaterThan100KCnt
Related Organizations$49,992RelatedOrganizationsAmt
All Other Contributions$71,955AllOtherContributionsAmt
Total Contributions$121,947TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management Fees561110$227,932,665$227,932,665
Carilion Patient Transportation S621910$14,026,332$14,026,332
Net Patient Revenue622110$13,077,903$13,077,903
Affiliate Insurance Premium Rev.525100$4,992,662$4,992,662
Rent from Exempt Affiliates531120$55,380$55,380
FieldValueIRS element (for citing)
Total Program Service Revenue$260,084,942TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,176,698TotalRevenueColumnAmt
Exclusion$5,176,698ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,673,890SecuritiesAmt
Other$39,575OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$19,389,109SecuritiesAmt
Other$10,016OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$284,781SecuritiesAmt
Other$29,559OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,340TotalRevenueColumnAmt
Exclusion$314,340ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Purchase Discounts900099$760,377$760,377
Life Insurance Proceeds900099$741,881$741,881
Medical Records Research900099$170,600$170,600

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$336,732TotalRevenueColumnAmt
Related Or Exempt Func Income$336,732RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,009,590OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$267,707,517TotalRevenueColumnAmt
Related Or Exempt Func Income$261,352,651RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,232,919ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,048,704TotalAmt
Program Services$1,563,388ProgramServicesAmt
Management And General$3,485,316ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$69,854TotalAmt
Program Services$69,854ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,145,584TotalAmt
Program Services$113,940,411ProgramServicesAmt
Management And General$1,205,173ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,202,180TotalAmt
Program Services$12,074,466ProgramServicesAmt
Management And General$127,714ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,914,635TotalAmt
Program Services$16,942,757ProgramServicesAmt
Management And General$971,878ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,012,421TotalAmt
Program Services$7,710,392ProgramServicesAmt
Management And General$302,029ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,010,471TotalAmt
Management And General$1,010,471ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,010,937TotalAmt
Management And General$1,010,937ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$623,142TotalAmt
Management And General$623,142ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$86,717TotalAmt
Program Services$86,717ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$308,844TotalAmt
Management And General$308,844ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,735,520TotalAmt
Program Services$30,435,695ProgramServicesAmt
Management And General$1,299,825ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,088,497TotalAmt
Program Services$2,088,497ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,018,461TotalAmt
Program Services$11,867,285ProgramServicesAmt
Management And General$129,695ManagementAndGeneralAmt
Fundraising$21,481FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,118,148TotalAmt
Program Services$22,969,786ProgramServicesAmt
Management And General$148,362ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,285,141TotalAmt
Program Services$7,185,864ProgramServicesAmt
Management And General$4,099,277ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,141,698TotalAmt
Program Services$1,032,786ProgramServicesAmt
Management And General$108,912ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,127,583TotalAmt
Program Services$13,127,583ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$511,404TotalAmt
Program Services$25,245ProgramServicesAmt
Management And General$486,159ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$2,241,412$2,241,412
Dues & Subscriptions$2,151,369$1,266,528$884,841
Recruitment$1,348,715$1,348,715
Education$1,346,039$1,341,408$4,631

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,928,967TotalAmt
Program Services$1,756,148ProgramServicesAmt
Management And General$172,819ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,476,443TotalAmt
Program Services$249,074,937ProgramServicesAmt
Management And General$16,380,025ManagementAndGeneralAmt
Fundraising$21,481FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,768BOYAmt
EOY$3,426EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$204,890,445BOYAmt
EOY$216,512,468EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,120,774BOYAmt
EOY$2,665,809EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$50,243BOYAmt
EOY$47,615EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,972,218BOYAmt
EOY$5,858,119EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,546,001BOYAmt
EOY$12,075,202EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$166,727,724LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$132,558,673LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,919,536BOYAmt
EOY$34,169,051EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,108,888BOYAmt
EOY$53,465,638EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$344,954,940BOYAmt
EOY$396,127,065EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$77,040,844BOYAmt
EOY$84,163,386EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$733,606,657BOYAmt
EOY$805,087,779EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$64,987,107BOYAmt
