SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
right arrowComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
right arrowAttach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Carilion Services Inc
 
Employer identification number

54-1190879
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) BLUE RIDGE INDEMNITY COMPANY LLC
76 ST PAUL STREET
SUITE 500
BURLINGTON,VT05401
27-0927178
INSURANCE VT 15,331,178 82,564,267 CARILION SERVICES INC
 
(2) CARILION CLINIC PATIENT TRANSPORTATION LLC
PO BOX 12385
ROANOKE,VA24025
54-1864693
TRANSPORTATION VA 11,247,325 4,640,136 CARILION SERVICES INC
 
(3) CARILION PROFESSIONAL SERVICES LLC
PO BOX 12385
ROANOKE,VA24025
54-2030773
HEALTHCARE VA 15,790,292 220,087 CARILION SERVICES INC
 






Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)CARILION CLINIC
PO BOX 12385

ROANOKE,VA24025
54-1190771
SUPPORTING ORGANIZATION VA 501(c)(3) Type II NA
 
 
No
(2)CARILION CLINIC FOUNDATION
PO BOX 12385

ROANOKE,VA24025
54-1190773
FUNDRAISING VA 501(c)(3) 7 CARILION CLINIC
 
Yes
 
(3)CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385

ROANOKE,VA24025
54-0480606
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
(4)CARILION GILES COMMUNITY HOSPITAL
PO BOX 12385

ROANOKE,VA24025
54-0549603
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
(5)CARILION MEDICAL CENTER
PO BOX 12385

ROANOKE,VA24025
54-0506332
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
(6)CARILION NEW RIVER VALLEY MEDICAL CENTER
PO BOX 12385

ROANOKE,VA24025
54-0553805
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
(7)CARILION ROCKBRIDGE COMMUNITY HOSPITAL
PO BOX 12385

ROANOKE,VA24025
54-0568001
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
(8)CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385

ROANOKE,VA24025
54-6074580
HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) FRANKLIN COUNTY VENTURES LLC

PO BOX 12385
ROANOKE,VA24025
47-4365316
REAL ESTATE VA NA
 
N/A                
(2) CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC

PO BOX 12385
ROANOKE,VA24025
45-5235473
MEDICARE ACO VA NA
 
N/A                
(3) ROANOKE AMBULATORY SURGERY CENTER LLC

1102 JEFFERSON ST SE
ROANOKE,VA24016
01-0691564
SURGERY CENTER VA NA
 
N/A                
(4) SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC

1102 Jefferson Street SE
Roanoke,VA24016
01-0691570
REAL ESTATE VA NA
 
N/A                
(5) RAVEN ASSET-BASED OPPORTUNITY FUND IV LP

75 Spring St 6th FL
New York,NY10012
82-4119491
Investments DE NA
 
N/A                
(6) STARWOOD VEP II CO-INVEST LLC

591 W Putnam Avenue
Greenwich,CT06830
83-3262407
INVESTMENTS DE NA
 
N/A                
(7) TI PLATFORM CC SMA LP

255 Kansas Street Suite 300
San Francisco,CA94103
84-2852539
INVESTMENTS DE NA
 
N/A                
(8) TI FBV GR LP

255 Kansas Street Suite 300
San Francisco,CA94103
86-2597246
INVESTMENTS DE NA
 
N/A                
(9) TI Platform DCI SPV LP

800 Town and Country Suite 500
Houston,TX77024
87-1897835
INVESTMENTS DE NA
 
N/A                
(10) Transpose Platform Zippedi SPV LP

4304 18th Street 14427
San Francisco,CA941149991
87-3425361
Investments DE NA
 
N/A                
(11) Transpose Platform Gorgias SPV LP

800 Town and Country Suite 500
Houston,TX77024
87-4563291
Investments DE NA
 
N/A                
(12) Transpose Platform Fintech Fund II LP

4304 18th Street 14427
San Francisco,CA941149991
87-3126138
Investments DE NA
 
N/A                
(13) Opera Investment Two SCSP

 
 
Investments LU NA
 
N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHS INC

PO BOX 12385
ROANOKE,VA24025
54-1725732
SERVICES VA CARILION SERVICES INC
 
C Corporation 77,840,976 826,651,085 100 % Yes  
(2) CARILION BEHAVIORAL HEALTH INC

PO BOX 12385
ROANOKE,VA24025
20-3136891
HEALTHCARE VA CHS INC
 
C Corporation 1,025,449 136,286 100 % Yes  
(3) CARILION EMERGENCY SERVICES INC

PO BOX 12385
ROANOKE,VA24025
54-2033006
HEALTHCARE VA CHS INC
 
C Corporation 14,191,814 4,344,397 100 % Yes  
(4) SCA CREDIT SERVICES INC

PO BOX 12385
ROANOKE,VA24025
54-1180398
COLLECTION AGENCY VA CHS INC
 
C Corporation 619,813 321,587 100 % Yes  
(5) CARILION HEALTHCARE CORPORATION

PO BOX 12385
ROANOKE,VA24025
54-1586601
HEALTHCARE VA CHS INC
 
C Corporation 156,101,154 57,742,412 100 % Yes  
(6) MEDKEY INC

PO BOX 12385
ROANOKE,VA24025
54-1645357
FINANCING SERVICES VA CHS INC
 
C Corporation 216,130 128,751 100 % Yes  
(7) CARILION DTC SERVICES INC

PO BOX 12385
ROANOKE,VA24025
87-2635239
HEALTHCARE VA CHS INC
 
C Corporation 55,480 19,598 100 % Yes  
(8) SPROTT PRIVATE RESOURCE LENDING (C-CO-INVEST) LP

 
 
98-1378742
INVESTMENTS CA NA
 
C Corporation       Yes  
Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Carilion Medical Center

A 3,112 Cost
(2) Carilion Medical Center

L 242,077,553 Cost
(3) Carilion New River Valley Medical Center

L 46,653,500 Cost
(4) Carilion Giles Community Hospital

L 13,022,223 Cost
(5) Carilion Franklin Memorial Hospital

L 11,747,753 Cost
(6) Carilion Rockbridge Community Hospital

L 11,802,435 Cost
(7) Carilion Tazewell Community Hospital

L 4,200,750 Cost
(8) CHS Inc

L 3,139,490 Cost
(9) Carilion Emergency Services Inc

L 2,891,227 Cost
(10) SCA Credit Services Inc

L 57,747 Cost
(11) Carilion Healthcare Corporation

L 18,197,341 Cost
(12) Carilion Medical Center

K 278,060 Cost
(13) Carilion Medical Center

M 820,545 Cost
(14) Carilion Rockbridge Community Hospital

K 53,038 Cost
(15) Carilion Clinic Foundation

M 1,194,146 Cost
(16) Carilion Behavioral Health Inc

M 69,966 Cost
(17) CHS Inc

K 87,120 Cost
(18) CHS Inc

M 77,974 Cost
(19) Carilion Medical Center

S 76,524,394 Cash
(20) Carilion New River Valley Medical Center

S 26,752,449 Cash
(21) Carilion Rockbridge Community Hospital

S 3,595,616 Cash
(22) Carilion Clinic

S 8,197,736 Cash
(23) CHS Inc

R 66,800,000 Cash
Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2022
Page 5
Schedule R (Form 990) 2022
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2022

Additional Data


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