CARILION NEW RIVER VALLEY MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CARILION NEW RIVER VALLEY MEDICAL CENTER (EIN 54-0553805)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-16
- IRS object ID
- 201802289349301175
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-16T16:51:20-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WALNUT ST SUITE 1700 | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540553805 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carilion New River Valley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARI | BusinessNameControlTxt |
| Phone | 5402245112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12385 | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 240252385 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | G Robert Vaughan Jr | PersonNm |
| Person Title | Assistant Treasurer | PersonTitleTxt |
| Phone | 5402245137 | PhoneNum |
| Signature | 2018-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | William J Flattery | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12385 | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 240252385 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $482,903,445 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carilionclinic.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Our mission is to improve the health of the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1381 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $375,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $186,899 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $207,396,920 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $210,993,556 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,222,946 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,587,175 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,468,970 | PYOtherRevenueAmt |
| CY Other Revenue | $2,276,639 | CYOtherRevenueAmt |
| PY Total Revenue | $213,464,704 | PYTotalRevenueAmt |
| CY Total Revenue | $225,044,269 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $416,598 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $512,155 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,613,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,608,175 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,684,586 | PYOtherExpensesAmt |
| CY Other Expenses | $124,631,401 | CYOtherExpensesAmt |
| PY Total Expenses | $181,715,019 | PYTotalExpensesAmt |
| CY Total Expenses | $194,751,731 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,749,685 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $30,292,538 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $297,025,997 | TotalAssetsBOYAmt |
| Total Assets EOY | $317,688,720 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $114,341,559 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $100,078,622 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $182,684,438 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $217,610,098 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to improve the health of the communities we serve through our commitment to a common purpose of better patient care, better community health, and lower cost. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $167,607,797 | ExpenseAmt |
| Grant | $512,155 | GrantAmt |
| Revenue | $211,582,123 | RevenueAmt |
| Desc | See Schedule O.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.The medical center is a modern hospital facility with diagnostic and medical care, a Level III Trauma emergency department, two heliports, and Carilion Clinic Saint Albans Hospital for psychiatry and behavioral medicine.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 8,099 patients and provided 32,406 days of care during the year; New River also delivered 1,091 babies. Hospital programs include provision of nursing care; extensive outpatient and inpatient surgical and endoscopic services; comprehensive cardiac treatment, diagnostic, therapeutic and rehab solutions; and diagnostic imaging services including CT, MRI, mammography, x-ray and ultrasound.With almost 21.78% 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, occupational and pediatric 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 30,471 visits, New River's 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 17% percent of ED visits. New River supports community screenings and education on chronic disease prevention and management; sponsoring 1,072 events touching more than 4,116 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 and unreimbursed Medicaid costs for the year exceed $13 million. | Desc |
| Total Program Service Expenses | $167,607,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1381 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Corporation Attn H Kirk | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5402245102 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 S Jefferson St | AddressLine1Txt |
| City | Roanoke | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24011 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Nathaniel L Bishop D Min | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $397,994 | $183,967 | ||||
| Charles D Bissell MD | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $622,074 | $112,297 | ||||
| Tamera L Howell MD | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $371,785 | $114,885 | ||||
| Frederic A Rawlins II DO | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| Mark B Rogers DO | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $299 | $0 | |||||
| Joseph P Scartelli PhD | ||||||||||
| Director | 1.20 | 2.40 | Yes (X) | $0 | $9,200 | $0 | ||||
| Joseph L Sheffey | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $199 | $0 | |||||
| Thomas L Starnes | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| Cristina Trout NP | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $4,160 | $147,197 | $136,983 | ||||
| Barbara Cook Turk | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $199 | $0 | |||||
| Carolyn B Brown | ||||||||||
| Director/Chair | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| William J Flattery | ||||||||||
| Director/Sec/Treas/Hosp. VP | 45.00 | 5.00 | Yes (X) | $280,860 | $0 | $96,102 | Yes (X) | |||
| Lawrence Hincker | ||||||||||
| Director/Vice Chair | 1.20 | Yes (X) | $0 | $200 | $0 | Yes (X) | ||||
| Donald B Halliwill | ||||||||||
| Assistant Treasurer | 0.30 | 49.70 | $0 | $575,607 | $209,478 | Yes (X) | ||||
| Lauren J Schantz | ||||||||||
| Assistant Secretary | 1.00 | 49.00 | $0 | $73,461 | $19,376 | Yes (X) | ||||
| G Robert Vaughan Jr | ||||||||||
| Assistant Treasurer | 0.30 | 49.70 | $0 | $356,998 | $182,289 | Yes (X) | ||||
| Nancy Howell Agee | ||||||||||
| CEO | 2.00 | 48.00 | $0 | $1,793,622 | $2,375,890 | Yes (X) | ||||
| Melina D Perdue | ||||||||||
| EVP | 2.00 | 48.00 | $0 | $1,907,232 | $268,067 | Yes (X) | ||||
| Ralph Brown MD | ||||||||||
| Physician | 50.00 | $284,634 | $0 | $114,754 | Yes (X) | |||||
| Dale S Bryant | ||||||||||
| Pharmacist | 50.00 | $154,216 | $0 | $124,545 | Yes (X) | |||||
| Donna Shelor | ||||||||||
| Pharmacist | 50.00 | $152,545 | $0 | $66,993 | Yes (X) | |||||
| Shannon R Showalter | ||||||||||
| Physical Therapist | 50.00 | $154,499 | $0 | $22,838 | Yes (X) | |||||
| Beth Wallace | ||||||||||
| Pharmacist | 50.00 | $144,251 | $0 | $98,135 | Yes (X) | |||||
| Leslie E Badillo MD | ||||||||||
| Former Officer | 0.00 | 50.00 | $0 | $274,098 | $199,326 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,175,165 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,530,165 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,325,925 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Solstas Lab Partners Group LLC | |||||
| PO Box 751337 | Charlotte | NC | 282751337 | Laboratory Services | $6,328,497 |
| Anesthesiology Associates of Radford | |||||
| PO Box 3605 | Radford | VA | 24143 | Anesthesiology Services | $3,908,329 |
| Turner Long Construction Inc | |||||
| 1807 Murry Road Suite G | Roanoke | VA | 24018 | Construction Services | $3,397,020 |
| Siemens Medical | |||||
| 51 Valley Stream Parkway | Malvern | PA | 19355 | Equipment Maintenance Contracts | $1,917,879 |
| F & S Building Innovations Inc | |||||
| 2944 Orange Ave NE | Roanoke | VA | 24012 | Construction Services | $640,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $813 | FederatedCampaignsAmt |
| Related Organizations | $13,548 | RelatedOrganizationsAmt |
| Government Grants | $133,876 | GovernmentGrantsAmt |
| All Other Contributions | $38,662 | AllOtherContributionsAmt |
| Total Contributions | $186,899 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient Revenues | 622110 | $210,953,381 | $210,953,381 |
| Rent from Exempt Affiliates | 531120 | $82,332 | $82,332 |
