CARILION FRANKLIN MEMORIAL HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CARILION FRANKLIN MEMORIAL HOSPITAL (EIN 54-0480606)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-16
- IRS object ID
- 201812289349301176
- 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 | 2018-08-16T16:54:16-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540480606 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARILION FRANKLIN MEMORIAL HOSPITAL | 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 |
| 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 Jacobsen | 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 | $46,646,859 | 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 | 1956 | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 404 | TotalEmployeeCnt |
| Total Volunteers | 77 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $36,120 | PYContributionsGrantsAmt |
| CY Contributions Grants | $34,689 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,668,619 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $43,371,619 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66,243 | PYInvestmentIncomeAmt |
| CY Investment Income | $151,409 | CYInvestmentIncomeAmt |
| PY Other Revenue | $561,909 | PYOtherRevenueAmt |
| CY Other Revenue | $497,677 | CYOtherRevenueAmt |
| PY Total Revenue | $42,332,891 | PYTotalRevenueAmt |
| CY Total Revenue | $44,055,394 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $114,914 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $121,110 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,262,055 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,464,236 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,598,888 | PYOtherExpensesAmt |
| CY Other Expenses | $24,116,779 | CYOtherExpensesAmt |
| PY Total Expenses | $40,975,857 | PYTotalExpensesAmt |
| CY Total Expenses | $43,702,125 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,357,034 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $353,269 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,188,054 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,316,349 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,921,604 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,454,639 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,733,550 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,138,290 | 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 | $36,105,000 | ExpenseAmt |
| Grant | $121,110 | GrantAmt |
| Revenue | $43,437,218 | RevenueAmt |
| Desc | See Schedule O.Carilion Franklin Memorial Hospital, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves.Located in Rocky Mount, VA, this 37-bed hospital offers a wide range of medical and surgical services, including convenient outpatient and emergency department services.Carilion Franklin Memorial Hospital exists to serve the health care needs of its community, regardless of patient ability to pay. Franklin's acute hospital admitted 1,313 patients and provided 4,420 days of care during the year. Hospital programs include provision of nursing care; extensive outpatient and inpatient surgical and endoscopic services; and diagnostic imaging services including CT, MRI, and mammography. Franklin provides a number of services targeting the specific health needs of its population, including diabetes management; home health and hospice; physical, speech, and occupational therapy programs; and cardiac and respiratory rehab. Franklin also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 20,527 visits, Franklin's emergency services are a critical component of the health safety net in its service area, acting as a primary health provider for a significant number of uninsured patients, who comprise 22% percent of ED visits. Franklin also supports community screenings and education on chronic disease prevention and management, sponsoring over 834 events touching over 15,307 people.In furtherance of its mission, Franklin provides extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $4.7 million. | Desc |
| Total Program Service Expenses | $36,105,000 | 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 | 0 | 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 | 404 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | InvestmentInJointVentureInd |
| 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 (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Craig L Bookout MD | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $338,216 | $70,428 | ||||
| Sarah L Stubbs MD | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $312,421 | $43,315 | ||||
| Shannon V Moore | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $171 | $0 | |||||
| Steven C Arner | ||||||||||
| Director | 1.20 | 48.80 | Yes (X) | $0 | $529,972 | $206,940 | ||||
| W Mark Church PhD | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| Katherine J Goff PhD | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| Barbara Jackman | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| Dave A Peters | ||||||||||
| Director | 1.20 | Yes (X) | $0 | $0 | $0 | |||||
| William R Kingery Jr | ||||||||||
| Director/President | 2.50 | 2.90 | Yes (X) | $0 | $7,700 | $0 | Yes (X) | |||
| Victoria L Gardner | ||||||||||
| Director/Vice President | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| William D Jacobsen | ||||||||||
| Dir./Sec./Treas./Hospital VP | 50.00 | Yes (X) | $217,357 | $0 | $100,382 | 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) | ||||
| Lori McClure | ||||||||||
| Pharmacy Manager | 50.00 | $164,581 | $385 | $89,720 | Yes (X) | |||||
| Sharon Scott | ||||||||||
| Pharmacist | 50.00 | $151,659 | $614 | $96,724 | Yes (X) | |||||
| Shirley Landon-King | ||||||||||
| Occupational Therapist | 50.00 | $133,222 | $642 | $37,043 | Yes (X) | |||||
| Donn Bergman | ||||||||||
| Physical Therapist | 50.00 | $134,933 | $0 | $18,261 | Yes (X) | |||||
| Michelle Firebaugh | ||||||||||
| Department Director | 50.00 | $117,513 | $0 | $46,050 | Yes (X) | |||||
| Lyne B Aigner MD | ||||||||||
| Former Director and Officer | 0.00 | 50.00 | $0 | $279,648 | $170,346 | Yes (X) | ||||
| Mikesh Shah MD | ||||||||||
| Former Officer | 0.00 | 50.00 | $0 | $285,203 | $72,365 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $919,265 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,461,892 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,006,674 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 | $1,653,011 |
