2011-08-15T14:25:56-00:00 2010-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37027 990 2009-10-01 540553805 Carilion New River Valley Medical Center CARI 5402245112 PO Box 12385 Roanoke VA 24025 Donald Lorton 2011-08-15 true Francis Bedard 6152591811 2011-08-15 2009 2016-02-24 21:20:13Z Don Halliwill PO Box 12385 Roanoke VA 24025 166426255 false X www.carilion.com X 1941 VA See Schedule O 19 14 1174 101 0 126909 213284 136418347 133041096 -11785870 818392 1697283 1983311 126456669 136056083 0 0 51440424 48232209 0 0 86038144 81123769 137478568 129355978 -11021899 6700105 181709884 179764362 98275138 101827386 83434746 77936976 See Schedule O. false false 110714877 134041565 See Schedule O. 110714877 true true false true false false false false false true false true false false false false false false false false true false false true true false false false false false false false false false false false false false false false true false false false true 0 0 true 1174 true false true CA CJ EI UK false false false false false false false 19 14 false 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 PO Box 12385 Roanoke VA 240252385 Carolyn Brown 002.00 X 0 0 0 Charles Bissell MD 040.00 X 0 456436 72951 Howard Conduff 002.00 X 0 0 0 Ted Puckett MD 002.00 X 0 0 0 William Hendricks MD 040.00 X 0 206692 113930 Lester Lamb 002.00 X 0 0 0 Margaret Stone 002.00 X 0 0 0 Todd Murray 002.00 X 0 0 0 Raymond Smoot Jr PhD 002.00 X 0 0 0 Barbara Turk 002.00 X 0 0 0 Melissa Rotenberry 002.00 X 0 0 0 James Williams OD 002.00 X 0 0 0 Tom Starnes 002.00 X 0 0 0 David Roberts MD 002.00 X 0 0 0 Fred Newhouse Jr 002.00 X 0 0 0 Joseph Sheffey 002.00 X X 0 0 0 Don Halliwill 040.00 X X 238576 0 63838 Stephanie Shortt 002.00 X X 0 0 0 Donald Lorton 040.00 X 0 545546 565924 Rachel Mabe 040.00 X 0 68552 28346 Uzair Wyne MD 002.00 X 0 0 0 Dennis Means 040.00 X 301343 0 63606 Ralph Brown 040.00 X 277448 0 59411 Dale Bryant 040.00 X 155802 0 71565 Charlotte Ramsey 040.00 X 155354 0 33226 Stephen Ingram 040.00 X 152043 0 87844 1280566 1277226 1160641 16 false true false Anesthesiology Associates of Radford PO Box 3605 Radford VA 24143 Anesthesiology services 2405368 J M Turner & Co Inc 130 Church Ave Roanoke VA 24011 Construction contractor 967425 G J Hopkins Inc 714 5th St NE Roanoke VA 24016 Construction contractor 1328910 Siemens Medical Solutions 51 Valley Stream Pkwy Malvern PA 19355 Equipment and software maintenance 724985 Foodservice Partners of VA 2823 Franklin Road Bldg B Roanoke VA 24014 Food service 471072 17 39603 64651 109030 213284 Net Patient Revenues 900099 132975992 132975992 Program-Related Investments 900099 65104 65104 133041096 -3034671 -3034671 4637 4637 609349 609349 609349 609349 34213103 5495 30370172 3842931 5495 3848426 3848426 Miscellaneous 900099 689528 689528 Cafeteria 900099 373493 373493 Court cost recovery 900099 33419 33419 277522 277522 1373962 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14341 14341 false II-B 1i Portion of dues paid to American Hospital Assn., Virginia Hospital and Healthcare Assn. and other healthcare related organizations spent on lobbying. false 1507465 1507465 78862404 28652117 50210287 247117 142576 104541 55241215 46585560 8655655 2740057 644845 2095212 62573160 39950355 F 39950355 Qualified Pension Liability 6839124 2005 Fixed Payor Swap Unrealized 6804196 2008 Fixed Swap Unrealized Losses 3219235 16862555 true true X true X true X true true true false true true 7267984 7267984 0.05870 10027159 7555327 2471832 0.02000 17295143 7555327 9739816 0.07870 143 16782 353652 20715 332937 0.00270 1 436 17623 17623 0.00010 3 792 71459 71459 0.00060 147 18010 442734 20715 422019 0.00340 147 18010 17737877 7576042 10161835 0.08210 1 25 287 287 1 200 874 874 2 225 1161 1161 false 2828121 2022420 31069841 36683181 -5613340 X true true New River Valley Surgery Center LLC Ambulatory surgery 0.50000 0.50000 Carilion New River Valley Medical Center

