CARILION NEW RIVER VALLEY MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CARILION NEW RIVER VALLEY MEDICAL CENTER (EIN 54-0553805)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-18
IRS object ID: 202632309349302848
Schema version: 2024v5.1
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-18T12:39:46+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540553805	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CARI	BusinessNameControlTxt
Phone	5402245102	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	G ROBERT VAUGHAN JR	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5402245102	PhoneNum
Signature	2026-08-18	SignatureDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM J FLATTERY	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)
Gross Receipts	$414,103,273	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CARILIONCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH, AND LOWER COST.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1796	TotalEmployeeCnt
Total Volunteers	36	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$183,877	PYContributionsGrantsAmt
CY Contributions Grants	$352,596	CYContributionsGrantsAmt
PY Program Service Revenue	$327,753,803	PYProgramServiceRevenueAmt
CY Program Service Revenue	$372,060,041	CYProgramServiceRevenueAmt
PY Investment Income	$28,589,988	PYInvestmentIncomeAmt
CY Investment Income	$33,715,172	CYInvestmentIncomeAmt
PY Other Revenue	$1,586,219	PYOtherRevenueAmt
CY Other Revenue	$1,641,663	CYOtherRevenueAmt
PY Total Revenue	$358,113,887	PYTotalRevenueAmt
CY Total Revenue	$407,769,472	CYTotalRevenueAmt
PY Grants And Similar Paid	$203,815	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$180,630	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$98,106,054	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,037,066	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$200,792,399	PYOtherExpensesAmt
CY Other Expenses	$227,691,516	CYOtherExpensesAmt
PY Total Expenses	$299,102,268	PYTotalExpensesAmt
CY Total Expenses	$327,909,212	CYTotalExpensesAmt
PY Revenues Less Expenses	$59,011,619	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$79,860,260	CYRevenuesLessExpensesAmt
Total Assets BOY	$505,192,407	TotalAssetsBOYAmt
Total Assets EOY	$579,646,437	TotalAssetsEOYAmt
Total Liabilities BOY	$91,387,784	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$98,230,702	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$413,804,623	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$481,415,735	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH, AND LOWER COST.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$263,258,445	ExpenseAmt
Grant	$180,630	GrantAmt
Revenue	$372,161,890	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$263,258,445	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1796	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	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	MATTHEW BARR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5402245021	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE AKERS
DIRECTOR/CHAIR	2.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
SANDRA DAVIS
DIRECTOR/VICE CHAIR	1.2	0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM FLATTERY
DIRECTOR/SEC/TREAS./HOSP. VP	46.3	3.7	Yes (X)	Yes (X)	$347,747	$0	$199,181
ANTHONY WILSON
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
ASHISH RAJU MD
DIRECTOR/PHYSICIAN	1.2	48.8	Yes (X)		$0	$524,874	$98,142
BRET DANILOWICZ PHD
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
CHARLES BISSELL MD
DIRECTOR/PHYSICIAN	1.2	48.8	Yes (X)		$0	$158,571	$579
J THOMAS RYAN MD
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
JAMES MCALISTER
DIRECTOR	1.2	0.0	Yes (X)		$0	$0	$0
KARLA UDELL YATES
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
KEVIN BYRD
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
MICHAEL HICKMAN ED D
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
PETER ANDERSON PHD
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
RICHARD HARSHBERGER
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
VINCENT HATCHER
DIRECTOR	1.2	0	Yes (X)		$0	$0	$0
WILLIAM ADEN
DIRECTOR	1.2	0.0	Yes (X)		$0	$0	$0
DONALD HALLIWILL
ASST. TREASURER/EVP/CFO	0.5	49.5		Yes (X)	$0	$1,309,012	$407,205
G ROBERT VAUGHAN JR
ASST. TREASURERSVP	0.5	49.5		Yes (X)	$0	$543,489	$326,337
J HARRISON LAPUASA
ASST. TREASURER	0.5	39.5		Yes (X)	$0	$117,661	$9,745
JULIE SMITH-HAMILTON
ASST. SECRETARY	0.5	39.5		Yes (X)	$0	$63,772	$26,601
NICHOLAS CONTE
ASST. SECRETARY/EVP/CLO	1.0	49.0		Yes (X)	$0	$1,218,022	$268,294
SHYAM ODETI MD
VP/CHIEF MEDICAL OFFICER	25.0	25.0			$0	$464,043	$50,072	Yes (X)
DONNA SHELOR
PHARMACIST	50.0	0			$184,131	$0	$83,567		Yes (X)
KATHLEEN TICKLE
PHARMACIST	50.0	0			$182,812	$0	$109,503		Yes (X)
KRISTI HALL
NURSING SENIOR DIRECTOR	50.0	0			$185,021	$0	$95,009		Yes (X)
MICHAEL CZAR
PHARMACY DIRECTOR	50.0	0			$170,567	$0	$93,368		Yes (X)
RALPH BROWN MD
PHYSICIAN	50.0	0			$283,994	$0	$208,693		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,354,272	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,399,444	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,976,296	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
QUEST DIAGNOSTICS
500 PLAZA DR	SECAUCUS	NJ	07094	LABORATORY SERVICES	$6,576,222
ANESTHESIOLOGY ASSOC OF RADFORD
2900 LAMB CIRCLE STE 340	CHRISTIANSBURG	VA	24073	ANESTHESIOLOGY SERVICES	$5,662,344
QUALIVIS LLC
1601 ASSEMBLY STREET UNIT 1439	COLUMBIA	SC	29201	TEMPORARY STAFFING	$2,913,933	UNIT 1439
MCR GROUP
800 S GAY STREET	KNOXVILLE	TN	37929	CONSULTING SERVICES	$1,681,877	SUITE 700
F & S BUILDING INNOVATIONS INC
2944 ORANGE AVE NE	ROANOKE	VA	24012	CONTRACTOR SERVICES	$1,299,849

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Related Organizations	$19,104	RelatedOrganizationsAmt
Government Grants	$300,206	GovernmentGrantsAmt
All Other Contributions	$33,286	AllOtherContributionsAmt
Total Contributions	$352,596	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$370,836,809	$370,836,809
RENT FROM AFFILIATES	531120	$1,223,232	$1,223,232

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$372,060,041	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,811,239	TotalRevenueColumnAmt
Exclusion	$3,811,239	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$226,991	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$226,991	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$226,991	TotalRevenueColumnAmt
Exclusion	$226,991	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,237,734	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,299,553	SecuritiesAmt
Other	$34,248	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,938,181	SecuritiesAmt
Other	-$34,248	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,903,933	TotalRevenueColumnAmt
Exclusion	$29,903,933	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DINING SERVICES	722514	$964,306	$964,306
GIFT SHOP	459420	$348,517	$348,517
EDUCATION INCOME	611699	$58,200		$58,200

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,649	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,649	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,414,672	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407,769,472	TotalRevenueColumnAmt
Related Or Exempt Func Income	$372,161,890	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$35,254,986	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$180,630	TotalAmt
Program Services	$180,630	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$395,186	TotalAmt
Management And General	$395,186	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$62,302	TotalAmt
Program Services	$62,302	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,608,525	TotalAmt
Program Services	$80,378,107	ProgramServicesAmt
Management And General	$230,418	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,736,272	TotalAmt
Program Services	$3,725,592	ProgramServicesAmt
Management And General	$10,680	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,455,610	TotalAmt
Program Services	$9,327,472	ProgramServicesAmt
Management And General	$128,138	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,779,171	TotalAmt
Program Services	$5,737,119	ProgramServicesAmt
Management And General	$42,052	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$57,555,952	TotalAmt
Management And General	$57,555,952	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$41,495	TotalAmt
Management And General	$41,495	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$340	TotalAmt
Program Services	$340	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$521,743	TotalAmt
Management And General	$521,743	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,876,421	TotalAmt
Program Services	$24,354,383	ProgramServicesAmt
Management And General	$4,522,038	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,040	TotalAmt
Program Services	$8,040	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,985,351	TotalAmt
Program Services	$5,695,259	ProgramServicesAmt
Management And General	$290,092	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$668,228	TotalAmt
Program Services	$668,228	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,750,322	TotalAmt
Program Services	$4,750,322	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$839,677	TotalAmt
Program Services	$835,842	ProgramServicesAmt
Management And General	$3,835	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,340,494	TotalAmt
Program Services	$1,340,494	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,909,207	TotalAmt
Program Services	$7,909,207	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,470,882	TotalAmt
Program Services	$661,889	ProgramServicesAmt
Management And General	$808,993	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$43,051,382	$43,049,738	$1,644
INTERCOMPANY PRACTICE SUBSIDY	$29,500,347	$29,500,347
BAD DEBT	$22,581,257	$22,581,257
ASSESSMENT FEES	$21,879,571	$21,879,571

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$710,807	TotalAmt
Program Services	$612,306	ProgramServicesAmt
Management And General	$98,501	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$327,909,212	TotalAmt
Program Services	$263,258,445	ProgramServicesAmt
Management And General	$64,650,767	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,875	BOYAmt
EOY	$2,535	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$68,142	BOYAmt
EOY	$231,746	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$59,354,653	BOYAmt
EOY	$87,278,485	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,899,574	BOYAmt
EOY	$3,405,791	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,326,352	BOYAmt
EOY	$3,174,292	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$225,542,921	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$173,402,910	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,371,851	BOYAmt
EOY	$52,140,011	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$128,635,769	BOYAmt
EOY	$104,295,330	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$257,197,236	BOYAmt
EOY	$328,884,622	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$335,955	BOYAmt
EOY	$233,625	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$505,192,407	BOYAmt
EOY	$579,646,437	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$30,318,338	BOYAmt
EOY	$40,357,376	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$95,981	BOYAmt
EOY	$90,390	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,106,328	BOYAmt
EOY	$44,399,344	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,867,137	BOYAmt
