CARILION CLINIC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CARILION CLINIC (EIN 54-1190771)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202112289349304051
Schema version
2019v5.0
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)
Return2021-08-16T16:00:47-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541190771EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carilion ClinicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARIBusinessNameControlTxt
Phone5402245102PhoneNum

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
Signature2021-08-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2020-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1NANCY HOWELL AGEEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,852,831GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARILIONCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI-$266,723TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$25,937,751PYProgramServiceRevenueAmt
CY Program Service Revenue$34,239,946CYProgramServiceRevenueAmt
PY Investment Income$7,597,191PYInvestmentIncomeAmt
CY Investment Income$10,532,326CYInvestmentIncomeAmt
PY Other Revenue$9,238,450PYOtherRevenueAmt
CY Other Revenue$2,080,559CYOtherRevenueAmt
PY Total Revenue$42,773,392PYTotalRevenueAmt
CY Total Revenue$46,852,831CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$198,666PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$183,251CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,248,858PYOtherExpensesAmt
CY Other Expenses$31,009,300CYOtherExpensesAmt
PY Total Expenses$28,447,524PYTotalExpensesAmt
CY Total Expenses$31,192,551CYTotalExpensesAmt
PY Revenues Less Expenses$14,325,868PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,660,280CYRevenuesLessExpensesAmt
Total Assets BOY$232,077,897TotalAssetsBOYAmt
Total Assets EOY$241,576,417TotalAssetsEOYAmt
Total Liabilities BOY$141,373,197TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,248,189TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$90,704,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,328,228NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,484,939ExpenseAmt
Revenue$34,506,669RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$29,484,939TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CORPORATION ATTN H KIRKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 S JEFFERSON STAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
James Hartley
Director/Chair7.01.7Yes (X)Yes (X)$21,750$0$0
Nancy Howell Agee
Director/President/CEO8.042.0Yes (X)Yes (X)$0$2,254,723$341,866
Abney Boxley III
Director4.50.5Yes (X)$9,950$0$0
Damon Williams
Director4.52.0Yes (X)$2,175$0$0
DANIEL JONES MD
Director2.46.2Yes (X)$7,450$34,744$0
Danielle Yarber
Director4.50Yes (X)$14,325$0$0
H Laurent Boetsch Jr DML
Director2.41.2Yes (X)$6,825$0$0
J Alexander Boone
Director4.50Yes (X)$14,325$0$0
James Thompson
Director2.42.5Yes (X)$7,200$0$0
Jason Bingham
Director2.42.5Yes (X)$8,075$0$0
John Bond
Director4.50Yes (X)$11,375$0$0
Joseph Scartelli PhD
Director2.41.2Yes (X)$10,750$0$0
Joseph Sheffey
Director2.41.2Yes (X)$5,600$0$0
Neil Wilkin Jr
Director4.50Yes (X)$8,275$0$0
Terry Austin
Director2.40Yes (X)$5,575$0$0
William Kingery Jr
Director2.43.0Yes (X)$7,450$0$0
William White Sr
Director2.40Yes (X)$9,325$0$0
David Hagadorn
Asst. Treasurer0.549.5Yes (X)$0$149,339$99,463
Donald Halliwill
Asst. Treasurer/CFO/EVP4.046.0Yes (X)$0$774,298$360,873
G Robert Vaughan Jr
Treasurer/SVP2.048.0Yes (X)$0$353,112$316,295
Jeanne Armentrout
Chief Administrative Officer/EVP4.046.0Yes (X)$0$788,396$449,107
Nicholas Conte
Secretary/EVP/Chief Legal Officer6.044.0Yes (X)$0$709,682$182,512
Patrice Weiss MD
Chief Medical Officer/EVP4.046.0Yes (X)$0$817,383$253,428
Steven Arner
Chief Operating Officer/EVP4.046.0Yes (X)$0$877,942$363,619
FieldValueIRS element (for citing)
Total Reportable Comp From Org$150,425TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,759,619TotReportableCompRltdOrgAmt
Total Other Compensation$2,367,163TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TURNER LONG CONSTRUCTION INC
1807 MURRY RDSUITE GROANOKEVA24018CONSTRUCTION SERVICES$1,015,275
HTF MECHANICAL SERVICES INC
PO BOX 618MONETAVA24121CONTRACTOR SERVICES$441,871
SERVICEMASTER COMMERCIAL CLEAN
6580 VALLEY CENTER DRSUITE 164RADFORDVA24141JANITORIAL SERVICES$418,869
BUDD GROUP INC
PO BOX 890856CHARLOTTENC282890856JANITORIAL SERVICES$403,654
ALLMAN LANDSCAPING INC
1630 JUMPING RUN DRIVEGOODVIEWVA24095MAINTENANCE SERVICES$256,159
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Rent from Affiliates531120$34,645,494$34,645,494
Program Related Investment Income523000-$360,625-$360,625
Interco Mgmt Fee551112$221,800$221,800
Unrelated Investment Income523000-$266,723-$266,723

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,239,946TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,080,559RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,080,559RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,080,559TotalRevenueColumnAmt
