2025-08-15T17:46:07+00:00 2024-09-30 990 2023-10-01 541190771 Carilion Clinic CARI 5402245102 PO BOX 12385 Roanoke VA 240252385 G ROBERT VAUGHAN JR TREASURER 5402245102 2025-08-15 2023 2025-03-06 01:10:19Z NANCY HOWELL AGEE PO BOX 12385 Roanoke VA 240252385 42476639 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. 21 18 0 0 -2674578 24619 258407 33273511 39214648 11994 1487349 1562939 1516235 34848444 42476639 0 0 272037 218067 0 0 39813399 41035717 40085436 41253784 -5236992 1222855 276170742 268784583 170558322 169752380 105612420 99032203 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 38679536 0 41929654 See Schedule O. 38679536 true true false true false false false false false true true 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 false 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 21 18 true true true 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 30000 0 0 Nancy Howell Agee Director/CEO 8.0 42.0 X X 0 3830705 1792 Abney Boxley III Director 4.5 0.5 X 14773 0 0 Damon Williams Director 4.5 2.0 X 10748 0 0 Danielle Yarber Director 4.5 0 X 14873 0 0 Elizabeth McClanahan Director 2.4 0 X 12565 0 0 Garry Norris Director 2.4 0 X 13375 0 0 J Alexander Boone Director 4.5 0 X 15498 0 0 James C Thompson Director 2.4 2.5 X 10250 0 0 James Williams Jr Director 2.4 2.5 X 10250 0 0 Jason Bingham Director 2.4 0.0 X 13375 0 0 Jeri Lantz MD Director 2.4 47.6 X 0 288143 51952 John Bond Director 4.5 0 X 13750 0 0 Joseph Scartelli PhD Director 2.4 0.0 X 11875 0 0 Joseph Sheffey Director 2.4 0.0 X 9000 0 0 Lisa Goldstein Director 2.4 0 X 12125 0 0 Mark Pace Director 2.4 0 X 8375 0 0 Neil Wilkin Jr Director 4.5 0 X 25282 0 0 Terry Austin Director 2.4 0 X 9000 0 0 William Farrell II Director 2.4 0 X 0 0 0 William Kingery Jr Director 2.4 3.0 X 10250 0 0 Daniel Harrington MD Interim Chief Medical Officer/EVP 2.0 48.0 X 0 330239 2444 Donald Halliwill Asst. Treasurer/CFO/EVP 4.0 46.0 X 0 1119248 167911 G Robert Vaughan Jr Treasurer / SVP 2.0 48.0 X 0 458008 71002 J Harrison Lapuasa Asst. Treasurer 0.5 39.5 X 0 34109 -1202 Jeanne Armentrout Chief Administrative Officer/EVP 4.0 46.0 X 0 1093617 47026 Julie Smith-Hamilton Asst. Secretary 0.5 39.5 X 0 60728 18375 Nicholas Conte Secretary/EVP/Chief Legal Officer 6.0 44.0 X 0 1023717 174893 R Tony Seupaul MD EVP Chief Physician Executive 0.5 0 X 0 0 0 Steven Arner President, COO 4.0 46.0 X 0 1410192 209618 David Hagadorn Former Officer 0.0 0.0 X 0 159104 25072 245364 9807810 768883 0 true true false MB CONTRACTORS INC 3825 BLUE RIDGE DRIVE SW ROANOKE VA 24018 CONTRACTOR SERVICES 7791764 ROBINS & MORTON BRANCH BUILDS 400 SHADES CREEK PARKWAY BIRMINGHAM AL 35209 CONSTRUCTION SERVICES 5496496 NEXT LEVEL BUILDING SOLUTIONS INC 5205 Starkey Road ROANOKE VA 24018 MAINTENANCE SERVICES 704342 BALZER AND ASSOCIATES INC 1208 CORPORATE CIR ROANOKE VA 24018 CONSULTING SERVICES 632062 SERVICEMASTER COMMERCIAL CLEAN 6580 VALLEY CENTER DRIVE SUITE 164 RADFORD VA 24141 MAINTENANCE SERVICES 473489 16 258407 258407 Rent from Affiliates 531120 41678533 41678533 Program Related Investment Income 523000 36810 36810 Interco Mgmt Fee 551112 214311 214311 Unrelated Business Income 523000 -2715006 -2715006 0 0 0 0 39214648 309706 309706 1475807 1475807 0 1475807 1475807 1177643 1177643 0 1177643 1177643 PARKING FEES 812930 40428 40428 0 0 0 0 40428 42476639 41929654 -2674578 2963156 X 215478 215478 2589 2589 1928686 1928686 50025 50025 982 982 30415 30415 4824940 4783895 41045 0 554441 554441 28708 28708 15296415 15296415 4637403 4637403 12928690 12928690 391670 129516 262154 Affiliate Subsidy 348194 348194 Income Taxes 14656 14656 492 0 492 0 41253784 38679536 2574248 0 3438964 3355881 3312 22643 0 0 0 0 600000 1611788 1514260 379439027 193251254 193738395 186187773 5663525 7089481 12401332 14135937 6733477 6733478 52579949 49145130 276170742 268784583 3042995 1722475 124300 95989628 96005480 0 0 71525699 71900125 170558322 169752380 X 105612420 99032203 105612420 99032203 276170742 268784583 X 1222855 -2874859 -4928213 X false true X true true true X X 6 CARILION MEDICAL CENTER 540506332 3 true 0 149250 CARILION NEW RIVER VALLEY MEDICAL CENTER 540553805 3 true 0 28096 CARILION GILES COMMUNITY HOSPITAL 540549603 3 true 0 6558 CARILION FRANKLIN MEMORIAL HOSPITAL 540480606 3 true 0 7838 CARILION ROCKBRIDGE COMMUNITY HOSPITAL 540568001 3 true 0 6903 CARILION TAZEWELL COMMUNITY HOSPITAL 546074580 3 true 0 2659 6 0 201304 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 982 982 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. 