CARILION MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CARILION MEDICAL CENTER (EIN 54-0506332)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-15
IRS object ID: 201612289349303176
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-15T10:56:45-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 WALNUT SUITE 1700	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506332	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARILION MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CARI	BusinessNameControlTxt
Phone	5402245112	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12385	AddressLine1Txt
City	ROANOKE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	240252385	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	G Robert Vaughan Jr	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	5402245137	PhoneNum
Signature	2016-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Nancy Howell Agee	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12385	AddressLine1Txt
City	ROANOKE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	240252385	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,575,891,333	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.carilionclinic.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	To improve the health of the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	8122	TotalEmployeeCnt
Total Volunteers	394	TotalVolunteersCnt
Total Gross UBI	$108,191	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,512,909	PYContributionsGrantsAmt
CY Contributions Grants	$4,444,978	CYContributionsGrantsAmt
PY Program Service Revenue	$1,075,207,539	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,134,789,192	CYProgramServiceRevenueAmt
PY Investment Income	$35,677,479	PYInvestmentIncomeAmt
CY Investment Income	$54,291,878	CYInvestmentIncomeAmt
PY Other Revenue	$25,082,891	PYOtherRevenueAmt
CY Other Revenue	$23,198,283	CYOtherRevenueAmt
PY Total Revenue	$1,141,480,818	PYTotalRevenueAmt
CY Total Revenue	$1,216,724,331	CYTotalRevenueAmt
PY Grants And Similar Paid	$615,745	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,510,033	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$509,615,920	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$535,009,191	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$374,958	CYTotalFundraisingExpenseAmt
PY Other Expenses	$534,507,325	PYOtherExpensesAmt
CY Other Expenses	$574,489,716	CYOtherExpensesAmt
PY Total Expenses	$1,044,738,990	PYTotalExpensesAmt
CY Total Expenses	$1,114,008,940	CYTotalExpensesAmt
PY Revenues Less Expenses	$96,741,828	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$102,715,391	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,170,440,385	TotalAssetsBOYAmt
Total Assets EOY	$1,185,047,389	TotalAssetsEOYAmt
Total Liabilities BOY	$747,300,084	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$798,493,941	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$423,140,301	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$386,553,448	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Carilion Medical Center's mission is to improve the health of the communities we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$984,285,700	ExpenseAmt
Grant	$4,510,033	GrantAmt
Revenue	$1,153,306,320	RevenueAmt
Desc	See 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 exists to serve the health care needs of its community and region, regardless of patient ability to pay. CMC admitted 36,483 patients and provided 192,131 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 3,195 babies); the area's 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 childrens 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 80,247 visits, CMCs 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 23% 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 871 events touching over 59,933 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, charity-eligible bad debt, and unreimbursed Medicaid costs for the year exceeded $43 million.	Desc
Total Program Service Expenses	$984,285,700	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8122	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Corporation Attn J Wright	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5402245112	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	213 S Jefferson St	AddressLine1Txt
City	Roanoke	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24011	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John H Burton MD
Director	50.00	Yes (X)	$495,531	$0	$74,518
Katherin A Elam
Director	2.00	Yes (X)	$0	$0	$0
George B Cartledge III
Director	2.00	Yes (X)	$941	$0	$0
Elizabeth Doughty
Director	2.00	Yes (X)	$941	$0	$0
Cynda A Johnson MD
Director	2.00	Yes (X)	$0	$611,879	$95,970	48.00
Stephen A Musselwhite
Director	2.00	Yes (X)	$0	$0	$0	2.50
Clifford A Nottingham MD
Director	2.00	Yes (X)	$941	$357,994	$181,504	48.00
Patrice M Weiss MD
Director	46.00	Yes (X)	$433,553	$166,750	$148,958	4.00
Ralph E Whatley MD
Director	49.50	Yes (X)	$520,147	$0	$112,222	0.50
Damon Williams
Director	2.00	Yes (X)	$0	$0	$0
Victor Iannello ScD
Director/Chair	4.00	Yes (X)	$0	$8,641	$0	2.40	Yes (X)
R Steve Blanks
Director/Vice Chair	3.00	Yes (X)	$0	$12,141	$0	4.50	Yes (X)
Nancy Howell Agee
Director/CEO	3.00	Yes (X)	$0	$1,566,770	$1,858,023	47.00	Yes (X)
Steve C Arner
Director/President/SVP/COO	48.80	Yes (X)	$0	$514,770	$218,993	1.20	Yes (X)
Tracy W Criss MD
Director/Chief of Medical Staff	50.00	Yes (X)	$234,774	$0	$20,139		Yes (X)
Briggs W Andrews
SVP/General Counsel/Secretary	1.50		$0	$1,865,000	$275,541	48.50	Yes (X)
G Robert Vaughan Jr
SVP/Treasurer	0.30		$0	$277,333	$140,269	49.80	Yes (X)
Donald B Halliwill
EVP/CFO/Assistant Treasurer	1.50		$0	$499,817	$226,399	48.50	Yes (X)
David S Hagadorn
Assistant Treasurer	0.10		$0	$130,158	$38,914	49.90	Yes (X)
Lauren J Chen
Assistant Secretary	8.00		$0	$51,739	$22,622	42.00	Yes (X)
Bruce Long
Physician, Dept. Chair	50.00		$638,710	$0	$97,252			Yes (X)
Joseph Moskal
Physician, Dept. Chair	50.00		$1,233,562	$0	$100,755			Yes (X)
Jon Sweet
Physician, Dept. Chair	50.00		$260,773	$0	$92,651			Yes (X)
Joseph Baker
Physician	50.00		$857,667	$0	$96,898				Yes (X)
Jonathan Carmouche
Physician	50.00		$1,509,151	$0	$45,336				Yes (X)
John Mann III
Physician	50.00		$1,019,291	$0	$92,479				Yes (X)
Cay Mierisch
Physician	50.00		$1,067,934	$0	$79,706				Yes (X)
Gary Simonds
Physician	50.00		$1,427,445	$0	$109,200				Yes (X)
Thomas D Denberg MD PhD
Former EVP/Chief Strategy Officer	0.00		$0	$529,278	$160,400	50.00				Yes (X)
R Wayne Gandee MD
Former EVP/Chief Medical Officer	50.00		$164,040	$0	$59,684					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,865,401	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,592,270	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,348,433	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	703	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Solstas Lab Partners Group LLC
PO Box 751337	Charlotte	NC	282751337	Laboratory Services	$29,680,003
Turner Long Construction Inc
1807 Murry Road	Roanoke	VA	24018	Construction Services	$4,382,406
Siemens Medical Solutions USA Inc
51 Valley Stream Parkway	Malvern	PA	19355	Equipment Maintenance Contracts	$4,165,146
GJ Hopkins Inc
714 5th St NE	Roanoke	VA	24016	Construction Services	$2,324,819
ANESTHESIOLOGY CONSULT OF VA
PO Box 13306	Roanoke	VA	240323306	Anesthesiology Services	$1,901,845

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	115	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$313,037	FederatedCampaignsAmt
Fundraising	$54,938	FundraisingAmt
Government Grants	$3,645,783	GovernmentGrantsAmt
All Other Contributions	$431,220	AllOtherContributionsAmt
Noncash Contributions	$27,920	NoncashContributionsAmt
Total Contributions	$4,444,978	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$1,104,210,306	$1,104,210,306
College Tuition/Other	611310	$25,553,917	$25,553,917
Program-related Investments	531120	$3,703,342	$3,703,342
Clinical Research	541700	$698,743	$698,743
Other Health Education	611710	$622,884	$622,884

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,134,789,192	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,066,782	TotalRevenueColumnAmt
Unrelated Business Revenue	$108,191	UnrelatedBusinessRevenueAmt
Exclusion	$9,958,591	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22	TotalRevenueColumnAmt
Exclusion	$22	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,535,778	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,535,778	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,535,778	TotalRevenueColumnAmt
Exclusion	$1,535,778	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,403,111,922	SecuritiesAmt
Other	$208,792	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,359,039,133	SecuritiesAmt
Other	$56,507	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$44,072,789	SecuritiesAmt
Other	$152,285	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,225,074	TotalRevenueColumnAmt
