2018-08-16T16:58:10-05:00 2017-09-30 440160260 BKD LLP 1201 WALNUT ST SUITE 1700 KANSAS CITY MO 641062246 990 2016-10-01 541190879 CARILION SERVICES INC CARI 5402245112 PO BOX 12385 ROANOKE VA 240252385 G Robert Vaughan Jr Treasurer 5402245137 2018-08-16 1 P00482834 8162216300 2016 2022-09-23 18:48:47Z Nancy Howell Agee PO BOX 12385 ROANOKE VA 240252385 288560357 0 X www.carilionclinic.org X 1982 VA Our mission is to improve the health of the communities we serve. 4 0 2411 0 18192987 0 111927 109337 232273408 247611531 5040304 5446037 1013172 1370213 238438811 254537118 0 0 0 0 144347176 157646167 0 0 1128 91276497 101159919 235623673 258806086 2815138 -4268968 682251881 733606657 205952636 185777827 476299245 547828830 X Our mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost. 0 0 241031213 230788757 See 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. 241031213 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 804 0 1 2411 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 1 0 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X The Corporation Attn H Kirk 5402245102 213 S Jefferson St Roanoke VA 24011 Jeanne S Armentrout Director 46.00 4.00 X 518463 0 345132 Kerri L Thornton Director 48.80 1.20 X 273390 0 266974 Nancy Howell Agee Director/President 28.00 22.00 X X 1793622 0 2375890 Donald B Halliwill Director/Asst Treasurer 42.70 7.30 X X 575607 0 209478 Nicholas C Conte Secretary 41.50 8.50 X 452911 0 69180 David S Hagadorn Assistant Treasurer 49.60 0.40 X 139069 0 62000 Lauren J Schantz Assistant Secretary 19.70 30.30 X 73461 0 19376 G Robert Vaughan Jr Treasurer 45.70 4.30 X 356998 0 182289 Carolyn H Chrisman SVP 50.00 X 313816 0 218633 R Keith Perry SVP/CIO 50.00 X 335186 0 74438 Melina D Perdue EVP 48.90 X 1907232 0 268067 Patrice M Weiss MD EVP 0.00 50.00 X 693728 0 177008 Steve C Arner EVP 0.00 50.00 X 529972 0 206940 Stephen A Morgan MD SVP 50.00 X 420137 0 176292 Curtis Mills SVP 50.00 X 398086 0 207315 8781678 0 4859012 150 0 1 0 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Software Services 3852820 Accenture LLP PO Box 70629 Chicago IL 606730629 Consulting Services 2966068 Mainline Information Systems 1700 Summit Lake Dr Tallahassee FL 32317 Software/Technology Services 2913657 Evolent Health LLC 800 North Glebe Road Suite 500 Arlington VA 22203 Consulting Services 2800000 Microsoft Corporation 1950 N Stemmons Fwy Ste 5010 Dallas TX 75207 Software Services 2273915 169 50013 59324 109337 Management Fees 561110 221350245 203157258 18192987 Carilion Patient Transportation S 621910 14031620 14031620 CRNA Services 621111 10116147 10116147 Net Patient Revenue 622110 2060279 2060279 Rent from Exempt Affiliates 531120 53240 53240 247611531 4526599 4526599 34931742 10935 34023084 155 908658 10780 919438 919438 Purchase Discounts 900099 1149691 1149691 Health Education 900099 148181 148181 72341 72341 1370213 254537118 230788757 18192987 5446037 X 5822078 1826859 3995219 76968 70668 6300 112329999 111573112 756887 15173141 15070903 102238 16261087 15095228 1165859 7982894 7661604 321290 856495 856495 1003187 1003187 748247 748247 84087 84087 317029 317029 29437894 27432839 2005055 2227935 2227935 12045325 11893985 150212 1128 19284282 19173235 111047 10049722 6149158 3900564 1185392 1042578 142814 13468952 13468952 1525685 464616 1061069 Dues & Subscriptions 2249260 1373471 875789 Education 1726414 1721901 4513 Bad Debt 1696879 1696879 Recruitment 1563895 1561576 2319 1689239 1441627 247612 258806086 241031213 17773745 1128 3524 2768 210868615 204890445 3235363 2120774 47397 50243 4670798 5972218 11036003 12546001 158587038 119667502 38584838 38919536 36990186 47108888 298058219 344954940 78756938 77040844 682251881 733606657 67945211 64987107 278772 461500 3846325 2110984 133882328 118218236 205952636 185777827 X 476299245 547828830 476299245 547828830 682251881 733606657 X -4268968 3168478 72630075 X 0 1 X 1 1 1 X X 7 Carilion Medical Center 540506332 3 1 0 145389302 Carilion New