| HTF Mechanical Services Inc | |||||
| PO Box 618 | Moneta | VA | 24121 | Equipment Maintenance Contracts | $564,035 |
| Siemens Medical | |||||
| 51 Valley Stream Parkway | Malvern | PA | 19355 | Equipment Maintenance Contracts | $198,427 |
| F & S Building Innovations Inc | |||||
| 180 Floyd Ave | Rocky Mount | VA | 24151 | Construction Services | $161,474 |
| Gresham Smith and Partners | |||||
| 2823 Franklin Road Building A | Roanoke | VA | 24014 | Professional Services | $128,271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $23,189 | RelatedOrganizationsAmt |
| Government Grants | $6,500 | GovernmentGrantsAmt |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Total Contributions | $34,689 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenues | 622110 | $43,327,381 | $43,327,381 |
| Program Related Investments | 900099 | $44,238 | $44,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $43,371,619 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,823 | TotalRevenueColumnAmt |
| Exclusion | $48,823 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $332,856 | 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 | $332,856 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $332,856 | TotalRevenueColumnAmt |
| Exclusion | $332,856 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,690,551 | SecuritiesAmt |
| Other | $3,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,591,465 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,086 | SecuritiesAmt |
| Other | $3,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,586 | TotalRevenueColumnAmt |
| Exclusion | $102,586 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria & Vending Revenue | 722514 | $99,222 | $99,222 | |
| Affiliate Contract Revenue | 900099 | $20,480 | $20,480 | |
| Court Cost Recovery | 900099 | $19,500 | $19,500 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,619 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,619 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $164,821 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,055,394 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,437,218 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $583,487 | 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 | $121,110 | TotalAmt |
| Program Services | $121,110 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,812 | TotalAmt |
| Management And General | $303,812 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,257 | TotalAmt |
| Program Services | $107,257 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,455,145 | TotalAmt |
| Program Services | $14,454,454 | ProgramServicesAmt |
| Management And General | $691 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,683,160 | TotalAmt |
| Program Services | $1,683,080 | ProgramServicesAmt |
| Management And General | $80 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,861,644 | TotalAmt |
| Program Services | $1,838,944 | ProgramServicesAmt |
| Management And General | $22,700 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,218 | TotalAmt |
| Program Services | $1,031,645 | ProgramServicesAmt |
| Management And General | $21,573 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,818,821 | TotalAmt |
| Management And General | $5,818,821 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,215 | TotalAmt |
| Management And General | $6,215 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,378 | TotalAmt |
| Program Services | $3,378 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742 | TotalAmt |
| Management And General | $1,742 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,604,596 | TotalAmt |
| Program Services | $4,534,674 | ProgramServicesAmt |
| Management And General | $69,922 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,732 | TotalAmt |
| Program Services | $401,146 | ProgramServicesAmt |
| Management And General | $21,586 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,388 | TotalAmt |
| Program Services | $78,388 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,012 | TotalAmt |
| Program Services | $705,012 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,317 | TotalAmt |
| Program Services | $293,743 | ProgramServicesAmt |
| Management And General | $18,574 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,202 | TotalAmt |
| Program Services | $437,202 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,519,793 | TotalAmt |
| Program Services | $1,519,793 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,368 | TotalAmt |
| Program Services | $230,336 | ProgramServicesAmt |
| Management And General | $141,032 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $4,783,559 | $4,783,559 | |
| Medical Supplies | $2,766,393 | $1,597,634 | $1,168,759 |
| I/C Practice Subsidy | $2,203,900 | $2,203,900 | |
| Dues & Subscriptions | $28,502 | $26,884 | $1,618 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,861 | TotalAmt |
| Program Services | $52,861 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,702,125 | TotalAmt |
| Program Services | $36,105,000 | ProgramServicesAmt |
| Management And General | $7,597,125 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725 | BOYAmt |
| EOY | $720 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,553 | BOYAmt |
| EOY | $11,342 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,423,757 | BOYAmt |
| EOY | $5,140,914 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,596 | BOYAmt |
| EOY | $10,146 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,848 | BOYAmt |
| EOY | $98,322 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,396,715 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,803,701 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,257,835 | BOYAmt |
| EOY | $11,593,014 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,333,046 | BOYAmt |
| EOY | $800,813 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,983,694 | BOYAmt |
| EOY | $1,601,078 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,000 | BOYAmt |
| EOY | $60,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,188,054 | BOYAmt |
| EOY | $19,316,349 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,924,504 | BOYAmt |
| EOY | $3,399,782 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,070 | BOYAmt |
| EOY | $236,882 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,932,085 | BOYAmt |
