CARILION ROCKBRIDGE COMMUNITY HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CARILION ROCKBRIDGE COMMUNITY HOSPITAL (EIN 54-0568001)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-16
IRS object ID: 201842289349300844
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-16T17:00:05-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540568001	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARILION STONEWALL JACKSON HOSPITAL	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	G Robert Vaughan Jr	PersonNm
Person Title	Assistant Treasurer	PersonTitleTxt
Phone	5402245137	PhoneNum
Signature	2018-08-16	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Charles Carr	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$73,802,616	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.carilionclinic.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	Our mission is to improve the health of the communties we serve.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	301	TotalEmployeeCnt
Total Volunteers	83	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$38,626	PYContributionsGrantsAmt
CY Contributions Grants	$75,243	CYContributionsGrantsAmt
PY Program Service Revenue	$35,735,065	PYProgramServiceRevenueAmt
CY Program Service Revenue	$37,065,048	CYProgramServiceRevenueAmt
PY Investment Income	$380,710	PYInvestmentIncomeAmt
CY Investment Income	$1,500,239	CYInvestmentIncomeAmt
PY Other Revenue	$759,488	PYOtherRevenueAmt
CY Other Revenue	$739,972	CYOtherRevenueAmt
PY Total Revenue	$36,913,889	PYTotalRevenueAmt
CY Total Revenue	$39,380,502	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,165	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$51,798	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,314,144	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$15,333,876	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$20,449,703	PYOtherExpensesAmt
CY Other Expenses	$21,525,880	CYOtherExpensesAmt
PY Total Expenses	$34,787,012	PYTotalExpensesAmt
CY Total Expenses	$36,911,554	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,126,877	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,468,948	CYRevenuesLessExpensesAmt
Total Assets BOY	$50,063,487	TotalAssetsBOYAmt
Total Assets EOY	$51,522,443	TotalAssetsEOYAmt
Total Liabilities BOY	$27,425,541	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$23,226,278	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$22,637,946	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,296,165	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$32,031,634	ExpenseAmt
Grant	$51,798	GrantAmt
Revenue	$37,422,326	RevenueAmt
Desc	See Schedule O.Carilion Stonewall Jackson Hospital, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves. Located in Lexington VA, this 25-bed critical access facility provides a full range of inpatient and outpatient services, specializing in imaging services, surgical services and therapy services.Carilion Stonewall Jackson Hospital, a critical access hospital, exists to serve the health care needs of its community, regardless of patient ability to pay. Stonewall's acute hospital admitted 1,239 patients and provided 5,174 days of care during the year. Hospital programs include provision of nursing care; extensive outpatient and inpatient surgical and endoscopic services; respiratory therapy; and diagnostic imaging services including CT, MRI, mammography, ultrasound, DEXA scan and nuclear medicine. Stonewall provides a number of services targeting the specific health needs of its population, including diabetes management; home health; physical, speech, and occupational therapy programs; and cardiac and respiratory rehab. Stonewall also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 12,890 visits, Stonewall's emergency services are a critical component of the health safety net in its service area, acting as a key health provider for a significant number of uninsured patients, who comprise 18% percent of ED visits. Stonewall supports community screenings and education on chronic disease prevention and management, sponsoring 168 events touching over 2,154 people. In furtherance of its mission, Stonewall provides extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $2.7 million.	Desc
Total Program Service Expenses	$32,031,634	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	301	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	The Corporation Attn H Kirk	PersonNm
Phone	5402245102	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 (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
H Laurent Boetsch Jr DML
Director	1.20	2.40	Yes (X)	$0	$8,700	$0
Gregory M Cavallaro
Director	1.20		Yes (X)	$0	$0	$0
James R Crews MD
Director	1.20		Yes (X)	$0	$0	$0
Sidney S Evans
Director	1.20		Yes (X)	$0	$0	$0
Paul G Faucher MD
Director	1.20	48.80	Yes (X)	$0	$480,964	$59,758
Randy A Gallagher MD
Director	1.20	48.80	Yes (X)	$0	$334,129	$55,154
Juliet D Gibson
Director	1.20		Yes (X)	$0	$0	$0
Joseph E Hess
Director	1.20		Yes (X)	$0	$0	$0
Lisa T Sprinkel
Director	1.20	48.80	Yes (X)	$0	$143,172	$117,800
Kerri L Thornton
Director	1.20	48.80	Yes (X)	$0	$273,390	$266,974
James L Williams Jr
Director	1.20		Yes (X)	$0	$0	$0
Charles E Carr
Director/Hospital VP	50.00		Yes (X)	$225,158	$0	$55,846	Yes (X)
H E Derrick Jr
Director/Chair	2.50	0.50	Yes (X)	$0	$0	$0	Yes (X)
Farris P Hotchkiss
Director/Secretary/Treasurer	1.20		Yes (X)	$0	$0	$0	Yes (X)
Richard R Teaff PhD
Director/Vice Chair	1.20		Yes (X)	$0	$0	$0	Yes (X)
Donald B Halliwill
Assistant Treasurer	0.30	49.70		$0	$575,607	$209,478	Yes (X)
Lauren J Schantz
Assistant Secretary	1.00	49.00		$0	$73,461	$19,376	Yes (X)
G Robert Vaughan Jr
Assistant Treasurer	0.30	49.70		$0	$356,998	$182,289	Yes (X)
Nancy Howell Agee
CEO	2.00	48.00		$0	$1,793,622	$2,375,890		Yes (X)
Melina D Perdue
EVP	2.00	48.00		$0	$1,907,232	$268,067		Yes (X)
Steve C Arner
EVP	2.00	48.00		$0	$529,972	$206,940		Yes (X)
Kathryn Bare
Department Director	50.00			$110,489	$0	$40,358			Yes (X)
Lisa Craft
RN Team Lead	50.00			$119,878	$0	$42,217			Yes (X)
Regina Donald
Manager	50.00			$155,859	$0	$62,539			Yes (X)
Karen Lafon
Manager	50.00			$122,982	$0	$45,981			Yes (X)
Phyllis Snyder
RN Team Lead	50.00			$104,936	$0	$40,113			Yes (X)
Sinclair J Harcus MD
Former Officer	0.00	50.00		$0	$236,814	$158,362				Yes (X)
Karen A Lyons MD
Former Officer	0.00	50.00		$999	$210,509	$84,018				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$840,301	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,924,570	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,291,160	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Solstas Lab Partners Group LLC
PO Box 751337	Charlotte	NC	282751337	Laboratory Services	$1,137,869
GE Medical Systems
PO Box 64094	Pittsburgh	PA	15264	Maintenance Contracts	$241,082