EOY$71,737,581EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$461,500BOYAmt
EOY$197,033EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,110,984BOYAmt
EOY$1,721,133EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,218,236BOYAmt
EOY$99,532,933EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$185,777,827BOYAmt
EOY$173,188,680EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$547,828,830BOYAmt
EOY$631,899,099EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$547,828,830BOYAmt
EOY$631,899,099EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$733,606,657BOYAmt
EOY$805,087,779EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,231,074ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,465,489NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$80,373,706OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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 (1)$0$150,720,813
Carilion New River Valley Medical Center
5405538053Yes (1)$0$26,570,296
Carilion Giles Community Hospital
5405496033Yes (1)$0$3,923,757
Carilion Franklin Memorial Hospital
5404806063Yes (1)$0$5,875,480
Carilion Stonewall Jackson Hospital
5405680013Yes (1)$0$4,515,544
Carilion Tazewell Community Hospital
5460745803Yes (1)$0$2,329,436
Carilion Clinic Foundation
5411907737Yes (1)$107,000$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$107,000SupportSumAmt
Other Support Sum$193,935,326OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$85,683DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,034OtherActivitiesAmt
Total Lobbying Expenditures$86,717TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of dues paid to various hospital industry associations is attributable to lobbying activities. Carilion employs an individual to monitor and inform management about legislative activity regarding health care. A portion of the individual's time is spent on lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,934,608OtherCostOrOtherBasisAmt
Depreciation$6,044,137DepreciationAmt
Book Value$890,471BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$115,304OtherCostOrOtherBasisAmt
Depreciation$101,668DepreciationAmt
Book Value$13,636BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,706,732OtherCostOrOtherBasisAmt
Depreciation$126,005,530DepreciationAmt
Book Value$27,701,202BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,182,255OtherCostOrOtherBasisAmt
Depreciation$407,338DepreciationAmt
Book Value$2,774,917BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,169,051TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Other Non-Publicly Traded Investments$4,176,118F
Investments in Affiliates$390,842,773C
Investment Minority Interest$1,108,174C
FieldValueIRS element (for citing)
Total Book Value Securities$396,127,065TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Interco Loan Receivable$79,404,035
Excess Umbrella Reinsurance$1,225,441
Other Long Term Assets$3,533,910
FieldValueIRS element (for citing)
Total Book Value Other Assets$84,163,386TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Pension Liability$55,153,919
BRIC Claims Payable$27,685,935
Deferred Compensation Payable$7,695,179
Due to Affiliates$8,997,900
FieldValueIRS element (for citing)
Total Liability$99,532,933TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCarilion recognizes a tax liability or asset for the estimated taxes payable or refundable on tax returns for current and prior years. Deferred tax assets and liabilities are recognized for the estimated future tax effects attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A tax benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Uncertain tax positions may include the characterization of income, such as a characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeanne S Armentrout
Director/Exec. VP/CAO$462,562$0$45,797$0$8,848$0$147,208$0$3,912$0$668,327$0$0$0
Kerri L Thornton
Director/Vice President$234,887$0$19,793$0$2,877$0$99,801$0$6,464$0$363,822$0$0$0
Nancy Howell Agee
Director/President/CEO$1,218,641$0$208,987$0$10,559,908$0$191,766$0$13,375$0$12,192,677$0$10,545,910$0
Donald B Halliwill
Director/Asst. Treasurer/EVP$483,869$0$49,599$0$4,271$0$110,548$0$16,783$0$665,070$0$0$0
Nicholas C Conte
Secretary/Exec. Vice President$413,037$4,359$35,018$0$6,522$0$140,407$0$18,083$0$613,067$4,359$0$0
David S Hagadorn
Assistant Treasurer/Dept. Director$130,617$0$600$0$415$0$26,124$0$860$0$158,616$0$0$0
G Robert Vaughan Jr
Treasurer/Senior Vice President$254,802$0$22,207$0$3,958$0$62,034$0$17,869$0$360,870$0$0$0
Carolyn H Chrisman
Senior Vice President$265,545$0$22,878$0$7,378$0$87,396$0$13,375$0$396,572$0$0$0
R Keith Perry
Senior Vice President/CIO$262,230$0$21,824$0$5,806$0$41,698$0$8,030$0$339,588$0$0$0
Steven C Arner
Executive Vice President/CEO/COO$447,471$0$45,361$0$5,077$0$100,969$0$18,083$0$616,961$0$0$0
Stephen A Morgan MD
Senior Vice President/CMIO$349,609$0$29,679$0$8,005$0$78,114$0$15,047$0$480,454$0$0$0
Curtis Mills
Senior Vice President$275,140$0$23,699$0$22,250$0$48,903$0$12,556$0$382,548$0$0$0
Paul Hudgins
Senior Vice President/CHRO$285,106$0$36,664$0$4,042$0$13,156$0$13,360$0$352,328$0$0$0
Patrice M Weiss MD
Executive Vice President/CMO$561,668$1,469$65,276$0$7,191$0$0$116,421$0$19,566$634,135$137,456$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aEmployees are occasionally awarded gifts or prizes which are grossed up for taxes at management's discretion and included in taxable compensation. During the reporting period, Ms. Thornton and Mr. Perry received such benefit. The filing organization paid $400 to an independent consultant for tax services provided to the personal tax advisors of Ms. Agee.