Exclusion	$44,225,074	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$73,259	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$54,938	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$71,362	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,897	TotalRevenueColumnAmt
Exclusion	$1,897	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Physician & Other Affil. Income	621111	$7,515,689	$7,515,689
Cafeteria & Vending Income	722514	$3,143,480		$3,143,480
EHR Incentive Income	622110	$1,493,079	$1,493,079

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,508,360	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,508,360	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,660,608	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,216,724,331	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,153,306,320	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$108,191	UnrelatedBusinessRevenueAmt
Exclusion	$58,864,842	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,294,614	TotalAmt
Program Services	$4,294,614	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$215,419	TotalAmt
Program Services	$215,419	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,018,559	TotalAmt
Management And General	$5,018,559	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$931,093	TotalAmt
Program Services	$931,093	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$435,091,430	TotalAmt
Program Services	$434,659,059	ProgramServicesAmt
Management And General	$236,142	ManagementAndGeneralAmt
Fundraising	$196,229	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,900,265	TotalAmt
Program Services	$33,900,265	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,902,648	TotalAmt
Program Services	$31,769,060	ProgramServicesAmt
Management And General	$98,020	ManagementAndGeneralAmt
Fundraising	$35,568	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,165,196	TotalAmt
Program Services	$28,165,196	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$114,559,074	TotalAmt
Management And General	$114,559,074	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$61,078	TotalAmt
Management And General	$61,078	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$27,554	TotalAmt
Management And General	$27,554	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$65,645	TotalAmt
Program Services	$65,645	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$932,453	TotalAmt
Management And General	$932,453	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$87,023,964	TotalAmt
Program Services	$84,723,595	ProgramServicesAmt
Management And General	$2,282,929	ManagementAndGeneralAmt
Fundraising	$17,440	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$388,998	TotalAmt
Program Services	$365,746	ProgramServicesAmt
Fundraising	$23,252	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,465,021	TotalAmt
Program Services	$16,295,653	ProgramServicesAmt
Management And General	$146,784	ManagementAndGeneralAmt
Fundraising	$22,584	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,406,810	TotalAmt
Program Services	$2,818,135	ProgramServicesAmt
Management And General	$1,588,675	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,858,753	TotalAmt
Program Services	$22,844,918	ProgramServicesAmt
Management And General	$690	ManagementAndGeneralAmt
Fundraising	$13,145	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,494,787	TotalAmt
Program Services	$2,432,016	ProgramServicesAmt
Management And General	$52,751	ManagementAndGeneralAmt
Fundraising	$10,020	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,790,965	TotalAmt
Program Services	$14,790,965	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,626,351	TotalAmt
Program Services	$38,626,351	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,636,611	TotalAmt
Program Services	$10,072,828	ProgramServicesAmt
Management And General	$3,563,783	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$146,906,727	$146,905,882	$138	$707
Bad Debt	$100,994,469	$100,994,469
College Expense	$4,927,261	$4,927,261
Dues & Subscriptions	$1,870,445	$1,477,368	$342,509	$50,568

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,452,750	TotalAmt
Program Services	$3,010,162	ProgramServicesAmt
Management And General	$437,143	ManagementAndGeneralAmt
Fundraising	$5,445	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,114,008,940	TotalAmt
Program Services	$984,285,700	ProgramServicesAmt
Management And General	$129,348,282	ManagementAndGeneralAmt
Fundraising	$374,958	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,061	BOYAmt
EOY	$22,649	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,826,236	BOYAmt
EOY	$4,327,700	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,619,356	BOYAmt
EOY	$1,821,705	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$155,452,822	BOYAmt
EOY	$179,179,958	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,829,241	BOYAmt
EOY	$6,684,722	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,051,740	BOYAmt
EOY	$5,981,889	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,098,696	BOYAmt
EOY	$4,446,028	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,029,162,750	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$765,895,590	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$255,156,600	BOYAmt
EOY	$263,267,160	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$681,489,415	BOYAmt
EOY	$658,861,169	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,074,888	BOYAmt
EOY	$44,343,795	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,000	BOYAmt
EOY	$1,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,123	BOYAmt
EOY	$65,123	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,752,207	BOYAmt
EOY	$16,044,491	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,170,440,385	BOYAmt
EOY	$1,185,047,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$139,926,168	BOYAmt
EOY	$141,949,193	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,178,361	BOYAmt
EOY	$6,012,057	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$375,034,053	BOYAmt
EOY	$362,087,698	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,161,502	BOYAmt
EOY	$288,444,993	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$747,300,084	BOYAmt
EOY	$798,493,941	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$402,444,251	BOYAmt
EOY	$367,010,757	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,820,141	BOYAmt
EOY	$7,666,782	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,875,909	BOYAmt
EOY	$11,875,909	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$423,140,301	BOYAmt
EOY	$386,553,448	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,170,440,385	BOYAmt
EOY	$1,185,047,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$102,715,391	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$46,583,130	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$92,719,114	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$65,645	OtherActivitiesAmt
Total Lobbying Expenditures	$65,645	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	A portion of dues paid to the American Hospital Association, Virginia Hospital and Healthcare Association, and Association of American Medical Colleges are attributable to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,218,995	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,514,015	InvestmentEarningsOrLossesAmt
Other Expenditures	$777,175	OtherExpendituresAmt
End Year Balance	$14,955,835	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,308,087	BeginningYearBalanceAmt
Investment Earnings Or Losses	$540,534	InvestmentEarningsOrLossesAmt
Other Expenditures	$629,626	OtherExpendituresAmt
End Year Balance	$14,218,995	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.75620	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24380	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,616,529	OtherCostOrOtherBasisAmt
Book Value	$3,616,529	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$446,141,293	OtherCostOrOtherBasisAmt
Depreciation	$286,579,699	DepreciationAmt
Book Value	$159,561,594	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,747,508	OtherCostOrOtherBasisAmt
Depreciation	$2,543,411	DepreciationAmt
Book Value	$204,097	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$561,148,337	OtherCostOrOtherBasisAmt
Depreciation	$470,472,225	DepreciationAmt
Book Value	$90,676,112	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,509,083	OtherCostOrOtherBasisAmt
Depreciation	$6,300,255	DepreciationAmt
Book Value	$9,208,828	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$263,267,160	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Pension Liability	$241,049,999
Unrealized Swap losses	$31,707,477
Deferred Compensation Liability	$15,687,517

Field	Value	IRS element (for citing)
Total Liability	$288,444,993	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Income from the 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 had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2015 and 2014. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CMN Gala	Event1Nm