| EOY | $8,392,714 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,898,945 | BOYAmt |
| EOY | $12,425,261 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,921,604 | BOYAmt |
| EOY | $24,454,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,767,667 | BOYAmt |
| EOY | -$5,172,407 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,117 | BOYAmt |
| EOY | $34,117 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,733,550 | BOYAmt |
| EOY | -$5,138,290 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,188,054 | BOYAmt |
| EOY | $19,316,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $353,269 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $207,619 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,034,372 | 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 | $3,378 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,378 | 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 | $226,092 | OtherCostOrOtherBasisAmt |
| Book Value | $226,092 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,395,985 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,453,458 | DepreciationAmt |
| Book Value | $6,942,527 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,332,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,563,768 | DepreciationAmt |
| Book Value | $3,768,511 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,442,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $786,475 | DepreciationAmt |
| Book Value | $655,884 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,593,014 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $280,406 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Private Equity Securities | Desc |
| Book Value | $1,320,672 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,601,078 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Qualified Pension Liability | $11,908,228 |
| Interest Rate Swap Liability | $517,033 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,425,261 | 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 tax 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 | $4,431,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,431,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,318,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,977,754 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $340,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,749,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,977,754 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,771,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 639 | ActivitiesOrProgramsCnt |
| Persons Served | 2366 | PersonsServedCnt |
| Total Community Benefit Expns | $82,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $1,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 74 | ActivitiesOrProgramsCnt |
| Persons Served | 12023 | PersonsServedCnt |
| Total Community Benefit Expns | $120,864 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $120,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 720 | ActivitiesOrProgramsCnt |
| Persons Served | 14391 | PersonsServedCnt |
| Total Community Benefit Expns | $205,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $205,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 720 | ActivitiesOrProgramsCnt |
| Persons Served | 14391 | PersonsServedCnt |
| Total Community Benefit Expns | $6,954,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,977,754 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,976,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,306 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 695 | PersonsServedCnt |
| Total Community Benefit Expns | $12,287 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 55 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $22,539 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,539 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 220 | PersonsServedCnt |
| Total Community Benefit Expns | $4,296 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,875 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 114 | ActivitiesOrProgramsCnt |
| Persons Served | 916 | PersonsServedCnt |
| Total Community Benefit Expns | $46,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,783,559 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $12,175,429 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,680,425 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,504,996 | 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 Franklin Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 Floyd Avenue | AddressLine1Txt |
| City | Rocky Mount | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24151 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | See Schedule O. | WebsiteAddressTxt |
| State License | H 1836 | 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 Franklin Memorial Hospital | 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Carilion Franklin Memorial Hospital | 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 as "Community Health Assessment Teams" (CHAT) lead the CHNA projects. The CHAT 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) Franklin County Community Health Needs Assessment (FCCHNA): Family Preservation Services, Franklin County Department of Aging Services, Franklin County Family Resource Center, Franklin County Public Library, Franklin County Public Schools, Free Clinic of Franklin County, Helping Hands of Franklin County, Martinsville Henry County Coalition for Health and Wellness, Pigg River Community Association, Rocky Mount Police Department, Smith Mountain Lake Good Neighbors, Southern Area Agency on Aging, TW Controls, United Way of Franklin County, Virginia Department of Health, Young Audiences of Virginia.In addition to the CHAT, the FCCHNA conducted stakeholder surveys, target population focus groups, and a community health survey. Target population focus groups were conducted with participants from Bassett Library, an Essig Center Senior Group, a Henry Fork Center English learning class, and Tanyard Village residents. The community health survey was made available to residents living in Franklin County and Bassett, Virginia. Oversampling of the target populations occurred through targeted outreach efforts. In total, 306 surveys were collected. |
