2024-08-15T20:18:58+00:00 2023-09-30 440160260 FORVIS MAZARS LLP 1201 WALNUT ST SUITE 1700 KANSAS CITY MO 641062246 990 2022-10-01 541190771 Carilion Clinic CARI 5402245102 PO BOX 12385 Roanoke VA 240252385 G ROBERT VAUGHAN JR TREASURER 5402245102 2024-08-16 false true MIKE ENGLE P00482834 8162216300 2022 2024-08-08 14:25:15Z NANCY HOWELL AGEE PO BOX 12385 Roanoke VA 240252385 72743418 false X WWW.CARILIONCLINIC.ORG X 1981 VA Our 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. 20 16 0 -7344121 51628 0 40103652 33273511 1302695 11994 1938411 1562939 43344758 34848444 0 0 162295 272037 0 0 36207562 39813399 36369857 40085436 6974901 -5236992 277918782 276170742 171111101 170558322 106807681 105612420 Our 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. false false 37491884 40679982 See Schedule O. 37491884 true false false true false false false false false true false false true true false false true false false true false false false false false false false false true true false false false false false false false false false true false false false false true true true true false false true X 0 0 0 true true false false false false false false false false false false false X 20 16 true true false false false false false true true false false true true true true true true true true true true X MATTHEW BARR 5402245021 213 S JEFFERSON ST ROANOKE VA 24011 James Hartley Director/Chair 7.0 1.7 X X 23000 0 0 Nancy Howell Agee Director/CEO 8.0 42.0 X X 0 2186283 1001688 Abney Boxley III Director 4.5 0.5 X 11248 0 0 Damon Williams Director 4.5 2.0 X 7948 0 0 Danielle Yarber Director 4.5 0 X 13748 0 0 Elizabeth McClanahan Director 2.4 0 X 8515 0 0 Garry Norris Director 2.4 0 X 13075 0 0 J Alexander Boone Director 4.5 0 X 14998 0 0 James C Thompson Director 2.4 2.5 X 12215 0 0 James Williams Jr Director 2.4 2.5 X 10575 0 0 Jason Bingham Director 2.4 0 X 9325 0 0 Jeri Lantz MD Director 2.4 47.6 X 8075 290182 -173745 John Bond Director 4.5 0 X 14500 0 0 Joseph Scartelli PhD Director 2.4 0 X 13250 0 0 Joseph Sheffey Director 2.4 0 X 8075 0 0 Lisa Goldestein Director 2.4 0 X 0 0 0 Mark Pace Director 2.4 0 X 0 0 0 Neil Wilkin Jr Director 4.5 0 X 15191 0 0 Terry Austin Director 2.4 0 X 7450 0 0 William Kingery Jr Director 2.4 3.0 X 11825 0 0 Daniel Harrington MD Interim Chief Medical Officer/EVP 0.0 50.0 X 0 153832 0 David Hagadorn Asst. Treasurer 0.5 49.5 X 0 160104 -121301 Donald Halliwill Asst. Treasurer/CFO/EVP 4.0 46.0 X 0 988973 -138321 G Robert Vaughan Jr Treasurer / SVP 2.0 48.0 X 0 409821 -254014 Jeanne Armentrout Chief Administrative Officer/EVP 4.0 46.0 X 0 1651534 -389619 Julie Smith-Hamilton Asst. Secretary 0.5 49.5 X 0 61128 12403 Nicholas Conte Secretary/EVP/Chief Legal Officer 6.0 44.0 X 0 817822 83882 Patrice Weiss MD Chief Medical Officer/EVP 0.0 50.0 X 0 2392086 -147548 Steven Arner President, COO 4.0 46.0 X 0 1120207 -113754 203013 10231972 -240329 0 false true false NEXT LEVEL BUILDING SOLUTIONS INC 5205 Starkey Road ROANOKE VA 24018 CLEANING SERVICES 836574 MB CONTRACTORS INC 3825 BLUE RIDGE DRIVE SW ROANOKE VA 24018 CONSTRUCTION SERVICES 812106 F & S BUILDING INNOVATIONS INC 2944 ORANGE AVE NE ROANOKE VA 24012 CONSTRUCTION SERVICES 578257 SERVICEMASTER COMMERCIAL CLEAN 6580 VALLEY CENTER DRIVE SUITE 164 RADFORD VA 24141 MAINTENANCE SERVICES 459100 BALZER AND ASSOCIATES INC 110 CHURCH AVE SW ROANOKE VA 24011 ARCHITECTURE AND ENGINEERING SERVICES 369867 18 0 Rent from Affiliates 531120 41561004 41561004 Program Related Investment Income 523000 -1150143 -1150143 Interco Mgmt Fee 551112 267933 267933 Unrelated Business Income 523000 -7405283 -7405283 0 0 0 0 33273511 85804 85804 1500589 1500589 0 1500589 1500589 37821164 37894974 -73810 0 -73810 -73810 PARKING FEES 812930 61162 61162 Other Revenue 900099 1188 1188 0 0 0 0 62350 34848444 40679982 -7344121 1512583 X 265954 265954 6083 6083 1829262 1829262 40781 40781 940 940 13391 13391 5117522 5089117 28405 0 449892 449599 293 26582 26582 14745886 14726161 19725 4494865 4494865 12535503 12535503 400081 128448 271633 Income Taxes 91443 91443 Bad Debt 61341 61341 Other Expenses 5910 5910 0 0 0 0 40085436 37491884 2593552 0 3582314 3438964 3312 0 0 0 0 1363380 1611788 374742015 181003620 194524669 193738395 6975251 