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CARILION SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201712279349300006
Schema version
2015v3.0
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)
Return2017-08-14T19:20:44-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$265,898,342GrossReceiptsAmt
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 Employee2214TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$17,679,873TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$36,016NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$75,000PYContributionsGrantsAmt
CY Contributions Grants$111,927CYContributionsGrantsAmt
PY Program Service Revenue$199,844,460PYProgramServiceRevenueAmt
CY Program Service Revenue$232,273,408CYProgramServiceRevenueAmt
PY Investment Income$6,074,884PYInvestmentIncomeAmt
CY Investment Income$5,040,304CYInvestmentIncomeAmt
PY Other Revenue$760,651PYOtherRevenueAmt
CY Other Revenue$1,013,172CYOtherRevenueAmt
PY Total Revenue$206,754,995PYTotalRevenueAmt
CY Total Revenue$238,438,811CYTotalRevenueAmt
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$131,565,398PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$144,347,176CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,991CYTotalFundraisingExpenseAmt
PY Other Expenses$71,682,186PYOtherExpensesAmt
CY Other Expenses$91,276,497CYOtherExpensesAmt
PY Total Expenses$203,247,584PYTotalExpensesAmt
CY Total Expenses$235,623,673CYTotalExpensesAmt
PY Revenues Less Expenses$3,507,411PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,815,138CYRevenuesLessExpensesAmt
Total Assets BOY$634,923,314TotalAssetsBOYAmt
Total Assets EOY$682,251,881TotalAssetsEOYAmt
Total Liabilities BOY$170,199,987TotalLiabilitiesBOYAmt
Total Liabilities EOY$205,952,636TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$464,723,327NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$476,299,245NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur mission is to improve the health of the communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$215,749,241ExpenseAmt
Grant$0GrantAmt
Revenue$215,599,350RevenueAmt
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 50,399 patients and providing 247,812 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 provided extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $80 million.Desc
Total Program Service Expenses$215,749,241TotalProgramServiceExpensesAmt
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 TransYes (1)EngagedInExcessBenefitTransInd
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 Document719IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2214EmployeeCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
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 J WrightBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StAddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeanne S Armentrout
Director/EVP44.805.20Yes (X)$493,488$0$220,117
Kerri L Thornton
Director/VP48.801.20Yes (X)$274,863$0$126,074
Nancy Howell Agee
Director/President/CEO28.0022.00Yes (X)$1,621,601$0$2,168,199Yes (X)
Donald B Halliwill
Director/Asst Treasurer/CFO42.707.30Yes (X)$550,507$0$120,070Yes (X)
Lauren J Chen
Assistant Secretary19.7030.30$74,469$0$14,801Yes (X)
Nicholas C Conte
Secretary/SVP43.506.50$0$0$0Yes (X)
David S Hagadorn
Assistant Treasurer49.600.40$138,217$0$27,098Yes (X)
G Robert Vaughan Jr
Treasurer/SVP44.505.50$306,045$0$81,831Yes (X)
Carolyn H Chrisman
SVP50.00$313,797$0$140,567Yes (X)
R Keith Perry
SVP/CIO50.00$288,470$0$5,088Yes (X)
Steve C Arner
EVP50.00$483,909$0$123,786Yes (X)
Thomas D Denberg MD PhD
EVP50.00$505,339$0-$10,028Yes (X)
Stephen A Morgan MD
SVP50.00$425,962$0$93,045Yes (X)
Melina D Perdue
EVP50.00$517,275$0$432,558Yes (X)
Patrice M Weiss MD
EVP50.00$679,636$0$132,336Yes (X)
Briggs W Andrews
Former Secretary0.00$479,268$0$64,584Yes (X)
Edward Murphy MD
Former CEO0.00$18,155$0$0Yes (X)
Donald E Lorton
Former CFO0.00$130,613$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,301,614TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,740,126TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K152IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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$3,460,863
Mainline Information Systems
1700 Summit Lake DrTallahasseeFL32317Software/Technology Services$1,948,835
3M Health Information Systems
PO Box 371227PittsburgPA152507227Software/Technology Services$1,698,415
Microsoft Corporation
1950 N Stemmons Fwy Suite 5010DallasTX75207Software Services$1,678,363
Avaya Inc
1440 Hertz Quail Spring PkwyOklahoma CityOK73134Software Services$1,425,600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K138CntrctRcvdGreaterThan100KCnt
Related Organizations$50,000RelatedOrganizationsAmt
All Other Contributions$61,927AllOtherContributionsAmt
Total Contributions$111,927TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Management Fees561110$207,854,312$190,174,439$17,679,873
Carilion Patient Transportation S621910$13,108,355$13,108,355
CRNA Services621111$9,401,029$9,401,029
Net Patient Revenue622110$1,844,407$1,844,407
Rent from Exempt Affiliates531120$52,805$52,805

