2012-08-14T15:15:13-00:00 2011-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37219 990 2010-10-01 541190879 Carilion Services Inc CARI 5402245112 PO Box 12385 Roanoke VA 240252385 Donald Lorton 2012-08-14 true Francis Bedard 6152591811 2012-08-14 2010 2016-02-24 21:20:13Z Nancy Howell Agee PO Box 12385 Roanoke VA 24025 190246449 false X www.carilionclinic.org X 1982 VA See Schedule O See Schedule O 2 0 1682 7486475 -1329216 3500 0 180238338 185750653 880929 1470037 4884522 1871861 186007289 189092551 332748 0 104647492 107690006 0 0 80897570 80599460 185545062 188622214 462227 470337 475930223 452933961 86179346 97520765 389750877 355413196 X The principal purpose of this corporation is to generate, through subsidiaries engaged in both taxable and tax-exempt activities, funds for contribution to parent or affiliated organizations in the provision of quality health care services and to promote physical fitness and preventive medicine. false false 179566652 332748 178347127 See Schedule O 179566652 true false false true false false false false false true true false false false true false true false false false false false false false false false true false true false false false true false false false false false false false false true true true true true false true 674 0 true 1682 true true true true CA CJ EI UK false false false false false false false false X 2 0 false false false false true true true true true false false true true true true true true true true false X X The Corporation 5402245112 213 S Jefferson Street Roanoke VA 240111705 Nancy Agee 050.00 X X 508405 0 399109 Edward Murphy MD 050.00 X X 1288078 0 680866 Donald Lorton 050.00 X X 521051 0 332850 Melina Perdue 050.00 X X 262194 0 96083 Briggs Andrews 050.00 X 334006 0 207297 Rayburn Thompson 050.00 X 215788 0 96291 Hugh Thornhill 050.00 X 113371 0 93948 Mark Werner MD 050.00 X 518369 0 154534 G Robert Vaughan 050.00 X 202072 0 45136 Rachel Mabe 050.00 X 70949 0 17506 Kay Hix 050.00 X 252286 0 98574 Curtis Mills 050.00 X 252197 0 148831 Donna Littlepage 050.00 X 228951 0 66902 Janet Lester 050.00 X 223471 0 313118 John Webster 050.00 X 204570 0 91679 5195758 2842724 56 false true false Skanska US Building Inc PO Box 17167 WinstonSalem NC 271167167 Construction contractor 20566594 Air Methods Corporation PO Box 676592 Dallas TX 752676592 Medical helicopter services 3875935 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Software maintenance and consulting 3089783 Deloitte Consulting LLP 285 Peachtree Center Ave Atlanta GA 303031234 Consulting services 16246641 Microsoft Corporation 1950 N Stemmons Fwy Ste 5010 Dallas TX 75207 Software Maintenance 1376565 68 Unrelated Business Income 561000 7486475 7486475 Management Fees 900099 149653834 149653834 Net Patient Revenues 900099 9813271 9813271 Carilion Patient Transportation Services 900099 18574026 18574026 Program-Related Investments 900099 223047 223047 185750653 1389833 1389833 297638 297638 297638 297638 1232971 1152767 80204 80204 80204 -1080 1131 -2211 -2211 Other Revenue 900099 1124273 1124273 Miscellaneous 900099 369212 369212 Purchase Discounts 900099 82949 82949 1576434 189092551 178347127 7486475 3258949 332748 332748 0 0 0 10060151 10060151 0 74220959 68644052 5576907 5760823 5760823 12054236 11346788 707448 5593837 5575880 17957 183486 183486 722564 722564 576894 576894 54752 54752 2306 2306 24594052 24496894 97158 2093147 2093147 9460675 9362900 97775 9987769 9987769 0 6178219 6178219 670904 642666 28238 0 0 -9197 -9197 0 20219975 20219975 2566301 1766301 800000 Bad Debt 488100 488100 Education 1076501 1075532 969 Recruitment 636463 636463 Dues Subscriptions 425369 288660 136709 Business Fees 593184 591541 1643 77996 -27512 105508 188622214 179566652 9055562 0 5163 4188 173224026 181513711 10934756 10171490 1887708 17151963 31494925 3599134 3529635 15072283 5665695 142277049 115346892 83402918 26930157 459970 794419 170932985 190187709 1147025 754324 475930223 452933961 84303638 95645057 1875708 1875708 86179346 97520765 X 389750877 355413196 389750877 355413196 475930223 452933961 X 470337 -34808018 X false true true X X X X false false false Bedford Memorial Hospital 540566100 3 false 0 Carilion Franklin Memorial Hospital 540480606 3 false 0 Carilion Giles Community Hospital 540549603 3 false 0 Carilion Medical Center 540506332 3 true 23525000 Carilion New River Valley Medical Center 540553805 3 false 0 Carilion Stonewall Jackson Hospital 540568001 3 false 0 Carilion Tazewell Community Hospital 546074580 3 false 0 7 23525000 0.00000 0.00000 0.00000 false true false false false false true 54752 false false 54752 false false 2301409 2301409 13190033 7979019 5211014 89627 76583 13044 123759769 106908343 16851426 2936211 382947 2553264 26930157 190187709 F 190187709 Qualified Pension Liability Nonqualified Pension Liability X 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, 2011 and 2010. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months. true BOYS & GIRLS CLUBS OF SOUTHWEST VIRGINIA 1714 9TH ST SE ROANOKE VA 24013 541867366 501c3 18000 General Support JUNIOR ACHIEVEMENT OF SOUTHWEST VIRGINIA 3433 BRAMBLETON AVE SW STE 202B ROANOKE VA 24018 540628293 501c3 5800 General Support VIRGINIA WESTERN COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC PO BOX 14007 ROANOKE VA 24038 521200913 501c3 10000 College Access STATE OF VIRGINIA PO BOX 1971 RICHMOND VA 23218 546116277 501c3 10000 VA Tornado Relief MARCH OF DIMES GREATER BLUE RIDGE DIVISION 2840 ELECTRIC RD STE 102A ROANOKE VA 24018 131846366 501c3 11500 General Support SMITH MOUNTAIN LAKE REGIONAL CHAMBER OF COMMERCE 16430 BOOKER T WASHINGTON HWY 2 MONETA VA 24121 541654288 501c6 6250 General Support TOWN OF ROCKY MOUNT 345 DONALD AVE ROCKY MOUNT VA 24151 546001585 501c3 5000 Lights for Life SUSAN B KOMEN FOR THE CURE GREATER ROANOKE VALLEY 4910 VALLEY VIEW BLVD STE 212 ROANOKE VA 24012 562619425 501c3 10000 General Support PATHFINDERS FOR GREENWAYS INC PO BOX 8553 ROANOKE VA 24014 541860804 501c3 5000 General Support JEFFERSON CENTER FOUNDATION LTD 541 LUCK AVE SW ROANOKE VA 24016 621392982 501c3 15000 General Support ROANOKE VALLEY ACADEMY OF MEDICINE ALLIANCE FOUNDATION PO BOX 8602 ROANOKE VA 24014 510218435 501c3 5000 General Support AMERICAN CANCER SOCIETY 2840 ELECTRIC RD 106A ROANOKE VA 24018 580659875 501c3 13500 General Support YMCA OF ROANOKE VALLEY INC 520 CHURCH AVE SW ROANOKE VA 24016 540515736 501c3 8333 General Support THE RESCUE MISSION OF ROANOKE INC PO BOX 11525 ROANOKE VA 24022 540573900 501c3 5500 General Support AMERICAN HEART ASSOCIATION 4217 PARK PLACE CT GLEN ALLEN VA 23060 135613797 501c3 10000 General Support SENIORNAVIGATOR 7501 BOULDER VIEW DR 201 RICHMOND VA 23225 541977334 501c3 8000 General Support NATIONAL MULTIPLE SCLEROSIS SOCIETY BLUE RIDGE CHAPTER ONE MORTON DR STE 106 CHARLOTTESVILLE VA 22903 540834654 501c3 7500 General Support 16 1 1 2 The Hospital also donates funds to other 501c3 charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds. X true true X X X X X false true false false false false false true false Nancy Agee 436800 21491 50114 386089 13020 907514 50278 Edward Murphy MD 890000 297223 100855 618095 62771 1968944 297392 Donald Lorton 436800 21491 62760 316614 16236 853901 61212 Melina Perdue 244617 11787 5790 85628 10455 358277 Briggs Andrews 301600 14812 17594 195902 11395 541303 Rayburn Thompson 164672 51116 87627 8664 312079 51800 Hugh Thornhill 97212 16159 85412 8536 207319 Mark Werner MD 439300 21491 57578 136230 18304 672903 54246 G Robert Vaughan 186563 9132 6377 28287 16849 247208 Kay Hix 214317 30384 7585 91151 7423 350860 Curtis Mills 225563 11078 15556 137095 11736 401028 14447 Donna Littlepage 214897 10611 3443 59602 7300 295853 Janet Lester 223471 312001 1117 536589 John Webster 190519 9357 4694 75100 16579 296249 I 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. I 4b Edward Murphy MD - 273,199, Nancy Agee -192,697, Briggs Andrews - 60,550, Donald Lorton - 131,084, Mark Werner - 41,081, Rayburn Thompson - 29,648, Hugh Thornhill - 14,788 and Curtis Mills - 189. Nancy Howell Agee Split-dollar insurance premium X 7875 160582 false true true Briggs Andrews Split-dollar insurance premium X 6220 132429 false true true Briggs Andrews Split-dollar insurance premium X 2550 120462 false true true Keith K Hunt Split-dollar insurance premium X 19200 397183 false true true Donald E Lorton Split-dollar insurance premium X 6200 277900 false true true Curtis Mills Split-dollar insurance premium X 2300 45300 false true true Curtis Mills Split-dollar insurance premium X 3000 120281 false true true Edward G Murphy Split-dollar insurance premium X 17025 404771 false true true Lucas A Snipes Split-dollar insurance premium X 2100 41466 false true true Lucas A Snipes Split-dollar insurance premium X 625 80386 false true true Rayburn Thompson Split-dollar insurance premium X 21253 false true true Rayburn Thompson Split-dollar insurance premium X 85696 false true true 1887709 0 Form 990 Part VI 11b The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI 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. Form 990 Part VI 12c Contd. 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 15a and 15b 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 President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. 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. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report 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. Form 990 Part VI 15a and 15b Contd. 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 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers. Form 990 Part VI 19 The organizations 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. Form 990 Part VI 7a The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason. Form 990 Part VI 7b The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO, approval of borrowings, budgets and strategic plans and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization. Form 990 Part I 1 The organization supports the activities of Carilion Clinic, a healthcare organization in western Virginia that includes a large multi-specialty physician group, hospitals and ancillary services, focused on the goal of providing the best possible health outcome and health care experience for each patient. Form 990 Part III 4a By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality Carilion Services, Inc. supports Carilions mission to improve the health of the communities it serves. CSI supports Carilion Clinics core hospital business and related activities by providing technology human resources legal services patient billing accounting and finance internal audit and compliance materials management and strategic planning services. This assisted the Clinics hospitals in admitting 47,642 patients and providing 221,386 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Form 990 Part III 4a Contd. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion provided extensive uncompensated care. Stated at cost, charity, bad debt, and unreimbursed Medicaid costs for the year exceeded 85.6 million. Form 990 Part VI Section B Line 11b The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c Contd. 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 15a and 15b 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 President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. 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. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report 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. Form 990 Part VI Section B Line 15a and 15b Contd. 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 A Line 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers. Form 990 Part VI Section C Line 19 The organizations 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. Form 990 Part VI Section A Line 7a The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason. Form 990 Part VI Section A Line 7b The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO, approval of borrowings, budgets and strategic plans and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization. Form 990 Part I Line 1 The organization supports the activities of Carilion Clinic, a healthcare organization in western Virginia that includes a large multi-specialty physician group, hospitals and ancillary services, focused on the goal of providing the best possible health outcome and health care experience for each patient. Form 990 Part III Line 4a By providing management services and administrative functions with an emphasis on cost effectiveness, compliance, and quality Carilion Services, Inc. supports Carilions mission to improve the health of the communities it serves. CSI supports Carilion Clinics core hospital business and related activities by providing technology human resources legal services patient billing accounting and finance internal audit and compliance materials management and strategic planning services. This assisted the Clinics hospitals in admitting 47,642 patients and providing 221,386 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Form 990 Part III Line 4a Contd. Honoring its commitment to serving the health care needs of the region regardless of patient ability to pay, Carilion provided extensive uncompensated care. Stated at cost, charity, bad debt, and unreimbursed Medicaid costs for the year exceeded 85.6 million. Form 990 Part XI Line 5 Decreased for transfer of property and equipment to related organizations of 43,861,525 decrease for pension related changes of 14,098,243 decrease for unrealized losses on investments of 54,833 increase for transfer of cash from related organization of 23,202,000 increase for FAS 158 adjustment related to 2010 of 4,583 net change of 34,808,018. Carilion Clinic Medicare Resources LLC PO Box 12385 Roanoke VA 24025 263729975 Medicare HMO VA 4286023 14745645 N/A Carilion Clinic Patient Transportation Services LLC PO Box 12385 Roanoke VA 24025 541864693 Transportation VA 18553571 8766026 N/A Carilion Professional Services LLC PO Box 12385 Roanoke VA 24025 542030773 CRNAs VA 9794739 329402 N/A Blue Ridge Indeminity Company LLC 76 St Paul Street Suite 500 Burlington VT 05401 270927175 Insurance VT 8308424 24045288 N/A Hugh Trout Memorial Foundation PO Box 12385 Roanoke VA 24025 510236357 Supporting organization VA 501c3 3 N/A false Carilion Clinic PO Box 12385 Roanoke VA 24025 541190771 Supporting organization VA 501c3 11 Type I N/A false Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Supporting organization VA 501c3 11 Type I N/A false Carilion Franklin Memorial Hospital PO Box 12385 Roanoke VA 24025 540480606 Healthcare VA 501c3 3 N/A false Carilion Giles Community Hospital PO Box 12385 Roanoke VA 24025 540549603 Healthcare VA 501c3 3 N/A false Carilion Medical Center PO Box 12385 Roanoke VA 24025 540506332 Healthcare VA 501c3 3 N/A false Carilion New River Valley Medical Center PO Box 12385 Roanoke VA 24025 540553805 Healthcare VA 501c3 3 N/A false Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501c3 3 N/A false Carilion Tazewell Community Hospital PO Box 12385 Roanoke VA 24025 546074580 Healthcare VA 501c3 3 N/A false CHS Inc and Subsidiaries PO Box 12385 Roanoke VA 24025 541725732 Services VA N/A C Corp 109635780 227391964 1.00000 true false false false false false false false true true true true false false false false true true CHS Inc and Subsidiaries a 194076 Market rates CHS Inc and Subsidiaries j 690539 Market rates CHS Inc and Subsidiaries k 12751738 Cost CHS Inc and Subsidiaries l 484851 Cost CHS Inc and Subsidiaries q 17315000 Cash