2017-08-14T19:20:44-05:00 2016-09-30 440160260 BKD LLP 1201 WALNUT ST SUITE 1700 KANSAS CITY MO 641062246 990 2015-10-01 541190879 CARILION SERVICES INC CARI 5402245112 PO BOX 12385 ROANOKE VA 240252385 G Robert Vaughan Jr Treasurer 5402245137 2017-08-14 1 MICHAEL J ENGLE P00482834 8162216300 2015 2021-01-29 14:40:06Z Nancy Howell Agee PO BOX 12385 ROANOKE VA 240252385 265898342 0 X www.carilionclinic.org X 1982 VA Our mission is to improve the health of the communities we serve. 4 0 2214 0 17679873 -36016 75000 111927 199844460 232273408 6074884 5040304 760651 1013172 206754995 238438811 0 0 0 0 131565398 144347176 0 0 15991 71682186 91276497 203247584 235623673 3507411 2815138 634923314 682251881 170199987 205952636 464723327 476299245 X Our mission is to improve the health of the communities we serve. 0 0 215749241 0 215599350 See Schedule O.By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality; Carilion Services, Inc. (CSI) supports Carilion Clinic's mission to improve the health of the communities it serves. CSI supports Carilion Clinic's core hospital business and related activities by providing technology; human resources; legal services; patient billing; accounting and finance; internal audit and compliance; materials management; and strategic planning services. This assisted the Clinic's hospitals in admitting 50,399 patients and providing 247,812 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion provided extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $80 million. 215749241 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 719 0 1 2214 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X The Corporation Attn J Wright 5402245112 213 S Jefferson St Roanoke VA 24011 Jeanne S Armentrout Director/EVP 44.80 5.20 X 493488 0 220117 Kerri L Thornton Director/VP 48.80 1.20 X 274863 0 126074 Nancy Howell Agee Director/President/CEO 28.00 22.00 X X 1621601 0 2168199 Donald B Halliwill Director/Asst Treasurer/CFO 42.70 7.30 X X 550507 0 120070 Lauren J Chen Assistant Secretary 19.70 30.30 X 74469 0 14801 Nicholas C Conte Secretary/SVP 43.50 6.50 X 0 0 0 David S Hagadorn Assistant Treasurer 49.60 0.40 X 138217 0 27098 G Robert Vaughan Jr Treasurer/SVP 44.50 5.50 X 306045 0 81831 Carolyn H Chrisman SVP 50.00 X 313797 0 140567 R Keith Perry SVP/CIO 50.00 X 288470 0 5088 Steve C Arner EVP 50.00 X 483909 0 123786 Thomas D Denberg MD PhD EVP 50.00 X 505339 0 -10028 Stephen A Morgan MD SVP 50.00 X 425962 0 93045 Melina D Perdue EVP 50.00 X 517275 0 432558 Patrice M Weiss MD EVP 50.00 X 679636 0 132336 Briggs W Andrews Former Secretary 0.00 X 479268 0 64584 Edward Murphy MD Former CEO 0.00 X 18155 0 0 Donald E Lorton Former CFO 0.00 X 130613 0 0 7301614 0 3740126 152 1 1 0 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Software Services 3460863 Mainline Information Systems 1700 Summit Lake Dr Tallahassee FL 32317 Software/Technology Services 1948835 3M Health Information Systems PO Box 371227 Pittsburg PA 152507227 Software/Technology Services 1698415 Microsoft Corporation 1950 N Stemmons Fwy Suite 5010 Dallas TX 75207 Software Services 1678363 Avaya Inc 1440 Hertz Quail Spring Pkwy Oklahoma City OK 73134 Software Services 1425600 138 50000 61927 111927 Management Fees 561110 207854312 190174439 17679873 Carilion Patient Transportation S 621910 13108355 13108355 CRNA Services 621111 9401029 9401029 Net Patient Revenue 622110 1844407 1844407 Rent from Exempt Affiliates 531120 52805 52805 12500 12500 232273408 4438475 4438475 7357 0 7357 7357 7357 27194695 866665 27331889 127642 -137194 739023 601829 601829 Purchase Discounts 900099 480424 480424 Health Education 900099 159072 159072 366319 366319 1005815 238438811 215599350 17679873 5047661 X 8026187 8026187 99564 69276 30288 104955231 103383191 1572040 9591854 9591854 14617967 13375681 1242286 7056373 7056373 698869 698869 1077229 1077229 617694 617694 72112 72112 257164 257164 25148029 24728930 419099 2214767 2212767 2000 11420902 11249190 155721 15991 16130616 15994659 135957 9741626 6002802 3738824 1151748 1016584 135164 13809324 13809324 1089307 138880 950427 Dues & Subscriptions 1925815 1231514 694301 Education 1616675 1612261 4414 Recruitment 1609073 1560345 48728 Bad Debt 1033293 1033293 1662254 1610205 52049 235623673 215749241 19858441 15991 3875 3524 211711992 210868615 