Part I, Line 1bManagement determines tax gross-up decisions based on IRS requirements, amount, and the non-cash status of the benefits. Personal tax services on behalf of Ms. Agee were provided under non-recurring circumstances, communicated to the compensation committee and approved by internal management.
Part I, Line 3The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. This review was performed in November 2017 and September 2018. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Part I, Line 4bNancy Howell Agee, President and Chief Executive Officer, participated in a pension restoration plan (Plan). The Plan was established in 1995 and its purpose is to restore the pension benefits that Ms. Agee would otherwise lose as a result of Internal Revenue Code limitations upon contributions to, and payment of benefits from, Carilion Clinic's tax qualified pension plan. In 2017, Ms. Agee became fully vested in the pension restoration benefit, requiring distribution of all benefits earned while participating in the Plan, which totaled $10,310,500 before taxes. The benefits earned under the Plan reflect the value accumulated over Ms. Agee's 45 years of service to the organization through progressive leadership roles, including ten years as Chief Operating Officer and eight years in her current position as President and Chief Executive Officer. As benefits were earned under the Plan, accruals were reported in each of the organization's prior Form 990 filings as "retirement and other deferred compensation." Although the pension restoration benefits were earned over the course of Ms. Agee's career, the Form 990 requires that they be reported again as "other reportable compensation" in total in the current year when vested and paid. The 2017 payment represents Ms. Agee's entire benefit under the Plan. After 2017, Ms. Agee will no longer receive or accrue Plan benefits. Ms. Agee also participated in an executive flexible benefit plan, in which an allowance is provided annually to the participant for use in obtaining certain insurance benefits. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon vesting while employed by a Carilion Clinic affiliate, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to terms. In 2017, $235,410 in previously deferred amounts became vested under this plan and were paid. Although CAA contributions were previously reported on the Form 990 as "retirement and other deferred compensation" when allocated, the Form 990 requires that CAA amounts be reported again as "other reportable compensation" in the current year when vested and paid. The two deferred compensation plan payouts for Ms. Agee totaled $10,545,910, as reflected in Schedule J, Part II, column (F). Ms. Agee, Ms. Armentrout, Mr. Arner, Ms. Chrisman, Mr. Conte, Mr. Halliwill, Mr. Hudgins, Dr. Morgan, Mr. Perry, Mr. Vaughan, and Dr. Weiss participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer, at the discretion of Carilion Clinic's 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 vesting date, death, or disability. No distributions were made under this plan in the reporting year. Unvested contributions made to the DC SERP in 2017 are reported on the Form 990 as "retirement and other deferred compensation."
Part I, Line 7The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Board of Directors Compensation Committee, although it is based on the scorecard measures.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJessica LemonsPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSee Part VRelationshipDescriptionTxt
Transaction$69,854TransactionAmt
TransactionEmployeeTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IVFormAndLineReferenceDesc
ExplanationFamily member of Jeanne Armentrout, Director.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Nancy Howell Agee, Jeanne S. Armentrout, Carolyn H. Chrisman, Nicholas C. Conte, David S. Hagadorn, Donald B. Halliwill, Lauren J. Schantz, Kerri L. Thornton, and G. Robert Vaughan, Jr. - Business relationships due to each serving as officers, directors and/or employees of the same various related taxable organizations.
Form 990, Part VI, Section A, line 6The 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, Section A, line 7aThe 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, Section A, line 7bThe 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. 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, Section A, line 8bThe filing organization has no committees.
Form 990, Part VI, Section B, line 11bThe Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments as applicable, and reviewed by internal Accounting management. Prior to filing, all Board Members were notified via email of its availability on Carilion'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, Section B, line 12cOur 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 Organizational Integrity & 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 Organizational Integrity & 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, Section B, line 15The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of 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, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, select Senior Vice Presidents, and physician Chairs of the Clinical Departments. This review was performed in October and November 2017 (President and CEO) and November 2017 and September 2018 (all others). For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents, which was performed in November 2017 and September 2018. 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 all employed physicians and physicians in leadership roles. 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 outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses 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 detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest statement, and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released to the local newspaper when requested. Limited financial information is available on our website.