EOY	$13,383,592	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,387,784	BOYAmt
EOY	$98,230,702	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$413,787,778	BOYAmt
EOY	$481,398,890	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,845	BOYAmt
EOY	$16,845	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$413,804,623	BOYAmt
EOY	$481,415,735	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$505,192,407	BOYAmt
EOY	$579,646,437	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$79,860,260	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,008,928	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$27,258,076	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$340	OtherActivitiesAmt
Total Lobbying Expenditures	$340	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF DUES PAID TO VARIOUS HEALTHCARE INDUSTRY ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,887,465	OtherCostOrOtherBasisAmt
Book Value	$1,887,465	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,125,864	OtherCostOrOtherBasisAmt
Depreciation	$82,284,392	DepreciationAmt
Book Value	$35,841,472	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$257,609	OtherCostOrOtherBasisAmt
Depreciation	$257,609	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,576,448	OtherCostOrOtherBasisAmt
Depreciation	$87,347,982	DepreciationAmt
Book Value	$13,228,466	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,695,535	OtherCostOrOtherBasisAmt
Depreciation	$3,512,927	DepreciationAmt
Book Value	$1,182,608	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,140,011	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$385,034	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES	$385,034	F
ALTERNATIVE INVESTMENTS	$328,499,588	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$328,884,622	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
PENSION LIABILITY	$9,890,943
INTEREST RATE SWAP LIABILITY	$2,106,439
LEASE LIABILITY	$1,385,714
INTERCOMPANY DUE TO/FROM	$496

Field	Value	IRS element (for citing)
Total Liability	$13,383,592	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,704,714	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,704,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00558	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,588,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,712,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$59,293,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,712,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,704,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00558	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$875,084	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$875,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00287	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,492	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$200,454	NetCommunityBenefitExpnsAmt
Total Expense	0.00066	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,667	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,667	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$177,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00058	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,362,703	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,285,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00421	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$60,655,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,789,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,990,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00979	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,802	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,802	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$77,118	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,118	NetCommunityBenefitExpnsAmt
Total Expense	0.00025	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,581,257	BadDebtExpenseAmt
Reimbursed By Medicare	$56,632,059	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$66,458,146	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,826,087	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 LAMB CIRCLE	AddressLine1Txt
City	CHRISTIANSBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24073	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://carilionclinic.org/locations/carilion-new-river-valley-medical-center	WebsiteAddressTxt
State License	H 1838	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.carilionclinic.org/cho-community-health-assessments#reports	OwnWebsiteURLTxt
Other Website URL	https://issuu.com/carilionclinic/docs/2024_cnrvmc_cha_final_report	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.carilionclinic.org/cho-community-health-assessments#reports	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.carilionclinic.org/billing/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.carilionclinic.org/billing/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.carilionclinic.org/billing/financial-assistance	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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE PUBLICLY AVAILABLE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT DETAILS THE PRIORITIZATION PROCESS FOR THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT), COMPRISED OF COMMUNITY STAKEHOLDERS, REVIEWS ALL DATA AND COMPLETES A PRIORITIZATION SURVEY. THROUGH THE SURVEY, EACH CHAT MEMBER SELECTS THE MOST PERTINENT COMMUNITY NEEDS. FOLLOWING THE SURVEY, CHAT MEMBERS CAN FURTHER REFINE THE PRIORITIES THROUGH A CONSENSUS-BUILDING ACTIVITY. CHAT MEMBERS PRIORITIZE NEEDS ACCORDING TO THE PERCEIVED BURDEN, SCOPE, SEVERITY OR URGENCY; THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE NEED THROUGH SURVEY RESPONSES AND OTHER INTERACTIONS; AND EACH MEMBER'S UNIQUE PERSPECTIVE ON COMMUNITY HEALTH. THE RESULTING LIST OF PRIORITY HEALTH OUTCOMES REFLECTS THE TOP SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DETERMINED BY THE CHNA PROCESS AND PARTNERS.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - CARILION NEW RIVER VALLEY MEDICAL CENTER. CARILION CLINIC'S COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ARE COMMUNITY-DRIVEN PROJECTS. THEIR SUCCESS DEPENDS HIGHLY ON ENGAGING CITIZENS, HEALTH AND HUMAN SERVICE AGENCIES, BUSINESSES AND COMMUNITY LEADERS. STAKEHOLDER COLLABORATIONS KNOWN AS COMMUNITY HEALTH ASSESSMENT TEAMS (CHATS) LEAD THE CHNAS. THE CHATS INCLUDE HEALTH AND HUMAN SERVICE AGENCY LEADERS, PEOPLE WITH EXCEPTIONAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH, AND LOCAL HEALTH DEPARTMENT OFFICIALS. THE CHATS INCLUDE OTHER INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE COMMUNITY'S MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THE FOLLOWING ORGANIZATIONS SERVED ON THE CHAT FOR THE 2024 (TAX FORM YEAR 2023) NEW RIVER VALLEY COMMUNITY HEALTH NEEDS ASSESSMENT (NRVCHNA): CARILION COMMUNITY HEALTH AND DEVELOPMENT, CARILION NEW RIVER VALLEY MEDICAL CENTER, COMMUNITY FOUNDATION OF THE NEW RIVER VALLEY, COMMUNITY HEALTH CENTER OF THE NEW RIVER VALLEY, DISABILITY RESOURCE CENTER, FEEDING AMERICA - FEEDING SOUTHWEST VIRGINIA, GILES CHRISTIAN MISSION, HCA - LEWISGALE, LITERACY NRV, MONTGOMERY COUNTY ADMINISTRATION, MONTGOMERY COUNTY DEPARTMENT OF SOCIAL SERVICES, MONTGOMERY COUNTY PUBLIC SCHOOL SYSTEM, MONTGOMERY-FLOYD REGIONAL LIBRARY SYSTEM, NAACP MONT-RAD-FLOYD, NEW RIVER VALLEY AGENCY ON AGING, NEW RIVER COMMUNITY ACTION, NEW RIVER VALLEY COMMUNITY SERVICES, NEW RIVER/MT. ROGERS WORKFORCE DEVELOPMENT BOARD, NINEVAH, NRV CARES, NRV REGIONAL COMMISSION, ONWARD NRV, PULASKI COUNTY PUBLIC SCHOOL SYSTEM, RADFORD CITY DEPARTMENT OF SOCIAL SERVICES, TOWN OF BLACKSBURG, TRI-AREA COMMUNITY HEALTH, UNITED WAY SWVA, VDH - NEW RIVER HEALTH DISTRICT, VIRGINIA FOUNDATION FOR HEALTHY YOUTH, VIRGINIA POVERTY LAW CENTER, VIRGINIA TECH, WOMEN'S RESOURCE CENTER OF THE NRV AND WYTHE HOSPICE/ALZHEIMER'S ASSOCIATION. TO OBTAIN INPUT FROM THE COMMUNITY, THE NRVCHNA INCLUDED TWO COMMUNITY LISTENING SESSIONS, ONE STAKEHOLDER LISTENING SESSION, A FOLLOW-UP STAKEHOLDER SURVEY AND A 27-QUESTION COMMUNITY HEALTH SURVEY THAT WAS ADMINISTERED BROADLY ACROSS THE SERVICE AREA. THESE EFFORTS OCCURRED FROM OCTOBER 1, 2023, THROUGH DECEMBER 31, 2023. THE SURVEY WAS DEVELOPED (IN ENGLISH AND SPANISH) AND ASKED QUESTIONS ABOUT ACCESS TO CARE AND OTHER SERVICES, HEALTH STATUS, COMMUNITY STRENGTHS, QUALITY OF LIFE, SUBJECTIVE WELL-BEING AND DEMOGRAPHICS. THE SURVEY INCLUDED COMMONLY USED QUESTIONS AND METRICS FROM PREVIOUSLY VALIDATED COMMUNITY SURVEYS CONDUCTED BY ORGANIZATIONS SUCH AS THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. CHAT MEMBERS WERE INVITED TO PROVIDE AN ADDITIONAL PERSPECTIVE ON THE NEEDS AND BARRIERS TO HEALTH FACING OUR COMMUNITY. CARILION STAFF FROM ACROSS THE ORGANIZATION FACILITATED SMALL GROUP DISCUSSIONS. TO QUANTIFY FOCUS GROUP DATA, CHAT MEMBERS WERE ASKED TO COMPLETE THE STAKEHOLDER SURVEY. COMMUNITY STAKEHOLDERS, LEADERS AND PROVIDERS WERE ENCOURAGED TO COMPLETE THE STAKEHOLDER SURVEY AFTER PARTICIPATING IN A LISTENING SESSION. THE SURVEY WAS ALSO SHARED WITH LEADERS WHO MAY NOT HAVE ATTENDED A LISTENING SESSION. CARILION REPRESENTATIVES SHARED THE ONLINE SURVEY AT THE CHAT MEETINGS AND VIA EMAIL. COMMUNITY MEMBERS WERE INVITED TO PARTICIPATE IN COMMUNITY LISTENING SESSIONS TO COLLECT QUALITATIVE DATA TO UNDERSTAND HEALTH-RELATED NEEDS BETTER. THE COMMUNITY HEALTH CENTER OF THE NRV SUCCESSFULLY HOSTED TWO SESSIONS AT THEIR CHRISTIANSBURG LOCATION IN PARTNERSHIP WITH CARILION STAFF. ADDITIONAL COMMUNITY SESSIONS WERE ORGANIZED ACROSS THE NEW RIVER VALLEY, ONE IN EACH LOCALITY, THAT WERE SUBSEQUENTLY CANCELLED DUE TO LOW REGISTRATION. THE CHAT ASSISTED WITH SURVEY DISTRIBUTION TO REACH PARTICULAR TARGET POPULATIONS. THE SURVEY FOCUSED ON NEW RIVER VALLEY RESIDENTS 18 YEARS OF AGE AND OLDER IN THE FOLLOWING SERVICE AREA: MONTGOMERY COUNTY, FLOYD COUNTY, PULASKI COUNTY, RADFORD CITY AND WYTHE COUNTY. SPECIAL EFFORTS WERE MADE TO INCLUDE UNDERSERVED/VULNERABLE POPULATIONS DISPROPORTIONATELY IMPACTED BY SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY, RACE/ETHNICITY, EDUCATION AND LACK OF INSURANCE. SPECIFIC POPULATIONS SERVED BY CHAT REPRESENTATIVES INCLUDE PEOPLE WHO ARE UNINSURED OR UNDERINSURED; PEOPLE EXPERIENCING LOW INCOME, HOMELESSNESS, AND/OR FOOD INSECURITY; PEOPLE WHO OWN BUSINESSES; AND FAMILIES WITH YOUNG CHILDREN. THE SURVEY WAS ALSO MADE AVAILABLE TO ALL RESIDENTS LIVING IN THE NEW RIVER VALLEY.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - CARILION NEW RIVER VALLEY MEDICAL CENTER. THE 2024 NEW RIVER VALLEY CHNA WAS CONDUCTED WITH: COMMUNITY FOUNDATION OF THE NEW RIVER VALLEY, COMMUNITY HEALTH CENTER OF THE NEW RIVER VALLEY, DISABILITY RESOURCE CENTER, FEEDING AMERICA - FEEDING SOUTHWEST VIRGINIA, GILES CHRISTIAN MISSION, HCA - LEWISGALE, LITERACY NRV, MONTGOMERY COUNTY ADMINISTRATION, MONTGOMERY COUNTY DEPARTMENT OF SOCIAL SERVICES, MONTGOMERY COUNTY PUBLIC SCHOOL SYSTEM, MONTGOMERY-FLOYD REGIONAL LIBRARY SYSTEM, NAACP MONT-RAD-FLOYD, NEW RIVER VALLEY AGENCY ON AGING, NEW RIVER COMMUNITY ACTION, NEW RIVER VALLEY COMMUNITY SERVICES, NEW RIVER/MT. ROGERS WORKFORCE DEVELOPMENT BOARD, NINEVAH, NRV CARES, NRV REGIONAL COMMISSION, ONWARD NRV, PULASKI COUNTY PUBLIC SCHOOL SYSTEM, RADFORD CITY DEPARTMENT OF SOCIAL SERVICES, TOWN OF BLACKSBURG, TRI-AREA COMMUNITY HEALTH, UNITED WAY SWVA, VDH - NEW RIVER HEALTH DISTRICT, VIRGINIA FOUNDATION FOR HEALTHY YOUTH, VIRGINIA POVERTY LAW CENTER, VIRGINIA TECH, WOMEN'S RESOURCE CENTER OF THE NRV AND WYTHE HOSPICE/ALZHEIMER'S ASSOCIATION.
