CARILION MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CARILION MEDICAL CENTER (EIN 54-0506332)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201722279349300517
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-14T19:13:20-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 WALNUT ST SUITE 1700AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506332EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARILION MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARIBusinessNameControlTxt
Phone5402245112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonG Robert Vaughan JrPersonNm
Person TitleTreasurerPersonTitleTxt
Phone5402245137PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J ENGLEPreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNancy Howell AgeePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12385AddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240252385ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,015,011,377GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.carilionclinic.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1899FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTo improve the health of the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee8596TotalEmployeeCnt
Total Volunteers312TotalVolunteersCnt
Total Gross UBI$19,133TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,444,978PYContributionsGrantsAmt
CY Contributions Grants$5,236,580CYContributionsGrantsAmt
PY Program Service Revenue$1,134,789,192PYProgramServiceRevenueAmt
CY Program Service Revenue$1,213,958,161CYProgramServiceRevenueAmt
PY Investment Income$54,291,878PYInvestmentIncomeAmt
CY Investment Income$11,550,416CYInvestmentIncomeAmt
PY Other Revenue$23,198,283PYOtherRevenueAmt
CY Other Revenue$25,472,814CYOtherRevenueAmt
PY Total Revenue$1,216,724,331PYTotalRevenueAmt
CY Total Revenue$1,256,217,971CYTotalRevenueAmt
PY Grants And Similar Paid$4,510,033PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,838,575CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$535,009,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$576,424,275CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$249,402CYTotalFundraisingExpenseAmt
PY Other Expenses$574,489,716PYOtherExpensesAmt
CY Other Expenses$601,695,854CYOtherExpensesAmt
PY Total Expenses$1,114,008,940PYTotalExpensesAmt
CY Total Expenses$1,184,958,704CYTotalExpensesAmt
PY Revenues Less Expenses$102,715,391PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$71,259,267CYRevenuesLessExpensesAmt
Total Assets BOY$1,185,047,389TotalAssetsBOYAmt
Total Assets EOY$1,292,474,198TotalAssetsEOYAmt
Total Liabilities BOY$798,493,941TotalLiabilitiesBOYAmt
Total Liabilities EOY$900,982,606TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$386,553,448NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$391,491,592NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCarilion Medical Center's mission is to improve the health of the communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,033,507,080ExpenseAmt
Grant$6,838,575GrantAmt
Revenue$1,234,215,806RevenueAmt
DescSee Schedule O.We are committed to a common purpose of better patient care, better community health, and lower cost. Through our comprehensive network of hospitals, primary and specialty physician practices, and other complementary services, we work together to provide quality care close to home for nearly 1 million Virginians. With an enduring commitment to the health of our region, we also seek to advance care through medical education and research, help our community stay healthy, and inspire our region to grow stronger.Carilion Medical Center (CMC) exists to serve the health care needs of its community and region, regardless of patient ability to pay. CMC admitted 37,787 patients and provided 197,839 days of care during the year. Hospital programs include provision of nursing care; an extensive cardiac and vascular program, including cardiac surgery, implants, angioplasty and heart failure programs; neurology, neurosurgery and stroke programs; labor and delivery services (delivering 3,315 babies); the areas only neonatal intensive care unit; inpatient and outpatient psychiatric services; a comprehensive rehabilitation unit; extensive outpatient and inpatient surgical and endoscopic services; oncology services; geriatric services; and diagnostic imaging services including CT, MRI, PET, and mammography. Housing a children's specialty wing, CMC provides specialists in pediatric neurosurgery, cardiology, oncology, gastroenterology, pulmonology, and child development, among others. CMC is a Level I trauma center, providing full trauma services to the region. CMC provides a number of services targeting the specific health needs of the area, including diabetes management; home health and hospice; physical, speech, and occupational therapy programs; and cardiac and respiratory rehab. CMC also provides an emergency department with 24-hour care, emergency transportation, a pediatric department, and chest pain and stroke protocol programs. With 79,563 visits, CMC's emergency 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 21% percent of ED visits. CMCs urgent care centers also provide access points for cost effective care at an appropriate level. CMC employs a number of specialty physicians to ensure an effective, integrated approach to serving its patients; including pulmonologists, oncologists, obstetricians, orthopedic surgeons, cardiologists, neurosurgeons, general surgeons, and psychiatrists. As a teaching hospital with over 350 full-time faculty members, CMC hosts residency programs in family medicine, internal medicines, obstetrics and gynecology, psychiatry, general surgery, neurosurgery. In addition, the Jefferson College of Health Sciences, a division of CMC, offers nursing, physician assistant, occupational therapy, and other high-need programs. CMC also supports community screenings and education on chronic disease prevention and management, sponsoring 4,549 events touching over 66,244 people. CMC supports a cancer registry program, and participates in a number of other research projects. In furtherance of its mission, CMC provides extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $56 million.Desc
Total Program Service Expenses$1,033,507,080TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8596EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Corporation Attn J WrightBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5402245112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 S Jefferson StAddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24011ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John H Burton MD
Director50.00Yes (X)$579,355$0$63,796
George B Cartledge III
Director2.00Yes (X)$0$941$0
Elizabeth S Doughty
Director2.00Yes (X)$0$941$0
Katherin A Elam
Director2.00Yes (X)$0$0$0
Cynda A Johnson MD
Director2.00Yes (X)$0$611,179$80,22848.00
Stephen A Musselwhite
Director2.00Yes (X)$0$0$0
Clifford A Nottingham MD
Director2.00Yes (X)$0$347,064$143,21248.00
Patrice M Weiss MD
Director46.00Yes (X)$0$679,636$132,3364.00
Ralph E WhatleyIII MD
Director49.50Yes (X)$557,502$0$92,9220.50
Damon Williams
Director2.00Yes (X)$0$0$0
Nancy Howell Agee
Director/CEO3.00Yes (X)$0$1,621,601$2,168,19947.00Yes (X)
Steve C Arner
Director/President/CEO48.80Yes (X)$0$483,909$123,7861.20Yes (X)
R Steve Blanks
Director/Vice Chair3.00Yes (X)$0$15,941$04.50Yes (X)
Tracy W Criss MD
Director/Chief of Medical Staff50.00Yes (X)$235,630$0$78,306Yes (X)
Victor Iannello ScD
Director/Chair4.00Yes (X)$0$13,641$02.40Yes (X)
Hirenkumar Patel MD
Director/Chief of Medical Staff2.00Yes (X)$0$0$0Yes (X)
Lauren J Chen
Assistant Secretary8.00$0$74,469$14,80142.00Yes (X)
David S Hagadorn
Assistant Treasurer0.10$0$138,217$27,09849.90Yes (X)
Donald B Halliwill
Assistant Treasurer/EVP/CFO1.50$0$550,507$120,07048.50Yes (X)
G Robert Vaughan Jr
Treasurer0.30$0$306,045$81,83149.70Yes (X)
Nicholas C Conte
Secretary1.50$0$0$048.50Yes (X)
Bruce A Long MD
Physician, Dept. Chair50.00$716,432$0$56,647Yes (X)
Joseph T Moskal MD
Physician, Dept. Chair50.00$1,305,597$0$86,734Yes (X)
Jon M Sweet MD
Physician, Dept. Chair50.00$312,931$0$55,385Yes (X)
Jonathan J Carmouche MD
Physician50.00$1,585,313$0$31,366Yes (X)
Cay M Mierisch MD
Physician50.00$1,034,300$0$47,363Yes (X)
Gary R Simonds MD
Physician50.00$1,201,303$0$70,082Yes (X)
Caleb J Behrend MD
Physician50.00$985,721$0$18,018Yes (X)
Gregory A Howes MD
Physician50.00$985,779$0$11,795Yes (X)
Thomas D Denberg MD PhD
Former Chief Strategy Officer0.00$0$505,339-$10,028Yes (X)
Briggs W Andrews
Former Secretary0.00$0$479,268$64,584Yes (X)
Donald E Lorton
Former CFO0.00$0$130,613$0Yes (X)
Edward Murphy MD
Former CEO0.00$0$18,155$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,499,863TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,977,466TotReportableCompRltdOrgAmt
Total Other Compensation$3,558,531TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K802IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Solstas Lab Partners Group LLC
PO Box 751337CharlotteNC282751337Laboratory Services$28,239,128
Siemens Medical Solutions USA Inc
51 Valley Stream ParkwayMalvernPA19355Equipment Maintenance Contracts$8,749,679
F&S Building Innovations
2944 Orange Ave NERoanokeVA24012Construction Service$2,224,754
Food Service Partners of VA LLC
2823 Franklin Road -Building BRoanokeVA24014Food Services$2,161,948
Anesthesiology Consultants of VA
PO Box 13306RoanokeVA240323306Anesthesiology Services$1,813,449
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K139CntrctRcvdGreaterThan100KCnt
Fundraising$89,459FundraisingAmt
Related Organizations$137,295RelatedOrganizationsAmt
Government Grants$4,803,590GovernmentGrantsAmt
All Other Contributions$206,236AllOtherContributionsAmt
Noncash Contributions$57,555NoncashContributionsAmt
Total Contributions$5,236,580TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$1,184,221,158$1,184,221,158
College Tuition/Other611310$25,742,349$25,742,349
Program-related Investments531120$2,867,350$2,867,350
Other Health Education611710$607,541$607,541
Clinical Research541700$519,763$519,763
FieldValueIRS element (for citing)
Total Program Service Revenue$1,213,958,161TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,436,285TotalRevenueColumnAmt
Unrelated Business Revenue$19,133UnrelatedBusinessRevenueAmt
Exclusion$6,417,152ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$218TotalRevenueColumnAmt
Exclusion$218ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,884,229RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,884,229RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,884,229TotalRevenueColumnAmt
Exclusion$1,884,229ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$763,772,168SecuritiesAmt
Other$21,974OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$758,671,824SecuritiesAmt
Other$8,405OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,100,344SecuritiesAmt
Other$13,569OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,113,913TotalRevenueColumnAmt
Exclusion$5,113,913ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$83,718FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$89,459ContriRptFundraisingEventAmt
Fundraising Direct Expenses$113,177FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$29,459TotalRevenueColumnAmt
Exclusion-$29,459ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Physician & Other Affil. Income621111$8,678,887$8,678,887
Cafeteria & Vending Income722514$3,360,399$3,360,399
EHR Incentive Income622110$1,256,352$1,256,352

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,322,406TotalRevenueColumnAmt
Related Or Exempt Func Income$10,322,406RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,618,044OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,256,217,971TotalRevenueColumnAmt
Related Or Exempt Func Income$1,234,215,806RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,133UnrelatedBusinessRevenueAmt
Exclusion$16,746,452ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,692,412TotalAmt
Program Services$6,692,412ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$146,163TotalAmt
Program Services$146,163ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,589,931TotalAmt
Management And General$4,589,931ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,067,763TotalAmt
Program Services$1,067,763ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$464,240,124TotalAmt
Program Services$463,861,132ProgramServicesAmt
Management And General$271,375ManagementAndGeneralAmt
Fundraising$107,617FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$37,262,637TotalAmt
Program Services$37,262,637ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$39,278,506TotalAmt
Program Services$39,181,058ProgramServicesAmt
Management And General$70,376ManagementAndGeneralAmt
Fundraising$27,072FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,985,314TotalAmt
Program Services$29,985,314ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$137,313,176TotalAmt
Management And General$137,313,176ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,433TotalAmt
