FURP.ORG / PUBLIC DATA EXPLORER

CARILION SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CARILION SERVICES INC (EIN 54-1190879)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-15
IRS object ID
202132289349300003
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)
Return2021-08-15T23:30:38-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

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
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
Signature2021-08-15SignatureDt
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$408,567,195GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
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 through our commitment to a common purpose of better patient care, better community health, and lower cost.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2131TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$11,001TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$52,500PYContributionsGrantsAmt
CY Contributions Grants$316,145CYContributionsGrantsAmt
PY Program Service Revenue$277,849,704PYProgramServiceRevenueAmt
CY Program Service Revenue$292,155,259CYProgramServiceRevenueAmt
PY Investment Income$6,126,742PYInvestmentIncomeAmt
CY Investment Income$7,881,779CYInvestmentIncomeAmt
PY Other Revenue$1,507,922PYOtherRevenueAmt
CY Other Revenue$1,699,313CYOtherRevenueAmt
PY Total Revenue$285,536,868PYTotalRevenueAmt
CY Total Revenue$302,052,496CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$164,131,823PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$191,970,559CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,341CYTotalFundraisingExpenseAmt
PY Other Expenses$115,856,531PYOtherExpensesAmt
CY Other Expenses$128,125,857CYOtherExpensesAmt
PY Total Expenses$279,988,354PYTotalExpensesAmt
CY Total Expenses$320,096,416CYTotalExpensesAmt
PY Revenues Less Expenses$5,548,514PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$18,043,920CYRevenuesLessExpensesAmt
Total Assets BOY$904,033,763TotalAssetsBOYAmt
Total Assets EOY$938,637,589TotalAssetsEOYAmt
Total Liabilities BOY$260,313,237TotalLiabilitiesBOYAmt
Total Liabilities EOY$271,186,753TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$643,720,526NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$667,450,836NetAssetsOrFundBalancesEOYAmt
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$299,789,379ExpenseAmt
Revenue$293,854,572RevenueAmt
DescSee Schedule O.Desc
Total Program Service Expenses$299,789,379TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 InvstYes (true)ReportProgramRelatedInvstInd
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 ActivitiesfalseForeignActivitiesInd
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 BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
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
IRP Document735IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2131EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
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 (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Halliwill
Director/Asst. Treasurer42.57.5Yes (X)Yes (X)$774,298$0$360,873
G Robert Vaughan Jr
Director/Treasurer44.55.5Yes (X)Yes (X)$353,112$0$316,295
Nancy Howell Agee
Director/President29.021.0Yes (X)Yes (X)$2,254,723$0$341,866
Jeanne Armentrout
Director46.04.0Yes (X)$788,396$0$449,107
David Hagadorn
Asst. Treasurer46.53.5Yes (X)$149,339$0$99,463
Nicholas Conte
Secretary34.016.0Yes (X)$709,682$0$182,512
Carolyn Chrisman
Senior Vice President50.00$452,084$0$283,906Yes (X)
JONATHAN Tracy
Vice President50.00$255,785$0$29,983Yes (X)
R Keith Perry
Senior Vice President/CIO50.00$446,624$0$113,469Yes (X)
Curtis Mills
Senior Vice President50.00$378,752$0$12,860Yes (X)
Patrice Weiss MD
Executive Vice President0.050.0$817,383$0$253,428Yes (X)
Paul Hudgins
Senior Vice President/CHRO50.00$433,322$0$121,637Yes (X)
Stephen Morgan MD
Senior Vice President/CMIO50.00$472,680$0$310,367Yes (X)
Steven Arner
Executive Vice President0.050.0$877,942$0$363,619Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,164,122TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,239,385TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K197IndivRcvdGreaterThan100KCnt
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
SKANSKA USA BUILDING INC
4309 EMPEROR BLVDSUITE 200DURHAMNC27703CONTRACTOR SERVICES$40,269,276
AECOM TECHNICAL SERVICES INC
1178 PAYSPHERE CIRCLECHICAGOIL60674DESIGN SERVICES$7,765,174
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE SERVICES$4,205,064
HILSMIER INC
10130 PERIMETER PARKWAYSUITE 120CHARLOTTENC28216PROFESSIONAL SERVICES$3,593,784
NORDIC CONSULTING PARTNERS INC
740 REGENT STREETSUITE 400MADISONWI53715PROFESSIONAL SERVICES$3,540,634
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K156CntrctRcvdGreaterThan100KCnt
Government Grants$254,619GovernmentGrantsAmt
All Other Contributions$61,526AllOtherContributionsAmt
