2012-08-14T14:28:29-00:00 2011-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37219 990 2010-10-01 540549603 Carilion Giles Community Hospital 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 James Tyler PO Box 12385 Roanoke VA 24025 21974693 false X www.carilionclinic.org X 1954 VA Carilion Giles 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. Carilion Giles 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. 16 11 257 40 0 492142 68326 22725982 22861557 -2511571 -2362264 216881 210883 20923434 20778502 48039 0 10414010 10391832 0 0 14412917 14771675 24826927 25211546 -3903493 -4433044 42715332 40300387 53900563 59850823 -11185231 -19550436 X Carilion Giles 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. false false 21825777 48039 22861557 See Schedule O 21825777 true true false true false false false false false true true false false true true false false false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true false false false false true 0 0 true 257 true false true CA CJ EI UK false false false false false false false false X 16 11 false true false false true true true true true false false true true true true true true true true false VA X X The Corporation 5402245112 213 S Jefferson Street Roanoke VA 240111713 Gary Eaton 002.00 X 0 0 0 Richard Claus 002.00 X 0 0 0 James Hartley 002.00 X 0 0 0 Lester Lamb 002.00 X 0 0 0 Sue Meredith 002.00 X 0 0 0 Priscilla Morris 002.00 X 0 0 0 Scott Prince 002.00 X 0 0 0 Kenneth Rakes 002.00 X 0 0 0 Scarlett Ratcliffe 002.00 X 0 0 0 Melina Perdue 050.00 X 0 262194 96083 Mark Collins 002.00 X 0 0 0 Andrew Wagner 002.00 X 0 0 0 Winston Faust 002.00 X 0 0 0 Michael McMahon 002.00 X 0 0 0 John Tamminen MD 050.00 X X 0 474128 57895 Richard Jennell 002.00 X X 0 0 0 Chris McKlarney 002.00 X X 0 0 0 James Tyler 050.00 X X 181409 0 35978 Donald Lorton 050.00 X 0 521051 332850 Rachel Mabe 050.00 X 0 70949 17506 Amy Westmoreland 050.00 X 144085 0 25321 Melissa Weiss 050.00 X 102341 0 21296 427835 1328322 586929 3 false true false Skanska USA Building Inc PO Box 17167 WinstonSalem NC 271167167 Construction contractor 2699012 Carilion Labs LLC 213 S Jefferson 1202 Roanoke VA 24011 Laboratory Services 753980 Five Star Fab & Fixture 2161 Salem Industrial Dr Salem VA 24153 Construction contractor 114876 Avaya Inc PO Box 5332 New York NY 100875332 Systems Maintenance 300648 4 6141 11102 51083 68326 Net Patient Service Revenues 900099 22861557 22861557 22861557 -2417998 -2417998 47 47 124330 124330 124330 124330 1251878 1196191 55687 55687 55687 Cafeteria 900099 41279 41279 Miscellaneous 900099 18637 18637 26637 26637 86553 20778502 22861557 -2151381 45039 45039 3000 3000 0 0 186479 186479 0 8204568 8029992 174576 473709 473709 929851 882137 47714 597225 597225 2913528 2913528 25 25 0 2841 2841 0 2522567 2460071 62496 5700 2300 3400 2058141 2016525 41616 93392 93392 0 388710 388710 59111 40330 18781 0 0 1568839 1568839 0 2107520 2107520 245746 143584 102162 Bad Debt 1532365 1532365 I/C Practice Subsidy 1195116 1195116 Court Costs 24585 24585 Dues Subscriptions 36359 17629 18730 Education 9020 7457 1563 8110 6932 1178 25211546 21825777 3385769 0 940 1340 30222 18435 3138996 3101475 92294 61551 45557006 12547088 36311812 33009918 83524 66911 1738094 2302522 1319450 1738235 42715332 40300387 3408524 3244695 2234355 1677581 38138728 39595554 10118956 15332993 53900563 59850823 X -11253759 -19619666 68528 69230 -11185231 -19550436 42715332 40300387 X -4433044 -3932161 X false true true X X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2841 2841 II-B 1i Lobbying expenses included in American Hospital Association and Virginia Hospital and Healthcare Association dues. false 1720065 1720065 26838227 2003640 24834587 16803399 10418607 6384792 195315 124841 70474 33009918 2302522 F 2302522 Qualified Pension Liability 7096404 2005 Fixed Payor Swap Unreal L 932089 2010 Barclays Swap Unrealized Loss 14018 2008 Swap Unrealized Losses 7285048 2010 PNC Swap Unrealized Loss 5434 15332993 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 true X true X true X true true true false true true 2019931 2019931 0.08010 998366 845897 152469 0.00600 3018297 845897 2172400 0.08610 34 2355 108900 8984 99916 0.00400 1 3 3000 3000 0.00010 4 443 16000 16000 0.00060 39 2801 127900 8984 118916 0.00470 39 2801 3146197 854881 2291316 0.09080 2 62 11000 11000 0.00040 2 62 11000 11000 0.00040 false 643650 302417 10390835 10297956 92879 X true true 1 1 Carilion Giles Community Hospital

159 Hartley Way Pearisburg VA 24134

X X X X Adult Day Services 1 1 Adult Day Services

701 Wenonah Ave Pearisburg VA 24134

0 Part I line 3c N/A 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 Clinics website. Part I line 7g N/A Part I line 7 column f Bad debt expense subtracted from total expenses for the calculation is 1,532,365. Part I line 7 Ratio of cost-to-charges was used to calculate the expense. Part III line 4 The financial statements do not include a footnote on bad debt. The audited financial statements include a provision for bad debt. The provision is calculated based on historical bad debt experience and managements evaluation of the collectibility of the accounts receivable. Balances are written off after all reasonable collection efforts have been made. Part III line 4 Contd. The bad debt expense reported on line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements. Part III line 4 Contd. The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definitive determination of their eligibility. Part III line 