Management And General$31,433ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,633TotalAmt
Management And General$23,633ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$62,752TotalAmt
Program Services$62,752ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$539,219TotalAmt
Management And General$539,219ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$97,169,749TotalAmt
Program Services$93,625,211ProgramServicesAmt
Management And General$3,524,860ManagementAndGeneralAmt
Fundraising$19,678FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$428,571TotalAmt
Program Services$418,866ProgramServicesAmt
Management And General$249ManagementAndGeneralAmt
Fundraising$9,456FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,087,351TotalAmt
Program Services$16,894,647ProgramServicesAmt
Management And General$186,054ManagementAndGeneralAmt
Fundraising$6,650FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,736,757TotalAmt
Program Services$2,960,137ProgramServicesAmt
Management And General$776,620ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,802,170TotalAmt
Program Services$26,787,025ProgramServicesAmt
Management And General$2,000ManagementAndGeneralAmt
Fundraising$13,145FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,799,127TotalAmt
Program Services$2,774,402ProgramServicesAmt
Management And General$15,981ManagementAndGeneralAmt
Fundraising$8,744FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,459,085TotalAmt
Program Services$14,459,085ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$40,722,073TotalAmt
Program Services$40,722,073ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,705,277TotalAmt
Program Services$11,154,399ProgramServicesAmt
Management And General$3,550,878ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$165,030,660$165,030,581$79
Bad Debt$70,617,579$70,617,579
College Expense$4,724,372$4,724,372
Dues & Subscriptions$1,952,473$1,653,541$298,932

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,490,397TotalAmt
Program Services$3,425,931ProgramServicesAmt
Management And General$7,426ManagementAndGeneralAmt
Fundraising$57,040FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,184,958,704TotalAmt
Program Services$1,033,507,080ProgramServicesAmt
Management And General$151,202,222ManagementAndGeneralAmt
Fundraising$249,402FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,649BOYAmt
EOY$19,570EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,327,700BOYAmt
EOY$3,627,349EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,821,705BOYAmt
EOY$1,456,995EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$179,179,958BOYAmt
EOY$177,015,218EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,684,722BOYAmt
EOY$5,893,651EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,981,889BOYAmt
EOY$6,242,898EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,446,028BOYAmt
EOY$6,303,745EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$983,070,614LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$710,627,972LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$263,267,160BOYAmt
EOY$272,442,642EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$658,861,169BOYAmt
EOY$738,583,705EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$44,343,795BOYAmt
EOY$62,848,683EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$65,123BOYAmt
EOY$65,123EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,044,491BOYAmt
EOY$17,973,619EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,185,047,389BOYAmt
EOY$1,292,474,198EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$141,949,193BOYAmt
EOY$149,801,878EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$500,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,012,057BOYAmt
EOY$6,406,627EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$362,087,698BOYAmt
EOY$352,778,501EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$1,626,435EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$288,444,993BOYAmt
EOY$389,869,165EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$798,493,941BOYAmt
EOY$900,982,606EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$367,010,757BOYAmt
EOY$372,346,875EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,666,782BOYAmt
EOY$7,268,808EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,875,909BOYAmt
EOY$11,875,909EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$386,553,448BOYAmt
EOY$391,491,592EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,185,047,389BOYAmt
EOY$1,292,474,198EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$71,259,267ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,440,454NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$90,761,577OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$62,752OtherActivitiesAmt
Total Lobbying Expenditures$62,752TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of dues paid to various hospital industry associations is attributable to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,705,697BeginningYearBalanceAmt
Investment Earnings Or Losses$904,944InvestmentEarningsOrLossesAmt
Other Expenditures$809,125OtherExpendituresAmt
End Year Balance$15,801,517EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,528,095BeginningYearBalanceAmt
Investment Earnings Or Losses-$57,465InvestmentEarningsOrLossesAmt
Other Expenditures$764,933OtherExpendituresAmt
End Year Balance$15,705,697EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,977,886BeginningYearBalanceAmt
Investment Earnings Or Losses$1,448,538InvestmentEarningsOrLossesAmt
Other Expenditures$898,329OtherExpendituresAmt
End Year Balance$16,528,095EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,955,835BeginningYearBalanceAmt
Investment Earnings Or Losses$1,798,131InvestmentEarningsOrLossesAmt
Other Expenditures$776,080OtherExpendituresAmt
End Year Balance$15,977,886EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,218,995BeginningYearBalanceAmt
Investment Earnings Or Losses$1,514,015InvestmentEarningsOrLossesAmt
Other Expenditures$777,175OtherExpendituresAmt
End Year Balance$14,955,835EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.75160PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24840TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,869,100OtherCostOrOtherBasisAmt
Book Value$5,869,100BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$452,477,836OtherCostOrOtherBasisAmt
Depreciation$298,287,027DepreciationAmt
Book Value$154,190,809BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$928,236OtherCostOrOtherBasisAmt
Depreciation$758,690DepreciationAmt
Book Value$169,546BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$502,494,365OtherCostOrOtherBasisAmt
Depreciation$405,177,027DepreciationAmt
Book Value$97,317,338BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,301,077OtherCostOrOtherBasisAmt
Depreciation$6,405,228DepreciationAmt
Book Value$14,895,849BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$272,442,642TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Pension Liability$332,079,593
Interest Rate Swap Liability$40,053,720
Deferred Compensation Liability$17,735,602
Due To Affiliate$250
FieldValueIRS element (for citing)
Total Liability$389,869,165TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Income from endowment funds are used for the following. (1) Pediatric programs- both internal and external- and/or pediatric equipment. (2) Patient indigent care.
Part X, Line 2:Carilion recognizes a tax liability or asset for the estimated taxes payable or refundable on tax returns for current and prior years. Deferred tax assets and liabilities are recognized for the estimated future tax effects attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A tax benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Uncertain tax positions may include the characterization of income, such as a characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DinnerEvent1Nm
Gross Receipts Event1$79,561GrossReceiptsEvent1Amt
Charitable Contri Event1$45,986CharitableContriEvent1Amt
Gross Revenue Event1$33,575GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,030RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,868FoodAndBeverageEvent1Amt
Entertainment Event1$1,000EntertainmentEvent1Amt
Other Direct Expenses Event1$28,325OtherDirectExpensesEvent1Amt
Event2LuncheonEvent2Nm
Gross Receipts Event2$67,637GrossReceiptsEvent2Amt
Charitable Contri Event2$41,973CharitableContriEvent2Amt
Gross Revenue Event2$25,664GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,000NonCashPrizesEvent2Amt
Food And Beverage Event2$19,303FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$29,119OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$25,979GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,500CharitableContriOtherEventsAmt
Gross Revenue Other Events$24,479GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$550RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$4,982FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$15,000OthDirectExpnssOtherEventsAmt
Gross Receipts Total$173,177GrossReceiptsTotalAmt
Charitable Contributions Tot$89,459CharitableContributionsTotAmt
Gross Revenue Total Events$83,718GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,000NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,580RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$36,153FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$72,444OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$113,177DirectExpenseSummaryEventsAmt
Net Income Summary-$29,459NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,800,015TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,800,015NetCommunityBenefitExpnsAmt
Total Expense0.04640TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,426,661TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$107,491,897DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,934,764NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,226,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$107,491,897DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,734,779NetCommunityBenefitExpnsAmt
Total Expense0.05080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4143ActivitiesOrProgramsCnt
Persons Served34065PersonsServedCnt
Total Community Benefit Expns$2,736,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,685,726NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs26ActivitiesOrProgramsCnt
Persons Served2285PersonsServedCnt
Total Community Benefit Expns$42,645,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,990,769DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,655,056NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2515PersonsServedCnt
Total Community Benefit Expns$824,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$824,369NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs138ActivitiesOrProgramsCnt
Persons Served11115PersonsServedCnt
Total Community Benefit Expns$7,034,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,034,829NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs4309ActivitiesOrProgramsCnt
Persons Served49980PersonsServedCnt
Total Community Benefit Expns$53,241,342TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,041,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,199,980NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs4309ActivitiesOrProgramsCnt
Persons Served49980PersonsServedCnt
Total Community Benefit Expns$217,468,018TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$117,533,259DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,934,759NetCommunityBenefitExpnsAmt
Total Expense0.08950TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served9760PersonsServedCnt
Total Community Benefit Expns$65,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,378NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs56ActivitiesOrProgramsCnt
Persons Served1408PersonsServedCnt
Total Community Benefit Expns$73,031TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,031NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,996TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,996NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs161ActivitiesOrProgramsCnt
Persons Served1160PersonsServedCnt
Total Community Benefit Expns$52,914TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,914NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served3930PersonsServedCnt
Total Community Benefit Expns$1,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,344NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served6PersonsServedCnt
Total Community Benefit Expns$180,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$180,895NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs240ActivitiesOrProgramsCnt
Persons Served16264PersonsServedCnt
Total Community Benefit Expns$375,558TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$375,558NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$70,617,579BadDebtExpenseAmt
Reimbursed By Medicare$247,326,476ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$255,050,958CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,724,482MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Roanoke Ambulatory Surgery Center LLC