Gross Receipts Event1	$60,293	GrossReceiptsEvent1Amt
Charitable Contri Event1	$35,307	CharitableContriEvent1Amt
Gross Revenue Event1	$24,986	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,332	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$18,975	OtherDirectExpensesEvent1Amt
Event2	CMN Luncheon	Event2Nm
Gross Receipts Event2	$56,135	GrossReceiptsEvent2Amt
Charitable Contri Event2	$19,381	CharitableContriEvent2Amt
Gross Revenue Event2	$36,754	GrossRevenueEvent2Amt
Food And Beverage Event2	$5,898	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$13,607	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$11,769	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$250	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$11,519	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$550	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$15,000	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$128,197	GrossReceiptsTotalAmt
Charitable Contributions Tot	$54,938	CharitableContributionsTotAmt
Gross Revenue Total Events	$73,259	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$1,550	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$22,230	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$47,582	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$71,362	DirectExpenseSummaryEventsAmt
Net Income Summary	$1,897	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,118,871	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,118,871	NetCommunityBenefitExpnsAmt
Total Expense	0.04370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,009,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,193,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,816,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,128,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,193,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,935,091	NetCommunityBenefitExpnsAmt
Total Expense	0.04850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	694	ActivitiesOrProgramsCnt
Persons Served	34302	PersonsServedCnt
Total Community Benefit Expns	$3,521,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$823,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,698,311	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	1812	PersonsServedCnt
Total Community Benefit Expns	$29,565,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,046,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,518,458	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2849	PersonsServedCnt
Total Community Benefit Expns	$833,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$833,454	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	5791	PersonsServedCnt
Total Community Benefit Expns	$4,928,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,928,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	755	ActivitiesOrProgramsCnt
Persons Served	44754	PersonsServedCnt
Total Community Benefit Expns	$38,849,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,870,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,979,115	NetCommunityBenefitExpnsAmt
Total Expense	0.03170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	755	ActivitiesOrProgramsCnt
Persons Served	44754	PersonsServedCnt
Total Community Benefit Expns	$185,977,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$105,063,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,914,206	NetCommunityBenefitExpnsAmt
Total Expense	0.08020	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	172	PersonsServedCnt
Total Community Benefit Expns	$75,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	9760	PersonsServedCnt
Total Community Benefit Expns	$176,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$176,483	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	1200	PersonsServedCnt
Total Community Benefit Expns	$35,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$967	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	70	ActivitiesOrProgramsCnt
Persons Served	1565	PersonsServedCnt
Total Community Benefit Expns	$26,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2340	PersonsServedCnt
Total Community Benefit Expns	$11,820	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,820	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	142	PersonsServedCnt
Total Community Benefit Expns	$245,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	116	ActivitiesOrProgramsCnt
Persons Served	15179	PersonsServedCnt
Total Community Benefit Expns	$572,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$572,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$100,975,187	BadDebtExpenseAmt
Reimbursed By Medicare	$232,143,989	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$234,162,222	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,018,233	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Roanoke Ambulatory Surgery Center LLC
Ambulatory surgery	0.45880	0.48040
2 Southwest Virginia Health Properties LLC
Real estate	0.44790	0.48040

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
Carilion Medical Center- DBA CRMH
1	1906 Belleview Avenue	Roanoke	VA	24019	www.carilionclinic.org	H 1840	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Carilion Medical Center- DBA CRCH
2	101 Elm Avenue	Roanoke	VA	24019	www.carilionclinic.org	H1839	Yes (X)						A	Rehabilitation Unit; Urgent Care

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Group A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.carilionclinic.org/about/chna	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.carilionclinic.org/about/chna	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.carilionclinic.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.carilionclinic.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.carilionclinic.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Carilion Medical Center- DBA CRMH, - Facility 2: Carilion Medical Center- DBA CRCH
Facility Group A Part V, Section B, line 16a website:	www.carilionclinic.org
Facility Group A Part V, Section B, line 16b website:	www.carilionclinic.org
Facility Group A Part V, Section B, line 16c website:	www.carilionclinic.org
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 CHATs 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 Roanoke Valley CHNA: 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 (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 VTC School of Medicine. In addition to the CHAT, the CHNA 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.HCA (LewisGale Medical Center) 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 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 (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 VTC School of Medicine.
Part V, Section B, line 7d:	The following explanation applies to both Facility 1 and Facility 2.7a: www.carilionclinic.org/hospitals/carilion-roanoke-memorial-hospital7d: 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 Clinic and Healthy Roanoke Valley (HRV) partnered to conduct the FY 2015 Roanoke Valley CHNA. 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 Clinic'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 ask 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 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 will be implemented. 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 southeast neighborhood and provide scholarships to local children. Carilion is also helping to build a community kayak launch on the Roanoke River with access in that neighborhood.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 SE 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, the YMCA Diabetes Prevention Program, 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 is undergoing 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 anticipates completing this process in the Spring of 2016 and will begin 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 earlier in this document 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 20e:	The following explanation applies to both Facility 1 and Facility 2.Prior to initiating other actions and in the absence of eligibility information (financial assistance application) provided by the patient, processes were applied to accounts to determine presumptive eligibility for financial assistance.
Part V, Section B, line 22d:	Carilion Medical Center determined the maximum amount it could charge FAP-eligible individuals using a look-back method that included information from Medicare, Medicare Advantage, and commercial payors.

Field	Value	IRS element (for citing)
Facility	93	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (93 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
DBA Carilion Roanoke Memorial Rehab
2017 South Jefferson St	Roanoke	VA	24153	Psych Unit, Outpatient Rehabilitation
Carilion Clinic Orthopaedics
4064 Postal Drive SW	Roanoke	VA	24018	Orthopaedic Services
Carilion Clinic - Bone and Joint Ctr
