2015-08-15T14:27:49-05:00 2014-09-30 990 2013-10-01 541190879 CARILION SERVICES INC CARI 5402245112 PO BOX 12385 ROANOKE VA 240252385 Donald Halliwill Chief Financial Officer 5402245112 2015-08-15 2013 2016-02-25 16:41:14Z Nancy Howell Agee PO BOX 12385 ROANOKE VA 240252385 212443002 0 X www.carilionclinic.org X 1982 VA See Schedule O.The organization supports the activities of Carilion Clinic, a healthcare organization in western Virginia that includes a large multi-specialty physician group, hospitals and ancillary services, focused on the goal of providing the best possible health outcome and health care experience for each patient. 4 0 1645 0 8451537 -1592873 0 50030 173028103 181870549 4898215 6053084 9919445 10493183 187845763 198466846 2370308 726049 0 0 118452836 121555729 0 0 9464 66430286 78442235 187253430 200724013 592333 -2257167 547369880 585983937 117823043 147461879 429546837 438522058 X See Schedule O.The principal purpose of this corporation is to generate, through subsidiaries engaged in both taxable and tax-exempt activities, funds for contribution to parent or affiliated organizations in the provision of quality health care services and to promote physical fitness and preventive medicine.Our mission is to improve the health of the communities we serve. 0 0 189579240 726049 183912195 See Schedule O.By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality, Carilion Services, Inc. supports Carilion'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 46,070 patients and providing 224,823 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion provided extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded $66.6 million. 189579240 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 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 1645 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 VA X The Corporation Attn J Wright 5402245112 213 S Jefferson St Roanoke VA 24011 Jeanne S Armentrout Director 44.80 5.20 X 353564 0 482 Kerri L Thornton Director 48.80 1.20 X 239521 0 -34152 Nancy Howell Agee Director/President 38.00 12.00 X X 1129437 0 750057 Donald B Halliwill Director/Assistant Treasurer 43.00 7.00 X X 343160 0 -13889 G Robert Vaughan Jr Treasurer 44.30 5.70 X 255568 0 -13062 David S Hagadorn Assistant Treasurer 49.60 0.40 X 118987 0 -5323 Briggs W Andrews Secretary 43.50 6.50 X 404300 0 46042 Lauren J Chen Assistant Secretary 19.90 30.10 X 68855 0 7219 Curtis Mills SVP 50.00 0.00 X 352137 0 -112455 Melina Perdue EVP 50.00 0.00 X 438512 0 109899 Kay Hix VP 50.00 0.00 X 299880 0 -1925 Donna Littlepage SVP 50.00 0.00 X 320344 0 -38975 Donald Lorton Former EVP/Treasurer/Direc 50.00 0.00 X 3772316 0 -29521 Mark Werner Former EVP 0.00 0.00 X 0 344249 -22080 R Wayne Gandee Former EVP 0.00 50.00 X 0 733197 29321 8096581 1077446 671638 121 1 1 0 Epic Systems Corporation Box 88314 Milwaukee WI 532880314 Software Maintenance 2842964 Hitachi Data Systems Corp PO Box 99257 Chicago IL 60693 Computer Software Maintenance 1989191 Mainline Information Systems Inc PO Box 11407 Dept1659 Birmingham AL 352461659 Software Maintenance 1931471 Microsoft Corporation PO Box 844510 Dallas TX 752844510 Software Maintenance 1566190 Oracle America Inc PO Box 71028 Chicago IL 606941028 Computer Software Maintenance 1275253 67 50030 50030 Management Fees 900099 168111958 160058605 8053353 Carilion Patient Transportation S 900099 11995242 11995242 Net Patient Revenue 900099 1712761 1712761 Affiliate Rent Income 532000 50588 50588 181870549 4515005 4515005 15432235 82000 13904956 71200 1527279 10800 1538079 1538079 Other Affiliate Revenue 900099 9573835 9573835 Purchase Discounts 900099 296098 296098 623250 225066 398184 10493183 198466846 183912195 8451537 6053084 726049 