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CARILION SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201632289349303523
Schema version
2014v6.0
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)
Return2016-08-15T11:22:11-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 SUITE 1700AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

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
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$255,497,433GrossReceiptsAmt
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 Employee1660TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$7,793,907TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$33,135NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$50,030PYContributionsGrantsAmt
CY Contributions Grants$75,000CYContributionsGrantsAmt
PY Program Service Revenue$181,870,549PYProgramServiceRevenueAmt
CY Program Service Revenue$199,844,460CYProgramServiceRevenueAmt
PY Investment Income$6,053,084PYInvestmentIncomeAmt
CY Investment Income$6,074,884CYInvestmentIncomeAmt
PY Other Revenue$10,493,183PYOtherRevenueAmt
CY Other Revenue$760,651CYOtherRevenueAmt
PY Total Revenue$198,466,846PYTotalRevenueAmt
CY Total Revenue$206,754,995CYTotalRevenueAmt
PY Grants And Similar Paid$726,049PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,555,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$131,565,398CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,810CYTotalFundraisingExpenseAmt
PY Other Expenses$78,442,235PYOtherExpensesAmt
CY Other Expenses$71,682,186CYOtherExpensesAmt
PY Total Expenses$200,724,013PYTotalExpensesAmt
CY Total Expenses$203,247,584CYTotalExpensesAmt
PY Revenues Less Expenses-$2,257,167PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,507,411CYRevenuesLessExpensesAmt
Total Assets BOY$585,983,937TotalAssetsBOYAmt
Total Assets EOY$634,923,314TotalAssetsEOYAmt
Total Liabilities BOY$147,461,879TotalLiabilitiesBOYAmt
Total Liabilities EOY$170,199,987TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$438,522,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$464,723,327NetAssetsOrFundBalancesEOYAmt
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$185,255,832ExpenseAmt
Grant$0GrantAmt
Revenue$192,767,063RevenueAmt
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's mission to improve the health of the communities it serves.The organization supports the activities of Carilion Clinic, a healthcare organization in western Virginia that includes a large multi-specialty physician group, hospitals and ancillary services, focused on the goal of providing the best possible health outcome and health care experience for each patient. The principal purpose of this corporation is to generate, through subsidiaries engaged in both taxable and tax-exempt activities, funds for contribution to parent or affiliated organizations in the provision of quality health care services and to promote physical fitness and preventive medicine.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 48,919 patients and providing 243,698 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, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded $61 million.Desc
Total Program Service Expenses$185,255,832TotalProgramServiceExpensesAmt
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 TransYes (1)PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
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 Document751IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1660EmployeeCnt
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 Rln0FamilyOrBusinessRlnInd
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
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
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 (15 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
Director44.805.20Yes (X)$518,112$0$362,845
Kerri L Thornton
Director48.801.20Yes (X)$254,453$0$184,752
Nancy Howell Agee
Director/President38.0012.00Yes (X)$1,566,770$0$1,858,023Yes (X)
Donald B Halliwill
Director/Asst Treasur43.007.00Yes (X)$499,817$0$226,399Yes (X)
G Robert Vaughan Jr
Treasurer/SVP44.805.20$277,333$0$140,269Yes (X)
David S Hagadorn
Assistant Treasurer49.700.40$130,158$0$38,914Yes (X)
Briggs W Andrews
Secretary43.506.50$1,865,000$0$275,541Yes (X)
Lauren J Chen
Assistant Secretary19.8030.30$51,739$0$22,622Yes (X)
Carolyn Chrisman
SVP50.00$348,448$0$179,446Yes (X)
Curtis Mills
SVP50.00$360,876$0$165,892Yes (X)
Melina Perdue
EVP40.0010.00$458,395$0$488,133Yes (X)
Steven Arner
EVP50.00$514,770$0$218,993Yes (X)
Thomas Denberg
EVP50.00$529,278$0$160,400Yes (X)
Stephen Morgan
SVP50.00$399,374$0$154,491Yes (X)
R Wayne Gandee
Former Officer0.0050.00$0$164,040$59,684Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,774,523TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$164,040TotReportableCompRltdOrgAmt
Total Other Compensation$4,536,404TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K124IndivRcvdGreaterThan100KCnt
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$2,973,720
Avaya Inc