| Loss on Program Investments | 900099 | -$42,157 | -$42,157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $210,993,556 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,732,243 | TotalRevenueColumnAmt |
| Exclusion | $1,732,243 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,027,057 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,027,057 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,027,057 | TotalRevenueColumnAmt |
| Exclusion | $1,027,057 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $267,714,108 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $257,859,176 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,854,932 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,854,932 | TotalRevenueColumnAmt |
| Exclusion | $9,854,932 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722514 | $661,015 | $661,015 | |
| Gift Shop | 900099 | $302,298 | $302,298 | |
| Visiting Student Affairs | 900099 | $82,000 | $82,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,269 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,249,582 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $225,044,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,582,123 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,275,247 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $512,155 | TotalAmt |
| Program Services | $512,155 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,620 | TotalAmt |
| Management And General | $351,620 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,606 | TotalAmt |
| Program Services | $206,606 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,196,088 | TotalAmt |
| Program Services | $53,126,232 | ProgramServicesAmt |
| Management And General | $69,856 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,222,097 | TotalAmt |
| Program Services | $5,215,239 | ProgramServicesAmt |
| Management And General | $6,858 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,801,450 | TotalAmt |
| Program Services | $6,697,981 | ProgramServicesAmt |
| Management And General | $103,469 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,830,314 | TotalAmt |
| Program Services | $3,800,281 | ProgramServicesAmt |
| Management And General | $30,033 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,111,486 | TotalAmt |
| Management And General | $25,111,486 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,026 | TotalAmt |
| Management And General | $78,026 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,293 | TotalAmt |
| Program Services | $13,293 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,598 | TotalAmt |
| Management And General | $159,598 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,873,017 | TotalAmt |
| Program Services | $23,461,423 | ProgramServicesAmt |
| Management And General | $411,594 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,848 | TotalAmt |
| Program Services | $22,788 | ProgramServicesAmt |
| Management And General | $60 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,647,714 | TotalAmt |
| Program Services | $3,540,498 | ProgramServicesAmt |
| Management And General | $107,216 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,503 | TotalAmt |
| Program Services | $429,503 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,226,684 | TotalAmt |
| Program Services | $3,188,034 | ProgramServicesAmt |
| Management And General | $38,650 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,722 | TotalAmt |
| Program Services | $655,924 | ProgramServicesAmt |
| Management And General | $27,798 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,715,999 | TotalAmt |
| Program Services | $2,715,999 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,746,416 | TotalAmt |
| Program Services | $8,746,416 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,864 | TotalAmt |
| Program Services | $826,921 | ProgramServicesAmt |
| Management And General | $615,943 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $24,033,288 | $24,023,887 | $9,401 |
| Bad Debt | $15,952,629 | $15,952,629 | |
| I/C Practice Subsidy | $14,012,497 | $14,012,497 | |
| Dues & Subscriptions | $131,945 | $113,061 | $18,884 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,872 | TotalAmt |
| Program Services | $346,430 | ProgramServicesAmt |
| Management And General | $3,442 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,751,731 | TotalAmt |
| Program Services | $167,607,797 | ProgramServicesAmt |
| Management And General | $27,143,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,153 | BOYAmt |
| EOY | $4,053 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,059 | BOYAmt |
| EOY | $28,584 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,675,170 | BOYAmt |
| EOY | $28,005,035 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,158,486 | BOYAmt |
| EOY | $1,123,701 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $738,505 | BOYAmt |
| EOY | $779,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $187,817,103 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $114,473,278 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,614,011 | BOYAmt |
| EOY | $73,343,825 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,003,533 | BOYAmt |
| EOY | $80,516,295 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,544,707 | BOYAmt |
| EOY | $133,569,624 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,373 | BOYAmt |
| EOY | $318,143 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,025,997 | BOYAmt |
| EOY | $317,688,720 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,663,943 | BOYAmt |
| EOY | $14,541,725 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,130 | BOYAmt |
| EOY | $243,546 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,019,508 | BOYAmt |
| EOY | $53,077,230 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $887,315 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,455,978 | BOYAmt |
| EOY | $31,328,806 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,341,559 | BOYAmt |
| EOY | $100,078,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,536,737 | BOYAmt |
| EOY | $217,427,672 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,701 | BOYAmt |
| EOY | $182,426 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,684,438 | BOYAmt |
| EOY | $217,610,098 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,025,997 | BOYAmt |
| EOY | $317,688,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $30,292,538 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,970,555 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$9,337,433 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,293 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,293 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | A portion of dues paid to various hospital industry associations is attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,887,465 | OtherCostOrOtherBasisAmt |
| Book Value | $1,887,465 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,568,286 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,385,830 | DepreciationAmt |
| Book Value | $47,182,456 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,035 | DepreciationAmt |
| Book Value | $20,574 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,076,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,112,060 | DepreciationAmt |
| Book Value | $19,964,273 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,027,410 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,738,353 | DepreciationAmt |
| Book Value | $4,289,057 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,343,825 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $785,167 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Private Equity Securities | Desc |
| Book Value | $132,784,457 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $133,569,624 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Qualified Pension liabiity | $22,584,948 |
| Interest Rate Swap Liability | $8,743,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,328,806 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Carilion recognizes a tax liability or asset for the estimated taxes payable or refundable on tax returns for current and prior years. Deferred tax assets and liabilities are recognized for the estimated future tax effects attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A tax benefit from an uncertain position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Uncertain tax positions may include the characterization of income, such as characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,779,414 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,779,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,060,899 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,089,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,971,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,840,313 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,089,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,750,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1006 | ActivitiesOrProgramsCnt |