1949466 3235363 1415999 47397 47397 4567214 4670798 9223776 11036003 145159724 106574886 31577881 38584838 32736882 37744357 266129263 297304048 75559569 78756938 634923314 682251881 62029377 67945211 168911 278772 5169681 3846325 102832018 133882328 170199987 205952636 X 464723327 476299245 464723327 476299245 634923314 682251881 X 2815138 2052790 6707990 X 0 1 X 1 1 1 X X 6 Carilion Medical Center 540506332 3 1 0 0 Carilion New River Valley Medical Center 540553805 3 1 0 0 Carilion Giles Community Hospital 540549603 3 1 0 0 Carilion Franklin Memorial Hospital 540480606 3 1 0 0 Carilion Stonewall Jackson Hospital 540568001 3 1 0 0 Carilion Tazewell Community Hospital 546074580 3 1 0 0 6 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 71485 0 1 627 72112 0 Part II-B, Line 1: A portion of dues paid to various hospital industry associations is attributable to lobbying activities. Carilion employs an individual to monitor and inform management about legislative activity regarding health care. A portion of the individual's time is spent on lobbying. 2788825 2788825 6885200 5669874 1215326 108538 94005 14533 133673843 100411224 33262619 1703318 399783 1303535 38584838 Other Non-Publicly Traded Investments 156242 F Investments in Affiliates 296017655 C Investment Minority Interest 1130151 C 297304048 Interco Loan Receivable 72581647 Excess Umbrella Reinsurance 1070000 Other Long Term Assets 31000 Other Investments -112534 Deferred Compensation Plan Investments 5186825 78756938 Pension Liability 100016548 BRIC Claims Payable 28678955 Deferred Compensation Payable 5186825 133882328 X Part X, Line 2: Carilion recognizes a tax liability or asset for the estimated taxes payable or refundable on tax returns for current and prior years. Deferred tax assets and liabilities are recognized for the estimated future tax effects attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A tax benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Uncertain tax positions may include the characterization of income, such as a characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt. X 0 1 0 1 0 0 0 0 0 1 0 Jeanne S Armentrout Director/EVP 410828 0 75225 0 7435 0 216283 0 3834 0 713605 0 0 0 Kerri L Thornton Director/VP 231063 0 42683 0 1117 0 121332 0 4742 0 400937 0 0 0 Nancy Howell Agee Director/President/CEO 1137025 0 332354 0 152222 0 2158081 0 10118 0 3789800 0 141071 0 Donald B Halliwill Director/Asst Treasurer/CFO 460065 0 86171 0 4271 0 108666 0 11404 0 670577 0 0 0 David S Hagadorn Assistant Treasurer 128218 0 2500 0 7499 0 26279 0 819 0 165315 0 0 0 G Robert Vaughan Jr Treasurer/SVP 248071 0 47425 0 10549 0 70577 0 11254 0 387876 0 0 0 Carolyn H Chrisman SVP 259179 0 49095 0 5523 0 128099 0 12468 0 454364 0 0 0 R Keith Perry SVP/CIO 233592 0 52685 0 2193 0 0 0 5088 0 293558 0 0 0 Steve C Arner EVP 404698 0 75226 0 3985 0 111082 0 12704 0 607695 0 0 0 Thomas D Denberg MD PhD EVP 395252 0 88182 0 21905 0 -21708 0 11680 0 495311 0 0 0 Stephen A Morgan MD SVP 352450 0 65586 0 7926 0 81696 0 11349 0 519007 0 0 0 Melina D Perdue EVP 404233 0 74860 0 38182 0 422692 0 9866 0 949833 0 29590 0 Patrice M Weiss MD EVP 560900 0 112459 0 6277 0 118149 0 14187 0 811972 0 0 0 Briggs W Andrews Former Secretary 294741 0 71120 0 113407 0 61932 0 2652 0 543852 0 109782 0 Edward Murphy MD Former CEO 0 0 0 0 18155 0 0 0 0 0 18155 0 0 0 Donald E Lorton Former CFO 0 0 0 0 130613 0 0 0 0 0 130613 0 130613 0 Part I, Line 1a Certain non-cash taxable benefits provided to the former CEO are grossed up for taxes and included in taxable income. Part I, Line 1b Management determined the tax gross-up decision based on IRS requirements and the non-cash status of the benefits. Part I, Line 3 The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. This review was performed in November 2015 and September 2016. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives. Part I, Line 4b Select members of management participate in a Pension Restoration Plan. This plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified Plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified Plan. Entitlement to benefits and consequent lump sum payment occurs upon attaining age 65 while employed by Carilion Clinic, disability, or 24 months after certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon vesting while employed by Carilion, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Select members of management participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer at the discretion of Carilion Clinic's Compensation Committee makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date, the account shall be forfeited. A lump sum distribution shall be made upon the participant's vesting date, death, or disability. Payments made during the calendar year under these plans included the following: Nancy Howell Agee $141,071 Briggs Andrews $109,782 Donald Lorton $130,613 Melina Perdue $29,590 Part I, Line 7 The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Board of Directors Compensation Committee, although it is based on the scorecard measures. See Schedule L Pt V See Schedule L Pt V See Schedule L Part V 1 Jessica Lemons See Part V 69276 Employee 0 Schedule L, Part I, Line 1 For many years, Carilion had a split-dollar life insurance program for some of its key executives. Under the program, Carilion paid the premiums, and treated the premium payments as loans to the executives. The program remained in place following enactment of the Pension Protection Act of 2006, pursuant to which IRC 4958 was amended to cause loans by IRC 509(a)(3) supporting organizations to "disqualified persons" to be treated as "excess benefit transactions." During the reporting period, participants in the program on whose behalf premiums were advanced included Carilion's current Chief Executive Officer, Nancy Howell Agee, former Chief Executive Officer, Edward G. Murphy, M.D., and former General Counsel, Briggs W. Andrews. Not until after the close of its 2014 taxable year did Carilion understand that one or more of the split-dollar loans made under the program constituted excess benefit transactions. Since learning of the problem, Carilion obtained the advice of counsel to determine the proper course of action to ensure that such excess benefit transactions were corrected and not repeated. Each of the excess benefit transactions with the disqualified persons named above was corrected during the reporting period consistent with Treasury Regulation 53.4958-7. No organization manager that participated in the transactions knew that they were excess benefit transactions at the time. Schedule L, Part IV Family member of Jeanne Armentrout, Director. Form 990, Part VI, Section A, line 2 Nancy Howell Agee, Jeanne Armentrout, Lauren Chen, Nicholas Conte, David Hagadorn, Donald Halliwill, Kerri Thornton, G. Robert Vaughan, Jr.- Business relationship with related organizations. Form 990, Part VI, Section A, line 4 The filing organization's Articles of Incorporation and Bylaws were revised to update and clarify provisions concerning the election, qualification, and removal of its directors and officers. Form 990, Part VI, Section A, line 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers. Form 990, Part VI, Section A, line 7a The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason. Form 990, Part VI, Section A, line 7b The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a. Form 990, Part VI, Section B, line 11 The Form 990 was prepared by Carilion's internal tax department with input from various Carilion departments as applicable and reviewed by internal Accounting management and an outside CPA firm. Several days prior to filing, all Board Members were notified via email of its availability on Carilion's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have. Form 990, Part VI, Section B, line 12c Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Audit & Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings. Form 990, Part VI, Section B, line 15 The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, select Senior Vice Presidents, and physician Chairs of the Clinical Departments. This review was performed in November 2015 and September 2016. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of all Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents. These reviews were performed in September and November 2015 and September 2016, respectively. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for all employed physicians and physicians in leadership roles. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as an employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a Committee-reviewed list of national and regional peer groups of organizations similar in size and structure to the organization. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest statement, and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our website. Part IX, Line 11g, Column B Contract Fees/Consulting: $13,416,059 Repairs/Maintenance: $5,076,883 Physician/Professional/ Staffing Services: $3,645,760 Billing/Collection Services: $552,366 Other Purchased Services: $2,037,862 Total Other Services Fees, Column B: $24,728,930 Part IX, Line 11g, Column C Contract Fees/Consulting: $268,384 Repairs/Maintenance: $796 Other Purchased Services: $149,919 Total Other Service Fees, Column C: $419,099 Form 990, Part XI, line 9: Transfers to/from Affiliates 28,687,141. Pension-related changes other than net periodic pension costs -21,979,151. Blue Ridge Indemnity Company LLC 76 St Paul Street Suite 500 Burlington VT 05401 270927178 Insurance VT 16489795 37699780 Carilion Services Inc Carilion Clinic Patient Transportation LLC PO Box 12385 Roanoke VA 24025 541864693 Transportation VA 12450251 3773057 Carilion Services Inc Carilion Professional Services LLC PO Box 12385 Roanoke VA 24025 542030773 CRNAs VA 10941275 390595 Carilion Services Inc Carilion Clinic PO Box 12385 Roanoke VA 24025 541190771 Supporting organization VA 501(c)(3) Line 11b, II N/A 0 Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Fundraising VA 501(c)(3) Line 7 Carilion Clinic 1 Carilion Franklin Memorial Hospital PO Box 12385 Roanoke VA 24025 540480606 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Giles Community Hospital PO Box 12385 Roanoke VA 24025 540549603 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Medical Center PO Box 12385 Roanoke VA 24025 540506332 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion New River Valley Medical Center PO Box 12385 Roanoke VA 24025 540553805 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Tazewell Community Hospital PO Box 12385 Roanoke VA 24025 546074580 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 Carilion Clinic Medicare Shared Savings Company LLC PO Box 12385 Roanoke VA 24025 455235473 Medicare HMO VA N/A Franklin County Ventures LLC PO Box 12385 Roanoke VA 24025 474365316 Real estate VA N/A Community Medical Associates LLP PO Box 12385 Roanoke VA 24025 541517662 Real estate VA N/A CHS Inc PO Box 12385 Roanoke VA 24025 541725732 Services VA Carilion Services Inc C 200275041 363582797 1.00000 1 Carilion Behavioral Health Inc PO Box 12385 Roanoke VA 24025 203136891 Healthcare VA CHS Inc C 1 Carilion Emergeny Services Inc PO Box 12385 Roanoke VA 24025 542033006 Healthcare VA CHS Inc C 1 SCA Credit Services Inc PO Box 12385 Roanoke VA 24025 541180398 Collection agency VA CHS Inc C 1 Carilion Healthcare Corporation PO Box 12385 Roanoke VA 24025 541586601 Healthcare VA CHS Inc C 1 MedKey Inc PO Box 12385 Roanoke VA 24025 541645357 Financing services VA CHS Inc C 1 Carilion Clinic Medicare Resources LLC PO Box 12385 Roanoke VA 24025 263729975 Medicare HMO VA Carilion Services Inc C 462304 15336144 1.00000 1 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 CHS Inc K 252736 Market rates CHS Inc L 1193332 Cost Carilion Emergency Services L 860076 Cost SCA Credit Services Inc L 94623 Cost Carilion Healthcare Corporation L 15208891 Cost MedKey inc L 96107 Cost CHS Inc M 150156 Cost SCA Credit Services Inc M 81744 Cost CHS Inc R 30963000 Cash Carilion Clinic Medicare Resources LLC A 3369205 Market rates Carilion Clinic Medicare Resources LLC D 3369205 Cost Carilion Medical Center L 156235243 Cost Carilion New River Valley Medical Center L 27693212 Cost Carilion Giles Community Hospital L 5103783 Cost Carilion Franklin Memorial Hospital L 5970146 Cost Carilion Stonewall Jackson Hospital L 4379968 Cost Carilion Tazewell Community Hospital L 2125134 Cost Carilion Medical Center A 52805 Cost Carilion Medical Center K 2270001 Cost Carilion Medical Center M 1197701 Cost Carilion Clinic Foundation M 504289 Cost Carilion Medical Center S 3425699 Cash Carilion New River Valley Medical Center S 22983852 Cash Carilion Giles Community Hospital S 6412833 Cash Carilion Franklin Memorial Hospital S 432492 Cash Carilion Clinic Foundation R 99000 Cash Carilion Healthcare Corporation M 66143 Cost