Lexington Anesthesia Providers
4754 E State Road 64	Bradenton	FL	34208	Anesthesia Services	$145,180
Trane
PO Box 406469	Atlanta	GA	303846469	Scheduled Maintenance Inspection	$124,370

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Government Grants	$18,461	GovernmentGrantsAmt
All Other Contributions	$56,782	AllOtherContributionsAmt
Total Contributions	$75,243	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$37,014,564	$37,014,564
Rent from Exempt Affiliates	531120	$50,484	$50,484

Field	Value	IRS element (for citing)
Total Program Service Revenue	$37,065,048	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$184,090	TotalRevenueColumnAmt
Exclusion	$184,090	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$194,994	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$194,994	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,994	TotalRevenueColumnAmt
Exclusion	$194,994	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,738,263	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$34,422,114	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,316,149	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,316,149	TotalRevenueColumnAmt
Exclusion	$1,316,149	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Contract Revenue	900099	$217,318	$217,318
Cafeteria Revenue	722514	$187,700		$187,700
Affiliate Income	900099	$68,885	$68,885

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,075	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$544,978	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,380,502	TotalRevenueColumnAmt
Related Or Exempt Func Income	$37,422,326	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,882,933	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$51,798	TotalAmt
Program Services	$51,798	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$284,528	TotalAmt
Management And General	$284,528	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,797,410	TotalAmt
Program Services	$11,797,410	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$997,574	TotalAmt
Program Services	$997,574	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,443,595	TotalAmt
Program Services	$1,391,909	ProgramServicesAmt
Management And General	$51,686	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$810,769	TotalAmt
Program Services	$791,676	ProgramServicesAmt
Management And General	$19,093	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,182,670	TotalAmt
Management And General	$4,182,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,510	TotalAmt
Management And General	$2,510	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,143	TotalAmt
Program Services	$2,143	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$21,126	TotalAmt
Management And General	$21,126	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,476,553	TotalAmt
Program Services	$3,346,104	ProgramServicesAmt
Management And General	$130,449	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,327	TotalAmt
Program Services	$5,222	ProgramServicesAmt
Management And General	$105	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$626,634	TotalAmt
Program Services	$618,550	ProgramServicesAmt
Management And General	$8,084	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$80,734	TotalAmt
Program Services	$80,734	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$586,688	TotalAmt
Program Services	$586,635	ProgramServicesAmt
Management And General	$53	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$75,147	TotalAmt
Program Services	$56,023	ProgramServicesAmt
Management And General	$19,124	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$906,418	TotalAmt
Program Services	$906,418	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,201,306	TotalAmt
Program Services	$2,201,306	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$324,758	TotalAmt
Program Services	$196,812	ProgramServicesAmt
Management And General	$127,946	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad Debt	$3,288,871	$3,288,871
I/C Practice Subsidy	$3,184,833	$3,184,833
Medical Supplies	$2,461,213	$2,460,608	$605
Dues & Subscriptions	$34,336	$34,036	$300

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,613	TotalAmt
Program Services	$32,972	ProgramServicesAmt
Management And General	$31,641	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,911,554	TotalAmt
Program Services	$32,031,634	ProgramServicesAmt
Management And General	$4,879,920	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,224	BOYAmt
EOY	$1,220	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,529	BOYAmt
EOY	$23,106	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,680,034	BOYAmt
EOY	$5,505,726	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$418,180	BOYAmt
EOY	$416,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$149,184	BOYAmt
EOY	$133,779	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$48,619,047	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$33,890,231	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,886,908	BOYAmt
EOY	$14,728,816	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,755,543	BOYAmt
EOY	$10,651,953	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,799,248	BOYAmt
EOY	$17,580,170	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,350,637	BOYAmt
EOY	$2,481,637	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,063,487	BOYAmt
EOY	$51,522,443	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,106,629	BOYAmt
EOY	$4,114,667	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$19,105	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,436,666	BOYAmt
EOY	$18,285,475	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$634,631	BOYAmt
EOY	$615,687	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,228,510	BOYAmt
EOY	$210,449	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,425,541	BOYAmt
EOY	$23,226,278	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,637,946	BOYAmt
EOY	$28,296,165	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,637,946	BOYAmt
EOY	$28,296,165	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,063,487	BOYAmt
EOY	$51,522,443	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,468,948	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,230,551	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,958,720	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,143	OtherActivitiesAmt
Total Lobbying Expenditures	$2,143	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	A portion of dues paid to various hospital industry associations is attributable to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$430,816	OtherCostOrOtherBasisAmt
Book Value	$430,816	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,166,293	OtherCostOrOtherBasisAmt
Depreciation	$18,954,067	DepreciationAmt