Ambulatory surgery0.435000.46080
2 Southwest Virginia Health Properties LLC
Real estate0.456800.48040
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
Carilion Medical Center- DBA CRMH
11906 Belleview AvenueRoanokeVA24014www.carilionclinic.orgH 1840Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
Carilion Medical Center- DBA CRCH
2101 Elm AvenueRoanokeVA24013www.carilionclinic.orgH1839Yes (X)ARehabilitation Unit; Urgent Care

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Group ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttps://www.carilionclinic.org/about/chnaOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.carilionclinic.org/about/chnaStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: Carilion Medical Center- DBA CRMH, - Facility 2: Carilion Medical Center- DBA CRCH
Part V, Section B, line 5:The following explanation applies to both Facility 1 and Facility 2.Carilion Clinic's CHNAs are community-driven projects and success is highly dependent on the involvement of citizens, health and human service agencies, businesses, and community leaders. Community stakeholder collaborations known at "Community Health Assessment Teams" (CHAT) lead the CHNA projects. The CHAT consists of health and human service agency leaders, persons with special knowledge of or expertise in public health, the local health department, and leaders, representatives, or members of medically underserved populations, low-income persons, minority populations, and populations with chronic disease.The following organizations served on the CHAT for the 2015 (tax year 2014) Roanoke Valley CHNA (RVCHNA): Blue Ridge Behavioral Healthcare, Bradley Free Clinic, Carilion Cancer Center, Carilion Clinic, Carilion Clinic Dept. of Family & Community Medicine, CHIP of Roanoke Valley, City of Roanoke, City of Roanoke - Department of Human Services, Council of Community Services, First Citizens Bank, Freedom First Credit Union, Goodwill Industries, Healthy Roanoke Valley, Jefferson College of Health Sciences, LEAP for Local Food, LewisGale Medical Center, Loudon Avenue Christian Church, Mental Health America of Roanoke Valley, Neighborhood Services - City of Roanoke, New Horizons Healthcare - Federally Qualified Health Centers (FQHC), Planned Parenthood South Atlantic, Presbyterian Community Center, Project Access, Roanoke Alleghany Health District- VA Department of Health, Roanoke City Public Schools, Roanoke County Public Schools, Roanoke Redevelopment & Housing Authority, Roanoke Regional Chamber of Commerce, Roanoke Valley- Alleghany Regional Commission, Roanoke Valley Convention & Visitors Bureau, Salem VA Medical Center, Total Action for Progress, United Way of Roanoke Valley, Virginia Tech Fralin Translational Obesity Research Center, and Virginia Tech Carilion School of Medicine. In addition to the CHAT, the RVCHNA conducted stakeholder focus groups, target population focus groups, and a community health survey. Stakeholder focus groups were conducted with the City of Roanoke (Code Enforcement Officers, Fire/EMS Station #5 & #6, & Solid Waste Management), Healthy Roanoke Valley (Coordination of Care Action Team, Medical Action Team, Mental Health Action Team, Oral Health Action Team, & Wellness Action Team), the Neighborhood President's Council and the Roanoke Neighborhood Advocates. Target population focus groups were conducted with a caregiver support group at the Adult Care Center of the Roanoke Valley, a patient focus group at the Bradley Free Clinic, the Residents Council at McCray Court Senior Living, the Pathway's Parents Meeting at the Presbyterian Community Center, the Women's and Children's Center at the Rescue Mission, Roanoke Redevelopment & Housing Authority Melrose Towers and Morningside Manor, Parents Council at Total Action for Progress Head Start and Family Night at the West End Center. The community health survey was made available to all residents living in the Roanoke Valley, and oversampling of the target populations occurred through targeted outreach efforts. In total, 1,990 surveys were collected.
Part V, Section B, line 6a:The following explanation applies to both Facility 1 and Facility 2.Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, both owned by Carilion Medical Center and serving the same area, jointly conducted their CHNA. HCA-LewisGale Medical Center also participated on the Community Health Assessment Team.
Part V, Section B, line 6b:The following explanation applies to both Facility 1 and Facility 2.Blue Ridge Behavioral Healthcare, Bradley Free Clinic, Carilion Cancer Center, Carilion Clinic, Carilion Clinic Department of Family & Community Medicine, CHIP of Roanoke Valley, City of Roanoke, City of Roanoke - Department of Human Services, Council of Community Services, First Citizens Bank, Freedom First Credit Union, Goodwill Industries, Healthy Roanoke Valley, Jefferson College of Health Sciences, LEAP for Local Food, LewisGale Medical Center, Loudon Avenue Christian Church, Mental Health America of Roanoke Valley, Neighborhood Services- City of Roanoke, New Horizons Healthcare - (FQHC) , Planned Parenthood South Atlantic, Presbyterian Community Center, Project Access, Roanoke Alleghany Health District- VA Dept. of Health, Roanoke City Public Schools, Roanoke County Public Schools, Roanoke Redevelopment & Housing Authority, Roanoke Regional Chamber of Commerce, Roanoke Valley- Alleghany Regional Commission, Roanoke Valley Convention & Visitors Bureau, Salem VA Medical Center, Total Action for Progress, United Way of Roanoke Valley, Virginia Tech Fralin Translational Obesity Research Center, and Virginia Tech Carilion School of Medicine.
Part V, Section B, line 7d:The following explanation applies to both Facility 1 and Facility 2.Line 7a, Facility 1: www.carilionclinic.org/hospitals/carilion-roanoke-memorial-hospital.Line 7a, Facility 2: www.carilionclinic.org/hospitals/carilion-roanoke-community-hospital.Line 7d: The 2015 Roanoke Valley CHNA was also posted to CHAT partner websites and social media.
Part V, Section B, line 11:The following explanation applies to both Facility 1 and Facility 2.Carilion Medical Center's two hospital facilities, Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, partnered with Healthy Roanoke Valley (HRV) to conduct the FY 2015 Roanoke Valley CHNA during the 2014 tax year. Healthy Roanoke Valley (HRV), housed under the United Way of Roanoke Valley, was formed in 2012 as a community response to needs identified in Carilion Medical Center's triennial Roanoke Valley CHNA.In June 2015, the CHAT participated in a prioritization activity to determine the greatest needs in the service area based on the primary and secondary data collected during the assessment period. To quantitatively determine health needs, CHAT members were asked to rank the top ten pertinent community needs, with one being the most pertinent. Next, on a scale of 1-5, CHAT members were asked to assign a feasibility and potential impact score for each of the ranked needs. This information was used for the CHAT strategic planning retreat held in August 2015.The top ten priority areas that emerged from these findings include:1. Poor eating habits / lack of nutrient dense foods in diet 2. Access to mental health counseling / substance abuse 3. Access to adult dental care 4. Access to dental care for children 5. Lack of exercise / physical activity 6. Value not placed on preventive care and chronic disease management 7. Access to primary care 8. High prevalence of obesity / overweight individuals 9. Lack of knowledge of community resources 10. Improved coordination of care across the health and human sectorThe CHAT participated in strategic planning on August 31, 2015. It reviewed and accepted the priority areas of access to services (primary care, mental health & substance abuse, and oral health), coordination of care, and wellness. Expected outcomes were approved by the CHAT and will be used by Carilion Medical Center (CMC) to measure impact around the priority areas. Significant Health Needs to be AddressedCMC plans to address key community health needs identified in the 2015 assessment by focusing its efforts on a particular community, one that emerged with the greatest need. Through greater access to clinical care, enhanced community outreach programs, creative community partnerships and focused financial and in-kind support of initiatives, CMC plans to improve community health in the South East neighborhood of Roanoke City. Key focus areas of this health improvement project over the next three years include access to services, coordination of care and wellness.A. Access to Services:CMC will explore the development of a community health center in South East with the goal of increasing access to primary care, urgent care and dental services in the neighborhood. The center may also include a mix of services to address social determinants of health, such as job training, health education and wellness services. This offering will be planned with and provided by community partners, including the City of Roanoke, safety net providers and private businesses.B. Coordination of Care:Carilion's family practices have adopted the medical home model and have added care coordinators to proactively work with its high risk, chronic care patients. Carilion will take a focused approach on the South East patients, integrating medical home approaches with a planned community coordination hub being developed by Healthy Roanoke Valley. C. Wellness:Carilion's Community Outreach staff will provide education, flu shots, and community health screenings to the target population in the South East community. Education includes free interactive presentations on the topics of cancer prevention, diabetes prevention, fitness/exercise, food safety, health/stroke, healthy lifestyles, nutrition, smoking cessation, and stress. Poor eating habits were identified as a key concern in the 2015 RVCHNA. The Carilion Clinic Healthy Food Program (formed to respond to the 2012 RVCHNA) is designed to address this need by promoting healthy, local (when possible), and nutrient-dense food to patients and employees and to encourage healthy eating in the community. Fresh Foods RX, is a partnership with HRV, a program which includes a physician's prescription for healthy food, and a waiver for free local fruits and vegetables was successfully piloted in 2015 with a second pilot expanding the program to three sites in 2016. The Healthier Hospital Healthy Food Initiative, the Carilion Farm Share program, and funding of community programs that address increased access to healthy food will continue.Exercise and fitness opportunities will be a key focus for South East, particularly in relation to childhood obesity. Through a partnership with a local soccer club, Carilion will help build fields in the South East neighborhood and provide scholarships to local children. Carilion also helped to build a community kayak launch on the Roanoke River with access in that neighborhood. Funding of community programs that address increased access to physical activity opportunities will continue.D. Focused Community Grants and Partnerships:Carilion Clinic funds health safety-net providers and causes identified through the RVCHNA and will focus on providing financial support to community health improvement initiatives in the South East neighborhood through community grants and sponsorships.In-kind assistance is also provided through community partnerships that align with the RVCHNA. Carilion actively looks for opportunities to support by providing outreach and educational support. Partnerships include HRV, Anchor of Hope's Community Health Promoter Program, West End Freedom First, Roanoke Regional Housing Authority, Kohl's Cares, the PATH Coalition, Safe Kids, Leap for Local Foods, the Feeding America of SWVA Veggie Mobile, as well as many others. E. Implementation and Measurement:HRV is serving as a key partner in the implementation of health improvement initiatives emerging from the CHNA. The findings of this assessment are key in measuring the progress of HRV initiatives and their impact in the community. The HRV Strategic Action Framework to better meet the needs of our target population includes data driven, evidence-based goals and strategies which address access to care (mental health, oral health, primary care); coordination of care; and wellness. As a result of the 2015 RVCHNA, HRV underwent strategic planning with both its Steering Committee and Action Team members to update the Governance Guidelines, Operations Structure, and Strategic Action Framework to ensure HRV continues to align with the priorities identified in the needs assessment. HRV completed this process in 2016 and began implementation of the 2016-2019 Strategic Action Framework in the summer of 2016.Priority Areas Not being Addressed and the ReasonsA community approach to determine and address priority needs as described above was used in determining which needs cannot be addressed immediately. The needs not identified as "priority" are those that will not be actively addressed in this time period.