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1	FACILITY , 1 - CARILION NEW RIVER VALLEY MEDICAL CENTER. THE COMMUNITY HEALTH ASSESSMENT TEAM SHARED THE 2024 NEW RIVER VALLEY COMMUNITY HEALTH NEEDS ASSESSMENT (NRVCHNA) ON PARTNER WEBSITES, SOCIAL MEDIA, AND REGIONAL NEWS COVERAGE. THE NRVCHNA WAS SHARED THROUGH MULTIPLE INTERNAL PRESENTATIONS FOR STAFF AND EXTERNAL PRESENTATIONS TO PARTNER ORGANIZATIONS, ACADEMIC INSTITUTIONS AND COALITIONS.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - CARILION NEW RIVER VALLEY MEDICAL CENTER. THE FOLLOWING INFORMATION DESCRIBES THE IMPLEMENTATION STRATEGY USED BY CARILION NEW RIVER VALLEY MEDICAL CENTER (CNRV) TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2024 NEW RIVER VALLEY COMMUNITY HEALTH NEEDS ASSESSMENT (NRVCHNA). THE COMPLETE IMPLEMENTATION STRATEGY IS AVAILABLE ONLINE AT HTTPS://ISSUU.COM/CARILIONCLINIC/DOCS/IMPLEMENTATION_STRATEGY_FINAL_CNRV. THE TOP PRIORITIZED NEEDS FOR THE 2024 NRVCHNA WERE GROUPED INTO FIVE OVERARCHING CATEGORIES: CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, INTERPERSONAL VIOLENCE, DENTAL HEALTH AND SEXUAL HEALTH. WE ALSO FOCUS ON LAYERED INTERVENTIONS THAT ADDRESS MULTIPLE PRIORITY AREAS THROUGH PLACE-BASED STRATEGIES. WE ARE ADDRESSING PRIORITIZED NEEDS WITH THE FOLLOWING STRATEGIES AND COMMITTING FINANCIAL RESOURCES, STAFF TIME AND LEADERSHIP. STRATEGIES TO ADDRESS CHRONIC DISEASE INCLUDE IMPLEMENTING THE HEALTHY HEART AMBASSADORS PROGRAM, THE SOUTHWEST VIRGINIA PRODUCE PRESCRIPTION PROGRAM (SWPRX), AND OTHER EVIDENCE-BASED HEALTH AND NUTRITION PROGRAMS. STRATEGIES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE INCLUDE EXPANDING CARILION'S PEER SUPPORT SPECIALIST WORKFORCE AND IMPLEMENTING EVIDENCE-BASED MENTAL HEALTH EDUCATION AND WELL-BEING WORKSHOPS. STRATEGIES TO ADDRESS INTERPERSONAL VIOLENCE INCLUDE WORKING WITH THE FORENSIC NURSING PROGRAM TO SUPPORT TRANSITIONING PATIENTS FROM ACUTE CARE TO THE COMMUNITY AND SUPPORTING THE LOCAL TRAUMA-INFORMED COMMUNITY NETWORK (TICN) WITH THEIR TRAUMA INFORMED BASICS AND RESILIENCY TRAINING. STRATEGIES TO ADDRESS DENTAL HEALTH INCLUDE SUPPORTING COLLABORATIVE, COMMUNITY-IDENTIFIED EFFORTS TO INCREASE ACCESS TO DENTAL CARE. WE COMMIT TO SUPPORTING THE ORGANIZATIONS ACROSS THE NRV CURRENTLY WORKING TO ADDRESS SEXUAL HEALTH, INCLUDING, BUT NOT LIMITED TO, PLANNED PARENTHOOD SOUTH ATLANTIC AND THE VIRGINIA DEPARTMENT OF HEALTH NEW RIVER HEALTH DISTRICT. WE INTEND TO SUPPORT THEIR WORK TO THE BEST OF OUR ABILITY AND WILL PARTNER TO CREATE PATHWAYS FOR COMMUNITY HEALTH WORKERS TO REFER PATIENTS TO SEXUAL HEALTH SERVICES. WE HAVE NOT SET SEPARATE SEXUAL HEALTH GOALS DUE TO RESOURCE CONSTRAINTS. PLACE-BASED STRATEGIES ADDRESSING MULTIPLE PRIORITY AREAS INCLUDE DEVELOPING AN EMPLOYEE VOLUNTEER PROGRAM TO SUPPORT THE CAPACITY OF LOCAL ORGANIZATIONS WORKING TO ADDRESS CHA-IDENTIFIED NEEDS, EVALUATING A POP-UP CLINIC MODEL SUPPORTING SAFETY NET PARTNERSHIPS, AND SUPPORTING THE NEW RIVER VALLEY HOUSING TRUST FUND TO INCREASE AFFORDABLE HOUSING ACROSS THE SERVICE AREA. EXAMPLES OF KEY ACHIEVEMENTS DURING FY25 FOR THESE PROGRAMS INCLUDE: A SUCCESSFUL YEAR 1 OF SWPRX, POSITIVELY IMPACTING BIOMETRIC READINGS AND ACCESS TO FRESH PRODUCE FOR PROGRAM PARTICIPANTS AND THE ADDITION OF A NEW RIVER VALLEY-BASED COMMUNITY HEALTH WORKER. TO SUPPORT COMMUNITY-DRIVEN INITIATIVES, INVESTMENTS WERE MADE INTO THE NEW RIVER HOUSING TRUST FUND AND A DENTAL PROGRAM LED BY NEW RIVER COMMUNITY ACTION. OUR FORENSIC NURSING EXAMINERS CONNECTED WITH LOCAL COALITIONS, INCLUDING THE ELDER-JUSTICE TASKFORCE AND MULTIPLE LOCAL MULTI-DISCIPLINARY TEAMS (MDT), TO INCREASE COLLABORATIVE SUPPORT FOR VICTIMS OF INTERPERSONAL VIOLENCE.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CARILION NEW RIVER VALLEY REHABILITATION
118 BROAD STREET	DUBLIN	VA	24084	OUTPATIENT THERAPY
CARILION NEW RIVER HOSPICEHOME HEALTH
707 RANDOLPH STREET SUITE 251	RADFORD	VA	24141	HOSPICE AND HOME HEALTH
NEW RIVER VALLEY AMBULATORY SURGERY CENTER
2901 LAMB CIRCLE	CHRISTIANSBURG	VA	24073	AMBULATORY SURGERY CENTER
CARILION CLINIC OUTPATIENT THERAPY BLACKSBURG
213 GILBERT STREET	BLACKSBURG	VA	24060	PHYSICAL THERAPY
PHYSICAL THERAPY CHRISTIANSBURG
120 PONDEROSA DRIVE	CHRISTIANSBURG	VA	24084	PHYSICAL THERAPY
PHYSICAL THERAPY WYTHEVILLE
178 WEST MAIN STREET	WYTHEVILLE	VA	24382	PHYSICAL THERAPY
HILLSVILLE PHYSICAL THERAPY
416 SOUTH MAIN STREET	HILLSVILLE	VA	24343	PHYSICAL THERAPY
CARILION CLINIC IMAGING
901 PLANTATION RD SUITE 3	BLACKSBURG	VA	24060	ANCILLARY SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

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SCHEDULE H, PART I, LINE 3C OTHER FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	FINANCIAL ASSISTANCE POLICY IN EFFECT FOR FISCAL YEAR 2025: FAMILIES WITH FAMILY INCOME EQUAL OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES AND COUNTABLE ASSETS EQUAL OR BELOW $25,000 RECEIVE 100% ADJUSTMENT UNDER FAP. FAMILIES WITH FAMILY INCOME GREATER THAN 300% OF THE FEDERAL POVERTY GUIDELINES BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES OR COUNTABLE ASSETS ABOVE $25,000 AND LESS THAN OR EQUAL TO $100,000 RECEIVE A PARTIAL ADJUSTMENT UNDER FAP. THE PARTIAL ADJUSTMENT MATCHES THE HIGHEST AGB PERCENTAGE DETERMINED FOR ALL FACILITIES.
SCHEDULE H, PART I, LINE 6A PUBLIC AVALIABILITY OF COMMUNITY BENEFIT REPORT	INFORMATION ABOUT COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A CONSOLIDATED REPORT PREPARED BY CARILION CLINIC (EIN 54-1190771). PRINTED COPIES OF THIS REPORT ARE DISTRIBUTED THROUGHOUT COMMUNITIES SERVED BY HOSPITALS AFFILIATED WITH CARILION CLINIC. ADDITIONALLY, THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON CARILION CLINIC'S WEBSITE: HTTPS://WWW.CARILIONCLINIC.ORG/CHO-COMMUNITY-HEALTH-ASSESSMENTS#COMMUNITY-IMPACT-REPORTS
SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	22581257
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	LINE 7A AND 7B: FOR ACTIVITIES REPORTED ON THE MEDICAID COST REPORT, A COST-TO-CHARGE RATIO AS DETERMINED FROM THE MEDICAID COST REPORT WAS USED. FOR ALL OTHER ACTIVITIES, A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE 990 INSTRUCTIONS WAS USED. LINES 7E - 7I ARE REPORTED AT ACTUAL COST.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	LINE 2 - ECONOMIC DEVELOPMENT: AS THE LARGEST EMPLOYER IN SOUTHWEST VIRGINIA, CARILION IMPACTS ECONOMIC DEVELOPMENT BY INVESTING IN JOBS, HIGHER WAGES FOR EMPLOYEES AND VARIOUS CAPITAL CONSTRUCTION PROJECTS. IN ADDITION, CARILION HAD DIRECT ECONOMIC DEVELOPMENT EXPENSES FROM PROGRAMMING AND SUPPORT OF LOCAL CHAMBERS OF COMMERCE AND PRO-BUSINESS ADVOCACY. CNRV ACTIVELY PARTICIPATES IN THE BLACKSBURG PARTNERSHIP-A NONPROFIT, INDEPENDENT ECONOMIC DEVELOPMENT ORGANIZATION FOCUSED ON PROJECTS THAT ATTRACT VISITORS, DEVELOPERS AND RETAIL PROSPECTS TO BLACKSBURG-AND IS A CONTRIBUTING MEMBER IN THE LOCAL CHAMBERS OF COMMERCE. THESE INITIATIVES PROMOTE THE COMMUNITY'S HEALTH BY IMPROVING ECONOMIC VITALITY AND MAKING THE REGION A VIBRANT PLACE TO LIVE, WORK AND PLAY. LINE 3 - COMMUNITY SUPPORT: RESEARCH DEMONSTRATES THE STRONG CONNECTION BETWEEN SOCIAL DETERMINANTS OF HEALTH-SUCH AS TRANSPORTATION, HOUSING AND EDUCATION-AND COMMUNITIES' OVERALL HEALTH AND WELL-BEING. CARILION SUPPORTS NONPROFIT ORGANIZATIONS ADDRESSING BARRIERS TO GOOD HEALTH ARISING FROM THESE SOCIAL DETERMINANTS IN VARIOUS WAYS. CARILION ALSO COLLABORATES WITH LOCAL PARTNERS TO SUPPORT BETTER EDUCATION AND OPPORTUNITIES FOR CHILDREN AND FAMILIES, AS WELL AS IMPROVED HOUSING BETTER NUTRITION, AND ADDITIONAL RESOURCES FOR OUR NEIGHBORS IN NEED. THESE EFFORTS HELP REMOVE A RANGE OF OBSTACLES TO GOOD HEALTH FOR OUR REGION'S RESIDENTS. FOR EXAMPLE, CARILION SERVES ON THE RADFORD CHILDCARE ADVISORY BOARD, THE NEW RIVER COMMUNITY COLLEGE EDUCATIONAL FOUNDATION BOARD, AND RADFORD UNIVERSITY NURSING AUXILIARY BOARD. CARILION ALSO PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ORGANIZATIONS SUCH AS THE MONTGOMERY-RADFORD-FLOYD BRANCH OF THE NAACP, BLACKSBURG BATTLES CANCER, RADFORD ROTARY CLUB AND RADFORD VOLUNTEER FIRE DEPARTMENT. LINE 6 - COALITION BUILDING: CARILION BELIEVES IN THE POWER OF COLLABORATION AND UNDERSTANDS THAT WE MUST ADDRESS OUR MOST SIGNIFICANT HEALTH ISSUES IN CONCERT WITH THE COMMUNITY. CARILION PARTICIPATES IN COALITIONS THAT ADDRESS HEALTH, SAFETY AND SOCIAL