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,500TotalRevenueColumnAmt
Related Or Exempt Func Income$12,500RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$232,273,408TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,438,475TotalRevenueColumnAmt
Exclusion$4,438,475ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,357RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,357RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,357TotalRevenueColumnAmt
Exclusion$7,357ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$27,194,695SecuritiesAmt
Other$866,665OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$27,331,889SecuritiesAmt
Other$127,642OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$137,194SecuritiesAmt
Other$739,023OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$601,829TotalRevenueColumnAmt
Exclusion$601,829ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$480,424$480,424
Health Education900099$159,072$159,072

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$366,319TotalRevenueColumnAmt
Related Or Exempt Func Income$366,319RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,005,815OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,438,811TotalRevenueColumnAmt
Related Or Exempt Func Income$215,599,350RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,679,873UnrelatedBusinessRevenueAmt
Exclusion$5,047,661ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,026,187TotalAmt
Management And General$8,026,187ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$99,564TotalAmt
Program Services$69,276ProgramServicesAmt
Management And General$30,288ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$104,955,231TotalAmt
Program Services$103,383,191ProgramServicesAmt
Management And General$1,572,040ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,591,854TotalAmt
Program Services$9,591,854ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,617,967TotalAmt
Program Services$13,375,681ProgramServicesAmt
Management And General$1,242,286ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,056,373TotalAmt
Program Services$7,056,373ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$698,869TotalAmt
Management And General$698,869ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,077,229TotalAmt
Management And General$1,077,229ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$617,694TotalAmt
Management And General$617,694ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$72,112TotalAmt
Program Services$72,112ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$257,164TotalAmt
Management And General$257,164ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,148,029TotalAmt
Program Services$24,728,930ProgramServicesAmt
Management And General$419,099ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,214,767TotalAmt
Program Services$2,212,767ProgramServicesAmt
Management And General$2,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,420,902TotalAmt
Program Services$11,249,190ProgramServicesAmt
Management And General$155,721ManagementAndGeneralAmt
Fundraising$15,991FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,130,616TotalAmt
Program Services$15,994,659ProgramServicesAmt
Management And General$135,957ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,741,626TotalAmt
Program Services$6,002,802ProgramServicesAmt
Management And General$3,738,824ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,151,748TotalAmt
Program Services$1,016,584ProgramServicesAmt
Management And General$135,164ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,809,324TotalAmt
Program Services$13,809,324ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,089,307TotalAmt
Program Services$138,880ProgramServicesAmt
Management And General$950,427ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$1,925,815$1,231,514$694,301
Education$1,616,675$1,612,261$4,414
Recruitment$1,609,073$1,560,345$48,728
Bad Debt$1,033,293$1,033,293

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,662,254TotalAmt
Program Services$1,610,205ProgramServicesAmt
Management And General$52,049ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$235,623,673TotalAmt
Program Services$215,749,241ProgramServicesAmt
Management And General$19,858,441ManagementAndGeneralAmt
Fundraising$15,991FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,875BOYAmt
EOY$3,524EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$211,711,992BOYAmt
EOY$210,868,615EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,949,466BOYAmt
EOY$3,235,363EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$1,415,999BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,567,214BOYAmt
EOY$4,670,798EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,223,776BOYAmt
EOY$11,036,003EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$145,159,724LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$106,574,886LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,577,881BOYAmt
EOY$38,584,838EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,736,882BOYAmt
EOY$37,744,357EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$266,129,263BOYAmt
EOY$297,304,048EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$75,559,569BOYAmt
EOY$78,756,938EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$634,923,314BOYAmt
EOY$682,251,881EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,029,377BOYAmt
EOY$67,945,211EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$168,911BOYAmt
EOY$278,772EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,169,681BOYAmt
EOY$3,846,325EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,832,018BOYAmt
EOY$133,882,328EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$170,199,987BOYAmt
EOY$205,952,636EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$464,723,327BOYAmt
EOY$476,299,245EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$464,723,327BOYAmt
EOY$476,299,245EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$634,923,314BOYAmt
EOY$682,251,881EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,815,138ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,052,790NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,707,990OtherChangesInNetAssetsAmt
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 Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Carilion Medical Center
5405063323Yes (1)$0$0
Carilion New River Valley Medical Center
5405538053Yes (1)$0$0
Carilion Giles Community Hospital
5405496033Yes (1)$0$0
Carilion Franklin Memorial Hospital
5404806063Yes (1)$0$0
Carilion Stonewall Jackson Hospital
5405680013Yes (1)$0$0
Carilion Tazewell Community Hospital
5460745803Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