Part V, Section B, line 16i:Line 16a: https://www.carilionclinic.org/billing/financial-assistance.Line 16b: https://www.carilionclinic.org/billing/financial-assistance.Line 16c: https://www.carilionclinic.org/billing/financial-assistance.
Part V, Section B, line 20e:Presumptive eligibility based upon specific free clinic or indigent health access programs, other state or local assistance programs, and/or third party evaluation to determine ability to pay prior to transfer to bad debt.
Part V, Section B, line 22d:Maximum amounts that can be charged are determined based on average allowed amounts from Medicare and private insurance payers, calculated using the look-back method per 26 CFR section 1.501(r).
FieldValueIRS element (for citing)
Facility85FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (85 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - DBA - Carilion Roanoke Memorial Rehab
2017 South Jefferson StreetRoanokeVA24153Psych Unit, Outpatient Rehabilitation
2 - Carilion Breast Care Center
102 Highland Ave Ste 202RoanokeVA24014Breast Care Center
3 - Carilion Clinic Cardiology
2001 Crystal Spring Avenue SuiteRoanokeVA24014Cardiology203
4 - Carilion Clinic Cardiology
127 McClanahan Street SW Suite 300RoanokeVA24014Cardiology
5 - Carilion Clinic Cardiology
2001 Crystal Spring Ave Suite 300RoanokeVA24014Cardiology Services
6 - Carilion Sleep Center
1030 Jefferson Plaza Ste G100RoanokeVA24016Sleep Disorder
7 - Carilion Clinic Orthopaedics - ION
2331 Franklin Road SWRoanokeVA24014Orthopaedics
8 - Carilion Clinic Internal Medicine
3 Riverside CircleRoanokeVA24016Internal Medicine
9 - CSC - Roanoke
213 McClanahan Suite 404RoanokeVA24014Surgical Services
10 - Carilion Clinic Neurosurgery - ION
2331 Franklin RoadRoanokeVA24014Neurosurgery
11 - Carilion Pulmonary Clinic
2001 Crystal Spring Avenue SuiteRoanokeVA24014Pulmonary Services205
12 - Carilion Clinic Gastroenterology
3 Riverside CircleRoanokeVA24016Gastroenterology
13 - Carilion Dental Care
2017 S Jefferson StreetRoanokeVA24014Dental Service
14 - Carilion Clinic Neurology
3 Riverside CircleRoanokeVA24016Neurosciences
15 - Daleville Imaging
46 Wesley RoadDalevilleVA24014Imaging Services
16 - CNRV Emergency Services
2900 Lamb CircleChristiansburgVA24073Emergency Physicians
17 - Botetourt Athletic Center
105 Summerfield CourtRoanokeVA24019Outpatient Therapy Services
18 - Carilion Clinic Dermatology
1 Riverside Circle Suite 300RoanokeVA24016Dermatology
19 - Roanoke Athletic Club
4508 Starkey RoadRoanokeVA24018Physical Therapy Services
20 - Carilion Imaging Professionals
1 Taylor AvenuePearisburgVA24134Imaging Services
21 - CNRVMC - Radiology
2900 Lamb CircleChristiansburgVA24073Radiology
22 - Carilion GYN Clinic
102 Highland Avenue Suite 303RoanokeVA24013Gynecolgical services
23 - Carilion ObstetricsGynecology Clinic
902 South Jefferson Street UpperRoanokeVA24016Obstetrics and GynecologyLevel
24 - Carilion Clinic Dept of Psychiatry
2900 Lamb CircleChristiansburgVA24073Psych and Behavioral Medicine
25 - Carilion Clinic Orthopaedics Trauma ION
2331 Franklin RoadRoanokeVA24014Ortho Trauma
26 - Carilion Cardiothoracic Surgery
2001 Crystal Spring Avenue SuiteRoanokeVA24014Cardiac Surgery Office201
27 - Carilion ENTPlastic Surgery
1 Riversde Circle Suite 300RoanokeVA24016Plastic Surgery
28 - Carilion General Pediatric Clinic
1030 S Jefferson Street Suite 106RoanokeVA24016General Pediatrics
29 - Carilion Clinic Orthopaedics
3 Riverside CircleRoanokeVA24016Orthopaedic Services
30 - CES - Tazewell
141 Ben Bolt AveTazewellVA24651Emergency Physicians
31 - Carilion Clinic Pediatric Surgery
102 Highland Avenue Suite 404RoanokeVA24013Surgical Services
32 - CES - Giles
1611 Wenonah AvenuePearisburgVA24134Emergency Physicians
33 - Carilion Center for Healthy Aging
2001 Crystal Spring Avenue SuiteRoanokeVA24014Geriatrics302
34 - CES - Franklin
180 Floyd AvenueRocky MountVA24017Emergency Physicians
35 - CFM - Salem
2102 West Main StreetSalemVA24153Family Practice
36 - CSJH Emergency Department
1 Health CircleLexingtonVA24450Emergency Physicians
37 - CFM Southeast
2145 Mount Pleasant BoulevardRoanokeVA24014Family Practice
38 - CFM Roanoke Salem
1314 Peters Creek RoadRoanokeVA24017Family Practice
39 - Carilion Anticoagulation Clinic
1030 S Jefferson St Ste G101RoanokeVA24014Anticoagulation Clinic
40 - CRMH Rheumatology Clinic
3 Riverside CircleRoanokeVA24016Rheumatology
41 - Carilion Infectious Disease Clinic
2001 Crystal Spring Avenue SuiteRoanokeVA24014Infectious Disease301
42 - Breast Mammography - North
6415 Peters Creek RoadRoanokeVA24014Breast Mammography
43 - Carilion Clinic Physiatry
3 Riverside CircleRoanokeVA24016Physical Medicine and Rehab
44 - Community Psychiatry
611 McDowell AvenueRoanokeVA24016Behavioral Health
45 - Carilion Plastic and Reconstructive
3 Riverside CircleRoanokeVA24016Plastic Surgery
46 - Pediatric Developmental Clinic
1030 S Jefferson Street Suite 201RoanokeVA24016Pediatrics
47 - Community Care
101 Elm Avenue SERoanokeVA24013Family Medicine
48 - Carilion Dept of Psychiatry Roanoke
2017 S Jefferson StreetRoanokeVA24014Behavioral Health
49 - Carilion Sleep Center Westlake
35 Medical CourtHardyVA24101Sleep Disorder
50 - Carilion Clinic Urogynecology
101 Elm Avenue Suite 400RoanokeVA24013Urogynecology Services
51 - Carilion Cardiac Rehab
127 McClanahan StreetRoanokeVA24016Cardiac Rehab
52 - Pediatric Gastroenterology
102 Highland Avenue Suite 305RoanokeVA24013Gastroenterology
53 - Carilion Pediatric Neurology
102 Highland Avenue Suite 104RoanokeVA24013Neurosciences
54 - Carilion Child & Adolescent Psychiatry
213 McClanahan Street Suite 310RoanokeVA24014Child and Adolescent Psychiatry Services
55 - Carilion Prenatal Diagnostic Center
102 Highland Ave Ste 455RoanokeVA24014Prenatal Testing
56 - Pediatric Pulmonology and Allergy
102 Highland Avenue Suite 203RoanokeVA24013Pulmonology
57 - Carilion Clinic Family Med Tazewell
141 Ben Bolt AvenueTazewellVA24651Family Practice
58 - CRCH Occupational Medicine
PO Box 12946RoanokeVA24029Occupational Medicine
59 - Carilion Clinic Pulmonary and Sleep
2001 Crystal Spring Avenue SuiteRoanokeVA24014Pulmonary and Sleep Services300
60 - Carilion Roanoke IP Psychiatry
2017 S Jefferson Street 1st FloorRoanokeVA24014Psychiatry Services
61 - Carilion Clinic OBGYN Spartan Drive
150 Spartan DriveSalemVA24153Obstetrics and Gynecology
62 - Carilion Pediatric Endocrinology
102 Highland Avenue MOB Suite 203RoanokeVA24013Endocrinology
63 - Department of Psychiatry & Behavioral
213 McClanahan Street Suite 310RoanokeVA24014Behavioral Health
64 - Pediatric Cardiology Clinic
102 Highland Avenue Suite 101RoanokeVA24013Cardiology
65 - Carilion Clinic OBGYN Botetourt
150 Market Ridge LaneDalevilleVA24083Obstetrics and Gynecology
66 - Carilion Reproductive Endocrinology
102 Highland Avenue Suite 304RoanokeVA24013Reproductive Endocrinology
67 - Carilion Wound Care Center
101 Elm Ave SERoanokeVA24019Wound Care
68 - Carilion Clinic TraumaCritical Care
3 Riverside CircleRoanokeVA24016Surgical Services
69 - Carilion Dentistry Pediatric Surgery
101 Elm AvenueRoanokeVA24017Dental Service
70 - Carilion Diabetic Education
1030 S Jefferson Suite G101RoanokeVA24016Diabetic Eduation
71 - CNRVMC - Neurosciences
2900 Lamb CircleChristiansburgVA24073Neurology
72 - Carilion Clinic Pain Management - ION
2331 Franklin RoadRoanokeVA24014Pain Management
73 - Carilion Clinic Gastroenterology
1201 Franklin RdRoanokeVA24016Gastroenterology
74 - Carilion Genetics
102 Highland Avenue Suite 104RoanokeVA24013Genetic Counseling
75 - General Surgery Clinic
180 Floyd AvenueRocky MountVA24151General Surgery
76 - Carilion Clinic Internal Medicine
3 Riverside CircleRoanokeVA24016Internal Medicine
77 - Carilion GYN Oncology
1 Riverside Circle Suite 300RoanokeVA24016Gynecolgical Oncology
78 - Carilion Clinic Urology Christiansburg
120 Akers Farm Road NEChristiansburgVA24073Urology
79 - Carilion Pediatric OtolaryngologyENT
3 Riverside Circle 4th FloorRoanokeVA24016ENT Services
80 - Carilion Surgery Westlake
35 Medical CourtHardyVA24101Surgical Services
81 - Carilion Clinic AllergyImmunology
46 Wesley RoadDalevilleVA24083Allergy Services
82 - Carilion OBGYN - Riverside
3 Riverside CircleRoanokeVA24016Obstetrics and Gynecology
83 - Tazewell Veterans Affairs Community
141 Ben Bolt AvenueTazewellVA24651VA Clinic
84 - Carilion Heart Failure Clinic
127 McClanahan StreetRoanokeVA24016Heart Failure Services
85 - Carilion Cardiology Westlake
35 Medical CourtHardyVA24101Cardiology Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Asset test is used. Money in checking/savings, trust, retirement accounts, equity in real property.