Exclusion$2,080,559ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,532,326SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,532,326SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,532,326TotalRevenueColumnAmt
Exclusion$10,532,326ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,852,831TotalRevenueColumnAmt
Related Or Exempt Func Income$34,506,669RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$266,723UnrelatedBusinessRevenueAmt
Exclusion$12,612,885ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$181,513TotalAmt
Management And General$181,513ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,738TotalAmt
Management And General$1,738ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,223,923TotalAmt
Management And General$1,223,923ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$671TotalAmt
Program Services$671ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,625TotalAmt
Management And General$5,625ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,320,033TotalAmt
Program Services$4,320,033ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$349,812TotalAmt
Program Services$315,202ProgramServicesAmt
Management And General$34,610ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,660TotalAmt
Program Services$1,281ProgramServicesAmt
Management And General$23,379ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,418,345TotalAmt
Program Services$10,418,345ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52TotalAmt
Program Services$52ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,449,112TotalAmt
Program Services$3,449,112ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,815,360TotalAmt
Program Services$10,815,360ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$241,738TotalAmt
Program Services$8,611ProgramServicesAmt
Management And General$233,127ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bond cost/premium write-off$156,272$156,272
Other$3,697$3,697

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,192,551TotalAmt
Program Services$29,484,939ProgramServicesAmt
Management And General$1,707,612ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,184,755BOYAmt
EOY$14,738,380EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,886,958BOYAmt
EOY$764,827EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$326,515,404LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$144,950,709LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$183,244,892BOYAmt
EOY$181,564,695EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,415,737BOYAmt
EOY$7,854,240EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,960,848BOYAmt
EOY$12,063,111EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,200,571BOYAmt
EOY$8,052,872EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,184,136BOYAmt
EOY$16,538,292EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$232,077,897BOYAmt
EOY$241,576,417EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,829,910BOYAmt
EOY$7,601,349EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$231,012BOYAmt
EOY$231,012EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$57,644BOYAmt
EOY$481,725EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,786,853BOYAmt
EOY$95,772,902EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,467,778BOYAmt
EOY$43,161,201EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,373,197BOYAmt
EOY$147,248,189EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$90,704,700BOYAmt
EOY$94,328,228EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,704,700BOYAmt
EOY$94,328,228EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$232,077,897BOYAmt
EOY$241,576,417EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,660,280ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,337,387NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,699,365OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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 (true)$0$162,925
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$30,021
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$3,958
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$5,448
CARILION STONEWALL JACKSON HOSPITAL
5405680013Yes (true)$0$5,167
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$2,141
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$209,660OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12 IRS Determination LetterAlthough the filing organization has an IRS letter determining that it is a Type 1 supporting organization under Section 509(a)(3), the organization's status is more appropriately described under the Type 2 test as an organization supervised or controlled in connection with its supported organizations by having control or management of the supporting organization vested in the same persons that control or manage the supported organizations.
