2011-08-15T15:07:53-00:00 2010-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37027 990 2009-10-01 541190879 Carilion Services Inc CARI 5402245112 PO Box 12385 Roanoke VA 240252385 Donald Lorton 2011-08-15 true Francis Bedard 6152591811 2011-08-15 2009 2016-02-24 21:20:13Z Edward Murphy MD PO Box 12385 Roanoke VA 24025 186455145 false X www.carilion.com X 1982 VA See Schedule O 2 0 1534 8111363 -1587685 747 3500 170271939 180238338 885083 880929 -6111673 4884522 165046096 186007289 0 0 102324468 104647492 0 0 74463019 80897570 176787487 185545062 -11741391 462227 471803600 475930223 85590379 86179346 386213221 389750877 See Schedule O false false 179090895 172917153 See Schedule O 179090895 true false false true false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false true 687 0 true 1534 true true true true CA CJ EI UK false false false false false false false 2 0 false false 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 240111331 Edward Murphy MD 040.00 X X 1328088 0 805186 Donald Lorton 040.00 X X 545546 0 565924 Briggs Andrews 040.00 X 336244 0 250796 Nancy Agee 040.00 X 486454 0 568551 Martha Boggs 040.00 X 187194 0 85545 Rayburn Thompson 040.00 X 439191 0 183089 Hugh Thornhill 040.00 X 439246 0 334562 Mark Werner MD 040.00 X 523991 0 168459 Cynda Johnson 040.00 X 354036 0 79347 Daniel Barchi 040.00 X 301635 0 70542 Brent Lambert 040.00 X 276860 0 97908 Florence Workman 040.00 X 272496 0 28162 Melina Perdue 040.00 X 265630 0 154608 5756611 3392679 55 false true false Skanska US Building Inc PO Box 17167 WinstonSalem NC 271167167 Construction contractor 31423367 Air Methods Corporation PO Box 676592 Dallas TX 752676592 Medical helicopter services 4064150 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Software maintenance and consulting 3686508 Deloitte Consulting LLP 285 Peachtree Center Ave Atlanta GA 303031234 Consulting services 4943154 Oracle America 500 Oracle Parkway Redwood Shores CA 94065 Software Maintenance 1311479 72 3500 3500 Unrelated Business Income 561000 7453363 7453363 Management Fees 900099 144536186 144536186 Net Patient Revenues 900099 9548306 9548306 Carilion Patient Transportation Services 900099 17533310 17533310 Program-Related Investments 900099 1167173 1167173 180238338 825435 825435 3769683 3769683 3769683 3769683 499342 443848 55494 55494 55494 8687 4008 4679 4679 Other Revenue 900099 955054 658000 297054 Miscellaneous 900099 22928 22928 Purchase Discounts 900099 132178 132178 1110160 186007289 172917153 8111363 4975273 0 0 0 0 3929825 3929825 0 75610332 72608977 3001355 4994530 4994530 14493848 13732750 761098 5618957 5618683 274 142145 142145 581994 581994 561962 561962 54488 54488 2983 2983 26055537 26018360 37177 1960324 1960324 9274096 9151168 122928 9117358 9117358 0 4622038 4610188 11850 745138 692064 53074 0 0 -109950 -109950 0 21833196 21833196 1837940 1020814 817126 Bad Debt 504765 504765 Education 1402492 1396489 6003 Recruitment 645925 645522 403 Dues Subscriptions 446065 309001 137064 Business Fees 635920 570478 65442 583154 431865 151289 185545062 179090895 6454167 0 5189 5163 160572049 173224026 7591635 10934756 12358007 17151963 3508167 3599134 19787332 15072283 218709622 135306704 125173654 83402918 87594799 459970 54835768 170932985 377000 1147025 471803600 475930223 49780222 84303638 29139 6096051 1875708 29684967 85590379 86179346 X 386213221 389750877 386213221 389750877 471803600 475930223 X false true true X X X X false false false Bedford Memorial Hospital 540566100 3 false true true 0 Carilion Franklin Memorial Hospital 540480606 3 false true true 0 Carilion Giles Community Hospital 540549603 3 false true true 2500000 Carilion Medical Center 540506332 3 true true true 0 Carilion New River Valley Medical Center 540553805 3 false true true 0 Carilion Stonewall Jackson Hospital 540568001 3 false true true 480000 Carilion Tazewell Community Hospital 546074580 3 false true true 0 7 2980000 0.00000 0.00000 0.00000 false false false false false false true 54488 false false 54488 false II-B 1g Payments to a Carilion employee for lobbying activities related to the healthcare industry. false 5330097 5330097 24922714 10281630 14641084 89627 73211 16416 185932330 124576826 61355504 2434854 375037 2059817 83402918 170932985 F 170932985 X X