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 PersonYes (1)LoanDisqualifiedPersonInd
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 OrgYes (1)MajorityDirTrstSupportedOrgInd

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$71,485DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$627OtherActivitiesAmt
Total Lobbying Expenditures$72,112TotalLobbyingExpendituresAmt
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$6,885,200OtherCostOrOtherBasisAmt
Depreciation$5,669,874DepreciationAmt
Book Value$1,215,326BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,538OtherCostOrOtherBasisAmt
Depreciation$94,005DepreciationAmt
Book Value$14,533BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,673,843OtherCostOrOtherBasisAmt
Depreciation$100,411,224DepreciationAmt
Book Value$33,262,619BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,703,318OtherCostOrOtherBasisAmt
Depreciation$399,783DepreciationAmt
Book Value$1,303,535BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,584,838TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Other Non-Publicly Traded Investments$156,242F
Investments in Affiliates$296,017,655C
Investment Minority Interest$1,130,151C
FieldValueIRS element (for citing)
Total Book Value Securities$297,304,048TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Interco Loan Receivable$72,581,647
Excess Umbrella Reinsurance$1,070,000
Other Long Term Assets$31,000
Other Investments-$112,534
Deferred Compensation Plan Investments$5,186,825
FieldValueIRS element (for citing)
Total Book Value Other Assets$78,756,938TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Pension Liability$100,016,548
BRIC Claims Payable$28,678,955
Deferred Compensation Payable$5,186,825
FieldValueIRS element (for citing)
Total Liability$133,882,328TotalLiabilityAmt
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 (16 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/EVP$410,828$0$75,225$0$7,435$0$216,283$0$3,834$0$713,605$0$0$0
Kerri L Thornton
Director/VP$231,063$0$42,683$0$1,117$0$121,332$0$4,742$0$400,937$0$0$0
Nancy Howell Agee
Director/President/CEO$1,137,025$0$332,354$0$152,222$0$2,158,081$0$10,118$0$3,789,800$0$141,071$0
Donald B Halliwill
Director/Asst Treasurer/CFO$460,065$0$86,171$0$4,271$0$108,666$0$11,404$0$670,577$0$0$0
David S Hagadorn
Assistant Treasurer$128,218$0$2,500$0$7,499$0$26,279$0$819$0$165,315$0$0$0
G Robert Vaughan Jr
Treasurer/SVP$248,071$0$47,425$0$10,549$0$70,577$0$11,254$0$387,876$0$0$0
Carolyn H Chrisman
SVP$259,179$0$49,095$0$5,523$0$128,099$0$12,468$0$454,364$0$0$0
R Keith Perry
SVP/CIO$233,592$0$52,685$0$2,193$0$0$0$5,088$0$293,558$0$0$0
Steve C Arner
EVP$404,698$0$75,226$0$3,985$0$111,082$0$12,704$0$607,695$0$0$0
Thomas D Denberg MD PhD
EVP$395,252$0$88,182$0$21,905$0-$21,708$0$11,680$0$495,311$0$0$0
Stephen A Morgan MD
SVP$352,450$0$65,586$0$7,926$0$81,696$0$11,349$0$519,007$0$0$0
Melina D Perdue
EVP$404,233$0$74,860$0$38,182$0$422,692$0$9,866$0$949,833$0$29,590$0
Patrice M Weiss MD
EVP$560,900$0$112,459$0$6,277$0$118,149$0$14,187$0$811,972$0$0$0
Briggs W Andrews
Former Secretary$294,741$0$71,120$0$113,407$0$61,932$0$2,652$0$543,852$0$109,782$0
Edward Murphy MD
Former CEO$0$0$0$0$18,155$0$0$0$0$0$18,155$0$0$0
Donald E Lorton
Former CFO$0$0$0$0$130,613$0$0$0$0$0$130,613$0$130,613$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCertain non-cash taxable benefits provided to the former CEO are grossed up for taxes and included in taxable income.
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 November 2015 and September 2016. 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. 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 $141,071 Briggs Andrews $109,782 Donald Lorton $130,613 Melina Perdue $29,590
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

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp

FieldValueIRS element (for citing)
PersonSee Schedule L Pt VPersonNm
Rln Disqualified Person OrgSee Schedule L Pt VRlnDisqualifiedPersonOrgTxt
TransactionSee Schedule L Part VTransactionDesc
Transaction CorrectedYes (1)TransactionCorrectedInd

