STRATEGY STUDIO / PUBLIC DATA EXPLORER

BEDFORD MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BEDFORD MEMORIAL HOSPITAL (EIN 54-0566100)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201222279349302502
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T14:05:24-00:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1424 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540566100EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bedford Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBEDFNameControl
Phone5402245112Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDonald LortonName
TitleAssistant TreasurerTitle
Date Signed2012-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFrancis BedardName
Phone6152591811Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1William FlatteryBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1
CityRoanokeCity
StateVAState
ZIP Code24025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts51408930GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carilionclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionThe mission of Bedford Memorial Hospital, a partnership between Centra and Carilion Clinic, is to improve the health of the community it serves. The hospital provides inpatient and outpatient surgery, and emergency, geriatric and rehabilitative services. The mission of Bedford Memorial Hospital, a partnership between Centra and Carilion Clinic, is to improve the health of the community it serves. The hospital provides inpatient and outpatient surgery, and emergency, geriatric and rehabilitative services.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees432TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year102896ContributionsGrantsPriorYear
Contributions Grants Current Year31110ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34212903ProgramServiceRevenuePriorYear
Program Service Revenue CY32864029ProgramServiceRevenueCY
Investment Income Prior Year351155InvestmentIncomePriorYear
Investment Income Current Year758630InvestmentIncomeCurrentYear
Other Revenue Prior Year545440OtherRevenuePriorYear
Other Revenue Current Year2019490OtherRevenueCurrentYear
Total Revenue Prior Year35212394TotalRevenuePriorYear
Total Revenue Current Year35673259TotalRevenueCurrentYear
Grants And Similar Amnts CY13492GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16437331SalariesEtcPriorYear
Salaries Etc Current Year15379287SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19156282OtherExpensePriorYear
Other Expenses Current Year18276620OtherExpensesCurrentYear
Total Expenses Prior Year35593613TotalExpensesPriorYear
Total Expenses Current Year33669399TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-381219RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2003860RevenuesLessExpensesCY
Total Assets BOY27378215TotalAssetsBOY
Total Assets EOY28016228TotalAssetsEOY
Total Liabilities BOY16946302TotalLiabilitiesBOY
Total Liabilities EOY18859174TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10431913NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9157054NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28755239Expense
Grants13492Grants
Revenue34386989Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense28755239TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees432NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryEINameOfForeignCountry
Name Of Foreign CountryUKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThe CorporationNamePerson
Telephone Number5402245112TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StreetAddressLine1
CityRoanokeCity
StateVAState
ZIP Code240111713ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
David Adams
Director002.00X000
Lewis Addison
Director002.00X000
George Dawson
Director002.00X000
Carolyn Jacques
Director002.00X000
Thomas Jividen
Director002.00X000
Consuela Woods
Director002.00X000
Brian Buchanan MD
Director002.00X000
G C Luck Jr
Director002.00X000
John Mack
Director002.00X000
Michael LeMaster
Director002.00X000
John Bond
Director002.00X000
Donna Littlepage
Director050.00X022895166902
Curtis Mills
Director050.00X0252197148831
Melina Perdue
Director050.00X026219496083
Paul Davenport
Director050.00X012306710812
Donald Creech
Director050.00X026707543807
G E Murray Jr
President002.00X000X
Linda Beahm MD
President002.00X000X
Patsy Dooley
Vice President002.00X000X
Patti Jurkus
CEO/Secretary/Treasurer050.00136153048694X
Donald Lorton
Assistant Treasurer050.000521051332850X
Rachel Mabe
Assistant Secretary050.0007094917506X
David Allgood MD
Chief of Staff002.00X000
Jessica Saville
Pharmacy Manager050.00123186016679X
Phillip Gruber
Pharmacist050.00115670036748X
Georgiann Watts
Senior Director - Nursing050.00111433050714X
Dana Thompson
Team Leader050.00100970021157X
FieldValueIRS element (for citing)
Total Reportable Comp From Org587412TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1725484TotalReportableCompFrmRltdOrgs
Total Other Compensation890783TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Carilion Labs LLC
213 S Jefferson Street Suite 1202RoanokeVA24011Laboratory Services902522
Heritage Healthcare
536 Old Howell RoadGreenvilleSC29615Healthcare Professionals735978
Centra Health Inc
1901 Tate Springs RoadLynchburgVA24501Consulting and LTC administrator278358
Foodservice Partners of VA LLC
2823 Franklin Road Bldg BRoanokeVA24014Food service contractor146496
GE Medical Systems
5517 Collections Center DriveChicagoIL60693Equipment maintenance138775
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants1950GovernmentGrants
All Other Contributions29160AllOtherContributions
Total Contributions31110TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenuesDescription
Business Code900099BusinessCode
Total Revenue Column32864029TotalRevenueColumn
Related Or Exempt Function Income32864029RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue32864029TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6567TotalRevenueColumn
Exclusion$6,567ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column81TotalRevenueColumn
Exclusion$81ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real462773Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real462773Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column462773TotalRevenueColumn
Exclusion$462,773ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities16484541Securities
Other3112Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15735671Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities748870Securities
Other3112Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column751982TotalRevenueColumn
Exclusion$751,982ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria90009933757$33,757
Miscellaneous9000993821638216
