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CARILION SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-16
IRS object ID
201822289349301217
Schema version
2016v3.0
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)
Return2018-08-16T16:58:10-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD 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 Begin2016-10-01TaxPeriodBeginDt

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
Signature2018-08-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$288,560,357GrossReceiptsAmt
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 Employee2411TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$18,192,987TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$111,927PYContributionsGrantsAmt
CY Contributions Grants$109,337CYContributionsGrantsAmt
PY Program Service Revenue$232,273,408PYProgramServiceRevenueAmt
CY Program Service Revenue$247,611,531CYProgramServiceRevenueAmt
PY Investment Income$5,040,304PYInvestmentIncomeAmt
CY Investment Income$5,446,037CYInvestmentIncomeAmt
PY Other Revenue$1,013,172PYOtherRevenueAmt
CY Other Revenue$1,370,213CYOtherRevenueAmt
PY Total Revenue$238,438,811PYTotalRevenueAmt
CY Total Revenue$254,537,118CYTotalRevenueAmt
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$144,347,176PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$157,646,167CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,128CYTotalFundraisingExpenseAmt
PY Other Expenses$91,276,497PYOtherExpensesAmt
CY Other Expenses$101,159,919CYOtherExpensesAmt
PY Total Expenses$235,623,673PYTotalExpensesAmt
CY Total Expenses$258,806,086CYTotalExpensesAmt
PY Revenues Less Expenses$2,815,138PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,268,968CYRevenuesLessExpensesAmt
Total Assets BOY$682,251,881TotalAssetsBOYAmt
Total Assets EOY$733,606,657TotalAssetsEOYAmt
Total Liabilities BOY$205,952,636TotalLiabilitiesBOYAmt
Total Liabilities EOY$185,777,827TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$476,299,245NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$547,828,830NetAssetsOrFundBalancesEOYAmt
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$241,031,213ExpenseAmt
Revenue$230,788,757RevenueAmt
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 50,739 patients and providing 248,639 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 $93 million.Desc
Total Program Service Expenses$241,031,213TotalProgramServiceExpensesAmt
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 Document804IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2411EmployeeCnt
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 DocumentsYes (1)ChangeToOrgDocumentsInd
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
Director46.004.00Yes (X)$518,463$0$345,132
Kerri L Thornton
Director48.801.20Yes (X)$273,390$0$266,974
Nancy Howell Agee
Director/President28.0022.00Yes (X)$1,793,622$0$2,375,890Yes (X)
Donald B Halliwill
Director/Asst Treasurer42.707.30Yes (X)$575,607$0$209,478Yes (X)
Nicholas C Conte
Secretary41.508.50$452,911$0$69,180Yes (X)
David S Hagadorn
Assistant Treasurer49.600.40$139,069$0$62,000Yes (X)
Lauren J Schantz
Assistant Secretary19.7030.30$73,461$0$19,376Yes (X)
G Robert Vaughan Jr
Treasurer45.704.30$356,998$0$182,289Yes (X)
Carolyn H Chrisman
SVP50.00$313,816$0$218,633Yes (X)
R Keith Perry
SVP/CIO50.00$335,186$0$74,438Yes (X)
Melina D Perdue
EVP48.90$1,907,232$0$268,067Yes (X)
Patrice M Weiss MD
EVP0.0050.00$693,728$0$177,008Yes (X)
Steve C Arner
EVP0.0050.00$529,972$0$206,940Yes (X)
Stephen A Morgan MD
SVP50.00$420,137$0$176,292Yes (X)
Curtis Mills
SVP50.00$398,086$0$207,315Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,781,678TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,859,012TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K150IndivRcvdGreaterThan100KCnt
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$3,852,820
Accenture LLP
PO Box 70629ChicagoIL606730629Consulting Services$2,966,068
Mainline Information Systems
1700 Summit Lake DrTallahasseeFL32317Software/Technology Services$2,913,657
Evolent Health LLC
800 North Glebe Road Suite 500ArlingtonVA22203Consulting Services$2,800,000
Microsoft Corporation
1950 N Stemmons Fwy Ste 5010DallasTX75207Software Services$2,273,915
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K169CntrctRcvdGreaterThan100KCnt
Related Organizations$50,013RelatedOrganizationsAmt
All Other Contributions$59,324AllOtherContributionsAmt
Total Contributions$109,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Management Fees561110$221,350,245$203,157,258$18,192,987
Carilion Patient Transportation S621910$14,031,620$14,031,620
CRNA Services621111$10,116,147$10,116,147
Net Patient Revenue622110$2,060,279$2,060,279
Rent from Exempt Affiliates531120$53,240$53,240
FieldValueIRS element (for citing)
Total Program Service Revenue$247,611,531TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,526,599TotalRevenueColumnAmt
Exclusion$4,526,599ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$34,931,742SecuritiesAmt
Other$10,935OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$34,023,084SecuritiesAmt
Other$155OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$908,658SecuritiesAmt
Other$10,780OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$919,438TotalRevenueColumnAmt
Exclusion$919,438ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$1,149,691$1,149,691
Health Education900099$148,181$148,181

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,341TotalRevenueColumnAmt
Related Or Exempt Func Income$72,341RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,370,213OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,537,118TotalRevenueColumnAmt
Related Or Exempt Func Income$230,788,757RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$18,192,987UnrelatedBusinessRevenueAmt
Exclusion$5,446,037ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,822,078TotalAmt
Program Services$1,826,859ProgramServicesAmt
Management And General$3,995,219ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$76,968TotalAmt
Program Services$70,668ProgramServicesAmt