DETERMINANT NEEDS IN THE NEW RIVER VALLEY TO ENSURE LASTING IMPACT FROM THE HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PROCESS. WE ALSO PARTNER WITH MULTIPLE COMMUNITY AND BUSINESS ORGANIZATIONS AROUND INITIATIVES TO IMPROVE HEALTH AND WELLNESS FOR EVERYONE IN THE NEW RIVER VALLEY. AN EXAMPLE INCLUDES PARTICIPATION ON THE LEADERSHIP TEAM FOR AGING IN COMMUNITY, A COALITION FOCUSED ON BUILDING A COMMUNITY THAT MEETS THE NEEDS FOR EACH LIFE STAGE. LINE 8 - WORKFORCE DEVELOPMENT: WITH THE UNDERSTANDING THAT EMPLOYMENT IS DIRECTLY LINKED TO HEALTH AND WELLNESS, CARILION PARTNERS TO PROVIDE WORKFORCE DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS. THESE EFFORTS ALSO DEVELOP A PIPELINE OF FUTURE HEALTH CARE WORKERS. SUPPORT IS PROVIDED TO THE SOUTHWEST VIRGINIA GOVERNOR'S SCHOOL-AN INSTITUTION WHICH HELPS HIGH SCHOOL STUDENTS EXCEL IN STEM LEARNING-FOR STUDENT SCHOLARSHIPS. CARILION NEW RIVER VALLEY MEDICAL CENTER PROVIDES FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS SUPPORTING STUDENTS THROUGH THE HOKIE SCHOLARSHIP FUND AND RADFORD UNIVERSITY GOVERNOR'S SCHOOL FOR HEALTH AND SERVES ON THE VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) ADVISORY BOARD AND BLUE RIDGE PARTNERSHIP FOR HEALTH SCIENCE CAREERS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	CARILION NEW RIVER VALLEY MEDICAL CENTER ESTIMATES BAD DEBT EXPENSE BY RESERVING A PERCENTAGE OF ALL SELF-PAY PATIENT ACCOUNTS RECEIVABLE BY AGING CATEGORY, BASED ON COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES AND, IF PRESENT, ANTICIPATED CHANGES IN TRENDS.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	THE HOSPITAL USES A COMPREHENSIVE PROCESS TO IDENTIFY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE, INCLUDING PRESUMPTIVE ELIGIBILITY SCREENING OF ALL PATIENTS USING AVAILABLE THIRD-PARTY AND EXTERNAL INFORMATION. PRESUMPTIVE ELIGIBILITY CRITERIA MAY INCLUDE A PROPENSITY-TO-PAY INDICATOR, INCOME AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES, AND A CREDIT SCORE OF 625 OR LESS. ACCOUNTS MEETING APPLICABLE PRESUMPTIVE ELIGIBILITY CRITERIA ARE PROCESSED AS FINANCIAL ASSISTANCE. AFTER CONSIDERING INFORMATION OBTAINED THROUGH PRESUMPTIVE ELIGIBILITY SCREENING AND OTHER AVAILABLE PATIENT-ACCOUNT INFORMATION, THE HOSPITAL DETERMINED THAT THE REMAINING BAD DEBT POPULATION DOES NOT CONTAIN SUFFICIENT INFORMATION TO RELIABLY IDENTIFY PATIENTS WHO WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THEY PROVIDED ADDITIONAL INFORMATION. ACCORDINGLY, THE HOSPITAL DID NOT IDENTIFY A REASONABLE METHODOLOGY TO RELIABLY ESTIMATE THE PORTION OF REMAINING BAD DEBT ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, AND NO AMOUNT IS REPORTED ON SCHEDULE H, PART III, LINE 3.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS DUE FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHER INSURERS FOR WHICH CARILION NEW RIVER VALLEY MEDICAL CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) (ASU 2014-09), THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST-TO-CHARGE RATIO. THE HOSPITAL BELIEVES OUR MEDICARE SHORTFALL IS A COST WE INCUR AS A BENEFIT TO THE COMMUNITY. IRS REV. RUL. 69-545 PROVIDES THAT ONE OF THE FACTORS DEMONSTRATING COMMUNITY BENEFIT IS CARING FOR PATIENTS WHO PAY THEIR BILLS THROUGH PUBLIC PROGRAMS SUCH AS MEDICARE. IN ORDER TO OPERATE FOR THE BENEFIT OF THE BROAD COMMUNITY THAT WE SERVE WE MUST INCLUDE OUR SIGNIFICANT MEDICARE POPULATION, EVEN IF WE ARE REQUIRED TO SUBSIDIZE CARE TO OUR MEDICARE PATIENTS DUE TO BEING REIMBURSED AT LESS THAN COST BY MEDICARE'S NONNEGOTIABLE RATES.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	WHEN ACCOUNTS RECEIVABLE EFFORTS ARE EXHAUSTED, THE ACCOUNT MAY BE PLACED WITH A COLLECTION AGENCY AND EXTRAORDINARY COLLECTION ACTIONS (ECAS) MAY BE CONSIDERED. ACCOUNTS WILL NOT BE PLACED WITH A COLLECTION AGENCY PRIOR TO 120 DAYS FROM THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT IS PROVIDED EXCEPT WHEN MAILINGS ARE RETURNED WITH NO FORWARDING ADDRESS AND COMBINING MULTIPLE ACCOUNTS OF VARYING AGE WITH THOSE ALREADY TRANSFERRED OR FOR LEGAL VERIFICATION REGARDING OTHER LIABILITIES. REASONABLE EFFORTS WILL BE MADE TO IDENTIFY APPROPRIATE FORWARDING ADDRESSES. WHEN A FINANCIAL ASSISTANCE APPLICATION (FAA) IS RECEIVED DURING THE APPLICATION PERIOD (WITHIN 240 DAYS AFTER THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT IS PROVIDED), BUT AFTER INITIATION OF ECAS, ALL ECAS WILL BE SUSPENDED. BEST EFFORTS WILL BE MADE TO PROCESS COMPLETED APPLICATIONS WITHIN 30 DAYS OF RECEIPT OF THE APPLICATION; FINANCIAL ASSISTANCE ELIGIBILITY WILL BE DETERMINED AND COMMUNICATED TO THE INDIVIDUAL. INCOMPLETE APPLICATIONS MUST BE COMPLETED WITHIN 30 DAYS OF THE INITIAL NOTIFICATION OF ADDITIONAL ITEMS REQUIRED; OTHERWISE, THE APPLICATION WILL BE DEEMED INCOMPLETE AND CLOSED. IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, ECAS, OTHER THAN THE SALE OF DEBT, WILL BE REVERSED AND ANY PAYMENTS RELATED TO ELIGIBLE CARE REFUNDED TO THE EXTENT NO LONGER OWED. ECAS WILL BE REINSTATED IF THE INDIVIDUAL IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE OR DOES NOT COMPLETE THE FAA BY THE DEADLINE. AT LEAST 30 DAYS BEFORE INITIATING AN ECA, CARILION WILL SEND THE PATIENT WRITTEN NOTICE OF INTENDED ECA(S), A PLAIN LANGUAGE SUMMARY EXPLAINING FINANCIAL ASSISTANCE AVAILABLE AND THE PROCESS FOR DETERMINING ELIGIBILITY, AND THE DEADLINE FOR APPLYING FOR ASSISTANCE. CARILION WILL ALSO ATTEMPT TO CALL INDIVIDUALS AT LEAST 30 DAYS BEFORE INITIATING AN ECA TO MAKE THEM AWARE OF THE FINANCIAL ASSISTANCE AVAILABLE AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS. CARILION SHALL ENTER INTO A WRITTEN CONTRACT WITH ANY COLLECTION AGENCY TO WHICH IT REFERS BAD DEBT. THE CONTRACT WILL OBLIGATE THE COLLECTION AGENCY TO OBSERVE AND COMPLY WITH CARILION'S OBLIGATIONS UNDER THIS POLICY AND THE FINANCIAL ASSISTANCE POLICY. A COLLECTION AGENCY TO WHICH BAD DEBT IS REFERRED FOR COLLECTION MAY NOT ENGAGE IN ANY ECAS WITHOUT THE PRIOR WRITTEN CONSENT OF CARILION. AFTER MAKING REASONABLE EFFORTS TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AND THE PATIENT EITHER DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE OR FAILS TO SUBMIT AN APPLICATION AS REQUESTED, WITHIN 240 DAYS FROM THE DATE THE FIRST POST-DISCHARGE BILLING STATEMENT IS PROVIDED, CARILION MAY ENGAGE IN ONE OR MORE OF THE FOLLOWING ECAS: 1. PLACE A LIEN ON AN INDIVIDUAL'S PROPERTY; 2. ATTACH OR SEIZE AN INDIVIDUAL'S BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY; 3. COMMENCE A CIVIL ACTION AGAINST AN INDIVIDUAL; 4. GARNISH AN INDIVIDUAL'S WAGES; 5. SELL AN INDIVIDUAL'S DEBT TO ANOTHER PARTY; OR 6. REPORT THE ACCOUNT TO CREDIT AGENCIES. CARILION RECOVERY DEPARTMENT WILL INVESTIGATE ANY ACCOUNTS THAT REQUIRE SPECIAL HANDLING. FOR EXAMPLE, IN CASES OF A DECEASED PATIENT, AUTO ACCIDENT, OR ANY OTHER UNIQUE CIRCUMSTANCES REQUIRING SPECIAL HANDLING, THE ACCOUNTS ARE PLACED WITH THE CARILION RECOVERY DEPARTMENT. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, ALL HOSPITAL ACCOUNTS WILL BE RETURNED AND CLOSED AS UNCOLLECTIBLE. NO FURTHER COLLECTION ACTIVITY IS TAKEN AT THAT TIME. ACCOUNTS WITH SATISFACTORY PAYMENT ARRANGEMENTS, LEGAL ACTIVITY OR ACCOUNTS WITH PENDING PAYMENT WILL BE CONSIDERED ACTIVE AND ARE NOT RETURNED.