4 Contd. Patient account balances are reduced by discounts allowed and payments. Part III line 8 Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. Part III line 8 Contd. The Hospital does not consider a Medicare shortfall as a community benefit. Part III line 9b When an uninsured self pay patient registers for medically necessary services, the patients account is electronically marked as being potentially eligible for charity care. Carilion Clinics Eligibility Assistance Service EAS screens the patient to determine if charity care is appropriate. The patient must apply for all entitlement programs for which he or she may be eligible i.e. Medicaid, Social Security Disability, etc. EAS assists the patient with the applications. Part III line 9b Contd. If the patient does not qualify for one of the programs then the Federal Poverty Guidelines FPG are used to determine eligibility for charity care. A patient whose account balance is less than 1,500 and is at or below 100 of FPG is automatically given a 100 discount of their account. Part III line 9b Contd. For balances greater than 1,500 the patient must complete a Financial Assistance Application and provide appropriate documentation. A sliding scale of discounts is available for patients with incomes up to 400 of FPG. Part III line 9b Contd. An underinsured patient can apply for charity care. Applications are available at all Patient Access/Registration points, offices of EAS, Carilion Clinics Internet website or by calling for an application. Part V N/A Part VI Line 3 The charity care policy is posted in all patient registration areas. At the time of registration all uninsured self pay patients are given a brochure explaining the charity care policy and how to apply. Also, see comments for Part III line 9b. true CARILION CLINIC FOUNDATION 213 S JEFFERSON ST 807 ROANOKE VA 24011 541190773 501c3 29250 COMMUNITY GRANTS GILES LIFESAVING & RESCUE INC 175 INDUSTRIAL PARK DR PEARISBURG VA 24134 12239 FMV MEDICAL SUPPLIES PATIENT ASSISTANCE 1 1 SCHOLARSHIPS 3 3000 1 2 As part of the Carilion Clinic system, the organization donates funds to Carilion Clinic Foundation, which provides grants to other organizations in the Hospitals service area intended to further the health and well-being of the community. Expenditure of such funds is overseen and monitored by the Foundations independent community board. 1 2 The Hospital also provides medical supplies to local EMT units to replenish medical supplies used in patient transport. Such organizations also have community boards which oversee the expenditure of such funds. 1 2 The Hospital offers scholarships to high school seniors entering a medical field. Applications are evaluated and awards made by an independent committee according to prescribed guidelines.. X true true X X X X X false true false false false false false true false Melina Perdue 244617 11787 5790 85628 10455 358277 John Tamminen MD 467646 8118 -1636 27397 30498 532023 James Tyler 171977 8545 887 26675 9303 217387 Donald Lorton 436800 21491 62760 316614 16236 853901 61212 Amy Westmoreland 128024 18727 -2666 13186 12135 169406 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 at the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures. I 4b Donald Lorton - 131,084 Industrial Development Authority of the City of Roanoke VA 541106038 770084EQ0 2005-12-14 6395000 Capital projects, current refunding of Series B-E bonds Costs of issunace, bond insurance false false false VA Small Business Financing Authority 541300845 928101AD6 2008-07-09 31000000 Capital projects Cost of issuance false false false 600000 6395000 39426 92156 6263419 true false true true false false false false false true true true true UBS and Citigroup 0000000027.000000000000 false false true AIG 0000000000.300000000000 true false true true true true UBS and Citigroup 0000000033.000000000000 false false false false true 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 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 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 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 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 Lines 1-10 Carilion Giles Community provided in-kind support of the annual United Fund campaign. Financial support was provided for NRV CARESs Parenting Young Children Program that addresses child abuse prevention and family strengthening through education, advocacy, and community partnerships. Form 990 2 Carilion Giles Community Hospital uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Giles Community Hospital. A comprehensive community health needs assessment is scheduled for completion by September 30, 2012 along with a strategic implementation plan to address identified needs. Form 990 4 Carilion Giles Community Hospital, is located in the town of Pearisburg, the geographic center of Giles County. In the heart of the Appalachian Mountains of southwest Virginia, Giles County is an area of approximately 360 square miles with population of approximately 17,300. The county includes 92.4 square miles of Jefferson National Forest Giles County and borders West Virginia. Approximately 17 of adults under age 64 and 9 of children who live in the County are uninsured. Form 990 4 Contd. Additionally, 13 of residents live below the poverty level and 23 did not graduate from high school. 