Management And General$6,300ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$112,329,999TotalAmt
Program Services$111,573,112ProgramServicesAmt
Management And General$756,887ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,173,141TotalAmt
Program Services$15,070,903ProgramServicesAmt
Management And General$102,238ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,261,087TotalAmt
Program Services$15,095,228ProgramServicesAmt
Management And General$1,165,859ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,982,894TotalAmt
Program Services$7,661,604ProgramServicesAmt
Management And General$321,290ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$856,495TotalAmt
Management And General$856,495ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,003,187TotalAmt
Management And General$1,003,187ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$748,247TotalAmt
Management And General$748,247ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$84,087TotalAmt
Program Services$84,087ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$317,029TotalAmt
Management And General$317,029ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,437,894TotalAmt
Program Services$27,432,839ProgramServicesAmt
Management And General$2,005,055ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,227,935TotalAmt
Program Services$2,227,935ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,045,325TotalAmt
Program Services$11,893,985ProgramServicesAmt
Management And General$150,212ManagementAndGeneralAmt
Fundraising$1,128FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,284,282TotalAmt
Program Services$19,173,235ProgramServicesAmt
Management And General$111,047ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,049,722TotalAmt
Program Services$6,149,158ProgramServicesAmt
Management And General$3,900,564ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,185,392TotalAmt
Program Services$1,042,578ProgramServicesAmt
Management And General$142,814ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,468,952TotalAmt
Program Services$13,468,952ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,525,685TotalAmt
Program Services$464,616ProgramServicesAmt
Management And General$1,061,069ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$2,249,260$1,373,471$875,789
Education$1,726,414$1,721,901$4,513
Bad Debt$1,696,879$1,696,879
Recruitment$1,563,895$1,561,576$2,319

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,689,239TotalAmt
Program Services$1,441,627ProgramServicesAmt
Management And General$247,612ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$258,806,086TotalAmt
Program Services$241,031,213ProgramServicesAmt
Management And General$17,773,745ManagementAndGeneralAmt
Fundraising$1,128FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,524BOYAmt
EOY$2,768EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$210,868,615BOYAmt
EOY$204,890,445EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,235,363BOYAmt
EOY$2,120,774EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$47,397BOYAmt
EOY$50,243EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,670,798BOYAmt
EOY$5,972,218EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,036,003BOYAmt
EOY$12,546,001EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$158,587,038LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$119,667,502LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,584,838BOYAmt
EOY$38,919,536EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,990,186BOYAmt
EOY$47,108,888EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$298,058,219BOYAmt
EOY$344,954,940EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$78,756,938BOYAmt
EOY$77,040,844EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$682,251,881BOYAmt
EOY$733,606,657EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,945,211BOYAmt
EOY$64,987,107EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$278,772BOYAmt
EOY$461,500EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,846,325BOYAmt
EOY$2,110,984EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,882,328BOYAmt
EOY$118,218,236EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$205,952,636BOYAmt
EOY$185,777,827EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$476,299,245BOYAmt
EOY$547,828,830EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$476,299,245BOYAmt
EOY$547,828,830EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$682,251,881BOYAmt
EOY$733,606,657EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,268,968ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,168,478NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$72,630,075OtherChangesInNetAssetsAmt
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$145,389,302
Carilion New River Valley Medical Center
5405538053Yes (1)$0$24,940,171
Carilion Giles Community Hospital
5405496033Yes (1)$0$4,022,400
Carilion Franklin Memorial Hospital
5404806063Yes (1)$0$5,818,821
Carilion Stonewall Jackson Hospital
5405680013Yes (1)$0$4,182,670
Carilion Tazewell Community Hospital
5460745803Yes (1)$0$2,185,582
Carilion Clinic Foundation
5411907733Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$186,538,946OtherSupportSumAmt

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 OrgYes (1)OrganizationChangeSuprtOrgInd
Supported Org Class DesignatedYes (1)SupportedOrgClassDesignatedInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Section A, Line 5aThe filing organization's Board of Directors amended its Articles of Incorporation to add Carilion Clinic Foundation (EIN 54-1190773) as a supported organization. Because the filing organization's general purpose is to operate exclusively for the benefit of, to perform the functions of, and to carry out the purposes of, each entity directly or indirectly controlled by Carilion Clinic, the filing organization's sole member, that is exempt from tax under Section 501(a) of the Code as an organization described in Section 501(c)(3) of the Code and is classified as other than a private foundation under Section 509(a)(1) or Section 509(a)(2), and the Carilion Clinic Foundation is such an entity, its Board of Directors was authorized to take this action.
