2014-08-13T11:51:49-05:00 2013-09-30 861065772 Deloitte Tax LLP 424 Church Street Nashville TN 37219 990 2012-10-01 546074580 CARILION TAZEWELL COMMUNITY HOSPITAL CARI 5402245112 PO BOX 12385 ROANOKE VA 240252385 Donald Halliwill 5402245112 2014-08-13 1 Francis J Bedard P00752421 6152591811 2012 2015-11-30 17:44:51Z William J Flattery PO BOX 12385 ROANOKE VA 240252385 15027652 0 X www.carilionclinic.org X 1968 VA See Schedule O.Carilion Tazewell Community Hospital is committed to a common purpose of better patient care, better community health, and lower cost. This 56-bed hospital primarily serves the counties of Tazewell and Russell in Virginia, and Mercer and McDowell in West Virginia. 9 6 140 26 0 0 0 9112 12654739 13879009 19720 5445 1130410 1134086 13804869 15027652 9560 2598 0 0 4345901 4876049 0 0 0 9474694 10617381 13830155 15496028 -25286 -468376 6695725 7631121 14205299 15557460 -7509574 -7926339 X See Schedule O.Carilion Tazewell Community Hospital, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves.Our mission is to improve the health of the communities we serve. 0 0 11968787 2598 14979423 See Schedule O. 11968787 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 140 1 0 0 0 0 0 0 0 0 0 0 X 9 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X X The Corporation 5402245112 213 S Jefferson St Roanoke VA 24011 Stephen Barrett 2.00 0.00 X 0 0 0 Nancye Howell 2.00 0.00 X 0 0 0 D Michael Hymes 2.00 0.00 X 0 0 0 Donald Halliwill 2.00 48.00 X 0 261453 102501 Melina Perdue 2.00 48.00 X 0 399309 347954 Peggy Riley 2.00 0.00 X 0 0 0 Stephen Rinehart MD 2.00 0.00 X 0 0 0 James Thompson 2.00 0.00 X X 0 0 0 Charles Green 2.00 0.00 X X 0 0 0 John Piatkowski MD 2.00 48.00 X X 0 295150 16230 Dorid Turjman MD 2.00 0.00 X X 0 0 0 Donald Lorton 2.00 48.00 X X 0 756751 353047 Rachel Mabe 2.00 48.00 X X 0 67010 32710 Kathren Dowdy 50.00 0.00 X 116919 0 18831 William Flattery 0.00 50.00 X 0 235278 63154 Randal Swatzyna 0.00 50.00 X 0 123441 60009 116919 2138392 994436 1 1 1 0 Soltas Lab Partners Group LLC PO Box 751337 Charlotte NC 28275 Laboratory Services 843383 GJ Hopkins Inc 714 5th Street NE Roanoke VA 24016 Construction Services 605183 Nickels Inc PO Box 347 Tazewell VA 24651 Construction Services 552397 Allied Health Services PO Box 97 Tazewell VA 24651 Professional Fees 364540 MR Ramakrishnan MD 1745 Valley View Drive Big Stone Gap VA 24219 Physician Services 312000 6 9112 9112 Net Patient Revenue 900099 13879009 13879009 13879009 5445 5445 33672 0 33672 33672 33672 EHR Incentive Income 900099 1095853 1095853 Court Cost Recovery 900099 4141 4141 420 420 1100414 15027652 14979423 0 39117 X 2598 2598 4067885 4021133 46752 253192 253192 269149 258574 10575 285823 285823 1752688 1752688 6127 6127 2593 2593 2616420 2581208 35212 361095 344666 16429 14577 14577 199382 199382 58247 55289 2958 149284 149284 638599 638599 264384 199777 64607 Bad Debt 2310033 2310033 I/C Practice Subsidy 1565574 1565574 Medical Supplies 606550 606550 Dues & Subscriptions 33744 33576 168 38084 11933 26151 15496028 11968787 3527241 0 1125 926 13254 24507 2823575 2695727 20000 5278 43186 122494 14915756 10144971 3783181 4770785 11404 11404 6695725 7631121 2407385 1163817 48247 62609 11749667 14331034 14205299 15557460 X -7509574 -7926339 -7509574 -7926339 6695725 7631121 X -468376 51611 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2593 2593 0 Explanation of Lobbying Activities: Part II-B, Line 1: Portion of dues paid to American Hospital Association and Virginia Hospital and Healthcare Association spent on lobbying. 48753 48753 6749200 3887138 2862062 7398833 6129255 1269578 718970 128578 590392 4770785 Due to Affiliate 14260824 Qualified Pension Liability 55210 Accrued Pension 15000 14331034 X Description of Uncertain Tax Positions Under FIN 48: 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, 2013 and 2012. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months. 1 1 X 1 X 133.000000000000 1 X 1 1 0 1 1 950676 950676 0.07210 621450 521681 99769 0.00760 1572126 521681 1050445 0.07970 6 709 18353 18353 0.00140 2 450 2720 2720 0.00020 8 1159 21073 21073 0.00160 8 1159 1593199 521681 1071518 0.08130 0 689977 140583 4075225 4819882 -744657 X 1 1 1 1 Carilion Tazewell Community Hospital

141 Ben Bolt Avenue Tazewell VA 24651

www.carilionclinic.org X X X Carilion Tazewell Community Hospital 1 1 X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 133.000000000000 1 400.000000000000 1 X X X X X 1 1 X X 1 X 1 X X X 1 X 0 1 Part I, Line 3c: Factors Used: Use of liquid assets and equity in real property (no more than $100,000 real estate equity) and liquid assets of less than $1,500. 