EHR Payment90009914640121464012

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column20732TotalRevenueColumn
Related Or Exempt Function Income20732RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1556717TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35673259TotalRevenueColumn
Related Or Exempt Function Income34386989RelatedOrExemptFunctionIncome
Exclusion$1,255,160ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13492Total
Program Services13492ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total164295Total
Program Services164295ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12217726Total
Program Services11780495ProgramServices
Management And General437231ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total867581Total
Program Services867581ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1253254Total
Program Services1136149ProgramServices
Management And General117105ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total876431Total
Program Services876431ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total975876Total
Management And General975876ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total40492Total
Management And General40492ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29750Total
Management And General29750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total6403Total
Program Services6403ProgramServices
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4094241Total
Program Services3750307ProgramServices
Management And General343934ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total71392Total
Program Services67503ProgramServices
Management And General3889ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3759627Total
Program Services3702805ProgramServices
Management And General56822ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total212052Total
Program Services212052ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total939504Total
Program Services871256ProgramServices
Management And General68248ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total62083Total
Program Services48832ProgramServices
Management And General13251ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total488059Total
Program Services488059ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1624708Total
Program Services1624708ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total349647Total
Program Services207789ProgramServices
Management And General141858ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt28650262865026
Practice Subsidy260962742609623
Dues Subscriptions574481106846380
Miscellaneous21697189419803
Other expenses68988590909898

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33669399Total
Program Services28755239ProgramServices
Management And General4914160ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1620BOY
EOY1620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY701787BOY
EOY13135EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4281511BOY
EOY5902997EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126220BOY
EOY128799EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37906969LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28191058LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11110698BOY
EOY9715911EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6758553BOY
EOY6814035EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4285446BOY
EOY5294263EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY112380BOY
EOY145468EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27378215BOY
EOY28016228EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3776886BOY
EOY3465551EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20277BOY
EOY66320EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8705319BOY
EOY8274536EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4443820BOY
EOY7052767EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16946302BOY
EOY18859174EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10426873BOY
EOY9152967EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5040BOY
EOY4087EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10431913BOY
EOY9157054EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27378215BOY
EOY28016228EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2003860ReconcilationRevenueExpenses
Reconcilation Other Changes-3278719ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$6,403OtherActivitiesAmount
Total Lobbying Expenditures IIB6403TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierII-BIdentifier
Return Reference1iReturnReference
ExplanationLobbying expenses included in American Hospital Association and Virginia Hospital Healthcare Association dues.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis476378OtherCostOrOtherBasis
Book Value476378BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19126800OtherCostOrOtherBasis
Depreciation11421014Depreciation
Book Value7705786BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24189OtherCostOrOtherBasis
Depreciation24189Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17986822OtherCostOrOtherBasis
Depreciation16479478Depreciation
Book Value1507344BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis292780OtherCostOrOtherBasis
Depreciation266377Depreciation
Book Value26403BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9715911TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value5294263BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5294263TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Qualified Pension Liability$6,241,707
2005 Fixed Payor Swap$796,119
2010 Barclays Swap$10,767
2010 PNC Swap$4,174
FieldValueIRS element (for citing)
Total Of Amounts7052767TotalOfAmounts
Total Revenue35673259TotalRevenue
Total Expenses33669399TotalExpenses
Excess Or Deficit For Year2003860ExcessOrDeficitForYear
Net Unrealized GL On Investments-882929NetUnrealizedGLOnInvestments
Other-$2,395,790OtherAmount
Total Adjustments-3278719TotalAdjustments
Excess Or Deficit Per FS-1274859ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34790329TotRevenueEtcAuditedFinclStmt
Revenue Subtotal34790329RevenueSubtotal
Other Revenues Not Included882930OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt882930RevenueNotRptdOnFinStmt
Total Revenue Per Form99035673259TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33597108TotExpensesEtcAuditedFinclStmt
Expenses Subtotal33597108ExpensesSubtotal
Other Expenses Not Included72291OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt72291ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033669399TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
XI8Pension related changes other than net periodic pension cost 2,395,789 and rounding of 1.