Total Contributions$316,145TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$13,569,138$13,569,138
Carilion Patient Transportation621910$11,972,821$11,972,821
Rent from Affiliates531120$23,749$23,749
Management Fees561110$263,925,955$263,925,955
Affiliate Insurance Premium Revenue525100$2,661,060$2,661,060

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,536TotalRevenueColumnAmt
Related Or Exempt Func Income$2,536RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$292,155,259TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,889,303TotalRevenueColumnAmt
Unrelated Business Revenue-$11,001UnrelatedBusinessRevenueAmt
Exclusion$4,900,304ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$109,491,575SecuritiesAmt
Other$15,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$106,487,924SecuritiesAmt
Other$26,775OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,003,651SecuritiesAmt
Other-$11,175OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,992,476TotalRevenueColumnAmt
Exclusion$2,992,476ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Purchase Discounts900099$851,637$851,637
Health Analytics Research900099$176,405$176,405
HIM Operations900099$171,243$171,243

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$500,028TotalRevenueColumnAmt
Related Or Exempt Func Income$500,028RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,699,313OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$302,052,496TotalRevenueColumnAmt
Related Or Exempt Func Income$293,854,572RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$11,001UnrelatedBusinessRevenueAmt
Exclusion$7,892,780ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,752,540TotalAmt
Program Services$1,700,648ProgramServicesAmt
Management And General$5,051,892ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$223,471TotalAmt
Program Services$223,471ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$145,246,919TotalAmt
Program Services$144,700,298ProgramServicesAmt
Management And General$546,621ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,343,168TotalAmt
Program Services$14,289,189ProgramServicesAmt
Management And General$53,979ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,016,318TotalAmt
Program Services$14,940,188ProgramServicesAmt
Management And General$1,076,130ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,388,143TotalAmt
Program Services$9,067,867ProgramServicesAmt
Management And General$320,276ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$993,052TotalAmt
Management And General$993,052ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,400,333TotalAmt
Management And General$1,400,333ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$635,880TotalAmt
Management And General$635,880ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$76,547TotalAmt
Program Services$76,547ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$337,914TotalAmt
Management And General$337,914ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,094,877TotalAmt
Program Services$35,362,359ProgramServicesAmt
Management And General$2,732,518ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,226,578TotalAmt
Program Services$2,226,578ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,713,671TotalAmt
Program Services$12,429,562ProgramServicesAmt
Management And General$269,768ManagementAndGeneralAmt
Fundraising$14,341FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$33,480,982TotalAmt
Program Services$33,341,244ProgramServicesAmt
Management And General$139,738ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,371,086TotalAmt
Program Services$7,897,645ProgramServicesAmt
Management And General$4,473,441ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$777,799TotalAmt
Program Services$683,670ProgramServicesAmt
Management And General$94,129ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,502,151TotalAmt
Program Services$12,502,151ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,756,680TotalAmt
Program Services$1,683,871ProgramServicesAmt
Management And General$1,072,809ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues & Subscriptions$2,885,883$2,885,876$7
Recruitment$2,581,046$2,581,046
Bad Debt$1,438,903$1,438,903
Education & Training$1,282,743$1,282,743

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,569,732TotalAmt
Program Services$475,523ProgramServicesAmt
Management And General$1,094,209ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$320,096,416TotalAmt
Program Services$299,789,379ProgramServicesAmt
Management And General$20,292,696ManagementAndGeneralAmt
Fundraising$14,341FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,320BOYAmt
EOY$3,420EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$230,071,787BOYAmt
EOY$173,229,001EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,609,156BOYAmt
EOY$2,275,425EOYAmt

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$47,615BOYAmt