726049 3364627 1310847 2053780 93070307 91126822 1943485 8139666 8139666 10693151 9703675 989476 6287978 6287978 657865 657865 979784 979784 688193 688193 567 567 8884 8884 12697368 12662641 34727 1884353 1880733 3620 17124034 17014373 100197 9464 12189233 12047529 141704 7571491 5582532 1988959 787984 695589 92395 1150 1150 9010207 9010207 8706073 7865963 840110 Dues & Subscriptions 1588964 1069549 519415 Education 1490797 1483956 6841 Bad Debt 1042106 1042106 Recruitment 680911 679705 1206 1332271 1247603 84668 200724013 189579240 11135309 9464 3873 3874 193569612 197230620 2989626 1424080 2049139 1541514 47397 697982 3916535 4071086 7482606 8149079 124044667 93618398 29641102 30426269 34857301 31008866 218464088 239250138 54348601 72180429 547369880 585983937 52361082 54121916 370204 233448 5505281 5318683 3028646 2192099 56557830 85595733 117823043 147461879 X 429546837 438522058 429546837 438522058 547369880 585983937 X -2257167 -1125549 12357937 X 0 1 X 1 0 X X X X 0 0 0 Carilion Medical Center 540506332 501(c)(3) 1 1 1 0 Carilion New River Valley Medical Center 540553805 501(c)(3) 1 1 1 0 Carilion Giles Community Hospital 540549603 501(c)(3) 1 1 1 0 Carilion Franklin Memorial Hospital 540480606 501(c)(3) 1 1 1 0 Bedford Memorial Hospital 540566100 501(c)(3) 0 1 1 0 Carilion Stonewall Jackson Hospital 540568001 501(c)(3) 1 1 1 0 Carilion Tazewell Community Hospital 546074580 501(c)(3) 1 1 1 0 7 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 0 0 0 Part II-B, Line 1: Portion of dues paid to American Hospital Association and Virginia Hospital and Healthcare Association spent on lobbying. 2539232 2539232 13274807 9558774 3716033 108538 84764 23774 107203284 83562361 23640923 918806 412499 506307 30426269 Minor Investments 54289 F Investments - CCMR 90000 C Investments - CHI 328464555 C Investment Minority Interest 1100712 C Investment - BRIC 33402 C Unrecorded Intercompany Losses -90492820 C 239250138 Interco Loan Receivable 65846406 Excess Unbrella Reinsurance 1043000 Other Long Term Assets 31000 Due from CCMR 702067 Other Investments 856212 457(b) and 457(f) Investments 3701744 72180429 Qualified Pension Laibility 53827678 Nonqualified Pension Liability 8004840 OSLR Reserves 11272610 LAE Reserves 796577 IBRN Reserves 9271908 Losses Payable 2222632 Losses Payable-LPT 199488 85595733 X Part X, Line 2: Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2014 and 2013. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months. 1 United Way of Roanoke Valley 325 Campbell Avenue Roanoke VA 24016 540535302 501(c)(3) 9656 General Support Roanoke Symphony Orchestra 128 East Campbell Ave SE Roanoke VA 24011 546016736 501(c)(3) 10000 General Support Junior Achievement of Roanoke Valley 3433 Brambleton Avenue SW 202B Roanoke VA 24018 540628293 501(c)(3) 19080 General Support American Heart Association PO Box 4002906 Des Moines IA 503402906 135613797 501(c)(3) 31500 General Support American Cancer Society 2840 Electric Road 106A Roanoke VA 24018 580659875 501(c)(3) 15500 General Support Virginia Western Community College Educational Foundation Inc PO Box 14007 Roanoke VA 240384007 521200913 501(c)(3) 10000 General Support VA Blue Ridge Affiliate of Susan G Komen for the Cure 4910 Valley View Blvd Ste212 Roanoke VA 24012 562619425 501(c)(3) 19000 General Support March of Dimes Greater Roanoke 2840 Electric Road - Suite 102A Roanoke VA 24018 131846366 501(c)(3) 27500 General Support Smith Mountain Lake Regional Chamber of Commerce 16430 Booker T Washington Hwy2 Moneta VA 24121 541654288 501(c)(3) 6300 General Support The Rescue Mission of Roanoke Inc PO Box 11525 Roanoke VA 24022 540573900 501(c)(3) 5000 General Support National Multiple Sclerosis Society 1020 Carrington Place