Schedule A, Part I, Line 12g Support to Supported OrganizationsCarilion Clinic provides leadership, governance, and strategic direction to its supported organizations.
Schedule A, Part IV, Section C, Line 1 Majority director detailThe filing organization is supervised or controlled in connection with its supported organizations consistent with the Type II supporting organization requirements because a majority of the officers or directors who control or manage the filing organization also serve as a majority of the officers or directors of its supported organizations. Therefore, the same people who control or manage the filing organization also control or manage its supported organizations. Further, the filing organization's bylaws require that a majority of its directors or officers, as the case may be, must be serving concurrently as directors or officers of at least one of the filing organization's supported organizations.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$671OtherActivitiesAmt
Total Lobbying Expenditures$671TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA portion of dues paid to various hospital industry associations is attributable to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,335,358OtherCostOrOtherBasisAmt
Book Value$17,335,358BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$283,164,929OtherCostOrOtherBasisAmt
Depreciation$134,441,183DepreciationAmt
Book Value$148,723,746BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,044,033OtherCostOrOtherBasisAmt
Depreciation$1,273,628DepreciationAmt
Book Value$4,770,405BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,597,530OtherCostOrOtherBasisAmt
Depreciation$6,288,748DepreciationAmt
Book Value$2,308,782BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,373,554OtherCostOrOtherBasisAmt
Depreciation$2,947,150DepreciationAmt
Book Value$8,426,404BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$181,564,695TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Carilion Services, Inc$14,913,839
Other Long-Term Assets$1,624,453
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,538,292TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Pension Liability$8,065,522
Interest Rate Swap Liability$35,095,679
FieldValueIRS element (for citing)
Total Liability$43,161,201TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Investments$476,667,222
North America (Canada & Mexico only)00Investments$23,342,545
Europe (Including Iceland and Greenland)00Investments$55,109,933
Middle East and North Africa00Investments$493,162
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$555,612,862SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$555,612,862TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 InvestmentsFormAndLineReferenceDesc
ExplanationInvestment assets are held in custody under the name of Carilion Clinic and allocated to related entities based on their ownership interest in the investment pool.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
Nancy Howell Agee
Director/President/CEO$0$1,292,284$0$555,922$0$406,517$0$329,565$0$12,301$0$2,596,589$0$195,503
Jeanne Armentrout
Chief Administrative Officer/EVP$0$576,426$0$201,649$0$10,321$0$440,724$0$8,383$0$1,237,503$0$0
Steven Arner
Chief Operating Officer/EVP$0$647,421$0$225,708$0$4,813$0$345,071$0$18,548$0$1,241,561$0$0
Nicholas Conte
Secretary/EVP/Chief Legal Officer$0$501,457$0$201,967$0$6,258$0$163,964$0$18,548$0$892,194$0$0
David Hagadorn
Asst. Treasurer$0$138,561$0$2,000$0$8,778$0$98,598$0$865$0$248,802$0$0
Donald Halliwill
Asst. Treasurer/CFO/EVP$0$568,290$0$201,281$0$4,727$0$343,625$0$17,248$0$1,135,171$0$0
G Robert Vaughan Jr
Treasurer/SVP$0$270,749$0$78,415$0$3,948$0$297,970$0$18,325$0$669,407$0$0
Patrice Weiss MD
Chief Medical Officer/EVP$0$592,094$0$218,870$0$6,419$0$233,397$0$20,031$0$1,070,811$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesAll Directors are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. The organization provided this benefit to five reported individuals, the value of which is included in reported compensation.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesProvision of the health club benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMs. Armentrout, Mr. Arner, Mr. Conte, Mr. Halliwill, Mr. Vaughan, and Dr. Weiss participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer, at the discretion of Carilion Clinic's Compensation Committee, makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date, the account shall be forfeited. A lump sum distribution shall be made upon the participant's vesting date, death, or disability. Unvested contributions made to the DC SERP in the reporting period are included in Part II of this schedule with "retirement and other deferred compensation." No distributions were made to these individuals under this plan in the reporting year. Ms. Agee participated in an executive flexible benefit plan, in which an allowance is provided annually to the participant for use in obtaining certain insurance benefits. In prior years, the amount of allowance in excess of elected benefits was credited to a capital accumulation account (CAA) with various deferred vesting dates of at least two years from the first day of the plan year, distributable upon vesting while employed by a Carilion Clinic affiliate, death, disability, or 24 months following certain qualifying separations from service. Deferrals no longer occur under this plan. $195,503 was distributed under this plan in the reporting year.