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: Ratio of cost-to-charges was used to calculate the expense.Part I, Line 7, column (f) calculation -- Bad debt expense subtracted from total expenses for the calculation is $2,310,033. Part I, Line 7e-7i:7e - This line is calculated at cost. Health education was provided to more than 700 people during the annual Main Street Heritage Festival and Tazewell County Fair Children's Day. Assistance with enrollment in public medical programs such as Medicaid is provided. Community benefit operations expense includes costs associated with completing the community health needs assessment.7f - n/a.7g - n/a.7h - n/a.7i - This line is calculated at cost. Financial support was provided to the American Cancer Society in support of research, patient services, early detection, treatment and education. In-kind support was provided during fundraising activities for the American Cancer Society and local United Way. Part II, Lines 1 thru 8:1 - n/a.2 - n/a.3 - n/a.4 - n/a.5 - n/a.6 - n/a.7 - n/a.8 - n/a. Part III, Line 4: Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion 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. The percentage used to reserve for all self-pay accounts is based on Carilion's collection history. Carilion collects substantially all of its third-party insured receivables, which include receivables from governmental agencies.The bad debt expense reported on Line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements.The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definite determination of their eligibility.Patient account balances are reduced by discounts allowed and payments. Part III, Line 8: Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. The Hospital does not consider a Medicare shortfall as a community benefit. Part III, Line 9b: Carilion Clinic is committed to providing quality health care to all, regardless of their ability to pay. The Financial Assistance Policy is designed to allow relief of all or part of the charges that exceed a patient's reasonable ability to pay. Carilion uses the Federal Poverty Guidelines (FPG) published and updated yearly in the Federal Register along with a Financial Needs Assessment Questionnaire (FNAQ) as developed by Carilion to determine eligibility.All qualified financial assistance patient balances are adjusted (use Trans Union to screen all accounts to identify potential financial assistance patients).Together, the family income, number of family members living on that income, liquid assets and equity in real property are pertinent factors in determining how much, in the sole judgment of Carilion, a patient is reasonably able to pay for services. Patients with family income up to 133 percent of FPG with no more than $100,000 real estate equity and liquid assets of less than $1,500 are eligible to have their entire account covered under this policy. Patients with family income up to 400 percent of the FPG and no more than $100,000 real estate equity are eligible for financial assistance discounts. Financial Assistance applicants should complete a FNAQ in order to be considered for any discount beyond the discount given to all uninsured patients. Discounts will be reduced in cases where there is more than $100,000 of real estate equity or liquid assets in excess of $1,500. Additional information may be requested as part of the qualifying process.All patients who are able will be expected to pay for their own healthcare services to avoid shifting the burden for their care to other patients and the general public. The Financial Assistance Policy should have no impact on the collection policies and practices with regard to those balances that do not qualify. Failure to honor payment arrangements on amounts exceeding the discount given may result in the total discount being revoked. Carilion Tazewell Community Hospital Part V, Section B, Line 3: In January 2013, Carilion Tazewell Community Hospital began its seven-month Community Health Needs Assessment process. A Community Health Assessment Team (CHAT) was formed, inviting stakeholder agencies across Tazewell County involved in the health of the community, to advise and oversee the process. A total of about 30 indiviuals participated in the CHAT meetings. The process was led and informed by Carilion Clinic's Planning Team. Primary data collection took place in the spring of 2013. Primary data collection included the implementation of a broad-based Community Health Survey, four Focus Group meetings with the target populations and a Stakeholder Survey given to individuals working in health-related areas.CHAT members represented the following organizations and groups:Carilion Tazewell Community Hospital and Carilion Clinic, Appalachian Agency for Senior Citizens (AASC), Board of Supervisors, Southwest Virginia Community Health Clinic, general dentistry, Health Department, Clinch Valley Medical Center, Bluefield Regional Medical Center, family medicine, Veterans, Local Outpatient Clinic, Four Seasons YMCA, Clinch Valley Community Action, Tazewell County Schools, local pharmacy, Richlands News Press, Lillies of the Field, Department of Social Services, Carilion Tazewell Home Health, Family Crisis, Tazewell Chief of Police, TASK (Taking Action for Special Kids), Crisis Pregnancy (The Abel Crisis Center), Heritage Hall, SWVA Community College, and Tazewell Library. Carilion Tazewell Community Hospital Part V, Section B, Line 5c: 5a: http://issuu.com/carilionclinic/docs/chna_tazewell or www.carilionclinic.org/chnaCarilion Tazewell Community Hospital also requested that organizations represented on the CHAT make the CHNA available on their websites. Carilion Tazewell Community Hospital Part V, Section B, Line 7: Multiple other needs were identified during the CHNA process, including dental care for children, access to vision care, transportation and access to in-home care. Dental care is being addressed via the development of a new dental school, already under development. The process used by the CHAT to prioritize needs