| Carilion Franklin Memorial Hospital | Part V, Section B, Line 6b: Family Preservation Services, Franklin County Department of Aging Services, Franklin County Family Resource Center, Franklin County Public Library, Franklin County Public Schools, Free Clinic of Franklin County, Helping Hands of Franklin County, Martinsville Henry County Coalition for Health and Wellness, Pigg River Community Association, Rocky Mount Police Department, Smith Mountain Lake Good Neighbors, Southern Area Agency on Aging, TW Controls, United Way of Franklin County, Virginia Department of Health, Young Audiences of Virginia. |
| Part V, Section B, Line 7: | Line 7a: https://www.carilionclinic.org/locations/carilion-franklin-memorial- hospital.Line 7b: https://www.carilionclinic.org/community-health-assessments.Line 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 Healthy Franklin County (HFC) partnered to conduct the 2016 FCCHNA. 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 July 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 later in July 2016.The top ten priority areas that emerged from these findings include:1. Access to primary care 2. Access to mental health counseling/substance abuse services3. Lack of reliable transportation 4. Access to adult dental care 5. Value not placed on preventive care and chronic disease management 6. High uninsured population7. High prevalence of substance abuse (alcohol, illegal & prescription drugs) 8. Alcohol and illegal drug use9. Improved coordination of care across the health and human service sector10. Stigma with mental health and substance abuse servicesThe CHAT participated in strategic planning on July 11, 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); wellness (value not placed on preventive care and chronic disease management); transportation (lack of reliable transportation); and substance use/abuse (high prevalence of substance abuse, alcohol and illegal drug use, and stigma with mental health and substance abuse services).Significant Health Needs to be AddressedCarilion Franklin Memorial Hospital (CFMH) plans to address key community health needs identified in the 2016 assessment by focusing its efforts on partnering with community organizations to maintain, expand and streamline existing holistic wellness and prevention initiatives that are already working to address the identified major priorities as a result of the 2013 FCCHNA, and other community needs assessment findings. In addition, CFMH will be an integral partner in the community initiative focused on maximizing coordination of care through successful implementation of CharityTracker and other resources. Through greater access to clinical care, enhanced community outreach programs, creative community partnerships and focused financial and in-kind support of initiatives, CFMH plans to improve community health in Franklin County and Bassett, Virginia. A. Access to Services (Primary Care, Mental Health and Substance Abuse Services, and Dental Care)Carilion Clinic recognizes the need for additional primary care providers in Franklin County. As such, recruitment efforts are underway for primary care providers and Carilion Clinic continues to explore options for expanding primary care access in the community.Carilion Clinic also partners with the Free Clinic of Franklin County to improve access to primary care through financial support which allows them to maintain a position to meet the needs of the low-income patients. The Free Clinic of Franklin County continues to serve the poorest uninsured with primary medical care and prescription medications. The majority of their patient population suffers from one or more chronic diseases, requiring longer visits, frequent follow-up visits, and multiple medications. Through this partnership, not only is access to primary care made available to target populations, but ongoing education and follow-up is provided to patients with chronic diseases. This partnership also includes coordination between the Free Clinic of Franklin County and the CFMH Emergency Department to connect uninsured patients with primary care.The Health Efficiency Navigation Initiative (HENI) is a partnership with other providers in our community to address access to coverage and to care. CFMH hired a Community Healthcare Outreach Advocate (CHOA) to work in the Emergency Room during peak periods to connect with patients who have no medical home and/or no insurance and, together with HENI partners, navigate patients to more appropriate and lower cost care. As a result of these efforts, CFMH has seen a trend of decreasing Emergency Room visits and the visits are at a higher acuity. 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 provide the basis for the expansion of telepsychiatry services to patients in Franklin County. 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. CFMH will begin conversations with community partners through Healthy Franklin County to find ways to take advantage of available Health Resources and Services Administration (HRSA) dollars to bring affordable dental services to Franklin County.B. Coordination of Care:Carilion Clinic's family practices have adopted the medical home model and have added care coordinators to proactively work with its high risk, chronic care patients. Through the Better Living 65 initiative, Carilion Family Medicine is working with care coordinators to ensure better follow-up and communication with patients who have chronic diseases. The care coordinators work to ensure that patients understand their care plan and have someone to talk to between visits.In 2011, CFMH measured the number of high utilizing patients in the Emergency Room. The results demonstrated high utilization of the Emergency Room, most significantly among government paid patients and self-pay patients. At that time, CFMH spent several months studying the issue and performed an experiment. The hypothesis was that this was due to limited access to primary care and sub-optimal care coordination. This experiment was to work with the on-campus primary care group to open slots for non-emergent patients to be seen during their normal working hours. CFMH credentialed our Emergency Room Physician Assistants (PA's) to medically screen and stabilize low acuity patients, educate them on the importance of a medical home, then request for them to go to a primary care physician in our on-site practice rather than the Emergency Room. This worked well, but quickly depleted open slots for patients in the primary care practice.In 2014, with the availability of coverage through the Affordable Care Act, the community decided to create a Health Efficiency