Part IV, Section C, Line 1The 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.
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 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)
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$83,206DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$881OtherActivitiesAmt
Total Lobbying Expenditures$84,087TotalLobbyingExpendituresAmt
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$6,944,470OtherCostOrOtherBasisAmt
Depreciation$5,864,000DepreciationAmt
Book Value$1,080,470BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,538OtherCostOrOtherBasisAmt
Depreciation$98,243DepreciationAmt
Book Value$10,295BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,783,873OtherCostOrOtherBasisAmt
Depreciation$113,301,614DepreciationAmt
Book Value$28,482,259BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,961,332OtherCostOrOtherBasisAmt
Depreciation$403,645DepreciationAmt
Book Value$6,557,687BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,919,536TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Other Non-Publicly Traded Investments$143,148F
Investments in Affiliates$343,747,655C
Investment Minority Interest$1,064,137C
FieldValueIRS element (for citing)
Total Book Value Securities$344,954,940TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Interco Loan Receivable$75,946,378
Excess Umbrella Reinsurance$1,176,000
Other Long Term Assets-$81,534
FieldValueIRS element (for citing)
Total Book Value Other Assets$77,040,844TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Pension Liability$79,138,389
BRIC Claims Payable$28,662,721
Deferred Compensation Payable$6,386,984
Due to Affiliates$4,030,142
FieldValueIRS element (for citing)
Total Liability$118,218,236TotalLiabilityAmt
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
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$417,080$0$93,685$0$7,698$0$341,240$0$3,892$0$863,595$0$0$0
Kerri L Thornton
Director$228,135$0$43,242$0$2,013$0$261,716$0$5,258$0$540,364$0$0$0
Nancy Howell Agee
Director/President$1,189,180$0$358,500$0$245,942$0$2,363,574$0$12,316$0$4,169,512$0$235,766$0
Donald B Halliwill
Director/Asst Treasurer$464,019$0$107,317$0$4,271$0$196,448$0$13,030$0$785,085$0$0$0
Nicholas C Conte
Secretary$332,117$0$117,252$0$3,542$0$54,850$0$14,330$0$522,091$0$0$0
David S Hagadorn
Assistant Treasurer$128,352$0$3,000$0$7,717$0$61,157$0$843$0$201,069$0$0$0
G Robert Vaughan Jr
Treasurer$300,771$0$48,281$0$7,946$0$168,199$0$14,090$0$539,287$0$0$0
Carolyn H Chrisman
SVP$256,600$0$49,981$0$7,235$0$204,515$0$14,118$0$532,449$0$0$0
R Keith Perry
SVP/CIO$285,830$0$47,910$0$1,446$0$67,764$0$6,674$0$409,624$0$0$0
Melina D Perdue
EVP$398,604$0$91,010$0$1,417,618$0$256,356$0$11,711$0$2,175,299$0$1,403,798$0
Patrice M Weiss MD
EVP$551,506$0$134,942$0$7,280$0$161,196$0$15,812$0$870,736$0$0$0
Steve C Arner
EVP$426,986$0$98,146$0$4,840$0$192,610$0$14,330$0$736,912$0$0$0
Stephen A Morgan MD
SVP$346,010$0$66,122$0$8,005$0$162,745$0$13,547$0$596,429$0$0$0
Curtis Mills
SVP$317,090$0$52,028$0$28,968$0$196,259$0$11,056$0$605,401$0$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, Melina Perdue received such benefit.
