2011-08-15T14:14:04-00:00 2010-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37027 990 2009-10-01 540549603 Carilion Giles Community Hospital CARI 5402245112 PO Box 12385 Roanoke VA 240252385 Donald Lorton 5402245112 2011-08-15 true Francis Bedard 6152591811 2011-08-15 2009 2016-02-24 21:20:13Z James Tyler PO Box 12385 Roanoke VA 24025 21243054 false X www.carilion.com X 1954 VA See Schedule O 14 11 258 42 0 275852 492142 23919262 22725982 -2404196 -2511571 201505 216881 21992423 20923434 0 0 10596283 10414010 0 0 16029501 14412917 26625784 24826927 -4633361 -3903493 43262360 42715332 52810341 53900563 -9547981 -11185231 See Schedule O. false false 21711413 22725982 See Schedule O 21711413 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 258 true false true CA CJ EI UK false false false false false false false 14 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 240111331 Gary Eaton 002.00 X 0 0 0 John Givens 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 John Tamminen MD 040.00 X 0 521924 78044 Robert Devereaux MD 040.00 X 0 261687 81206 Andrew Wagner 002.00 X 0 0 0 Winston Faust 002.00 X 0 0 0 Melanie Perdue 040.00 X 0 265630 154608 Richard Jennell 002.00 X X 0 0 0 Chris McKlarney 002.00 X 0 0 0 James Tyler 040.00 X 192425 0 49849 Donald Lorton 040.00 X 0 545546 565924 Rachel Mabe 040.00 X 0 68552 28346 Amy Westmoreland 040.00 X 134065 0 45298 Leland Lacy 040.00 X 117986 0 38230 444476 1663339 1041505 2 false true false Skanska USA Building Inc PO Box 17167 WinstonSalem NC 271167167 Construction contractor 14764294 Network Imaging Systems Inc 9604 Taylorford Place Charlotte NC 28277 Equipment maintenance 126513 Five Star Fab & Fixture 2161 Salem Industrial Drive Salem VA 24153 Construction contractor 430204 Architectural Alternatives 200 Professional Park Drive Blacksburg VA 240606679 Architecture services 150590 Ambassador Enterprises Inc 1231 Colonial Fort Drive Montvale VA 24122 Syystems maintenance/contractor 146100 5 5711 141132 345299 492142 Net Patient Service Revenues 900099 22725982 22725982 22725982 -2542091 -2542091 60 60 118107 118107 118107 118107 350080 319620 30460 30460 30460 Cafeteria 900099 47442 47442 Miscellaneous 900099 26944 26944 24388 24388 98774 20923434 22725982 -2294690 0 0 0 0 192565 192565 0 8219529 8045069 174460 324999 324999 1054485 1010514 43971 622432 622432 2470631 2470631 0 0 3752 3752 1987 1987 2498543 2335748 162795 3757 1605 2152 2118202 2052600 65602 86399 86399 0 368331 368331 72584 51547 21037 0 0 1234912 1234912 0 1488739 1488739 277640 165339 112301 Bad Debt 2155690 2155690 I/C Practice Subsidy 1469331 1469331 Donations 41891 36694 5197 Dues Subscriptions 64258 17958 46300 Education 19857 14818 5039 36413 32371 4042 24826927 21711413 3115514 0 940 940 10295000 30222 3111076 3138996 29995 81625 92294 48133784 11821972 28007132 36311812 572670 83524 941428 1738094 222494 1319450 43262360 42715332 5261017 3408524 1669202 2234355 38390681 38138728 7489441 10118956 52810341 53900563 X -9609925 -11253759 61944 68528 -9547981 -11185231 43262360 42715332 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 3752 3752 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 1720065 1720065 27094944 568580 26526364 18377443 11151744 7225699 941332 101648 839684 36311812 Qualified Pension Liability 4329832 2005 Fixed Payor Swap Unreal L 700020 2008 Swap Unrealized Losses 5089104 10118956 true true X true X true X true true false true true 1484656 1484656 0.06550 884608 675378 209230 0.00920 2369264 675378 1693886 0.07470 34 2467 241509 6650 234859 0.01040 1 3 1500 1500 0.00010 4 55 22640 22640 0.00100 39 2525 265649 6650 258999 0.01150 39 2525 2634913 682028 1952885 0.08620 1 1000 1000 1 1000 1000 false 959140 398472 10385232 10280544 104688 X true true Carilion Giles Community Hospital