true true X X X X X false true false false false false false true false Edward Murphy MD 890000 344825 93263 717538 87648 2133274 219561 Donald Lorton 436800 49620 59126 548892 17032 1111470 55087 Briggs Andrews 301600 34262 382 239565 11231 587040 Nancy Agee 436800 49620 34 547184 21367 1055005 Martha Boggs 128530 22146 36518 77993 7552 272739 36101 Rayburn Thompson 350530 39820 48841 162120 20969 622280 49804 Hugh Thornhill 274482 168422 -3658 312530 22032 773808 Mark Werner MD 436800 49620 37571 150140 18319 692450 35901 Cynda Johnson 274139 70380 9517 69605 9742 433383 Daniel Barchi 260597 29603 11435 54680 15862 372177 Brent Lambert 250880 28500 -2520 82161 15747 374768 Florence Workman 232979 41760 -2243 24693 3469 300658 Melina Perdue 240000 27360 -1730 143483 11125 420238 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 - 360,623, Nancy Agee - 299,742, Briggs Andrews - 82,342, Donald Lorton - 308,492, Rayburn Thompson - 85,182, Hugh Thornhill - 73,678, Mark Werner MD - 50,706, Martha Boggs - 20,948. Form 990 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 III I 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. Form 990 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 46,886 patients and providing 215,238 days of care during the year, and supporting numerous programs designed to serve the health needs of the area. Form 990 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 82.5 million. Form 990 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 A 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 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 VI 11 The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors prior to filing and Board members were encouraged to call with any questions they might have. Form 990 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 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 VI 15a and b 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, the Chief Medical Officer and the Chief Operating Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of the Senior Vice President for Human Resources and the Senior Vice President and General Counsel. This review was performed in October 2008. A similar review was last performed in October 2009. Form 990 VI 15a and b 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 VI 15a and b 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 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 XI 2 The organizations financial statements were audited on a consolidated basis as part of Carilion Clinic. Carilion Clinic Medicare Resources LLC PO Box 12385 Roanoke VA 24025 263729975 Medicare HMO VA N/A Carilion Clinic Patient Transportation Services LLC PO Box 12385 Roanoke VA 24025 541864693 Transportation VA 17598259 8300327 N/A Carilion Professional Services LLC PO Box 12385 Roanoke VA 24025 542030773 CRNAs VA 9530256 146294 N/A Blue Ridge Indeminity Company LLC 76 St Paul Street Suite 500 Burlington VT 05401 270927175 Insurance VT 10493572 29537244 N/A Hugh Trout Memorial Foundation PO Box 12385 Roanoke VA 24025 510236357 Supporting organization VA 501c3 3 N/A Carilion Clinic PO Box 12385 Roanoke VA 24025 541190771 Supporting organization VA 501c3 11 Type I N/A Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Supporting organization VA 501c3 11 Type I N/A Carilion Franklin Memorial Hospital PO Box 12385 Roanoke VA 24025 540480606 Healthcare VA 501c3 3 N/A Carilion Giles Community Hospital PO Box 12385 Roanoke VA 24025 540549603 Healthcare VA 501c3 3 N/A Carilion Medical Center PO Box 12385 Roanoke VA 24025 540506332 Healthcare VA 501c3 3 N/A Carilion New River Valley Medical Center PO Box 12385 Roanoke VA 24025 540553805 Healthcare VA 501c3 3 N/A Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501c3 3 N/A Carilion Tazewell Community Hospital PO Box 12385 Roanoke VA 24025 546074580 Healthcare VA 501c3 3 N/A Carilion Labs LLC PO Box 12385 Roanoke VA 24025 203159634 Lab services VA Cariloin Reference Laboratory Corporation Related -4209052 false false CHS Inc and Subsidiaries PO Box 12385 Roanoke VA 24025 541725732 Services VA N/A C Corp 168345023 247459677 1.00000 CHI Solutions Inc PO Box 12385 Roanoke VA 24025 870643589 Laboratory Mgmt. 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