1440 Hertz Quail Spring PkwyOklahoma CityOK73134Software Services$2,610,578
Nuance Communications Inc
PO Box 7247PhiladelphiaPA19170Software/Technology Services$1,781,842
Microsoft Corporation
1950 N Stemmons Fwy Suite 5010DallasTX75207Software Services$1,682,662
Automated Mailing Systems Inc
PO Box 12246RoanokeVA24024Mail Service$1,126,904
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K134CntrctRcvdGreaterThan100KCnt
Related Organizations$50,000RelatedOrganizationsAmt
All Other Contributions$25,000AllOtherContributionsAmt
Total Contributions$75,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Management Fees561110$176,245,907$168,452,000$7,793,907
Carilion Patient Transportation S621910$12,300,115$12,300,115
CRNA Services621111$9,644,892$9,644,892
Net Patient Revenue622110$1,601,776$1,601,776
Rent from Exempt Affiliates531120$51,770$51,770
FieldValueIRS element (for citing)
Total Program Service Revenue$199,844,460TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,094,327TotalRevenueColumnAmt
Exclusion$5,094,327ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$44,141RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$44,141RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,141TotalRevenueColumnAmt
Exclusion$44,141ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$49,489,036SecuritiesAmt
Other$233,959OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$48,670,442SecuritiesAmt
Other$71,996OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$818,594SecuritiesAmt
Other$161,963OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$980,557TotalRevenueColumnAmt
Exclusion$980,557ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$445,892$445,892
Health Education900099$110,390$110,390

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,228TotalRevenueColumnAmt
Related Or Exempt Func Income$160,228RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$716,510OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,754,995TotalRevenueColumnAmt
Related Or Exempt Func Income$192,767,063RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,793,907UnrelatedBusinessRevenueAmt
Exclusion$6,119,025ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,788,218TotalAmt
Management And General$6,788,218ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$63,820TotalAmt
Program Services$63,820ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,570,538TotalAmt
Program Services$94,344,016ProgramServicesAmt
Management And General$2,226,522ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,196,381TotalAmt
Program Services$9,196,381ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,429,709TotalAmt
Program Services$11,293,840ProgramServicesAmt
Management And General$1,135,869ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,516,732TotalAmt
Program Services$6,516,732ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$714,555TotalAmt
Management And General$714,555ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$991,761TotalAmt
Management And General$991,761ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$596,093TotalAmt
Management And General$596,093ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$65,918TotalAmt
Program Services$65,918ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$140,365TotalAmt
Management And General$140,365ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,357,365TotalAmt
Program Services$13,225,681ProgramServicesAmt
Management And General$131,684ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,680,241TotalAmt
Program Services$1,680,141ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,976,462TotalAmt
Program Services$11,879,412ProgramServicesAmt
Management And General$89,240ManagementAndGeneralAmt
Fundraising$7,810FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,234,856TotalAmt
Program Services$14,098,383ProgramServicesAmt
Management And General$136,473ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,960,521TotalAmt
Program Services$5,740,552ProgramServicesAmt
Management And General$3,219,969ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$878,122TotalAmt
Program Services$786,606ProgramServicesAmt
Management And General$91,516ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$42TotalAmt
Program Services$42ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,395,473TotalAmt
Program Services$10,395,473ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$968,375TotalAmt
Program Services$60,495ProgramServicesAmt
Management And General$907,880ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$1,735,608$1,201,970$533,638
Bad Debt$1,538,329$1,538,329
Education$1,243,406$1,179,181$64,225
Recruitment$977,080$932,662$44,418

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,227,614TotalAmt
Program Services$1,056,198ProgramServicesAmt
Management And General$171,416ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$203,247,584TotalAmt
Program Services$185,255,832ProgramServicesAmt
Management And General$17,983,942ManagementAndGeneralAmt
Fundraising$7,810FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,874BOYAmt