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- CARILION NEW RIVER VALLEY MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.CARILIONCLINIC.ORG/BILLING/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- CARILION NEW RIVER VALLEY MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.CARILIONCLINIC.ORG/BILLING/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- CARILION NEW RIVER VALLEY MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.CARILIONCLINIC.ORG/BILLING/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	IN ADDITION TO CONDUCTING REGULAR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), CARILION CLINIC CLOSELY MONITORS COMMUNITY HEALTH INDICATORS AND RESPONDS TO NEEDS AS THEY ARISE. EACH YEAR, CARILION UPDATES SCORECARDS WITH REFRESHED COUNTY HEALTH RANKINGS INDICATORS PROVIDED BY THE ROBERT WOOD JOHNSON FOUNDATION. CARILION ALSO RESPONDS TO NEEDS IDENTIFIED THROUGH CLINICAL DATA AND INTERNAL DEPARTMENTS, INCLUDING DATA COLLECTED THROUGH SOCIAL DETERMINANT OF HEALTH SCREENINGS. A HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH STEERING COMMITTEE EXISTS TO PROVIDE OVERSIGHT AND GUIDANCE RELATED TO HEALTH EQUITY AND SCREENINGS, AND A RESOURCE NAVIGATION SUBCOMMITTEE TACKLES MORE NUANCED TOPICS AROUND CURRENT COMMUNITY NEEDS AS SEEN IN THE PATIENT POPULATION. CARILION'S CALL CENTER, CARILION DIRECT, ALLOWS COMMUNITY MEMBERS TO ASK QUESTIONS AND CONNECT WITH AVAILABLE RESOURCES. COMMUNITY HEALTH WORKERS (CHWS) HELP ADDRESS NEEDS, AND DATA IS REVIEWED PERIODICALLY TO IDENTIFY TRENDS IN HEALTH CARE NEEDS OF PATIENTS SERVED BY CHWS. HEALTHCARE NEEDS ARE ALSO IDENTIFIED THROUGH CURRENT COLLABORATIVE RELATIONSHIPS AND COMMUNITY PARTNERSHIPS, INCLUDING COLLABORATION WITH THE VIRGINIA DEPARTMENT OF HEALTH AND LOCAL SAFETY NET PARTNERS. ONGOING COLLABORATION WITH STAKEHOLDERS ALLOWS FOR REGULAR COMMUNICATION OF NEEDS AND GIVES OUR PARTNERS OPPORTUNITIES TO RESPOND COHESIVELY. CARILION HAS ADAPTED ITS COMMUNITY HEALTH IMPROVEMENT PROCESS FROM ASSOCIATES IN PROCESS IMPROVEMENT'S MODEL FOR IMPROVEMENT AND THE PLAN-DO-STUDY-ACT CYCLE DEVELOPED BY WALTER SHEWHART. IT CONSISTS OF FIVE 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. THE STRIVE COLLECTIVE IMPACT MODEL FOR THE COMMUNITY HEALTH ASSESSMENT TEAM HELPS CARILION FOSTER COMMUNITY DEVELOPMENT IN ITS CHNA AND COMMUNITY HEALTH IMPROVEMENT PROCESSES. 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) CAN LEAD TO LARGE-SCALE CHANGES. IT FOCUSES ON RELATIONSHIP-BUILDING BETWEEN ORGANIZATIONS AND THE PROGRESS TOWARD SHARED STRATEGIES.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ON FINANCIAL ASSISTANCE IS PROVIDED TO THE PATIENT AT HOSPITAL ADMISSION AND AMBULATORY AREAS IN THE FORM OF SIGNAGE, A PLAIN LANGUAGE SUMMARY WHICH INCLUDES CONTACT INFORMATION, FINANCIAL ASSISTANCE APPLICATION AND DOCUMENTATION IN THE INPATIENT HANDBOOK. PATIENT ACCESS STAFF, HOSPITAL SOCIAL WORKERS AND CUSTOMER SERVICE REPRESENTATIVES VERBALLY INFORM PATIENTS ON AVAILABILITY OF ASSISTANCE. EACH PATIENT BILLING STATEMENT AND PATIENT FINANCIAL RESPONSIBILITY LETTER INCLUDES INFORMATION ON THE FINANCIAL ASSISTANCE POLICY INCLUDING WHO TO CONTACT FOR ADDITIONAL INFORMATION AND LOCATION OF IN-PERSON ASSISTERS. THE APPLICATION, THE POLICY, AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE FREE OF CHARGE TO THE PATIENT. THEY ARE AVAILABLE BY MAIL AND ON THE WEB SITE IF THE PATIENT DID NOT RECEIVE WRITTEN INFORMATION AT THE TIME OF SERVICE. FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE ALSO DISTRIBUTED TO COMMUNITY PARTNERS THROUGH ELECTRONIC MAILING GROUPS. CARILION CLINIC PARTNERS WITH AN ELIGIBILITY STAFF THAT COUNSEL PATIENTS ON FEDERAL AND STATE PROGRAMS. THE STAFF COMPLETES APPLICATIONS FOR MEDICAID AND PROVIDES INFORMATION ON SOCIAL SECURITY, SOCIAL SECURITY DISABILITY AND MEDICARE. THE STAFF PROVIDES SUPPORT SERVICES ENSURING THE APPLICATIONS ARE PROCESSED CORRECTLY BASED ON FEDERAL AND STATE POLICY. IN ADDITION, ELIGIBILITY STAFF ARE TRAINED AS CERTIFIED APPLICATION COUNSELORS AND WILL ASSIST PATIENTS IN ENROLLMENT IN THE MARKETPLACE. ELIGIBILITY STAFF WILL ALSO COMPLETE CARILION'S FINANCIAL ASSISTANCE APPLICATION AND COUNSEL PATIENTS ON THE REQUIREMENTS FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	CARILION NEW RIVER VALLEY MEDICAL CENTER (CNRV) SERVES THE SOUTHWEST VIRGINIA COUNTIES OF MONTGOMERY, PULASKI, FLOYD, WYTHE AND GILES IN ADDITION TO THE CITY OF RADFORD. CNRV IS PART OF CARILION CLINIC, A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN ROANOKE, VIRGINIA. PLEASE NOTE THAT WHILE WYTHE COUNTY IS INCLUDED IN THE SERVICE AREA, IT IS NOT TRADITIONALLY CONSIDERED PART OF THE NEW RIVER VALLEY. THE NEW RIVER VALLEY HAS MANY SMALL-TOWN COMMUNITIES, EACH WITH A DIFFERENT FEEL AND ARRAY OF RESOURCES. THESE SMALL TOWNS VARY GREATLY IN THE DEMOGRAPHIC AND ECONOMIC MAKEUP OF THE INDIVIDUALS WHO LIVE THERE. EACH LOCALITY IS UNIQUE, WITH THEIR OWN SPECIFIC RESOURCES AND CHALLENGES. THE PRESENCE OF THE UNIVERSITIES PARTICULARLY IMPACTS THEIR HOME COMMUNITIES' DIVERSITY, RESOURCES, WORKFORCE, HOUSING MARKET, HEALTH NEEDS AND SOCIETAL STRUCTURE. MONTGOMERY COUNTY AND RADFORD CITY, EACH HOME TO VIRGINIA TECH AND RADFORD UNIVERSITY, RESPECTIVELY, ARE MORE RACIALLY AND ETHNICALLY DIVERSE THAN THE REST OF THE METROPOLITAN STATISTICAL AREA. ALL LOCALITIES ARE MORE RACIALLY HOMOGENOUS AND BELOW THE STATE AVERAGE (11%) FOR THE PERCENTAGE OF THE POPULATION IDENTIFYING AS HISPANIC OR LATINO, WITH THE HIGHEST PERCENTAGE (4.64%) IN MONTGOMERY COUNTY. (US CENSUS BUREAU, ACS, 2020-2024) IN ADDITION TO CARILION CLINIC'S TWO HOSPITALS LOCATED IN THE NEW RIVER VALLEY, CNRV AND CARILION GILES COMMUNITY HOSPITAL (CGCH), THE REGION IS ALSO SERVED BY LEWISGALE HOSPITAL-MONTGOMERY AND LEWIS GALE HOSPITAL-PULASKI. KEY SAFETY-NET PROVIDERS IN THE REGION INCLUDE TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH MULTIPLE LOCATIONS, THE COMMUNITY HEALTH CENTER OF THE NEW RIVER VALLEY AND TRI-AREA COMMUNITY HEALTH CENTER; VDH NEW RIVER HEALTH DISTRICT CLINICS; THE PULASKI FREE CLINIC; THE NEW RIVER VALLEY COMMUNITY SERVICES BOARD; AND OTHER SERVICE ORGANIZATIONS. PRIMARY CARE HEALTHCARE PROFESSIONAL SHORTAGE AREAS (HPSAS) COVER THE ENTIRE COUNTIES OF FLOYD, GILES, AND WYTHE, THE LOW-INCOME POPULATION OF MONTGOMERY AND PULASKI COUNTIES, AND RADFORD CITY. DENTAL HEALTH HPSAS EXIST FOR GILES COUNTY AND THE LOW-INCOME POPULATION OF EACH LOCALITY. MENTAL HEALTH HPSAS EXIST FOR THE NEW RIVER VALLEY'S LOW-INCOME POPULATION. ADDITIONALLY, FLOYD, GILES, AND WYTHE COUNTIES ARE ALL MEDICALLY UNDERSERVED AREAS (MUAS), ALONG WITH RADFORD CITY. PULASKI AND MONTGOMERY COUNTY ARE CONSIDERED MEDICALLY UNDERSERVED FOR THE LOW-INCOME POPULATION. (HPSA AND MUA FIND. ACCESSED: HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/HPSA-FIND AND HTTPS://DATA.HRSA.GOV/TOPICS/HEALTH-WORKFORCE/SHORTAGE-AREAS/MUA-FIND)(HPSA FIND. ACCESSED: HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/HPSA-FIND) THE TOTAL POPULATION FOR THE SERVICE AREA IS JUST UNDER TWO HUNDRED AND TEN THOUSAND RESIDENTS (209,852), WITH ALMOST HALF OF THOSE LIVING IN MONTGOMERY COUNTY (47.2%) (US CENSUS BUREAU, ACS, 2020-2024). THE WELDON COOPER CENTER FOR PUBLIC SERVICE PREDICTS POSITIVE POPULATION CHANGE FROM 202-2040 FOR MONTGOMERY COUNTY AND RADFORD CITY, WHILE ALL OTHERS MAY HAVE SLIGHT POPULATION LOSS (HTTPS://WWW.COOPERCENTER.ORG/VIRGINIA-POPULATION-PROJECTIONS). ACCORDING TO 2020-2024 ACS SURVEY DATA FROM THE US CENSUS BUREAU, APPROXIMATELY ONE OF EVERY FIVE RESIDENTS IS EXPERIENCING POVERTY (19%). THE AVERAGE HOUSEHOLD INCOME RANGES FROM $74,233 IN RADFORD CITY TO $99,780 IN MONTGOMERY COUNTY. IN CONTRAST, THE MEDIAN HOUSEHOLD INCOMES ACROSS THE REGION RANGE FROM ONLY $15,529 LESS THAN AVERAGE IN GILES COUNTY TO $27,065 LESS THAN AVERAGE IN MONTGOMERY COUNTY. THIS INDICATES THAT THERE MAY BE SOME PARTICULARLY HIGH INCOMES IN MONTGOMERY INFLUENCING THE AVERAGE. MEDICAID COVERS 15% OF THE AREA'S INSURED POPULATION AND 5% OF THE AREA'S TOTAL POPULATION REPORTS HAVING NO HEALTH INSURANCE. (US CENSUS BUREAU, ACS, 2020-2024). IN FISCAL YEAR 2025, ACCORDING TO INTERNAL STRATA DATA, 18% OF CNRV INPATIENTS AND OUTPATIENTS RECEIVED MEDICAID, WHILE 4% WERE SELF-PAY, A PROXY FOR UNINSURED.