Schedule J, Part I, Line 7 Non-fixed paymentsThe organization pays annual "at risk" compensation to certain members of management based on performance of applicable scorecard. While the scorecard contains a formula as a basis for determining overall performance, in certain cases, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual non-fixed payment awarded is determined in the discretion of the Carilion Clinic Board of Directors and its Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Econ Dev Authority-City of Roanoke VA Hospital Rev Bonds Carilion Clinic Ob
Aligated Grp Series 2012541106038770082AW52012-02-09$100,280,611Refunding of Series 2000 and 2002A Bonds, Costs of Issuance, Capital Projectsfalsefalsefalse
Econ Dev Authority -City of Roanoke VA Hospital Rev Bonds Carilion Health S
Bys Obligated Grp Series 2005A (reissued)541106038770082AZ82017-03-01$123,110,000Reissuance of Series 2005A originally issued on 12/14/2005falsefalsefalse
VA Small Business Fin Authority Hospital Rev Bonds Carilion Clinic Obligat
Ced Grp Series 2008A & 2008B (reissued)541300845928101AH72017-04-03$160,000,000Reissuance of Series 2008A and 2008B originally issued on 7/16/2008falsefalsefalse
Econ Dev Authority-City of Roanoke VA Hospital Rev Bonds Carilion Clinic Ob
DligGrp Refunding -Series 2005B2005C&2010&Partial ref Series 2005A&2008B541106038770082CB92020-04-02$440,220,786Refund of Series 2005B, 2005C& 2010 &part. refund of Series 2005A &2008B Bonds, Issue costs,cap projYes (true)falsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$52,655,000$100,280,611$1,114,935$5,189,198$93,976,4782011Yes (true)Yes (true)Yes (true)Yes (true)
B$43,640,000$123,110,000$123,110,000Yes (true)falseYes (true)Yes (true)
C$45,800,000$160,000,000$160,000,000Yes (true)falseYes (true)Yes (true)
D$0$440,385,024$2,636,713$5,885,187$287,584,0732024Yes (true)falsefalseYes (true)$144,279,051

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPct
Afalsefalsefalsefalse0.00.0falsefalseYes (true)
BfalseYes (true)Yes (true)false0.0060.006falsefalseYes (true)Yes (true)0.0
CfalseYes (true)Yes (true)false0.0240.024falsefalseYes (true)Yes (true)
Dfalsefalsefalsefalse0.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part VI Econ. Dev. Auth. ,Hosp. Rev. Bonds, Carilion Clinic Oblig. Grp., Series 2012Bond issuance total proceeds allocated to each entity
Schedule K, Part VI Econ Dev Auth.,Hosp. Rev. Bonds, Carl Hlth Sys Oblig. Grp. Series2005A reissuedBond issuance total proceeds allocated to each entity
Schedule K, Part VI VA SmallBusFinAuth Hosp.Rev. Bonds,CC Oblig. Grp., Sers. 2008A &2008B(reissued)Bond issuance total proceeds allocated to each entity
Schedule K, Part VI COLUMN DEcon Dev Auth.-City of Roanoke, VA. Hosp. Rev. bonds, Carilion Clinic Obligated Group, Refunding -Series 2005B, 2005C, 2010 & partl. ref. Series 2005A, 2008B - Bond issuances total proceeds allocated to each entity
Schedule K, Part II, Line 3 COLUMN DEcon Dev Auth.-City of Roanoke, VA. Hosp. Rev. bonds, Carilion Clinic Obligated Group, Refunding -Series 2005B, 2005C, 2010 & partl. ref. Series 2005A, 2008B - $164,328 is Investment Earnings
Schedule K, Part IV, Line 2c COLUMN AIssuer name: Econ. Dev. Authority-City of Roanoke, VA, Hospital Rev. Bonds, Carilion Clinic Obligated Grp., Series 2012 The calculation for computing no rebate due was performed on 04/04/2013
Schedule K, Part IV, Line 2c COLUMN CIssuer name: VA Small Business Fin. Authority, Hospital Rev. Bonds, Carilion Clinic Obligated Grp., Series 2008A & 2008B (reissued) The calculation for computing no rebate due was performed on 04/03/2017