EOY$3,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$197,230,620BOYAmt
EOY$211,711,992EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,424,080BOYAmt
EOY$1,949,466EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$1,541,514BOYAmt
EOY$1,415,999EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$697,982BOYAmt
EOY$47,397EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,071,086BOYAmt
EOY$4,567,214EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,149,079BOYAmt
EOY$9,223,776EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$135,595,001LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$104,017,120LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,426,269BOYAmt
EOY$31,577,881EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,008,866BOYAmt
EOY$32,736,882EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$239,250,138BOYAmt
EOY$266,129,263EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$72,180,429BOYAmt
EOY$75,559,569EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$585,983,937BOYAmt
EOY$634,923,314EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,121,916BOYAmt
EOY$62,029,377EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$233,448BOYAmt
EOY$168,911EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,318,683BOYAmt
EOY$5,169,681EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,192,099BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,595,733BOYAmt
EOY$102,832,018EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$147,461,879BOYAmt
EOY$170,199,987EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$438,522,058BOYAmt
EOY$464,723,327EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$438,522,058BOYAmt
EOY$464,723,327EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$585,983,937BOYAmt
EOY$634,923,314EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,507,411ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,240,083NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$25,933,941OtherChangesInNetAssetsAmt
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
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Carilion Medical Center
5405063323Yes (1)$41,022,801$0
Carilion New River Valley Medical Center
5405538053Yes (1)$17,970,148$0
Carilion Giles Community Hospital
5405496033Yes (1)$1,316,833$0
Carilion Franklin Memorial Hospital
5404806063Yes (1)$953,392$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$61,263,174SupportSumAmt
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$65,141DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$777OtherActivitiesAmt
Total Lobbying Expenditures$65,918TotalLobbyingExpendituresAmt
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 American Hospital Association and Virginia Hospital and Healthcare Association 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$2,539,232OtherCostOrOtherBasisAmt
Book Value$2,539,232BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,380,600OtherCostOrOtherBasisAmt
Depreciation$9,988,767DepreciationAmt
Book Value$3,391,833BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,538OtherCostOrOtherBasisAmt
Depreciation$89,767DepreciationAmt
Book Value$18,771BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,538,635OtherCostOrOtherBasisAmt
Depreciation$93,521,095DepreciationAmt
Book Value$23,017,540BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,027,996OtherCostOrOtherBasisAmt
Depreciation$417,491DepreciationAmt
Book Value$2,610,505BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,577,881TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Minor Investments$54,289F
Investments in Affiliates$264,989,069C
Investment Minority Interest$1,085,905C
FieldValueIRS element (for citing)
Total Book Value Securities$266,129,263TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Interco Loan Receivable$69,211,256
Excess Unbrella Reinsurance$1,098,000
Other Long Term Assets$31,000
Other Investments$856,212
457(b) and 457(f) Investments$4,363,101
FieldValueIRS element (for citing)
Total Book Value Other Assets$75,559,569TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Pension Liability$75,694,384
BRIC Claims Payable$22,774,534
Deferred Compensation Payable$4,363,100
FieldValueIRS element (for citing)
Total Liability$102,832,018TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCarilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2015 and 2014. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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$382,945$0$72,187$0$62,980$0$359,191$0$3,654$0$880,957$0$0$0
Kerri L Thornton
Director$212,965$0$40,447$0$1,041$0$176,904$0$7,848$0$439,205$0$0$0
Nancy Howell Agee
Director/President$936,377$0$281,435$0$348,958$0$1,840,194$0$17,829$0$3,424,793$0$341,789$0
Donald B Halliwill
Director/Asst Treasur$374,141$0$72,188$0$53,488$0$204,059$0$22,340$0$726,216$0$0$0
G Robert Vaughan Jr
Treasurer/SVP$227,155$0$44,697$0$5,481$0$119,382$0$20,887$0$417,602$0$0$0
David S Hagadorn
Assistant Treasurer$120,375$0$2,500$0$7,283$0$38,117$0$797$0$169,072$0$0$0
Briggs W Andrews