5663525 11334802 12401332 7902482 6733477 52235884 52579949 277918782 276170742 1714809 3042995 95973776 95989628 0 0 73422516 71525699 171111101 170558322 106807681 105612420 106807681 105612420 277918782 276170742 X -5236992 4834184 -792453 X false true X true true true X X 6 CARILION MEDICAL CENTER 540506332 3 true 0 185823 CARILION NEW RIVER VALLEY MEDICAL CENTER 540553805 3 true 0 35580 CARILION GILES COMMUNITY HOSPITAL 540549603 3 true 0 8437 CARILION FRANKLIN MEMORIAL HOSPITAL 540480606 3 true 0 9493 CARILION ROCKBRIDGE COMMUNITY HOSPITAL 540568001 3 true 0 8670 CARILION TAZEWELL COMMUNITY HOSPITAL 546074580 3 true 0 3563 6 0 251566 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 12 IRS Determination Letter Although the filing organization has an IRS letter determining that it is a Type I supporting organization under Section 509(a)(3), the organization's status is more appropriately described under the Type II test as an organization supervised or controlled in connection with its supported organizations by having control or management of the supporting organization vested in the same persons that control or manage the supported organizations. Schedule A, Part I, Line 12g Support to Supported Organizations Carilion Clinic provides leadership, governance, and strategic direction to its supported organizations. Schedule A, Part IV, Section C, Line 1 Majority director detail The 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. false false false false false false false false true 940 940 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of dues paid to various healthcare industry associations is attributable to lobbying activities. 24681350 24681350 294379338 160860925 133518413 36868300 7883844 28984456 9779812 7657671 2122141 9033215 4601180 4432035 193738395 Due from Affiliate 0 Right of Use Asset 52579949 52579949 Pension Liability 8065522 Interest Rate Swap Liability 3665447 Lease Liability Total 58510569 Due To Affiliate 1284161 71525699 Central America and the Caribbean 0 0 Investments 658194869 North America (Canada & Mexico only) 0 0 Investments 18923527 Europe (Including Iceland and Greenland) 0 0 Investments 157973750 Middle East and North Africa 0 0 Investments 2914500 0 0 0 0 0 0 838006646 0 838006646 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual X X false true X X X X X X true true false false false false false true false Nancy Howell Agee Director/CEO 0 1567773 0 358583 0 259927 0 987742 0 13946 0 3187971 0 0 Jeri Lantz MD Director 8075 244384 0 42016 0 3782 0 -186841 0 13096 8075 116437 0 0 Jeanne Armentrout Chief Administrative Officer/EVP 0 770439 0 128265 0 752830 0 -398602 0 8983 0 1261915 0 605762 Steven Arner President, COO 0 892203 0 149632 0 78372 0 -135050 0 21296 0 1006453 0 73054 Nicholas Conte Secretary/EVP/Chief Legal Officer 0 642289 0 107354 0 68179 0 68334 0 15548 0 901704 0 60115 David Hagadorn Asst. Treasurer 0 150264 0 2700 0 7140 0 -127993 0 6692 0 38803 0 0 Donald Halliwill Asst. Treasurer/CFO/EVP 0 745723 0 125641 0 117609 0 -159617 0 21296 0 850652 0 113415 G Robert Vaughan Jr Treasurer / SVP 0 341967 0 44219 0 23635 0 -275310 0 21296 0 155807 0 19258 Patrice Weiss MD Chief Medical Officer/EVP 0 547460 0 114831 0 1729795 0 -166884 0 19336 0 2244538 0 165519 Daniel Harrington MD Interim Chief Medical Officer/EVP 0 149801 0 0 0 4031 0 0 0 0 0 153832 0 0 Schedule J, Part I, Line 1a Travel for companions The organization may on occasion pay or reimburse for companion travel for Board members related to business conferences or events which is includable in compensation. One board member received the benefit during the tax period. Schedule J, Part I, Line 1a Health or social club dues or initiation fees All Directors are offered a free family or individual membership to a health club owned by a related organization if they choose to accept it. The organization provided this benefit to six reported individuals, the value of which is included in reported compensation. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses Provision of the health club benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly. The organization has a written policy regarding travel for companions. Schedule J, Part I, Line 4a Severance or change-of-control payment Patrice Weiss - $1,558,223 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Ms. Armentrout, Mr. Arner, Mr. Conte, Mr. Halliwill, Mr. Vaughan, and Dr. Weiss participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP). Contributions to the plan are at the discretion of Carilion Clinic's Compensation Committee. Amounts vest and become non-forfeitable and payable upon the first of the following (1) attainment of scheduled vesting date (2) attainment of age and years of service requirements (3) disability or death while an eligible employee or (4) entitlement to severance benefits from an involuntary termination without reasonable cause or resignation with good reason. Unvested contributions made to the DC SERP in the reporting period are included in Part II, Column C of this schedule with "retirement and other deferred compensation," while vested contributions paid out during the year are included in Part II, Column B(iii). The following distributions were made to these individuals under this plan in the reporting year. Deferred in prior year and paid out in current year: $113,415 - Donald Halliwill $165,519 - Patrice Weiss $605,762 - Jeanne Armentrout $73,054 - Steven Arner $60,115 - Nicholas Conte $19,258 - G. Robert Vaughan, Jr. Vested and paid in current year: $136,954 - Jeanne Armentrout Ms. Agee participates in an Executive Flexible Benefit Plan, under which she receives an allowance which can be used to obtain certain benefits, with the excess deferred until the applicable vesting date. Amounts now received under this plan vest immediately and thus are no longer deferred. $245,365 was distributed under this plan in the reporting year. Schedule J, Part I, Line 7 Non-fixed payments The organization pays annual "at risk" compensation to certain members of management based on performance of applicable scorecard. While the scorecard contains a formula as a basis for determining overall performance, in certain cases, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual non-fixed payment awarded is determined in the discretion of the Carilion Clinic Board of Directors and its Compensation Committee. A ECON DEV AUTHORITY-CITY OF ROANOKE VA HOSPITAL REV BONDS CARILION CLINIC OB LIGATED GRP SERIES 2005A (REISSUED) 541106038 770082AZ8 2017-03-01 123110000 Reissuance of Series 2005A original 12/14/05 false false false B VA Small Business Fin AUTHORITY HOSPITAL REV BONDS CARILION CLINIC OBLIGATE D GRP SERIES 2008A & 2008B (REISSUED) 541300845 928101AH7 2017-04-03 160000000 Reissuance of Series 2008 A&B original 7/16/08 false false false C ECON DEV AUTH CITY OF ROANOKE VA HOSP REV BONDS CARILION CLINIC OBLIG GRP R EF SER 2005B 2005C & 2010 PARTIAL REF SERIES 2005A&2008B 541106038 770082CB9 2020-04-02 440220786 See Part VI Supplemental Information. true false false A 43640000 123110000 123110000 true false true true B 45800000 160000000 160000000 true false true true C 4200000 441577220 151356434 287584073 2025 true false false true A false true true true false 0.006 0.0 0.006 false false true B false true true true false 0.011 0.0 0.011 false false true C false false false false 0.0 0.0 0.0 false false true A false true true true true false false false true B false true true true true false false false true C false true true true true false false false true A true B true C true Schedule K, Part I All Bond Issues Bond issuance total proceeds are allocated to each subsidiary obligated group member entity. Schedule K, Part I, Column (f) ROW C Refunding of Series 2005B, 2005C, and 2010. Partial Refunding of Series 2005A and 2008B Bonds, Costs of Issuance, and Capital Projects. Schedule K, Part II, Line 3 Column C $1,356,424 of Investment Earnings Schedule K, Part IV, Line 2c COLUMN A Issuer name: ECON. DEV. AUTHORITY-CITY OF ROANOKE, VA, HOSPITAL REV. BONDS, CARILION CLINIC OBLIGATED GRP., SERIES 2005A (REISSUED) The calculation for computing no rebate due was performed on 02/04/2021 Schedule K, Part IV, Line 2c COLUMN B Issuer name: VA Small Business Fin. AUTHORITY, HOSPITAL REV. BONDS, CARILION CLINIC OBLIGATED GRP., SERIES 2008A & 2008B (REISSUED) The calculation for computing no rebate due was performed on 04/03/2017 Schedule K, Part