Form 990, Part IX, Line 11g, Column B:Physician/Professional/Staffing Services: $3,978,640 Billing & Collection Services: $671,530 Other Purchased Services: $1,968,784 Contract Fees/Consulting: $18,839,388 Repairs and Maintenance: $4,977,353 Total Other Service Fees, Column B: $30,435,695 Form 990, Part IX, Line 11g, Column C: Other Purchased Services: $47,940 Contract Fees/Consulting: $1,251,227 Repairs and Maintenance: $658 Total Other Service Fees, Column C: $1,299,825
Form 990, Part XI, line 9:Transfers to/from Affiliates - Net 23,373,751. Pension-related changes other than net periodic pension costs 56,999,955.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Blue Ridge Indemnity Company LLC
76 St Paul Street Suite 500BurlingtonVT05401270927178InsuranceVT$6,741,277$46,309,849Carilion Services Inc
Carilion Clinic Patient Transportation LLC
PO Box 12385RoanokeVA24025541864693TransportationVA$12,146,562$5,289,749Carilion Services Inc
Carilion Professional Services LLC
PO Box 12385RoanokeVA24025542030773CRNAsVA$12,400,633$343,624Carilion Services Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Carilion Clinic
PO Box 12385RoanokeVA24025541190771Supporting organizationVA501(c)(3)Line 12b, IIN/A0
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773FundraisingVA501(c)(3)Line 7Yes (1)Carilion Clinic
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Medical Center
PO Box 12385RoanokeVA24025540506332HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Franklin County Ventures LLC
PO Box 12385RoanokeVA24025474365316Real estateVAN/A
Community Medical Associates LLP
PO Box 12385RoanokeVA24025541517662Real estateVAN/A
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385RoanokeVA24025455235473Medicare HMOVAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
CHS Inc
PO Box 12385RoanokeVA24025541725732ServicesVACarilion Services IncC$214,131,375$468,811,7121.00000Yes (1)
Carilion Behavioral Health Inc
PO Box 12385RoanokeVA24025203136891HealthcareVACHS IncCYes (1)
Carilion Emergency Services Inc
PO Box 12385RoanokeVA24025542033006HealthcareVACHS IncCYes (1)
SCA Credit Services Inc
PO Box 12385RoanokeVA24025541180398Collection AgencyVACHS IncCYes (1)
Carilion Healthcare Corporation
PO Box 12385RoanokeVA24025541586601HealthcareVACHS IncCYes (1)
MedKey Inc
PO Box 12385RoanokeVA24025541645357Financing ServicesVACHS IncCYes (1)
Carilion Clinic Medicare Resources LLC
PO Box 12385RoanokeVA24025263729975Medicare HMOVACarilion Services IncC$175,786$15,641,6551.00000Yes (1)
Sprott Private Resource Lending (C-Co-Invest) LP
981378742InvestmentsC0200 Bay Street Suite 2700TorontoCACAN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHS Inc
K$163,769Market Rates
CHS Inc
L$1,543,167Cost
Carilion Emergency Services
L$1,271,513Cost
SCA Credit Services Inc
L$113,990Cost
Carilion Healthcare Corporation
L$15,742,684Cost
MedKey Inc
L$103,396Cost
CHS Inc
M$160,322Cost
SCA Credit Services Inc
M$93,267Cost
Carilion Clinic Medicare Resources LLC
A$3,360,000Market Rates
Carilion Clinic Medicare Resources LLC
D$3,360,000Cost
Carilion Medical Center
L$170,507,147Cost
Carilion New River Valley Medical Center
L$31,140,935Cost
Carilion Giles Community Hospital
L$4,592,200Cost
Carilion Franklin Memorial Hospital
L$6,484,048Cost
Carilion Stonewall Jackson Hospital
L$5,342,368Cost
Carilion Tazewell Community Hospital
L$2,364,186Cost
Carilion Medical Center
A$55,380Cost
Carilion Medical Center
K$1,681,789Cost
Carilion Medical Center
M$2,033,330Cost
Carilion Clinic Foundation
M$606,700Cost
Carilion Medical Center
S$54,906,591Cash
Carilion New River Valley Medical Center
S$9,524,137Cash
Carilion Healthcare Corporation
M$84,853Cost
Carilion Stonewall Jackson Hospital
K$75,908Cost
Carilion Clinic Foundation
R$107,000Cash
CHS Inc
R$47,247,150Cash
Carilion Emergency Services Inc
S$259,031Cash
Carilion Medical Center
C$49,992Cash