159 Hartley Way Pearisburg VA 24134

X X X X Adult Day Services

701 Wenonah Ave Pearisburg VA 24134

Adult day care 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 2,155,690. 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. N/A 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 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 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 23 of adults under age 64 and 12 of children who live in the County are uninsured. Additionally, 12 of residents live below the poverty level and 23 did not graduate from high school. Carilion Giles Community Hospital is a 25 bed critical access hospital. A comprehensive replacement facility opened in May 2010 and offers one third more space for clinical services such as lab, imaging and emergency department exam rooms. Carilion Giles Community Hospital support educational opportunities for local children including scholarships for three graduating high school students annually. Carilion Giles Community Hospital also provides financial support of the After Prom Party to encourage a safe environment for high school students. Financial support was provided for the purchase of an Automated External Defibrillator AED for the Giles Health and Family Center. In-kind support was provided to FREE Foundation for Rehabilitation Equipment and Endowment and the United Fund of Giles County. Financial support of NRV CARES was provided for the Parenting Young Children Program that addresses child abuse prevention and family strengthening through education, advocacy, and community partnerships. 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. 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. 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 2010 Oct 2009 - Sept 2010, GMAP served 726 patients and filled 5,247 prescriptions. The average cost per prescription was 447.82 and the total value requested AWP was 2,349,712.91. The program also receives donations from the United Fund of Giles County, United Way of Roanoke Valley, and RxRelief Virginia. Carilion Giles Community Hospital also provides operational support of the Giles Free Clinic operating as the lead agency for grant funding with Carilion Clinic providing physical space. As part of its mission to educate the public about health risks and steps that can be taken to improve health, in 2010 Carilion Giles Community Hospital offered more than 26 health screenings to more than 1,000 people in the community. Carilion Giles Community Hospital Center is a wholly owned hospital of 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 John Tamminen MD 432146 94096 -4318 50767 27277 599968 Robert Devereaux MD 158714 106600 -3627 59041 22165 342893 Melanie Perdue 240000 27360 -1730 143483 11125 420238 James Tyler 173985 19765 -1325 40967 8882 242274 Donald Lorton 436800 49620 59126 548892 17032 1111470 55087 Amy Westmoreland 123249 1000 9816 34373 10925 179363 Leland Lacy 109990 7996 29099 9131 156216 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 Supplemental nonqualified retirement plan participant- Donald Lorton 308,492. Industrial Development Authority of the City of Roanoke VA 541106038 770084EQ0 2005-12-12 6395000 Capital projects, current refunding of Series B-E bonds Costs of issunace, bond insurance false false VA Small Business Financing Authority 541300845 928101AD6 2008-07-09 31000000 Capital projects Cost of issuance false false 6395206 131582 true false true true 31612422 173600 31612222 2010 false false true true false false false false false true true true true UBS and Citigroup 0000000027.000000000000 true AIG 0000000000.300000000000 true false true true true true UBS and Citigroup 0000000033.000000000000 false false true Form 990 I 1 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. Form 990 III 1 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. 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 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 1,100 patients and provided 5,230 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. Form 990 III 4a contd Giles also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 12,224 visits, Giless 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 19 percent of ED visits. Giles supports community screenings and education on chronic disease prevention and management, sponsoring 34 events touching nearly 2,500 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 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 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 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 false true false false false false false true