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	CARILION NEW RIVER VALLEY MEDICAL CENTER IS PART OF THE NON-PROFIT CARILION CLINIC INTEGRATED HEALTH CARE SYSTEM LOCATED IN THE BLUE RIDGE MOUNTAINS. CARILION PROVIDES QUALITY CARE FOR NEARLY ONE MILLION INDIVIDUALS THROUGH A COMPREHENSIVE NETWORK OF HOSPITALS, PRIMARY AND SPECIALTY PHYSICIAN PRACTICES, WELLNESS CENTERS, AND OTHER COMPLEMENTARY SERVICES. CARILION'S ROOTS GO BACK MORE THAN A CENTURY WHEN A GROUP OF DEDICATED CITIZENS CAME TOGETHER AND BUILT A HOSPITAL TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. TODAY, CARILION IS A VITAL ANCHOR INSTITUTION FOCUSED ON HEALTH CARE AND DEDICATED TO OUR MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. WITH AN ENDURING COMMITMENT TO OUR REGION'S HEALTH, CARE IS ADVANCED THROUGH CLINICAL SERVICES, MEDICAL EDUCATION, RESEARCH AND COMMUNITY HEALTH INVESTMENTS. CARILION BELIEVES IN SERVICE, COLLABORATION AND CARING FOR ALL. CARILION INVESTS IN DISCOVERING AND RESPONDING TO LOCAL AND REGIONAL HEALTH NEEDS, UNDERSTANDING THAT WE MUST INVOLVE ADDITIONAL STAKEHOLDERS TO ADDRESS COMMUNITY HEALTH ISSUES AND CREATE CHANGE EFFECTIVELY. CARILION RECOGNIZES THE IMPACT THE ENVIRONMENT HAS ON THE HEALTH OF OUR COMMUNITIES. EFFORTS CONTINUE TO MAKE OUR HOSPITALS AND OTHER FACILITIES MORE ENERGY-EFFICIENT, INCREASE RECYCLING AND USE OF RECYCLABLE OR BIO-DEGRADABLE MATERIALS, REDUCE WASTE MATERIALS AND SERVE LOCAL, SUSTAINABLE FOODS TO PATIENTS AND IN OUR CAFETERIAS. CARILION HAS AN OFFICE OF SUSTAINABILITY THAT LEADS THESE EFFORTS AND EMPOWERS EMPLOYEES TO BE INVOLVED IN ENVIRONMENTAL HEALTH RELATED PROJECTS. AS THE LEADING HEALTH CARE PROVIDER IN THE NEW RIVER VALLEY, CARILION NEW RIVER VALLEY MEDICAL CENTER (CNRV) SERVES THE SOUTHWEST VIRGINIA COUNTIES OF MONTGOMERY, PULASKI, FLOYD, WYTHE, AND GILES, IN ADDITION TO THE CITY OF RADFORD. THE 110-BED ACUTE CARE FACILITY SERVES AS CARILION'S WESTERN REGION HUB, PROVIDING A VARIETY OF INPATIENT AND OUTPATIENT SERVICES, SPECIALTY CARE, MEDICAL EDUCATION, A LEVEL III TRAUMA CENTER AND BIRTH CENTER. (HTTPS://WWW.CARILIONCLINIC.ORG/LOCATIONS/CARILION-NEW-RIVER-VALLEY-MEDICAL-CENTER) CNRV'S HISTORY DATES BACK TO 1941, WHEN RADFORD COMMUNITY HOSPITAL (RCH) WAS FIRST ESTABLISHED TO SERVE THE INDUSTRIAL DEVELOPMENTS IN THE AREA AT THE TIME. RCH CONTINUED TO MODERNIZE AND GROW AND BECAME AFFILIATED WITH THE ROANOKE HOSPITAL ASSOCIATION IN NOVEMBER OF 1987, DURING THE TRANSITION OF THE ROANOKE HOSPITAL ASSOCIATION INTO CARILION HEALTH SYSTEM (NOW CARILION CLINIC). ON MARCH 20, 1999, RCH CAPITALIZED ON ITS STANDING AS A REGIONAL HOSPITAL AND OPENED CNRV AT ITS CURRENT LOCATION IN CHRISTIANSBURG, VIRGINIA. CNRV SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL'S GOVERNING BOARD MEMBERS RESIDE IN THE REGION AND ARE ELECTED TO 3-YEAR TERMS, WITH BOARD OFFICERS ELECTED ANNUALLY. THE MAJORITY OF MEMBERS ARE NEITHER HOSPITAL EMPLOYEES NOR CONTRACTORS. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS. SURPLUS FUNDS ARE REINVESTED IN NEW TECHNOLOGY, CLINICAL INITIATIVES, EDUCATION AND CHARITABLE EFFORTS. REINVESTMENTS INCLUDE PROVIDING FREE, DISCOUNTED AND SUBSIDIZED CARE AND CRITICAL MEDICAL SERVICES NOT OTHERWISE OFFERED IN OUR REGION.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	CARILION NEW RIVER VALLEY MEDICAL CENTER IS WHOLLY OWNED BY CARILION CLINIC, A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION BASED IN ROANOKE, VIRGINIA. CARILION CLINIC INCLUDES A COMPREHENSIVE NETWORK OF HOSPITALS, PRIMARY AND SPECIALTY PHYSICIAN PRACTICES, AND COMPLEMENTARY SERVICES COMPRISING SIX HOSPITAL ENTITIES, 86 SPECIALTIES AND 295 PRACTICE SITES ACROSS SOUTHWEST VIRGINIA. ALL OF THESE ARE CENTERED ON A COMMON MISSION AND SHARED VALUES. IN THE MID-2000S, CARILION TRANSFORMED FROM A COLLECTION OF HOSPITALS TO A PHYSICIAN-LED, INTEGRATED HEALTHCARE SYSTEM. ADVANCES INCLUDE DEVELOPING A MULTI-SPECIALTY PHYSICIAN GROUP, TRANSFORMING OUR PRIMARY CARE PRACTICES INTO PATIENT-CENTERED MEDICAL HOMES,IMPLEMENTING ELECTRONIC HEALTH RECORDS SYSTEM-WIDE,CREATING A ROBUST PARTNERSHIP WITH VIRGINIA TECH, INCLUDING DEVELOPING THE VIRGINIA TECH CARILION (VTC) SCHOOL OF MEDICINE AND THE FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC AND HOSTING RADFORD UNIVERSITY CARILION'S HEALTHCARE PROFESSIONAL EDUCATIONAL OFFERINGS ON-SITE OF A CARILION HOSPITAL. EACH DECISION AND ADAPTATION HAS FUNDAMENTALLY CHANGED HOW CARILION COLLABORATES AND PROVIDES CARE (HTTPS://WWW.CARILIONCLINIC.ORG/ABOUT-CARILION-CLINIC). CARILION'S COMMUNITY AND POPULATION HEALTH INFRASTRUCTURE IS THE HEALTH SYSTEM'S ENGINE FOR PROVIDING COLLABORATIVE OPPORTUNITIES TO IMPROVE AND PROMOTE THE COMMUNITY'S HEALTH. CARILION'S COMMUNITY HEALTH ASSESSMENT PROCESS HELPS IDENTIFY THE STRENGTHS AND BARRIERS IMPACTING HEALTH. OUR COMMUNITY-BASED PROGRAMS REFLECT THE ROBERT WOOD JOHNSON FOUNDATION'S FRAMEWORK OF FOUR MAIN INFLUENCES OF HEALTH: HEALTH BEHAVIORS, SOCIAL AND ECONOMIC FACTORS, CLINICAL CARE ACCESS AND QUALITY, AND PHYSICAL ENVIRONMENT. OUR MANY PARTNERSHIPS WITH CROSS-SECTOR ORGANIZATIONS CREATE A COLLABORATIVE CULTURE OF HEALTH AND WELLNESS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
RADFORD UNIVERSITY FOUNDATION
905 TYLER AVENUE	RADFORD	VA	24142	237219782	501(C)(3)	$25,000	GOVERNORS SCHOOL
BLACKSBURG COUNTRY CLUB FDN
1064 CLUBHOUSE ROAD	BLACKSBURG	VA	24060	474776644	501(C)(3)	$20,000	EVENT SPONSORSHIP
NRV REGIONAL COMMISSION
6580 VALLEY CENTER DR 124	RADFORD	VA	24141	540855741	VIRGINIA	$40,000	NRV HOUSING TRUST FUND
NEW RIVER COMMUNITY ACTION INC
206 THIRD AVE	RADFORD	VA	24141	540793072	501(C)(3)	$10,000	HEALTH LITERACY TRAINING
WOMEN'S RESOURCE CTR OF THE NRV
1217 GROVE AVE	RADFORD	VA	24141	541121334	501(C)(3)	$10,000	DOMESTIC/SEXUAL VIOLENCE PROGRAM
VIRGINIA TECH FOUNDATION
902 PRICES FORK RD 130	BLACKSBURG	VA	24061	540721690	501(C)(3)	$33,500	SCHOLARSHIPS
NEW RIVER VALLEY SENIOR SERVICES
44 3RD STREET NW	PULASKI	VA	24301	541022999	501(C)(3)	$7,500	HEALTHCARE TRANSPORTATION

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	THE HOSPITAL DONATES FUNDS TO OTHER CHARITABLE ORGANIZATIONS IN SUPPORT OF HEALTH AND COMMUNITY IMPROVEMENT. SUCH ORGANIZATIONS ALSO HAVE COMMUNITY BOARDS WHICH OVERSEE THE EXPENDITURE OF SUCH FUNDS. CARILION CLINIC IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THAT WE SERVE BY ADDRESSING KEY HEALTH PRIORITIES IDENTIFIED THROUGH OUR TRIENNIAL COMMUNITY HEALTH ASSESSMENTS. CARILION FULFILLS THIS COMMITMENT IN MANY WAYS, ONE OF WHICH IS THROUGH TARGETED GRANTS FOR COMMUNITY HEALTH IMPROVEMENT PROGRAMS, AND THOSE THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH. FOR CARILION CLINIC'S COMMUNITY GRANT PROGRAM, EACH GRANTEE MUST SIGN A LETTER OF AGREEMENT WITH CARILION CLINIC THAT DELINEATES THE TERMS AND SPECIFIC OBJECTIVES OF THE PROJECT. BY ACCEPTING A CARILION AWARD, GRANTEES ARE ASKED TO ACKNOWLEDGE THE SUPPORT OF CARILION CLINIC IN ALL MATERIALS AND/OR RELATED SPECIAL EVENTS OR FUNDRAISERS THROUGHOUT THE AWARD CYCLE WHERE OTHER DONORS ARE PUBLICLY RECOGNIZED. ONE MID-CYCLE PROGRESS REPORT AND A FINAL PROGRAM EVALUATION ARE REQUIRED FOR EACH FUNDED PROJECT. SITE VISITS MAY BE MADE TO GRANTEES. PROGRAM EVALUATION INCLUDES ALIGNMENT WITH COMMUNITY HEALTH ASSESSMENT PRIORITIES, PROGRAM IMPACT, ORGANIZATIONAL EFFECTIVENESS AND COMMUNITY BENEFIT THROUGH COLLECTION OF DATA INCLUDING CLIENTS SERVED, COST EFFECTIVENESS OF THE PROGRAM (COST PER CLIENT OR SERVICE), TANGIBLE COMMUNITY OR CLIENT OUTCOMES, COLLABORATION WITH OTHER ORGANIZATIONS, 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
WILLIAM FLATTERY
DIRECTOR/SEC/TREAS./HOSP. VP	$287,536	$0	$45,765	$0	$14,446	$0	$180,466	$0	$18,715	$0	$546,928	$0	$0	$0
CHARLES BISSELL MD
DIRECTOR/PHYSICIAN	$0	$156,544	$0	$0	$0	$2,027	$0	$0	$0	$579	$0	$159,150	$0	$0
ASHISH RAJU MD
DIRECTOR/PHYSICIAN	$0	$446,543	$0	$75,948	$0	$2,383	$0	$72,751	$0	$25,391	$0	$623,016	$0	$0
NICHOLAS CONTE
ASST. SECRETARY/EVP/CLO	$0	$786,488	$0	$196,275	$0	$235,259	$0	$248,836	$0	$19,458	$0	$1,486,316	$0	$227,408
DONALD HALLIWILL
ASST. TREASURER/EVP/CFO	$0	$825,952	$0	$207,880	$0	$275,180	$0	$380,086	$0	$27,119	$0	$1,716,217	$0	$269,399
G ROBERT VAUGHAN JR
ASST. TREASURERSVP	$0	$382,897	$0	$73,983	$0	$86,609	$0	$299,218	$0	$27,119	$0	$869,826	$0	$80,547
SHYAM ODETI MD
VP/CHIEF MEDICAL OFFICER	$0	$349,944	$0	$110,958	$0	$3,141	$0	$24,879	$0	$25,193	$0	$514,115	$0	$0
RALPH BROWN MD
PHYSICIAN	$262,976	$0	$17,072	$0	$3,946	$0	$182,332	$0	$26,361	$0	$492,687	$0	$0	$0
MICHAEL CZAR
PHARMACY DIRECTOR	$168,751	$0	$425	$0	$1,391	$0	$68,275	$0	$25,093	$0	$263,935	$0	$0	$0
KRISTI HALL
NURSING SENIOR DIRECTOR	$165,313	$0	$12,707	$0	$7,001	$0	$86,245	$0	$8,764	$0	$280,030	$0	$0	$0
DONNA SHELOR
PHARMACIST	$163,786	$0	$13,633	$0	$6,712	$0	$83,396	$0	$171	$0	$267,698	$0	$0	$0
KATHLEEN TICKLE
PHARMACIST	$179,216	$0	$425	$0	$3,171	$0	$108,427	$0	$1,076	$0	$292,315	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	EMPLOYEES ARE OCCASIONALLY PROVIDED SMALL GIFTS, PRIZES OR AWARDS WHICH ARE INCLUDED IN TAXABLE COMPENSATION AND GROSSED UP FOR TAXES. DURING THE REPORTING PERIOD, MS. SHELOR RECEIVED SUCH BENEFIT.
SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES	PROVISION OF THE HEALTH CLUB BENEFIT IS DOCUMENTED IN BOARD MEETING MINUTES AND CARILION INTERNALLY TRACKS THE MEMBERSHIPS AND PAYS THE HEALTH CLUB DIRECTLY. MANAGEMENT MAKES TAX GROSS-UP DECISIONS AT ITS DISCRETION FOR NON-ROUTINE SMALL GIFTS, PRIZES OR AWARDS CONSIDERING IRS REQUIREMENTS, AMOUNT, AND NON-CASH STATUS.