XII4bNet unrealized losses on investments 882,929 and rounding of 1.
XIII4bAdjustment for pension 72,291.
X2Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2011 and 2010. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1613467TotalCommunityBenefitExpense
Net Community Benefit Expense1613467NetCommunityBenefitExpense
Percent Of Total Expense0.04790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5775070TotalCommunityBenefitExpense
Direct Offsetting Revenue4396810DirectOffsettingRevenue
Net Community Benefit Expense1378260NetCommunityBenefitExpense
Percent Of Total Expense0.04090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7388537TotalCommunityBenefitExpense
Direct Offsetting Revenue4396810DirectOffsettingRevenue
Net Community Benefit Expense2991727NetCommunityBenefitExpense
Percent Of Total Expense0.08880PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs302NumberOfActivitiesOrPrograms
Persons Served14002PersonsServed
Total Community Benefit Expense78008TotalCommunityBenefitExpense
Direct Offsetting Revenue1542DirectOffsettingRevenue
Net Community Benefit Expense76466NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs100NumberOfActivitiesOrPrograms
Persons Served197PersonsServed
Total Community Benefit Expense12217TotalCommunityBenefitExpense
Net Community Benefit Expense12217NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served375PersonsServed
Total Community Benefit Expense17331TotalCommunityBenefitExpense
Net Community Benefit Expense17331NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs413NumberOfActivitiesOrPrograms
Persons Served14574PersonsServed
Total Community Benefit Expense107556TotalCommunityBenefitExpense
Direct Offsetting Revenue1542DirectOffsettingRevenue
Net Community Benefit Expense106014NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs413NumberOfActivitiesOrPrograms
Persons Served14574PersonsServed
Total Community Benefit Expense7496093TotalCommunityBenefitExpense
Direct Offsetting Revenue4398352DirectOffsettingRevenue
Net Community Benefit Expense3097741NetCommunityBenefitExpense
Percent Of Total Expense0.09200PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served274PersonsServed
Total Community Building Expense2137TotalCommunityBuildingExpense
Net Community Building Expense2137NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served240PersonsServed
Total Community Building Expense6446TotalCommunityBuildingExpense
Net Community Building Expense6446NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served365PersonsServed
Total Community Building Expense1053TotalCommunityBuildingExpense
Net Community Building Expense1053NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served393PersonsServed
Total Community Building Expense4046TotalCommunityBuildingExpense
Net Community Building Expense4046NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served75PersonsServed
Total Community Building Expense9282TotalCommunityBuildingExpense
Net Community Building Expense9282NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs71NumberOfActivitiesOrPrograms
Persons Served1347PersonsServed
Total Community Building Expense22964TotalCommunityBuildingExpense
Net Community Building Expense22964NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$846,811BadDebtExpenseAmount
Amount Attributable To334315AmountAttributableTo
Amount Reimbursed By Medicare9768324AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8769315CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall999009MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bedford Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11613 Oakwood StreetAddressLine1
CityBedfordCity
StateVAState
ZIP Code24523ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber
Oakwood Manor
1
Bedford Adult Day Center
2
Blue Ridge Cardiovascular
3
Huddleston Cardiovascular
4

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Oakwood Manor
1613 Oakwood StreetBedfordVA245230
Bedford Adult Day Center
1617 Oakwood StreetBedfordVA24523Nursing Home
Blue Ridge Cardiovascular
37 Laymantown RoadTroutvilleVA24175Adult Day Care
Huddleston Cardiovascular
10102 Leesville RoadLynch StationVA24571Cardiovascular testing

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierExplanationExplanation
Part I line 3cN/A
Part I line 6aInformation on community benefit is reported annually through a consolidated report prepared by Carilion Clinic, co-owner with Centra Health of Bedford Memorial Hospital. 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 Clinics website.
Part I line 7gN/A
Part I line 7 column fBad debt expense subtracted from total expenses for the calculation is 2,865,026.