| Persons Served | 3409 | PersonsServedCnt |
| Total Community Benefit Expns | $178,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $144,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $193 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 473 | PersonsServedCnt |
| Total Community Benefit Expns | $10,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 216 | PersonsServedCnt |
| Total Community Benefit Expns | $37,437 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1038 | ActivitiesOrProgramsCnt |
| Persons Served | 4098 | PersonsServedCnt |
| Total Community Benefit Expns | $226,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1038 | ActivitiesOrProgramsCnt |
| Persons Served | 4098 | PersonsServedCnt |
| Total Community Benefit Expns | $26,066,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,122,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,943,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07880 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,812 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 18 | PersonsServedCnt |
| Total Community Benefit Expns | $13,145 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $816 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 18 | PersonsServedCnt |
| Total Community Benefit Expns | $30,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,952,629 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $44,433,687 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $51,761,097 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,327,410 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carilion New River Valley Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 Lamb Circle | AddressLine1Txt |
| City | Christiansburg | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | See Schedule O. | WebsiteAddressTxt |
| State License | H 1838 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carilion New River Valley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C. | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Carilion New River Valley Medical Center | Part V, Section B, Line 5: Carilion Clinic's CHNAs are community-driven projects and success is highly dependent on the involvement of citizens, health and human service agencies, businesses, and community leaders. Community stakeholder collaborations known at "Community Health Assessment Teams" (CHAT) lead the CHNA projects. The CHATs consists of health and human service agency leaders, persons with special knowledge of or expertise in public health, the local health department, and leaders, representatives, or members of medically underserved populations, low-income persons, minority populations, and populations with chronic disease.The following organizations served on the CHAT for the 2016 (tax year 2015) New River Valley Community Health Needs Assessment (NRVCHNA): Community Health Center of the New River Valley, Council of Community Services, New River Community Action, New River Community Action Head Start, New River Health District, New River Valley Agency on Aging, New River Valley Child Advocacy, Resources, Education and Services, New River Valley Community Services, New River Valley Interfaith Health and Wellness Network, Pulaski County, Radford City Department of Social Services, Radford University School of Nursing, Southwest Virginia Legal Aid Society, Virginia Hospital and Healthcare Association, Virginia Tech Center for Public Health Practice and Research, Virginia Tech Institute for Policy and Governance.In addition to the CHAT, the CHNA conducted stakeholder surveys, target population focus groups, and a community health survey. Target population focus groups were conducted with New River Valley Agency on Aging's Christiansburg Friendship Cafe, Meadowbrook Friendship Cafe and Pulaski Friendship Cafe, NRV Cares, New River Valley Community Services, and Radford Head Start. The community health survey was made available to residents living in the New River Valley. Oversampling of the target populations occurred through targeted outreach efforts. In total, 493 surveys were collected. |
| Carilion New River Valley Medical Center | Part V, Section B, Line 6b: Community Health Center of the New River Valley, Council of Community Services, New River Community Action, New River Community Action Head Start, New River Health District, New River Valley Agency on Aging, New River Valley Child Advocacy, Resources, Education and Services, New River Valley Community Services, New River Valley Interfaith Health and Wellness Network, Pulaski County, Radford City Department of Social Services, Radford University School of Nursing, Southwest Virginia Legal Aid Society, Virginia Hospital and Healthcare Association, Virginia Tech Center for Public Health Practice and Research, Virginia Tech Institute for Policy and Governance. |
| Part V, Section B, Line 7: | Line 7a:https://www.carilionclinic.org/locations/carilion-new-river-valley-medical-centerLine 7b:https://www.carilionclinic.org/community-health-assessmentsLine 7d: CHAT partner websites. |
| Part V, Section B, Line 10: | Line 10a: https://www.carilionclinic.org/community-health-assessments |
| Part V, Section B, Line 11: | Carilion Clinic and New River Valley Partnership for Access to HealthCare (PATH) partnered to conduct the 2016 NRVCHNA. This process was community-driven and focused on high levels of community engagement involving health and human services leaders, stakeholders, and providers; the target population; and the community as a whole. In June 2016, the CHAT participated in a prioritization activity to determine the greatest needs in the service area based on the primary and secondary data collected during the assessment period. To quantitatively determine health needs, CHAT members were asked to rank the top ten pertinent community needs, with one being the most pertinent. Next, on a scale of 1-5, CHAT members were asked to assign a feasibility and potential impact score for each of the ranked needs. This information was used for the CHAT strategic planning retreat held in July 2016.The top ten priority areas that emerged from these findings include:1. Lack of reliable transportation2. Access to mental health counseling / substance abuse 3. High prevalence of obesity / overweight individuals 4. High prevalence of substance abuse (alcohol, illegal & prescription drugs)5. Child abuse / neglect 6. Access to primary care7. Access to adult dental care8. Improved coordination of care across the health and human sector9. Lack of knowledge of community resources 10. High uninsured populationThe CHAT participated in strategic planning on July 29, 2016. It reviewed and accepted the priority areas above, which can be categorized further into: access to services (primary care, mental health & substance abuse services, and oral health); coordination of care (improved coordination of care, high uninsured population, and lack of knowledge of community resources); transportation; wellness (high prevalence of obesity/overweight individuals); child abuse/neglect; and substance use/abuse.Significant Health Needs to be Addressed CNRV plans to address key community health needs identified in the 2016 assessment by focusing its efforts on partnering with community organizations through PATH to create a system of care coordination that will help to address many of the major priorities identified in the 2016 NRVCHNA, as well as the 2015 Giles County Community Health Needs Assessment (GCCHNA). Through greater access to clinical care, enhanced community outreach programs, creative community partnerships and focused financial and in-kind support of initiatives, CNRV plans to improve community health in the New River Valley. A. Access to Services (Primary Care, Mental Health and Substance Abuse Services, Dental Care)Carilion Clinic's goal is to grow and expand access to primary care in the New River Valley. This will be accomplished by maintaining, growing and expanding services offered in the region through the use of alternative methods of care delivery and by making walk-in access more readily available in all regions. Carilion Clinic will work with community partners and skilled nursing facilities to explore and expand alternative methods of care delivery. In addition, Carilion Clinic will work with local colleges and universities to look into expanding services to students. Finally, to improve access and convenience for patients, Carilion Clinic will expand online direct self-scheduling. Carilion Clinic has been awarded a USDA Distance Learning and Telemedicine grant to address the opioid epidemic in rural Appalachia. This grant will provide critical infrastructure