3 Riverside Circle 1st Floor	Roanoke	VA	24016	Orthopaedic
CSC - Brambleton
3707 Brambleton Avenue	Roanoke	VA	24018	Surgical Services
Carilion Clinic Orthopaedics
3 Riverside Circle	Roanoke	VA	24016	Orthopaedic Services
Carilion Clinic Cardiology
127 McClanahan St SW Suite 300	Roanoke	VA	24014	Cardiology
Carilion Clinic Cardiology
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Cardiology	203
CNRV Emergency Services
2900 Lamb Circle	Christiansburg	VA	24073	Emergency Physicians
Carilion Breast Care Center
102 Highland Ave Ste 202	Roanoke	VA	24014	Breast Care Center
CSC - Roanoke
213 McClanahan Suite 404	Roanoke	VA	24014	Surgical Services
Carilion Cardiothoracic Surgery
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Cardiac Surgery Office	201
Carilion Obstetrics and Gynecology Cl
902 South Jefferson Street Upper	Roanoke	VA	24016	Obstetrics and Gynecology	Level
CES - Franklin
180 Floyd Avenue	Rocky Mount	VA	24017	Emergency Physicians
Carilion Clinic Neurology
3 Riverside Circle	Roanoke	VA	24016	Neurosciences
Carilion Clinic Internal Medicine
3 Riverside Circle	Roanoke	VA	24016	Internal Medicine
Carilion Clinic Otolaryngology
1 Riverside Circle Suite 300M	Roanoke	VA	24016	Otolaryngology Services
CES - Bedford
1613 Oakwood St	Bedford	VA	24153	Emergency Physicians
CES - Giles
1611 Wenonah Avenue	Pearisburg	VA	24134	Emergency Physicians
Carilion Wellness
4508 Starkey Road	Roanoke	VA	24018	Physical Therapy Services
Carilion Dermatology
1 Riverside Circle Suite 300M	Roanoke	VA	24016	Dermatology
Carilion Pediatric Clinic
1030 S Jefferson Street Suite 106	Roanoke	VA	24016	General Pediatrics
CFM Roanoke Salem
1314 Peters Creek Road	Roanoke	VA	24017	Family Practice
Carilion Clinic Obstetrics and Gynecol
2900 Lamb Circle Suite 202	Christiansburg	VA	24073	Obstetrics and Gynecology
CES - Tazewell
141 Ben Bolt Ave	Tazewell	VA	24651	Emergency Physicians
Brambleton Radiology Services
3707 Brambleton Avenue	Roanoke	VA	24018	Imaging Services
CFM Southeast
2145 Mount Pleasant Boulevard	Roanoke	VA	24014	Family Practice
Carilion Prenatal Diagnostic Center
102 Highland Ave Ste 455	Roanoke	VA	24014	Prenatal Testing
Carilion Dept of Psychiatry and B Med
2900 Tyler Road	Christiansburg	VA	24073	Behavioral Health
Carilion Clinic Ortho-Spine
3 Riverside Circle 1st Floor	Roanoke	VA	24016	Orthopaedic Services
Carilion Wellness
105 Summerfield Court	Roanoke	VA	24019	Outpatient Therapy Services
Daleville Imaging
46 Wesley Road	Daleville	VA	24014	Imaging Services
Carilion Center for Healthy Aging
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Geriatrics	302
CFM - Salem
2102 West Main Street	Salem	VA	24153	Family Practice
Carilion Dentistry General Surgery
2017 S Jefferson Street 2nd Floor	Roanoke	VA	24014	Dental Service
Department of Psychiatry & Behavioral
213 McClanahan Street Suite 310	Roanoke	VA	24014	Behavioral Health
Pediatric Gastroenterology
102 Highland Avenue Suite 305	Roanoke	VA	24013	Gastroenterology
Carilion Dentistry Pediatric Surgery
101 Elm Avenue 1st Floor	Roanoke	VA	24017	Dental Service
Carilion Dental Care
2017 S Jefferson Street	Roanoke	VA	24014	Dental Service
Carilion Dept of Psychiatry Roanoke
2017 S Jefferson Street	Roanoke	VA	24014	Behavioral Health
Carilion Gynecological Oncology
1 Riverside Circle Suite 300	Roanoke	VA	24016	Gynecolgical Oncology
Carilion Anticoagulation Clinic
1030 S Jefferson St Ste G101	Roanoke	VA	24014	Anticoagulation Clinic
CRMH Rheumatology Clinic
3 Riverside Circle	Roanoke	VA	24016	Rheumatology
Salem Family Practice - Spartan Drive
150 Spartan Drive	Salem	VA	24153	Family Practice
Breast Mammography - North
6415 Peters Creek Road	Roanoke	VA	24019	Breast Mammography
Carilion Pulmonary Clinic
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Pulmonary Services	205
Carilion Clinic Neurological Care Rke
1030 S Jefferson Street	Roanoke	VA	24016	Neurosciences
Carilion Pediatric Neurology
102 Highland Avenue Suite 104	Roanoke	VA	24013	Neurosciences
Carilion Roanoke IP Psychiatry
2017 S Jefferson Street 1st Floor	Roanoke	VA	24014	Psychiatry Services
Carilion Pain Mgmt
3 Riverside Circle	Roanoke	VA	24016	Pain Mgmt Services
Carilion Clinic Gastroenterology
3 Riverside Circle	Roanoke	VA	24016	Gastroenterology
Carilion Clinic TraumaCritical Care
3 Riverside Circle	Roanoke	VA	24016	Surgical Services
Carilion Urgent Care Westlake
35 Medical Court	Hardy	VA	24101	Urgent Care
Carilion Child and Adolescent Psychiatry
213 McClanahan Street Suite 310	Roanoke	VA	24014	Child and Adolescent Psychiatry Services
Department of Psychiatry & Behavioral
213 McClanahan Street Suite 310	Roanoke	VA	24014	Behavioral Health
Pediatric Cardiology Clinic
102 Highland Avenue Suite 101	Roanoke	VA	24013	Cardiology
Pediatric Pulmonology
102 Highland Avenue Suite 203	Roanoke	VA	24013	Pulmonology
Roanoke Ambulatory Center
1102 Jefferson St	Roanoke	VA	24016	Surgical Services
Carilion Sleep Center
1030 Jefferson Plaza Ste G100	Roanoke	VA	24016	Sleep Disorder
Carilion Clinic Urogynecology
1030 S Jefferson Sutie 109	Roanoke	VA	24016	Urogynecological Services
Carilion Clinic Pediatric Surgery Clinic
102 Highland Avenue Suite 404	Roanoke	VA	24013	Surgical Services
Carilion Cardiac Rehab
127 McClanahan Street	Roanoke	VA	24016	Cardiac Rehab
Carilion ID Crystal Spring
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Infectious Disease	301
Reproductive Endocrinology Clinic
102 Highland Avenue Suite 304	Roanoke	VA	24013	Reproductive Endocrinology
Carilion Imaging
3 Riverside Circle	Roanoke	VA	24016	Imaging Services
CIM Crystal Spring
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Imaging Services	205
Pediatric Developmental Clinic
1030 S Jefferson Street Suite 201	Roanoke	VA	24016	Pediatrics
Carilion Clinic Physiatry
3 Riverside Circle	Roanoke	VA	24016	Physical Medicine and Rehab
Carilion Diabetic Education
1030 S Jefferson Suite G101	Roanoke	VA	24016	Diabetic Eduation
Carilion Pediatric Endocrinology Clinic
102 Highland Avenue MOB Suite 203	Roanoke	VA	24013	Endocrinology
Carilion Breast Care Center
1211 S Jefferson St	Roanoke	VA	24014	Breast Care Center
Carilion Sleep Center Westlake
35 Medical Court	Hardy	VA	24101	Sleep Disorder
Carilion Genetics
102 Highland Avenue Suite 104	Roanoke	VA	24013	Genetic Counseling
Carilion Surgery Westlake
35 Medical Court	Hardy	VA	24101	Surgical Services
Carilion Cardiology Westlake
35 Medical Court	Hardy	VA	24101	Cardiology Services
Carilion Heart Failure Clinic
127 McClanhan St	Roanoke	VA	24016	Heart Failure Services
OBGYN Private - Roanoke
102 Highland Avenue Suite 455	Roanoke	VA	24013	Obstetrics and Gynecology
Carilion Clinic Cardiology
2001 Crystal Spring Ave Suite 300	Roanoke	VA	24014	Cardiology Services
Carilion Wound Care Center
101 Elm Ave SE	Roanoke	VA	24019	Wound Care
Carilion Clinic Orthopaedics - NRV
2900 Lamb Circle - L 760	Christiansburg	VA	24073	Orthopeadics
Carilion Clinic Spine Surgery
304 Davis Street	Independence	VA	24348	Surgical Services
Carilion Maternal Fetal Medicine
101 Elm Avenue Suite 400	Roanoke	VA	24013	OB Services
Community Care
101 Elm Avenue SE	Roanoke	VA	24013	Family Medicine
Community Psychiatry
611 McDowell Avenue	Roanoke	VA	24016	Behavioral Health
Carilion Clinic OBGYN Spartan Drive
150 Spartan Drive	Salem	VA	24153	Obstetrics and Gynecology
Carilion Plastic Surgery
1 Riversde Circle Suite 300	Roanoke	VA	24016	Plastic Surgery
Carilion Clinic OBGYN Botetourt
150 Market Ridge Lane	Daleville	VA	24083	Obstetrics and Gynecology
Carilion Imaging Professionals
1 Taylor Avenue	Pearisburg	VA	24134	Imaging Services
Carilion Clinic Allergy and Immunology
46 Wesley Road	Daleville	VA	24083	Allergy Services
Carilion Plastic and Reconstructive Surg
3 Riverside Circle	Roanoke	VA	24016	Plastic Surgery
CNRVMC - Neurosciences
2900 Lamb Circle	Christiansburg	VA	24073	Neurology
CNRVMC - Radiology
2900 Lamb Circle	Christiansburg	VA	24073	Radiology
CES - Stonewall
1 Health Circle	Lexington	VA	24450	Emergency Physicians
Carilion Clinic Gastroenterology
1201 Franklin Rd	Roanoke	VA	24016	Gastroenterology

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Patients were evaluated based on income, family size, liquid assets and real property. Patients whose income was below 200% of FPG, retirement accounts were below $10,000, remaining liquid assets were below $3,000, with no countable equity in non-residential real property were eligible for 100% adjustment.Patients whose income was above 200% of the FPG but less that 400% of the FPG and/or whose retirement accounts were above $10,000, remaining liquid assets were above $3,000 and had countable equity in non-residential real property were eligible for a discount.Uninsured patient hospital accounts received an Uninsured discount of 20% prior to billing the patient. If the patient qualified under the Financial Assistance Policy, the uninsured discount was reversed. Those patients that qualified for a discount (not 100%) were given a discount based on the amount generally billed calculation and may also receive an additional discount based on the eligibility criteria.