Part I line 7Ratio of cost-to-charges was used to calculate the expense.
Part III line 4The audited financial statements footnote on bad debt states an allowance of uncollectible accounts is recorded based on historical bad debt experience and managements evaluation of the collectibility of the accounts receivable. Balances are written off after all reasonable collection efforts have been made.
Part III line 4Contd. The bad debt expense reported on line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements.
Part III line 4Contd. The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definitive determination of their eligibility.
Part III line 4Contd. Patient account balances are reduced by discounts allowed and payments.
Part III line 8Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio.
Part III line 8Contd. The Hospital does not consider a Medicare shortfall as a community benefit.
Part III line 9bWhen an uninsured self pay patient registers for medically necessary services, the patients account is electronically marked as being potentially eligible for charity care. Carilion Clinics Eligibility Assistance Service EAS screens the patient to determine if charity care is appropriate. The patient must apply for all entitlement programs for which he or she may be eligible i.e. Medicaid, Social Security Disability, etc. EAS assists the patient with the applications.
Part III line 9bContd. If the patient does not qualify for one of the programs then the Federal Poverty Guidelines FPG are used to determine eligibility for charity care. A patient whose account balance is less than 1,500 and is at or below 100 of FPG is automatically given a 100 discount of their account. For balances greater than 1,500 the patient must complete a Financial Assistance Application and provide appropriate documentation.
Part III line 9bContd. A sliding scale of discounts is available for patients with incomes up to 400 of FPG.
Part III line 9bContd. An underinsured patient can apply for charity care. Applications are available at all Patient Access/Registration points, offices of EAS, Carilion Clinics Internet website or by calling for an application.
Part VN/A
Part VI Line 3The charity care policy is posted in all patient registration areas. At the time of registration all uninsured self pay patients are given a brochure explaining the charity care policy and how to apply. Also, see comments for Part III line 9b.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
Identifier1Identifier
Return Reference2ReturnReference
ExplanationThe Hospital makes donations to support other 501c3 charitable organizations in the local community. Such organizations have community boards which oversee the expenditure of such funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Donna Littlepage
214897106113443596027300295853
Curtis Mills
22556311078155561370951173640102814447
Melina Perdue
2446171178757908562810455358277
Donald Creech
25500012524-449338289979310882
Patti Jurkus
1295097121-4773833810356184847
Donald Lorton
43680021491627603166141623685390161212
Phillip Gruber
1093669609-33052383212916152418
Georgiann Watts
111703-270447355979162147

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I7The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures.
I4bDonald Lorton - 131,084 and Curtis Mills 189.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Industrial Development Authority of the City of Roanoke VABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN541106038IssuerEIN
CUSIP Number770084ES6CUSIPNumber
Date Issued2005-12-14DateIssued
Issue Price5790000IssuePrice
Description Of PurposeCapital Projects , Refunding Series 2002, Cost of Issuance, Bond Insur.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1353000AmountRetired
Total Proceeds5790000TotalProceeds
Issuance Costs From Proceeds35696IssuanceCostsFromProceeds
Credit Enhancement83437CreditEnhancement
Other Spent Proceeds5670867OtherSpentProceeds
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBS & CitigroupBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0000000027.000000000000TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1AIGBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC0000000000.300000000000TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
George W Dawson
Director249043Consulting servicesfalse
Thomas C Jividen
Director249043Consulting servicesfalse
Lewis C Addison
Director249043Consutling servicesfalse
David D Adams
Director249043Consulting servicesfalse
Melina Perdue
Director1625325Management and other servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierIVIdentifier
Return Reference1 through 5ReturnReference
ExplanationThe interested persons listed on lines 1 through 4 are officers of Centra Health, Inc. that provided consulting and miscellaneous services of 249,043 to Bedford Memorial Hospital. The interested person listed on line 5 is an officer of Carilion Services, Inc. that provided management and other services of 1,625,325 to Bedford Memorial Hospital.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (33 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI21. David Adams, Lewis C. Addison, George Dawson, Carolyn Jacques, David Jividen, and Consuella Woods -- business relationship. 2. John Bond, Paul Davenport, Donna Littlepage, Curtis Mills, and Melina Perdue -- business relationship.
Form 990 Part VI11bThe final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have.
Form 990 Part VI12cA Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee.
Form 990 Part VI12c Contd.In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations.
Form 990 Part VI15a and 15bExecutive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011.