Book Value	$9,212,226	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,788,816	OtherCostOrOtherBasisAmt
Depreciation	$13,837,095	DepreciationAmt
Book Value	$4,951,721	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,233,122	OtherCostOrOtherBasisAmt
Depreciation	$1,099,069	DepreciationAmt
Book Value	$134,053	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$14,728,816	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Co-Op	$12,869	C
Investment - Stock	$500	C
Private Equity Securities	$17,566,801	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$17,580,170	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Qualified Pension Liability	Desc
Amt	$210,449	Amt

Field	Value	IRS element (for citing)
Total Liability	$210,449	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	Carilion recognizes a tax liability or asset for the estimated taxes payable or refundable on tax returns for current and prior years. Deferred tax assets and liabilities are recognized for the estimated future tax effects attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A tax benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Uncertain tax positions may include the characterization of income, such as characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,383,474	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,383,474	NetCommunityBenefitExpnsAmt
Total Expense	0.07140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,295,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$971,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$324,040	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,679,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$971,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,707,514	NetCommunityBenefitExpnsAmt
Total Expense	0.08110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	75	ActivitiesOrProgramsCnt
Persons Served	2151	PersonsServedCnt
Total Community Benefit Expns	$19,738	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,738	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$4,392	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,392	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	99	ActivitiesOrProgramsCnt
Persons Served	2154	PersonsServedCnt
Total Community Benefit Expns	$41,381	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,381	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	99	ActivitiesOrProgramsCnt
Persons Served	2154	PersonsServedCnt
Total Community Benefit Expns	$3,720,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$971,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,748,895	NetCommunityBenefitExpnsAmt
Total Expense	0.08230	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,607	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,177	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,288,871	BadDebtExpenseAmt
Reimbursed By Medicare	$12,674,894	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,063,233	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$388,339	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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 Stonewall Jackson Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Health Circle	AddressLine1Txt
City	Lexington	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24450	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Schedule O.	WebsiteAddressTxt
State License	H 1906	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
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 Stonewall Jackson Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	Part V, Section C	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Carilion Stonewall Jackson Hospital	Part V, Section B, Line 5: Carilion Clinic's CHNAs are community-driven projects and success is highly dependent on the involvement of citizens, health and human service agencies, businesses, and community leaders. Community stakeholder collaborations known as "Community Health Assessment Teams" (CHAT) lead the CHNA projects. The CHAT consists of health and human service agency leaders, persons with special knowledge of or expertise in public health, the local health department, and leaders, representatives, or members of medically underserved populations, low-income persons, minority populations, and populations with chronic disease.The following organizations served on the CHAT for the 2015 (tax year 2014) Rockbridge Area CHNA (RACHNA): Buena Vista Public Schools, Central Shenandoah Health District, City of Lexington, First Baptist Church (Buena Vista), Healthy Communities Action Team, Heritage Hall, Let's Move Lexington, Maury River Home Care, Mayflower, Rockbridge Area Community Services, Rockbridge Area Health Center, Rockbridge Area Prevention Coalition, Rockbridge Area Transportation System, Rockbridge Area YMCA, Rockbridge County Schools, Rockbridge County Sheriff's Office, Valley Associates for Independent Living, Valley Program for Aging Services, Washington and Lee University, Washington and Lee University - Campus Kitchen, and Washington and Lee University - Shepherd Program.In addition to the CHAT, the RACHNA conducted stakeholder surveys, target population focus groups, and a community health survey. Target population focus groups were conducted with Don Tequilas staff, Maury River Senior Center, Maury River Senior Center (Meals Program), Rockbridge Area Community Services (Eagle's Nest Clubhouse), Rockbridge Area Health Center, TAP/ Headstart, and the Women Small Business Owners Group.The community health survey was made available to residents living in Rockbridge County, Lexington City, and Buena Vista City. Oversampling of the target populations occurred through targeted outreach efforts. In total, 474 surveys were collected.
Carilion Stonewall Jackson Hospital	Part V, Section B, Line 6b: Buena Vista Public Schools, Central Shenandoah Health District, City of Lexington, First Baptist Church (Buena Vista), Healthy Communities Action Team, Heritage Hall, Let's Move Lexington, Maury River Home Care, Mayflower, Rockbridge Area Community Services, Rockbridge Area Health Center, Rockbridge Area Prevention Coalition, Rockbridge Area Transportation System, Rockbridge Area YMCA, Rockbridge County Schools, Rockbridge County Sheriff's Office, Valley Associates for Independent Living, Valley Program for Aging Services, Washington and Lee University, Washington and Lee University - Campus Kitchen, and Washington and Lee University - Shepherd Program.
Part V, Section B, Line 7:	Line 7a: https://www.carilionclinic.org/locations/carilion-stonewall-jackson- hospital.Line 7b: https://www.carilionclinic.org/community-health-assessments.Line 7d: CHAT partner websites and social media.
Part V, Section B, Line 10:	Line 10a: https://www.carilionclinic.org/community-health-assessments.