Part I, Line 6a:	Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic. 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.
Part I, Line 7:	Part I, Line 7 - Ratio of cost-to-charges was used to calculate the expense.Part I, Line 7, Column f calculation - Bad debt expense 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 medical care for HIV/AIDs patients, substance abuse counseling for juveniles, and physician coverage at the Bradley Free Clinic. 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 include 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, 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 7h:Research:This line is reported at actual cost. Carilion Medical Center participates in clinical research projects including 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:This line is reported at actual cost. Financial contributions were made to the Alzheimer's Association, American Cancer Society, American Heart Association, American Red Cross, Arthritis Foundation, Bethany Hall, Bradley Free Clinic, Children's Advocacy Center, Children's Miracle Network, Children's Trust of Roanoke Valley, CHIP of Roanoke Valley, Cystic Fibrosis Foundation, Epilepsy Foundation of VA, Juvenile Diabetes Research Foundation, March of Dimes, Mental Health America, Project Access of the Roanoke Valley, the This Close 2015 Campaign, and Susan B. Komen Foundation.Grant funding was provided to Child Health Investment Partnership of Roanoke Valley for operational expenses related to their early childhood home visiting program as they pair low-income children, ages birth to kindergarten-entry, with a community health nurse and family case manager for health care coordination, developmental education, kindergarten preparation and regular child assessment and monitoring; Children's Trust of Roanoke Valley for their regional program that provides child friendly interview room and forensic interviewer to perform interviews of children to be used by multi-disciplinary team investigating alleged child abuse cases; Rx Partnership for operations of the public-private partnership that solicits free drugs in bulk from participating pharmaceutical companies and arranges for their distribution to licensed pharmacies serving uninsured clients; Mental Health America of Roanoke Valley to increase access to mental health services for adults with no health insurance coverage or inadequate insurance for mental health care; Happy Healthy Cooks for their school program impacting dietary attitudes and increasing knowledge among elementary and preschool children while inspiring them to have fun and be creative in their food choices; Local Agricultural Environment Project to double the SNAP EBT program for purchase of fresh fruit and vegetables at several local farmers markets; Virginia Tech Catawba Sustainability Center to double the SNAP EBT value for purchase of healthy fresh foods; Roanoke Community Garden Association for educational programs; Anchor of Hope Community Health Promoter Program to educate and inspire community health promoters who live in MUAs within Roanoke City; Foundation for Rehabilitation Equipment and Endowment to expand their ability to provide mobility related rehabilitation equipment to those who could not otherwise afford it; Family Service of Roanoke Valley for support of a counselor increasing the accessibility of affordable mental health services; and United Way of Roanoke Valley for support of Healthy Roanoke Valley and a new initiative called Fresh Foods Rx which combines education with access to free healthy food for a short time-period to learn how to manage chronic illness such as diabetes. In-kind support was provided to the United Way during their local fundraising campaign. Additionally, Carilion Medical Center's Emergency Department replenishes medical supplies on ambulances owned by local Emergency Medical Services organizations.
Part II	Line 1: Physical Improvements -Financial support was provided to Renovation Alliance for the healthy housing initiative to ensure safe, healthy environments in rehabilitated homes in lower income neighborhoods. Financial support was also provided to improve public park infrastructure with a focus on healthy activities for children and youth.Line 2: Economic Development -Support was provided to the Vinton Chamber of Commerce, Roanoke Blacksburg Innovation, 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. Grant funding was provided to the Greater Roanoke Transit Company for the Star Line Trolley. Funding was also provided towards two statewide economic development initiatives called GO Virginia and Grow By Degrees.Line 3: Community Support -Support was provided to Apple Ridge Farm, Rescue Mission Back to School Blast, Boys and Girls Club, Family Service of Roanoke Valley, Fear 2 Freedom, Girl Scouts Camp, Girls on the Run, Happy Healthy Cooks, Junior Achievement, Bradley Free Clinic, Virginia Science Festival, Northwest Child Development Center, Roanoke City Public Safety Days, Relay for Life, Ronald McDonald House, Salvation Army, Total Action For Progress, and United Way of Roanoke Valley. Line 4: Environmental Improvements -Financial support was provided to Pathfinders for Greenways and Blue Ridge Land Conservancy.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; Southwest Virginia Alliance for Safe Babies, a multidisciplinary group 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; 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. Line 7: Community Health Improvement -In-kind support was provided for distribution of a newsletter on behalf of adolescent and student health services, a billboard contest promoting health and wellness in high schools, and representation on several state medical professional boards.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 to a workforce training program at the region's largest homeless shelter.
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. The percentage used to reserve for all self-pay accounts is based on Carilion's collection history.
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.
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:	Patient accounts not identified as qualifying for financial assistance under the Financial Assistance Policy and procedures are evaluated against Presumptive eligibility criteria using a third party vendor software prior to moving the accounts to collections at 120 days. Those that qualify as "presumed charity" are adjusted.Patient accounts that are not adjusted to "presumed charity" are sent to the collection agency. The agency delays any extraordinary collections practices for an additional 120 days from the first billing statement. Patients may apply for financial assistance at any time during the 240 day application period.
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, and providers; the target population; and the community as a whole. 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 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:	Eligibility Assistance:Education of the Financial Assistance Policy is provided to patients at all hospital admission and ambulatory areas in the form of signage, a summary of the policy which includes contact information, available financial assistance applications and is included in the inpatient handbook. Hospital social workers and customer service representatives provide patients with verbal information on availability of assistance. Each patient statement and letters regarding patient financial responsibility includes information on the Financial Assistance Policy and who to contact for additional information. Applications, the Policy and a Plain Language summary are available free of charge to the patient. These items will be mailed to the patient if the patient failed to obtain the documents at the time of service. The Financial Assistance Policy as well as the Plain Language summary and application is available on the web site.Carilion also employs an Eligibility staff that counsel patients on federal and state programs. The staff completes applications for Medicaid, Social Security, Social Security Disability, and Medicare and provides support services in ensuring the applications are processed correctly based on federal and state policy. In addition, the Eligibility staff is Certified Application Counsels and will assist patients in enrollment in the Marketplace. Eligibility staff will also complete Carilion's financial assistance and counsel patients on the requirements for financial assistance.
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 2015, CMC served 124,389 unique patients. Patient origin data revealed that in fiscal year 2015, 70.8% of patients served by CMC lived in the following localities: Roanoke City (28.80%), Roanoke County (19.8%), Franklin County (8.8%), Botetourt County (7.1%), Salem City (5.6%), and Craig County (0.7%). 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 2010-2014 American Community Survey 5-Year Estimates, 37.6% of MSA residents are not in the labor force, the median household income is $50,056, 11.6% of residents have no health insurance coverage, 13.8% of all people and 20.3% of people under 18 years old live below the federal poverty level, 87.1% of residents have graduated high school, and 26.8% 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, eight census tracts are designated MUA's- six are located in the Northwest (NW) quadrant (Census Tracts 1, 9, 10, 23-25) and two in the Southeast (SE) quadrant (Census Tracts 26 and 27). The NW MUA is the service area for New Horizons Healthcare, a federally qualified health center, serving the NW area since 2000. Health Professional Shortage Areas (HPSA) are present in the portions of the Roanoke MSA for Primary Care, Dental, and Mental Health providers and are outlined in the following table. LewisGale Medical Center, located in Salem, VA, is located within the service area. It is a for-profit hospital owned by HCA.
