2015-08-15T13:16:52-05:00 2014-09-30 990 2013-10-01 546074580 CARILION TAZEWELL COMMUNITY HOSPITAL CARI 5402245112 PO BOX 12385 ROANOKE VA 240252385 Donald Halliwill Chief Financial Officer 5402245112 2015-08-15 2013 2016-02-25 16:41:14Z William J Flattery PO BOX 12385 ROANOKE VA 240252385 14055017 0 X www.carilionclinic.org X 1968 VA See Schedule O.Carilion Tazewell Community Hospital is committed to a common purpose of better patient care, better community health, and lower cost. This 56-bed hospital primarily serves the counties of Tazewell and Russell in Virginia, and Mercer and McDowell in West Virginia. 11 7 139 26 0 0 9112 119137 13879009 13449843 5445 4550 1134086 481487 15027652 14055017 2598 9330 0 0 4876049 5132284 0 0 0 10617381 10027403 15496028 15169017 -468376 -1114000 7631121 6584156 15557460 15662167 -7926339 -9078011 X See Schedule O.Carilion Tazewell Community Hospital, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves.Our mission is to improve the health of the communities we serve. 0 0 13236521 9330 13897163 See Schedule O.Carilion Tazewell Community Hospital exists to serve the health care needs of its community, regardless of patient ability to pay. Tazewell's acute hospital admitted 580 patients and provided 2,148 days of care during the year. Hospital programs include provision of nursing care; outpatient and inpatient surgical and endoscopic services; and diagnostic imaging services including CT, MRI, and mammography. Tazewell provides a number of services targeting the specific health needs of its population, including physical, speech, and occupational therapy programs; home health services; bone density testing; and a cardiac rehab program. Tazewell also provides an emergency department with 24-hour care and emergency transportation. With 9,800 visits, Tazewell's emergency services 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 18% percent of ED visits. Tazewell supports community screenings and education on chronic disease management, sponsoring 41 events touching more than 9,333 people. In furtherance of its mission, Tazewell provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year of $900 thousand. 13236521 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 139 1 0 0 0 0 0 0 0 0 0 0 X 11 7 1 1 0 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 D Michael Hymes Director 1.20 0.00 X 0 0 0 Peggy Riley Director 1.20 0.00 X 0 0 0 Stephen Rinehart MD Director 1.20 0.00 X 0 0 0 Kathren R Dowdy RN MSN Director/Nursing Director 50.00 0.00 X 122830 0 9182 Antony D Roop Director 1.20 0.00 X 0 0 0 Heather S Shepardson Director 1.20 48.80 X 0 153236 2465 Nancye Howell Director/Secretary 1.20 0.00 X X 0 0 0 James C Thompson Director//Chair 2.50 2.40 X X 0 7700 0 Charles E Green Director/Vice Chair 1.20 0.00 X X 0 0 0 John Piatkowshi MD Director/CEO 2.50 47.50 X X 0 277683 10360 William J Flattery Director/CEO 2.50 47.50 X X 0 249555 21386 Michael D Rorrer MD Director/Chief of Medical Staff 1.20 48.80 X X 0 308519 20607 Donald B Halliwill Assistant Treasurer 0.20 49.80 X 0 343160 -13889 Rachel Mabe Asstistant Secretary 0.10 49.90 X 0 69609 89 Lauren J Chen Assistant Secretary 1.00 49.00 X 0 68855 7219 G Robert Vaughan Jr Assistant Treasurer 0.20 49.80 X 0 255568 -13062 David Vance Pharmacy Manager 50.00 0.00 X 112205 0 10761 Donald Lorton Former Officer 0.00 50.00 X 0 3772316 -29521 Randal Swatzyna Former Officer 0.00 50.00 X 0 104635 8566 235035 5610836 34163 2 1 1 0 Soltas Lab Partners Group LLC PO Box 751337 Charlotte NC 28275 Laboratory Services 900275 Allied Health Services PO Box 97 Tazewell VA 24651 Professional Fees 370793 MR Ramakrishnan MD 1745 Valley View Drive Big Stone Gap VA 24219 Physician Services 312000 Nickels Inc PO Box 347 Tazewell VA 24651 Construction Services 200047 GJ Hopkins Inc 714 5th Street NE Roanoke VA 24016 Construction Services 163241 7 119137 119137 Net Patient Revenue 900099 13449843 13449843 13449843 4550 4550 34167 0 34167 34167 34167 EHR Incentive Income 900099 442274 442274 Court Cost Recovery 900099 5750 5750 -704 -704 447320 14055017 13897163 0 38717 X 9330 9330 127495 127495 4206483 4162187 44296 187951 187951 293992 284691 9301 316363 316363 1751622 1751622 508 508 2310 2310 2495465 2467205 28260 10 10 330450 313811 