Navigation Initiative (HENI). This group was a partnership with other providers in our community to address access to coverage and to care. Members of the HENI are:o Carilion Franklin Memorial Hospitalo Carilion Clinic Primary Care Practices in our Region (5)o Tri-area Community Health Center at Ferrumo Free Clinic of Franklin Countyo Martinsville Henry County Health & Wellness Coalitiono Piedmont Services (Local Community Services Board)o Virginia Department of Health, West Piedmont DistrictThe HENI started in late 2014 and CFMH hired a Community Healthcare Outreach Advocate (CHOA). The CHOA works in the Emergency Room during peak periods to connect with patients who have no medical home and/or no insurance. This is done after the patient has been medically screened and stabilized. The CHOA works with contacts from all partner providers to navigate patients to more appropriate and lower cost care. As a result of these efforts, CFMH has seen a trend of decreasing Emergency Room visits and the visits are at a higher acuity.The HENI has also been successful in moving people from uninsured to reasonable coverage. This is done through the CFMH Emergency Room, members of the HENI, community events and learning opportunities, and coordination events with other navigation organizations across the state. |
| Part V, Section B, Line 11 Continued: | CFMH will continue to strive to address access challenges and follow-through. The next challenge is coordinating this care. The HENI is implementing a community-wide, web-based system called CharityTracker to strengthen care coordination. CharityTracker is an online system that enables shared case management across various health and human service organizations. Through this system, organizations can communicate quickly and easily to coordinate all needed supports for an individual or family together and at one time. Other benefits include reduced duplication of services, increased client accountability, shared data and shared outcomes. This system will also be available to key United Way agencies in our community as we recognize the importance of social determinants of health beyond what healthcare providers can supply.C. Substance Use/Abuse:Carilion Clinic participates as a partner in the FRESH Coalition. FRESH (Focus on Response and Education to Stay Healthy) is a community coalition focused on changing behaviors and attitudes to prevent substance abuse among youth and families in Franklin County. The vision is to empower our community to make healthy choices. FRESH is made up of different representatives in the community representing 12 sectors: Youth, Parents, Media, Schools, Businesses, Healthcare Professionals, Law Enforcement, Civic and Volunteer Groups, Youth-Serving Organizations, State and Local Government, Religious Organizations, and Other Organizations Working to Prevent Substance Abuse. The youth representatives make up the CHILL (Communities Helping Improve Local Lives) Youth Task Force that is made up of students in 9-12th grade who are committed to making healthy, positive choices. It is a youth leadership and development program where students are trained in drug and alcohol prevention and are given opportunities to strengthen their personal skills while working to improve their school and community. FRESH has been working on the following:. Reducing alcohol related motor vehicle crashes. Reducing underage drinking. Increasing awareness about dangers of underage drinking and parents hosting . Providing education to the community on various drug issues (ex: synthetic marijuana, electronic cigarettes and vaping, prevention of marijuana legalization, opioid overdose reversal, safe disposal of prescription drugs) . Partnering with law enforcement for the Prescription Drug Take Back events in the community twice a year. Implementing a permanent prescription drug drop box for people to dispose of their unwanted meds at any time. Promoting responsible alcohol use for those over 21 though our "What's Your Plan?" campaign. Partnering with law enforcement to increase awareness about increased patrols and DUI enforcement. Recognizing organizations and businesses that are compliant with alcohol and tobacco laws. Providing drug-free alternative events for youth in the community (ex: After Prom Party). Promotion of National Family Day in September by providing dinner and fun activities for families to participate in together. CHILL has been working on the following:. Project Sticker Shock through the Virginia Department of Alcoholic Beverage Control where students place warning stickers on cases of alcohol to raise awareness about not providing alcohol to minors. . Providing interactive drug prevention activities in the 6th grade health classes and with other community groups (ex: Henry Fork Center, YMCA After School Program, churches) . Providing educational materials to the community around various drug topics (ex: providing Tobacco Merchant Education info to retailers selling tobacco products). Promoting school wide campaigns around drug prevention issues; especially around holidays, homecoming, prom, and graduation. Partnerships with local organizations for events (Souls to Soles shoe drive, Shine Without Shine, Come Home to a Franklin County Christmas). Attending various youth conferences to gain knowledge and skills in drug prevention. CHILL members have attended the YADAPP (Youth Alcohol and Drug Abuse Prevention Project) Conference for three years and the last two years our students won a mini-grant to implement a prevention project in their community during the following year. Carilion Clinic will also look into partnering with the public school system's family liaisons to provide resource education that can be shared with families when they identify a need. In addition, Carilion Clinic will explore the possibility for staff and community education on continuing to be sensitive with substance abuse patients.D. Transportation:CFMH is participating as a partner in a newly formed coalition called the Franklin County Transportation Task Force (FCTTF) which will focus on addressing transportation issues in Rocky Mount and Franklin County, specifically non-emergency transportation to health resources. This task force is in the planning stages of a program based on the Bedford Ride model currently operating in Bedford, Virginia.E. Wellness:Carilion Clinic has committed to continue its financial support of Healthy Franklin