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 1 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 of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.
Part VI, Line 6:	Affiliated System:Carilion Medical Center is wholly owned and operated 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 870,000 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 employs 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 2015, 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 comunity. 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 Radiosurgery, 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 12,100 residents of the region.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Children's Trusts of Roanoke
541 Luck Ave Suite 308	Roanoke	VA	24016	510235891	501(c)(3)	$60,000	Operational Support
CHIP of Roanoke Valley
1201 3rd Street	Roanoke	VA	24016	541566451	501(c)(3)	$50,000	Operational Support
Virginia Business Higher Education Council
1108 E Main St 1100	Richmond	VA	23219	541827038	501(c)(3)	$110,000	General Support
Fear 2 Freedom Inc
PO Box 6104	Newport News	VA	23606	452143034	501(c)(3)	$11,400	General Support
Warm Hearth Foundation Inc
2607 Warm Hearth Drive STE 100	Blacksburg	VA	24060	541639629	501(c)(3)	$20,000	General Support
Virginia Tech Foundation Inc
902 Prices Fork Rd University	Blacksburg	VA	24061	540721690	State Govt.	$134,472	Research	Gateway Center STE 400
Rotary Club of Salem
PO Box 886	Salem	VA	24153	546073917	501(c)(3)	$5,000	General Support
The Virginia Chamber of Commerce
919 E Main St STE 900	Richmond	VA	23219	540421190	501(C)(6)	$6,000	Conference Sponsorship
National Multiple Sclerosis Society Central & Eastern Virginia Chapter
4200 Innslake Drive	Glen Allen	VA	23060	540633474	501(c)(3)	$5,000	General Support
Virginia Tech
800 Washington Street SW	Blacksburg	VA	24061	546001805	State Govt.	$5,000	General Sponsorship
American Cancer Society
2840 Electric Road 106A	Roanoke	VA	24018	580659875	501(c)(3)	$15,750	General Support
American Heart Association
PO Box 4002906	Des Moines	IA	503402906	135613797	501(c)(3)	$22,500	General Support
Boys & Girls Clubs of Southwest Virginia Inc
1714 9th Street SE	Roanoke	VA	24013	541867366	501(c)(3)	$8,800	General Support
City of Roanoke
215 Church Avenue Room 254	Roanoke	VA	24011		Roanoke, VA	$15,000	Playground
Family Services of Roanoke Valley
360 Campbell Ave SW	Roanoke	VA	24016	540505946	501(c)(3)	$11,500	Therapy
Foundation for Rehabilitation Equipment & Endowment
PO Box 8873	Roanoke	VA	24014	541934695	501(c)(3)	$10,000	Operational Support
Happy Healthy Cooks
1914 Belleview Rd	Roanoke	VA	24014	464937238	501(c)(3)	$15,000	Nutrition Program
Jefferson Center Foundation
541 Luck Ave Suite 221	Roanoke	VA	24016	621392982	501(c)(3)	$10,000	General Support
Juvenile Diabetes
3959 Electric Rd Ste222	Roanoke	VA	24012	231907729	501(c)(3)	$7,500	General Support
Local Environmental Agriculture Project
PO Box 3249	Roanoke	VA	24015	271050909	501(c)(3)	$10,000	SNAP Double Value
March of Dimes Greater Roanoke
2840 Electric Road - Suite 102A	Roanoke	VA	24018	131846366	501(c)(3)	$12,500	General Support
Mental Health of America Rke Valley
PO Box 592	Roanoke	VA	24004	540703132	501(c)(3)	$32,000	Operational support
Mill Mountain Theatre
One Market Square SE - 2nd Floor	Roanoke	VA	24011	540792067	501(c)(3)	$10,400	General Support
Presbyterian Community Center
1228 Jamison Ave SE	Roanoke	VA	24013	541610899	501(c)(3)	$7,500	General Support
Project Access of the Roanoke Valley
541 Luck Ave Suite 200	Roanoke	VA	24036	200549137	501(c)(3)	$10,000	General Support
Rebuilding Together Roanoke
PO Box 4532	Roanoke	VA	24015	541961045	501(c)(3)	$10,000	Safe Housing
Roanoke Academy of Medicine Alliance Foundation
2911 Crystal Spring Ave	Roanoke	VA	24014	510218435	501(c)(3)	$7,500	General Support
Roanoke Community Garden Association
655 Highland AveSE	Roanoke	VA	24012	262082150	501(c)(3)	$10,000	Nutrition Program
Roanoke Outside
111 Franklin Plaza	Roanoke	VA	24011	451648056	501(c)(3)	$5,000	Marathon
Roanoke Star Soccer Club
2800 Electric Rd SW 102c	Roanoke	VA	24018	541335170	501(c)(3)	$50,000	Soccer Fields
Roanoke Symphony Orchestra
128 East Campbell Ave SE	Roanoke	VA	24011	546016736	501(c)(3)	$20,000	General Support
Scott Robertson Memorial Junior Golf Academy
3707 Densmore Road NW	Roanoke	VA	24017	201237999	501(c)(3)	$10,000	Parent-Child Tournament
Southern VA Child Advocacy Center
300 S Main St	Rocky Mount	VA	24151	541950268	501(c)(3)	$10,000	Child Abuse Prevention
Southwest Virginia Ballet Company
PO Box 3275	Roanoke	VA	24015	541563448	501(c)(3)	$10,000	General Support
Taubman Museum of Art
110 Salem Ave	Roanoke	VA	24011	546026841	501(c)(3)	$24,000	General Support
The Rescue Mission of Roanoke Inc
PO Box 11525	Roanoke	VA	24022	540573900	501(c)(3)	$36,071	Homelessness Support
The Salvation Army
PO Box 12088	Roanoke	VA	24022	580660607	501(c)(3)	$5,000	Operational Support
United Way of Roanoke Valley
325 Campbell Avenue	Roanoke	VA	24016	540535302	501(c)(3)	$59,638	General Support
VA Blue Ridge Affiliate of Susan G Komen for the Cure
4910 Valley View Blvd Ste212	Roanoke	VA	24012	562619425	501(c)(3)	$19,000	General Support
Virginia Foundation for Independent Colleges
8010 Ridge Road	Richmond	VA	23229	540554396	501(c)(3)	$20,000	Educational Attainment
Ronald McDonald House
2224 S Jefferson St	Roanoke	VA	24014	541244769	501(c)(3)		General Support		$246,000	FMV	Donated Rent
Virginia Rural Health Resources
1314 Peters Creek Rd Ste 230	Roanoke	VA	24017	541727204	501(c)(3)		General Support		$8,882	FMV	Donated Rent
Virginia Tech Carilion School of Medicine Inc
Two Riverside Circle	Roanoke	VA	24016	264556177	501(c)(3)	$3,045,136	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	42	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Endowment-funded indigent patient medical bills	5	$138,815
Scholarships	3	$9,000
Transportation Assistance	1690	$67,604

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 2	The 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 physcian 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 must publicly 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, a site visit for new grantees and a final program evaluation will be required for every funded project. Among other things, program evaluation will address organizational effectiveness, program impact and community benefit through collection of data measuring such items as clients served, cost effectiveness of the program (cost per client or service), tangible community or client outcomes and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested.
