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      <OtherEmployeeBenefits>
        <Total>376438</Total>
        <ProgramServices>322822</ProgramServices>
        <ManagementAndGeneral>53616</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>244853</Total>
        <ProgramServices>244853</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>1206108</Total>
        <ManagementAndGeneral>1206108</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>8838</Total>
        <ManagementAndGeneral>8838</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>2735</Total>
        <ProgramServices>2735</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2058026</Total>
        <ProgramServices>2049781</ProgramServices>
        <ManagementAndGeneral>8245</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>159</Total>
        <ProgramServices>159</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>810362</Total>
        <ProgramServices>800462</ProgramServices>
        <ManagementAndGeneral>9900</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>60080</Total>
        <ProgramServices>60080</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>164042</Total>
        <ProgramServices>156842</ProgramServices>
        <ManagementAndGeneral>7200</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>49365</Total>
        <ProgramServices>35016</ProgramServices>
        <ManagementAndGeneral>14349</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>501292</Total>
        <ProgramServices>501292</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>772053</Total>
        <ProgramServices>772053</ProgramServices>
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      <Insurance>
        <Total>225641</Total>
        <ProgramServices>225641</ProgramServices>
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      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>1016740</Total>
        <ProgramServices>1016740</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues Subscriptions</Description>
        <Total>30125</Total>
        <ProgramServices>13581</ProgramServices>
        <ManagementAndGeneral>16544</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Special Events Items</Description>
        <Total>12448</Total>
        <ManagementAndGeneral>12448</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>I/C Practice Subsidy</Description>
        <Total>1366819</Total>
        <ManagementAndGeneral>1366819</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <Total>34285</Total>
        <ProgramServices>32377</ProgramServices>
        <ManagementAndGeneral>1908</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12346048</Total>
        <ProgramServices>9485969</ProgramServices>
        <ManagementAndGeneral>2860079</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1069</BOY>
        <EOY>875</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>36633</BOY>
        <EOY>29056</EOY>
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      <AccountsReceivable>
        <BOY>1806382</BOY>
        <EOY>2636641</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
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        <EOY>6040</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>60280</BOY>
        <EOY>56992</EOY>
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      <LandBuildingsEquipmentBasis>12862812</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9997310</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2770839</BOY>
        <EOY>2865502</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>11405</BOY>
        <EOY>11405</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>4779687</BOY>
        <EOY>5606511</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2294234</BOY>
        <EOY>1062174</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>8197</BOY>
        <EOY>15667</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>8352511</BOY>
        <EOY>11997890</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10654942</BOY>
        <EOY>13075731</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-5875255</BOY>
        <EOY>-7469220</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-5875255</BOY>
        <EOY>-7469220</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4779687</BOY>
        <EOY>5606511</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1574150</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-19815</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="10000149" softwareVersion="2010.2.15">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="990C" softwareId="10000149" softwareVersion="2010.2.15">
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>2735</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>2735</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>II-B</Identifier>
        <ReturnReference>Ij</ReturnReference>
        <Explanation>Portion of dues paid to American Hospital Assn. and Virginia Hospital and Healthcare Assn. spent on lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="10000149" softwareVersion="2010.2.15">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>48753</OtherCostOrOtherBasis>
        <BookValue>48753</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4773898</OtherCostOrOtherBasis>
        <Depreciation>3439772</Depreciation>
        <BookValue>1334126</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>7775844</OtherCostOrOtherBasis>
        <Depreciation>6469379</Depreciation>
        <BookValue>1306465</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>264317</OtherCostOrOtherBasis>
        <Depreciation>88159</Depreciation>
        <BookValue>176158</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2865502</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Due to Affiliate</Description>
        <Amount>11949824</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Qualified Pension Liability</Description>
        <Amount>48066</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>11997890</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2011 and 2010. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H" softwareId="10000149" softwareVersion="2010.2.15">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>751723</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>751723</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06090</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>828037</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>679806</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>148231</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01200</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1579760</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>679806</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>899954</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07290</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>35</NumberOfActivitiesOrPrograms>
        <PersonsServed>2000</PersonsServed>
        <TotalCommunityBenefitExpense>9420</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>9420</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>1414</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1414</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <PersonsServed>2000</PersonsServed>
        <TotalCommunityBenefitExpense>10834</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>10834</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <PersonsServed>2000</PersonsServed>
        <TotalCommunityBenefitExpense>1590594</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>679806</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>910788</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07380</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>800</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>800</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>50</PersonsServed>
        <TotalCommunityBuildingExpense>1122</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1122</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>50</PersonsServed>
        <TotalCommunityBuildingExpense>1922</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1922</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>373685</BadDebtExpenseAmount>
      <AmountAttributableTo>157891</AmountAttributableTo>
      <AmountReimbursedByMedicare>3815756</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>4740326</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-924570</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Carilion Tazewell Community Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>141 Ben Bolt Avenue</AddressLine1>