EOY$47,615EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,717,284BOYAmt
EOY$8,731,645EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,420,522BOYAmt
EOY$23,262,258EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$192,982,090LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$156,701,094LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,091,114BOYAmt
EOY$36,280,996EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,663,418BOYAmt
EOY$67,001,951EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$473,383,511BOYAmt
EOY$31,373,425EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$490,293,574EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$85,026,036BOYAmt
EOY$106,138,279EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$904,033,763BOYAmt
EOY$938,637,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$90,821,260BOYAmt
EOY$75,363,856EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$152,250BOYAmt
EOY$25,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,488,919BOYAmt
EOY$4,671,086EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$167,850,808BOYAmt
EOY$191,126,811EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$260,313,237BOYAmt
EOY$271,186,753EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$643,720,526BOYAmt
EOY$667,450,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$643,720,526BOYAmt
EOY$667,450,836EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$904,033,763BOYAmt
EOY$938,637,589EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$18,043,920ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$291,117NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$41,483,113OtherChangesInNetAssetsAmt
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 Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CARILION MEDICAL CENTER
5405063323Yes (true)$0$178,564,129
CARILION NEW RIVER VALLEY MEDICAL CENTER
5405538053Yes (true)$0$32,902,942
CARILION GILES COMMUNITY HOSPITAL
5405496033Yes (true)$0$4,337,984
CARILION FRANKLIN MEMORIAL HOSPITAL
5404806063Yes (true)$0$5,971,406
CARILION STONEWALL JACKSON HOSPITAL
5405680013Yes (true)$0$5,663,409
CARILION TAZEWELL COMMUNITY HOSPITAL
5460745803Yes (true)$0$2,346,492
CARILION CLINIC FOUNDATION
5411907737Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$229,786,362OtherSupportSumAmt

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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g Description of SupportCarilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves by providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality. CSI supports Carilion Clinic's core hospital business and related activities by providing technology, human resources, legal services, patient billing, accounting and finance, internal audit and compliance, materials management, executive leadership, and strategic planning services.
Schedule 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 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)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$75,572DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$975OtherActivitiesAmt
Total Lobbying Expenditures$76,547TotalLobbyingExpendituresAmt
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. Carilion employs an individual to monitor and inform management about legislative activity regarding health care. A portion of the individual's time is spent on lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,788,825OtherCostOrOtherBasisAmt
Book Value$2,788,825BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,934,608OtherCostOrOtherBasisAmt
Depreciation$6,369,572DepreciationAmt
Book Value$565,036BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$115,304OtherCostOrOtherBasisAmt
Depreciation$106,887DepreciationAmt
Book Value$8,417BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$176,762,734OtherCostOrOtherBasisAmt
Depreciation$149,810,014DepreciationAmt
Book Value$26,952,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,380,619OtherCostOrOtherBasisAmt
Depreciation$414,621DepreciationAmt
Book Value$5,965,998BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,280,996TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestments in AffiliatesDesc
Book Value$490,293,574BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$490,293,574TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Interco Loan Receivable$104,526,482
Excess Umbrella Reinsurance$756,159
Other Long Term Assets$855,638
FieldValueIRS element (for citing)
Total Book Value Other Assets$106,138,279TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Pension Liability$105,725,903
BRIC Claims Payable$33,891,981
Deferred Compensation Payable$10,004,258
Due to Affiliates$41,504,669
FieldValueIRS element (for citing)
Total Liability$191,126,811TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
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 (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