identified access to vision, transportation and in-home care as lower priorities. The number of items was limited to the top five so that resources are focused and effective. Carilion Tazewell Community Hospital Part V, Section B, Line 12h: Other (liquid assets and equity in real property) See Part III, Line 9b narrative. Carilion Tazewell Community Hospital Part V, Section B, Line 20d: All patients are charged the same amounts regardless of insurance coverage or not. Carilion Tazewell Community Hospital Part V, Section B, Line 22: All patients are charged the same facility gross charge amounts. Part VI, Line 3: The organization informs and educates patients by reviewing high dollar outpatient and all inpatient "self pay" accounts in order to seek eligibility for federal/state programs foremost, and then toward the Carilion Financial Assistance Program. This involves contact directly with the patient and/or the patient's representative (family, etc.). This program is available upon request for any and all services, and is available through the Carilion internet site, and is also available through the patient information pamphlet available in the patient access points. Note: The FAP is currently being evaluated by a Carilion team (Compliance, Finance and Revenue Cycle) based on 501r and IRS proposed regulations. Part of that program includes further communication efforts throughout the organization to inform patients of opportunities to assist them with their financial needs/concerns. Part VI, Line 4: Carilion Tazewell Community Hospital is a 56-bed facility in Tazewell, the county seat and geographic center of this southwest Virginia County, also known as Tazewell. Tazewell County is within the valley and ridge province of the Appalachian Highlands between the Appalachian Mountains on the southeast and the Cumberland Plateau and the Allegheny mountains on the northwest. The county contains 520 square miles and a population of a little over 45,000. Approximately 20% of adults under age 64 and 10% of children who live in the Tazewell County are uninsured. Additionally, 18% of residents live below the poverty level and 22% of adults 25 years of age or older did not graduate from high school. 17% of residents are 65 years of age or older. Part VI, Line 5: Carilion Tazewell Community Hospital 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. Carilion Tazewell Community Hospital has been very involved in the development and implementation of a wellness center through both financial and in-kind support over several years. The Four Seasons YMCA, located on a parcel of land adjacent to the hospital, provides fitness and social activities. Part VI, Line 6: Carilion Tazewell Community Hospital is a wholly owned hospital of Carilion Clinic, a not-for-profit healthcare organization serving approximately one million people in Virginia through a comprehensive network of hospitals, primary and specialty physician practices, and other complementary services. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Over the past six years, Carilion Clinic has gone through a dramatic and transformative change as we transitioned from a hospital system to an integrated clinic with physician leadership. At the heart of our transformation is a passion and shared purpose to meaningfully change the way healthcare is delivered and experienced, resulting in higher value and better clinical outcomes. This has propelled a commitment to each other as providers and caregivers and working together in new and different ways. To fulfill our vision, we developed a new organizational structure for shared decision making and collaboration, implemented an enterprise-wide electronic health record, became NCQA medical homes in 27 of our primary care sites, established an accountable care organization, developed population health management infrastructure and developed the Virginia Tech Carilion School of Medicine and Research Institute. Carilion Clinic employees 650 physicians representing more than 60 specialties who provide care at 220 practice sites. During 2013, 168 students were enrolled in Virginia Tech Carilion School of Medicine and there were 549 appointed faculty members. To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering associate, baccalaureate, and master's degree programs. Approximately 1,040 undergraduate students and 225 graduate students are enrolled annually. Carilion Clinic and Virginia Tech Carilion School of Medicine provide graduate medical education to 237 medical residents and fellows. Residency programs include Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, General Surgery, Pediatrics, Podiatry and General Hospital Dentistry. Fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Gastroenterology, Geriatric Medicine, Geriatric Psychiatry, Hospice and Palliative Care, Infectious Disease, Interventional Cardiology, and Pulmonary Critical Care. Advanced Clinical Technology and Programs include Cyberknife Stereotactic Radiourgery, daVinci Robotic Surgical System, 60 bed neonatal intensive care unit, hybrid operating room, Carilion Clinic Children's Hospital, Cancer Center, Spine Center, and comprehensive cardiothoracic, vascular and orthopedic surgery programs. Carilion Roanoke Memorial Hospital includes a Level One Trauma Center with EMS services that include three EMS helicopters, four