Charlottesville VA 22901 540834654 501(c)(3) 5000 General Support Virginia Amateur Sports 711-C 5th Street NE Roanoke VA 24016 541500181 501(c)(3) 5750 Health & Fitness Events Roanoke Academy of Medicine Alliance Foundation 2911 Crystal Spring Ave Roanoke VA 24014 510218435 501(c)(3) 5000 Event Sponsorship Alzheimer's Association 1160 Pepsi Place - Suite 306 Charlottesville VA 22901 541309570 501(c)(3) 7000 General Support Mill Mountain Theatre One Market Square SE - 2nd Floor Roanoke VA 24011 540792067 501(c)(3) 10000 General Support The Salvation Army PO Box 12088 Roanoke VA 24022 580660607 501(c)(3) 5000 Roanoke Womens' Shelter SML Good Neighbors PO Box 2 Moneta VA 24121 261274000 501(c)(3) 10000 Summer Nutrition Program Southern VA Child Advocacy Center 300 S Main St Rocky Mount VA 24151 541950268 501(c)(3) 10000 Prevention Program Free Clinic of NRV 215 Roanoke St Christiansburg VA 24073 510247098 501(c)(3) 30000 Dental Program Free Clinic of Franklin County 1171 Franklin Street Rocky Mount VA 24151 541634138 501(c)(3) 20000 Operational support NRV Cares 205 W Main Street Christiansburg VA 24073 541773419 501(c)(3) 10000 Parenting Program Mental Health of America Rke Valley 10 E Church Ave 300 Roanoke VA 24011 540703132 501(c)(3) 32000 Operational support Greater Roanoke Transit 1108 Campbell Ave SE Roanoke VA 24013 540982022 Local Government 51672 Trolley service Rebuilding Together Roanoke PO Box 4532 Roanoke VA 24015 541961045 501(c)(3) 10000 Safe Housing Local Environmental Agriculture Project PO Box 3249 Roanoke VA 24015 271050909 501(c)(3) 10000 Double SNAP Value RX Partnership 2924 Emerywood Pky Richmond VA 23294 541186937 501(c)(3) 15000 Medication Assistance Juvenile Diabetes 3959 Electric Rd Ste222 Roanoke VA 24012 231907729 501(c)(3) 6500 General Support Virginia Tech Foundation Inc 1872 Pratt Dr 1000 Blacksburg VA 24060 540721690 501(c)(3) 37500 General Support Roanoke-Blacksburg Innovation Network 2200 Kraft Dr Ste1400 Blacksburg VA 24060 462975294 501(c)(3) 10000 General Support Blacksburg High School 3401 Bruin Way Blacksburg VA 24060 546001433 Local Government 6500 Capital Improvements Scott Robertson Memorial Junior Golf Academy 3707 Densmore Road NW Roanoke VA 24017 201237999 501(c)(3) 10000 Parent-Child Tournament WSLC-FM 3934 Electric Road SW Roanoke VA 24018 952913603 5000 Fundraiser for American Cancer Society Franklin County Family YMCA PO Box 720 Rocky Mount VA 24151 541740065 501(c)(3) 10000 General Support Cosmopolitan Club of Roanoke 1838 Arlington RdSW Roanoke VA 24015 546074183 501(c)(3) 5000 Track Meet Sponsorship Bedford Adult Day Care 1617 Oakwood Street Bedford VA 24523 540566100 501(c)(3) 25000 General Supoort Free Clinic of NRV (Giles) 219 Buchanan Street Pearisburg VA 24134 273431035 501(c)(3) 10000 Operational Support Happy Healthy Cooks 1914 Belleview Rd Roanoke VA 24014 464937238 501(c)(3) 20000 Nutrition Program City of Lexington Farmers Market 300 E Washington Street Lexington VA 24450 546001392 Local Government 5000 Double Snap Benefit Reg Partnership of BR Marathon 111 Franklin Rd Roanoke VA 24011 521327998 501(c)(3) 10000 Marathon Roanoke Community Garden Association 655 Highland AveSE Roanoke VA 24012 262082150 501(c)(3) 10000 Nutrition Education United Way of Franklin County 270 S Main Street Rocky Mount VA 24151 541246696 501(c)(3) 19889 Healthy Franklin County United Way of Roanoke Valley 325 Campbell Avenue SW Roanoke VA 24011 540535302 501(c)(3) 25000 Healthy Roanoke Valley Virginia Foundation for Community College Ed 101 N 4th St Floor 15 Richmond VA 23219 237004354 501(c)(3) 10000 Educational Attainment 39 43 Schedule I, Part I, Line 2 For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives fo the project. By accepting a