for telemedicine provision in rural counties throughout Carilion Clinic's footprint. The infrastructure will allow for the expansion of telepsychiatry services to patients in the New River Valley. With the infrastructure in place, Carilion Clinic will work towards identifying means to supply enough psychiatry providers to meet the increased demand. Similar to many areas across the county, lack of sufficient supply of psychiatrists is a barrier for Carilion Clinic to provide increased access to mental health and substance abuse services. Carilion Clinic partners with Total Action for Progress (TAP) to improve access to dental care through financial support which allows them to help low income, uninsured individuals to finance needed dental procedures that have prohibitively large out of pocket costs. The Dental Health Initiative utilizes a revolving loan fund to make loans to qualifying program participants. The participants can then repay the loan after the procedure. The repaid dollars will then be available for a next applicant on the waiting list. With Carilion Clinic's support, TAP is able to expand this program and make it available to residents of the New River Valley. CNRV will work to communicate the availability of this program with partners. The CNRV Emergency Department will also partner with the Community Health Center of the New River Valley to increase referrals for those individuals who aren't able to afford dental care. The hospital will have information for patients about the dental program that is available to them at the Community Health Center.B. Coordination of CareCNRV will be integral to the creation of a care coordination system through the PATH Coalition. Key PATH leaders will begin planning for this critical strategy in 2016. A workgroup of PATH will begin tactical planning and creation of a resource list that partners can access to provide better referral. The ultimate goal of this initiative will be large scale improvement in coordination of care for all New River Valley residents. Initial planning will focus on a pilot program targeting a specific sub-segment of the target population. Planning will include establishment of success measures. This strategy was the outcome of a combined 2016 NRVCHNA and 2015 GCCHNA CHAT strategic planning session. C. TransportationThe USDA Distance Learning and Telemedicine grant (mentioned above) will also impact the need for transportation, specifically for patients in need of mental health or substance abuse psychiatry services. Having infrastructure in place to provide telepsychiatry will reduce the need for transports to Roanoke and allow people to more easily access these services.D. Wellness:Carilion Clinic's Community Outreach staff will provide education and community health screenings to the target population in the New River Valley. Education includes free interactive presentations on the topics of cancer prevention, diabetes prevention, fitness/exercise, water safety, gun safety, car seat safety, injury prevention, outdoor safety and wellness, breast health, STI prevention, distracted driving, heart health/stroke, healthy lifestyles, nutrition, smoking cessation, and stress. A full-time community health educator serves the New River Valley. E. Child Abuse and Neglect:Carilion Clinic is partnering with NRV CARES to strengthen protective factors against abuse in families through provision of their Parenting Young Children class. This class uses the Systematic Training for Effective Parenting (STEP) curriculum for all parents or caregivers of children under the age of six. This program addresses community health risk factors before they happen. The specific focus of Parenting Young Children is to build protective factors against child abuse or neglect in families including: healthy family relationships, effective and supportive communication between parents and children, parental knowledge of child development and behavior, social connectivity, and access to resources.CNRV is also helping address early risk factors at and even before birth. If a patient has a positive drug screen, they are automatically connected with a social worker. In addition, a clinical coordinator assists mothers who struggle with substance abuse with prenatal, delivery and Neonatal Abstinence Syndrome education. |
| Part V, Section B, Line 11 Narrative Continued: | F. Substance Use/AbuseSupport from Carilion Clinic will help the Community Health Center of the New River Valley to purchase items to improve patient education, specifically for mental health services. CNRV will also continue to operate its already strong clinical coordination and support for pregnant mothers who have been identified as having a history of substance abuse, are currently using, or are currently enrolled in treatment programs. A clinical coordinator meets with identified moms starting in their first trimester to do prenatal education and to refer to the NRVCS special deliveries program. The coordinator also communicates with any treatment programs patients are enrolled in to help offer support. They discuss Neonatal Abstinence Syndrome (NAS) and what to expect once they deliver. CNRV's Birthplace scores and monitors newborns for NAS and will treat them when necessary. Any patient that receives a positive drug screen will also meet with a social worker. These services have become well-known and recognized in the region and mothers are traveling to CNRV's Birthplace for this program.G. Focused Community Grants and PartnershipsCarilion Clinic funds health safety-net providers and causes identified through the NRVCHNA. In-kind assistance is also provided through community partnerships that align with the NRVCHNA. Carilion actively looks for opportunities to support by providing outreach and educational support. H. Implementation and MeasurementCarilion New River Valley Medical Center plans to assemble a Community Benefit Team responsible for measurement of Implementation Strategy efforts and reporting of local Community Benefit and Community Building Activities to Carilion Clinic. This team would begin by reviewing implementation strategies listed and existing measures before creating a three year measurement plan. This team would work in partnership with PATH to agree upon measures to be used for community strategies. PATH is serving as a key partner in the implementation of health improvement initiatives emerging from the CHNA. The findings of this assessment and other community health needs assessments are one measurement of the progress of PATH initiatives and their impact in the community. Going forward, PATH will be working on combining needs identified through the NRVCHNA and other community assessments to align initiatives around top health priorities. Improving coordination of care and access to care will both be important strategies in the PATH plan going forward.Priority Areas Not being Addressed and the ReasonsA community approach to determine and address priority needs as described earlier in this document was used in determining which needs cannot be addressed immediately. The needs not identified as "priority" will not be actively addressed in this time period. |
| Part V, Section B, Line 13h: | Presumptive eligibility |
| Part V, Section B, Line 16: | Line 16a: https://www.carilionclinic.org/billing/financial-assistance.Line 16b: https://www.carilionclinic.org/billing/financial-assistance.Line 16c: https://www.carilionclinic.org/billing/financial-assistance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Carilion New River Valley Medical Center | ||||
| 2900 Lamb Circle | Christiansburg | VA | 24073 | Psychiatric Unit |
| 2 - Carilion New River Valley Rehabilitation | ||||
| 118 Broad Street | Dublin | VA | 24084 | Outpatient Therapy |
| 3 - Carilion New River HospiceHome Health | ||||
| 707 Randolph Street Suite 251 | Radford | VA | 24141 | Hospice and Home Health |
| 4 - New River Valley Ambulatory Surgery Cent | ||||
| 2901 Lamb Circle | Christiansburg | VA | 24073 | Ambulatory Surgery |
| 5 - Blacksburg Sports Medicine and Rehabilit | ||||
| 213 Gilbert Street | Blacksburg | VA | 24060 | Physical Therapy |
| 6 - Physical Therapy Christiansburg | ||||
| 120 Ponderosa Drive | Christiansbug | VA | 24084 | Physical Therapy |
| 7 - Physical Therapy Wytheville | ||||
| 178 West Main Street | Wytheville | VA | 24382 | Physical Therapy |
| 8 - Hillsville Physical Therapy | ||||
| 216 South Main Street | Hillsville | VA | 24343 | Physical Therapy |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Patients' eligibility is determined by family size, family income, real property equity and liquid assets, and status as uninsured or underinsured. Families with family income below 200% of the FPG and assets below $15,000 receive 100% adjustment under FAP. Families with family income greater than 200% of the FPG but less than 400% of the FPG or assets above $15,000 receive a partial adjustment under FAP. The partial adjustment matches the AGB percentage for each service area. |