18 of residents are 65 years of age or older. Carilion Giles Community Hospital is a 25 bed critical access hospital. A comprehensive replacement facility opened in May 2010, offering 24-hour emergency care, advanced diagnostic procedures, minimally invasive surgery, nuclear medicine studies and comprehensive rehabilitation programs. Form 990 5 Carilion Giles Community Hospital serves all patients regardless of their ability to pay. The Hospitals 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. Form 990 5 Contd. Carilion Giles Community Hospital provides support of the local EMS crews through replenishment of medications used for patient care or product with an expired use by date. As access to prescription drugs was determined a critical need, Carilion Giles Community Hospital established the Giles Medication Assistance Program GMAP in August 2000 to help low-income patients obtain access to prescription medications. In fiscal year 2011, GMAP served 281 patients with 7,380 prescription requests. The average cost per prescription was 447.82 and the total value requested AWP was 3,643,235. Form 990 5 Contd. The program also receives donations from the United Fund of Giles County, United Way of Roanoke Valley, and RxRelief Virginia. Carilion Giles Community Hospital provided financial support of operations for Giles Free Clinic, a satellite clinic of the Free Clinic of the New River Valley, committed to providing valuable healthcare services to all uninsured, low-income adult residents of Giles County. Form 990 5 Contd. As part of its mission to educate the public about health risks and steps that can be taken to improve health, in fiscal year 2011, Carilion Giles Community Hospital touched 2,355 people during 34 events offered throughout the community. Events included health fairs, screenings, and presentations offered at various community locations. Monthly blood pressure and blood glucose screenings are offered in high traffic retail locations. These screenings provide an opportunity to educate individuals about improving health and quality of life as well as determining ones risk of developing a chronic illness. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid and interpreter services for non-English speaking patients. Form 990 6 Carilion Giles Community Hospital is a wholly owned hospital of Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through a physician specialty group, advanced primary care practices, hospitals and outpatient centers. Led by clinical teams with a shared philosophy that puts the patient first, Carilion is committed to improving the communitys health while advancing the quality of care through medical education and research. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Carilion Clinic employees 575 physicians representing more than 60 specialties who provide care at 160 practice sites. Form 990 6 Contd. To advance the coordination of care and quality, an electronic medical record has been implemented in all Carilion Clinic affiliated hospitals and physician practices, allowing physicians to easily and efficiently collaborate through the use of shared patient records. Form 990 6 Contd. Additional improvements in medical programs and services include a nationally certified Stroke Alert protocol that speeds lifesaving care to stroke patients hypothermia therapy for the treatment of cardiac arrest patients a neonatal pediatric mobile ICU outfitted with life-saving, state of the art medical technology certification by the National Committee for Quality Assurance NCQA of 11 Carilion Clinic Family Medicine practices as Patient-Centered Medical Homes, a new model of care designed to keep patients healthy and prevent illness and MyChart, an online tool that gives patients secure access to their health information. Form 990 6 Contd. To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering the Master of Science in Nursing, Physician Assistant and Occupational Therapy and 10 baccalaureate and associate healthcare programs. As one of few private healthcare colleges in the Southern United States, the students have demonstrated excellent licensure pass rates in professional programs. Approximately 1,000 undergraduate students and 80 graduate students are enrolled annually with 87 receiving some type of financial aid. Through a unique public-private partnership, in 2010 Virginia Tech and Carilion Clinic opened Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. 84 students are enrolled in the first two classes and there are 421 appointed faculty members. Form 990 6 Contd. Additionally, graduate medical education is provided for 190 residents and 16 fellows. Included are ten residency programs, eight sponsored by Carilion Clinic Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, Surgery, and Transitional Year and two by the University of Virginia Orthopaedics and Otolaryngology. Twelve fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Hospice and Palliative Care, Infectious Disease, Medical Informatics, Pulmonary Critical Care and Surgery Critical Care. Form 990 6 Contd. At the Virginia Tech Carilion VTC Research Institute, senior researchers recruited from across the country are working to unlock the secrets of the human brain as part of the Roanoke Brain Study, which examines the neural basis of human decision-making and its impact on health over a lifetime. The projects goal is to predict illnesses such as Alzheimers and other brain diseases. An additional benefit to the community is Carilion Clinics economic contribution to the region. As the areas largest employer, jobs are provided for nearly 11,000 residents of the region, with a payroll of more