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service DescriptionCarilion Clinic is an organization of physicians working together as a team. In June 2006, Carilion Health System announced plans to transform the not-for-profit hospital system into a not-for-profit Clinic (tax-exempt) organization headquartered in Roanoke, Virginia. The clinic structure aligns hospital and physician goals with a focus on evidence-based medical practice with consistency in care and service based on proven methods and procedures, attention to the optimal length of each patient's stay in the hospital and to using costly resources as efficiently as possible, and an environment of active medical research and education to further advance the practice of medicine. Integration of inpatient and outpatient services across the continuum of care and seamless, convenient access to services for the patient also are integral to the clinic model. The Carilion Clinic Board of Governors, consisting mostly of physicians, has managerial responsibility for the entire organization. Carilion Clinic emphasizes the integration of care, clinical quality, and safety. The Clinic employs a staff of more than 700 physicians with continued development of outcomes-based clinical performance metrics and incentive compensation models tied to quality, a fully integrated clinical information system, including an Electronic Medical Record (EMR) enterprise-wide (all hospitals and physician practices) and expansion and strengthening of medical education residency and fellowship programs. As the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilion's mission to improve the health of the communities it serves. Providing leadership and vision, Carilion Clinic oversees a core hospital business that admitted 41,316 patients and provided 224,354 days of care. Carilion's hospitals delivered 3,965 babies and provided neonatal intensive care support to the region. Carilion's hospitals provided comprehensive heart and vascular care, surgical excellence in orthopaedics, advanced surgery and care for oncology and new pain management protocols. A state-of-the-art communications center coordinates patients' transportation to all our hospitals. All our programs are supported by diagnostic testing capabilities in radiology, including advanced imaging in CT, MRI and PET/CT. We've grown our expertise in molecular imaging and nuclear medicine procedures and ultrasound and provide screening mammography and diagnostic breast imaging. Additional programs include the region's only neonatal intensive care unit, advanced diagnostics and expertise for gastroenterology conditions, inpatient and outpatient psychiatric services, a comprehensive inpatient rehabilitation unit, and inpatient and outpatient surgical care utilizing advanced techniques in robotic and endovascular procedures. Carilion Children's is our region's only pediatric center of excellence with an inpatient hospital within Carilion Medical Center, a pediatric intensive care unit, NICU, and trauma care. Pediatric sub-specialists support the facility in areas of surgery, pulmonology, oncology, cardiology, gastroenterology, psychiatry, orthopaedics, neurosurgery, dentistry, neurology, endocrinology. The Clinic provides several services and programs to target the specific health needs of the area, including diabetes management, medically supervised weight loss, urgent care, physical, speech and occupational therapy programs, cardiac and pulmonary rehabilitation, and home health and hospice care. Carilion Clinic maintains both a Level I designated trauma center (Carilion Medical Center) serving the western Virginia area and a Level III trauma center (Carilion New River Valley Medical Center) serving its surrounding area. As part of its commitment to trauma response, Carilion sponsors medical air transport helicopters flying 1,268 patients and a ground service providing 23,957 transports during the year. With 150,814 visits, Carilion's emergency departments are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise 8% of emergency visits. Carilion Clinic's hospitals supported community screenings and education on chronic disease prevention and management, sponsoring more than 18,345 events touching more than 138,988 people. In furtherance of its mission to improve health regardless of patient ability to pay, Carilion Clinic provided extensive uncompensated care. Stated at cost, financial assistance for the year exceeded $21.2 million.