16639 40633 40633 209924 209924 70502 67737 2765 167037 167037 642903 642903 219467 158999 60468 Bad Debt 2144616 2144616 I/C Practice Subsidy 1349078 1349078 Medical Supplies 545927 545927 Dues & Subscriptions 18724 16924 1800 38227 21390 16837 15169017 13236521 1932496 0 926 925 24507 25990 2695727 1982358 5278 0 122494 76932 15274420 10787873 4770785 4486547 11404 11404 7631121 6584156 1163817 1020311 62609 25388 14331034 14616468 15557460 15662167 X -7926339 -9078011 -7926339 -9078011 7631121 6584156 X -1114000 -37672 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2310 2310 0 Part II-B, Line 1: Portion of dues paid to American Hospital Association and Virginia Hospital and Healthcare Association spent on lobbying. 48753 48753 7036260 4140009 2896251 7845131 6495242 1349889 344276 152622 191654 4486547 Due to Affiliate 14509241 Qualified Pension Liability 92227 Accrued Pension 15000 14616468 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 1 X 1 X 133.000000000000 1 X 1 1 0 1 1 831811 831811 0.06390 746327 651109 95218 0.00730 1578138 651109 927029 0.07120 14 7283 11984 11984 0.00090 2 0 199 199 0.00000 16 7283 12183 12183 0.00090 16 7283 1590321 651109 939212 0.07210 3 250 1401 1401 0.00010 21 1800 4268 4268 0.00030 1 0 150 150 0.00000 25 2050 5819 5819 0.00040 0 2144616 159365 3581573 3815255 -233682 X 1 1 1 1 Carilion Tazewell Community Hospital 141 Ben Bolt Avenue Tazewell VA 24651 www.carilionclinic.org H 1907 X X X Carilion Tazewell Community Hospital 1 1 X X X X X X X X 12 1 0 1 X See Part V, Section C, X www.carilionclinic.org/about/chna X X X X X X X 0 0 1 1 133.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 X 1 X X X 1 X 1 1 Carilion Tazewell Community Hospital Part V, Section B, Line 3: In January 2013, Carilion Tazewell Community Hospital began its seven-month Community Health Needs Assessment process. A Community Health Assessment Team (CHAT) was formed, inviting stakeholder agencies across Tazewell County involved in the health of the community, to advise and oversee the process. A total of about 30 participated in the CHAT meetings. The process was led and informed by Carilion Clinic's Planning Team. Primary data collection took place in the spring of 2013. Primary data collection included the implementation of a broad-based Community Health Survey, four Focus Group meetings with the target populations and a Stakeholder Survey given to individuals working in health-related areas.CHAT members represented the following organizations and groups:Carilion Tazewell Community Hospital and Carilion Clinic, Appalachian Agency for Senior Citizens (AASC), Board of Supervisors, Southwest Virginia Community Health Clinic, general dentistry, Health Department, Clinch Valley Medical Center, Bluefield Regional Medical Center, family medicine, Veterans, Local Outpatient Clinic, Four Seasons YMCA, Clinch Valley Community Action, Tazewell County Schools, local pharmacy, Richlands News Press, Lillies of the Field, Department of Social Services, Carilion Tazewell Home Health, Family Crisis, Tazewell Chief of Police, TASK (Taking Action for Special Kids), Crisis Pregnancy (The Abel Crisis Center), Heritage Hall, SWVA Community College, and Tazewell Library. Carilion Tazewell Community Hospital Part V, Section B, Line 5d: 5a: www.carilionclinic.org/hospitals/carilion-tazewell-community-hospital. Carilion Tazewell Community Hospital Part V, Section B, Line 7: Multiple other needs were identified during the CHNA process, including dental care for children, access to vision care, transportation and access to in-home care. Dental care is being addressed via the development of a new dental school, already under development. The process used by the CHAT to prioritize needs identified access to vision, transportation and in-home care as lower priorities. The number of items was limited to the top five so that resources are focused and effective. Carilion Tazewell Community Hospital Part V, Section B, Line 12i: Liquid assets and equity in real property. Carilion Tazewell Community Hospital Part V, Section B, Line 20d: FAP eligible uninsured patients are charged gross charges less an uninsured discount. FAP eligible insured patients are charged under terms of their insurance contract (never