2012-08-15T09:46:58-00:00 2011-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37219 990 2010-10-01 540553805 Carilion New River Valley Medical Center CARI 5402245112 PO Box 12385 Roanoke VA 24025 Donald Lorton 2012-08-15 true Francis Bedard 6152591811 2012-08-15 2010 2016-02-24 21:20:13Z Don Halliwill PO Box 12385 Roanoke VA 24025 283400315 false X www.carilionclinic.org X 1941 VA Carilion New River Valley Medical Center, 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 New River Valley Medical Center, 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. 14 11 1065 185 0 213284 98753 133041096 143183258 818392 5268794 1983311 4376493 136056083 152927298 135383 0 48232209 49926473 0 0 81123769 84701060 129355978 134762916 6700105 18164382 179764362 190142332 101827386 107140870 77936976 83001462 X Carilion New River Valley Medical Center, 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 115687147 135383 145989083 See Schedule O. 115687147 true true false true false false false false false true true false false true true false true false false false false false false false false true true true false 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 1065 true false true CA CJ EI UK false false false false false false false false X 14 11 true true false false true true true true true false false true true true true true true true true true true VA X X The Organization 5402245112 213 S Jefferson Street Roanoke VA 24011 Carolyn Brown 002.00 X 0 0 0 Joseph Scartelli PhD 002.00 X 0 0 0 Howard Conduff 002.00 X 0 0 0 Joseph Sheffey 002.00 X 0 0 0 William Hendricks MD 050.00 X 0 175284 78319 Lester Lamb 002.00 X 0 0 0 Barbara Turk 002.00 X 0 0 0 James Williams OD 002.00 X 0 0 0 Thomas Starnes 002.00 X 0 0 0 Charles Bissell MD 002.00 X 0 0 0 Ted Puckett MD 002.00 X 0 0 0 Stephanie Shortt 002.00 X X 0 0 0 Melissa Rotenberry 002.00 X X 0 0 0 John Piatkowski MD 050.00 X X 0 0 0 Don Halliwill 050.00 X X 24374 197940 50352 Todd Murray 002.00 X X 0 0 0 Donald Lorton 050.00 X 0 521051 332850 Rachel Mabe 050.00 X 0 70949 17506 Dennis Means 050.00 X 284986 0 51181 Ralph Brown 050.00 X 270396 0 39237 Charlotte Ramsey 050.00 X 169956 0 32715 Dale Bryant 050.00 X 147304 0 50325 Louis Harlow 050.00 X 138144 0 23155 1035160 965224 675640 18 false true false Anesthesiology Associates of Radford PO Box 3605 Radford VA 24143 Anesthesiology services 2437368 Carilion Labs LLC 213 S Jefferson 1202 Roanoke VA 24011 Laboratory services 3726569 Breakell Inc 2314 Patterson Ave Roanoke VA 24016 Construction contractor 248373 Siemens Medical Solutions 51 Valley Stream Pkwy Malvern PA 19355 Equipment and software maintenance 830736 Foodservice Partners of VA 2823 Franklin Road Bldg B Roanoke VA 24014 Food service 480826 16 26778 4104 67871 98753 Net Patient Revenues 900099 143022528 143022528 Program-Related Investments 900099 160730 160730 143183258 -1682050 -1682050 29 29 1035209 1035209 1035209 1035209 137410964 12868 130473017 6937947 12868 6950815 6950815 EHR Incentive Payment 900099 1894108 1894108 Cafeteria 900099 535459 535459 Court cost recovery 900099 34181 34181 877536 877536 3341284 152927298 145989083 6839462 135383 135383 0 0 0 66160 66160 0 40212996 39930873 282123 2362743 2362743 4403802 4356819 46983 2880772 2880772 17546675 17546675 2310 2310 0 8686 8686 241150 241150 14492408 14228044 264364 3862 3772 90 20597659 20510964 86695 403990 403990 0 2017062 1976764 40298 435501 432429 3072 0 0 4039826 4039826 0 5987921 5987921 1136689 670118 466571 Bad Debt 7960021 7960021 I/C Practice Subsidy 9496319 9496319 Business Fees 45331 45112 219 Dues Subscriptions 165337 89693 75644 Court Costs 75588 75588 44725 25150 19575 134762916 115687147 19075769 0 6447 6447 266980 278811 14389426 18264048 1763861 1571081 509993 537464 142575396 81990229 62573160 60585167 59499757 59083341 39950355 48571429 804383 1244544 179764362 190142332 11559697 11156150 206134 182468 73199000 70977440 16862555 24824812 101827386 107140870 X 77936406 83000892 570 570 77936976 83001462 179764362 190142332 X 18164382 -13099896 X false true true X false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8686 8686 false II-B 1j Portion of dues paid to American Hospital Assn. and Virginia Hospital and Healthcare Assn. spent on lobbying. false 1507465 1507465 79420910 31872212 47548698 247117 157862 89255 56562228 49191938 7370290 4837676 768217 4069459 60585167 48571429 F 48571429 Qualified Pension Liability 10986508 2005 Fixed Payor Swap Unrealized 9059913 2008 Fixed Swap Unrealized Losses 4608333 2010 Barclays Swap Unrealized Losses 122549 2010 PNC Swap Unrealized Losses 47509 24824812 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 8410620 8410620 0.06240 9679155 7346047 2333108 0.01730 18089775 7346047 10743728 0.07970 187 31744 356364 20640 335724 0.00250 1 285 15117 15117 0.00010 8 378 77277 77277 0.00060 196 32407 448758 20640 428118 0.00320 196 32407 18538533 7366687 11171846 0.08290 3 14006 14006 0.00010 1 250 250 8 98 2374 2374 12 98 16630 16630 0.00010 false 2790991 944683 34217251 39089295 -4872044 X true true New River Valley Surgery Center LLC Ambulatory surgery 0.52870 0.47130 2 1 Carilion New River Valley Medical Center