IV, Line 2c COLUMN C Issuer name: ECON. DEV. AUTH. CITY OF ROANOKE, VA, HOSP. REV. BONDS, CARILION CLINIC OBLIG. GRP., REF. SER. 2005B, 2005C & 2010 PARTIAL REF. SERIES 2005A&2008B The calculation for computing no rebate due was performed on 09/19/2022 Mark Pace Entity more than 35% owned by director 102478 Rental of real property false Form 990, Part III, Line 4a Program Service Description As the parent company for all Carilion affiliates, Carilion Clinic drives fulfillment of Carilion's mission to improve the health of the communities it serves. Carilion Clinic is an organization of physicians working together as a team. In June 2006, Carilion Health System announced plans to transform the not-for-profit hospital system into a Clinic organization headquartered in Roanoke, Virginia. The clinic structure aligns hospital and physician goals with a focus on evidence-based medical practice, consistency in care and service based on proven methods and procedures, attention to the optimal length of each patient's stay in the hospital and to using costly resources as efficiently as possible, and an environment of active medical research and education to further advance the practice of medicine. Integration of inpatient and outpatient services across the continuum of care and seamless, convenient access to services for the patient also are integral to the clinic model. Carilion Clinic emphasizes the integration of care, clinical quality, and safety. Carilion Clinic, through its affiliates, employs a staff of over 900 physicians with continued development of outcomes-based clinical performance metrics, a fully integrated clinical information system, including an Electronic Medical Record (EMR) shared by all hospitals and physician practices, and numerous medical education residency and fellowship programs. Providing leadership and vision, Carilion Clinic also oversees a core hospital business that admitted 43,041 patients, delivered 3,865 babies and provided 254,220 days of care. Carilion's hospitals provided comprehensive heart and vascular care, surgical excellence in orthopaedics, advanced surgery and care for oncology and new pain management protocols. A state-of-the-art communications center coordinates patients' transportation to all our hospitals. All our programs are supported by diagnostic testing capabilities in radiology, including advanced imaging in CT, MRI and PET/CT. We've grown our expertise in molecular imaging and nuclear medicine procedures and ultrasound and provide screening mammography and diagnostic breast imaging. Additional programs include the region's only neonatal intensive care unit, advanced diagnostics and expertise for gastroenterology conditions, inpatient and outpatient psychiatric services, a comprehensive inpatient rehabilitation unit, and inpatient and outpatient surgical care utilizing advanced techniques in robotic and endovascular procedures. Carilion Children's is our region's only pediatric center of excellence with an inpatient hospital within Carilion Medical Center, a pediatric intensive care unit, NICU, and trauma care. Pediatric sub-specialists support the facility in areas of surgery, pulmonology, oncology, cardiology, gastroenterology, psychiatry, orthopaedics, neurosurgery, dentistry, neurology, endocrinology. The Clinic provides several services and programs to target the specific health needs of the area, including diabetes management, medically supervised weight loss, urgent care, physical, speech and occupational therapy programs, cardiac and pulmonary rehabilitation, and home health and hospice care. Carilion Clinic maintains both a Level I designated trauma center (Carilion Medical Center) serving the western Virginia area and a Level III trauma center (Carilion New River Valley Medical Center) serving its surrounding area. As part of its commitment to trauma response, Carilion staffs medical air transport helicopters which flew 1,784 patients and operates a ground service providing 15,560 medical transports during the year. With 162,010 visits, Carilion's emergency departments are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise nearly 6% of emergency visits. Carilion Clinic's hospitals supported community screenings