          <City>Tazewell</City>
          <State>VA</State>
          <ZIPCode>24651</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Carilion Pediatrics</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Carilion Speciality Clinic</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>2</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Carilion Pediatrics</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>992 Ben Bolt Avenue</AddressLine1>
            <City>Tazewell</City>
            <State>VA</State>
            <ZIPCode>24651</ZIPCode>
          </Address>
          <FacilityType>0</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Carilion Speciality Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3150 Clinch Street Suite 100</AddressLine1>
            <City>Richlands</City>
            <State>VA</State>
            <ZIPCode>24641</ZIPCode>
          </Address>
          <FacilityType>Pediatrics</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 3c</Identifier>
        <Explanation>N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 6a</Identifier>
        <Explanation>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 Clinics website.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7g</Identifier>
        <Explanation>N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7 column f</Identifier>
        <Explanation>Bad debt expense subtracted from total expenses for the calculation is 1,016,740.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7</Identifier>
        <Explanation>Ratio of cost-to-charges was used to calculate the expense.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>The financial statements do not include a footnote on bad debt. The audited financial statements include a provision for bad debt. The provision is calculated based on historical bad debt experience and managements evaluation of the collectibility of the accounts receivable. Balances are written off after all reasonable collection efforts have been made.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Contd. The bad debt expense reported on line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Contd. The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definitive determination of their eligibility.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Contd. Patient account balances are reduced by discounts allowed and payments.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>Contd. The Hospital does not consider a Medicare shortfall as a community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>When an uninsured self pay patient registers for medically necessary services, the patients account is electronically marked as being potentially eligible for charity care. Carilion Clinics Eligibility Assistance Service EAS screens the patient to determine if charity care is appropriate. The patient must apply for all entitlement programs for which he or she may be eligible i.e. Medicaid, Social Security Disability, etc. EAS assists the patient with the applications.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>Contd. If the patient does not qualify for one of the programs then the Federal Poverty Guidelines FPG are used to determine eligibility for charity care. A patient whose account balance is less than 1,500 and is at or below 100 of FPG is automatically given a 100 discount of their account.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>Contd. For balances greater than 1,500 the patient must complete a Financial Assistance Application and provide appropriate documentation. A sliding scale of discounts is available for patients with incomes up to 400 of FPG.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>Contd. An underinsured patient can apply for charity care. Applications are available at all Patient Access/Registration points, offices of EAS, Carilion Clinics Internet website or by calling for an application.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>The charity care policy is posted in all patient registration areas. At the time of registration all uninsured self pay patients are given a brochure explaining the charity care policy and how to apply. Also, see comments for Part III line 9b.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="990I" softwareId="10000149" softwareVersion="2010.2.15">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIV>
        <Identifier>I</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Hospital made donations to support other 501c3 charitable organizations in its community. Such organizations have community boards which oversee the expenditure of such funds.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="10000149" softwareVersion="2010.2.15">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Melina Perdue</NamePerson>
        <CompBasedOnRelatedOrgs>244617</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>11787</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>5790</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>85628</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10455</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>358277</TotalCompensationRelatedOrgs>
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        <NamePerson>William Flattery</NamePerson>
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        <OtherCompensationRelatedOrgs>1871</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>14496</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15137</NontaxableBenefitsRelatedOrgs>
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        <NamePerson>Donald Lorton</NamePerson>
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        <TotalCompensationRelatedOrgs>853901</TotalCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>7936</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>179993</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Harris MD</NamePerson>
        <BaseCompensationFilingOrg>172314</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>981</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>-26899</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7530</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153926</TotalCompensationFilingOrg>
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        <NamePerson>Charles Lambert</NamePerson>
        <BaseCompensationFilingOrg>122232</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>22364</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>-2575</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>-469</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18925</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14761</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153343</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>21895</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Christopher Wearmouth</NamePerson>
        <BaseCompensationFilingOrg>94390</BaseCompensationFilingOrg>
        <BonusFilingOrg>1686</BonusFilingOrg>
        <OtherCompensationFilingOrg>39111</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17906</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9147</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>162240</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Donald Lorton - 131,084</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c Contd.</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a and 15b</ReturnReference>