2900 Lamb Circle Christiansburg VA 24073

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2901 Lamb Circle Christiansburg VA 24073

X Ambulatory surgery Carilion New River Valley Medical Center 1 Carilion New River Valley Medical Center Rehabilitation 2 Carilion New River Valley Medical Center Home Health and Hospice 3 Orthopedic Spine PT Clinic 4 Orthopedic Spine PT Clinic 5 5 Carilion New River Valley Medical Center

2900 Lamb Circle Christiansburg VA 24073

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118 Broad Street Dublin VA 24084

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707 Randolph Street Suite 251 Radford VA 24141

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51 West Main Street Radford VA 24141

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178 West Main Street Wytheville VA 24382

Orthopedic spine- PT 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 8,013,353. 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 80990 COMMUNITY GRANTS WARM HEARTH FOUNDATION 2607 WARM HEARTH DR STE 100 BLACKSBURG VA 24060 541639629 501c3 20000 VILLAGE CENTER NEW RIVER VALLEY ECONOMIC DEVELPMENT ALLIANCE 6226 UNIVERSITY PARK DR 2200 RADFORD VA 24141 541545804 501c6 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION PO BOX 1590 HAGERSTOWN MD 21741 135613797 501c3 5000 HEART WALK 3 1 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. I 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 William Hendricks MD 155480 20187 -383 58739 19580 253603 Don Halliwill 25429 194958 10823 -1055 -7841 29782 577 19993 24951 247715 Donald Lorton 436800 21491 62760 316614 16236 853901 61212 Dennis Means 274482 13480 -2976 30594 20587 336167 Ralph Brown 225098 47591 -2293 21833 17404 309633 Charlotte Ramsey 158221 13984 -2249 21660 11055 202671 Dale Bryant 122132 19302 5870 35488 14837 197629 Louis Harlow 133909 4235 9526 13629 161299 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 Donald Lorton - 131,084 Industrial Development Authority of the City of Roanoke VA 541106038 770084ES6 2005-12-14 65880000 Capital projects, Current Refunding of Series 2002 B-E bonds Costs of issuance, bond insurance false false false VA Small Business Financing Authority 541300845 928101AD6 2008-07-09 20000000 Capital projects, Costs of issuance false false false 15387000 65880000 406156 949368 64524476 true false true true false false false false false true true true true UBS & Citigroup 0000000027.000000000000 false false true AIG 0000000000.300000000000 true false true true true true UBS & Citigroup 0000000033.000000000000 false false false false true Form 990 Part VI 2 Todd Murray and Jeffery Reed - business relationship. 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 New River Valley Medical Center provided financial support to the City of Radford Recreation Department, an extensive program with a variety of indoor activities, such as racquetball and basketball at several city facilities and outdoor activities such as swimming, hiking and tennis at 14 city parks Radford Chamber of Commerce, dedicated to economic, civic, commercial, industrial, educational and tourism interests of Radford and the New River Valley with goal of advancing quality of life and prosperity Form 990 Lines 1-10 Contd. New River Valley Economic Development Council whose mission is to market the New River Valley, to foster job creation, to facilitate new investment, and to nurture and improve quality of life in the Valley and Blacksburg Partnership Foundation, a non-profit organization that promotes economic development. In-kind support has been provided to the Southwest Virginia Alliance for Safe Babies, a multidisciplinary working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome SIDS. Form 990 2 Carilion New River Valley Medical Center 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 New River Valley Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs. Form 990 4 Carilion New River Valley Medical Center serves the more than 178,000 residents of the New River Valley in southwestern Virginia between the Blue Ridge and Allegheny Mountains. The New River Valley is a 1,471 square mile region that includes the counties of Giles, Montgomery, Floyd and Pulaski and the city of Radford. The Valley is bordered on the southeast by the Blue Ridge Mountains and on the northwest by West Virginia. Approximately 16 of adults under age 64 and 8 of children who live in the New River Valley are uninsured. Additionally, 17 of residents live below the poverty level and 16 of adults 25 years of age or older did not graduate from high school. 