Part I, Line 1bManagement determined the tax gross-up decision based on IRS requirements and the non-cash status of the benefits.
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 September 2017. 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 4bSelect members of management participate in a Pension Restoration Plan. This plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified Plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified Plan. Entitlement to benefits and consequent lump sum payment occurs upon attaining age 65 while employed by Carilion Clinic, disability, or 24 months after certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to Plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. 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 Carilion, 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 Plan terms. Beginning in the year in which the participant attains age 67, a pro-rated portion of the award is paid monthly. Select members of management 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. Payments made during the calendar year under these plans included the following: Nancy Howell Agee $235,766 Melina Perdue $1,403,798
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$70,668TransactionAmt
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 (12 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, G. Robert Vaughan, Jr. - Business relationships due to each serving as officers or directors of the same various related taxable organizations.
Form 990, Part VI, Section A, line 4The filing organization's Articles of Incorporation were revised to add a supported organization.
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 and an independent CPA firm. Several days 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 Audit & 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 November 2016 (President and CEO) and September 2017 (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 September and November 2017. 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: $3,589,801 Billing & Collection Services: $639,948 Other Purchased Services: $1,905,935 Contract Fees/Consulting: $15,931,914 Repairs and Maintenance: $5,365,241 Total Other Service Fees, Column B: $27,432,839 Form 990, Part IX, Line 11g, Column C: Other Purchased Services: $44,854 Contract Fees/Consulting: $1,957,826 Repairs and Maintenance: $2,375 Total Other Service Fees, Column C: $2,005,055
Form 990, Part XI, line 9:Transfers to/from Affiliates - Net 61,200,871. Pension-related changes other than net periodic pension costs 11,429,204.

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$18,215,397$42,077,577Carilion Services Inc
Carilion Clinic Patient Transportation LLC
PO Box 12385RoanokeVA24025541864693TransportationVA$12,796,288$4,529,982Carilion Services Inc
Carilion Professional Services LLC
PO Box 12385RoanokeVA24025542030773CRNAsVA$11,765,994$256,209Carilion 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
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385RoanokeVA24025455235473Medicare HMOVAN/A
Franklin County Ventures LLC
PO Box 12385RoanokeVA24025474365316Real estateVAN/A
Community Medical Associates LLP
PO Box 12385RoanokeVA24025541517662Real estateVAN/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$195,186,928$400,932,4721.00000Yes (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$65,233$15,373,8451.00000Yes (1)
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 Org0RentalOfFacilitiesToOthOrgInd
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$163,124Market Rates
CHS Inc
L$1,464,419Cost
Carilion Emergency Services
L$1,092,499Cost
SCA Credit Services Inc
L$117,366Cost
Carilion Healthcare Corporation
L$15,286,887Cost
MedKey Inc
L$101,222Cost
CHS Inc
M$142,757Cost
SCA Credit Services Inc
M$81,300Cost
CHS Inc
R$4,769,600Cash
Carilion Clinic Medicare Resources LLC
A$3,359,999Market Rates
Carilion Clinic Medicare Resources LLC
D$3,359,999Cost
Carilion Medical Center
L$164,138,025Cost
Carilion New River Valley Medical Center
L$29,357,826Cost
Carilion Giles Community Hospital
L$4,747,149Cost
Carilion Franklin Memorial Hospital
L$6,424,099Cost
Carilion Stonewall Jackson Hospital
L$4,882,874Cost
Carilion Tazewell Community Hospital
L$2,214,684Cost
Carilion Medical Center
A$53,240Cost
Carilion Medical Center
K$2,005,071Cost
Carilion Medical Center
M$1,735,942Cost
Carilion Clinic Foundation
M$560,190Cost
Carilion Medical Center
S$38,975,000Cash
Carilion New River Valley Medical Center
S$15,043,000Cash
Carilion Giles Community Hospital
R$2,198,000Cash
Carilion Franklin Memorial Hospital
S$54,000Cash
Carilion Healthcare Corporation
M$121,918Cost
Carilion Behavioral Health Inc
L$53,471Cost
Carilion Medical Center
C$50,013Cash