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	THE ORGANIZATION HAS A SINGLE MEMBER, CARILION CLINIC, A CHARITABLE TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF THE CARILION CLINIC INTEGRATED HEALTH CARE DELIVERY SYSTEM. EXECUTIVE COMPENSATION, INCLUDING THAT OF THE HOSPITAL VICE PRESIDENT, THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, IS REVIEWED ANNUALLY BY THE CARILION CLINIC BOARD OF DIRECTORS COMPENSATION COMMITTEE. THIS COMMITTEE IS MADE UP OF BOARD MEMBERS OF CARILION CLINIC WHO DO NOT HAVE A CONFLICT OF INTEREST WITH ANY OF THE EXECUTIVES BEING REVIEWED. THIS REVIEW INCLUDED REVIEW OF A COMPREHENSIVE REPORT FROM AN INDEPENDENT, 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 COMPARISON OF TOTAL COMPENSATION AND EACH ELEMENT THEREOF, INCLUDING BASE SALARY, BONUS,'AT-RISK OTHER CASH COMPENSATION, AND BENEFITS, INCLUDING DEFERRED AND RETIREMENT BENEFITS. COMPENSATION WAS COMPARED TO BOTH A NATIONAL AND REGIONAL PEER GROUP OF ORGANIZATIONS SIMILAR IN SIZE AND STRUCTURE TO THE ORGANIZATION, WHICH LIST WAS REVIEWED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE MAINTAINED MINUTES OF ITS MEETINGS, SETTING FORTH THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION OF THESE EXECUTIVES.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	MR. CONTE, MR. HALLIWILL, AND MR. VAUGHAN PARTICIPATE IN A DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (DC SERP). CONTRIBUTIONS TO THE PLAN ARE AT THE DISCRETION OF CARILION CLINIC'S COMPENSATION COMMITTEE. AMOUNTS VEST AND BECOME NON-FORFEITABLE AND PAYABLE UPON THE FIRST OF THE FOLLOWING (1) ATTAINMENT OF SCHEDULED VESTING DATE (2) ATTAINMENT OF AGE AND YEARS OF SERVICE REQUIREMENTS (3) DISABILITY OR DEATH WHILE AN ELIGIBLE EMPLOYEE OR (4) ENTITLEMENT TO SEVERANCE BENEFITS FROM AN INVOLUNTARY TERMINATION WITHOUT REASONABLE CAUSE OR RESIGNATION WITH GOOD REASON. UNVESTED CONTRIBUTIONS MADE TO THE DC SERP IN THE REPORTING PERIOD ARE INCLUDED IN PART II, COLUMN C OF THIS SCHEDULE WITH "RETIREMENT AND OTHER DEFERRED COMPENSATION," WHILE VESTED CONTRIBUTIONS PAID OUT DURING THE YEAR ARE INCLUDED IN PART II, COLUMN B(III). THE FOLLOWING DISTRIBUTIONS WERE MADE TO THESE INDIVIDUALS UNDER THIS PLAN IN THE REPORTING YEAR. DEFERRED IN PRIOR YEAR AND PAID OUT IN CURRENT YEAR: $227,408 - NICHOLAS CONTE $269,399 - DONALD HALLIWILL $80,547 - G. ROBERT VAUGHAN, JR.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS	THE ORGANIZATION PAYS ANNUAL 'AT RISK' COMPENSATION TO CERTAIN MEMBERS OF MANAGEMENT AND PHYSICIANS BASED ON PERFORMANCE OF APPLICABLE SCORECARD METRICS. WHILE THE SCORECARD CONTAINS A FORMULA AS A BASIS FOR DETERMINING OVERALL PERFORMANCE, IN CERTAIN CASES, SENIOR MANAGERS HAVE DISCRETION TO INCLUDE ADDITIONAL ELEMENTS IN THEIR ASSESSMENT OF MANAGERS OR PHYSICIANS REPORTING TO THEM. IN ADDITION, FOR TOP MANAGEMENT, THE ACTUAL NON FIXED PAYMENT AWARDED IS DETERMINED IN THE DISCRETION OF THE CARILION CLINIC BOARD OF DIRECTORS AND ITS COMPENSATION COMMITTEE

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF JAMES MCALISTER, DIRECTOR	RelationshipDescriptionTxt
Transaction	$29,891	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6 VOLUNTEERS	VOLUNTEERS SUPPORT THE MISSION OF CARILION NEW RIVER VALLEY MEDICAL CENTER BY PROVIDING VALUABLE SERVICES TO PATIENTS, FAMILIES, VISITORS, AND STAFF. FRONT DESK AND EMERGENCY DEPARTMENT VOLUNTEERS ASSIST WITH WAYFINDING, PATIENT AND VISITOR ESCORTS, ADMINISTRATIVE TASKS, AND OTHER NON-CLINICAL NEEDS, WHILE PARTICIPANTS IN THE SUMMER YOUTH VOLUNTEER PROGRAM SERVE IN DEPARTMENTS THROUGHOUT THE HOSPITAL. TRAINED VOLUNTEERS IN THE NO ONE DIES ALONE (NODA) PROGRAM PROVIDE COMPANIONSHIP TO PATIENTS AT THE END OF LIFE, PATIENT CARE VOLUNTEERS OFFER COMPANIONSHIP AND RESPITE FOR FAMILIES, AND VETERAN-TO-VETERAN VOLUNTEERS SUPPORT AND RECOGNIZE VETERAN PATIENTS. OTHER VOLUNTEER ACTIVITIES INCLUDE MUSICAL PERFORMANCES BY LOCAL TEACHERS AND STUDENTS, ANIMAL-ASSISTED VISITS THROUGH PET PALS, AND SUPPORT FOR THE AA PROGRAM AT CARILION MENTAL HEALTH. VOLUNTEERS ALSO ASSIST WITH GRIEF MAILINGS, TUCK-IN CALLS, ADMISSION MATERIALS, AND OTHER ADMINISTRATIVE NEEDS AND CREATE ITEMS FOR PATIENTS, INCLUDING FIDGET BLANKETS, QUILTS, BIBS, AND BAGS FOR CARRYING SUPPLIES HOME. COLLECTIVELY, THESE VOLUNTEER SERVICES ENHANCE THE PATIENT AND FAMILY EXPERIENCE AND EXTEND THE HOSPITAL'S ABILITY TO PROVIDE COMPASSIONATE CARE TO THE COMMUNITY.
FORM 990, PART III, LINE 4A PROGRAM ACCOMPLISHMENTS	CARILION NEW RIVER VALLEY MEDICAL CENTER, 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. THE MEDICAL CENTER IS A MODERN HOSPITAL FACILITY WITH DIAGNOSTIC AND MEDICAL AND SURGICAL CARE, A LEVEL III TRAUMA EMERGENCY DEPARTMENT, AND CARILION MENTAL HEALTH FOR PSYCHIATRY AND BEHAVIORAL MEDICINE. CARILION NEW RIVER VALLEY MEDICAL CENTER (CNRV) EXISTS TO SERVE THE HEALTH CARE NEEDS OF ITS COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. CNRV ADMITTED 8,832 PATIENTS, PROVIDED 40,503 DAYS OF CARE DURING THE YEAR, AND DELIVERED 845 BABIES. HOSPITAL PROGRAMS INCLUDE THE PROVISION OF NURSING CARE, EXTENSIVE OUTPATIENT AND INPATIENT MEDICAL, SURGICAL AND ENDOSCOPIC SERVICES, COMPREHENSIVE HEART TREATMENT WITH INTERVENTIONAL CARDIAC CATHETERIZATION, DIAGNOSTIC, THERAPEUTIC AND REHAB SOLUTIONS, AND DIAGNOSTIC IMAGING SERVICES INCLUDING CT, MRI, PET/CT, MAMMOGRAPHY, X-RAY AND ULTRASOUND. ADDITIONAL SPECIALTY SURGICAL CARE INCLUDES ADVANCED SURGERY WITH ROBOTICS, GENERAL AND VASCULAR SURGERY, ORTHOPEDICS, UROLOGY, GYNECOLOGIC, NEUROSURGERY, PLASTIC SURGERY AND ENT CARE. MEDICAL CARE IN PULMONARY, NEUROLOGY, PHYSICAL MEDICINE AND PEDIATRICS SUPPORT PATIENT CARE. WITH 17% OF ITS INPATIENT ADMISSIONS REPRESENTING PSYCHIATRIC ADMISSIONS AND A SIGNIFICANT OUTPATIENT PRESENCE IN BEHAVIORAL MEDICINE, CNRV PLAYS A CRITICAL ROLE IN PROVIDING MENTAL HEALTH SERVICES TO THE REGION. CNRV IS A LEVEL III TRAUMA CENTER AND PROVIDES A HOME BASE FOR LIFEGUARD, THE EMERGENCY MEDICAL AIR TRANSPORT THAT SERVES THE SURROUNDING AREA. CNRV PROVIDES SEVERAL INPATIENT AND OUTPATIENT SERVICES TARGETING THE SPECIFIC HEALTH NEEDS OF ITS POPULATION, INCLUDING DIABETES MANAGEMENT, HOME HEALTH AND HOSPICE, PHYSICAL, SPEECH, OCCUPATIONAL AND PEDIATRIC THERAPY PROGRAMS, AND CARDIAC AND RESPIRATORY REHAB. CNRV ALSO PROVIDES AN EMERGENCY DEPARTMENT WITH 24-HOUR CARE AND EMERGENCY TRANSPORTATION. WITH 30,524 VISITS, CNRV'S EMERGENCY SERVICES ARE A CRITICAL COMPONENT OF THE HEALTH SAFETY NET IN ITS SERVICE AREA, ACTING AS THE PRIMARY HEALTH PROVIDER FOR A SIGNIFICANT NUMBER OF UNINSURED PATIENTS, WHO COMPRISE NEARLY 6 PERCENT OF ED VISITS. IN FURTHERANCE OF ITS MISSION, CNRV PROVIDES EXTENSIVE UNCOMPENSATED CARE AND COMMUNITY SUPPORT. ACTIVITIES INCLUDE NUMEROUS COMMUNITY SCREENING EVENTS AND EDUCATION ON CHRONIC DISEASE PREVENTION AND MANAGEMENT. CNRV ALSO CHAMPIONS AND SUPPORTS A MEDICATION ASSISTANCE PROGRAM IN PARTNERSHIP WITH COMMUNITY-BASED SOCIAL SERVICES. STATED AT COST, TOTAL FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS FOR THE YEAR WERE NEARLY $3 MILLION.
FORM 990, PART IV, LINE 11F DISCLOSURE OF UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, PART V, LINE 1A 1099'S	1099S ARE ISSUED ON CARILION NEW RIVER VALLEY MEDICAL CENTER'S BEHALF BY CARILION SERVICES, INC., A RELATED SUPPORTING ORGANIZATION PROVIDING MANAGEMENT AND ADMINISTRATIVE SERVICES, INCLUDING PAYMENT PROCESSING. CARILION NEW RIVER VALLEY MEDICAL CENTER'S DISREGARDED ENTITY, CARILION NEW RIVER VALLEY SURGERY CENTER, LLC, ISSUED 4 1099S FOR THE YEAR.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	NICHOLAS CONTE, WILLIAM FLATTERY, DONALD HALLIWILL, J. HARRISON LAPUASA, G. ROBERT VAUGHAN, JR, JULIE SMITH-HAMILTON, SHYAM ODETI, CHARLES BISSELL, AND ASHISH RAJU - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES	CERTAIN MANAGEMENT AND RELATED SERVICES FOR THE ORGANIZATION ARE PROVIDED BY THE MANAGEMENT AND EMPLOYEES OF CARILION SERVICES, INC., A RELATED AND SUPPORTING ORGANIZATION OF THE FILING ORGANIZATION. SOME OR ALL OF THE COMPENSATION OF THE FOLLOWING INDIVIDUALS LISTED IN PART VII, SECTION A WAS PROVIDED BY CARILION SERVICES, INC.: NICHOLAS CONTE, DONALD HALLIWILL, JULIE SMITH-HAMILTON, J. HARRISON LAPUASA AND G. ROBERT VAUGHAN, JR. CERTAIN MANAGEMENT AND RELATED SERVICES FOR CARILION NEW RIVER VALLEY SURGERY CENTER, LLC, A DISREGARDED ENTITY OF THE FILING ORGANIZATION, ARE PROVIDED BY THE EMPLOYEES OF ASD MANAGEMENT. NONE OF THE INDIVIDUALS LISTED IN PART VII, SECTION A RECEIVED COMPENSATION FROM ASD MANAGEMENT.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	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, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	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, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	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, AMONG OTHERS. APPROVAL BY THE BOARD OF DIRECTORS OF CARILION CLINIC IS REQUIRED FOR SUCH ACTIONS. IN ADDITION TO THE RESERVED POWERS, UNDER THE LAWS OF THE COMMONWEALTH OF VIRGINIA, CERTAIN EXTRAORDINARY ACTIONS REQUIRE MEMBER APPROVAL, SUCH AS MERGERS, CONSOLIDATIONS, LIQUIDATIONS, AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION. SEE ALSO SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 7A