| Part I, Line 6a: | Community Benefit Reporting:Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic (EIN 54-1190771). 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 Clinic's website: https://carilionclinic.org/community-health-assessments. |
| Part I, Line 7: | Part I, Line 7a-b:Ratio of cost-to-charges was used to calculate the expense.Part I, Line 7:Column (f) Calculation-The organization's bad debt expense of $15,952,629 is subtracted from total expenses for the calculation.Part I, Line 7e: Community Health Improvement:This line is reported at actual cost. Carilion New River Valley Medical Center educates the public about health risks and steps that can be taken to improve health. Events included screenings, presentations and health fairs. 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. Carilion New River Valley Medical Center's 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. During fiscal year 2017, needed prescription medication was provided to 714 individuals. Additional health improvement services include blood drives and assistance with enrollment in public medical programs such as Medicaid. Community benefit operations include the cost associated with coordinating and tracking community health improvement activities.Part I, Line 7f: Health professions education - This line is reported at actual cost. Carilion New River Valley Medical Center provides in-kind support to Radford University Health Education and Health Promotion students.Part I, Line 7g: Subsidized Health Services - n/aPart I, Line 7h: Research - This line is reported at actual cost. Carilion New River Valley Medical Center provides data through a cancer registry to assist public health professionals in understanding and addressing the cancer burden more effectively. Information obtained is used in development of programs on cancer prevention, early detection, and successful treatment and care. Part I, Line 7i: Cash and In-Kind Contributions: This line is reported at actual cost. Carilion has long been committed to improving the health of the communities we serve. We know that significant change doesn't happen alone, but takes a community of partners working together towards common goals. Our dedication to this mission is evidenced by the support we provide to various nonprofit partners, furthering their efforts to positively impact health. Contributions of various amounts, both financial and in-kind, are made each year to organizations directly impacting the issues identified in our triennial Community Health Needs Assessment as well as to organizations addressing a variety of social determinants that impact people's health. Support provided helps with access to mental health, dental health and emergency services, in addition to a multitude of other community health improvement goals. |
| Part II, Lines 1-8 | Part II, Line 1: Physical improvements and housing - n/aPart II, Line 2: Economic development -Carilion New River Valley's participated in the Blacksburg Partnership an independent economic development organization focused on projects that attract visitors, developers and retail prospects to Blacksburg.Part II, Line 3: Community support - Research demonstrates the strong connection between social determinants of health such as transportation, housing, and education and the overall health and well-being of communities. Support is provided in a variety of ways for non-profit organizations that address barriers to good health that arise from these social determinants. Through support of local partners, Carilion is able to help provide better education and opportunities for children and families as well as housing, nutrition and resources for our neighbors in need, removing obstacles to good health. Part II, Line 4:Environmental improvements - n/aPart II, Line 5:Leadership development and training for community members - n/aPart II, Line 6: Coalition building - In addition to financial support, Carilion New River Valley Medical Center is involved with health-related initiatives. In-kind support was provided through representation on Partnership for Access to Healthcare (PATH) coalition, led by the New River Health District and Safe Kids coalition, a multidisciplinary team, working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome (SIDS).Part II, Line 7: Community health improvement advocacy - n/aPart II, Line 8:Workforce development - n/a |
| Part III, Line 2: | Carilion New River Valley Medical Center estimates bad debt expense by reserving a percentage of all self-pay patient accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. |
| Part III, Line 4: | Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion New River Valley Medical Center estimates the allowance for doubtful accounts by reserving a percentage of all self-pay patient accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. Carilion New River Valley Medical Center collects substantially all of its third-party insured receivables, which include receivables from governmental agencies and commercial insurers. |
| Part III, Line 8: | 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. |
| Part III, Line 9b: | When accounts receivable efforts are exhausted, the account may be placed with a collection agency and Extraordinary Collection Actions (ECA) may be considered. Accounts will not be placed with a collection agency prior to 120 days from the date the first billing statement is provided except when mailings are returned with no forwarding address and combining multiple accounts of varying age with those already transferred or for legal verification regarding other liabilities. Reasonable efforts will be made to identify appropriate forwarding addresses.When a Financial Assistance Application (FAA) is received during the application period (within 240 days after the date the first billing statement is provided), but after initiation of ECAs, all ECAs will be suspended. Best efforts will be made to process completed applications within 30 days of receipt of the application; financial assistance eligibility will be determined and communicated to the individual. Incomplete applications must be completed within 30 days of the initial notification of additional items required; otherwise, the application will be deemed incomplete and closed. If an individual is eligible for financial assistance, ECAs, other than the sale of debt, will be reversed and any payments related to eligible care refunded to the extent no longer owed. ECAs will be reinstated if the individual is not eligible for financial assistance or does not complete the FAA by the deadline.At least 30 days before initiating an ECA, Carilion will send the patient written notice of intended ECA(s), a plain language summary explaining financial assistance available and the process for determining eligibility, and the deadline for applying for assistance. Carilion will also attempt to call individuals at least 30 days before initiating an ECA to make them aware of the financial assistance available and how to obtain assistance with the application process.Carilion shall enter into a written contract with any collection agency to which it refers bad debt. The contract will obligate the collection agency to observe and comply with Carilion's obligations under this Policy and the Financial Assistance Policy. A collection agency to which bad debt is referred for collection may not engage in any ECAs without the prior written consent of Carilion.After making reasonable efforts to determine if a patient qualifies for Financial Assistance and the patient either does not qualify for Financial Assistance or fails to submit an application as requested, within 240 days from the date the first billing statement is provided, Carilion may engage in one or more of the following ECAs: 1. Place a lien on an individual's property; 2. Attach or seize an individual's bank account or any other personal property; 3. Commence a civil action against an individual; 4. Garnish an individual's wages; 5. Sell an individual's debt to another party; or 6. Report the account to credit agencies.Individual account balances greater than $5,000 are not sent to a collection agency. These are handled through the Debt Recovery Department (DRD) for verification of Financial Assistance status before further collection activity occurs. DRD will also investigate any accounts that require special handling. For example, when the billing office becomes aware that a patient is deceased, auto accident or any other unique circumstances requiring special handling, the accounts are placed with the Debt Recovery Department.When all collection efforts have been exhausted, all hospital accounts will be returned and closed as uncollectible. No further collection activity is taken at that time. Accounts with satisfactory payment arrangements, legal activity or accounts with pending payment will be considered active and are not returned. |