Secretary$359,683$0$68,581$0$1,436,736$0$262,268$0$13,273$0$2,140,541$0$1,349,669$0
Carolyn Chrisman
SVP$242,594$0$47,342$0$58,512$0$155,488$0$23,958$0$527,894$0$0$0
Curtis Mills
SVP$256,388$0$49,763$0$54,725$0$151,773$0$14,119$0$526,768$0$41,553$0
Melina Perdue
EVP$379,288$0$72,188$0$6,919$0$470,677$0$17,456$0$946,528$0$0$0
Steven Arner
EVP$375,332$0$72,188$0$67,250$0$194,725$0$24,268$0$733,763$0$0$0
Thomas Denberg
EVP$440,443$0$83,438$0$5,397$0$136,356$0$24,044$0$689,678$0$0$0
Stephen Morgan
SVP$330,855$0$63,245$0$5,274$0$136,946$0$17,545$0$553,865$0$0$0
R Wayne Gandee
Former Officer$0$161,440$0$0$0$2,600$0$55,195$0$4,489$0$223,724$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic, a related organization, who do not have a conflict of interest with any of the executives being reviewed. This review was performed in September and October 2014. A similar review was last performed in October 2015. 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 peer group of organizations similar in size and structure to the organization, which was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding executive compensation.
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 the earliest of (i) attaining age 65 while employed by Carilion Clinic, (ii) 24 months following involuntary separation from service without reasonable cause, (iii) disability, or (iv) voluntary separation or involuntary separation with reasonable cause prior to attaining age 65 if the participant does not enter into competition with Carilion Clinic during the 24-month period following the participant's separation 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 the earliest of (i) remaining employed by Carilion until the deferred vesting date for such account; (ii)disability; (iii) 24 months following involuntary separation from service without reasonable cause, except that Carilion at its discretion may make a partial tax distribution upon separation; or (iv) 24 months following voluntary or involuntary separation from service with reasonable cause if the participant does not enter into competition with Carilion Clinic during the 24-month period following separation 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 during the calendar year under these plans included the following: Nancy Howell Agee $341,789 Briggs Andrews $1,349,669 Curtis Mills $41,553
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 Compensation Committee, although it is based on the scorecard measures.

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (4 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxtTransactionTransactionDescTransaction CorrectedTransactionCorrectedInd
See SchL Part V
See Sch.L, Part VSee Schedule L, Part V.Yes (1)
See SchL Part V
See Sch.L, Part VSee Schedule L, Part V.Yes (1)
See SchL Part V
See Sch.L, Part VSee Schedule L, Part V.Yes (1)
See SchL Part V
See Sch.L, Part VSee Schedule L, Part V.Yes (1)
FieldValueIRS element (for citing)
Tax Imposed$0TaxImposedAmt
Tax Reimbursed$0TaxReimbursedAmt

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
a SchL PtV
L, Pt.VL, Pt.VYes (X)$7,875$215,7070Yes (1)Yes (1)
b SchL PtV
L, Pt.VL, Pt.VYes (X)$8,770$331,8210Yes (1)Yes (1)
c SchL PtV
L, Pt.VL, Pt.VYes (X)$6,200$327,5000Yes (1)Yes (1)
d SchL PtV
L, Pt.VL, Pt.VYes (X)$17,025$540,9710Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$1,415,999TotalBalanceDueAmt

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$63,820TransactionAmt
TransactionEmployeeTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule L, Part I, Line 1For many years, Carilion has had a split-dollar life insurance program for some of its key executives. Under the program, Carilion has 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 included Carilion's current Chief Executive Officer, Nancy Howell Agee, former Chief Executive Officer, Edward G. Murphy, M.D., former Chief Financial Officer, Donald E. Lorton, and then-current 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 has sought the advice of counsel to determine the proper course of action to ensure that such excess benefit transactions are corrected and not repeated. Each of the excess benefit transactions with the disqualified persons named above has been corrected as of this return's filing date 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 I, Line 2(a) Nancy Howell Agee, Officer, Split-dollar life insurance premium(b) Briggs Andrews, Officer, Split-dollar life insurance premium(c) Donald E. Lorton, Former Officer, Split-dollar life insurance premium(d) Edward G. Murphy, Former Officer, Split-dollar life insurance premium
Schedule L, Part IVFamily member of Jeanne Armentrout, Director.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4The Bylaws were revised in their entirety to reflect recent changes in the Virginia Non-Stock Corporation Act. The number of Directors was increased from three (3) to four (4). Also, all Directors are now elected by the Sole Member; the Medical Director of Roanoke Memorial Hospital is no longer an ex officio member with vote.