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$69,276TransactionAmt
TransactionEmployeeTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule L, Part I, Line 1For many years, Carilion had a split-dollar life insurance program for some of its key executives. Under the program, Carilion paid the premiums, and treated the premium payments as loans to the executives. The program remained in place following enactment of the Pension Protection Act of 2006, pursuant to which IRC 4958 was amended to cause loans by IRC 509(a)(3) supporting organizations to "disqualified persons" to be treated as "excess benefit transactions." During the reporting period, participants in the program on whose behalf premiums were advanced included Carilion's current Chief Executive Officer, Nancy Howell Agee, former Chief Executive Officer, Edward G. Murphy, M.D., and former General Counsel, Briggs W. Andrews. Not until after the close of its 2014 taxable year did Carilion understand that one or more of the split-dollar loans made under the program constituted excess benefit transactions. Since learning of the problem, Carilion obtained the advice of counsel to determine the proper course of action to ensure that such excess benefit transactions were corrected and not repeated. Each of the excess benefit transactions with the disqualified persons named above was corrected during the reporting period consistent with Treasury Regulation 53.4958-7. No organization manager that participated in the transactions knew that they were excess benefit transactions at the time.
Schedule L, Part IVFamily member of Jeanne Armentrout, Director.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Nancy Howell Agee, Jeanne Armentrout, Lauren Chen, Nicholas Conte, David Hagadorn, Donald Halliwill, Kerri Thornton, G. Robert Vaughan, Jr.- Business relationship with related organizations.
Form 990, Part VI, Section A, line 4The filing organization's Articles of Incorporation and Bylaws were revised to update and clarify provisions concerning the election, qualification, and removal of its directors and officers.
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 B, line 11The 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 outside 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 2015 and September 2016. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of all Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents. These reviews were performed in September and November 2015 and September 2016, respectively. 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 an 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 a Committee-reviewed list of national and regional peer groups of organizations similar in size and structure to the organization. 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 annually to the local newspaper. Limited financial information is available on our website.
Part IX, Line 11g, Column BContract Fees/Consulting: $13,416,059 Repairs/Maintenance: $5,076,883 Physician/Professional/ Staffing Services: $3,645,760 Billing/Collection Services: $552,366 Other Purchased Services: $2,037,862 Total Other Services Fees, Column B: $24,728,930
Part IX, Line 11g, Column CContract Fees/Consulting: $268,384 Repairs/Maintenance: $796 Other Purchased Services: $149,919 Total Other Service Fees, Column C: $419,099
Form 990, Part XI, line 9:Transfers to/from Affiliates 28,687,141. Pension-related changes other than net periodic pension costs -21,979,151.

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$16,489,795$37,699,780Carilion Services Inc
Carilion Clinic Patient Transportation LLC
PO Box 12385RoanokeVA24025541864693TransportationVA$12,450,251$3,773,057Carilion Services Inc
Carilion Professional Services LLC
PO Box 12385RoanokeVA24025542030773CRNAsVA$10,941,275$390,595Carilion 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 11b, 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$200,275,041$363,582,7971.00000Yes (1)
Carilion Behavioral Health Inc
PO Box 12385RoanokeVA24025203136891HealthcareVACHS IncCYes (1)
Carilion Emergeny 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$462,304$15,336,1441.00000Yes (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 Org0GiftGrntCapContriFromOthOrgInd
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 Sharing0PaidEmployeesSharingInd
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 (27 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHS Inc
K$252,736Market rates
CHS Inc
L$1,193,332Cost
Carilion Emergency Services
L$860,076Cost
SCA Credit Services Inc
L$94,623Cost
Carilion Healthcare Corporation
L$15,208,891Cost
MedKey inc
L$96,107Cost
CHS Inc
M$150,156Cost
SCA Credit Services Inc
M$81,744Cost
CHS Inc
R$30,963,000Cash
Carilion Clinic Medicare Resources LLC
A$3,369,205Market rates
Carilion Clinic Medicare Resources LLC
D$3,369,205Cost
Carilion Medical Center
L$156,235,243Cost
Carilion New River Valley Medical Center
L$27,693,212Cost
Carilion Giles Community Hospital
L$5,103,783Cost
Carilion Franklin Memorial Hospital
L$5,970,146Cost
Carilion Stonewall Jackson Hospital
L$4,379,968Cost
Carilion Tazewell Community Hospital
L$2,125,134Cost
Carilion Medical Center
A$52,805Cost
Carilion Medical Center
K$2,270,001Cost
Carilion Medical Center
M$1,197,701Cost
Carilion Clinic Foundation
M$504,289Cost
Carilion Medical Center
S$3,425,699Cash
Carilion New River Valley Medical Center
S$22,983,852Cash
Carilion Giles Community Hospital
S$6,412,833Cash
Carilion Franklin Memorial Hospital
S$432,492Cash
Carilion Clinic Foundation
R$99,000Cash
Carilion Healthcare Corporation
M$66,143Cost