2900 Lamb Circle Christiansburg VA 24073

X X X Carilion New River Valley Medical Center

2900 Lamb Circle Christiansburg VA 24073

Psychiatric Unit Carilion New River Valley Medical Center Rehabilitation

118 Broad Street Dublin VA 24084

Outpatient Therapy PT and OT Carilion New River Valley Medical Center Sleep Lab

701 Randolph Street Suite 240 Radford VA 24141

Sleep lab Carilion New River Valley Medical Center Home Health & Hospice

707 Randolph Street Suite 251 Radford VA 24141

Home Health Hospice New River Valley Surgery Center LLC

2901 Lamb Circle Christiansburg VA 24073

Ambulatory Surgery N/A Carilion Clinic, the sole member of the Hospital, includes the community benefit report for the Hospital in a system-wide annual report. Ratio of cost-to-charges was used to calculate the expense. N/A Bad debt expense subtracted from total expenses for the calculation is 7,423,874. 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. 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. 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. Patient account balances are reduced by discounts allowed and payments. Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. The Hospital does not consider a Medicare shortfall as a community benefit 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. 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. 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. 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. 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 community health needs assessment is scheduled for completion in compliance with recent guidelines related to quantifying community benefit. 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. Carilion New River Valley Medical Center serves the more than 175,000 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 22 of adults under age 64 and 11 of children who live in the New River Valley are uninsured. Additionally, 17 of residents live below the poverty level. 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 provided an opportunity for more than 200 children to learn about healthcare careers through Caring Careers, an educational program for school aged children provided onsite at local schools and community centers. 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 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. 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. 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. Additionally, Carilion New River Valley Medical Center provided grant funding of 63,000 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. During fiscal year 2010, Carilion New River Valley Medical Center invested more than 104,000 to assist 556 individuals obtain needed prescription medication. Additionally, 114 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. Almost 17,000 people received health education information provided during 143 events that included screenings, presentations and health fairs during fiscal year 2010. 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. Every Saturday morning, Carilion New River Valley Medical Center provides local experts in health and safety who participate in Were Talkin Health a talk radio program. The hospitals womens health navigator and community health educator take suggestions on topics and answer questions. Past shows are available online through the hospitals website. 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 450 people attended the 2010 event. 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 hospitals, outpatient specialty centers and advanced primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient first, Carilion is committed to improving health outcomes for every patient while advancing the quality of care through medical education and research. 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. Additional improvements in medical programs and services include a new nationally certified Stroke Alert protocol that speeds lifesaving care to stroke patients the introduction of hypothermia therapy to southwest Virginia for the treatment of cardiac arrest patients 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 the introduction of MyChart, an online tool that gives patients secure access to their health information. 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, Virginia Tech and Carilion Clinic recently opened the Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. The School welcomed an inaugural class of 42 students in August 2010. The Research Institute opened in September 2010 with a mission to advance the health of the nation and the world by making major scientific advances in understanding human health and developing new diagnostics, treatments and cures for disorders that limit the quality of life and the realization of full human potential. This is done through biomedical and behavioral research. 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 625 million in 2010. X X true true X X X X X false true false false false false false true false Charles Bissell MD 338542 120942 -3048 57331 15620 529387 William Hendricks MD 173175 33675 -158 95978 17952 320622 Don Halliwill 220387 25036 -6847 48938 14900 302414 Donald Lorton 436800 49620 59126 548892 17032 1111470 55087 Dennis Means 274482 31341 -4480 48884 14722 364949 Ralph Brown 225098 55608 -3258 44635 14776 336859 Dale Bryant 122023 24458 9321 58031 13534 227367 Charlotte Ramsey 155119 1821 -1586 23769 9457 188580 Stephen Ingram 104842 47201 78631 9213 239887 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 4a Stepham Ingram - 30,093 Severance Payment I 4b Donald Lorton - 308,492 Industrial Development Authority of the City of Roanoke VA 541106038 770084ES6 2005-12-12 65880000 Capital projects, Current Refunding of Series 2002 B-E bonds Costs of issuance, bond insurance false false VA Small Business Financing Authority 541300845 928101AD6 2008-07-09 20000000 Capital projects, Costs of issuance false false 65882123 1355524 true false true true 19997075 112000 19997075 2008 false false true true false false false false false true true true true UBS & Citigroup 0000000027.000000000000 true AIG 0000000000.300000000000 true false true true true true UBS & Citigroup 0000000033.000000000000 false false true 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 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 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 several days 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 This organizations CEO is an employee of Carilion Services, Inc. The CEOs compensation is determined by the Human Resources Department of Carilion Clinic based on the job description, experience of the individual and the results of comparisons to 6 to 8 nationwide third party surveys of compensation. The Board of Directors of the organization and the Board of Directors of Carilion Clinic have to approve the appointment of the CEO. 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. Form 990 I 1 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. Form 990 III 1 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. Form 990 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 7,146 patients and provided 28,010 days of care during the year New River also delivered 1,010 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. With 22 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. Form 990 III 4a contd 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. New River also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 32,427 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 142 events touching more than 16,200 people. In furtherance of its mission, New River provides extensive uncompensated care. Form 990 III 4a contd Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded 11.7 million. Form 990 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. 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 Services Inc PO Box 12385 Roanoke VA 24025 541190879 Supporting Organization VA 501c3 11 Type I 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 Hugh Trout Memorial Foundation PO Box 12385 Roanoke VA 24025 510236357 Supporting Organization VA 501c3 11 Type I N/A false true false false false false false false false false true true false false false false true false