        <Explanation>Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a and 15b Contd.</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a and 15b Contd.</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>3</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>6</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>7a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>7b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>1-10</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital provided financial for Young Life for childhood development and the Tazewell Area Chamber of Commerce. Additional in-kind support was provided for Step up to the Plate, a fundraiser for the non-profit Second Chance Learning Center, a program for at-risk young adults and teenagers in the community with educational needs.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Tazewell Community Hospital. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital serves all patients regardless of their ability to pay. The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>5 Contd.</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital provides community health education and screenings at several events annually. During fiscal year 2011, 2,000 people received health education or health screenings during 35 events, many focusing on senior health and safety. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid. 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 opened on a parcel of land adjacent to the hospital and provides fitness and social activities. Financial support was also provided to the American Cancer Society for education and research.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital is a wholly owned hospital of Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through a physician specialty group, advanced primary care practices, hospitals and outpatient centers. Led by clinical teams with a shared philosophy that puts the patient first, Carilion is committed to improving the communitys health while advancing the quality of care through medical education and research. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Carilion Clinic employees 575 physicians representing more than 60 specialties who provide care at 160 practice sites.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6 Contd.</ReturnReference>
        <Explanation>To advance the coordination of care and quality, an electronic medical record has been implemented in all Carilion Clinic affiliated hospitals and physician practices, allowing physicians to easily and efficiently collaborate through the use of shared patient records.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6 Contd.</ReturnReference>
        <Explanation>Additional improvements in medical programs and services include a nationally certified Stroke Alert protocol that speeds lifesaving care to stroke patients hypothermia therapy for the treatment of cardiac arrest patients a neonatal pediatric mobile ICU outfitted with life-saving, state of the art medical technology certification by the National Committee for Quality Assurance NCQA of 11 Carilion Clinic Family Medicine practices as Patient-Centered Medical Homes, a new model of care designed to keep patients healthy and prevent illness and MyChart, an online tool that gives patients secure access to their health information.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6 Contd.</ReturnReference>
        <Explanation>To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering the Master of Science in Nursing, Physician Assistant and Occupational Therapy and 10 baccalaureate and associate healthcare programs. As one of few private healthcare colleges in the Southern United States, the students have demonstrated excellent licensure pass rates in professional programs. Approximately 1,000 undergraduate students and 80 graduate students are enrolled annually with 87 receiving some type of financial aid. Through a unique public-private partnership, in 2010 Virginia Tech and Carilion Clinic opened Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. 84 students are enrolled in the first two classes and there are 421 appointed faculty members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6 Contd.</ReturnReference>
        <Explanation>Additionally, graduate medical education is provided for 190 residents and 16 fellows. Included are ten residency programs, eight sponsored by Carilion Clinic Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, Surgery, and Transitional Year and two by the University of Virginia Orthopaedics and Otolaryngology. Twelve fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Hospice and Palliative Care, Infectious Disease, Medical Informatics, Pulmonary Critical Care and Surgery Critical Care.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <ReturnReference>6 Contd.</ReturnReference>
        <Explanation>At the Virginia Tech Carilion VTC Research Institute, senior researchers recruited from across the country are working to unlock the secrets of the human brain as part of the Roanoke Brain Study, which examines the neural basis of human decision-making and its impact on health over a lifetime. The projects goal is to predict illnesses such as Alzheimers and other brain diseases. An additional benefit to the community is Carilion Clinics economic contribution to the region. As the areas largest employer, jobs are provided for nearly 11,000 residents of the region, with a payroll of more than 600 million in 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Other changes- pension related adjustment of 19,006 and FAS 158 prior year adjustment of 809 for total of 19,815.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4a</ReturnReference>
        <Explanation>Carilion Tazewell Community Hospital exists to serve the health care needs of its community, regardless of patient ability to pay. Tazewells acute hospital admitted 639 patients and provided 1,740 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III</Identifier>
        <ReturnReference>4a Contd.</ReturnReference>
        <Explanation>Tazewell also provides an emergency department with 24-hour care and emergency transportation. With 9,446 visits, Tazewells 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 20 of ED visits. Tazewell supports community screenings and education on chronic disease management, sponsoring 35 events touching 2,000 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 1.1 million.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11b The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c Contd. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 Part VI Section B Line 15a and 15b Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b Contd. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 Part VI Section C Line 19 The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 Part VI Section A Line 3 Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization. Form 990 Part VI Section A Line 6 The organization has 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 Section Schedule H, Part II Line 1-10 Carilion Tazewell Community Hospital provided financial for Young Life for childhood development and the Tazewell Area Chamber of Commerce. Additional in-kind support was provided for Step up to the Plate, a fundraiser for the non-profit Second Chance Learning Center, a program for at-risk young adults and teenagers in the community with educational needs. Form 990 Section Schedule H, Part VI Line 2 Carilion Tazewell Community Hospital uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Tazewell Community Hospital. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs. Form 990 Section Schedule H, 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. Form 990 Section Schedule H, Part VI Line 5 Carilion Tazewell Community Hospital serves all patients regardless of their ability to pay. The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss. Form 990 Section Schedule H, Part VI Line 5 Contd. Carilion Tazewell Community Hospital provides community health education and screenings at several events annually. During fiscal year 2011, 2,000 people received health education or health screenings during 35 events, many focusing on senior health and safety. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid. 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 opened on a parcel of land adjacent to the hospital and provides fitness and social activities. Financial support was also provided to the American Cancer Society for education and research. Form 990 Section Schedule H, Part VI Line 6 Carilion Tazewell Community Hospital is a wholly owned hospital of Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through a physician specialty group, advanced primary care practices, hospitals and outpatient centers. Led by clinical teams with a shared philosophy that puts the patient first, Carilion is committed to improving the communitys health while advancing the quality of care through medical education and research. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Carilion Clinic employees 575 physicians representing more than 60 specialties who provide care at 160 practice sites. Form 990 Section Schedule H, Part VI Line 6 Contd. To advance the coordination of care and quality, an electronic medical record h</Explanation>
      </GeneralExplanation>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Hugh Trout Memorial Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 12385</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24025</ZIPCode>
        </AddressUS>
        <EIN>510236357</EIN>
        <PrimaryActivities>Supporting organization</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11 Type I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>