Nancy Howell Agee
Director/President$1,292,284$0$555,922$0$406,517$0$329,565$0$12,301$0$2,596,589$0$195,503$0
Donald Halliwill
Director/Asst. Treasurer$568,290$0$201,281$0$4,727$0$343,625$0$17,248$0$1,135,171$0$0$0
G Robert Vaughan Jr
Director/Treasurer$270,749$0$78,415$0$3,948$0$297,970$0$18,325$0$669,407$0$0$0
Jeanne Armentrout
Director$576,426$0$201,649$0$10,321$0$440,724$0$8,383$0$1,237,503$0$0$0
Nicholas Conte
Secretary$501,457$0$201,967$0$6,258$0$163,964$0$18,548$0$892,194$0$0$0
David Hagadorn
Asst. Treasurer$138,561$0$2,000$0$8,778$0$98,598$0$865$0$248,802$0$0$0
Carolyn Chrisman
Senior Vice President$280,877$0$69,588$0$101,619$0$270,359$0$13,547$0$735,990$0$82,719$0
R Keith Perry
Senior Vice President/CIO$356,235$0$86,000$0$4,389$0$105,342$0$8,127$0$560,093$0$0$0
JONATHAN Tracy
Vice President$208,989$0$46,372$0$424$0$20,675$0$9,308$0$285,768$0$0$0
Steven Arner
Executive Vice President$647,421$0$225,708$0$4,813$0$345,071$0$18,548$0$1,241,561$0$0$0
Paul Hudgins
Senior Vice President/CHRO$343,813$0$83,750$0$5,759$0$109,213$0$12,424$0$554,959$0$0$0
Curtis Mills
Senior Vice President$280,837$0$70,274$0$27,641$0$0$0$12,860$0$391,612$0$0$0
Stephen Morgan MD
Senior Vice President/CMIO$365,268$0$99,959$0$7,453$0$295,175$0$15,192$0$783,047$0$0$0
Patrice Weiss MD
Executive Vice President$592,094$0$218,870$0$6,419$0$233,397$0$20,031$0$1,070,811$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesDirectors of Carilion Clinic and its related hospital and foundation organizations are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. Mr. Arner received this benefit and the value was included in taxable compensation from the organization.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expensesProvision of the benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an 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, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planMs. Armentrout, Mr. Arner, Ms. Chrisman, Mr. Conte, Mr. Halliwill, Mr. Hudgins, Dr. Morgan, Mr. Perry, 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." $82,718.65 of previously deferred compensation was distributed to Ms. Chrisman 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 with a deferred vesting date 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 an 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 in the discretion of the Carilion Clinic Board of Directors and its Compensation Committee.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Jessica Lemons
Family Member of Jeanne Armentrout, Director$83,336Employeefalse
David Danco
Family member of G. Robert Vaughan, Officer$140,135Employeefalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service AccomplishmentsCarilion Services Inc., (CSI), provides management services and administrative functions for Carilion Clinic to enhance our core hospital and system business services for cost-effectiveness, compliance, and quality. CSI provides oversight for information technology, human resources, legal services, patient billing, accounting and finance, internal audit, privacy and compliance, materials management, marketing & communications, community development and outreach, market planning and development and overall wellness services. These measures assisted the Clinic's hospitals in admitting 41,316 patients and providing 224,354 days of care during the year and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion Clinic's hospitals collectively provided extensive uncompensated care. Stated at cost, 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 VI, Line 2 Family/business relationships amongst interested personsNancy Howell Agee, Jeanne Armentrout, Carolyn Chrisman, Nicholas Conte, David Hagadorn, Donald Halliwill, and G. Robert Vaughan, Jr. - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersThe 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, Line 7a Members or stockholders electing members of governing bodyThe 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, Line 7b Decisions requiring approval by members or stockholdersThe sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe filing organization has no committees.
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. Several days prior to filing, all Board Members were notified via email of its availability on Carilion's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and directors 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 officialThe organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, 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. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an 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, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