Part V, Section B, Line 11:	CSJH and Rockbridge 2020 partnered to conduct the 2015 RACHNA and form the CHAT. Rockbridge 2020 is a community collaboration that brings together providers of health care and related services in the Rockbridge Area for the purpose of collaboration and planning for health care services over the next quarter of a century. In June 2015, the CHAT participated in a prioritization activity to determine the greatest needs in the service area based on the primary and secondary data collected during the assessment period. To quantitatively determine health needs, CHAT members were asked to rank the top ten pertinent community needs, with one being the most pertinent. Next, on a scale of 1-5, CHAT members were asked to assign a feasibility and potential impact score for each of the ranked needs. This information was used for CHAT strategic planning in the fall of 2015.The top ten priority areas that emerged from these findings include:1. Need for urgent care services 2. Value not placed on preventive care and chronic disease management3. High prevalence of obesity / overweight individuals4. Lack of exercise / physical activity5. Coordination of care 6. Poor eating habits / lack of nutrient dense foods in diet7. Chronic disease (diabetes, cardiovascular disease, hypertension, asthma)8. Stigma with mental health and substance abuse services9. Inappropriate utilization of ED / urgent care for primary care, dental and mental health services10. Lack of knowledge of community resourcesSignificant Health Needs to be Addressed -CSJH plans to address the community health needs identified in the 2015 RACHNA through its community outreach programs, health safety-net partnerships, and through its financial and in-kind support of Rockbridge 2020. CSJH will address the need for: urgent care services; general wellness; coordination of care; and access to mental health counseling / substance abuse services.The number one need identified in the 2015 RACHNA for the Rockbridge Area was the need for urgent care services. To respond to this need, Carilion Clinic has opened a VelocityCare in the Rockbridge Area. CSJH plans to address the other identified needs through its partnership with Rockbridge 2020. Specific goals, strategies and tactics are outlined in the Rockbridge 2020 Strategic Plan. The team determined evaluation measures in 2016 and will implement the strategic plan through 2018.Carilion Clinic and CSJH also addressed community needs by providing additional outreach services, including health education, flu shots, and health screenings to the target populations. Education available to the community includes free presentations on the topics of cancer prevention, diabetes prevention, fitness/exercise, food safety, health/stroke, healthy lifestyles, nutrition, smoking cessation, and stress. Efforts are focused on underserved areas to address general wellness and healthy lifestyles. CSJH also addressed community needs identified in the assessment through health safety-net partnerships, including financial and in-kind assistance through community grants and sponsorships. Priority Areas Not being Addressed and the ReasonsCSJH uses the CHAT, Rockbridge 2020, and the prioritization of needs activity to set priority areas. Priority areas not identified by the CHAT will not be actively addressed as part of this implementation strategy. Priority areas will be reconsidered every three years as part of the CHNA process.
Part V, Section B, Line 13h:	Presumptive eligibility
Part V, Section B, Line 16:	Line 16a: https://www.carilionclinic.org/billing/financial-assistance.Line 16b: https://www.carilionclinic.org/billing/financial-assistance.Line 16c: https://www.carilionclinic.org/billing/financial-assistance.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Lexington Medical Building West
108 Houston Street	Lexington	VA	24450	Physician Offices
2 - Carilion Clinic Family Medicine
146 South Main Street	Lexington	VA	24450	Physician Offices

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Patients' eligibility is determined by family size, family income, real property equity and liquid assets, and status as uninsured or underinsured. Families with family income below 200% of the FPG and assets below $15,000 receive 100% adjustment under FAP. Families with family income greater than 200% of the FPG but less than 400% of the FPG or assets above $15,000 receive a partial adjustment under FAP. The partial adjustment matches the AGB percentage for each service area.
Part I, Line 6a:	Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic (EIN 54-1190771). Printed copies of this report are distributed throughout communities served by hospitals affiliated with Carilion Clinic. Additionally, the community benefit report is available on Carilion Clinic's website: www.carilionclinic.org/community-health-assessments.
Part I, Line 7:	Part I, Line 7 a-b - Ratio of cost-to-charges was used to calculate the expense.Part I, Line 7, Column 7(f) calculation: Bad debt expense in the amount of $3,288,871 is subtracted from total expenses to derive total expenses for the calculation.Line 7e - Community Health Improvement Services and Community Benefit Operations:This line is calculated at actual cost. As part of its mission to educate the public about health risks and steps that can be taken to improve health, Carilion Stonewall Jackson Hospital (CSJH) provides health fairs and presentations at various community locations that provide an opportunity to educate individuals about improving health and quality of life. Additional health improvement services include blood drives and assistance with enrollment in public medical programs such as Medicaid. Community benefit operations include the cost associated with tracking community health improvement activities as well as time spent coordinating Rockbridge 2020.Line 7f - Health Professions Education: This line is reported at actual cost. In-kind support is provided by CSJH staff taking time to educate students before the students shadow them. Additionally, a tour and education was provided to high school nursing program students.Line 7g - Subsidized Health Services: N/A.Line 7h - Research: N/A.Line 7i - Cash and In-Kind Contributions: This line is reported at actual cost. Carilion has long been committed to improving the health of the communities we serve. We know that significant change doesn't happen alone, but takes a community of partners working together towards common goals. Our dedication to this mission is evidenced by the support we provide to various nonprofit partners, furthering their efforts to positively impact health. Contributions of various amounts, both financial and in-kind, are made each year to organizations directly impacting the issues identified in our triennial Community Health Needs Assessment as well as to organizations addressing a variety of social determinants that impact people's health. Support provided helps with access to healthy foods, care and emergency medicine in addition to a multitude of other community health improvement goals.