County (HFC) in 2016-2017. CFMH will continue to support and participate as a partner in HFC. HFC is a coalition that seeks to reduce obesity and related chronic diseases by mobilizing time, talent and financial resources to promote healthier lifestyles. The HFC Steering Committee and nutrition and fitness workgroups meet regularly to identify and measure results of key strategies including:o Healthy West Piedmont - Healthy West Piedmont is a regional lifestyle health program that was recently funded with a grant from the Centers for Disease Control. Two personnel will continue to collaborate with HFC. In addition to providing essential local timely data, the project will train and deploy a corps of Community Health Workers to assist in combating obesity in Henry and Patrick counties, as well as Franklin County. o Initiate Employee Wellness Activities - In partnership with Healthy West Piedmont and the Franklin County Family YMCA, HFC will engage local employers in employee wellness activities using the lifestyle modification model that has already begun in the community. Already, new hiking trails have been created and mapping and signage have been improved for existing trails. These maps label one-mile loops in Franklin County.o Create Community Giving Gardens - To stimulate interest in and knowledge of gardening and to help feed those who rely upon the food banks, HFC created a series of raised bed gardens in close proximity to fresh food deserts (i.e. areas with limited access to healthy food). Produce will continue to be distributed to food banks and via neighborhood pick-up to those most in need. The giving gardens produced 20,052.5 lbs of food that went to the immediate Franklin County area in the 2016 growing season per the December 2016 report. HFC will continue to expand this program and already has plans for additional gardens. o Diabetes Prevention Program - HFC partners will offer a diabetes prevention program. These classes will be hosted at the Free Clinic of Franklin County.o Establish Restaurant Collaborations - Lifestyle health initiatives cannot assume that participants will always eat at home. Making local restaurants aware of Healthy Franklin County food and drink standards is the first step. Healthy Franklin County partners will work with restaurants to add plant strong items to menus, focus on healthy drinks, and otherwise communicate healthy choices. A rewards system will be employed to recognize these efforts.o Engaging the Public School System - Franklin County High School students already participate in a semester-long plant strong lifestyle health program offered by Healthy Franklin County partners. HFC partners also host programs to enable collaboration with grades Pre-K through 5. This health education curriculum includes education on making healthy food choices, recognition of sugars and fatty foods, gardening and composting, and trying new foods, plus homework of bringing healthy food recipes home to parents along with a survey that parents can send back indicating what food support they might need. This program was implemented in 2016 and will continue to be conducted as of this school year. |
| Part V, Section B, Line 11 Continued: | F. Focused Community Grants and Partnerships:Carilion Clinic funds health safety-net providers and causes identified through the FCCHNA. In-kind assistance is also provided through community partnerships that align with the FCCHNA. Carilion Clinic actively looks for opportunities to impact community health by providing outreach and educational support. Partnerships include Free Clinic of Franklin County, FRESH, HFC, HENI, Smith Mountain Lake Good Neighbors, Southern Virginia Child Advocacy Center, Transportation Task Force and United Way of Franklin County, to name a few. Carilion Clinic also provides education and information on numerous clinical services and prevention topics, as well as health screenings. Priority Areas Not being Addressed and the ReasonsA community approach to determine and address priority needs as described in Part V, Section C, Line 11 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 | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - Imaging Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Medical Court | AddressLine1Txt |
| City | Hardy | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CT and Diagnostic Radiology | FacilityTxt |
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-Bad debt expense in the amount of $4,783,559 is subtracted from total expenses for the calculation.Part I, Line 7e:Community Health Improvement Services and Community Benefit Operations- This line is calculated at actual cost. As part of its mission to educate the public about health risks and steps that can be taken to improve health, Carilion Clinic conducts and participates in health fairs, screenings, and presentations offered at various community locations. These events provide an opportunity to educate individuals about improving health and quality of life as well as determining one's risk of developing a chronic illness. Another way that Carilion Franklin Memorial Hospital (CFMH) touches the community is through Med Talk, a weekly radio program, providing listeners with an opportunity to learn more about a variety of health topics through a call-in show that provides answers to their specific questions. Coordinated by a local health educator, guests of the show include health professionals and representatives of local community service organizations. 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 tracking community health improvement activities as well as conducting the Franklin County Community Health Needs Assessment (FCCHNA).Part I, Line 7f:Health Professions Education-Continuing health education was provided to local Emergency Medical Service (EMS) providers as well as participation in Virginia Commonwealth University (VCU) health administration graduate students evaluations. Education was provided in-kind to Court Appointed Special Advocates and to Ferrum College health sciences students.Part I, Line 7g:Subsidized Health Services-N/A.Part I, Line 7h:Research-N/A.Part I, Line 7i:Cash and In-Kind Contributions- This line is calculated 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 nutrient dense foods, promotion of exercise and healthy activity, child abuse prevention, and access to primary care and mental health in addition to a multitude of other community health improvement goals. |