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.
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. All Board Members were notified via email that the final Form 990 was posted on our Board portal several days prior to filing 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 is implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by the 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 15Executive compensation is reviewed annually by the Carilion Clinic 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 which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, and Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in September and October 2014. A similar review was last performed in October 2015. 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 peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.
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.
Form 990, Part XI, line 9:Transfers from Affiliates 41,612,074. Pension-Related Changes -15,678,133.

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$13,374,224$33,400,071Carilion Services Inc
Carilion Clinic Patient Transportation LLC
PO Box 12385RoanokeVA24025541864693TransportationVA$11,277,838$3,178,870Carilion Services Inc
Carilion Professional Services LLC
PO Box 12385RoanokeVA24025542030773CRNAsVA$10,954,715$427,238Carilion 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 11a, IN/A0
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Supporting organizationVA501(c)(3)Line 11b, IIYes (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 StateLegalDomicileStateCdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385RoanokeVA24025455235473Medicare HMOVA00
Franklin County Ventures LLC
PO Box 12385RoanokeVA24025474365316Real estateVA00
Community Medical Associates LLP
PO Box 12385RoanokeVA24025541517662Real estateVA00

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$179,442,023$330,994,1131.00000Yes (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$8,036,711$15,355,4391.00000Yes (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 (30 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHS Inc
K$252,062Market rates
CHS Inc
L$1,098,294Cost
Carilion Emergency Services
L$942,241Cost
SCA Credit Services Inc
L$91,400Cost
Carilion Healthcare Corporation
L$13,200,238Cost
MedKey inc
L$96,842Cost
CHS Inc
M$168,501Cost
SCA Credit Services Inc
M$105,408Cost
CHS Inc
R$26,893,919Cash
Carilion Clinic Medicare Resources LLC
A$3,360,000Market rates
Carilion Clinic Medicare Resources LLC
D$3,360,000Cost
Carilion Clinic Medicare Resources LLC
L$74,281Cost
Carilion Medical Center
L$133,048,561Cost
Carilion New River Valley Medical Center
L$23,308,100Cost
Carilion Giles Community Hospital
L$4,227,041Cost
Carilion Franklin Memorial Hospital
L$5,587,728Cost
Carilion Stonewall Jackson Hospital
L$3,580,069Cost
Carilion Tazewell Community Hospital
L$2,118,901Cost
Carilion Clinic
L$765,662Cost
Carilion Medical Center
A$51,770Cost
Carilion Medical Center
K$2,971,865Cost
Carilion Medical Center
M$1,036,629Cost
Carilion Clinic
M$184,676Cost
Carilion Clinic Foundation
M$479,284Cost
Carilion Clinic
K$8,092,833Cost
Carilion Medical Center
S$41,022,801Cash
Carilion New River Valley Medical Center
S$17,970,148Cash
Carilion Giles Community Hospital
R$1,316,833Cash
Carilion Franklin Memorial Hospital
R$953,392Cash
Carilion Clinic
R$15,042,922Cash