first-response vehicles and 50 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 11,400 residents of the region. Research conducted at the Virginia Tech Carilion Research Institute (VTCRI) creates a bridge between basic science research at Virginia Tech and clinical expertise at Carilion Clinic and increases translational research opportunities for both partners. Research conducted by scientists at the institute is aimed at understanding the molecular basis for health and disease, and development of diagnostic tools, treatments, and therapies that will contribute to the prevention and solution of existing and emerging problems in contemporary medicine. Research areas of emphasis which presently align with areas of strength and active research at Virginia Tech include inflammation, infectious disease, neuroscience, and cardiovascular science and cardiology. X X 1 1 0 1 0 0 0 0 0 0 0 Donald Halliwill 0 218246 0 38492 0 4715 0 91348 0 11153 0 363954 0 0 Melina Perdue 0 337912 0 58467 0 2930 0 339674 0 8280 0 747263 0 0 John Piatkowski MD 0 240620 0 52951 0 1579 0 14301 0 1929 0 311380 0 0 Donald Lorton 0 586044 0 170036 0 671 0 342823 0 10224 0 1109798 0 67752 William Flattery 0 194398 0 34436 0 6444 0 49879 0 13275 0 298432 0 0 Randal Swatzyna 0 108799 0 10126 0 4516 0 54288 0 5721 0 183450 0 0 Part I, Line 3 See Schedule O disclosure for Form 990, Part VI, Section B, Line 15 Part I, Line 4b Melina Perdue $130,244 Donald Lorton $53,644 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. Donald Lorton Assistant Treasurer 896825 Lab services 0 Part IV, Line (1): Donald Lorton serves on the Board of Solstas Lab Partners, LLC, of which Carilion has a minority financial interest, and from whom the organization purchases lab services. Form 990, Part VI, Section A, line 3 Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization. Form 990, Part VI, Section A, line 6 The organization has 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 is entitled to elect directors having 80% of the vote on any issue. Form 990, Part VI, Section A, line 7a The organization has one member. The sole member, Carilion Clinic, is entitled to elect one class of directors having 80% of the vote on any issue. The remaining class of directors, which has 20% of the vote on any issue, came from the local community and elect their own successors. Certain actions require the majority vote of both classes. Form 990, Part VI, Section A, line 7b 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 final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990, Part VI, Section B, line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors, and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990, Part VI, Section B, line 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 October 2012. A similar review was last performed in October 2013.This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. 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. Other Fees Form 990, Part IX, line 11g Other Services: Program service expenses 2,581,208. Management and general expenses 35,212. Fundraising expenses 0. Total expenses 2,616,420. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Pension-Related Changes 51,612. Rounding -1. Form 990, Part I Summary, Line 6: Volunteers staff the gift shop and volunteer in various departments doing clerical work, supporting community events, and service related tasks. Form 990, Part III, Line 4a - Carilion Tazewell Community Hospital exists to serve the health care needs of its community, regardless of patient ability to pay. Tazewell's acute hospital admitted 643 patients and provided 1,872 days of care during the year. Hospital programs include provision of nursing care; outpatient and inpatient surgical and endoscopic services; and diagnostic imaging services including CT, MRI, and mammography. Tazewell provides a number of services targeting the specific health needs of its population, including physical, speech, and occupational therapy programs; home health services; bone density testing; and a cardiac rehab program. Tazewell also provides an emergency department with 24-hour care and emergency transportation. With 10,361 visits, Tazewell's emergency services are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients who comprise nearly 18% percent of ED visits. Tazewell supports community screenings and education on chronic disease management, touching more than 700 people. In furtherance of its mission, Tazewell provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year of $1.2 million. 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 11a, I N/A 0 Carilion Franklin Memorial Hospital PO Box 12385 Roanoke VA 24025 540480606 Healthcare VA 501(c)(3) Line 3 N/A 0 Carilion Giles Community Hospital PO Box 12385 Roanoke VA 24025 540549603 Healthcare VA 501(c)(3) Line 3 N/A 0 Carilion Medical Center PO Box 12385 Roanoke VA 24025 540506332 Healthcare VA 501(c)(3) Line 3 N/A 0 Carilion New River Valley Medical Center PO Box 12385 Roanoke VA 24025 540553805 Healthcare VA 501(c)(3) Line 3 N/A 0 Carilion Services Inc PO Box 12385 Roanoke VA 24025 541190879 Supporting organization VA 501(c)(3) Line 11a, I N/A 0 Carilion Stonewall Jackson Hospital PO Box 12385 Roanoke VA 24025 540568001 Healthcare VA 501(c)(3) Line 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0