24805650 24805650 290054656 168921381 121133275 46742336 11372858 35369478 9991578 8132313 1859265 7844807 4824702 3020105 186187773 Alternative Investments 14135937 F Comingled Funds 14135937 Right of Use Asset 49145130 49145130 Pension Liability 8065522 Interest Rate Swap Liability 8200437 Lease Liability Total 55137005 Due To Affiliate 497161 71900125 Central America and the Caribbean 0 0 Investments 640080956 North America (Canada & Mexico only) 0 0 Investments 17485435 Europe (Including Iceland and Greenland) 0 0 Investments 199259737 Middle East and North Africa 0 0 Investments 4943123 0 0 0 0 0 0 861769251 0 861769251 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 false true false false false false false true false Nancy Howell Agee Director/CEO 0 1718407 0 353685 0 1758613 0 -14700 0 16492 0 3832497 0 1500000 Jeri Lantz MD Director 0 245431 0 37206 0 5506 0 36123 0 15829 0 340095 0 37113 David Hagadorn Former Officer 0 120679 0 0 0 38425 0 13363 0 11709 0 184176 0 0 Jeanne Armentrout Chief Administrative Officer/EVP 0 823698 0 124081 0 145838 0 30054 0 16972 0 1140643 0 0 Steven Arner President, COO 0 1044670 0 164317 0 201205 0 184622 0 24996 0 1619810 0 195888 Nicholas Conte Secretary/EVP/Chief Legal Officer 0 731687 0 111366 0 180664 0 156813 0 18080 0 1198610 0 172601 Donald Halliwill Asst. Treasurer/CFO/EVP 0 767976 0 117511 0 233761 0 142915 0 24996 0 1287159 0 227735 Daniel Harrington MD Interim Chief Medical Officer/EVP 0 320000 0 0 0 10239 0 0 0 2444 0 332683 0 0 G Robert Vaughan Jr Treasurer / SVP 0 353161 0 41359 0 63488 0 46006 0 24996 0 529010 0 57282 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments EMPLOYEES ARE OCCASIONALLY PROVIDED SMALL GIFTS, PRIZES OR AWARDS WHICH MAY BE INCLUDED IN TAXABLE COMPENSATION AT AMOUNTS GROSSED UP FOR TAXES. DURING THE REPORTING PERIOD, DR. LANTZ RECEIVED SUCH BENEFIT. 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 eight 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. MANAGEMENT MAKES TAX GROSS-UP DECISIONS AT ITS DISCRETION FOR NON-ROUTINE SMALL GIFTS, PRIZES OR AWARDS CONSIDERING IRS REQUIREMENTS, AMOUNT, AND NON-CASH STATUS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Ms. Armentrout, Mr. Arner, Mr. Conte, Mr. Halliwill, and Mr. Vaughan 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: $227,735 - Donald Halliwill $195,888 - Steven Arner $172,601 - Nicholas Conte $57,282 - G. Robert Vaughan, Jr. $37,113 - Jeri Lantz Vested and paid in current year: $135,774 - 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. Ms. Agee also received $1,500,000 per a retention agreement that had been previously reported in Part II Col. C. Schedule J, Part I, Line 7 Non-fixed payments The organization pays annual 'at risk' compensation to certain members of management and physicians based on performance of applicable scorecard metrics. 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 or physicians 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 Refund Ser 2005B, 2005C, 2010. Partial refund Ser 2005A, 2008B Bonds, Issuance Costs, Capital Proj true false false A 43640000 123110000 123110000 true false true true B 45800000 160000000 160000000 true false true true C 13500000 441579913 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 II, Line 3 Column C $1,359,126 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 Form 990, Part III, Line 4a Program Service Description Carilion Clinic is a not-for-profit health system headquartered in Roanoke, Virginia, serving a population of approximately 1 million Virginians and West Virginians. It is the parent company of all Carilion affiliates and drives the fulfillment of the organization's mission of improving the health of the communities it serves. The Carilion Clinic Board of Directors provides strategic direction to all of its wholly-owned subsidiaries, and it holds real estate and investment portfolios for the system. Carilion companies employ more than 800 physicians and 500 Advanced Practice Providers across 86 medical specialties at nearly 300 practice sites and seven hospitals (1,026 beds) across a 200-mile region in western Virginia. With nearly 15,000 employees, Carilion also is the largest private employer west of Richmond, Virginia. Committed to innovation and clinical excellence supported by education and research, Carilion delivers world-class care through a regional cancer center, the region's only Level I Trauma Center with a helicopter fleet and emergency ground