
Carilion CEO Ed Murphy says he gets asked if the government will take over the healthcare industry a lot.
It's a private, tax-exempt outfit. That enables Carilion to avoid $54 million a year in taxes.The Roanoke Valley's largest employer generates $2 billion a year in gross revenue.
Carilion Clinic, as the system is now known, operates eight hospitals. They treat more than 500 Emergency Room visitors a day. The system employs more than 11,000 people.
It's a private, tax-exempt outfit. That enables Carilion to avoid $54 million a year in taxes.
Carilion says it spends $1.50 on community benefits for every dollar it receives in tax exemptions. With U.S. taxpayers already on the hook for more $700 billion in the financial bailout, how likely is a medical make-over? Carilion CEO Ed Murphy says he gets asked that a lot.
"I think it's more likely, because we can't afford what we're already spending," says Murphy.
Murphy figures the health care industry better fix it before politicians start dictating changes. He has a theory about the health care crisis; one, he says, that applies to every public-policy debate.
"For every complicated problem, there's a simple solution, and it's always wrong," he says.
Carilion is tax-exempt. That does not mean it's altogether non-profit. Certain Carilion facilities, such as the athletic clubs, do make money.
"The reason that we have those is the money to pay for the Level 1 Trauma Center has to come from someplace," says Murphy.
Likewise, certain medical procedures and services do more than break even. Pediatrics, X-rays and cardiac care make money.
It's no secret that government programs like Medicaid and Medicare pay less than the actually cost of medical services and procedures.
Medicare pays 92%, and Medicaid just pays 90%.
Corporate America is subsidizing health care at an enormous rate. Some businesses consider it a hidden tax.
"In the current climate, there's this growing outrage about CEO compensation," says Murphy.
Murphy's $2.25 million pay package includes insurance and retirement benefits as well as vacation time.
"I'm the first one to admit that I'm very fortunate. I'm more fortunate than I ever thought I would be," he says. "I'm a poor kid from a mill town. My father graduated from high school, and my mother didn't. And so it is a lot."
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