Part I, Line 6a:Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic (EIN 54-1190771). Printed copies of this report are distributed throughout communities served by hospitals affiliated with Carilion Clinic. Additionally, the community benefit report is available on Carilion Clinic's website: www.carilionclinic.org/community-outreach.
Part I, Line 7:Part I, Line 7 a-b: The ratio of cost-to-charges was used to calculate the expense.Part I, Line 7:Column f calculation-The organization's bad debt expense of $70,617,579 is subtracted from total expenses for the calculation.Part I Line 7e: Community Health Improvement:This line is reported at actual cost. Carilion Medical Center provides education to the public about health risks and steps that can be taken to improve health. Events include regularly scheduled health screenings such as blood pressure, blood glucose and cholesterol as well as seasonal stroke, vascular, prostate and facial sun damage detection screenings. Carilion Medical Center's community health education department serves as host of the local chapter of the National Safe Kids Coalition and provides education on childhood injury prevention to the community and other providers. In addition, Carilion Medical Center's Safe Kids Coalition coordinator provided training and national certification on proper car seat installation for other health and safety providers free of charge. Children learn about healthcare careers through Caring Careers, an educational program for school aged children provided onsite at local schools and community centers. Additional health improvement services include physician coverage at the Bradley Free Clinic and the Roanoke Rescue Mission. Additional services include blood drives, assistance with enrollment in public medical programs such as Medicaid, and interpreter services for non-English speaking patients. Community benefit operations includes expenses related to support of Healthy Roanoke Valley, a collaboration of health and human service agencies developing initiatives to address prioritized community health needs, the cost associated with tracking community health improvement activities, and the cost associated with conducting a Community Health Needs Assessment.Part I, Line 7f:Health Professions:This line is reported at actual cost. Carilion Medical Center provides a full time staff member to Radford University's Bachelor of Science Nursing Program and mentors nursing students within Carilion Roanoke Memorial Hospital. Education is provided to non-employed health professionals such as school nurses, and staff who provide labor, delivery and emergency services. Financial support was provided for Virginia Foundation for Independent Colleges for 10 science research fellowships for undergraduate students. In addition, financial as well as in-kind support was provided for Virginia Tech Carilion School of Medicine in the form of paid physician hours dedicated to education of students. Part I, Line 7g:Subsidized Health Services: N/A.Part I, Line 7h:Research:This line is reported at actual cost. Carilion Medical Center participates in clinical research projects which includes internal review board oversight. Additionally, community research is provided through a cancer registry to assist public health professionals in understanding and addressing the cancer burden more effectively. Information obtained is used in development of programs on cancer prevention, early detection, and successful treatment and care. Part I, Line 7i: Cash and In-Kind Contributions: At Cost.Carilion has long been committed to improving the health of the communities we serve. We know that significant change doesn't happen alone, but takes a community of partners working together towards common goals. Our dedication to this mission is evidenced by the support we provide to various nonprofit partners, furthering their efforts to positively impact health. Contributions of various amounts, both financial and in-kind, are made each year to dozens of organizations directly impacting the issues identified in our triennial Community Health Needs Assessment as well as to organizations addressing a variety of social determinants that impact people's health. Support provided helps with access to nutrient dense foods, promotion of exercise and healthy activity, chronic disease management, access to mental health services and coordination of care in addition to a multitude of other community health improvement goals.
Part II, Lines 1-8Part II, Line 1:Physical Improvements and Housing- N/A.Part II, Line 2: Economic Development- Support was provided to the Vinton Chamber of Commerce, Roanoke Blacksburg Innovation Partnership, Roanoke Blacksburg Technology Council, Salem Roanoke County Chamber of Commerce, Roanoke Regional Chamber of Commerce, and Virginia Chamber of Commerce to strengthen the social and economic environment of the community. Funding was provided to the Greater Roanoke Transit Company for the Star Line Trolley.Part II, Line 3: Community Support- Research demonstrates the strong connection between social determinants of health such as transportation, housing, and education and the overall health and well-being of communities. Support is provided in a variety of ways for non-profit organizations that address barriers to good health that arise from these social determinants. Through support of local partners, Carilion is able to help provide better education and opportunities for children and families as well as housing, nutrition and resources for our neighbors in need, removing obstacles to good health. Part II, Line 4: Environmental Improvements- Financial support was provided to Pathfinders for Greenways and in-kinds support was provided for Clean Valley Day in southeast Roanoke City. Part II, Line 5: Leadership Development and Training for Community Members-N/A. Part II, Line 6: Coalition Building- In-kind support was provided through representation on Roanoke Area Youth Substance Abuse Coalition and Roanoke Prevention Alliance, a group of concerned citizens, parents, youth, teachers, police officers, business people, judges, and other caring individuals that strive to keep the youth of the Roanoke Valley and southwest Virginia alcohol, tobacco and drug-free; Safe Kids Coalition, a multidisciplinary team, working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome (SIDS); Positive Action Toward Health, promoting healthy behaviors in children; Salem Prevention Planning Team; Virginia Highway Safety Board representation; Roanoke City Health Advisory Board; and YOVASO, a statewide youth leadership program dedicated to saving the lives of teenage drivers through educating, encouraging and empowering teenagers to be traffic safety advocates in their schools and communities. In-kind support was also provided through representation on Boards or committees for the following organizations: Children's Trust, CHIP, Family Service of Roanoke Valley, New Horizons Healthcare, Presbyterian Community Center, United Way of Roanoke Valley, Virginia Tech Carilion School of Medicine, and the YMCA.Part II, Line 7: Community Health Improvement Advocacy-In-kind support was provided for distribution of a newsletter on behalf of adolescent and student health services.Part II, Line 8: Workforce Development- Carilion Medical Center partnered with Goodwill Industries of the Roanoke Valley, the Department of Rehabilitative Services, Blue Ridge Behavioral Health, Blue Ridge Independent Living Center and local parent representatives to offer Project SEARCH, a one year high school transition program that provides employment and educational opportunities for individuals with significant disabilities and assists with finding long term employment in skilled positions for its participants. Additional expenses include recruitment of providers to meet the needs of underserved individuals in the Roanoke Valley. Support was also provided for Virginia Business Higher Education Council's Grow By Degrees campaign.
Part III, Line 2:Carilion Medical Center estimates bad debt expense by reserving a percentage of all self-pay accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends.
Part III, Line 4:Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion Medical Center estimates the allowance for doubtful accounts by reserving a percentage of all self-pay accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. Carilion Medical Center collects substantially all of its third-party insured receivables, which include receivables from governmental agencies and commercial insurers.
Part III, Line 8:Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. The Hospital does not consider a Medicare shortfall as a community benefit.
Part III, Line 9b:When accounts receivable efforts are exhausted, the account may be placed with a collection agency and Extraordinary Collection Actions (ECA) may be considered. Accounts will not be placed with a collection agency prior to 120 days from the date the first billing statement is provided except when mailings are returned with no forwarding address and combining multiple accounts of varying age with those already transferred or for legal verification regarding other liabilities.When a Financial Assistance Application (FAA) is received during the application period (within 240 days after the date the first billing statement is provided), but after initiation of ECAs, all ECAs will be suspended. Best efforts will be made to process completed applications within 30 days of receipt of the application; financial assistance eligibility will be determined and communicated to the individual. Incomplete applications must be completed within 30 days of the initial notification of additional items required; otherwise, the application will be deemed incomplete and closed. If an individual is eligible for financial assistance, ECAs, other than the sale of debt, will be reversed and any payments related to eligible care refunded to the extent no longer owed. ECAs will be reinstated if the individual is not eligible for financial assistance or does not complete the FAA by the deadline.At least 30 days before initiating an ECA, Carilion will send the patient written notice of intended ECA(s), a plain language summary explaining financial assistance available and the process for determining eligibility, and the deadline for applying for assistance. Carilion will also attempt to call individuals at least 30 days before initiating an ECA to make them aware of the financial assistance available and how to obtain assistance with the application process.Carilion shall enter into a written contract with any collection agency to which it refers bad debt. The contract will obligate the collection agency to observe and comply with Carilion's obligations under this Policy and the Financial Assistance Policy. A collection agency to which bad debt is referred for collection may not engage in any ECAs without the prior written consent of Carilion.After making reasonable efforts to determine if a patient qualifies for Financial Assistance and if no positive patient response is received within 120 days from the date the first billing statement is provided, Carilion may engage in one or more of the following ECAs: 1. Place a lien on an individual's property; 2. Attach or seize an individual's bank account or any other personal property; 3. Commence a civil action against an individual; 4. Garnish an individual's wages; 5. Sell an individual's debt to another party; or 6. Report the account to credit agencies.Individual account balances greater than $5,000 are not sent to a collection agency. These are handled through the Debt Recovery Department (DRD) for verification of Financial Assistance status before further collection activity occurs. DRD will also investigate any accounts that require special handling. For example, when the billing office becomes aware that a patient is deceased, auto accident or any other unique circumstances requiring special handling, the accounts are placed with the Debt Recovery Department.When all collection efforts have been exhausted, all hospital accounts will be returned and closed as uncollectible. No further collection activity is taken at that time. Accounts with satisfactory payment arrangements, legal activity or accounts with pending payment will be considered active and are not returned.