and education on chronic disease prevention and management. In furtherance of its mission to improve health regardless of patient ability to pay, Carilion Clinic provided extensive uncompensated care. Stated at cost, the Carilion Clinic system together provided nearly $81 million in uncompensated care and other community benefits. Form 990, Part IV, Line 11f DISCLOSURE OF UNCERTAIN TAX POSITIONS Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. Form 990, Part V, Line 1a Forms 1099 1099s are issued on Carilion Clinic's behalf by Carilion Services, Inc., a related organization providing management and administrative services, including payment processing. Form 990, Part VI, Line 1a Delegate broad authority to a committee Carilion Clinic has an Executive Committee authorized to act when the Board is not in session. The Executive Committee has 9 members, made up of the Chair of the Board, the CEO, the Chairs of each of the 6 standing committees, and the Chair of the Board of Carilion Medical Center, which is the organization that holds the flagship hospital. The Executive Committee typically meets three (3) times a year, at times the full Board does not meet and can act on behalf of the Board, except it cannot elect directors or take certain extraordinary actions, such as a sale, merger, or dissolution of the corporation. Full board meetings are occasionally substituted for Executive Committee meetings. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Nancy Howell Agee, Abney Boxley and Elizabeth McClanahan - Business relationship, Nancy Howell Agee, Steven Arner, Jeanne Armentrout, Nicholas Conte, David Hagadorn, Donald Halliwill, Daniel Harrington, Jeri Lantz, Patrice Weiss, G. Robert Vaughan, Jr, and Julie Smith-Hamilton - Business relationship, NICK CONTE and TERRY AUSTIN - Business relationship Form 990, Part VI, Line 3 Delegation of management duties Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization to the filing organization. Some or all of the compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nancy Howell Agee, Jeanne Armentrout, Steven Arner, Nicholas Conte, David Hagadorn, Donald Halliwill, Julie Smith-Hamilton, Daniel Harrington, G. Robert Vaughan, Jr., and Patrice Weiss, M.D. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 independent CPA firm. Prior to filing, all Board Members were notified via email that the final Form 990 was posted on the organization'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, Line 12c Conflict of interest policy 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 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 the 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 official Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of independent 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 certain 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 other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained 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 employees See response to Line 15a. Form 990, Part VI, Line 19 Required documents available to the public The 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 for the Carilion Clinic companies as a whole is available on the Carilion Clinic website Form 990, Part IX, Line 11g Other Fees Other Purchased Services - Total Expense: 857153, Program Service Expense: 857153, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Service - Total Expense: 2073012, Program Service Expense: 2073012, Management and General Expenses: , Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 2158952, Program Service Expense: 2158952, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 28405, Program Service Expense: , Management and General Expenses: 28405, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS (TO)/FROM AFFILIATES - NET - -8197736; Unrelated Business Income - 7405283; Schedule F, Part I, Line 3 Investments Investment assets are held in custody under the name of Carilion Clinic and allocated to related entities based on their ownership interest in the investment pool. CARILION CLINIC PROPERTIES LLC PO BOX 12385 ROANOKE VA 24025 205231645 REAL ESTATE VA 47023251 248417243 CARILION CLINIC CARILION CLINIC FOUNDATION PO BOX 12385 