Form 990 Part VI15a and 15b Contd.This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives.
Form 990 Part VI15a and 15b Contd.In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.
Form 990 Part VI19The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site.
Form 990 Part VI3Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization.
Form 990 Part VI6The organization has two members, Centra Health, a charitable tax-exempt healthcare organization, and Carilion Clinic a charitable tax-exempt healthcare organization. Each member elects one-third of the directors of the organization and the members have certain other reserved powers.
Form 990 Part VI7aEach member of the organization elects one class of directors representing one-third of the members of the governing body of the organization periodically as terms expire. The members also have the right to remove directors they have elected and fill any vacancies on the board that may occur among their elected directors for any reason. The remaining class of directors came from the local community and these directors elect their own successors.
Form 990 Part VI7bThe members of the organization hold reserved powers with respect to certain enumerated actions, including appointment of CEO, approval of borrowings, budgets, certain types of contracts and strategic plans and amendments of Articles of Incorporation and Bylaws. Approval by the members is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization.
Form 990 Part III1The mission of Bedford Memorial Hospital, a partnership between Centra and Carilion Clinic, is to improve the health of the community it serves. The Hospital provides inpatient and outpatient surgery, and emergency, geriatric and rehabilitative services. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community.
Form 9901-10Bedford Memorial Hospital partners with the Bedford Community Health Foundation to support Bedford Adult Day Care Center. The Hospital helps with managing this Center for the elderly and mentally retarded in a facility adjacent to the Hospital. The Center serves Bedford City, Bedford County, and several surrounding counties, and strives to meet the needs of a diverse population. The overall mission is to prevent the premature or unnecessary institutional placement of elderly and mentally retarded.
Form 9901-10 Contd.Office space within the Hospital is provided for Bedford Ride, an organization focused on improving the quality of life for Bedford City and County citizens by providing better access to non-emergency medical services through transportation services. The Hospital serves as a Goodwill Senior Community Service Employment Program partner, offering on-the-job training and employment to help those aged 55 and older update their jobs skills, build work experience and confidence, and continue to have economic security and well-being.
Form 9901-10 Contd.Additionally in-kind support was provided to Healthy Bedford, a program of the Bedford Community Health Foundation that provides mammography screening for the poor, school nurses in every public school, therapy for the mentally and physically challenged, care for the elderly, emergency medical services and equipment for the local hospital and Virginia Heart Attack Coalition, a volunteer collaborative organization dedicated to improving care for heart attack patients in Virginia by implementing the American Heart Associations AHA Mission Lifeline guidelines and fostering cooperation and coordination among the Commonwealths STEMI care providers.
Form 9901-10 Contd.Guidance and clinical expertise is provided through community Board membership of the following organizations Bedford Christian Free Clinic, a local non-profit organization providing medical, pharmaceutical, and health education services to the residents of Bedford City and County to promote improved health for those who otherwise could not afford care Bedford EMS Bedford Hospice House, a unique assisted living facility specializing in end-of-life care where the terminally ill can die peacefully with support and dignity Bedford County Domestic Violence Services, providing access to shelter, information and referral, counseling, and court accompaniment free of charge
Form 9901-10 Contd.Bedford County Group Homes, a residential program for children that nurtures, inspires, and challenges youth toward individual achievement, and program success, along with social and emotional maturity Bedford Area YMCA and Bedford Area Chamber of Commerce, providing leadership programs and opportunities as well as volunteer programs, networking opportunities and other business-building initiatives that focus on the critical priorities of the community to improve economic vitality and quality of life.
Form 9902Bedford Memorial Hospital uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Bedford Memorial Hospital. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs.
Form 9904Bedford Memorial Hospital primarily serves approximately 75,000 residents of Bedford City and County. Bedford encompasses 764 square miles of Piedmont Plateau in the Western Central portion of Virginia and is bordered by the Blue Ridge Mountains to the west, the James River on its northeast and Smith Mountain Lake to the south. The terrain is rolling and hilly with elevations ranging from 800 to 4,200 feet above sea level. Bedford Memorial Hospital is a 50-bed hospital that also has 110 long term care and skilled beds in its Oakwood Health and Rehabilitation Center. 10 of the residents in the community served by Bedford Memorial Hospital are living in poverty and approximately 8 of children and 17 of adults under age 64 are uninsured. 17 are 65 years of age or older and 15 of those 25 years of age or older did not graduate from high school.