Part II, Line 1 - 8	Part II, Line 1:Physical Improvements- N/A.Part II, Line 2:Economic Development-Financial support was provided to Main Street Lexington, the Lexington, Buena Vista and Rockbridge Chamber of Commerce, and the Alleghany-Highlands Chamber of Commerce and Tourism toward their goals of working with existing businesses, helping develop new business and improving the economic climate of the area. Part II, Line 3: Community Support- Research demonstrates the strong connection between social determinants of health such as transportation, housing, and education and the overall health and well-being of communities. Support is provided in a variety of ways for non-profit organizations that address barriers to good health that arise from these social determinants. Through support of local partners, Carilion is able to help provide better education for children and families as well as nutrition, physical activity opportunities, and resources for our neighbors in need, removing obstacles to good health.Part II, Line 4:Environmental Improvements-N/A.Part II, Line 5:Leadership Development-N/A.Part II, Line 6:Coalition Building-Participation and in-kind support was provided for Rockbridge Area Prevention Coalition, HCAT Child Obesity Coalition, Lexington Emergency Preparedness Coalition, the Community Hospice Retreat and the Crisis Intervention Team. Part II, Line 7: Community Health Improvement-N/A.Part II, Line 8:Workforce Development-N/A.
Part III, Line 2:	Carilion Stonewall Jackson Hospital 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.
Part III, Line 4:	Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion Stonewall Jackson Hospital estimates the allowance for doubtful accounts 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. Carilion Stonewall Jackson Hospital collects substantially all of its third-party insured receivables, which include receivables from governmental agencies and commercial insurers.
Part III, Line 8:	Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio. The Hospital does not consider a Medicare shortfall as a community benefit.
Part III, Line 9b:	When accounts receivable efforts are exhausted, the account may be placed with a collection agency and Extraordinary Collection Actions (ECA) may be considered. Accounts will not be placed with a collection agency prior to 120 days from the date the first billing statement is provided except when mailings are returned with no forwarding address and combining multiple accounts of varying age with those already transferred or for legal verification regarding other liabilities. 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 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 billing statement is provided, Carilion may engage in one or more of the following ECAs: 1. Place a lien on an individual's property; 2. Attach or seize an individual's bank account or any other personal property; 3. Commence a civil action against an individual; 4. Garnish an individual's wages; 5. Sell an individual's debt to another party; or 6. Report the account to credit agencies.Individual account balances greater than $5,000 are not sent to a collection agency. These are handled through the Debt Recovery Department (DRD) for verification of Financial Assistance status before further collection activity occurs. DRD will also investigate any accounts that require special handling. For example, when the billing office becomes aware that a patient is deceased, auto accident or any other unique circumstances requiring special handling, the accounts are placed with the Debt Recovery Department.When all collection efforts have been exhausted, all hospital accounts will be returned and closed as uncollectible. No further collection activity is taken at that time. Accounts with satisfactory payment arrangements, legal activity or accounts with pending payment will be considered active and are not returned.
Part VI, Line 2:	Needs Assessment:Carilion Clinic's community health improvement process was adapted from Associates in Process Improvement's the Model for Improvement and the Plan-Do-Study-Act (PDSA) cycle developed by Walter Shewhart. It consists of five distinct steps: (1) conducting the CHNA, (2) strategic planning, (3) creating the implementation strategy, (4) program implementation, and (5) evaluation. This cycle is repeated every three years to comply with IRS requirements. Carilion Clinic fosters community development in its CHNA process and community health improvement process by using the Strive Collective Impact Model for the CHAT. This evidence-based model focuses on "the commitment of a group of important players from different sectors to a common agenda for solving a specific social problem(s) and has been proven to lead to large-scale changes. It focuses on relationship building between organizations and the progress towards shared strategies.CSJH works directly with Rockbridge 2020, a local health collaborative, to address needs identified in the CHNA. Using the collective impact model, the partnership represents cross-sector stakeholders and leaders who are working to implement cost-effective programs resulting in improved health outcomes.Carilion Clinic also addresses community health needs through health safety-net partnerships, including financial and in-kind assistance through community grants and sponsorships.
Part VI, Line 3:	Availability of 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 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 employs an Eligibility staff that counsel patients on federal and state programs. The staff completes applications for Medicaid, Social Security, Social Security Disability and Medicare. The staff provides support services ensuring the applications are processed correctly based on federal and state policy. In addition, the Eligibility staff is trained as Certified Application Counselors and will assist patients in enrollment in the insurance exchange Marketplace. Eligibility staff will also complete Carilion's financial assistance application and counsel patient on the requirements for financial assistance.
Part VI, Line 4:	Community Information:Located at the southern end of the Shenandoah Valley in west central Virginia, Rockbridge County is classified as a rural county with 22,307 people according to the 2010 Census. It is bounded on the west by the Alleghany Mountains and on the east by the Blue Ridge Mountains. The county's rolling hills and 58,000 acres of national forest comprise much of its 616 square miles. There are 37 persons per square mile, which is significantly lower than the state average of 203 persons per square mile. Rockbridge County is surrounded by the counties of Bath, Augusta, Amherst, Bedford, and Alleghany. Highways 81 and 64 provide ready access to neighboring markets and services.The independent cities of Buena Vista and Lexington lie within the county limits. Buena Vista has 6,650 residents and Lexington has 7,042 according to the 2010 Census. Lexington, the county seat, is situated in the center of the county. It is the heart of much of the county's educational, retail, commercial and governmental activities. Buena Vista is located six miles east of Lexington and is considered the industrial and manufacturing core of the county. Both the cities of Buena Vista and Lexington are classified as mixed urban areas. With land areas of 7 square miles and 2.5 square miles respectively, there are 992 persons per square mile in Buena Vista and 2,820 persons per square mile in Lexington. The incorporated towns of Glasgow, Goshen, Brownsburg, Natural Bridge Station, Raphine and Fairfield are located within the county limits. Carilion Stonewall Jackson Hospital (CSJH) is located in Lexington, Virginia. In fiscal year 2014, CSJH served 13,438 unique patients. Patient origin data revealed that in fiscal year 2014, 84.05% of patients served by CSJH lived in the following localities: Lexington City (37.18%), Rockbridge County (22.47%), and Buena Vista City (24.39%). According to the 2011-2015 American Community Survey, the median income for Buena Vista was $29,097, Lexington was $34,017, and Rockbridge was $48,901. There were 20.2%, 13.9%, and 28.4% residents living below the Federal Poverty Level in Lexington City, Rockbridge County, and Buena Vista City respectively. 6.5% of residents in Lexington, 13.2% in Rockbridge, and 16.8% in Buena Vista did not have health insurance. There are no other hospitals except CSJH in the area. Rockbridge County is designated a Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA) for primary care, dental and mental health service.