gross charges) and are also eligible for financial assistance. The discount rate is based on the system's dominant negotiated commercial insurance rate. Carilion Tazewell Community Hospital Part V, Section B, Line 21: The discount rate is based on the system's dominant negotiated commercial insurance rate. Carilion Tazewell Community Hospital Part V, Section B, Line 22: FAP eligible uninsured patients are charged gross charges less an uninsured discount for the hospital's services. Certain physician services may be stated at gross charges. Part I, Line 3c: Asset test is used to determine free/discounted care. Equity value in real property is required for review/outcome. Part I, Line 6a: Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic. Printed copies of this report are distributed throughout communities served by hospitals affiliated with Carilion Clinic. Additionally, the community benefit report is available on Carilion Clinic's website. Part I, Line 7: Ratio of cost-to-charges was used to calculate the expense.Part I, Line 7, column (f) calculation -- Bad debt expense subtracted from total expenses for the calculation is $2,144,616. Part I, Line 1- Part I, Line 7e-7i:7e - This line is calculated at cost. As part of its mission to educate the public about health risks and steps that can be taken to improve health, the hospital provides health fairs, screenings, and presentations offered at various community locations. These events provide an opportunity to educate individuals about improving health and quality of life as well as determining one's risk of developing a chronic illness. Additional health improvement services include blood drives and assistance with enrollment in public medical programs such as Medicaid. Community benefit operations include the cost associated with tracking community health improvement activities.7f - n/a.7g - n/a.7h - n/a.7i - This line is calculated at cost. Financial support was provided to Legacy Hospice and in-kind during the local United Way annual campaign. Part III, Line 2: Carilion Tazewell Community Hospital estimates bad debt expense by reserving a percentage of all self-pay accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. The percentage used to reserve for all self-pay accounts is based on Carilion's collection history. Part III, Line 3: The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined as the amount of unprocessed financial assistance at September 30, 2014 that was subsequently granted to patients. Part II, Line 1: 1 - n/a.2 - Support was provided to the Greater Bluefield Chamber of Commerce, Princeton-Mercer County Chamber of Commerce and Business to Business event. 3 - Support was provided to Relay for Life, Rotary Club of Tazewell, Four Season YMCA, National Child Safety Council, Feeding America Southwest Virginia, and Clinch Valley Community Action.4 - n/a.5 - Support was provided to the Virginia Future Business Leaders Association.6 - n/a.7 - n/a.8 - n/a. Part III, Line 4: Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. The percentage used to reserve for all self-pay accounts is based on Carilion's collection history. Carilion collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Part III, Line 8: Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. The Hospital does not consider a Medicare shortfall as a community benefit. Part III, Line 9b: Patients are actively screened through a "Presumptive" eligibility process before moving accounts through Extraordinary Collection Actions as defined under the 501r regulations. In addition, individuals have been allowed to apply for financial assistance throughout the collection process. Part VI, Line 3: The organization informs and educates patients and persons who may be billed for patient care through an in-house eligibility assistance program (EAS) and will evaluate according to our organization's financial assistance policy when patients are eligible for the program. We inform the public through our Internet site, EAS Representatives and other Financial Representatives (Customer Service/Patient Access), and provide information regarding the programs above when patients ask. In addition, our statements comment regarding financial assistance availability. Part VI, Line 4: Carilion Tazewell Community Hospital is a 56-bed facility in Tazewell, the county seat and geographic center of this southwest Virginia County, also known as Tazewell. Tazewell County is within the valley and ridge province of the Appalachian Highlands between the Appalachian Mountains on the southeast and the Cumberland Plateau and the Allegheny mountains on the northwest. The county contains 520 square miles and a population of 43,452. Approximately 21.8% of adults under age 64 and 8.7% of children who live in the Tazewell County are uninsured. Additionally, 18.3% of residents live below the poverty level and 23% of adults 25 years of age or older did not graduate from high school. 18.5% of residents are 65 years of age or older. Part VI, Line 5: Carilion Tazewell Community Hospital serves all patients regardless of their ability to pay. The Hospital's governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss. Carilion Tazewell Community Hospital has been very involved in the development and implementation of a wellness center through both financial and in-kind support over several years. The Four Seasons YMCA, located on a parcel of land adjacent to the hospital, provides fitness and social activities. Part VI, Line 6: Carilion Tazewell Community Hospital is a wholly owned hospital of Carilion Clinic, a not-for-profit healthcare organization based in Roanoke, Virginia. Through a comprehensive network of hospitals, primary and specialty physician practices and other complementary services, quality care is provided close to home for more than 870,000 Virginians. With an enduring commitment to the health of the region, care is advanced through medical education and research, assistance is provided to help the community to stay healthy, and inspiration for the region to grow stronger. Carilion Clinic employees 650 physicians representing more than 70 specialties who provide care at 220 practice sites. To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering associate, baccalaureate, and master's degree programs. During fiscal year 2014, 876 undergraduate and 255 graduate students were enrolled. The Virginia Tech Carilion School of Medicine enrolled 167 students and there were 649 appointed faculty members during fiscal year 2014. Carilion Clinic and Virginia Tech Carilion School of Medicine provide graduate medical education to 250 medical residents and fellows. There are 12 accredited residency programs (Dermatology, General Hospital Dentistry, Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry and Surgery) and 11 accredited fellowship programs (Addiction Psychology, Adult Joint Reconstruction, Cardiovascular Disease, Child and Adolescent Psychiatry, Gastroenterology, Geriatric Medicine, Geriatric Psychiatry, Hospice and Palliative Care, Infectious Disease, Interventional Cardiology, and Pulmonary Critical Care). Advanced Clinical Technology and Programs include CyberKnife Stereotactic Radiosurgery, daVinci Robotic Surgical System, 60 bed neonatal intensive care unit, hybrid operating room, Carilion Clinic Children's Hospital, Cancer Center, Spine Center, and comprehensive cardiothoracic, vascular and orthopedic surgery programs. Carilion Roanoke Memorial Hospital serves as a Level One Trauma Center with EMS services that include three EMS helicopters, four first-response vehicles and 50 Advanced Life Support Ambulances. An additional benefit to the community is Carilion Clinic's economic contribution to the region. As the areas largest employer, jobs are provided for more than 11,700 residents of the region. Research conducted at the Virginia Tech Carilion Research Institute (VTCRI) creates a bridge between basic science research at Virginia Tech and clinical expertise at Carilion Clinic and increases translational research opportunities for both partners. Research conducted by scientists at the institute is aimed at understanding the molecular basis for health and disease, and development of diagnostic tools, treatments, and therapies that will contribute to the prevention and solution of existing and emerging problems in contemporary medicine. Research areas of emphasis which presently align with areas of strength and active research at Virginia Tech include inflammation, infectious