Form 9905Bedford Memorial Hospital serves all patients regardless of their ability to pay. The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.
Form 9905 Contd.Bedford Memorial Hospitals Emergency Department has specially trained nurses who deliver immediate crisis intervention to victims of sexual assaults and/or abuse. They offer victims a unique, thorough and objective medical and legal examination, comprised of both a physical examination and forensic evidence collection and documentation. Clinical Forensic Nurse Examiners are the link between the judicial system, law enforcement, community resources, and the laboratories that process the evidence. In addition, they educate colleagues and the community regarding issues and treatment of violence while upholding the mission of their facility.
Form 9905 Contd.As part of its mission to educate the public about health risks and steps that can be taken to improve health, in fiscal year 2011 Bedford Memorial Hospital touched 14,002 people during 302 events offered throughout the community. Events included health fairs, screenings, and presentations offered at various community locations. Monthly blood pressure and blood glucose screenings are offered at three post offices in the community. These screenings provide an opportunity to educate individuals about improving health and quality of life as well as determining ones risk of developing a chronic illness. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid and interpreter services for non-English speaking patients.
Form 9906Bedford Memorial Hospital is jointly owned by Carilion Clinic and Centra Health. Management is provided by Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through a physician specialty group, advanced primary care practices, hospitals and outpatient centers. Led by clinical teams with a shared philosophy that puts the patient first, Carilion is committed to improving the communitys health while advancing the quality of care through medical education and research. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Carilion Clinic employees 575 physicians representing more than 60 specialties who provide care at 160 practice sites.
Form 9906 Contd.To advance the coordination of care and quality, an electronic medical record has been implemented in all Carilion Clinic affiliated hospitals and physician practices, allowing physicians to easily and efficiently collaborate through the use of shared patient records.
Form 9906 Contd.Additional improvements in medical programs and services include a nationally certified Stroke Alert protocol that speeds lifesaving care to stroke patients hypothermia therapy for the treatment of cardiac arrest patients a neonatal pediatric mobile ICU outfitted with life-saving, state of the art medical technology certification by the National Committee for Quality Assurance NCQA of 11 Carilion Clinic Family Medicine practices as Patient-Centered Medical Homes, a new model of care designed to keep patients healthy and prevent illness and MyChart, an online tool that gives patients secure access to their health information.
Form 9906 Contd.To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering the Master of Science in Nursing, Physician Assistant and Occupational Therapy and 10 baccalaureate and associate healthcare programs. As one of few private healthcare colleges in the Southern United States, the students have demonstrated excellent licensure pass rates in professional programs. Approximately 1,000 undergraduate students and 80 graduate students are enrolled annually with 87 receiving some type of financial aid. Through a unique public-private partnership, in 2010 Virginia Tech and Carilion Clinic opened Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. 84 students are enrolled in the first two classes and there are 421 appointed faculty members.
Form 9906 Contd.Additionally, graduate medical education is provided for 190 residents and 16 fellows. Included are ten residency programs, eight sponsored by Carilion Clinic Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, Surgery, and Transitional Year and two by the University of Virginia Orthopaedics and Otolaryngology. Twelve fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Hospice and Palliative Care, Infectious Disease, Medical Informatics, Pulmonary Critical Care and Surgery Critical Care.
Form 9906 Contd.At the Virginia Tech Carilion VTC Research Institute, senior researchers recruited from across the country, are working to unlock the secrets of the human brain as part of the Roanoke Brain Study, which examines the neural basis of human decision-making and its impact on health over a lifetime. The projects goal is to predict illnesses such as Alzheimers and other brain diseases. An additional benefit to the community is Carilion Clinics economic contribution to the region. As the areas largest employer, jobs are provided for nearly 11,000 residents of the region, with a payroll of more than 600 million in 2011.
Form 990 Part III4aBedford Memorial Hospital exists to serve the health care needs of its community, regardless of patient ability to pay. Bedfords acute hospital admitted 1,432 patients and provided 4,412 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. Bedford Memorial is also home to Oakwood Manor, a long-term care facility providing 37,244 days of skilled and intermediate care. Bedford 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 an adult day care center and cardiac and respiratory rehab.
Form 990 Part III4a Contd.Bedford also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 15,251 visits, Bedfords emergency department services are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise 22 percent of ED visits. Bedford supports community screenings and education on chronic disease prevention and management, sponsoring 302 events touching over 14,000 people. In furtherance of its mission, Bedford provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded 3.3 million.