Form 990, Part IV, Line 11f DISCLOSURE OF UNCERTAIN TAX POSITIONSManagement has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Form 990, Part V, Line 1a Forms 10991099s are issued on Carilion Clinic's behalf by Carilion Services, Inc., a related organization providing management and administrative services, including payment processing.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeCarilion Clinic has an Executive Committee authorized to act when the Board is not in session. The Executive Committee has 9 members, made up of the Chair of the Board, the CEO, the Chairs of each of the 6 standing committees, and the Chair of the Board of Carilion Medical Center, which is the organization that holds the flagship hospital. The Executive Committee typically meets in months the full Board does not meet and can act on behalf of the Board, except it cannot elect directors or take certain extraordinary actions, such as a sale, merger, or dissolution of the corporation.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsNANCY HOWELL AGEE, ABNEY BOXLEY - Business relationship, NANCY HOWELL AGEE, JEANNE ARMENTROUT, STEVE ARNER, JASON BINGHAM, DAMON WILLIAMS, JOHN BOND, NICHOLAS CONTE, DAVID HAGADORN, DONALD HALLIWILL, DANIEL JONES, M.D., G. ROBERT VAUGHAN, JR., AND PATRICE WEISS, M.D. - Business relationship, DANIELLE YARBER, ALEXANDER BOONE - Business relationship, NICK CONTE, TERRY AUSTIN - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesCertain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization to the filing organization. Some or all of the compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nancy Howell Agee, Jeanne Armentrout, Steven Arner, Nicholas Conte, David Hagadorn, Donald Halliwill, G. Robert Vaughan, Jr., and Patrice Weiss, M.D.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 was prepared by Carilion's internal tax department with input from various Carilion departments, as applicable, and reviewed by internal Accounting management and an independent CPA firm. A draft copy of the Form 990 was posted on our Board portal, which is the mechanism used to disseminate meeting materials to the directors, in advance of the Carilion Clinic Board of Directors Audit Committee's August meeting. The CFO reviewed the Form 990 with Committee members and answered questions at that meeting. 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, Line 12c Conflict of interest policyOur organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialExecutive 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, the Executive Vice Presidents (Chief Financial Officer, Chief Medical Officer, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician 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. 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 employed physicians. This review included review of a comprehensive report from an independent, 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, bonus, 'at-risk' and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee response to Line 15a.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's governing documents, conflict of interest statement, and financial statements are released from time to time during the tax year upon request. The conflict of interest policy is included in our Code of Excellence which is available to the public on our website. The Articles of Incorporation are available from the Virginia State Corporation Commission. Limited financial information is available on our website.