Part VI, Line 2:Needs Assessment:Carilion Clinic's community health improvement process was adapted from Associates in Process Improvement's the Model for Improvement and the Plan-Do-Study-Act (PDSA) cycle developed by Walter Shewhart. It consists of five distinct steps: (1) conducting the CHNA, (2) strategic planning, (3) creating the implementation strategy, (4) program implementation, and (5) evaluation. This cycle is repeated every three years to comply with IRS requirements. Carilion Clinic fosters community development in its CHNA process and community health improvement process by using the Strive Collective Impact Model for the CHAT. This evidence-based model focuses on "the commitment of a group of important players from different sectors to a common agenda for solving a specific social problem(s) and has been proven to lead to large-scale changes. It focuses on relationship building between organizations and the progress towards shared strategies. Carilion Clinic and Healthy Roanoke Valley (HRV) partnered to conduct the 2015 Roanoke Valley CHNA. This process was community-driven and focused on high levels of community engagement involving health and human services leaders, stakeholders, providers, the target population, and the community as a whole. HRV, housed under the United Way of Roanoke Valley, was formed in 2012 as a community response to needs identified in Carilion Clinic's triennial Roanoke Valley CHNA. HRV's mission is to mobilize community resources to improve access to care, coordination of services, and promote a culture of wellness. Using the collective impact model, the partnership boasts more than 160 individuals representing cross-sector stakeholders and leaders who are working to implement cost-effective programs resulting in improved health outcomes.
Part VI, Line 3:Education of the Financial Assistance Policy is provided to patients at all hospital admission and ambulatory areas in the form of signage, in a summary of the policy which includes contact information, in available financial assistance applications and is included in the inpatient handbook. Hospital social workers and customer service representatives provide patients with verbal and/or written information regarding availability of assistance. Each patient billing statement and letters regarding patient financial responsibility include information on the Financial Assistance Policy and who to contact for additional information. Applications, the policy and Plain Language Summary are available free of charge to the patient. These items will be mailed to the patient if the patient failed to keep the documents at the time of service and they are also available on the Carilion Clinic web site. Carilion Clinic also employs an Eligibility Assistance Team that counsels patients regarding federal and state programs. This department completes applications for Medicaid, Social Security, Social Security Disability, and Medicare and provides support services for ensuring the applications are processed correctly based on federal and state policy. In addition, the Eligibility Team members are all Certified Application Counselors and will assist patients with enrollment in insurance exchange marketplace products provided through the Affordable Care Act. Eligibility Team members will also complete Carilion's financial assistance application and explain the requirements for financial assistance eligibility.
Part VI, Line 4:Community Information:Carilion Medical Center (CMC), comprised of two hospitals, Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, is located in Roanoke, Virginia. Roanoke is a 1,186 square mile valley located in southwest Virginia near the Blue Ridge and Allegheny Mountains. In fiscal year 2014, CMC served 121,168 unique patients. Patient origin data revealed that in fiscal year 2014, 72.77% of patients served by CMC lived in the following localities: Roanoke City (30.80%), Roanoke County (19.97%), Franklin County (8.78%), Botetourt County (6.94%), Salem City (5.61%), and Craig County (0.68%). The Roanoke Metropolitan Statistical Area (MSA), commonly known as the Roanoke Valley, is composed of the independent cities of Roanoke and Salem and the counties of Botetourt, Craig, Franklin and Roanoke.According to the 2010 Census, the total population of the Roanoke MSA is 308,707. 78.5% of residents are 18 years old or over and 16.3% are 65 years old or over. The MSA is 82.2% white and 12.8% black. According to the 2011-2015 American Community Survey 5-Year Estimates, 38.01% of MSA residents are not in the labor force, the median household income is $50,340, 10.8% of residents have no health insurance coverage, 13.9% of all people and 20.5% of people under 18 years old live below the federal poverty level, 87.9% of residents have graduated high school, and 26.7% of residents have a bachelor's degree or higher. Craig County and Franklin County are designated Medically Underserved Areas (MUA) as are portions of northern Botetourt County. In the city of Roanoke, nine census tracts are designated MUA's - seven are located in the northwest (NW) quadrant (Census Tracts 1, 9-11, 23-25) and two in the southeast (SE) quadrant (Census Tracts 26 and 27). Health Professional Shortage Areas (HPSA) are present in the portions of the Roanoke MSA for Primary Care, Dental, and Mental Health providers.
Part VI, Line 5:Community Health Promotion:Carilion Medical Center includes Carilion Roanoke Memorial Hospital, one of the largest hospitals in the state of Virginia with 703 beds and an additional 60-bed neonatal intensive care unit and pediatric emergency department. With a Level One Trauma Center and children's hospital, complete with pediatric emergency room, Carilion Roanoke Memorial Hospital treats residents throughout southwest Virginia. In addition to offering high-tech services, the Hospital is also home to eight residency programs and two fellowship programs. Carilion Medical Center serves all patients regardless of their ability to pay. The Hospital's governing Board is elected annually and the majority are members of the local community who are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the Hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.
Part VI, Line 6:Affiliated System:Carilion Medical Center is wholly owned by Carilion Clinic, a not-for-profit healthcare organization based in Roanoke, Virginia. Through a comprehensive network of hospitals, primary and specialty physician practices and other complementary services, quality care is provided close to home for more than one million Virginians. With an enduring commitment to the health of the region, care is advanced through medical education and research and assistance is provided to help the community to stay healthy. Carilion Clinic employees 685 physicians representing more than 70 specialties who provide care at 241 practice sites. To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering Associate's, Bachelor's, and Master's degree programs. During fiscal year 2016, 800 undergraduate and 262 graduate students were enrolled. Carilion Clinic, through Carilion Medical Center, works in cooperation with Virginia Tech Carilion School of Medicine to provide medical education opportunities to the community. There are 13 accredited residency programs (Carilion/OMNEE Emergency Medicine, Dermatology, General Hospital Dentistry, Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry and Surgery) and 11 accredited fellowship programs (Addiction Psychology, Adult Joint Reconstruction, Cardiovascular Disease, Child and Adolescent Psychiatry, Gastroenterology, Geriatric Medicine, Geriatric Psychiatry, Hospice and Palliative Care, Infectious Disease, Interventional Cardiology, and Pulmonary Critical Care). Advanced clinical technology and programs include Cyberknife Stereotactic Radiourgery, DaVinci Robotic Surgical System, 60 bed neonatal intensive care unit, hybrid operating room, Carilion Clinic Children's Hospital, Cancer Center, Spine Center, and comprehensive cardiothoracic, vascular and orthopedic surgery programs. Carilion Roanoke Memorial Hospital serves as a Level One Trauma Center with EMS services that include three EMS helicopters, six first-response vehicles and 38 Advanced Life Support Ambulances. An additional benefit to the community is Carilion Clinic's economic contribution to the region. As the area's largest employer, jobs are provided for more than 12,800 residents of the region.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtAddress Line2USAddress/AddressLine2Txt
Ronald McDonald House
2224 S Jefferson StRoanokeVA24014541244769501(c)(3)$246,800FMVDonated RentGeneral Support
Virginia Tech Carilion School of Medicine Inc
Two Riverside CircleRoanokeVA24016264556177501(c)(3)$000General Support$4,497,406
Taubman Museum of Art
110 Salem AveRoanokeVA24011546026841501(c)(3)$000General Support$508,000
Valley AFC Inc
PO Box 20045RoanokeVA24018541608581501(c)(3)$000General Support$75,000
The Rescue Mission of Roanoke Inc
PO Box 11525RoanokeVA24022540573900501(c)(3)$000Food Access Program/Homelessness Support$113,100
Virginia Business Higher Education Council
1108 E Main St 1100RichmondVA23219541827038501(c)(3)$000General Support$110,000
Virginia Healthcare Foundation
707 East Main Street Suite 1350RichmondVA23219541639924501(c)(3)$000General Support$100,000
Virginia Tech Foundation Inc
902 Prices Fork Rd UniversityBlacksburgVA24061540721690501(c)(3)$000Scholarship$90,000Gateway Center STE 400
City of Roanoke
215 Church Ave Room 254RoanokeVA24011546001569Roanoke, VA$000Playground$70,250
United Way of Roanoke Valley
325 Campbell AvenueRoanokeVA24016540535302501(c)(3)$000Fresh Foods RX Pilot Program/ Healthy Roanoke Valley Collab./General Support$67,688
Children's Trust of Roanoke Valley Inc
541 Luck Ave Suite 308RoanokeVA24016510235891501(c)(3)$000Operational Support$61,800
The Virginia Foundation for Community College Education Inc
300 Arboretum Parkway No 200RichmondVA23236237004354501(c)(3)$000Sponsorship$60,000
CHIP of Roanoke Valley
1201 3rd StreetRoanokeVA24016541566451501(c)(3)$000Operational Support$51,500
Carilion Clinic Patient Transportation
431 McClanahan St SWRoanokeVA24014541864693501(c)(3)$000General Support$50,000
Roanoke Symphony Orchestra
128 East Campbell Ave SERoanokeVA24011546019736501(c)(3)$000General Support$37,309