| Part II, Lines 1-8 | Part II, Line 1: Physical Improvements- N/A.Part II, Line 2: Economic Development- CFMH provided support to the Smith Mountain Lake Chamber of Commerce.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 nutrition and resources for our neighbors in need, removing obstacles to good health. Part II, Line 4: Environmental Improvements-N/A. Part II, Line 5: Leadership Development- N/A.Part II, Line 6: Coalition Building-In addition to financial support, CFMH works alongside partners, dedicating in-kind resources. In-kind support was provided to Healthy Franklin County, Westlake - Halesford Greenway, Smith Mountain Lake Foundation, United Way of Franklin County, Institute for Public Health, SML Aging in Place Coalition, Franklin County Health Department, Franklin County Connects, Community Action Network, Rotary Club, Lions Club, Piedmont Community Services, Tobacco Region Revitalization Commission, Diabetes Prevention Coalition, FRESH Coalition, and a variety of other coalition meetings.Part II, Line 7: Community Health Improvement Advocacy-Through its role in key community need focused coalitions, CFMH advocates for better community health.Part II, Line 8: Workforce Development-Support was provided in-kind for the Centers for Applied Technology and Career Exploration, New Tech Program, Ferrum College Business Advisory Board and college senior protocol dinner. |
| Part III, Line 2: | Carilion Franklin Memorial Hospital 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 Franklin Memorial Hospital 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 Franklin Memorial Hospital 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 of 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. 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. As a result to the CHNA, Carilion Franklin Memorial Hospital (CFMH) partnered with the United Way of Franklin County to form Healthy Franklin County. Using the collective impact model, the partnership represents cross-sector stakeholders and leaders who are working to implement cost-effective programs resulting in improved health outcomes. Carilion Clinic 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 Franklin Memorial Hospital (CFMH) is located in Rocky Mount, Virginia. The following data comes from the 2016 Franklin County Community Health Needs Assessment (FCCHNA). In fiscal year 2015, CFMH served 21,118 unique patients. Patient origin data revealed that in fiscal year 2015, 74.40% of patients served by CFMH lived in the following localities:. Franklin County (69.24%). Bassett - Henry County (5.16%)Nestled in the beautiful Blue Ridge Mountains in southwest Virginia, Franklin County is mostly rural with 81.3 persons per square mile and a land area of 690.43 square miles. According to the 2011-2015 American Community Survey 5-Year Estimates, the total population of Franklin County is 56,315. 80% of residents are 18 years old or over and 20% are 65 years old or over. Franklin County is 90.9% White and 8.5% Black. 42.4% of Franklin County residents are not in the labor force, the median household income is $46,870, 13.1% of residents have no health insurance coverage, 14.9% of all people and 24.6% of people under 18 years old live below the federal poverty level, 84% of residents have graduated high school, and 20.5% of residents have a bachelor's degree or higher. Franklin County is a designated Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA) for Primary Care, Dental, and Mental Health providers. The findings of the 2016 Franklin County / Bassett Community Health Needs Assessment revealed an underserved population in need of better access to primary care, mental health care, dental care and specialty services. The community expressed a need for more reliable transportation and coordination of care across the health and human services sector. Specifically, transportation concerns are exacerbated by the lack of access to primary and dental care, making trips into Roanoke necessary for many Franklin County residents. Stakeholders and community respondents also expressed sincere concern over the use and abuse of alcohol, illegal drugs and prescription drugs. Poverty rates were higher, academic attainment rates were lower, and unemployment rates continue to be greater than statewide averages impacting the social determinants of health. |
| Part VI, Line 5: | Promotion of Community HealthCarilion Franklin Memorial Hospital provides a full range of top-quality inpatient and outpatient care for residents from Boones Mill and Wirtz to Hardy and Smith Mountain Lake. Our facility includes an inpatient hospital and medical offices for acute and specialty care. Carilion Franklin Memorial Hospital serves all patients regardless of their ability to pay. The Hospital'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 Hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss. |
| Part VI, Line 6: | Affiliated Health Care SystemCarilion Franklin Memorial Hospital 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 nearly 1 million 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 interprofessionalism 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Disability Rights & Resources Center | |||||||
| 300 Pell Ave Suite A | Rocky Mount | VA | 24151 | 464717917 | 501(c)(3) | $23,700 | General Support |
| Free Clinic of Franklin County | |||||||
| 1171 Franklin Street | Rocky Mount | VA | 24151 | 541634138 | 501(c)(3) | $26,150 | General Support |
| Childrens Advocacy Programs of the Blue Ridge Inc - Southern VA Child Adv | |||||||
| 300 South Main Street | Rocky Mount | VA | 24151 | 541950268 | 501(c)(3) | $10,000 | General Support |
| Anchor of Hope Community Foundation | |||||||
| 118 Centre Avenue NW | Roanoke | VA | 24017 | 474222612 | 501(c)(3) | $40,000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Craig L Bookout MD | ||||||||||||||
| Director | $0 | $311,182 | $0 | $22,740 | $0 | $4,294 | $0 | $66,034 | $0 | $4,394 | $0 | $408,644 | $0 | $0 |
| Sarah L Stubbs MD | ||||||||||||||
| Director | $0 | $233,512 | $0 | $53,798 | $0 | $25,111 | $0 | $30,239 | $0 | $13,076 | $0 | $355,736 | $0 | $0 |
| Steven C Arner | ||||||||||||||
| Director | $0 | $426,986 | $0 | $98,146 | $0 | $4,840 | $0 | $192,610 | $0 | $14,330 | $0 | $736,912 | $0 | $0 |
| William D Jacobsen | ||||||||||||||
| Dir./Sec./Treas./Hospital VP | $179,429 | $0 | $35,555 | $0 | $2,373 | $0 | $87,561 | $0 | $12,821 | $0 | $317,739 | $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 |