than 600 million in 2011. Form 990 Part III 4a Carilion Giles Community Hospital, a critical access hospital, exists to serve the health care needs of its community, regardless of patient ability to pay. Giless acute hospital admitted 1,185 patients and provided 5,541 days of care during the year. Hospital programs include provision of nursing care extensive outpatient and inpatient surgical and endoscopic services and diagnostic imaging services including CT, MRI, and mammography. Giles provides a number of services targeting the specific health needs of its population, including diabetes management comprehensive physical, speech, and occupational therapy programs and participation in cardiac rehab and disease management programs. Giles also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. Form 990 Part III 4a Contd. With 12,777 visits, Giles emergency services are a critical component of the health safety net in its service area, acting as a primary health provider for a significant number of uninsured patients, who comprise nearly 19 percent of ED visits. Giles supports community screenings and education on chronic disease prevention and management, sponsoring 34 events touching 2,355 people, as well as providing key support and coordination for a community-based medication assistance program. In furtherance of its mission, Giles provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded 2.4 million. Form 990 Part XI 5 Unrealized loss on investments 90,591 Transfer to affiliate 1,075,000 and Transfer for effect of pension related changes 2,766,572 and rounding of 2. 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 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 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 elects the directors of the organization and has certain other reserved powers. 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 Section Schedule H, Part II Line Lines 1-10 Carilion Giles Community provided in-kind support of the annual United Fund campaign. Financial support was provided for NRV CARESs Parenting Young Children Program that addresses child abuse prevention and family strengthening through education, advocacy, and community partnerships. Form 990 Section Schedule H, Part VI Line 2 Carilion Giles Community Hospital uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Giles Community Hospital. A comprehensive community health needs assessment is scheduled for completion by September 30, 2012 along with a strategic implementation plan to address identified needs. Form 990 Section Schedule H, Part VI Line 4 Carilion Giles Community Hospital, is located in the town of Pearisburg, the geographic center of Giles County. In the heart of the Appalachian Mountains of southwest Virginia, Giles County is an area of approximately 360 square miles with population of approximately 17,300. The county includes 92.4 square miles of Jefferson National Forest Giles County and borders West Virginia. Approximately 17 of adults under age 64 and 9 of children who live in the County are uninsured. Form 990 Section Schedule H, Part VI Line 4 Contd. Additionally, 13 of residents live below the poverty level and 23 did not graduate from high school. 18 of residents are 65 years of age or older. Carilion Giles Community Hospital is a 25 bed critical access hospital. A comprehensive replacement facility opened in May 2010, offering 24-hour emergency care, advanced diagnostic procedures, minimally invasive surgery, nuclear medicine studies and comprehensive rehabilitation programs. Form 990 Section Schedule H, Part VI Line 5 Carilion Giles Community Hospital serves all patients regardless of their ability to pay. The Hospitals 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. Form 990 Section Schedule H, Part VI Line 5 Contd. Carilion Giles Community Hospital provides support of the local EMS crews through replenishment of medications used for patient care or product with an expired use by date. As access to prescription drugs was determined a critical need, Carilion Giles Community Hospital established the Giles Medication Assistance Program GMAP in August 2000 to help low-income patients obtain access to prescription medications. In fiscal year 2011, GMAP served 281 patients with 7,380 prescription requests. The average cost per prescription was 447.82 and the total value requested AWP was 3,643,235. Form 990 Section Schedule H, Part VI Line 5 Contd. The program also receives donations from the United Fund of Giles County, United Way of Roanoke Valley, and RxRelief Virginia. Carilion Giles Community Hospital provided financial support of operations for Giles Free Clinic, a satellite clinic of the Free Clinic of the New River Valley, committed to providing valuable healthcare services to all uninsured, low-income adult residents of Giles County. Form 990 Section Schedule H, Part VI Line 5 Contd. As part of its mission to educate the public about health risks and steps that can be taken to improve health, in fiscal year 2011, Carilion Giles 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 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 Services Inc PO Box 12385 Roanoke VA 24025 541190879 Supporting organization VA 501c3 11 Type I 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 Hugh Trout Memorial Foundation PO Box 12385 Roanoke VA 24025 510236357 Supporting organization VA 501c3 11 Type I N/A false false true false true true false false false false false true true false false false false false true