Local Environmental Agriculture Project
PO Box 3249RoanokeVA24015271050909501(c)(3)$000Community Kitchen/SNAP Double Value$35,000
Mental Health of America Rke Valley
PO Box 592RoanokeVA24004540703132501(c)(3)$000Mental Health Collaboration/Operational support$32,500
American Cancer Society
2840 Electric Road 106ARoanokeVA24018131788491501(c)(3)$000General Support$25,000
Depaul Community Resources
5650 Hollins RoadRoanokeVA24019541108079501(c)(3)$000General Support$25,000
Grandin Theatre Foundation Inc
1310 Grandin RoadRoanokeVA24015010557881501(c)(3)$000Community Engagement$25,000
Feeding America Southwest Virginia
1025 Electirc RdSalemVA24153541939556501(c)(3)$000VeggieMobile-Nutrition$22,000
VA Blue Ridge Affiliate of Susan G Komen for the Cure
4910 Valley View Blvd Ste212RoanokeVA24012562619425501(c)(3)$000General Support$20,000
Virginia Foundation for Independent Colleges
8010 Ridge RoadRichmondVA23229540554396501(c)(3)$000Educational Attainment$20,000
Happy Healthy Cooks
1914 Belleview RdRoanokeVA24013464937238501(c)(3)$000School Nutrition Program$19,000
American Heart Association
PO Box 4002906Des MoinesIA503402906135613797501(c)(3)$000General Support$17,500
Total Action for Progress
PO Box 2868RoanokeVA24001546057095501(c)(3)$000Dental Health Initiative/General Support$16,000
Foundation for Rehabilitation Equipment & Endowment
PO Box 8873RoanokeVA24014541934695501(c)(3)$000Operational Support$15,800
Junior Achievement of Southwest Virginia
3433 Brambleton Ave Suite 202BRoanokeVA24018540628293501(c)(3)$000General Support$15,094
Family Services of Roanoke Valley
360 Campbell Ave SWRoanokeVA24016540505946501(c)(3)$000Counselling$15,000
Mill Mountain Theatre
One Market Square SE - 2nd FloorRoanokeVA24011540792067501(c)(3)$000General Support$15,000
Young Audiences Arts for Learning Virginia
420 North Center Drive Ste 239NorfolkVA23502546063377501(c)(3)$000Youth Dance/Math Program$12,200
Opera Roanoke
20 East Church Avenue 3rd FloorRoanokeVA24011510213334501(c)(3)$000General Support$10,000
Roanoke Community Garden Association
655 Highland AveSERoanokeVA24013262082150501(c)(3)$000Community Gardens$10,000
Roanoke Outside
111 Franklin PlazaRoanokeVA24011451648056501(c)(3)$000Marathon$10,000
Scott Robertson Memorial Junior Golf Academy
3707 Densmore Road NWRoanokeVA24017201237999501(c)(3)$000Parent-Child Tournament$10,000
The Medical Society of Virginia
2924 Emerywood Parkway Suite 300RichmondVA23294540299956501(c)(3)$000Sponsorship$10,000
RX Partnership
2924 Emerywood Pky Ste 300RichmondVA23294571186937501(c)(3)$000Rx Access Program$9,310
National Multiple Sclerosis Society Central & Eastern Virginia Chapter
4200 Innslake DriveGlen AllenVA23060540633474501(c)(3)$000General Support$7,500
Roanoke Academy of Medicine Alliance Foundation
2911 Crystal Spring AveRoanokeVA24014510218435501(c)(3)$000General Support$7,500
Western Virginia Foundation For The Arts And Sciences
One Market SquareRoanokeVA24011510238900501(c)(3)$000General Support$7,500
Juvenile Diabetes
3959 Electric Rd Ste222RoanokeVA24012231907729501(c)(3)$000General Support$6,500
Arthritis Foundation Inc
1355 Peachtree Street NE Sutie 600AtlantaGA30309581341679501(c)(3)$000General Support$5,000
Boys & Girls Clubs of Southwest Virginia Inc
1714 9th Street SERoanokeVA24013541867366501(c)(3)$000Wellness Program$5,000
Hollins University Corporation
PO Box 9658RoanokeVA24020540506314501(c)(3)$000Scholarship$5,000
March of Dimes Greater Roanoke
2840 Electric Road - Suite 102ARoanokeVA24018131846366501(c)(3)$000General Support$5,000
Greater Roanoke Transit
1108 Campbell Ave SERoanokeVA24013540982022501(c)(3)Trolley Service$38,754
FieldValueIRS element (for citing)
Total501c3 Org46Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Endowment-funded indigent patient medical bills36$86,063
Transportation Assistance1733$60,100

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2The hospital donates funds to other 501(c)3 charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds. Carilion Medical Center also has a program under which funds are granted to community organizations with a focus on chidren's health and well-being. A committee of Carilion Medical Center employees and an independent physician reviews the applications and selects the recipients. Recipients sign a letter of agreement that delineates the terms and objectives of the project. One mid-year project report, a site visit and a final program evaluation reports on the program's services, outcomes and budget. For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives of the project. By accepting a Carilion award, grantees are asked to acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle progress report and a final program evaluation are required for each funded project. Site visits may be made to new grantees. Program evaluation includes organizational effectiveness, program impact, and community benefit through collection of data including clients served, cost effectiveness of the program (cost per client of service), tangible community or client outcomes, and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested.
Schedule I, Part III, Line 1Grant requests for indigent patients are evaluated for eligibility based on the restriction criteria placed by the grantor of the endowment, account payment status and funds available under the grant.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John H Burton MD
Director$479,335$0$96,918$0$3,102$0$52,261$0$11,535$0$643,151$0$0$0
Cynda A Johnson MD
Director$0$593,756$0$10,000$0$7,423$0$71,531$0$8,697$0$691,407$0$0
Clifford A Nottingham MD
Director$0$303,423$0$36,944$0$6,697$0$134,784$0$8,428$0$490,276$0$0
Patrice M Weiss MD
Director$0$560,900$0$112,459$0$6,277$0$118,149$0$14,187$0$811,972$0$0
Ralph E WhatleyIII MD
Director$461,603$0$85,555$0$10,344$0$81,573$0$11,349$0$650,424$0$0$0
Nancy Howell Agee
Director/CEO$0$1,137,025$0$332,354$0$152,222$0$2,158,081$0$10,118$0$3,789,800$0$141,071
Steve C Arner
Director/President/CEO$0$404,698$0$75,226$0$3,985$0$111,082$0$12,704$0$607,695$0$0
Tracy W Criss MD
Director/Chief of Medical Staff$183,093$0$50,076$0$2,461$0$67,611$0$10,695$0$313,936$0$0$0
David S Hagadorn
Assistant Treasurer$0$128,218$0$2,500$0$7,499$0$26,279$0$819$0$165,315$0$0
Donald B Halliwill
Assistant Treasurer/EVP/CFO$0$460,065$0$86,171$0$4,271$0$108,666$0$11,404$0$670,577$0$0
G Robert Vaughan Jr
Treasurer$0$248,071$0$47,425$0$10,549$0$70,577$0$11,254$0$387,876$0$0
Bruce A Long MD
Physician, Dept. Chair$489,572$0$223,307$0$3,553$0$45,112$0$11,535$0$773,079$0$0$0
Joseph T Moskal MD
Physician, Dept. Chair$1,080,145$0$218,109$0$7,343$0$75,199$0$11,535$0$1,392,331$0$0$0
Jon M Sweet MD
Physician, Dept. Chair$238,669$0$71,884$0$2,378$0$47,745$0$7,640$0$368,316$0$0$0
Jonathan J Carmouche MD
Physician$1,036,482$0$546,282$0$2,549$0$19,831$0$11,535$0$1,616,679$0$0$0
Cay M Mierisch MD
Physician$823,078$0$208,389$0$2,833$0$35,568$0$11,795$0$1,081,663$0$0$0
Gary R Simonds MD
Physician$869,842$0$326,108$0$5,353$0$58,547$0$11,535$0$1,271,385$0$0$0
Caleb J Behrend MD
Physician$652,920$0$330,239$0$2,562$0$6,483$0$11,535$0$1,003,739$0$0$0
Gregory A Howes MD
Physician$736,978$0$228,597$0$20,204$0$0$0$11,795$0$997,574$0$0$0
Thomas D Denberg MD PhD
Former Chief Strategy Officer$0$395,252$0$88,182$0$21,905$0-$21,708$0$11,680$0$495,311$0$0
Briggs W Andrews
Former Secretary$0$294,741$0$71,120$0$113,407$0$61,932$0$2,652$0$543,852$0$109,782
Donald E Lorton
Former CFO$0$0$0$0$0$130,613$0$0$0$0$0$130,613$0$130,613
Edward Murphy MD
Former CEO$0$0$0$0$0$18,155$0$0$0$0$0$18,155$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. This review was performed in November 2015 and September 2016. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, including the CEO. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Part I, Line 4bSelect members of management participate in a Pension Restoration Plan. This plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified Plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified Plan. Entitlement to benefits and consequent lump sum payment occurs upon attaining age 65 while employed by Carilion Clinic, disability, or 24 months after certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon vesting while employed by Carilion, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the plan shall pay the participant's beneficiary according to plan terms. Select members of management participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer at the discretion of Carilion Clinic's Board of Directors Compensation Committee makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date, the account shall be forfeited. A lump sum distribution shall be made upon the participant's vesting date, death, or disability. Payments during the calendar year under these plans included the following: Nancy Howell Agee $141,071 Briggs Andrews $109,782 Donald Lorton $130,613
Part I, Line 7The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Board of Directors Compensation Committee, although it is based on the scorecard measures.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Industrial Development Authority of the City of Roanoke VA
A541106038770084EQ02014-04-09$125,000,000Reissuance of Series 2005A originally issued on 12/14/05000
VA Small Business Financing Authority Hospital Revenue Bonds
B541300845928101AE42014-03-25$11,950,000Reissuance of Series 2008A and 2008B originally issued on 07/16/08000
Industrial Development Authority of the City of Roanoke VA
C541106038770082AB12010-10-13$96,404,094Refunding of Series 2003A-C Bonds (08/03), Issuance Costs000
Economic Development Authority of the City of Roanoke VA
D541106038770082AW52012-02-09$69,968,434Refunding of Series 2000 and 2002A Bonds, Issuance Costs, Capital Projects000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$1,890,000$125,000,000$797,940$1,940,086$122,261,9742007Yes (1)0Yes (1)Yes (1)
B$11,950,000$107,259200900Yes (1)Yes (1)$11,842,741
C$96,404,094$1,229,094$95,175,000Yes (1)0Yes (1)Yes (1)
D$21,045,000$69,968,434$771,282$64,007,95420110Yes (1)Yes (1)Yes (1)$5,189,198

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.001200.000000.0012000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AIG
A000Yes (1)Yes (1)0Yes (1)0.300000000000Yes (1)0Yes (1)
(no name)
B000Yes (1)Yes (1)000Yes (1)
(no name)