| Part VI, Line 2: | Needs AssessmentCarilion Clinic's community health improvement process was adapted from Associates in Process Improvement's the Model for Improvement and the Plan-Do-Study-Act (PDSA) cycle developed by Walter Shewhart. It consists five distinct steps: (1) conducting the CHNA, (2) strategic planning, (3) creating the implementation strategy, (4) program implementation, and (5) evaluation. This cycle is repeated every three years to comply with IRS requirements. CNRV and the PATH Coalition partnered to conduct the 2016 New River Valley CHNA. This process was community-driven and focused on high levels of community engagement involving health and human services leaders, stakeholders, and providers; the target population; and the community as a whole. Carilion Clinic fosters community development in its CHNA process and community health improvement process by using the Strive Collective Impact Model for the CHAT. This evidence-based model focuses on "the commitment of a group of important players from different sectors to a common agenda for solving a specific social problem(s) and has been proven to lead to large-scale changes. It focuses on relationship building between organizations and the progress towards shared strategies. Carilion also addresses community health needs through health safety-net partnerships, including financial and in-kind assistance through community grants and sponsorships. |
| Part VI, Line 3: | Availability of Financial Assistance is provided to the patient at hospital admission and ambulatory areas in the form of signage, a plain language summary which includes contact information, financial assistance application and documentation in the inpatient handbook. Patient Access staff, Hospital social workers and customer service representatives verbally inform patients on availability of assistance. Each patient statement and patient financial responsibility letter includes information on the Financial Assistance policy including who to contact for additional information and location of in-person assisters. The Application, the Policy, and the plain language summary are available free of charge to the patient. They are available by mail and on the web site if the patient did not receive written information at the time of service. Financial Assistance policy and application are also distributed to community partners through electronic mailing groups.Carilion Clinic employs an Eligibility staff that counsel patients on federal and state programs. The staff completes applications for Medicaid, Social Security, Social Security Disability and Medicare. The staff provides support services ensuring the applications are processed correctly based on federal and state policy. In addition, the Eligibility staff is trained as Certified Application Counselors and will assist patients in enrollment in the insurance exchange Marketplace. Eligibility staff will also complete Carilion's financial assistance application and counsel patient on the requirements for financial assistance. |
| Part VI, Line 4: | Community InformationCarilion New River Valley Medical Center (CNRV) is located in Montgomery County, Virginia. The following community data comes from the 2016 New River Valley Community Health Assessment. In fiscal year 2015, CNRV served 49,464 unique patients. Patient origin data revealed that 77.33% of patients served by CNRV lived in the following localities: Montgomery County (30.00%) Pulaski County (18.70%) Radford City (13.80%) Wythe County (7.63%) Floyd County (7.20%)The findings of the Community Health Needs Assessment revealed a very diverse population in regards to overall health, access to medical care, financial standing and educational attainment. The New River Valley serves as a cultural hub with a large population of college students and professionals. In addition, the New River Valley has pockets of wealth and areas that are poorer and unhealthier when compared to Virginia as a whole. Poverty rates were higher, academic attainment rates vary greatly across the region, and transportation continues to be a significant barrier for many to access the care and support they need, impacting the social determinants of health. Much of the New River Valley was classified as a Medically Underserved Area (MUA). Health statistics revealed higher death rates and prevention quality indicators for preventable, chronic diseases. Teen pregnancy rates in the Pulaski and Wythe Counties were significantly above rates in Virginia. The rate of child abuse and neglect varies throughout the service area, but has been identified as an issue. Rates also vary greatly for suicide deaths, drug and poison deaths and prescription opioid deaths in these areas. Out of 133 localities in Virginia, Montgomery, Floyd, Wythe, Pulaski and Radford ranked 46, 47, 73, 85 and 101 respectively in health outcomes according to County Health Rankings, where one is the best and 133 is the worst.According to the 2011-2015 American Community Survey, the median household income for Floyd was $48,005, Montgomery County was $46,663, Pulaski County was $47,495, Wythe County was $41,360 and Radford City was $29,912. There were 10%, 24.8%, 13.5%, 15.1% and 39% of residents living below the Federal Poverty Level in Floyd County, Montgomery County, Pulaski County, Wythe County and Radford City respectively. 10.6% in Floyd, 7.8% in Montgomery, 11% in Pulaski, 13.6% in Wythe and 8.7% in Radford did not have health insurance. Floyd Service Area, Montgomery County, Low Income persons in Pulaski, Radford City and Wythe South are classified as Medically Underserved Areas. Low Income areas in the New River Valley service area were also designated as Dental, Mental Health and Primary Care Health Professional Shortage Areas according to the Health Resources & Services Administration (HRSA). In the New River Valley, median household incomes were much lower than the median income statewide and Radford City has the lowest in the valley. Floyd County had the highest median incomes in the area closely followed by Montgomery and Pulaski Counties. Pulaski County had the highest rate of children and adolescents that are eligible for the Free and Reduced Lunch Program at 53.67%, as compared to 41.2% for Virginia school districts as a whole. Nearly half of students in Floyd and Wythe Counties are also eligible for the Free and Reduced Lunch Program. Many areas in the New River Valley were hard hit by the recession with increased unemployment rates from 2008 to 2011. Those rates have since started to decline. The city of Radford and Wythe County both had the highest unemployment rates (5.4 % - 5.6%), higher than the national unemployment rates (5.3%). |
| Part VI, Line 5: | Community Health PromotionCarilion New River Valley Medical Center (CNRV) is an award-winning 110-bed acute care facility offering modern medical ORs, state of the art technology (advanced imaging and robotic surgery) and multiple surgical and medical specialties. We treat more than 30,000 cases per year in our Level III Trauma Center. Our OB/GYN and midwifery program delivers nearly 1,200 babies per year at The Birthplace. Outpatient procedures include annual screenings and complex diagnostics, as well as support for rehabilitation and therapy programs. Carilion Clinic Saint Albans Hospital is located on our campus. Carilion New River Valley Medical Center serves all patients regardless of their ability to pay. The Center's 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 center 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. |
| Part VI, Line 6: | Affiliated Health Care SystemCarilion New River Valley Medical Center is wholly owned by Carilion Clinic, a not-for-profit health care organization based in Roanoke, Virginia. Through our comprehensive network of hospitals, primary and specialty physician practices, and complementary services, we provide exceptional care for over 700,000 Virginians. Our enduring commitment is to a healthier region. We advance care through medical education and research, help our community stay healthy, and inspire it to grow stronger.To advance education of health professionals, Jefferson College of Health Sciences is a private higher education institution that "prepares, within a scholarly environment, ethical, knowledgeable, competent and caring healthcare professionals." The College focuses on providing healthcare education and is a part of Carilion Clinic. Founded in 1914 as the Jefferson Hospital School of Nursing, Jefferson College now provides more than 1,100 students with opportunities to become part of the healthcare profession, serving communities from southwest Virginia to the Shenandoah Valley and beyond. The school's graduates are building healthier tomorrows in our region and across the country every day. More information is available at www.jchs.edu.The Virginia Tech Carilion School of Medicine joins the basic science, life science, bioinformatics, and engineering strengths of Virginia Tech with the medical practice and medical education experience of Carilion Clinic to develop the next generation of physician thought leaders. The school uses an innovative patient-centered curriculum that focuses on small-group learning and hands-on experiences, with extensive research and inter-professionalism training.Part VI, Line 7: N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Floyd County High School | ||||||||
