2012-08-14T14:05:24-00:00 2011-09-30 Deloitte Tax LLP 424 Church Street Nashville TN 37219 990 2010-10-01 540566100 Bedford Memorial Hospital BEDF 5402245112 PO Box 12385 Roanoke VA 24025 Donald Lorton 2012-08-14 true Francis Bedard 6152591811 2010 2016-02-24 21:20:13Z William Flattery PO Box 12385 Roanoke VA 24025 51408930 false X www.carilionclinic.org X 1957 VA 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. 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. 18 14 432 125 0 102896 31110 34212903 32864029 351155 758630 545440 2019490 35212394 35673259 13492 0 16437331 15379287 0 0 19156282 18276620 35593613 33669399 -381219 2003860 27378215 28016228 16946302 18859174 10431913 9157054 X See Schedule O false false 28755239 13492 34386989 See Schedule O 28755239 true true false true false false false false false true true false false true true true true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true false false false false true 0 0 true 432 true false true CA CJ EI UK false false false false false false false false X 18 14 true true false false true true true true true false false true true true true true true true true false VA X X The Corporation 5402245112 213 S Jefferson Street Roanoke VA 240111713 David Adams 002.00 X 0 0 0 Lewis Addison 002.00 X 0 0 0 George Dawson 002.00 X 0 0 0 Carolyn Jacques 002.00 X 0 0 0 Thomas Jividen 002.00 X 0 0 0 Consuela Woods 002.00 X 0 0 0 Brian Buchanan MD 002.00 X 0 0 0 G C Luck Jr 002.00 X 0 0 0 John Mack 002.00 X 0 0 0 Michael LeMaster 002.00 X 0 0 0 John Bond 002.00 X 0 0 0 Donna Littlepage 050.00 X 0 228951 66902 Curtis Mills 050.00 X 0 252197 148831 Melina Perdue 050.00 X 0 262194 96083 Paul Davenport 050.00 X 0 123067 10812 Donald Creech 050.00 X 0 267075 43807 G E Murray Jr 002.00 X X 0 0 0 Linda Beahm MD 002.00 X X 0 0 0 Patsy Dooley 002.00 X X 0 0 0 Patti Jurkus 050.00 X 136153 0 48694 Donald Lorton 050.00 X 0 521051 332850 Rachel Mabe 050.00 X 0 70949 17506 David Allgood MD 002.00 X 0 0 0 Jessica Saville 050.00 X 123186 0 16679 Phillip Gruber 050.00 X 115670 0 36748 Georgiann Watts 050.00 X 111433 0 50714 Dana Thompson 050.00 X 100970 0 21157 587412 1725484 890783 5 false true false Carilion Labs LLC 213 S Jefferson Street Suite 1202 Roanoke VA 24011 Laboratory Services 902522 Heritage Healthcare 536 Old Howell Road Greenville SC 29615 Healthcare Professionals 735978 Centra Health Inc 1901 Tate Springs Road Lynchburg VA 24501 Consulting and LTC administrator 278358 Foodservice Partners of VA LLC 2823 Franklin Road Bldg B Roanoke VA 24014 Food service contractor 146496 GE Medical Systems 5517 Collections Center Drive Chicago IL 60693 Equipment maintenance 138775 6 1950 29160 31110 Net Patient Service Revenues 900099 32864029 32864029 32864029 6567 6567 81 81 462773 462773 462773 462773 16484541 3112 15735671 748870 3112 751982 751982 Cafeteria 900099 33757 33757 Miscellaneous 900099 38216 38216 EHR Payment 900099 1464012 1464012 20732 20732 1556717 35673259 34386989 1255160 13492 13492 0 0 0 164295 164295 0 12217726 11780495 437231 867581 867581 1253254 1136149 117105 876431 876431 975876 975876 40492 40492 29750 29750 6403 6403 0 4094241 3750307 343934 71392 67503 3889 3759627 3702805 56822 212052 212052 0 939504 871256 68248 62083 48832 13251 0 0 488059 488059 0 1624708 1624708 349647 207789 141858 Bad Debt 2865026 2865026 Practice Subsidy 2609627 4 2609623 Dues Subscriptions 57448 11068 46380 Miscellaneous 21697 1894 19803 Other expenses 68988 59090 9898 0 33669399 28755239 4914160 0 1620 1620 701787 13135 4281511 5902997 126220 128799 37906969 28191058 11110698 9715911 6758553 6814035 4285446 5294263 112380 145468 27378215 28016228 3776886 3465551 20277 66320 8705319 8274536 4443820 7052767 16946302 18859174 X 10426873 9152967 5040 4087 10431913 9157054 27378215 28016228 X 2003860 -3278719 X false true true X X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6403 6403 false II-B 1i Lobbying expenses included in American Hospital Association and Virginia Hospital Healthcare Association dues. false 476378 476378 19126800 11421014 7705786 24189 24189 17986822 16479478 1507344 292780 266377 26403 9715911 5294263 F 5294263 Qualified Pension Liability 6241707 2005 Fixed Payor Swap 796119 2010 Barclays Swap 10767 2010 PNC Swap 4174 7052767 35673259 33669399 2003860 -882929 -2395790 -3278719 -1274859 34790329 34790329 882930 882930 35673259 33597108 33597108 72291 72291 33669399 XI 8 Pension related changes other than net periodic pension cost 2,395,789 and rounding of 1. XII 4b Net unrealized losses on investments 882,929 and rounding of 1. XIII 4b Adjustment for pension 72,291. X 2 Carilion 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. true true X true X true X true true true false true true 1613467 1613467 0.04790 5775070 4396810 1378260 0.04090 7388537 4396810 2991727 0.08880 302 14002 78008 1542 76466 0.00230 100 197 12217 12217 0.00040 11 375 17331 17331 0.00050 413 14574 107556 1542 106014 0.00320 413 14574 7496093 4398352 3097741 0.09200 14 274 2137 2137 0.00010 17 240 6446 6446 0.00020 7 365 1053 1053 30 393 4046 4046 0.00010 3 75 9282 9282 0.00030 71 1347 22964 22964 0.00070 false 846811 334315 9768324 8769315 999009 X true true 1 1 Bedford Memorial Hospital