Carilion award, grantees must publicly acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle project report, a site visit for new grantees and a final program evaluation will be required for every funded project. Among other things, program evaluation will address organizational effectiveness, program impact and community benefit through collection of data measuring such items as clients served, cost effectiveness of the program (cost per client or service), tangible community or client outcomes and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested. 0 1 0 0 0 0 0 1 0 Jeanne S Armentrout Director 300053 0 52500 0 1011 0 -2002 0 2484 0 354046 0 0 0 Kerri L Thornton Director 202732 0 35952 0 837 0 -39635 0 5483 0 205369 0 0 0 Nancy Howell Agee Director/President 901901 0 159389 0 68147 0 737684 0 12373 0 1879494 0 67731 0 Donald B Halliwill Director/Assistant Treasurer 284640 0 52500 0 6020 0 -27463 0 13574 0 329271 0 0 0 G Robert Vaughan Jr Treasurer 211713 0 38988 0 4867 0 -27255 0 14193 0 242506 0 0 0 Briggs W Andrews Secretary 342584 0 60961 0 755 0 36388 0 9654 0 450342 0 0 0 Curtis Mills SVP 248700 0 45094 0 58343 0 -121788 0 9333 0 239682 0 43071 0 Melina Perdue EVP 369856 0 65726 0 2930 0 99688 0 10211 0 548411 0 0 0 Kay Hix VP 244923 0 43468 0 11489 0 -7773 0 5848 0 297955 0 0 0 Donna Littlepage SVP 258502 0 45758 0 16084 0 -45201 0 6226 0 281369 0 0 0 Donald Lorton Former EVP/Treasurer/Direc 314369 0 67943 0 3390004 0 -34833 0 5312 0 3742795 0 3389344 0 Mark Werner Former EVP 0 0 0 0 0 344249 0 -22080 0 0 0 322169 0 344249 R Wayne Gandee Former EVP 0 542850 0 181896 0 8451 0 18675 0 10646 0 762518 0 0 Part I, Line 3 See Schedule O disclosure for Form 990, Part VI, Section B, Line 15 Part I, Line 4b Select members of management participate in a split-dollar life insurance benefit. Under the program, participants purchase a life insurance policy. The Company pays the premium on the policy as an interest-bearing loan to the participant. The policy is collaterally assigned to the Company as security for the payment of the loan. Upon any payout from the policy, either at the death of the participant or some earlier terminating event, the Company is repaid its loan first, with the remainder of policy proceeds, if any, then payable to the participant or his or her beneficiaries. 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 the earliest of (i) attaining age 65 while employed by Carilion Clinic, (ii) 24 months following involuntary separation from service without reasonable cause, (iii) disability, or (iv) voluntary separation or involuntary separation with reasonable cause prior to attaining age 65 if the participant does not enter into competition with Carilion Clinic during the 24-month period following the participant's separation from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon the earliest of (i) remaining employed by Carilion to the deferred vesting date for such account; (ii)disability; (iii) 24 months following involuntary separation from service without reasonable cause, except that Carilion at its discretion may make a partial tax distribution upon separation; or (iv) 24 months following voluntary or involuntary separation from service with reasonable cause if the participant does not enter into competition with Carilion Clinic during the 24-month period following separation from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Payments during the calendar year under these plans included the following: Nancy Agee $67,731 Donald Lorton $3,389,344 Curtis Mills $43,071 Mark Werner $344,249 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 Compensation Committee, although it is based on the scorecard measures. Nancy Howell Agee Officer