| 721 Baker Street | Floyd | VA | 24091 | 546001281 | Floyd County | $27,499 | Athletic Trainer support. | |
| Giles County Pubic Schools | ||||||||
| 151 School Rd | Pearisburg | VA | 24134 | 546001307 | Giles County | $50,975 | Athletic Trainer support. | |
| The Community Foundation of the NRV | ||||||||
| PO Box 6009 | Christiansburg | VA | 24068 | 541740455 | 501(c)(3) | $20,000 | General Support | |
| Edward Via College of Osteopathic Medicine | ||||||||
| 2265 Kraft Drive | Blacksburg | VA | 24060 | 542052107 | 501(c)(3) | $50,000 | Athletic Trainer support. | |
| Radford University Foundation | ||||||||
| PO Box 6893 | Radford | VA | 24142 | 237219782 | 501(c)(3) | $17,500 | Sponsorship per contract for Highlander Half Marathon/ General Support | |
| Radford Child Development | ||||||||
| 518 Meadow Ridge | Radford | VA | 24141 | 461775838 | 501(c)(3) | $5,000 | Scholarships | |
| Virginia Tech Foundation Inc | ||||||||
| 902 Prices Fork Rd University | Blacksburg | VA | 24061 | 540721690 | 501(c)(3) | $281,562 | Scholarships,Healthcare Analytics Symposium, | Gateway Center STE 400 |
| Virginia's New River Valley Economic Development Alliance Inc | ||||||||
| 2020 Kraft Drive Ste 2000 | Blacksburg | VA | 24060 | 541545804 | 501(c)(6) | $10,000 | Annual Membership | |
| New River Valley Child Advocacy Resources Education & Services | ||||||||
| 205 West Main St Office 4 | Christiansburg | VA | 24073 | 541773419 | 501(c)(3) | $10,000 | General Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital donates funds to other tax-exempt organizations and public schools with a similar health or community improvement mission. Such organizations also have community boards which oversee the expenditure of such funds. For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives of the project. By accepting a Carilion award, grantees are asked to acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle progress report and a final program evaluation are required for every funded project. Site visits may be made to new grantees. Program evaluation includes organizational effectiveness, program impact and community benefit through collection of data including clients served, cost effectiveness of the program (cost per client or service), tangible community or client outcomes, and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nathaniel L Bishop D Min | ||||||||||||||
| Director | $0 | $339,978 | $0 | $52,178 | $0 | $5,838 | $0 | $180,525 | $0 | $3,442 | $0 | $581,961 | $0 | $0 |
| Charles D Bissell MD | ||||||||||||||
| Director | $0 | $419,368 | $0 | $182,210 | $0 | $20,496 | $0 | $99,137 | $0 | $13,160 | $0 | $734,371 | $0 | $0 |
| Tamera L Howell MD | ||||||||||||||
| Director | $0 | $281,786 | $0 | $86,460 | $0 | $3,539 | $0 | $101,914 | $0 | $12,971 | $0 | $486,670 | $0 | $0 |
| Cristina Trout NP | ||||||||||||||
| Director | $4,160 | $132,638 | $0 | $8,729 | $0 | $5,830 | $0 | $136,296 | $0 | $687 | $4,160 | $284,180 | $0 | $0 |
| William J Flattery | ||||||||||||||
| Director/Sec/Treas/Hosp. VP | $234,104 | $0 | $45,455 | $0 | $1,301 | $0 | $85,487 | $0 | $10,615 | $0 | $376,962 | $0 | $0 | $0 |
| Donald B Halliwill | ||||||||||||||
| Assistant Treasurer | $0 | $464,019 | $0 | $107,317 | $0 | $4,271 | $0 | $196,448 | $0 | $13,030 | $0 | $785,085 | $0 | $0 |
| G Robert Vaughan Jr | ||||||||||||||
| Assistant Treasurer | $0 | $300,771 | $0 | $48,281 | $0 | $7,946 | $0 | $168,199 | $0 | $14,090 | $0 | $539,287 | $0 | $0 |
| Nancy Howell Agee | ||||||||||||||
| CEO | $0 | $1,189,180 | $0 | $358,500 | $0 | $245,942 | $0 | $2,363,574 | $0 | $12,316 | $0 | $4,169,512 | $0 | $235,766 |
| Melina D Perdue | ||||||||||||||
| EVP | $0 | $398,604 | $0 | $91,010 | $0 | $1,417,618 | $0 | $256,356 | $0 | $11,711 | $0 | $2,175,299 | $0 | $1,403,798 |
| Ralph Brown MD | ||||||||||||||
| Physician | $214,731 | $0 | $67,372 | $0 | $2,531 | $0 | $102,182 | $0 | $12,572 | $0 | $399,388 | $0 | $0 | $0 |
| Dale S Bryant | ||||||||||||||
| Pharmacist | $133,258 | $0 | $13,338 | $0 | $7,620 | $0 | $112,928 | $0 | $11,617 | $0 | $278,761 | $0 | $0 | $0 |
| Donna Shelor | ||||||||||||||
| Pharmacist | $134,890 | $0 | $14,160 | $0 | $3,495 | $0 | $56,112 | $0 | $10,881 | $0 | $219,538 | $0 | $0 | $0 |
| Shannon R Showalter | ||||||||||||||
| Physical Therapist | $138,614 | $0 | $400 | $0 | $15,485 | $0 | $15,216 | $0 | $7,622 | $0 | $177,337 | $0 | $0 | $0 |
| Beth Wallace | ||||||||||||||
| Pharmacist | $142,925 | $0 | $400 | $0 | $926 | $0 | $88,734 | $0 | $9,401 | $0 | $242,386 | $0 | $0 | $0 |
| Leslie E Badillo MD | ||||||||||||||
| Former Officer | $0 | $183,008 | $0 | $87,154 | $0 | $3,936 | $0 | $188,814 | $0 | $10,512 | $0 | $473,424 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors 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. This review was performed in September 2017. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee 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 both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives. |
| Part I, Line 4b | Select members of management participate in a Pension Restoration Plan. This plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified Plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified Plan. Entitlement to benefits and consequent lump sum payment occurs upon attaining age 65 while employed by Carilion Clinic, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the Plan shall pay the participant's beneficiary according to Plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon vesting while employed, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the Plan shall pay the participant's beneficiary according to Plan terms. Beginning in the year in which the participant attains age 67, a pro-rated portion of the award is paid monthly. Select members of management participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer at the discretion of Carilion Clinic's Board of Directors Compensation Committee makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date, the account shall be forfeited. A lump sum distribution shall be made upon the participant's vesting date, death, or disability. Payments to listed persons during the calendar year under these plans included the following: Nancy Howell Agee $235,766 Melina Perdue $1,403,798 |
| Part I, Line 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 Board of Directors Compensation Committee, although it is based on the scorecard measures. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| VA Small Business Financing Authority Hospital Revenue Bonds | ||||||||
| A | 541300845 | 928101AD6 | 2017-04-03 | $20,050,000 | Reissuance of Series 2008A and 2008B originally issued on 07/16/2008 | 0 | 0 | 0 |
| Industrial Development Authority of the City of Roanoke VA | ||||||||
| B | 541106038 | 770084FU0 | 2010-10-13 | $52,984,736 | Reoffering Circular and interest rate conversion to fixed, Issuance Costs | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $20,050,000 | $137,743 | $19,912,257 | 2008 | 0 | 0 | Yes (1) | Yes (1) | |||
| B | $52,984,736 | $572,935 | Yes (1) | 0 | Yes (1) | Yes (1) | $18,403,000 | $22,347 | $52,389,454 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | Yes (1) | 0.02190 | 0.02190 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| AIG | |||||||||||
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) | 0.300000000000 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: VA Small Business Financing Authority, Hospital Revenue Bonds, Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Industrial Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 05/04/2011 |
| Schedule K Part VI | All bond issues multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Christopher Rogers | |||
| See Part V | $124,677 | Employee | 0 |
| Katherine Rogers | |||
| See Part V | $81,929 | Employee | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L Part IV | FormAndLineReferenceDesc |