13 of residents are 65 years of age or older. Form 990 5 Carilion New River Valley Medical Center is a modern hospital facility hosting both medical and psychiatric services. The 146-bed facility offers comprehensive healthcare services with more than 25 specialties and 24-hour emergency care facilities including a Level III Trauma Center with medical air transport. Carilion New River Valley Medical Center 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. Form 990 5 Contd, 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 New River Valley Medical Centers Hospitals Emergency Department has specially trained nurses who deliver immediate crisis intervention to victims of sexual assaults and/or abuse. They offer victims a unique, thorough and objective medical and legal examination, comprised of both a physical examination and forensic evidence collection and documentation. Clinical Forensic Nurse Examiners are the link between the judicial system, law enforcement, community resources, and the laboratories that process the evidence. Form 990 5 Contd. Carilion New River Valley Medical Center provides ongoing support of the local EMS crews through replenishment of medications used for patient care or product with an expired use by date. Carilion New River Valley Medical Center provided financial support to the American Cancer Society and American Heart Association for programs to further education and research. A financial contribution was also provided to the Warm Hearth Village Foundation for their capital campaign to add a wellness center that promotes active aging. Form 990 5 Contd. Additionally, Carilion New River Valley Medical Center provided grant funding to the Free Clinic of the New River Valley for staffing and supplies of the dental program that serves uninsured, low-income residents. Carilion New River Valley Medical Centers Medication Assistance Program assists uninsured clients obtain medications necessary for disease management and therapeutic outcomes and enrolls eligible individuals into state and federal insurance programs. With many area businesses experiencing layoffs due to the sluggish economy, the Medication Assistance Program partnered with local social services representatives to meet with eligible individuals and provide them with materials on medication assistance. Form 990 5 Contd. During fiscal year 2011, Carilion New River Valley Medical Center invested more than 119,000 to assist 678 individuals obtain needed prescription medication. Additionally, 91 patients received free prescription medication through an emergency medication relief fund. Carilion New River Valley Medical Center promotes educating the public about health risks and steps that can be taken to improve health. 31,744 people received health education information provided during 187 events that included screenings, presentations and health fairs during fiscal year 2011. 31,744 people received health education information provided during 187 events that included screenings, presentations and health fairs during fiscal year 2011. Form 990 5 Contd. Regularly scheduled health screenings such as blood pressure, blood glucose and cholesterol are offered at various locations throughout the year. In addition, Red Hot Mommas features speakers focusing on womens health issues. The national SafeKids program is coordinated by Carilion New River Valley Medical Center with education on injury prevention for children. Car seat education and regularly scheduled car seat safety checks are provided. Additionally, an annual child health and safety day is offered and more than 350 people attended the 2011 event. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid. Form 990 6 Carilion New River Valley Medical Center is wholly owned by 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 XI 5 Other adjustments- unrealized loss on investments 7,552,513, transfer to Carilion Clinic for effect of pension-related changes 4,147,383 and transfer to affliate of 1,400,000 for total of 13,099,896. Form 990 Part III 4a Carilion New River Valley Medical Center exists to serve the health care needs of its community, regardless of patient ability to pay. New River admitted 7,837 patients and provided 30,420 days of care during the year New River also delivered 1,148 babies. Hospital programs include provision of nursing care extensive outpatient and inpatient surgical and endoscopic services comprehensive cardiac treatment, diagnostic, and rehab solutions and diagnostic imaging services including CT, MRI, and mammography. Form 990 Part III 4a Contd. With almost 23 of its inpatient admissions representing