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE FORM 990 WAS PREPARED BY CARILION'S INTERNAL TAX DEPARTMENT WITH INPUT FROM VARIOUS CARILION DEPARTMENTS AS APPLICABLE, AND REVIEWED BY INTERNAL MANAGEMENT. PRIOR TO FILING, ALL BOARD MEMBERS WERE NOTIFIED VIA EMAIL THAT THE FINAL FORM 990 WAS AVAILABLE FOR THEIR ACCESS ON THE ORGANIZATION'S BOARD PORTAL AND WERE PROVIDED CONTACT INFORMATION TO REACH OUT TO FOR ANY QUESTIONS.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	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 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 COMPLIANCE COMMITTEE OF THE CARILION CLINIC BOARD AND IMPLEMENTED AS APPROVED. ACTIONS CAN INCLUDE RECUSAL IN DISCUSSION/VOTING AT BOARD MEETINGS, LIMITATION/TERMINATION OF THE TRANSACTION, REMOVAL FROM BOARD APPOINTMENT OR OTHER APPROPRIATE CONTROLS. IN ADDITION, AT ANY TIME, BOARD MEMBERS ARE ENCOURAGED TO DISCLOSE ANY POTENTIAL CONFLICTS AS THEY ARISE AT A BOARD MEETING AND TO RECUSE THEMSELVES AS DEEMED APPROPRIATE. THE SAME PROCESS TAKES PLACE AS DESCRIBED ABOVE FOR KEY EMPLOYEES (UPON HIRE AND ANNUALLY THEREAFTER), INCLUDING ALL OFFICERS, MEMBERS OF THE MANAGEMENT TEAM, PHYSICIANS/MID-LEVEL PRACTITIONERS, PHARMACISTS AND KEY SUPPLY CHAIN BUYERS. AFTER REVIEW AND FURTHER DISCUSSION AS NEEDED, ACTION MAY BE REQUIRED TO MANAGE AN ACTUAL CONFLICT OR TO REDUCE THE APPEARANCE OF SUCH AS APPROVED BY THE 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE ORGANIZATION HAS A SINGLE MEMBER, CARILION CLINIC, A CHARITABLE TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF THE CARILION CLINIC INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE COMPENSATION OF SYSTEM EXECUTIVES IS REVIEWED ANNUALLY BY THE CARILION CLINIC BOARD OF DIRECTORS COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT BOARD MEMBERS OF CARILION CLINIC WHO DO NOT HAVE A CONFLICT OF INTEREST WITH ANY OF THE EXECUTIVES BEING REVIEWED. THE COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SYSTEM EXECUTIVE VICE PRESIDENTS (CHIEF FINANCIAL OFFICER, CHIEF PHYSICIAN EXECUTIVE, CHIEF OPERATING OFFICER, CHIEF ADMINISTRATIVE OFFICER AND CHIEF LEGAL AND GOVERNANCE OFFICER), AND SELECT SYSTEM SENIOR VICE PRESIDENT PHYSICIAN CLINICAL DEPARTMENT CHAIRS. CERTAIN OF THESE SAME INDIVIDUALS ALSO HOLD ROLES AS OFFICERS OF THE FILING ORGANIZATION. THE COMMITTEE ALSO REVIEWS THE COMPENSATION OF THE HOSPITAL VICE PRESIDENT WHO IS THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THIS REVIEW INCLUDED REVIEW OF A COMPREHENSIVE REPORT FROM AN INDEPENDENT, OUTSIDE COMPENSATION CONSULTANT SPECIALIZING IN HEALTHCARE ORGANIZATIONS FOR CERTAIN SELECT POSITIONS AND THE PRIOR YEAR'S REPORT ON ALL THE REVIEWED POSITIONS. THE REPORTS REVIEWED BY THE COMMITTEE INCLUDED A DETAILED COMPARISON OF TOTAL COMPENSATION AND EACH ELEMENT THEREOF, INCLUDING BASE SALARY, BONUS, 'AT-RISK OTHER CASH COMPENSATION, AND BENEFITS, INCLUDING DEFERRED AND RETIREMENT BENEFITS. COMPENSATION WAS COMPARED TO BOTH A NATIONAL AND REGIONAL PEER GROUP OF ORGANIZATIONS SIMILAR IN SIZE AND STRUCTURE TO THE ORGANIZATION, WHICH LIST WAS REVIEWED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE MAINTAINED MINUTES OF ITS MEETINGS, SETTING FORTH THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION OF THESE EXECUTIVES. IN ADDITION TO INDIVIDUAL REVIEWS NOTED ABOVE, THE COMPENSATION COMMITTEE ALSO ANNUALLY REVIEWS THE COMPENSATION PHILOSOPHY FOR ALL EXECUTIVE LEADER POSITIONS IN THE HEALTH SYSTEM, WHICH INCLUDES VICE PRESIDENTS, SENIOR VICE PRESIDENTS INCLUDING ASSISTANT TREASURER G. ROBERT VAUGHAN, EXECUTIVE VICE PRESIDENTS, AND THE CEO. FOR CERTAIN OTHER POSITIONS NOT REVIEWED BY THE COMPENSATION COMMITTEE, THE INDEPENDENT EXTERNAL COMPENSATION CONSULTANT CONDUCTS THE SAME ANALYSIS AS DESCRIBED ABOVE, INCLUDING FOR ASSISTANT TREASURER G. ROBERT VAUGHAN, AND SHARES THE DATA/FINDINGS WITH THE RELEVANT SYSTEM EVP. CERTAIN OTHER ASSISTANT OFFICERS OF THE ORGANIZATION WHO ARE NOT COMPENSATED IN THEIR CAPACITY AS AN OFFICER BUT RATHER IN THEIR ROLE AS AN EMPLOYEE IN A POSITION NOT MENTIONED ABOVE ARE NOT SUBJECT TO COMMITTEE OR CONSULTANT REVIEW BUT ARE PERIODICALLY COMPARED TO MARKET BENCHMARKS BY THE HUMAN RESOURCES DEPARTMENT.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	SEE RESPONSE TO LINE 15A.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT, AND CONSOLIDATED FINANCIAL STATEMENTS ARE RELEASED FROM TIME TO TIME DURING THE TAX YEAR UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS INCLUDED IN OUR CODE OF EXCELLENCE WHICH IS AVAILABLE TO THE PUBLIC ON OUR WEBSITE. THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE VIRGINIA STATE CORPORATION COMMISSION. LIMITED CONSOLIDATED FINANCIAL INFORMATION IS AVAILABLE ON OUR WEBSITE.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	MISCELLANEOUS - TOTAL REVENUE: 43649, RELATED OR EXEMPT FUNCTION REVENUE: 43649, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART X, LINE 20 TAX-EXEMPT BOND LIABILITIES	THE AMOUNT REPORTED AS TAX-EXEMPT BONDS IS THE PORTION OF CARILION CLINIC BONDS ALLOCATED TO CARILION NEW RIVER VALLEY MEDICAL CENTER. REQUIRED INFORMATION FOR THE BONDS, INCLUDING SCHEDULE K, IS REPORTED IN THE CARILION CLINIC (EIN: 54-1190771) IRS FORM 990.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS - 1391467; TRANSFERS FROM/(TO) AFFILIATES - -28649543; TOTAL - -27258076;
BOX B AMENDED RETURN	THIS RETURN IS AMENDED TO ATTACH THE FULL AUDIT REPORT AS REQUIRED FOR HOSPITAL ENTITIES FILING SCHEDULE H, WHICH OMITTED SOME PAGES IN THE ORIGINAL FILING. NO CHANGES HAVE BEEN MADE TO THE INFORMATION PREVIOUSLY REPORTED ON THE FORM 990 OR ITS SCHEDULES OTHER THAN TO PROVIDE THE COMPLETE REQUIRED AUDIT ATTACHMENT. THIS AMENDED RETURN IS BEING FILED BY THE EXTENDED DUE DATE FOR FILING THE ORIGINAL FORM 990.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CARILION NEW RIVER VALLEY SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2901 LAMB CIRCLE	AddressLine1Txt
City	CHRISTIANSBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24073	ZIPCd

Field	Value	IRS element (for citing)
EIN	800091329	EIN
Primary Activities	SURGERY	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$3,946,821	TotalIncomeAmt
End Of Year Assets	$5,287,322	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CARILION CLINIC
PO BOX 12385	ROANOKE	VA	24025	541190771	SUPPORTING ORGANIZATION	VA	501(C)(3)	TYPE II	NA	false
CARILION CLINIC FOUNDATION
PO BOX 12385	ROANOKE	VA	24025	541190773	FUNDRAISING	VA	501(C)(3)	7	CARILION CLINIC	Yes (true)
CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	540480606	HEALTHCARE	VA	501(C)(3)	3	CARILION CLINIC	Yes (true)
CARILION GILES COMMUNITY HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	540549603	HEALTHCARE	VA	501(C)(3)	3	CARILION CLINIC	Yes (true)
CARILION MEDICAL CENTER
PO BOX 12385	ROANOKE	VA	24025	540506332	HEALTHCARE	VA	501(C)(3)	3	CARILION CLINIC	Yes (true)
CARILION SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	541190879	SUPPORTING ORGANIZATION	VA	501(C)(3)	TYPE II	CARILION CLINIC	Yes (true)
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	540568001	HEALTHCARE	VA	501(C)(3)	3	CARILION CLINIC	Yes (true)
CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	546074580	HEALTHCARE	VA	501(C)(3)	3	CARILION CLINIC	Yes (true)
NEW RIVER VALLEY HEALTH FOUNDATION
PO BOX 40032	ROANOKE	VA	24022	521349560	SUPPORTING ORGANIZATION	VA	501(C)(3)	TYPE I	NA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FRANKLIN COUNTY VENTURES LLC
PO BOX 12385	ROANOKE	VA	24025	474365316	REAL ESTATE	VA	NA	N/A
CARILION CLINIC MEDICARE SHARED SAVINGS COMPANY LLC
PO BOX 12385	ROANOKE	VA	24025	455235473	MEDICARE ACO	VA	NA	N/A
ROANOKE AMBULATORY SURGERY CENTER LLC
1102 JEFFERSON STREET SE	ROANOKE	VA	24016	010691564	SURGERY	VA	NA	N/A
SOUTHWEST VIRGINIA HEALTH PROPERTIES LLC
1102 JEFFERSON STREET SE	ROANOKE	VA	24016	010691570	REAL ESTATE	VA	NA	N/A
RAVEN ASSET-BASED OPPORTUNITY FUND IV LP
75 SPRING STREET 6TH FLOOR	NEW YORK	NY	10012	824119491	PRIVATE EQUITY	DE	NA	N/A
STARWOOD VEP II CO-INVEST LLC
591 W PUTMAN AVE	GREENWICH	CT	06830	833262407	INVESTMENTS	DE	NA	N/A
TI PLATFORM CC SMA LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	842852539	INVESTMENTS	DE	NA	N/A
TI FBV GR LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	862597246	INVESTMENTS	DE	NA	N/A
TI PLATFORM DCI SPV LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	871897835	INVESTMENTS	DE	NA	N/A
TRANSPOSE PLATFORM ZIPPEDI SPV LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	873425361	INVESTMENTS	DE	NA	N/A
TRANSPOSE PLATFORM GORGIAS SPV LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	874563291	INVESTMENTS	DE	NA	N/A
TRANSPOSE PLATFORM FINTECH FUND II LP
27 SOUTH PARK SUITE 100	SAN FRANCISCO	CA	94107	873126138	INVESTMENTS	DE	NA	N/A
OPERA INVESTMENT TWO SCSP
					INVESTMENTS		NA	N/A	412F ROUTE DESCH	LUXEMBOURG	LU	LU
VTC INNOVATION FUND III LP
C/O MIDDLEAND CAPITAL 709 S JEFFERS	ROANOKE	VA	24016	921362795	INVESTMENTS	DE	NA	N/A
L2 VENTURES GP LLC
333 EAST 91ST STREET UNIT 24B	NEW YORK	NY	10128	834149763	INVESTMENTS	DE	NA	N/A
SAGE RESIDENTIAL MSROF IV LP
192 HEADQUARTERS PLAZA EAST TOWER 6	MORRISTOWN	NJ	07960	993046859	INVESTMENTS	DE	NA	N/A

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHS INC
PO BOX 12385	ROANOKE	VA	24025	541725732	SERVICES	VA	NA	C CORPORATION	Yes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385	ROANOKE	VA	24025	203136891	HEALTHCARE	VA	NA	C CORPORATION	Yes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	542033006	HEALTHCARE	VA	NA	C CORPORATION	Yes (true)
SCA CREDIT SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	541180398	COLLECTION AGENCY	VA	NA	C CORPORATION	Yes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385	ROANOKE	VA	24025	541586601	HEALTHCARE	VA	NA	C CORPORATION	Yes (true)
MEDKEY INC
PO BOX 12385	ROANOKE	VA	24025	541645357	FINANCING SERVICES	VA	NA	C CORPORATION	Yes (true)
CARILION DTC SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	872635239	HEALTHCARE	VA	NA	C CORPORATION	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CARILION MEDICAL CENTER
A	$228,662	MARKET
CARILION BEHAVIORAL HEALTH INC
A	$17,801	MARKET
CHS INC
A	$65,472	MARKET
CARILION HEALTHCARE CORPORATION
A	$911,297	MARKET
CARILION MEDICAL CENTER
M	$3,073,399	COST
CARILION SERVICES INC
M	$64,492,370	COST
CHS INC
K	$450,576	COST
CARILION HEALTHCARE CORPORATION
M	$19,370,213	COST
CARILION SERVICES INC
R	$28,649,543	CASH