Schedule I, Part III, Line 1	Grant 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 I, Part III, Line 2	Scholarship applications are evaluated and awards made by an independent committee according to prescribed guidelines.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John H Burton MD
Director	$413,214	$0	$79,420	$0	$2,897	$0	$53,441	$0	$21,077	$0	$570,049	$0	$0	$0
Cynda A Johnson MD
Director	$0	$554,651	$0	$50,000	$0	$7,228	$0	$80,962	$0	$15,008	$0	$707,849	$0	$0
Clifford A Nottingham MD
Director	$0	$301,447	$0	$51,049	$941	$5,498	$0	$166,823	$0	$14,681	$941	$539,498	$0	$0
Patrice M Weiss MD
Director	$431,220	$62,208	$0	$104,041	$2,333	$501	$125,331	$0	$23,627	$0	$582,511	$166,750	$0	$0
Ralph E Whatley MD
Director	$432,874	$0	$77,934	$0	$9,339	$0	$94,664	$0	$17,558	$0	$632,369	$0	$0	$0
Nancy Howell Agee
Director/CEO	$0	$936,377	$0	$281,435	$0	$348,958	$0	$1,840,194	$0	$17,829	$0	$3,424,793	$0	$341,789
Steve C Arner
Director/President/SVP/COO	$0	$375,332	$0	$72,188	$0	$67,250	$0	$194,725	$0	$24,268	$0	$733,763	$0	$0
Tracy W Criss MD
Director/Chief of Medical Staff	$193,283	$0	$39,158	$0	$2,333	$0	$0	$0	$20,139	$0	$254,913	$0	$0	$0
Briggs W Andrews
SVP/General Counsel/Secretary	$0	$359,683	$0	$68,581	$0	$1,436,736	$0	$262,268	$0	$13,273	$0	$2,140,541	$0	$1,349,669
G Robert Vaughan Jr
SVP/Treasurer	$0	$227,155	$0	$44,697	$0	$5,481	$0	$119,382	$0	$20,887	$0	$417,602	$0	$0
Donald B Halliwill
EVP/CFO/Assistant Treasurer	$0	$374,141	$0	$72,188	$0	$53,488	$0	$204,059	$0	$22,340	$0	$726,216	$0	$0
David S Hagadorn
Assistant Treasurer	$0	$120,375	$0	$2,500	$0	$7,283	$0	$38,117	$0	$797	$0	$169,072	$0	$0
Bruce Long
Physician, Dept. Chair	$452,094	$0	$183,258	$0	$3,358	$0	$76,175	$0	$21,077	$0	$735,962	$0	$0	$0
Joseph Moskal
Physician, Dept. Chair	$1,032,740	$0	$195,665	$0	$5,157	$0	$79,873	$0	$20,882	$0	$1,334,317	$0	$0	$0
Jon Sweet
Physician, Dept. Chair	$194,002	$0	$64,639	$0	$2,132	$0	$72,379	$0	$20,272	$0	$353,424	$0	$0	$0
Joseph Baker
Physician	$634,947	$0	$217,562	$0	$5,158	$0	$75,821	$0	$21,077	$0	$954,565	$0	$0	$0
Jonathan Carmouche
Physician	$994,189	$0	$512,625	$0	$2,337	$0	$24,259	$0	$21,077	$0	$1,554,487	$0	$0	$0
John Mann III
Physician	$778,542	$0	$237,391	$0	$3,358	$0	$71,402	$0	$21,077	$0	$1,111,770	$0	$0	$0
Cay Mierisch
Physician	$794,457	$0	$270,840	$0	$2,637	$0	$58,369	$0	$21,337	$0	$1,147,640	$0	$0	$0
Gary Simonds
Physician	$837,383	$0	$514,611	$0	$75,451	$0	$88,123	$0	$21,077	$0	$1,536,645	$0	$0	$0
Thomas D Denberg MD PhD
Former EVP/Chief Strategy Officer	$0	$440,443	$0	$83,438	$0	$5,397	$0	$136,356	$0	$24,044	$0	$689,678	$0	$0
R Wayne Gandee MD
Former EVP/Chief Medical Officer	$161,440	$0	$0	$0	$2,600	$0	$55,195	$0	$4,489	$0	$223,724	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Directors are offered a free membership to a health club owned by a related organization if they choose to accept it. The value of membership dues for George Cartledge III, Elizabeth Doughty, and Clifford Nottingham, MD, are included in reportable compensation.
Part I, Line 1b	Provision of the benefit is documented in Board meeting minutes and Carilion internally tracks the memberships and pays the health club directly.
Part I, Line 3	Executive compensation, including that of the organization's Chief Executive Officer, is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic, a related organization, who do not have a conflict of interest with any of the executives being reviewed. This review was performed in September and October 2014. A similar review was last performed in October 2015. 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 a peer group of organizations similar in size and structure to the organization, which was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding executive compensation.
Part I, Line 4b	Select members of management participate in a Pension Restoration Plan. This plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified plan. Entitlement to benefits and consequent lump sum payment occurs upon the earliest of (i) attaining age 65 while employed by Carilion Clinic, (ii) 24 months following involuntary separation from service without reasonable cause, (iii) disability, or (iv) voluntary separation or involuntary separation with reasonable cause prior to attaining age 65 if the participant does not enter into competition with Carilion Clinic during the 24-month period following the participant's separation 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 the earliest of (i) remaining employed by Carilion until the deferred vesting date for such account; (ii)disability; (iii) 24 months following involuntary separation from service without reasonable cause, except that Carilion at its discretion may make a partial tax distribution upon separation; or (iv) 24 months following voluntary or involuntary separation from service with reasonable cause if the participant does not enter into competition with Carilion Clinic during the 24-month period following separation 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 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 $341,789 Briggs Andrews $1,349,669
Part I, Line 7	The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Industrial Development Authority of the City of Roanoke VA
A	541106038	770084EQ0	2005-12-14	$125,000,000	Capital projects; Costs of Issuance, bond insurance	0	0	0
VA Small Business Financing Authority
B	541300845	928101AE4	2008-07-16	$11,950,000	Capital projects; Costs of Issuance	0	0	0
Industrial Development Authority of the City of Roanoke VA
C	541106038	770082AB1	2010-10-13	$96,404,094	Redemption of Series 2003A-C Bonds (8/03), costs of issuance.	0	0	0
Industrial Development Authority of the City of Roanoke VA
D	541106038	770082AW5	2012-02-09	$69,968,434	Redemption of Series 2000 and 2002A Bonds, costs of issuance, capital projec	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$1,890,000	$125,000,000	$797,940	$1,940,086	$122,261,974	2007	Yes (1)	0	Yes (1)	Yes (1)
B		$11,950,000	$107,259			2009	0	0	Yes (1)	Yes (1)	$11,842,741
C		$96,404,094	$1,229,094		$95,175,000		Yes (1)	0	Yes (1)	Yes (1)
D	$16,014,000	$69,968,434	$771,282		$64,007,954	2011	0	Yes (1)	Yes (1)	Yes (1)	$5,189,198

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.00120	0.00120	Yes (1)
B	0	0				Yes (1)
C	0	0				Yes (1)
D	0	0				Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AIG
A	Yes (1)	Yes (1)	0	Yes (1)	0.300000000000	Yes (1)	0	Yes (1)
(no name)
B	Yes (1)	Yes (1)	0	0			0	Yes (1)
(no name)
C	Yes (1)	0	0	0			0	Yes (1)
(no name)
D	Yes (1)	0	0	0			0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part II	FormAndLineReferenceDesc
Explanation	All bond issues- multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Industrial Development Authority of the City of Roanoke VA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	541106038	BondIssuerEIN
CUSIP	770084FU0	CUSIPNum
Bond Issued	2010-10-13	BondIssuedDt
Issue Price	$98,852,291	IssuePriceAmt
Purpose	Current Refunding of Series 2002 B-E Bonds (6/17/02)Costs of issuance, Bond	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$13,591,000	RetiredAmt
Total Proceeds	$98,852,291	TotalProceedsAmt
Issuance Costs From Proceeds	$1,068,912	IssuanceCostsFromProceedsAmt
Credit Enhancement	$41,693	CreditEnhancementAmt
Other Spent Proceeds	$97,741,687	OtherSpentProceedsAmt
Substantial Completion	2007	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (1)	Form8038TFiledInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	Yes (1)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	AIG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	0.300000000000	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (1)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
1 Eric Chen MD
See Part V	$322,142	Employee	0
2 Bruce Johnson MD
See Part V	$344,517	Employee	0
3 Mary Sweet MD
See Part V	$264,434	Employee	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sched. L Part IV	FormAndLineReferenceDesc
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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$4,588	NoncashContributionsRptF990Amt
Method Of Determining Revenues	sale of comparable items	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	29	ContributionCnt
Noncash Contributions Rpt F990	$5,045	NoncashContributionsRptF990Amt
Method Of Determining Revenues	sale of comparable items	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	49	ContributionCnt
Noncash Contributions Rpt F990	$3,713	NoncashContributionsRptF990Amt
Method Of Determining Revenues	sale of comparable items	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Gift certificates	Desc
Contribution	112	ContributionCnt
Noncash Contributions Rpt F990	$14,574	NoncashContributionsRptF990Amt
Method Of Determining Revenues	sale of comparable i	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	Number of contributions represents the number of items contributed.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6	The 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, check in 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 1a	1099s 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 2	1. Nancy Howell Agee, Briggs W. Andrews, Lauren J. Chen, David S. Hagadorn, Donald B. Halliwill, Cynda A. Johnson, M.D., G. Robert Vaughan, Jr., Bruce Long, M.D., Clifford A. Nottingham, M.D., and Patrice M. Weiss, 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 3	Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the filing organization.