River Valley Medical Center 540553805 3 1 0 24940171 Carilion Giles Community Hospital 540549603 3 1 0 4022400 Carilion Franklin Memorial Hospital 540480606 3 1 0 5818821 Carilion Stonewall Jackson Hospital 540568001 3 1 0 4182670 Carilion Tazewell Community Hospital 546074580 3 1 0 2185582 Carilion Clinic Foundation 541190773 3 1 0 0 7 0 186538946 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Part IV, Section A, Line 5a The 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 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. Part I, Line 12g Carilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves by providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality. CSI supports Carilion Clinic's core hospital business and related activities by providing technology, human resources, legal services, patient billing, accounting and finance, internal audit and compliance, materials management, executive leadership, and strategic planning services. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 83206 0 1 881 84087 0 Part II-B, Line 1: A 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. 2788825 2788825 6944470 5864000 1080470 108538 98243 10295 141783873 113301614 28482259 6961332 403645 6557687 38919536 Other Non-Publicly Traded Investments 143148 F Investments in Affiliates 343747655 C Investment Minority Interest 1064137 C 344954940 Interco Loan Receivable 75946378 Excess Umbrella Reinsurance 1176000 Other Long Term Assets -81534 77040844 Pension Liability 79138389 BRIC Claims Payable 28662721 Deferred Compensation Payable 6386984 Due to Affiliates 4030142 118218236 X Part X, Line 2: Carilion 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. X 0 1 0 1 0 0 0 0 0 1 0 Jeanne S Armentrout Director 417080 0 93685 0 7698 0 341240 0 3892 0 863595 0 0 0 Kerri L Thornton Director 228135 0 43242 0 2013 0 261716 0 5258 0 540364 0 0 0 Nancy Howell Agee Director/President 1189180 0 358500 0 245942 0 2363574 0 12316 0 4169512 0 235766 0 Donald B Halliwill Director/Asst Treasurer 464019 0 107317 0 4271 0 196448 0 13030 0 785085 0 0 0 Nicholas C Conte Secretary 332117 0 117252 0 3542 0 54850 0 14330 0 522091 0 0 0 David S Hagadorn Assistant Treasurer 128352 0 3000 0 7717 0 61157 0 843 0 201069 0 0 0 G Robert Vaughan Jr Treasurer 300771 0 48281 0 7946 0 168199 0 14090 0 539287 0 0 0 Carolyn H Chrisman SVP 256600 0 49981 0 7235 0 204515 0 14118 0 532449 0 0 0 R Keith Perry SVP/CIO 285830 0 47910 0 1446 0 67764 0 6674 0 409624 0 0 0 Melina D Perdue EVP 398604 0 91010 0 1417618 0 256356 0 11711 0 2175299 0 1403798 0 Patrice M Weiss MD EVP 551506 0 134942 0 7280 0 161196 0 15812 0 870736 0 0 0 Steve C Arner EVP 426986 0 98146 0 4840 0 192610 0 14330 0 736912 0 0 0 Stephen A Morgan MD SVP 346010 0 66122 0 8005 0 162745 0 13547 0 596429 0 0 0 Curtis Mills SVP 317090 0 52028 0 28968 0 196259 0 11056 0 605401 0 0 0 Part I, Line 1a Employees 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 1b Management determined the tax gross-up decision based on IRS requirements and the non-cash status of the benefits. Part I, Line 3 The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of 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 4b Select 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 7 The 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. Jessica Lemons See Part V 70668 Employee 0 Schedule L, Part IV Family member of Jeanne Armentrout, Director. Form 990, Part VI, Section A, line 2 Nancy 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 4 The filing organization's Articles of Incorporation were revised to add a supported organization. Form 990, Part VI, Section A, line 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers. Form 990, Part VI, Section A, line 7a The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason. Form 990, Part VI, Section A, line 7b The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. 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 8b The filing organization has no committees. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments as applicable, and reviewed by internal Accounting management and an independent CPA firm. 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 12c Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the 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 15 The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of 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 19 The 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. Blue Ridge Indemnity Company LLC 76 St Paul Street Suite 500 Burlington VT 05401 270927178 Insurance VT 18215397 42077577 Carilion Services Inc Carilion Clinic Patient Transportation LLC PO Box 12385 Roanoke VA 24025 541864693 Transportation VA 12796288 4529982 Carilion Services Inc Carilion Professional Services LLC PO Box 12385 Roanoke VA 24025 542030773 CRNAs VA 11765994 256209 Carilion Services Inc Carilion Clinic PO Box 12385 Roanoke VA 24025 541190771 Supporting organization VA 501(c)(3) Line 12b, II N/A 0 Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Fundraising VA 501(c)(3) Line 7 Carilion Clinic 1 Carilion Franklin Memorial Hospital PO Box 12385 Roanoke VA 24025 540480606 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Giles Community Hospital PO Box 12385 Roanoke VA 24025 540549603 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Medical Center PO Box 12385 Roanoke VA 24025 540506332 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion New River Valley Medical Center PO Box 12385 Roanoke VA 24025 540553805 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Tazewell Community Hospital PO Box 12385 Roanoke VA 24025 546074580 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Clinic Medicare Shared Savings Company LLC PO Box 12385 Roanoke VA 24025 455235473 Medicare HMO VA N/A Franklin County Ventures LLC PO Box 12385 Roanoke VA 24025 474365316 Real estate VA N/A Community Medical Associates LLP PO Box 12385 Roanoke VA 24025 541517662 Real estate VA N/A CHS Inc PO Box 12385 Roanoke VA 24025 541725732 Services VA Carilion Services Inc C 195186928 400932472 1.00000 1 Carilion Behavioral Health Inc PO Box 12385 Roanoke VA 24025 203136891 Healthcare VA CHS Inc C 1 Carilion Emergency Services Inc PO Box 12385 Roanoke VA 24025 542033006 Healthcare VA CHS Inc C 1 SCA Credit Services Inc PO Box 12385 Roanoke VA 24025 541180398 Collection Agency VA CHS Inc C 1 Carilion Healthcare Corporation PO Box 12385 Roanoke VA 24025 541586601 Healthcare VA CHS Inc C 1 MedKey Inc PO Box 12385 Roanoke VA 24025 541645357 Financing Services VA CHS Inc C 1 Carilion Clinic Medicare Resources LLC PO Box 12385 Roanoke VA 24025 263729975 Medicare HMO VA Carilion Services Inc C 65233 15373845 1.00000 1 1 0 1 1 0 0 0 0 0 0 1 1 1 0 1 0 0 1 1 CHS Inc K 163124 Market Rates CHS Inc L 1464419 Cost Carilion Emergency Services L 1092499 Cost SCA Credit Services Inc L 117366 Cost Carilion Healthcare Corporation L 15286887 Cost MedKey Inc L 101222 Cost CHS Inc M 142757 Cost SCA Credit Services Inc M 81300 Cost CHS Inc R 4769600 Cash Carilion Clinic Medicare Resources LLC A 3359999 Market Rates Carilion Clinic Medicare Resources LLC D 3359999 Cost Carilion Medical Center L 164138025 Cost Carilion New River Valley Medical Center L 29357826 Cost Carilion Giles Community Hospital L 4747149 Cost Carilion Franklin Memorial Hospital L 6424099 Cost Carilion Stonewall Jackson Hospital L 4882874 Cost Carilion Tazewell Community Hospital L 2214684 Cost Carilion Medical Center A 53240 Cost Carilion Medical Center K 2005071 Cost Carilion Medical Center M 1735942 Cost Carilion Clinic Foundation M 560190 Cost Carilion Medical Center S 38975000 Cash Carilion New River Valley Medical Center S 15043000 Cash Carilion Giles Community Hospital R 2198000 Cash Carilion Franklin Memorial Hospital S 54000 Cash Carilion Healthcare Corporation M 121918 Cost Carilion Behavioral Health Inc L 53471 Cost Carilion Medical Center C 50013 Cash