support, ambulatory surgery centers, an inpatient physical rehabilitation program, urgent care facilities, retail pharmacies, and a home health and hospice agency. Its hospitals admitted more than 48,000 patients, delivered 4,013 babies, served 174,201 emergency visits, and provided 270,789 days of care. Additionally, Carilion is home to the region's only pediatric center of excellence, with an inpatient unit within Carilion Roanoke Memorial Hospital that includes a pediatric intensive care unit, Virginia's third largest neonatal ICU, trauma care and western Virginia's only pediatric Level I Trauma Center. Carilion Children's freestanding outpatient clinic houses more than a dozen pediatric sub-specialties. To meet the growing need for care in Southwest Virginia, in Summer 2025, Carilion opened a $500 million tower addition to Carilion Roanoke Memorial Hospital as part of a $1 billion investment in systemwide facility upgrades. The 12-story, 500,000-square-foot Crystal Spring Tower is home to the Carilion Clinic Cardiovascular Institute and a significantly expanded Emergency Department. The investment also included expansions at Carilion hospitals in Franklin County, Roanoke and Lexington as it seeks to improve access to care closer to home . In addition to providing medical care, Carilion is deeply invested in training for the current and next generations of medical professionals. The health system's Graduate Medical Education program trains more than 300 residents and fellows in 29 programs with nearly half of program graduates remaining in Southwest Virginia to care for patients in the region. Through partnerships with premier institutions like Virginia Tech and Radford University, Carilion also provides undergraduate medical education and training for physicians, nurses and a range of allied health professionals. The health system also provides community health screenings and education on chronic disease prevention and management, invests in an internal community health workforce, and partners with community organizations to identify and address health needs. To advance its mission to improve health regardless of patient ability to pay, Carilion provides extensive uncompensated care and community benefits. Stated at cost, the Carilion Clinic system together provided nearly $87 million in uncompensated care and other community support in fiscal year 2024. These accomplishments reflect Carilion Clinic's ongoing commitment to advancing health, expanding access to care, and serving our communities with excellence. 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, Donald Halliwill, Daniel Harrington, Jeri Lantz, J. Harrison Lapuasa, Rawle Seupaul, G. Robert Vaughan, Jr, and Julie Smith-Hamilton - Business relationship, NICK CONTE and TERRY AUSTIN - Business relationship, Nancy Howell Agee and William Farrell II - Business relationship, Abney Boxley and J. Alexander Boone - 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 and supporting organization of 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, J. Harrison Lapuasa, and G. Robert Vaughan, Jr. Form 990, Part VI, Line 4 Significant changes to organizational documents The Board of Directors delegate to the CEO the authority to exercise the organization's membership rights in any entity where the organization is the sole member with respect to financial, contractual, or real estate matters, provided such actions are within the CEO's Board-approved signature authority. Actions taken under this delegation do not require prior Board approval or notice. The CEO is required to report such actions to the Board at least annually; however, failure to report does not affect the validity of the actions taken. 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 management. Prior to filing, all Board Members were notified via email that the final Form 990 was available for their access on the organization's Board portal and were provided contact information to reach out to for any questions. 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, which 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. 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 Physician Executive, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician Chairs of the Clinical Departments. The Compensation Committee also annually reviews the compensation philosophy for all executive leaders in the health system, which includes Vice Presidents, Senior Vice Presidents including the organization's Treasurer, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for employed physicians. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for certain select positions and the prior year's report on all 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. For officers who are not directly reviewed by the Compensation Committee, the independent external compensation consultant conducts the same analysis and shares the data/findings with the system EVP/COO. In the case of the interim Chief Medical Officer, compensation was reviewed with the CEO and clinical department Chairs. Certain assistant 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 or consultant review but are compared to market benchmarks by the Human Resources department. 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 consolidated 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: 113562, Program Service Expense: 72517, Management and General Expenses: 41045, Fundraising Expenses: ; Housekeeping Service - Total Expense: 1808743, Program Service Expense: 1808743, Management and General Expenses: , Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 2902635, Program Service Expense: 2902635, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS (TO)/FROM AFFILIATES - NET - -7643219; Unrelated Business Income - 2715006; 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 38606698 237954218 CARILION CLINIC Carilion Rehabilitation Services LLC PO Box 12385 Roanoke VA 24025 Healthcare VA 0 0 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 Franklin County Ventures LLC PO Box 12385 Roanoke VA 24025 474365316 Real estate VA Carilion Clinic Related -149 484330 false false 0.9 Carilion Clinic Medicare Shared Savings Company LLC PO Box 12385 Roanoke VA 24025 455235473 Medicare ACO VA NA N/A Roanoke Ambulatory Surgery Center LLC 1102 Jefferson Street SE Roanoke VA 24016 010691564 Surgery VA NA N/A 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 Street 6th Floor New York NY 10012 824119491 Private equity DE Carilion Clinic Excluded 2319864 41951308 false -547787 false 0.3859 Starwood VEP II Co-Invest LLC 591 W Putman Ave Greenwich CT 06830 833262407 Investments DE Carilion Clinic Excluded 3253217 4440032 false -1807195 false 0.365 TI Platform CC SMA LP 4304 18th Street 14427 San Francisco CA 941149991 842852539 Investments DE Carilion Clinic Excluded -232593 5452310 false false 0.7999 TI FBV GR LP 4304 18th Street 14427 San Francisco CA 941149991 862597246 Investments DE Carilion Clinic Excluded 0 4564513 false false 0.5806 TI Platform DCI SPV LP 4304 18th Street 14427 San Francisco CA 941149991 871897835 Investments DE Carilion Clinic Excluded 0 7543428 false false 0.4762 Transpose Platform Zippedi SPV LP 4304 18th Street 14427 San Francisco CA 941149991 873425361 Investments DE Carilion Clinic Excluded 0 5052184 false false 0.5882 Transpose Platform Gorgias SPV LP 4304 18th Street 14427 San Francisco CA 941149991 874563291 Investments DE Carilion Clinic Excluded 0 5056335 false false 0.641 Transpose Platform Fintech Fund II LP 4304 18th Street 14427 San Francisco CA 941149991 873126138 Investments DE Carilion Clinic Excluded -72743 4305123 false false 0.7525 Opera Investment Two SCSP 412F Route dEsch Luxembourg LU Investments LU Carilion Clinic Excluded 1892 14314325 false false 0.9999 VTC Innovation Fund III LP c/o Middleand Capital 709 S Jeffers Roanoke VA 24016 921362795 Investments DE Carilion Clinic Excluded 113 1133231 false false 0.8378 Pacific North of South Em All CAP Equity Fund c/o Global Trust Company 12 Gill St Woburn MA 01801 842642916 Investments DE Carilion Clinic Excluded 6889860 -2559361 false false 1 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 Carilion DTC Services Inc PO Box 12385 Roanoke VA 24025 872635239 Healthcare VA NA C Corporation true true false true false false false false false false true false true true false false false false true false Carilion Medical Center A 19301183 Cost Carilion New River Medical Center A 377671 Cost Carilion Giles Community Hospital A 1910041 Cost Carilion Franklin Memorial Hospital A 19800 Cost Carilion Rockbridge Community Hospital A 169767 Cost Carilion Services Inc A 12577437 Cost CHS Inc A 361691 Cost Carilion Behavioral Health Inc A 44496 Cost Carilion Emergency Services Inc A 167714 Cost Carilion Healthcare Corporation A 6748733 Cost Carilion Services Inc L 214311 Cost Carilion Services Inc M 1924336 Cost CHS Inc M 1583054 Cost Carilion Services Inc R 7643218 Book Value Carilion Medical Center C 258407 Cost