Form 990, Part VI, Section A, line 6	The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers.
Form 990, Part VI, Section A, line 7a	The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason.
Form 990, Part VI, Section A, line 7b	The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared by Carilion's internal tax department, and reviewed by internal Accounting management, and an external CPA firm. After incorporation of any changes resulting from these reviews, the return is presented to Carilion's Audit Committee. Several days prior to filing, all Board Members are notified by email of its availability on Carilion's Board portal and are encouraged to call with any questions they might have.
Form 990, Part VI, Section B, line 12c	Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Audit & Compliance Committee of the Carilion Clinic Board and is 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 the Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Section B, line 15	Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, and Chairs of the Clinical Departments. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in September and October 2014. A similar review was last performed in October 2015. 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 a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.
Form 990, Part VI, Section C, line 19	The 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:	Transfer to affiliates -38,104,859. Pension-related changes other than net periodic pension cost -54,614,255.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RMH Emergency Services LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 12385	AddressLine1Txt
City	Roanoke	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24025	ZIPCd

Field	Value	IRS element (for citing)
EIN	541686589	EIN
Primary Activities	Physician billing	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Carilion Medical Center	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Carilion Clinic
PO Box 12385	Roanoke	VA	24025	541190771	Supporting organization	VA	501(c)(3)	Line 11a, I	N/A	0
Carilion Clinic Foundation
PO Box 12385	Roanoke	VA	24025	541190773	Supporting organization	VA	501(c)(3)	Line 11b, II		Yes (1)	Carilion Clinic
Carilion Franklin Memorial Hospital
PO Box 12385	Roanoke	VA	24025	540480606	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Giles Community Hospital
PO Box 12385	Roanoke	VA	24025	540549603	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion New River Valley Medical Center
PO Box 12385	Roanoke	VA	24025	540553805	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Services Inc
PO Box 12385	Roanoke	VA	24025	541190879	Supporting organization	VA	501(c)(3)	Line 11a, I		Yes (1)	Carilion Clinic
Carilion Stonewall Jackson Hospital
PO Box 12385	Roanoke	VA	24025	540568001	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Tazewell Community Hospital
PO Box 12385	Roanoke	VA	24025	546074580	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Jefferson College of Health Sciences Education Foundation
PO Box 12385	Roanoke	VA	24025	541637118	Supporting organization	VA	501(c)(3)	Line 11b, II	N/A	0
Carilion Biomedical Institute
PO Box 12385	Roanoke	VA	24025	541965057	Supporting organization	VA	501(c)(3)	Line 11a, I		Yes (1)	Carilion Clinic

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Franklin County Ventures LLC
PO Box 12385	Roanoke	VA	24025	474365316	Real estate	VA	Carilion Clinic	Related	-$574	$14,896	0	0	0.10000
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385	Roanoke	VA	24025	455235473	Medicare HMO	VA	Carilion Clinic	Related	-$6,275	$1	0	0	0.50000
Community Medical Associates LLP
PO Box 12385	Roanoke	VA	24025	541517662	Real estate	VA	Carilion Medical Center	Related	$80,314	$914,481	0	0	0.47300

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHS Inc
PO Box 12385	Roanoke	VA	24025	541725732	Services	VA	C	Yes (1)
Carilion Clinic Medicare Resources LLC
PO Box 12385	Roanoke	VA	24025	263729975	Medicare HMO	VA	C	Yes (1)
Carilion Behavioral Health Inc
PO Box 12385	Roanoke	VA	24025	203136891	Healthcare	VA	C	Yes (1)
Carilion Emergency Services Inc
PO Box 12385	Roanoke	VA	24025	542033006	Healthcare	VA	C	Yes (1)
SCA Credit Services Inc
PO Box 12385	Roanoke	VA	24025	541180398	Collection agency	VA	C	Yes (1)
Carilion Healthcare Corporation
PO Box 12385	Roanoke	VA	24025	541586601	Healthcare	VA	C	Yes (1)
MedKey Inc
PO Box 12385	Roanoke	VA	24025	541645357	Financing services	VA	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Services Inc
A	$2,971,865	Cost
Carilion Clinic Foundation
A	$4,241	Cost
CHSInc
A	$53,337	Cost
Carilion Emergency Services
A	$93,132	Cost
Carilion Healthcare Corporation
A	$26,208	Cost
Carilion New River Valley Medical Center
L	$3,160,646	Cost
Carilion Giles Community Hospital
L	$990,976	Cost
Carilion Franklin Memorial Hospital
L	$1,411,333	Cost
Carilion Stonewall Jackson Hospital
L	$1,363,305	Cost
Carilion Tazewell Community Hospital
L	$1,792,185	Cost
Carilion Services Inc
L	$1,036,629	Cost
carilion Behavioral Health
L	$116,490	Cost
Carilion Emergency Services
L	$86,990	Cost
Carilion Healthcare Corporation
L	$252,884	Cost
MedKey Inc
L	-$360,574	Cost
Carilion Franklin Memorial Hospital
M	$89,704	Cost
Carilion New River Valley Medical Center
K	$84,654	Cost
Carilion Tazewell Community Hospital
M	$137,600	Cost
Carilion Clinic
K	$9,681,495	Cost
Carilion Services Inc
K	$51,770	Cost
Carilion Services Inc
M	$133,520,400	Cost
CHS Inc
K	$3,064,106	Cost
CHS Inc
M	$5,433,860	Cost
Carilion Behavioral Health
M	$117,071	Cost
SCA CreditServices Inc
M	$421,527	Cost
Carilion Services Inc
R	$41,022,801	Cash