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 VIII, Line 2f Other Program Service RevenueResearch income - Total Revenue: 2536, Related or Exempt Function Revenue: 2536, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: 500028, Related or Exempt Function Revenue: 500028, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPhysician/Professional/Staffing Services - Total Expense: 1846253, Program Service Expense: 1846253, Management and General Expenses: , Fundraising Expenses: ; Billing & Collection Services - Total Expense: 587108, Program Service Expense: , Management and General Expenses: 587108, Fundraising Expenses: ; Other Purchased Services - Total Expense: 2006532, Program Service Expense: 1966925, Management and General Expenses: 39607, Fundraising Expenses: ; Contract Fees/Consulting - Total Expense: 28265220, Program Service Expense: 26181148, Management and General Expenses: 2084072, Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 5389764, Program Service Expense: 5368033, Management and General Expenses: 21731, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPension-related changes other than net periodic pension costs - -799318; Transfers to/from Affiliates - Net - 42282431;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BLUE RIDGE INDEMNITY COMPANY LLC
76 ST PAUL STREETSUITE 500BURLINGTONVT05401270927178INSURANCEVT$4,538,571$63,096,854CARILION SERVICES INC
CARILION CLINIC PATIENT TRANSPORTATION LLC
PO BOX 12385ROANOKEVA24025541864693TRANSPORTATIONVA$11,196,001$5,059,157CARILION SERVICES INC
CARILION PROFESSIONAL SERVICES LLC
PO BOX 12385ROANOKEVA24025542030773CRNASVA$13,079,029$384,221CARILION SERVICES INC

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
PO BOX 12385ROANOKEVA24025541190771SUPPORTING ORGANIZATIONVA501(c)(3)Type IINAfalse
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 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 TypePredominantIncomeTypeTxtAddress Line2USAddress/AddressLine2Txt
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385ROANOKEVA24025474365316REAL ESTATEVANAN/A
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385ROANOKEVA24025455235473MEDICARE HMOVANAN/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
110 Greene StreetNew YorkNY10012824119491PRIVATE EQUITYDENAN/ASuite 9G
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 Jefferson Street SERoanokeVA24016010691570REAL ESTATEVANAN/A
STARWOOD VEP II CO-INVEST LLC
591 W Putnam AvenueGreenwichCT06830833262407INVESTMENTSDENAN/A
TI PLATFORM CC SMA LP
1160 Battery Street EastSan FranciscoCA94111842852539INVESTMENTSDENAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHS INC
PO BOX 12385ROANOKEVA24025541725732SERVICESVACARILION SERVICES INCC Corporation$217,439,160$573,109,6081Yes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385ROANOKEVA24025203136891HEALTHCAREVACHS INCC CorporationYes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385ROANOKEVA24025542033006HEALTHCAREVACHS INCC CorporationYes (true)
SCA CREDIT SERVICES INC
PO BOX 12385ROANOKEVA24025541180398COLLECTION AGENCYVACHS INCC CorporationYes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385ROANOKEVA24025541586601HEALTHCAREVACHS INCC CorporationYes (true)
MEDKEY INC
PO BOX 12385ROANOKEVA24025541645357FINANCING SERVICESVACHS INCC CorporationYes (true)
CARILION CLINIC MEDICARE RESOURCES LLC
PO BOX 12385ROANOKEVA24025263729975MEDICARE HMOVACARILION SERVICES INCC Corporation$17,569$11,578,9481Yes (true)
SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP
981378742INVESTMENTSNAC CorporationYes (true)CA
BLACKMOOR OWNERSHIP HOLDINGS LIMITED
INVESTMENTSNAC CorporationYes (true)CJ
MAGNITUDE SYSTEMATIC LONGSHORT FUND
INVESTMENTSNAC CorporationYes (true)CJ
TANGIBLE SEGREGATED PORTFOLIO OF THE SOUTH AFRICA ALPHA SPC
INVESTMENTSNAC CorporationYes (true)CJ
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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHS INC
R$54,428,394CASH
CARILION MEDICAL CENTER
S$9,294,593CASH
CARILION NEW RIVER VALLEY MEDICAL CENTER
S$25,055,186CASH
CARILION GILES COMMUNITY HOSPITAL
S$693,956CASH
CARILION FRANKLIN MEMORIAL HOSPITAL
S$1,075,006CASH
CRUILION CLINIC MEDICARE RESOURCES LLC
A$3,355,827MARKET RATES
CARILION CLINIC MEDICARE RESOURCES LLC
D$3,355,827COST
CARILION MEDICAL CENTER
A$23,749COST
CARILION MEDICAL CENTER
L$199,170,291COST
CARILION NEW RIVER VALLEY MEDICAL CENTER
L$37,094,467COST
CARILION GILES COMMUNITY HOSPITAL
L$5,106,166COST
CARILION FRANKLIN MEMORIAL HOSPITAL
L$6,752,581COST
CARILION STONEWALL JACKSON HOSPITAL
L$6,729,914COST
CARILION TAZEWELL COMMUNITY HOSPITAL
L$2,373,171COST
CHS INC
L$1,574,987COST
CARILION EMERGENCY SERVICES
L$1,549,021COST
SCA CREDIT SERVICES INC
L$113,285COST
CARILION HEALTHCARE CORPORATION
L$15,565,938COST
CARILION CLINIC MEDICARE SHARED SAVINGS COLLC
L$69,033COST
CARILION MEDICAL CENTER
K$720,790COST
CARILION MEDICAL CENTER
M$79,638COST
CARILION CLINIC FOUNDATION
M$714,052COST
CHS INC
K$81,866MARKET RATES
CHS INC
M$103,036COST
SCA CREDIT SERVICES INC
M$96,760COST