Form 990, Part IX, Line 11g Other FeesOther Purchased Services - Total Expense: 557472, Program Service Expense: 557472, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Service - Total Expense: 1421888, Program Service Expense: 1421888, Management and General Expenses: , Fundraising Expenses: ; Contract Fees/Consulting - Total Expense: 10490, Program Service Expense: 10490, Management and General Expenses: , Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 2330183, Program Service Expense: 2330183, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS (TO)/FROM AFFILIATES - NET - -5966088; UNRELATED INVESTMENT INCOME - 266723;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CARILION CLINIC PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24025ZIPCd
FieldValueIRS element (for citing)
EIN205231645EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$29,873,653TotalIncomeAmt
End Of Year Assets$202,256,177EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CARILION CLINICBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARILION CLINIC FOUNDATION
PO BOX 12385ROANOKEVA24025541190773FUNDRAISINGVA501(c)(3)7CARILION CLINICYes (true)
CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385ROANOKEVA24025540480606HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION GILES COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025540549603HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540506332HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION NEW RIVER VALLEY MEDICAL CENTER
PO BOX 12385ROANOKEVA24025540553805HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION SERVICES INC
PO BOX 12385ROANOKEVA24025541190879SUPPORTING ORGANIZATIONVA501(c)(3)Type IICARILION CLINICYes (true)
CARILION STONEWALL JACKSON HOSPITAL
PO BOX 12385ROANOKEVA24025540568001HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)
CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385ROANOKEVA24025546074580HEALTHCAREVA501(c)(3)3CARILION CLINICYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385ROANOKEVA24025455235473MEDICARE HMOVANAN/A
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385ROANOKEVA24025474365316REAL ESTATEVACARILION CLINICRelated-$13,463$1,810,700falsefalse0.9
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 Jefferson Street SERoanokeVA24016010691570REAL ESTATEVANAN/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
110 Greene Street Suit 9GNew YorkNY10012824119491PRIVATE EQUITYDECARILION CLINICExcluded$880,598$27,003,757falsefalse0.3921
STARWOOD VEP II CO-INVEST LLC
591 W Putnam AvenueGreenwichCT06930833262407INVESTMENTSDENAN/Afalsefalse0.365
TI PLATFORM CC SMA LP
1160 Battery Street EastSan FranciscoCA94111842852539INVESTMENTSDECARILION CLINICExcluded-$1,532$2,974,263falsefalse0.8

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CARILION CLINIC MEDICARE RESOURCES LLC
PO BOX 12385ROANOKEVA24025263729975MEDICARE HMOVANAC CorporationYes (true)
CHS INC
PO BOX 12385ROANOKEVA24025541725732SERVICESVANAC CorporationYes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385ROANOKEVA24025203136891HEALTHCAREVANAC CorporationYes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385ROANOKEVA24025542033006HEALTHCAREVANAC CorporationYes (true)
SCA CREDIT SERVICES INC
PO BOX 12385ROANOKEVA24025541180398COLLECTION AGENCYVANAC CorporationYes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385ROANOKEVA24025541586601HEALTHCAREVANAC CorporationYes (true)
MEDKEY INC
PO BOX 12385ROANOKEVA24025541645357FINANCING SERVICESVANAC CorporationYes (true)
SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP
981378742INVESTMENTSNAC CorporationYes (true)CA0.5
BLACKMOOR OWNERSHIP HOLDINGS LIMITED
INVESTMENTSNAC CorporationYes (true)CJ0.334
MAGNITUDE SYSTEMATIC LONGSHORT FUND
INVESTMENTSCarilion ClinicC CorporationYes (true)CJ0.6$1,320,913$25,060,381
TANGIBLE SEGREGATED PORTFOLIO OF THE SOUTH AFRICA ALPHA SPC
INVESTMENTSNAC CorporationYes (true)CJ0.399
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Services Inc
R$6,163,689CASH
Carilion Medical Center
A$15,118,831COST
Carilion New River Valley Medical Center
A$272,393COST
Carilion Giles Community Hospital
A$203,475COST
Carilion Stonewall Jackson Hospital
A$12,707COST
Carilion Services Inc
A$11,189,249COST
CHS Inc
A$534,837COST
Carilion Behavioral Health Inc
A$38,904COST
Carilion Emergency Services Inc
A$167,251COST
Carilion Healthcare Corporation
A$7,107,846COST
Carilion Services Inc
L$221,800COST
Carilion Services Inc
M$1,221,373COST
CHS Inc
M$1,754,923COST

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