Part VI, Line 5:	Promotion of Community Health:Carilion Stonewall Jackson Hospital serves all patients regardless of their ability to pay. The Hospital's governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the Hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.
Part VI, Line 6:	Affiliated System:Carilion Stonewall Jackson Community Hospital is 80% owned by Carilion Clinic, a not-for-profit health care organization based in Roanoke, Virginia. Through our comprehensive network of hospitals, primary and specialty physician practices, and complementary services, we provide exceptional care for nearly 1 million Virginians. Our enduring commitment is to a healthier region. We advance care through medical education and research, help our community stay healthy, and inspire it to grow stronger.To advance education of health professionals, Jefferson College of Health Sciences is a private higher education institution that "prepares, within a scholarly environment, ethical, knowledgeable, competent and caring healthcare professionals." The College focuses on providing healthcare education and is a part of Carilion Clinic. Founded in 1914 as the Jefferson Hospital School of Nursing, Jefferson College now provides more than 1,100 students with opportunities to become part of the healthcare profession, serving communities from southwest Virginia to the Shenandoah Valley and beyond. The School's graduates are building healthier tomorrows in our region and across the country every day. More information is available at www.jchs.edu.The Virginia Tech Carilion School of Medicine joins the basic science, life science, bioinformatics, and engineering strengths of Virginia Tech with the medical practice and medical education experience of Carilion Clinic to develop the next generation of physician thought leaders. The School uses an innovative patient-centered curriculum that focuses on small-group learning and hands-on experiences, with extensive research and interprofessionalism training.Part VI, Line 7: N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Young Mens' Christian Association of Roanoke Valley Inc
PO Box 2130	Roanoke	VA	24009	540515736	501(c)(3)	$17,976	Kids in the Kitchen program
Washington & Lee University Campus Kitchen
Washington Lee University	Lexington	VA	24450	540505977	501(c)(3)	$5,000	General Support
City of Lexington
300 E Washington St	Lexington	VA	24450	546001392	City of Lexington	$5,000	Farmers Market Program

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
Paul G Faucher MD
Director	$0	$372,205	$0	$98,624	$0	$10,135	$0	$55,647	$0	$4,111	$0	$540,722	$0	$0
Randy A Gallagher MD
Director	$0	$308,897	$0	$19,459	$0	$5,773	$0	$49,460	$0	$5,694	$0	$389,283	$0	$0
Lisa T Sprinkel
Director	$0	$133,188	$0	$3,000	$0	$6,984	$0	$109,838	$0	$7,962	$0	$260,972	$0	$0
Kerri L Thornton
Director	$0	$228,135	$0	$43,242	$0	$2,013	$0	$261,716	$0	$5,258	$0	$540,364	$0	$0
Charles E Carr
Director/Hospital VP	$186,802	$0	$35,555	$0	$2,801	$0	$50,382	$0	$5,464	$0	$281,004	$0	$0	$0
Donald B Halliwill
Assistant Treasurer	$0	$464,019	$0	$107,317	$0	$4,271	$0	$196,448	$0	$13,030	$0	$785,085	$0	$0
G Robert Vaughan Jr
Assistant Treasurer	$0	$300,771	$0	$48,281	$0	$7,946	$0	$168,199	$0	$14,090	$0	$539,287	$0	$0
Nancy Howell Agee
CEO	$0	$1,189,180	$0	$358,500	$0	$245,942	$0	$2,363,574	$0	$12,316	$0	$4,169,512	$0	$235,766
Melina D Perdue
EVP	$0	$398,604	$0	$91,010	$0	$1,417,618	$0	$256,356	$0	$11,711	$0	$2,175,299	$0	$1,403,798
Steve C Arner
EVP	$0	$426,986	$0	$98,146	$0	$4,840	$0	$192,610	$0	$14,330	$0	$736,912	$0	$0
Kathryn Bare
Department Director	$106,618	$0	$3,000	$0	$871	$0	$39,684	$0	$674	$0	$150,847	$0	$0	$0
Lisa Craft
RN Team Lead	$115,005	$0	$400	$0	$4,473	$0	$31,748	$0	$10,469	$0	$162,095	$0	$0	$0
Regina Donald
Manager	$144,352	$0	$2,000	$0	$9,507	$0	$56,656	$0	$5,883	$0	$218,398	$0	$0	$0
Karen Lafon
Manager	$120,299	$0	$2,000	$0	$683	$0	$35,483	$0	$10,498	$0	$168,963	$0	$0	$0
Sinclair J Harcus MD
Former Officer	$0	$190,453	$0	$43,430	$0	$2,931	$0	$148,743	$0	$9,619	$0	$395,176	$0	$0
Karen A Lyons MD
Former Officer	$999	$153,636	$0	$53,256	$0	$3,617	$0	$82,702	$0	$1,316	$999	$294,527	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The Organization's majority member, Carilion Clinic, serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the Hospital Vice President, is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. This review was performed in September 2017. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, the list of which was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Part I, Line 4b	Select members of management participate in a Pension Restoration Plan. This Plan provides a benefit equal to the normal retirement benefit that would be payable to the participant were it not for the Qualified Plan's legislative restrictions on compensation and payable benefits, less the actual benefits under the Qualified Plan. Entitlement to benefits and consequent lump sum payment occurs upon attaining age 65 while employed by Carilion Clinic, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the Plan shall pay the participant's beneficiary according to Plan terms. Select members of management participate in an Executive Flexible Benefit Plan, in which an allowance is provided to the participant for use in obtaining certain insurance benefits. The allowance is determined annually as a percentage of salary at Carilion Clinic's discretion. The amount of allowance in excess of elected benefits is credited to a capital accumulation account (CAA) with a deferred vesting date of at least two years from the first day of the plan year. The CAA shall be distributed in a lump sum upon vesting while employed by Carilion, disability, or 24 months following certain qualifying separations from service. Upon the death of the participant, the Plan shall pay the participant's beneficiary according to Plan terms. Beginning in the year in which the participant attains age 67, a pro-rated portion of the award is paid monthly. Select members of management participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP) in which the employer at the discretion of Carilion Clinic's Board of Directors Compensation Committee makes a contribution to an account established on its books for each eligible participant. If a participant ceases to be a participant prior to the vesting date, the account shall be forfeited. A lump sum distribution shall be made upon the participant's vesting date, death, or disability. Payments during the calendar year under these plans included the following: Nancy Howell Agee $235,766 Melina Perdue $1,403,798
Part I, Line 7	The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Board of Directors Compensation Committee, although it is based on the scorecard measures.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	541106038	BondIssuerEIN
CUSIP	770082AW5	CUSIPNum
Bond Issued	2012-02-09	BondIssuedDt
Issue Price	$25,008,562	IssuePriceAmt
Purpose	Refunding of Series 2000 and 2002A Bonds, Issuance Costs, Capital Projects	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,955,000	RetiredAmt
Total Proceeds	$25,008,562	TotalProceedsAmt
Issuance Costs From Proceeds	$285,199	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$24,723,363	OtherSpentProceedsAmt
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.01380	PrivateBusUseByOthersPct
Total Private Business Use	0.01380	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/04/2013
Schedule K Part II	Bond Proceeds All bond issues multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6:	Volunteers greet and assist visitors, answer phones, help with general restocking of supplies, transport of patients, make up swing bed packages, make up IV kits for nursing. Volunteers take patients back to the pre-op rooms prior to surgery. Volunteers provide escort service; assist with mailings, resource materials, special projects; assist the Emergency Department staff by maintaining the waiting room desk and helping to facilitate good customer service; Volunteers run the gift shop, purchase all items they sell in gift shop. They stock inventory, answer the phone, maintaining records, decorating the shop and assuring tidiness. Voulnteers take fresh fruit around to all the break rooms three times a week. Areas the Volunteers assist in are: Physical Therapy, Cardiac Rehab; Visitor's Desk,waiting area desks, ED and Fit for Life.
Form 990, Part V, Line 1a	1099s are issued on Carilion Stonewall Jackson Hospital's behalf by Carilion Services, Inc., a related organization providing management and administrative services, including payment processing.
Form 990, Part VI, Section A, line 1	The Board consists of eleven (11) to fifteen (15) members divided into two (2)classes: the Carilion Class which consists of three (3) members and the Stonewall Class which consists of eight (8) to twelve (12) members. The Carilion Class has 80% of the vote on any issue that properly comes before the Board and the Stonewall Class has 20% of the vote on any issue that properly comes before the Board.
Form 990, Part VI, Section A, line 2	Nancy Howell Agee, Steve Arner, Paul Faucher, M.D., Randy A. Gallagher, M.D., Donald B. Halliwill, Melina D. Perdue, Lauren J. Schantz, Lisa T. Sprinkel, Kerri L. Thornton, and G. Robert Vaughan, Jr. - Business relationship due to each serving as officers, directors, and/or employees of the same related organizations.
Form 990, Part VI, Section A, line 3	Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related 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.: Nancy Howell Agee, Steve Arner, Donald B. Halliwill, Melina D. Perdue, Lauren J. Schantz, Lisa T. Sprinkel, Kerri L. Thornton, and G. Robert Vaughan, Jr.
Form 990, Part VI, Section A, line 4	The filing organization's bylaws were revised to modify the term limits of Stonewall Class of directors.
Form 990, Part VI, Section A, line 6	The organization has two (2) members. Carilion Clinic, a charitable tax-exempt health care organization, has an 80% membership interest and is entitled to elect directors having 80% of the vote on any issue. The Stonewall Jackson Community Foundation, a tax-exempt community foundation which supports health care within the local community, has a 20% membership interest and is entitled to elect directors having 20% of the vote on any issue.