Split-dollar insurance premium X 7875 207832 0 1 1 Briggs Andrews Officer Split-dollar insurance premium X 8770 314281 0 1 1 Donald E Lorton Officer Split-dollar insurance premium X 6200 315100 0 1 1 Curtis Mills Employee Split-dollar insurance premium X 3000 142880 0 1 1 Curtis Mills Employee Split-dollar insurance premium X 2300 54500 0 1 1 Edward G Murphy Former Officer Split-dollar insurance premium X 17025 506921 0 1 1 1541514 Form 990, Part VI, Section A, line 2 1. Nancy Howell Agee and G. Robert Vaughan, Jr. - business relationship. Form 990, Part VI, Section A, line 4 Board membership changed to remove the Medical Director of Roanoke Memorial Hospitals as an ex officio member with vote. All 4 members will be elected by the Sole Member. 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. Form 990, Part VI, Section B, line 11 The final Form 990 was delivered to each member of the Board of Directors several days prior to the filing and Board members were encouraged to call with any questions they might have. Form 990, Part VI, Section B, line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990, Part VI, Section B, line 15 Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, and Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital CEOs. This review was performed in September and October 2013. A similar review was last performed in October 2014. This review included a review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990, Part VI, Section C, line 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 web site and in our annual report to the community. Form 990, Part XI, line 9: Transfers from Affiliates 35,721,974. Pension-Related Changes -23,364,037. Blue Ridge Indemnity Company LLC 76 St Paul Street Suite 500 Burlington VT 05401 270927178 Insurance VT 15407807 31466295 Carilion Services Inc Carilion Clinic Patient Transportation Services LLC PO Box 12385 Roanoke VA 24025 541864693 Transportation VA 11278857 2838422 Carilion Services Inc Carilion Professional Services LLC PO Box 12385 Roanoke VA 24025 542030773 CRNAs VA 11186632 358251 Carilion Services Inc Carilion Clinic PO Box 12385 Roanoke VA 24025 541190771 Supporting organization VA 501(c)(3) Line 11a, I N/A 0 Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Supporting organization VA 501(c)(3) Line 11b, II 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 CHS Inc and Subsidiaries PO Box 12385 Roanoke VA 24025 541725732 Services VA Carilion Services Inc C 183835130 308040294 1.00000 1 Carilion Clinic Medicare Resources LLC PO Box 12385 Roanoke VA 24025 263729975 Medicare HMO VA Carilion Services Inc C 58220637 21979480 1.00000 1 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 CHS Inc and Subsidiaries K 249842 Market rates CHS Inc and Subsidiaries L 14342753 Cost CHS Inc and Subsidiaries M 344877 Cost CHS Inc and Subsidiaries R 20920000 Cash Carilion Clinic Medicare Resources LLC A 3263342 Market rates Carilion Clinic Medicare Resources LLC D 15263342 Cost Carilion Clinic Medicare Resources LLC L 226529 Cost Carilion Medical Center L 120487037 Cost Carilion New River Valley Medical Center L 18453610 Cost Carilion Giles Community Hospital L 3241925 Cost Carilion Franklin Memorial Hospital L 4575765 Cost Carilion Stonewall Jackson Hospital L 3257985 Cost Carilion Tazewell Community Hospital L 1776823 Cost Carilion Clinic L 706577 Cost Carilion Medical Center M 8179731 Cost Carilion Clinic M 164125 Cost Carilion Clinic Foundation M 444870 Cost Carilion Clinic K 6724406 Cost Carilion Medical Center R 35500000 Cash Carilion New River Valley Medical Center R 4000000 Cash Carilion Giles Community Hospital R 1830000 Cash Carilion Franklin Memorial Hospital R 1100000 Cash Carilion Clinic S 6775755