1613 Oakwood Street Bedford VA 24523

X X X Oakwood Manor 1 Bedford Adult Day Center 2 Blue Ridge Cardiovascular 3 Huddleston Cardiovascular 4 4 Oakwood Manor

1613 Oakwood Street Bedford VA 24523

0 Bedford Adult Day Center

1617 Oakwood Street Bedford VA 24523

Nursing Home Blue Ridge Cardiovascular

37 Laymantown Road Troutville VA 24175

Adult Day Care Huddleston Cardiovascular

10102 Leesville Road Lynch Station VA 24571

Cardiovascular testing Part I line 3c N/A Part I line 6a Information 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 7g N/A Part I line 7 column f Bad debt expense subtracted from total expenses for the calculation is 2,865,026. Part I line 7 Ratio of cost-to-charges was used to calculate the expense. Part III line 4 The 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 4 Contd. 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 4 Contd. 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 4 Contd. Patient account balances are reduced by discounts allowed and payments. Part III line 8 Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. Part III line 8 Contd. The Hospital does not consider a Medicare shortfall as a community benefit. Part III line 9b When an uninsured self pay patient registers for medically necessary services, the patients account is electronically marked as being potentially eligible for charity care. Carilion Clinics Eligibility Assistance Service EAS screens the patient to determine if charity care is appropriate. The patient must apply for all entitlement programs for which he or she may be eligible i.e. Medicaid, Social Security Disability, etc. EAS assists the patient with the applications. Part III line 9b Contd. 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 9b Contd. A sliding scale of discounts is available for patients with incomes up to 400 of FPG. Part III line 9b Contd. 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 V N/A Part VI Line 3 The charity care policy is posted in all patient registration areas. At the time of registration all uninsured self pay patients are given a brochure explaining the charity care policy and how to apply. Also, see comments for Part III line 9b. true X 1 2 The 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. X true true X X X X X false true false false false false false true false Donna Littlepage 214897 10611 3443 59602 7300 295853 Curtis Mills 225563 11078 15556 137095 11736 401028 14447 Melina Perdue 244617 11787 5790 85628 10455 358277 Donald Creech 255000 12524 -449 33828 9979 310882 Patti Jurkus 129509 7121 -477 38338 10356 184847 Donald Lorton 436800 21491 62760 316614 16236 853901 61212 Phillip Gruber 109366 9609 -3305 23832 12916 152418 Georgiann Watts 111703 -270 44735 5979 162147 I 7 The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures. I 4b Donald Lorton - 131,084 and Curtis Mills 189. Industrial Development Authority of the City of Roanoke VA 541106038 770084ES6 2005-12-14 5790000 Capital Projects , Refunding Series 2002, Cost of Issuance, Bond Insur. false false false 1353000 5790000 35696 83437 5670867 true false true true true true true UBS & Citigroup 0000000027.000000000000 false false true AIG 0000000000.300000000000 true false true George W Dawson Director 249043 Consulting services false Thomas C Jividen Director 249043 Consulting services false Lewis C Addison Director 249043 Consutling services false David D Adams Director 249043 Consulting services false Melina Perdue Director 1625325 Management and other services false IV 1 through 5 The 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. Form 990 Part VI 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 critical priorities of the community to improve economic vitality and quality of life. Form 990 2 Bedford 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 990 4 Bedford 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 990 5 Bedford 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 990 5 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 990 5 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 990 6 Bedford 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 990 6 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 990 6 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 990 6 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 990 6 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 990 6 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 III 4a Bedford 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 III 4a 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 XI 5 Pension 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 Carilion Clinic Foundation PO Box 12385 Roanoke VA 24025 541190773 Supporting organization VA 501c3 11 Type I N/A false Carilion Services Inc PO Box 12385 Roanoke VA 24025 541190879 Supporting organization VA 501c3 11 Type I N/A false false false false true true false false false false false false true false false true false false false