Form 990, Part VI, Section A, line 7a	The organization has two (2) members. Carilion Clinic, a charitable tax-exempt health care organization, has an 80% membership interest. Carilion Clinic is entitled to appoint all three (3) members of the Carilion Class of directors; the Carilion Class has 80% of the vote on any issue that properly comes before the Board. The Stonewall Jackson Community Health Foundation, a tax-exempt community foundation which supports health care within the local community, has a 20% membership interest. The Stonewall Jackson Community Health Foundation is entitled to appoint one (1) member of the Stonewall Class of directors. The remaining members of the Stonewall Class include one (1) ex officio director (Chief of the Carilion Stonewall Jackson Hospital Medical Staff) and six (6) to (10) members of the local community, who elect their own successors. The Stonewall Class has 20% of the vote on any issue that properly comes before the Board.
Form 990, Part VI, Section A, line 7b	Under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Section B, line 11b	The Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments as applicable, and reviewed by internal Accounting management. Several days prior to filing, all Board Members were notified via email of its availability on Carilion's Board portal, which is the mechanism used to disseminate meeting materials to the directors, and were encouraged to call with any questions they might have.
Form 990, Part VI, Section B, line 12c	Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Organizational Integrity & Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Audit & Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all Officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by Organizational Integrity & Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Section B, line 15	The organization has two (2) members. Carilion Clinic, a charitable tax-exempt health care organization, has an 80% membership interest and is entitled to elect directors having 80% of the vote on any issue. The Stonewall Jackson Community Foundation, a tax-exempt community foundation which supports health care within the local community, has a 20% membership interest and is entitled to elect directors having 20% of the vote on any issue. Executive compensation is reviewed annually by the Carilion Clinic Board of Directors Compensation Committee. This Committee is made up of Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the Board of Governors annually, which includes the President and Chief Executive Officer, Executive Vice Presidents, Chief Financial Officer, Chief Medical Officer, select Senior Vice Presidents, and physician Chairs of the Clinical Departments. This review was performed in November 2016 (President and CEO) and September 2017 (all others). For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of Senior Vice Presidents and other Disqualified Individuals, including the Hospital Vice Presidents, which was performed in September and November 2017. In addition, the Compensation Committee annually reviews the compensation philosophy for all executive leaders, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, as well as the compensation philosophy for all employed physicians and physicians in leadership roles. Some officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee review. This review included review of a comprehensive report from an outside compensation consultant specializing in healthcare organizations for select positions and the prior year's report on all of the reviewed positions. The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained detailed minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest statement, and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released to the local newspaper when requested. Limited financial information is available on our website.
Form 990, Part XI, line 9:	Pension-related changes other than net periodic pension costs 1,958,720.
Form 990, Schedule H, Part V, Section A, Line 1:	https://carilionclinic.org/locations/carilion-stonewall-jackson-hospital

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Carilion Clinic
PO Box 12385	Roanoke	VA	24025	541190771	Supporting organization	VA	501(c)(3)	Line 12b, II	N/A	0
Carilion Clinic Foundation
PO Box 12385	Roanoke	VA	24025	541190773	Fundraising	VA	501(c)(3)	Line 7		Yes (1)	Carilion Clinic
Carilion Franklin Memorial Hospital
PO Box 12385	Roanoke	VA	24025	540480606	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Giles Community Hospital
PO Box 12385	Roanoke	VA	24025	540549603	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Medical Center
PO Box 12385	Roanoke	VA	24025	540506332	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion New River Valley Medical Center
PO Box 12385	Roanoke	VA	24025	540553805	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Services Inc
PO Box 12385	Roanoke	VA	24025	541190879	Supporting organization	VA	501(c)(3)	Line 12b, II		Yes (1)	Carilion Clinic
Carilion Tazewell Community Hospital
PO Box 12385	Roanoke	VA	24025	546074580	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
SJH Community Health Foundation
1 Health Circle	Lexington	VA	24450	203592795	Supporting organization	VA	501(c)(3)	Line 12c, III-FI	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385	Roanoke	VA	24025	455235473	Medicare HMO	VA	N/A
Franklin County Ventures LLC
PO Box 12385	Roanoke	VA	24025	474365316	Real estate	VA	N/A
Community Medical Associates LLP
PO Box 12385	Roanoke	VA	24025	541517662	Real estate	VA	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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Carilion Clinic Medicare Resources LLC
PO Box 12385	Roanoke	VA	24025	263729975	Medicare HMO	VA	N/A	C	Yes (1)
CHS Inc
PO Box 12385	Roanoke	VA	24025	541725732	Services	VA	N/A	C	Yes (1)
Carilion Behavioral Health Inc
PO Box 12385	Roanoke	VA	24025	203136891	Healthcare	VA	N/A	C	Yes (1)
Carilion Emergency Services Inc
PO Box 12385	Roanoke	VA	24025	542033006	Healthcare	VA	N/A	C	Yes (1)
SCA Credit Services Inc
PO Box 12385	Roanoke	VA	24025	541180398	Collection Agency	VA	N/A	C	Yes (1)
Carilion Healthcare Corporation
PO Box 12385	Roanoke	VA	24025	541586601	Healthcare	VA	N/A	C	Yes (1)
MedKey Inc
PO Box 12385	Roanoke	VA	24025	541645357	Financing Services	VA	N/A	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Medical Center
A	$1,380	Cost
Carilion Healthcare Corporation
A	$108,086	Cost
Carilion Medical Center
L	$67,702	Cost
Carilion Medical Center
M	$1,566,923	Cost
Carilion Services Inc
M	$4,882,874	Cost
CHS Inc
M	$146,855	Cost
Carilion Healthcare Corporation
M	$2,120,309	Cost
Carilion Services Inc
A	$49,104	Cost