C000Yes (1)0000Yes (1)
(no name)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Industrial Development Authority of the City of Roanoke, VA, Date the Rebate Computation was Performed: 04/30/2009 Issuer Name: VA Small Business Financing Authority, Hospital Revenue Bonds Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Industrial Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/29/2011 Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/04/2013 Issuer Name: Industrial Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 05/04/2011
Schedule K, Bond Issues(a) Issuer Name: Part I, Line A Industrial Development Authority of the City of Roanoke, VA, Hospital Revenue Bonds, Carilion Health System Obligated Group, Series 2005A (a) Issuer Name: Part I, Line B VA Small Business Financing Authority, Hospital Revenue Bonds, Carilion Clinic Obligated Group, Series 2008A & 2008B (a) Issuer Name: Part I, Line C Industrial Development Authority of the City of Roanoke, VA, Hospital Revenue Bonds, Carilion Health System Obligated Group, Series 2010 (a) Issuer Name: Part I, Line D Economic Development Authority of the City of Roanoke, VA, Hospital Revenue Bonds, Carilion Clinic Obligated Group, Series 2012 (a) Issuer Name: Part I, Line E Industrial Development Authority of the City of Roanoke, VA, Hospital Revenue Refunding Bonds, Carilion Clinic Obligated Group, Series 2005B & 2005C
Schedule K, Part IIAll bond issues- multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Industrial Development Authority of the City of Roanoke VABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN541106038BondIssuerEIN
CUSIP770084FU0CUSIPNum
Bond Issued2010-10-13BondIssuedDt
Issue Price$98,852,291IssuePriceAmt
PurposeReoffering Circular and interest rate conversion to fixed, Issuance CostsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$16,957,000RetiredAmt
Total Proceeds$98,852,291TotalProceedsAmt
Issuance Costs From Proceeds$1,068,912IssuanceCostsFromProceedsAmt
Credit Enhancement$41,693CreditEnhancementAmt
Other Spent Proceeds$97,741,687OtherSpentProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICYes (1)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1AIGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of GIC0.300000000000TermOfGICPct
Regulatory Safe Harbor StsfdYes (1)RegulatorySafeHarborStsfdInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
1 Eric Chen MD
See Part V$313,814Employee0
2 Bruce Johnson MD
See Part V$331,982Employee0
3 Mary Sweet MD
See Part V$360,516Employee0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSched. L Part IVFormAndLineReferenceDesc
Explanation(1) Family member of Lauren Chen, Officer.(2) Family member of Cynda Johnson, Director.(3) Family member of Jon Sweet, Key Employee.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$5,334NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution23ContributionCnt
Noncash Contributions Rpt F990$11,516NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution37ContributionCnt
Noncash Contributions Rpt F990$10,052NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Gift Cards66$28,653FMV
Yes (X)Event Prizes1$2,000FMV
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationNumber of contributions represents the number of items contributed.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 6The hospital operates a Customer Service-based program for volunteers and we do anything to make our patients and patient families comfortable in very uncomfortable circumstances. Tasks include delivering mail, delivering flowers, greeting and escorting patients and providing snacks in the hospital waiting rooms. Through Hospice, volunteers provide respite support for caregivers, visits for socialization and comforting presence, checking calls, take care of patients' pets, sing to patients, pet therapy, yoga therapy, help in the hospice office, assist with fundraisers, assist with bereavement support activities, deliver birthday gifts, make holiday gifts and memory quilts and record patient's life stories.
Form 990, Part V, Line 1a1099s are issued on Carilion Medical Center's behalf by Carilion Services, Inc., a related supporting organization providing management and administrative services, including payment processing.
Form 990, Part VI, Section A, line 21. Nancy Howell Agee, Steve Arner, Lauren J. Chen, David S. Hagadorn, Nicholas C. Conte, Donald B. Halliwill, Cynda A. Johnson, M.D., G. Robert Vaughan, Jr., Clifford A. Nottingham, M.D., Patrice M. Weiss, M.D., and Ralph E. Whatley, M.D. - Business relationship due to each serving as officers, directors, and/or employees of the same related organizations.
Form 990, Part VI, Section A, line 3Certain 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 filing organization. Compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nancy Howell Agee, Briggs Andrews, Steven Arner, Lauren Chen, Thomas Denberg, David Hagadorn, Donald Halliwill, Donald Lorton, Edward Murphy, G. Robert Vaughan, Patrice Weiss.
Form 990, Part VI, Section A, line 6The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers.
Form 990, Part VI, Section A, line 7aThe sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason.
Form 990, Part VI, Section A, line 7bThe sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Section B, line 11The Form 990 was prepared by Carilion's internal Tax Department, with input from various Carilion departments as applicable, and reviewed by internal Accounting management and an outside CPA firm. Several days prior to filing, all Board Members were notified by email of its availability on Carilion's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have.
Form 990, Part VI, Section B, line 12cOur organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Audit & Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Section B, line 15The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, select Senior Vice Presidents, and physician Chairs of the Clinical Departments. This review was performed in November 2015 and September 2016. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of all Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents. These reviews were performed in September and November 2015, and September 2016, respectively. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for all employed physicians and physicians in leadership roles. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as an employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest statement, and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our website.
Form 990, Part XI, line 9:Transfers to/from Affiliates 1,086,059. Pension-related changes other than net periodic pension costs -91,847,636.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RMH Emergency Services LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 12385AddressLine1Txt
CityRoanokeCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24025ZIPCd
FieldValueIRS element (for citing)
EIN541686589EIN
Primary ActivitiesPhysician billingPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carilion Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Carilion Clinic
PO Box 12385RoanokeVA24025541190771Supporting organizationVA501(c)(3)Line 11b, IIN/A0
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773FundraisingVA501(c)(3)Line 7Yes (1)Carilion Clinic
Carilion Franklin Memorial Hospital
PO Box 12385RoanokeVA24025540480606HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Giles Community Hospital
PO Box 12385RoanokeVA24025540549603HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion New River Valley Medical Center
PO Box 12385RoanokeVA24025540553805HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Supporting organizationVA501(c)(3)Line 11b, IIYes (1)Carilion Clinic
Carilion Stonewall Jackson Hospital
PO Box 12385RoanokeVA24025540568001HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Tazewell Community Hospital
PO Box 12385RoanokeVA24025546074580HealthcareVA501(c)(3)Line 3Yes (1)Carilion Clinic
Carilion Biomedical Institute
PO Box 12385RoanokeVA24025541965057Supporting organizationVA501(c)(3)Line 11a, IYes (1)Carilion Clinic

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Franklin County Ventures LLC
PO Box 12385RoanokeVA24025474365316Real estateVACarilion ClinicRelated-$609$41,942000.10000
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385RoanokeVA24025455235473Medicare HMOVACarilion ClinicRelated-$801,314$1000.50000
Community Medical Associates LLP
PO Box 12385RoanokeVA24025541517662Real estateVACarilion Medical CenterRelated$87,525$865,030000.47300

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CHS Inc
PO Box 12385RoanokeVA24025541725732ServicesVAN/ACYes (1)
Carilion Clinic Medicare Resources LLC
PO Box 12385RoanokeVA24025263729975Medicare HMOVAN/ACYes (1)
Carilion Behavioral Health Inc
PO Box 12385RoanokeVA24025203136891HealthcareVAN/ACYes (1)
Carilion Emergency Services Inc
PO Box 12385RoanokeVA24025542033006HealthcareVAN/ACYes (1)
SCA Credit Services Inc
PO Box 12385RoanokeVA24025541180398Collection agencyVAN/ACYes (1)
Carilion Healthcare Corporation
PO Box 12385RoanokeVA24025541586601HealthcareVAN/ACYes (1)
MedKey Inc
PO Box 12385RoanokeVA24025541645357Financing servicesVAN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Services Inc
A$2,270,001Cost
Carilion Clinic Foundation
A$37,560Cost
CHS Inc
A$74,033Cost
Carilion Emergency Services
A$93,132Cost
Carilion Healthcare Corporation
A$26,208Cost
Carilion New River Valley Medical Center
L$3,823,720Cost
Carilion Giles Community Hospital
L$1,341,578Cost
Carilion Franklin Memorial Hospital
L$1,804,068Cost
Carilion Stonewall Jackson Hospital
L$1,499,238Cost
Carilion Tazewell Community Hospital
L$1,441,788Cost
Carilion Services Inc
L$1,197,701Cost
Carilion Behavioral Health
L$126,567Cost
Carilion Emergency Services
L$117,401Cost
Carilion Healthcare Corporation
L$313,039Cost
MedKey Inc
L-$352,161Cost
Carilion New River Valley Medical Center
K$84,653Cost
Carilion Tazewell Community Hospital
M$84,160Cost
Carilion Services Inc
K$52,805Cost
Carilion Services Inc
M$157,519,721Cost
CHS Inc
K$3,126,285Cost
CHS Inc
M$5,505,302Cost
Carilion Behavioral Health
M$121,778Cost
SCA Credit Services Inc
M$680,547Cost
Carilion Services Inc
R$3,425,699Cash

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