| Explanation | Family members of Mark Rogers, D.O., Director. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 6: | Within the hospital, volunteers provide wayfinding, escorting patients, assist at the front desk, gift shop, emergency room, waiting room, and coffee shop as well as act as a service ambassador. Patient care volunteers provide socialization and emotional support for patients and family. They provide caregiver relief and support so that family caregivers are able to get away for a few hours to complete errands and take a break from caregiving responsibilities. We Honor Veteran presentations and pinning's are completed by veteran volunteers. A student volunteer program was developed in conjunction with a high school teaching a death and dying course. The student volunteers were accompanied by trained adult volunteers and provided supports and services that were similar to what our regular volunteers provide. Office volunteers assist with fewer clerical tasks than in past years due to hospice transitioning more completely to an electronic medical record. However, they complete ad hoc assignments which are very helpful to hospice staff. Birthday bags were instituted for patients mid-year, and both staff and volunteers share the responsibility for delivering these to patients. |
| Form 990 Part V, Line 1a | 1099s are issued on Carilion New River Valley Medical Center's behalf by Carilion Services, Inc., a related supporting organization providing management and administrative services, including payment processing. |
| Form 990, Part VI, Section A, line 1 | As of the first day of the new fiscal year, a majority of the filing organization's Directors were independent. |
| Form 990, Part VI, Section A, line 2 | 1. Nancy Howell Agee, N.L. Bishop, Charles Bissell, M.D., William J. Flattery, Donald B. Halliwill, Tamera L. Howell, M.D., Melina D. Perdue, Lauren J. Schantz, Cristina Whitaker Trout, and G. Robert Vaughan, Jr. Business relationship due to each serving as officers, directors, and/or employees of the same related organizations. |
| 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 and supporting organization of the filing organization. Compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services, Inc.: Nancy Howell Agee, Donald Halliwill, Melina D. Perdue, Lauren J. Schantz, and G. Robert Vaughan, Jr. |
| Form 990, Part VI, Section A, line 4 | The filing organization's Articles of Incorporation and Bylaws were revised to modify the terms and term limits of its directors. |
| 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. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a. |
| Form 990, Part VI, Section B, line 11b | The Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments as applicable, and reviewed by internal Accounting management and an independent CPA firm. Several days prior to filing, all Board Members were notified via email of its availability on Carilion's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have. |
| Form 990, Part VI, Section B, line 12c | Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Audit & Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings. |
| Form 990, Part VI, Section B, line 15 | The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors 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 Board of Governors annually, which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, select Senior Vice Presidents, and physician Chairs of the Clinical Departments. This review was performed in November 2016 (President and CEO) and September 2017 (all others). For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents, which was performed in September and November 2017. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for all employed physicians and physicians in leadership roles. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee 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 both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives. |
| Form 990, Part VI, Section C, line 19 | The organization's 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 to the local newspaper when requested. Limited financial information is available on our website. |
| Form 990 Part IX, Line 11g, Column B: | Physician/Professional Services: $9,313,451 Billing & Collection Services: $541,694 Laundry/Housekeeping Services: $936,713 Other Purchased Services: $552,991 Contract Fees/Consulting: $888,664 Repairs and Maintenance: $3,040,928 Reference Labs: $6,674,526 Temporary Employment: $1,512,456 Total Other Service Fees, Column B: $23,461,423 |
| Form 990 Part IX, Line 11g, Column C: | Physician/Professional Services: $72,617 Other Purchased Services: $204,156 Contract Fees/Consulting: $115,581 Repairs and Maintenance: $19,240 Total Other Service Fees, Column C: $411,594 |
| Form 990, Part XI, line 9: | Pension-related changes other than net periodic pension costs 5,705,567. Transfers to Affiliates -15,043,000. |
| Form 990, Schedule H, Part V, Section A, Line 1: | https://carilionclinic.org/locations/carilion-new-river-valley-medical-c enter |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New River Valley Surgery Center LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 Lamb Circle | AddressLine1Txt |
| City | Christiansburg | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800091329 | EIN |
| Primary Activities | Surgery | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $2,591,012 | TotalIncomeAmt |
| End Of Year Assets | $5,478,413 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carilion New River Valley Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Carilion Clinic | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190771 | Supporting organization | VA | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Carilion Clinic Foundation | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190773 | Fundraising | VA | 501(c)(3) | Line 7 | Yes (1) | Carilion Clinic | |
| Carilion Franklin Memorial Hospital | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540480606 | Healthcare | VA | 501(c)(3) | Line 3 | Yes (1) | Carilion Clinic | |
| Carilion Giles Community Hospital | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540549603 | Healthcare | VA | 501(c)(3) | Line 3 | Yes (1) | Carilion Clinic | |
| Carilion Medical Center | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540506332 | Healthcare | VA | 501(c)(3) | Line 3 | Yes (1) | Carilion Clinic | |
| Carilion Services Inc | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190879 | Supporting organization | VA | 501(c)(3) | Line 12b, II | Yes (1) | Carilion Clinic | |
| Carilion Stonewall Jackson Hospital | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540568001 | Healthcare | VA | 501(c)(3) | Line 3 | Yes (1) | Carilion Clinic | |
| Carilion Tazewell Community Hospital | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 546074580 | Healthcare | VA | 501(c)(3) | Line 3 | Yes (1) | Carilion Clinic | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Carilion Clinic Medicare Shared Savings Company LLC | |||||||
| PO Box 12385 | Roanoke | VA | 24025 | 455235473 | Medicare HMO | VA | N/A |
| Franklin County Ventures LLC | |||||||
| PO Box 12385 | Roanoke | VA | 24025 | 474365316 | Real estate | VA | N/A |
| Community Medical Associates LLP | |||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541517662 | Real estate | VA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Carilion Clinic Medicare Resources LLC | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 263729975 | Medicare HMO | VA | N/A | C | Yes (1) |
| CHS Inc | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541725732 | Services | VA | N/A | C | Yes (1) |
| Carilion Behavioral Health Inc | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 203136891 | Healthcare | VA | N/A | C | Yes (1) |
| Carilion Emergency Services Inc | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 542033006 | Healthcare | VA | N/A | C | Yes (1) |
| SCA Credit Services Inc | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541180398 | Collection Agency | VA | N/A | C | Yes (1) |
| Carilion Healthcare Corporation | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541586601 | Healthcare | VA | N/A | C | Yes (1) |
| MedKey Inc | |||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541645357 | Financing Services | VA | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carilion Medical Center | ||
| A | $82,332 | Cost |
| CHSInc | ||
| A | $55,151 | Cost |
| Carilion Behavioral Health | ||
| A | $15,613 | Cost |
| Carilion Healthcare Corporation | ||
| A | $774,828 | Cost |
| MedKey Inc | ||
| L | $70,061 | Cost |
| Carilion Medical Center | ||
| M | $3,502,871 | Cost |
| Carilion Services Inc | ||
| M | $29,357,826 | Cost |
| CHSInc | ||
| K | $275,712 | Cost |
| CHSInc | ||
| M | $761,563 | Cost |
| SCA Credit Services Inc | ||
| M | $171,614 | Cost |
| Carilion Healthcare Corporation | ||
| M | $11,088,120 | Cost |
| Carilion Services Inc | ||
| R | $15,043,000 | Cash |