ROANOKE VA 24025 541190773 FUNDRAISING VA 501(c)(3) 7 CARILION CLINIC true CARILION FRANKLIN MEMORIAL HOSPITAL PO BOX 12385 ROANOKE VA 24025 540480606 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION GILES COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 540549603 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540506332 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION NEW RIVER VALLEY MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540553805 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION SERVICES INC PO BOX 12385 ROANOKE VA 24025 541190879 SUPPORTING ORGANIZATION VA 501(c)(3) Type II CARILION CLINIC true CARILION Rockbridge Community HOSPITAL PO BOX 12385 ROANOKE VA 24025 540568001 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION TAZEWELL COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 546074580 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC PO BOX 12385 ROANOKE VA 24025 455235473 MEDICARE ACO VA NA N/A FRANKLIN COUNTY VENTURES LLC PO BOX 12385 ROANOKE VA 24025 474365316 REAL ESTATE VA CARILION CLINIC Related -1256123 484479 false false 0.9 SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC 1102 Jefferson Street SE Roanoke VA 24016 010691570 REAL ESTATE VA NA N/A RAVEN ASSET-BASED OPPORTUNITY FUND IV LP 75 Spring St 6th FL New York NY 10012 824119491 Investments DE CARILION CLINIC Excluded 2144536 56327997 false -805613 false 0.3854 STARWOOD VEP II CO-INVEST LLC 591 W Putnam Avenue Greenwich CT 06930 833262407 INVESTMENTS DE Carilion Clinic Excluded 4090963 6402915 false -2536087 false 0.365 TI PLATFORM CC SMA LP 255 Kansas Street Suite 300 San Francisco CA 94103 842852539 INVESTMENTS DE CARILION CLINIC Excluded 510383 6963450 false false 0.7999 ROANOKE AMBULATORY SURGERY CENTER LLC 1102 JEFFERSON ST SE ROANOKE VA 24016 010691564 SURGERY CENTER VA NA N/A TI FBV GR LP 255 Kansas Street Suite 300 San Francisco CA 94103 862597246 INVESTMENTS DE CARILION CLINIC Excluded 0 4535855 false false 0.5806 TI PLATFORM DCI SPV LP 800 TOWN AND COUNTRY HOUSTON TX 77024 871897835 INVESTMENTS DE CARILION CLINIC Excluded 0 7532904 false false 0.4762 Transpose Platform Zippedi SPV LP 4304 18th Street 14427 San Francisco CA 941149991 873425361 Investments DE Carilion Clinic Excluded 0 5029378 false false 0.5882 Transpose Platform Gorgias SPV LP 800 Town and Country Suite 500 Houston TX 77024 874563291 Investments DE Carilion Clinic Excluded 0 5033099 false false 0.641 Transpose Platform Fintech Fund II LP 4304 18th Street 14427 San Francisco CA 941149991 873126138 Investments DE Carilion Clinic Excluded 694224 4967214 false false 0.7525 Opera Investment Two SCSP Investments LU Carilion Clinic Excluded 553 13709935 false false 0.9999 CHS INC PO BOX 12385 ROANOKE VA 24025 541725732 SERVICES VA NA C Corporation true CARILION BEHAVIORAL HEALTH INC PO BOX 12385 ROANOKE VA 24025 203136891 HEALTHCARE VA NA C Corporation true CARILION EMERGENCY SERVICES INC PO BOX 12385 ROANOKE VA 24025 542033006 HEALTHCARE VA NA C Corporation true SCA CREDIT SERVICES INC PO BOX 12385 ROANOKE VA 24025 541180398 COLLECTION AGENCY VA NA C Corporation true CARILION HEALTHCARE CORPORATION PO BOX 12385 ROANOKE VA 24025 541586601 HEALTHCARE VA NA C Corporation true MEDKEY INC PO BOX 12385 ROANOKE VA 24025 541645357 FINANCING SERVICES VA NA C Corporation true SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP 981378742 INVESTMENTS CA NA C Corporation 0.5 true CARILION DTC SERVICES INC PO BOX 12385 ROANOKE VA 24025 872635239 HEALTHCARE VA NA C Corporation true true false false true true false false false false true false true true false false false false true true Carilion Medical Center A 19081323 Cost Carilion New River Medical Center A 354476 Cost Carilion Giles Community Hospital A 1892139 Cost Carilion Franklin Memorial Hospital A 18150 Cost Carilion Rockbridge Community Hospital A 161337 Cost Carilion Services Inc A 12488848 Cost CHS Inc A 746643 Cost Carilion Behavioral Health Inc A 43200 Cost Carilion Emergency Services Inc A 223264 Cost Carilion Healthcare Corporation A 6551624 Cost Carilion Services Inc L 267933 Cost Carilion Services Inc M 1829262 Cost CHS Inc M 1775664 Cost Carilion Services Inc R 8197736 Cash CHS Inc S 169690 Book Value