psychiatric admissions, and a significant outpatient presence in behavioral medicine, New River plays a critical role in providing mental health services for the region. New River is a Level III trauma center, and provides a home base for Lifeguard 11, the emergency medical air transport that serves the surrounding area. New River provides a number of inpatient and outpatient services targeting the specific health needs of its population, including diabetes management home health and hospice physical, speech, and occupational therapy programs and cardiac and respiratory rehab. Form 990 Part III 4a Contd. New River also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 32,003 visits, New Rivers emergency services are a critical component of the health safety net in its service area, acting as the primary health provider for a significant number of uninsured patients, who comprise 19 percent of ED visits. New River supports community screenings and education on chronic disease prevention and management sponsoring 187 events touching more than 31,000 people. New River also champions and supports a Medication Assistance Program in partnership with community-based social services. In furtherance of its mission, New River provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year of 11.7 million. Form 990 Part VI Section A Line 2 Todd Murray and Jeffery Reed - business relationship. 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 New River Valley Medical Center provided financial support to the City of Radford Recreation Department, an extensive program with a variety of indoor activities, such as racquetball and basketball at several city facilities and outdoor activities such as swimming, hiking and tennis at 14 city parks Radford Chamber of Commerce, dedicated to economic, civic, commercial, industrial, educational and tourism interests of Radford and the New River Valley with goal of advancing quality of life and prosperity Form 990 Section Schedule H, Part II Line Lines 1-10 Contd. New River Valley Economic Development Council whose mission is to market the New River Valley, to foster job creation, to facilitate new investment, and to nurture and improve quality of life in the Valley and Blacksburg Partnership Foundation, a non-profit organization that promotes economic development. In-kind support has been provided to the Southwest Virginia Alliance for Safe Babies, a multidisciplinary working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome SIDS. Form 990 Section Schedule H, Part VI Line 2 Carilion New River Valley Medical Center 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 New River Valley Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs. Form 990 Section Schedule H, Part VI Line 4 Carilion New River Valley Medical Center serves the more than 178,000 residents of the New River Valley in southwestern Virginia between the Blue Ridge and Allegheny Mountains. The New River Valley is a 1,471 square mile region that includes the counties of Giles, Montgomery, Floyd and Pulaski and the city of Radford. The Valley is bordered on the southeast by the Blue Ridge Mountains and on the northwest by West Virginia. Approximately 16 of adults under age 64 and 8 of children who live in the New River Valley are uninsured. Additionally, 17 of residents live below the poverty level and 16 of adults 25 years of age or older did not graduate from high school. 13 of residents are 65 years of age or older. Form 990 Section Schedule H, Part VI Line 5 Carilion New River Valley Medical Center is a modern hospital facility hosting both medical and psychiatric services. The 146-bed facility offers comprehensive healthcare services with more than 25 specialties and 24-hour emergency care facilities including a Level III Trauma Center with medical air transport. Carilion New River Valley Medical Center 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. Form 990 Section Schedule H, Part VI Line 5 Contd, 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 New River Valley Medical Centers Hospitals Emergency Department has specially trained nurses who deliver immediate crisis intervention to victims of sexual assaults and/or abuse. They offer vic 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 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 New River Valley Surgery Center LLC 2901 Lamb Circle Christiansburg VA 24073 800091329 Ambulatory Surgery VA Carilion New River Valley Medical Center Related 193379 1624306 false false 0.52869 false true false true true false false false true true true true false false false false true false