disease, neuroscience, and cardiovascular science and cardiology. X 0 1 0 1 0 0 0 0 0 1 0 Heather S Shepardson Director 0 144213 0 2500 0 6523 0 1367 0 1098 0 155701 0 0 John Piatkowshi MD Director/CEO 0 219511 0 45500 0 12672 0 8338 0 2022 0 288043 0 0 William J Flattery Director/CEO 0 201544 0 39200 0 8811 0 3718 0 17668 0 270941 0 0 Michael D Rorrer MD Director/Chief of Medical Staff 0 276554 0 24820 0 7145 0 9588 0 11019 0 329126 0 0 Donald B Halliwill Assistant Treasurer 0 284640 0 52500 0 6020 0 -27463 0 13574 0 329271 0 0 G Robert Vaughan Jr Assistant Treasurer 0 211713 0 38988 0 4867 0 -27255 0 14193 0 242506 0 0 Donald Lorton Former Officer 0 314369 0 67943 0 3390004 0 -34833 0 5312 0 3742795 0 3389344 Randal Swatzyna Former Officer 0 103729 0 300 0 606 0 1919 0 6647 0 113201 0 0 Part I, Line 1a David Vance and Kathren Dowdy each received $150 gift certificates grossed up for taxes and included in taxable compensation. Part I, Line 1b The organization has written policies regarding the inclusion of gift cards, prizes and awards in taxable compensation. Management at its discretion may choose to gross up awards, gifts and prizes for taxes so that the employee receives the full amount of the award, gift, or prize on an after-tax basis. 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: Donald Lorton $3,389,344 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. Solstas Lab Partners LLC Service Provider 900275 Lab services 0 Part IV, Line (1): G. Robert Vaughan, Jr., an officer, serves on the Board of Solstas Lab Partners, LLC, of which Carilion has a minority financial interest, and from whom the organization purchases lab services. Form 990, Part VI, Section A, line 1 The organization has one member. The sole member, Carilion Clinic, is entitled to elect one class of directors having 80% of the vote on any issue. The remaining class of directors, which has 20% of the vote on any issue, came from the local community and elect their own successors. Certain actions require the majority vote of both classes. Form 990, Part VI, Section A, line 2 1. Charles E. Green, III, and Stephen Rinehart, MD - Business relationship. 2. Lauren J. Chen, Donald B. Halliwill, Rachel L. Mabe, Heather S. Shepardson, and G. Robert Vaughan, Jr. - Business relationship. 3. Lauren J. Chen, Donald B. Halliwill, Rachel L. Mabe, Michael D. Rorrer, M.D., and G. Robert Vaughan, Jr.- Business relationship. 4. Lauren J. Chen, William J. Flattery, Donald B. Halliwill, Rachel L. Mabe, and G. Robert Vaughan, Jr. - Business relationship. Form 990, Part VI, Section A, line 3 Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization. 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 is entitled to elect directors having 80% of the vote on any issue. Form 990, Part VI, Section A, line 7a The organization has one member. The sole member, Carilion Clinic, is entitled to elect one class of directors having 80% of the vote on any issue. The remaining class of directors, which has 20% of the vote on any issue, came from the local community and elect their own successors. Certain actions require the majority vote of both classes. Form 990, Part VI, Section A, line 7b 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 All Board Members were notified that the final Form 990 was posted on our Board portal several days prior to filing and 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 IX, line 11g Other Services: Program service expenses 2,467,205. Management and general expenses 28,260. Fundraising expenses 0. Total expenses 2,495,465. Form 990, Part XI, line 9: Pension-Related Changes -37,672. Form 990, Part I, Line 6 Volunteers staff the gift shop and volunteer in various departments doing clerical work, supporting community events, and service related tasks. 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 Services Inc PO Box 12385 Roanoke VA 24025 541190879 Supporting organization VA 501(c)(3) Line 11a, I Carilion Clinic 1 Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501(c)(3) Line 3 Carilion Clinic 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 CHS Incand Subsidiaries E 248417 Cash Carilion Medical Center M 1371571 Cost Carilion Services Inc M 2019279 Cost CHS Incand Subsidiaries M 303137 Cost