| Lori McClure | ||||||||||||||
| Pharmacy Manager | $160,183 | $385 | $2,000 | $0 | $2,398 | $0 | $88,670 | $0 | $1,050 | $0 | $254,301 | $385 | $0 | $0 |
| Sharon Scott | ||||||||||||||
| Pharmacist | $150,103 | $614 | $663 | $0 | $893 | $0 | $95,784 | $0 | $940 | $0 | $248,383 | $614 | $0 | $0 |
| Shirley Landon-King | ||||||||||||||
| Occupational Therapist | $132,714 | $642 | $400 | $0 | $108 | $0 | $36,935 | $0 | $108 | $0 | $170,265 | $642 | $0 | $0 |
| Donn Bergman | ||||||||||||||
| Physical Therapist | $124,010 | $0 | $10,400 | $0 | $523 | $0 | $4,881 | $0 | $13,380 | $0 | $153,194 | $0 | $0 | $0 |
| Michelle Firebaugh | ||||||||||||||
| Department Director | $112,543 | $0 | $3,000 | $0 | $1,970 | $0 | $41,905 | $0 | $4,145 | $0 | $163,563 | $0 | $0 | $0 |
| Lyne B Aigner MD | ||||||||||||||
| Former Director and Officer | $0 | $229,736 | $0 | $46,103 | $0 | $3,809 | $0 | $157,706 | $0 | $12,640 | $0 | $449,994 | $0 | $0 |
| Mikesh Shah MD | ||||||||||||||
| Former Officer | $0 | $215,028 | $0 | $68,349 | $0 | $1,826 | $0 | $70,437 | $0 | $1,928 | $0 | $357,568 | $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 Hospital Vice President, 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 by Carilion, 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 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 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 (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Economic Development Authority of the City of Roanoke VA | ||||||||
| A | 541106038 | 770082AB1 | 2010-10-13 | $2,101,036 | Refunding of Series 2003A-C Bonds (8/03), Costs of Issuance | 0 | 0 | 0 |
| Industrial Development Authority of the City of Roanoke VA | ||||||||
| B | 541106038 | 770084FU0 | 2010-10-13 | $5,311,002 | Reoffering Circular and interest rate conversion to fixed, Issuance Cost | 0 | 0 | 0 |
| Economic Development Authority of the City of Roanoke VA | ||||||||
| C | 541106038 | 770082AW5 | 2012-02-09 | $4,266,137 | Refunding of Series 2000 and 2002A Bonds, Issuance Cost, Capital Projects | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Credit EnhancementCreditEnhancementAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $2,101,036 | $26,036 | $2,075,000 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $5,311,002 | $57,429 | $5,251,333 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,036,000 | $2,240 |
| C | $4,266,137 | $47,015 | $4,219,122 | 0 | Yes (1) | Yes (1) | Yes (1) | $1,627,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | Yes (1) | 0.04500 | 0.04500 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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) | 0 | 0 | 0 | 0 | Yes (1) | ||
| AIG | |||||||||||
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) | 0.300000000000 | Yes (1) |
| (no name) | |||||||||||
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/29/2011 Issuer Name: Industrial Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 05/04/2011 Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/04/2013 |
| Schedule K, Part II | All bond issues multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lettitia Furrow | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | See Part V | RelationshipDescriptionTxt |
| Transaction | $107,257 | TransactionAmt |
| Transaction | Employee | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV: | FormAndLineReferenceDesc |
| Explanation | Family member of William Kingery, Director. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 6 | Within the hospital, volunteers serve at the escort desk, decorate, handle vendor sales, provide fundraisers, assist with Relay for Life, put together charts, plan conferences, and file and put together O.R. packets. Through Hospice, volunteers provide socialization and companionship to patients in the home and nursing facilities, provide caregiver relief, assist in the office with clerical duties, planning and executing fund-raising events, and make hand-made quilts and cards for patients. |
| Form 990 Part V, Line 1a | 1099s are issued on Carilion Franklin Memorial Hospital's behalf by Carilion Services, Inc., a related organization providing management and administrative services, including payment processing. |
| Form 990, Part VI, Section A, line 2 | Nancy Howell Agee, Steven C. Arner, Craig L. Bookout, M.D., Donald B. Halliwill, Melina D. Perdue, Lauren J. Schantz, Sarah L. Stubbs, M.D., 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, Steven C. Arner, Donald B. Halliwill, Melina D. Perdue, Lauren J. Schantz, and G. Robert Vaughan, Jr. |
| 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. 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: $863,476 Purchased Services: $1,057,953 Contract Fees/Consulting: $228,205 Repairs and Maintenance: $622,775 Reference Labs: $1,708,715 Temporary Employment: $53,550 Total Other Service Fees, Column B: $4,534,674 Form 990 Part IX, Line 11g, Column C: Purchased Services: $23,986 Contract Fees/Consulting: $45,936 Total Other Service Fees, Column C: $69,922 |
| Form 990, Part XI, line 9: | Pension-related changes other than net periodic pension cost 1,088,372. Transfer to Affiliates -54,000. |
| Form 990, Schedule H, Part V, Section A, Line 1: | https://carilionclinic.org/locations/carilion-franklin-memorial-hospital |
Schedule R IRS990ScheduleR
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 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 New River Valley Medical Center | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 540553805 | 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 | |
| Carilion Clinic Foundation | |||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190773 | Fundraising | VA | 501(c)(3) | Line 7 | 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 | 0 | 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 (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carilion Medical Center | ||
| A | $36,462 | Cost |
| Carilion Services Inc | ||
| A | $7,776 | Cost |
| Carilion Healthcare Corporation | ||
| A | $283,386 | Cost |
| Carilion Medical Center | ||
| M | $1,989,363 | Cost |
| Carilion Services Inc | ||
| M | $6,424,099 | Cost |
| CHS Inc | ||
| M | $156,846 | Cost |
| Carilion Healthcare Corporation | ||
| M | $834,810 | Cost |
| Carilion Services Inc | ||
| R | $54,000 | Cash |
| SCA Credit Services Inc | ||
| M | $61,225 | Cost |