Form 990 Part XI5Pension related changes other than net periodic pension cost 2,395,789 and rounding of 1, and net unrealized losses on investments 882,929 for a net amount of 3,278,719.
Form 990 Part VI Section A Line 2 1. David Adams, Lewis C. Addison, George Dawson, Carolyn Jacques, David Jividen, and Consuella Woods -- business relationship. 2. John Bond, Paul Davenport, Donna Littlepage, Curtis Mills, and Melina Perdue -- business relationship. Form 990 Part VI Section B Line 11b The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c Contd. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 Part VI Section B Line 15a and 15b Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b Contd. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 Part VI Section C Line 19 The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 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 organization and supporting organization of the organization. Form 990 Part VI Section A Line 6 The organization has two members, Centra Health, a charitable tax-exempt healthcare organization, and Carilion Clinic a charitable tax-exempt healthcare organization. Each member elects one-third of the directors of the organization and the members have certain other reserved powers. Form 990 Part VI Section A Line 7a Each member of the organization elects one class of directors representing one-third of the members of the governing body of the organization periodically as terms expire. The members also have the right to remove directors they have elected and fill any vacancies on the board that may occur among their elected directors for any reason. The remaining class of directors came from the local community and these directors elect their own successors. Form 990 Part VI Section A Line 7b The members of the organization hold reserved powers with respect to certain enumerated actions, including appointment of CEO, approval of borrowings, budgets, certain types of contracts and strategic plans and amendments of Articles of Incorporation and Bylaws. Approval by the members is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization. Form 990 Part III Line 1 The mission of Bedford Memorial Hospital, a partnership between Centra and Carilion Clinic, is to improve the health of the community it serves. The Hospital provides inpatient and outpatient surgery, and emergency, geriatric and rehabilitative services. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Form 990 Section Schedule H, Part II Line 1-10 Bedford Memorial Hospital partners with the Bedford Community Health Foundation to support Bedford Adult Day Care Center. The Hospital helps with managing this Center for the elderly and mentally retarded in a facility adjacent to the Hospital. The Center serves Bedford City, Bedford County, and several surrounding counties, and strives to meet the needs of a diverse population. The overall mission is to prevent the premature or unnecessary institutional placement of elderly and mentally retarded. Form 990 Section Schedule H, Part II Line 1-10 Contd. Office space within the Hospital is provided for Bedford Ride, an organization focused on improving the quality of life for Bedford City and County citizens by providing better access to non-emergency medical services through transportation services. The Hospital serves as a Goodwill Senior Community Service Employment Program partner, offering on-the-job training and employment to help those aged 55 and older update their jobs skills, build work experience and confidence, and continue to have economic security and well-being. Form 990 Section Schedule H, Part II Line 1-10 Contd. Additionally in-kind support was provided to Healthy Bedford, a program of the Bedford Community Health Foundation that provides mammography screening for the poor, school nurses in every public school, therapy for the mentally and physically challenged, care for the elderly, emergency medical services and equipment for the local hospital and Virginia Heart Attack Coalition, a volunteer collaborative organization dedicated to improving care for heart attack patients in Virginia by implementing the American Heart Associations AHA Mission Lifeline guidelines and fostering cooperation and coordination among the Commonwealths STEMI care providers. Form 990 Section Schedule H, Part II Line 1-10 Contd. Guidance and clinical expertise is provided through community Board membership of the following organizations Bedford Christian Free Clinic, a local non-profit organization providing medical, pharmaceutical, and health education services to the residents of Bedford City and County to promote improved health for those who otherwise could not afford care Bedford EMS Bedford Hospice House, a unique assisted living facility specializing in end-of-life care where the terminally ill can die peacefully with support and dignity Bedford County Domestic Violence Services, providing access to shelter, information and referral, counseling, and court accompaniment free of charge Form 990 Section Schedule H, Part II Line 1-10 Contd. Bedford County Group Homes, a residential program for children that nurtures, inspires, and challenges youth toward individual achievement, and program success, along with social and emotional maturity Bedford Area YMCA and Bedford Area Chamber of Commerce, providing leadership programs and opportunities as well as volunteer programs, networking opportunities and other business-building initiatives that focus on the critica

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Supporting organizationVA501c311 Type IN/Afalse
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Supporting organizationVA501c311 Type IN/Afalse
FieldValueIRS element (for citing)
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Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg