CARILION MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CARILION MEDICAL CENTER (EIN 54-0506332)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-16
IRS object ID: 201842289349300924
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-16T16:57:22-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506332	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	G Robert Vaughan Jr	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	5402245137	PhoneNum
Signature	2018-08-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Steve C Arner	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,341,391,023	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.carilionclinic.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	Our mission is to improve the health of the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	9075	TotalEmployeeCnt
Total Volunteers	293	TotalVolunteersCnt
Total Gross UBI	$45,394	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,236,580	PYContributionsGrantsAmt
CY Contributions Grants	$4,903,889	CYContributionsGrantsAmt
PY Program Service Revenue	$1,213,958,161	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,289,394,956	CYProgramServiceRevenueAmt
PY Investment Income	$11,550,416	PYInvestmentIncomeAmt
CY Investment Income	$45,622,224	CYInvestmentIncomeAmt
PY Other Revenue	$25,472,814	PYOtherRevenueAmt
CY Other Revenue	$24,468,825	CYOtherRevenueAmt
PY Total Revenue	$1,256,217,971	PYTotalRevenueAmt
CY Total Revenue	$1,364,389,894	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,838,575	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,903,445	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$576,424,275	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$602,537,979	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$272,461	CYTotalFundraisingExpenseAmt
PY Other Expenses	$601,695,854	PYOtherExpensesAmt
CY Other Expenses	$665,517,973	CYOtherExpensesAmt
PY Total Expenses	$1,184,958,704	PYTotalExpensesAmt
CY Total Expenses	$1,269,959,397	CYTotalExpensesAmt
PY Revenues Less Expenses	$71,259,267	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$94,430,497	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,292,474,198	TotalAssetsBOYAmt
Total Assets EOY	$1,382,902,654	TotalAssetsEOYAmt
Total Liabilities BOY	$900,982,606	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$857,339,778	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$391,491,592	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$525,562,876	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	$1,113,377,477	ExpenseAmt
Grant	$1,903,445	GrantAmt
Revenue	$1,308,688,351	RevenueAmt
Desc	See Schedule O.We are committed to a common purpose of better patient care, better community health, and lower cost. Through our comprehensive network of hospitals, primary and specialty physician practices, and other complementary services, we work together to provide quality care close to home for nearly 1 million Virginians. With an enduring commitment to the health of our region, we also seek to advance care through medical education and research, help our community stay healthy, and inspire our region to grow stronger.Carilion Medical Center (CMC) exists to serve the health care needs of its community and region, regardless of patient ability to pay. CMC admitted 38,503 patients and provided 199,366 days of care during the year. Hospital programs include provision of nursing care; an extensive cardiac and vascular program, including cardiac surgery, implants, angioplasty and heart failure programs; neurology, neurosurgery and stroke programs; labor and delivery services (delivering 3,064 babies); the areas only neonatal intensive care unit; inpatient and outpatient psychiatric services; a comprehensive rehabilitation unit; extensive outpatient and inpatient surgical and endoscopic services; endovascular services; oncology services; geriatric services; and diagnostic imaging services including CT, MRI, PET, and mammography. Housing a children's specialty wing, CMC provides specialists in pediatric neurosurgery, cardiology, oncology, gastroenterology, pulmonology, and child development, among others. CMC is a Level I trauma center, providing full trauma services to the region. CMC provides a number of services targeting the specific health needs of the area, including diabetes management; home health and hospice; physical, speech, and occupational therapy programs; and cardiac and respiratory rehab. CMC also provides an emergency department with 24-hour care, emergency transportation, a pediatric department, and chest pain and stroke protocol programs. With 82,196 visits, CMC'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 19% percent of ED visits. The urgent care centers also provide access points for cost effective care at an appropriate level. CMC employs a number of specialty physicians to ensure an effective, integrated approach to serving its patients; including pulmonologists, oncologists, obstetricians, orthopedic surgeons, cardiologists, neurosurgeons, general surgeons, and psychiatrists. As a teaching hospital with over 350 full-time faculty members, CMC hosts residency programs in family medicine, internal medicines, obstetrics and gynecology, psychiatry, general surgery, neurosurgery. In addition, the Jefferson College of Health Sciences, a division of CMC, offers nursing, physician assistant, occupational therapy, and other high-need programs. CMC also supports community screenings and education on chronic disease prevention and management, sponsoring 7,563 events touching over 64,931 people. CMC supports a cancer registry program, and participates in a number of other research projects. In furtherance of its mission, CMC provides extensive uncompensated care. Stated at cost, charity and unreimbursed Medicaid costs for the year exceeded $69 million.	Desc
Total Program Service Expenses	$1,113,377,477	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9075	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	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	7	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Corporation Attn H Kirk	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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 (32 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
Nancy Howell Agee
Director	3.00	47.00	Yes (X)	$0	$1,793,622	$2,375,890
Nathaniel L Bishop D Min
Director, SVP, President-JCOHS	48.80	1.20	Yes (X)	$397,994	$0	$183,967
John H Burton MD
Director, SVP, Medical Chair	50.00	0.00	Yes (X)	$586,853	$0	$91,692
George B Cartledge III
Director	2.00	0.00	Yes (X)	$0	$1,075	$0
Elizabeth S Doughty
Director	2.00	0.00	Yes (X)	$0	$1,075	$0
Katherin A Elam
Director	2.00	0.00	Yes (X)	$0	$0	$0
Janet D Frantz
Director	2.00	0.00	Yes (X)	$0	$0	$0
Cynda A Johnson MD
Director	2.00	48.00	Yes (X)	$0	$598,510	$102,198
Stephen A Musselwhite
Director	2.00	0.00	Yes (X)	$0	$0	$0
Clifford A Nottingham MD
Director	2.00	48.00	Yes (X)	$0	$340,074	$207,060
Hirenkumar Patel MD
Director	2.00	0.00	Yes (X)	$0	$806	$0
Patrice M Weiss MD
Director, EVP	46.00	4.00	Yes (X)	$0	$693,728	$177,008
Ralph E WhatleyIII MD
Director, SVP	49.50	0.50	Yes (X)	$548,558	$0	$130,762
Damon Williams
Director	2.00	0.00	Yes (X)	$0	$0	$0
Steve C Arner
Director/President/CEO/COO	48.80	1.20	Yes (X)	$0	$529,972	$206,940	Yes (X)
R Steve Blanks
Director/Vice Chair	3.00	4.50	Yes (X)	$0	$13,575	$0	Yes (X)
Victor Iannello ScD
Director/Chair	4.00	2.40	Yes (X)	$0	$14,775	$0	Yes (X)
Nicholas C Conte
Secretary	1.50	48.50		$0	$452,911	$69,180	Yes (X)
David S Hagadorn
Assistant Treasurer	0.10	49.90		$0	$139,069	$62,000	Yes (X)
Donald B Halliwill
Assistant Treasurer/CFO	1.50	48.50		$0	$575,607	$209,478	Yes (X)
Lauren J Schantz
Assistant Secretary	8.00	42.00		$0	$73,461	$19,376	Yes (X)
G Robert Vaughan Jr
Treasurer	0.30	49.70		$0	$356,998	$182,289	Yes (X)
Bruce A Long MD
Physician, Interim Medical Chair	50.00	0.00		$742,042	$0	$113,202		Yes (X)
Joseph T Moskal MD
SVP, Medical Chair	50.00	0.00		$1,292,828	$0	$117,019		Yes (X)
Paul R Skolnik MD
SVP, Medical Chair	50.00	0.00		$237,528	$0	$17,798		Yes (X)
Jonathan J Carmouche MD
Physician	50.00	0.00		$1,636,807	$0	$57,482			Yes (X)
Caleb J Behrend MD
Physician	50.00	0.00		$1,237,163	$0	$28,985			Yes (X)
Eric A Marvin MD
Physician	50.00	0.00		$1,129,401	$0	$38,028			Yes (X)
Gregory A Howes MD
Physician	50.00	0.00		$1,048,726	$0	$57,980			Yes (X)
Cay M Mierisch MD
Physician	50.00	0.00		$1,022,615	$0	$95,353			Yes (X)
Tracy W Criss MD
Physician, Former Officer	50.00	0.00		$267,139	$0	$161,355				Yes (X)
Thomas D Denberg MD PhD
Former Officer	0.00	3.00		$0	$299,868	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,147,654	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,885,126	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,705,042	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	822	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Solstas Lab Partners Group LLC
PO Box 751337	Charlotte	NC	282751337	Laboratory Services	$29,580,901
Siemens Medical
51 Valley Stream Parkway	Malvern	PA	19355	Equipment Maintenance Contracts	$10,559,377
Moore's Electrical & Mechanical
PO Box 13851	Roanoke	VA	24037	Construction Services	$2,079,698
MB Contractors Inc
3825 Blue Ridge Drive SW	Roanoke	VA	24018	Construction Services	$2,013,048
Anesthesiology Consultants of VA
PO Box 13306	Roanoke	VA	240323306	Anesthesiology Services	$1,837,268

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	172	CntrctRcvdGreaterThan100KCnt
Fundraising	$15,189	FundraisingAmt
Related Organizations	$322,257	RelatedOrganizationsAmt
Government Grants	$4,223,551	GovernmentGrantsAmt
All Other Contributions	$342,892	AllOtherContributionsAmt
Noncash Contributions	$12,077	NoncashContributionsAmt
Total Contributions	$4,903,889	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$1,261,045,387	$1,261,045,387
College Tuition/Other	611310	$27,449,563	$27,449,563
Clinical Research	541700	$1,026,890	$1,026,890
Other Health Education	611710	$612,235	$612,235
Program-related Investments	531120	-$739,119	-$739,119

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,289,394,956	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,251,411	TotalRevenueColumnAmt
Unrelated Business Revenue	$45,394	UnrelatedBusinessRevenueAmt
Exclusion	$8,206,017	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,576	TotalRevenueColumnAmt
Exclusion	$5,576	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,664,047	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,664,047	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,664,047	TotalRevenueColumnAmt
Exclusion	$1,664,047	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,014,313,821	SecuritiesAmt
Other	$27,912	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$976,959,232	SecuritiesAmt
Other	$17,264	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$37,354,589	SecuritiesAmt
Other	$10,648	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,365,237	TotalRevenueColumnAmt
Exclusion	$37,365,237	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$24,963	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$15,189	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$22,436	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,527	TotalRevenueColumnAmt
Exclusion	$2,527	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$2,595	GamingGrossIncomeAmt
Gaming Direct Expenses	$2,197	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$398	TotalRevenueColumnAmt
Exclusion	$398	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Physician & Other Affil. Income	621111	$8,697,654	$8,697,654
Cafeteria Revenue	722514	$3,508,458		$3,508,458
Roanoke City Student Health	622110	$1,990,487	$1,990,487

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,605,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,605,254	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$22,801,853	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,364,389,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,308,688,351	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$45,394	UnrelatedBusinessRevenueAmt
Exclusion	$50,752,260	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,666,020	TotalAmt
Program Services	$1,666,020	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$237,425	TotalAmt
Program Services	$237,425	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,751,363	TotalAmt
Program Services	$4,751,363	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$641,954	TotalAmt
Program Services	$641,954	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$478,535,039	TotalAmt
Program Services	$478,151,335	ProgramServicesAmt
Management And General	$277,767	ManagementAndGeneralAmt
Fundraising	$105,937	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$47,477,552	TotalAmt
Program Services	$47,449,994	ProgramServicesAmt
Management And General	$27,558	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,467,226	TotalAmt
Program Services	$39,353,526	ProgramServicesAmt
Management And General	$82,329	ManagementAndGeneralAmt
Fundraising	$31,371	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,664,845	TotalAmt
Program Services	$31,646,670	ProgramServicesAmt
Management And General	$18,175	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$147,542,386	TotalAmt
Management And General	$147,542,386	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$259,287	TotalAmt
Management And General	$259,287	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,651	TotalAmt
Management And General	$24,651	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$76,070	TotalAmt
Program Services	$76,070	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$610,817	TotalAmt
Management And General	$610,817	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$111,962,314	TotalAmt
Program Services	$109,418,387	ProgramServicesAmt
Management And General	$2,514,092	ManagementAndGeneralAmt
Fundraising	$29,835	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$301,093	TotalAmt
Program Services	$298,487	ProgramServicesAmt
Fundraising	$2,606	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,822,826	TotalAmt
Program Services	$15,626,882	ProgramServicesAmt
Management And General	$187,050	ManagementAndGeneralAmt
Fundraising	$8,894	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,174,121	TotalAmt
Program Services	$3,297,881	ProgramServicesAmt
Management And General	$876,240	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,606,557	TotalAmt
Program Services	$27,564,978	ProgramServicesAmt
Management And General	$9,997	ManagementAndGeneralAmt
Fundraising	$31,582	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,148,668	TotalAmt
Program Services	$3,115,246	ProgramServicesAmt
Management And General	$25,158	ManagementAndGeneralAmt
Fundraising	$8,264	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,494,247	TotalAmt
Program Services	$14,494,247	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,685,663	TotalAmt
Program Services	$42,685,663	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,521,494	TotalAmt
Program Services	$11,871,152	ProgramServicesAmt
Management And General	$3,650,342	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$181,066,821	$181,066,794	$27
Bad Debt	$89,796,742	$89,796,742
College Expense	$4,879,541	$4,879,541
Dues & Subscriptions	$1,972,842	$1,781,729	$191,113

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,571,833	TotalAmt
Program Services	$3,505,391	ProgramServicesAmt
Management And General	$12,470	ManagementAndGeneralAmt
Fundraising	$53,972	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,269,959,397	TotalAmt
Program Services	$1,113,377,477	ProgramServicesAmt
Management And General	$156,309,459	ManagementAndGeneralAmt
Fundraising	$272,461	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,570	BOYAmt
EOY	$18,089	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,627,349	BOYAmt
EOY	$3,506,032	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,456,995	BOYAmt
EOY	$1,507,672	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$177,015,218	BOYAmt
EOY	$199,058,024	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,893,651	BOYAmt
EOY	$5,225,425	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,242,898	BOYAmt
EOY	$9,411,070	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,303,745	BOYAmt
EOY	$5,204,187	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,017,832,271	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$752,288,048	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,442,642	BOYAmt
EOY	$265,544,223	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$362,634,724	BOYAmt
EOY	$349,277,504	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$438,797,664	BOYAmt
EOY	$543,186,650	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,000	BOYAmt
EOY	-$3,318,749	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,973,619	BOYAmt
EOY	$4,217,404	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,292,474,198	BOYAmt
EOY	$1,382,902,654	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$149,801,878	BOYAmt
EOY	$154,396,596	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$500,000	BOYAmt
EOY	$400,000	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,406,627	BOYAmt
EOY	$6,615,370	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$352,778,501	BOYAmt
EOY	$343,709,740	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,626,435	BOYAmt
EOY	$595,030	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$389,869,165	BOYAmt
EOY	$351,623,042	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$900,982,606	BOYAmt
EOY	$857,339,778	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$372,346,875	BOYAmt
EOY	$505,584,530	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,268,808	BOYAmt
EOY	$8,102,437	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$391,491,592	BOYAmt
EOY	$525,562,876	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,292,474,198	BOYAmt
EOY	$1,382,902,654	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$94,430,497	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$46,019,095	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,378,308	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	$76,070	OtherActivitiesAmt
Total Lobbying Expenditures	$76,070	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,801,517	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,914,128	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$983,681	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$16,731,964	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,705,697	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$904,944	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$809,124	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$15,801,517	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,528,095	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$57,465	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$764,933	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$15,705,697	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,977,886	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,448,538	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$898,329	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$16,528,095	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,955,835	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,798,131	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$776,080	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$15,977,886	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70980	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.29020	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,116,287	OtherCostOrOtherBasisAmt
Book Value	$6,116,287	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$461,438,642	OtherCostOrOtherBasisAmt
Depreciation	$312,272,541	DepreciationAmt
Book Value	$149,166,101	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$928,237	OtherCostOrOtherBasisAmt
Depreciation	$779,003	DepreciationAmt
Book Value	$149,234	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$527,201,519	OtherCostOrOtherBasisAmt
Depreciation	$432,706,651	DepreciationAmt
Book Value	$94,494,868	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,147,586	OtherCostOrOtherBasisAmt
Depreciation	$6,529,853	DepreciationAmt
Book Value	$15,617,733	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$265,544,223	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$5,815,334	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investments in Affiliates	$1,759,350	C
Investment - Stock	$4,990,104	C
Non-Publicly Traded Investments	$530,621,862	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$543,186,650	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Pension Liability	$296,970,144
Interest Rate Swap Liability	$27,603,607
Deferred Compensation Liability	$27,051,037
Due To Affiliate	-$1,746

Field	Value	IRS element (for citing)
Total Liability	$351,623,042	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

Income from endowment funds are used for the following. (1) Pediatric programs- both internal and external- and/or pediatric equipment. (2) Patient indigent care.

Part X, Line 2:

Carilion 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 a 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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Heels for Healing	Event1Nm
Gross Receipts Event1	$40,152	GrossReceiptsEvent1Amt
Charitable Contri Event1	$15,189	CharitableContriEvent1Amt
Gross Revenue Event1	$24,963	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$12,077	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,259	RentFacilityCostsEvent1Amt
Entertainment Event1	$4,100	EntertainmentEvent1Amt
Gross Receipts Total	$40,152	GrossReceiptsTotalAmt
Charitable Contributions Tot	$15,189	CharitableContributionsTotAmt
Gross Revenue Total Events	$24,963	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$12,077	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,259	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$4,100	EntertainmentTotalEventsAmt
Direct Expense Summary Events	$22,436	DirectExpenseSummaryEventsAmt
Net Income Summary	$2,527	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$51,930,816	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,930,816	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,282,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,106,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,175,489	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,213,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,106,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,106,305	NetCommunityBenefitExpnsAmt
Total Expense	0.05910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7192	ActivitiesOrProgramsCnt
Persons Served	35958	PersonsServedCnt
Total Community Benefit Expns	$5,139,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$490,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,649,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	1075	PersonsServedCnt
Total Community Benefit Expns	$39,362,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,834,995	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,527,575	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2751	PersonsServedCnt
Total Community Benefit Expns	$991,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$991,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	79	ActivitiesOrProgramsCnt
Persons Served	12022	PersonsServedCnt
Total Community Benefit Expns	$2,100,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,990,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7297	ActivitiesOrProgramsCnt
Persons Served	51806	PersonsServedCnt
Total Community Benefit Expns	$47,594,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,435,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,158,957	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7297	ActivitiesOrProgramsCnt
Persons Served	51806	PersonsServedCnt
Total Community Benefit Expns	$223,807,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,542,333	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,265,262	NetCommunityBenefitExpnsAmt
Total Expense	0.09090	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	7	PersonsServedCnt
Total Community Benefit Expns	$3,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	7425	PersonsServedCnt
Total Community Benefit Expns	$59,752	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	68	ActivitiesOrProgramsCnt
Persons Served	1200	PersonsServedCnt
Total Community Benefit Expns	$81,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$81,827	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,281	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	169	ActivitiesOrProgramsCnt
Persons Served	1035	PersonsServedCnt
Total Community Benefit Expns	$36,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	3450	PersonsServedCnt
Total Community Benefit Expns	$1,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,212	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	8	PersonsServedCnt
Total Community Benefit Expns	$161,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$161,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	266	ActivitiesOrProgramsCnt
Persons Served	13125	PersonsServedCnt
Total Community Benefit Expns	$362,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$356,101	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$89,796,742	BadDebtExpenseAmt
Reimbursed By Medicare	$254,166,556	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$271,229,342	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,062,786	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Roanoke Ambulatory Surgery Center LLC
Ambulatory surgery	0.48720	0.47670
2 Southwest Virginia Health Properties LLC
Real estate	0.48720	0.47670

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
Carilion Medical Center- DBA CRMH
1	1906 Belleview Avenue	Roanoke	VA	24014	See Schedule O.	H 1840	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Carilion Medical Center- DBA CRCH
2	101 Elm Avenue	Roanoke	VA	24013	See Schedule O.	H 1839	Yes (X)						A	Rehabilitation Unit; Urgent Care

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	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	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Carilion Medical Center- DBA CRMH, - Facility 2: Carilion Medical Center- DBA CRCH
Part V, Section B, line 5:	The following explanation applies to both Facility 1 and Facility 2.Carilion Clinic's CHNAs are community-driven projects and success is highly dependent on the involvement of citizens, health and human service agencies, businesses, and community leaders. Community stakeholder collaborations known at "Community Health Assessment Teams" (CHAT) lead the CHNA projects. The 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) Roanoke Valley CHNA (RVCHNA): Blue Ridge Behavioral Healthcare, Bradley Free Clinic, Carilion Cancer Center, Carilion Clinic, Carilion Clinic Dept. of Family & Community Medicine, CHIP of Roanoke Valley, City of Roanoke, City of Roanoke - Department of Human Services, Council of Community Services, First Citizens Bank, Freedom First Credit Union, Goodwill Industries, Healthy Roanoke Valley, Jefferson College of Health Sciences, LEAP for Local Food, LewisGale Medical Center, Loudon Avenue Christian Church, Mental Health America of Roanoke Valley, Neighborhood Services - City of Roanoke, New Horizons Healthcare - Federally Qualified Health Centers (FQHC), Planned Parenthood South Atlantic, Presbyterian Community Center, Project Access, Roanoke Alleghany Health District- VA Department of Health, Roanoke City Public Schools, Roanoke County Public Schools, Roanoke Redevelopment & Housing Authority, Roanoke Regional Chamber of Commerce, Roanoke Valley- Alleghany Regional Commission, Roanoke Valley Convention & Visitors Bureau, Salem VA Medical Center, Total Action for Progress, United Way of Roanoke Valley, Virginia Tech Fralin Translational Obesity Research Center, and Virginia Tech Carilion School of Medicine. In addition to the CHAT, the RVCHNA conducted stakeholder focus groups, target population focus groups, and a community health survey. Stakeholder focus groups were conducted with the City of Roanoke (Code Enforcement Officers, Fire/EMS Station #5 & #6, & Solid Waste Management), Healthy Roanoke Valley (Coordination of Care Action Team, Medical Action Team, Mental Health Action Team, Oral Health Action Team, & Wellness Action Team), the Neighborhood President's Council and the Roanoke Neighborhood Advocates. Target population focus groups were conducted with a caregiver support group at the Adult Care Center of the Roanoke Valley, a patient focus group at the Bradley Free Clinic, the Residents Council at McCray Court Senior Living, the Pathway's Parents Meeting at the Presbyterian Community Center, the Women's and Children's Center at the Rescue Mission, Roanoke Redevelopment & Housing Authority Melrose Towers and Morningside Manor, Parents Council at Total Action for Progress Head Start and Family Night at the West End Center. The community health survey was made available to all residents living in the Roanoke Valley, and oversampling of the target populations occurred through targeted outreach efforts. In total, 1,990 surveys were collected.
Part V, Section B, line 6a:	The following explanation applies to both Facility 1 and Facility 2.Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, both owned by Carilion Medical Center and serving the same area, jointly conducted their CHNA. HCA-LewisGale Medical Center also participated on the Community Health Assessment Team.
Part V, Section B, line 6b:	The following explanation applies to both Facility 1 and Facility 2.Blue Ridge Behavioral Healthcare, Bradley Free Clinic, Carilion Cancer Center, Carilion Clinic, Carilion Clinic Department of Family & Community Medicine, CHIP of Roanoke Valley, City of Roanoke, City of Roanoke - Department of Human Services, Council of Community Services, First Citizens Bank, Freedom First Credit Union, Goodwill Industries, Healthy Roanoke Valley, Jefferson College of Health Sciences, LEAP for Local Food, LewisGale Medical Center, Loudon Avenue Christian Church, Mental Health America of Roanoke Valley, Neighborhood Services- City of Roanoke, New Horizons Healthcare - (FQHC) , Planned Parenthood South Atlantic, Presbyterian Community Center, Project Access, Roanoke Alleghany Health District- VA Dept. of Health, Roanoke City Public Schools, Roanoke County Public Schools, Roanoke Redevelopment & Housing Authority, Roanoke Regional Chamber of Commerce, Roanoke Valley- Alleghany Regional Commission, Roanoke Valley Convention & Visitors Bureau, Salem VA Medical Center, Total Action for Progress, United Way of Roanoke Valley, Virginia Tech Fralin Translational Obesity Research Center, and Virginia Tech Carilion School of Medicine.
Part V, Section B, line 7d:	The following explanation applies to both Facility 1 and Facility 2.Line 7a, Facility 1: https://www.carilionclinic.org/locations/carilion-roanoke-memorial-hospital.Line 7a, Facility 2: https://www.carilionclinic.org/locations/carilion-roanoke-community-hospital.Line 7b: https://www.carilionclinic.org/community-health-assessments.Line 7d: The 2015 Roanoke Valley CHNA was also posted to CHAT partner websites and social media.Line 10a: https://www.carilionclinic.org/community-health-assessments.
Part V, Section B, line 11:	The following explanation applies to both Facility 1 and Facility 2.Carilion Medical Center's two hospital facilities, Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, partnered with Healthy Roanoke Valley (HRV) to conduct the FY 2015 Roanoke Valley CHNA during the 2014 tax year. Healthy Roanoke Valley (HRV), housed under the United Way of Roanoke Valley, was formed in 2012 as a community response to needs identified in Carilion Medical Center's triennial Roanoke Valley CHNA.In June 2015, the CHAT participated in a prioritization activity to determine the greatest needs in the service area based on the primary and secondary data collected during the assessment period. To quantitatively determine health needs, CHAT members were asked to rank the top ten pertinent community needs, with one being the most pertinent. Next, on a scale of 1-5, CHAT members were asked to assign a feasibility and potential impact score for each of the ranked needs. This information was used for the CHAT strategic planning retreat held in August 2015.The top ten priority areas that emerged from these findings include:1. Poor eating habits / lack of nutrient dense foods in diet 2. Access to mental health counseling / substance abuse 3. Access to adult dental care 4. Access to dental care for children 5. Lack of exercise / physical activity 6. Value not placed on preventive care and chronic disease management 7. Access to primary care 8. High prevalence of obesity / overweight individuals 9. Lack of knowledge of community resources 10. Improved coordination of care across the health and human sectorThe CHAT participated in strategic planning on August 31, 2015. It reviewed and accepted the priority areas of access to services (primary care, mental health & substance abuse, and oral health), coordination of care, and wellness. Expected outcomes were approved by the CHAT and will be used by Carilion Medical Center (CMC) to measure impact around the priority areas. Significant Health Needs to be AddressedCMC plans to address key community health needs identified in the 2015 assessment by focusing its efforts on a particular community, one that emerged with the greatest need. Through greater access to clinical care, enhanced community outreach programs, creative community partnerships and focused financial and in-kind support of initiatives, CMC plans to improve community health in the South East neighborhood of Roanoke City. Key focus areas of this health improvement project over the next three years include access to services, coordination of care and wellness.A. Access to Services:CMC will explore the development of a community health center in South East with the goal of increasing access to primary care, urgent care and dental services in the neighborhood. The center may also include a mix of services to address social determinants of health, such as job training, health education and wellness services. This offering will be planned with and provided by community partners, including the City of Roanoke, safety net providers and private businesses.B. Coordination of Care:Carilion's family practices have adopted the medical home model and have added care coordinators to proactively work with its high risk, chronic care patients. Carilion will take a focused approach on the South East patients, integrating medical home approaches with a planned community coordination hub being developed by Healthy Roanoke Valley. C. Wellness:Carilion's Community Outreach staff will provide education, flu shots, and community health screenings to the target population in the South East community. Education includes free interactive presentations on the topics of cancer prevention, diabetes prevention, fitness/exercise, food safety, health/stroke, healthy lifestyles, nutrition, smoking cessation, and stress. Poor eating habits were identified as a key concern in the 2015 RVCHNA. The Carilion Clinic Healthy Food Program (formed to respond to the 2012 RVCHNA) is designed to address this need by promoting healthy, local (when possible), and nutrient-dense food to patients and employees and to encourage healthy eating in the community. Fresh Foods RX, is a partnership with HRV, a program which includes a physician's prescription for healthy food, and a waiver for free local fruits and vegetables was successfully piloted in 2015 with a second pilot expanding the program to three sites in 2016. The Healthier Hospital Healthy Food Initiative, the Carilion Farm Share program, and funding of community programs that address increased access to healthy food will continue.Exercise and fitness opportunities will be a key focus for South East, particularly in relation to childhood obesity. Through a partnership with a local soccer club, Carilion will help build fields in the South East neighborhood and provide scholarships to local children. Carilion also helped to build a community kayak launch on the Roanoke River with access in that neighborhood. Funding of community programs that address increased access to physical activity opportunities will continue.D. Focused Community Grants and Partnerships:Carilion Clinic funds health safety-net providers and causes identified through the RVCHNA and will focus on providing financial support to community health improvement initiatives in the South East neighborhood through community grants and sponsorships.In-kind assistance is also provided through community partnerships that align with the RVCHNA. Carilion actively looks for opportunities to support by providing outreach and educational support. Partnerships include HRV, Anchor of Hope's Community Health Promoter Program, West End Freedom First, Roanoke Regional Housing Authority, Kohl's Cares, the PATH Coalition, Safe Kids, Leap for Local Foods, the Feeding America of SWVA Veggie Mobile, as well as many others. E. Implementation and Measurement:HRV is serving as a key partner in the implementation of health improvement initiatives emerging from the CHNA. The findings of this assessment are key in measuring the progress of HRV initiatives and their impact in the community. The HRV Strategic Action Framework to better meet the needs of our target population includes data driven, evidence-based goals and strategies which address access to care (mental health, oral health, primary care); coordination of care; and wellness. As a result of the 2015 RVCHNA, HRV underwent strategic planning with both its Steering Committee and Action Team members to update the Governance Guidelines, Operations Structure, and Strategic Action Framework to ensure HRV continues to align with the priorities identified in the needs assessment. HRV completed this process in 2016 and began implementation of the 2016-2019 Strategic Action Framework in the summer of 2016.Priority Areas Not being Addressed and the ReasonsA community approach to determine and address priority needs as described above was used in determining which needs cannot be addressed immediately. The needs not identified as "priority" are those that will not be actively addressed in this time period.
Part V, Section B, Line 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	88	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (88 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - Carilion Roanoke Memorial Rehab
2017 South Jefferson Street	Roanoke	VA	24014	Psych Unit, Outpatient Rehabilitation
2 - Brambleton Radiology Services
3707 Brambleton Avenue	Roanoke	VA	24018	Radiology Services
3 - Breast Mammography - North
6415 Peters Creek Road	Roanoke	VA	24019	Breast Mammography
4 - Carilion Anticoagulation Clinic
1030 S Jefferson St Ste G101	Roanoke	VA	24014	Anticoagulation Clinic
5 - Carilion Breast Care Center
102 Highland Ave Ste 202	Roanoke	VA	24014	Breast Care Center
6 - Carilion Cardiac Rehab
127 McClanahan Street	Roanoke	VA	24016	Cardiac Rehab
7 - Carilion Cardiology Westlake
35 Medical Court	Hardy	VA	24101	Cardiology Services
8 - Carilion Cardiothoracic Surgery
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Cardiac Surgery Services	201
9 - Carilion Center for Healthy Aging
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Geriatrics	302
10 - Carilion Clinic Allergy & Immunology
46 Wesley Road	Daleville	VA	24083	Allergy and Immunology Services
11 - Carilion Clinic Cardiology
2001 Crystal Spring Ave Suite 300	Roanoke	VA	24014	Cardiology Services
12 - Carilion Clinic Cardiology
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Cardiology Services	203
13 - Carilion Clinic Dept of Psychiatry
2900 Lamb Circle	Christiansburg	VA	24073	Psychiatry and Behavioral Health Services
14 - Carilion Clinic Dept of Psychiatry
2900 Tyler Road	Christiansburg	VA	24073	Psychiatry and Behavioral Health Services
15 - Carilion Clinic Psychiatry & Behavioral
2017 S Jefferson Street	Roanoke	VA	24014	Behavioral Health
16 - Carilion Clinic DermatologyMohs Surg
1 Riverside Circle Suite 300	Roanoke	VA	24016	Dermatology and Mohs Surgery
17 - Carilion Clinic Family Med Tazewell
388 Ben Bolt Avenue	Tazewell	VA	24651	Family Medicine
18 - Carilion Clinic Gastroenterology
3 Riverside Circle	Roanoke	VA	24016	Gastroenterology
19 - Carilion Clinic General Surgery
3 Riverside Circle	Roanoke	VA	24016	Surgical Services
20 - Carilion Clinic Imaging ION
2331 Franklin Road	Roanoke	VA	24014	Imaging Services
21 - Carilion Clinic Internal Medicine
3 Riverside Circle	Roanoke	VA	24016	Internal Medicine
22 - Carilion Clinic Neurology
3 Riverside Circle	Roanoke	VA	24016	Neurology
23 - Carilion Clinic Neurosurgery - ION
2331 Franklin Road	Roanoke	VA	24014	Neurosurgery
24 - Carilion Clinic OBGYN and Cardiology Mart
1107B Brookdale Street	Martinsville	VA	24112	OB, Gynecological, and Cardiology Services
25 - Carilion Clinic OBGYN Botetourt
150 Market Ridge Lane	Daleville	VA	24083	Obstetrics and Gynecology
26 - Carilion Clinic OBGYN Spartan Drive
150 Spartan Drive	Salem	VA	24153	Obstetrics and Gynecology
27 - Carilion Clinic Orthopaedics
3 Riverside Circle	Roanoke	VA	24016	Orthopaedics
28 - Carilion Clinic Orthopaedics-Franklin
390 S Main Street Suite 103	Rocky Mount	VA	24151	Orthopaedics
29 - Carilion Clinic Orthopaedics - ION
2331 Franklin Road SW	Roanoke	VA	24014	Orthopaedics
30 - Carilion Clinic Orthopaedics Trauma
3 Riverside Circle	Roanoke	VA	24014	Orthopaedic Trauma
31 - Carilion Clinic Pain Management - ION
2331 Franklin Road	Roanoke	VA	24014	Pain Management
32 - Carilion Clinic Pediatric Surgery
102 Highland Avenue Suite 404	Roanoke	VA	24013	Surgical Services
33 - Carilion Clinic Pulmonary & Sleep Med
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Pulmonary and Sleep Services	300
34 - Carilion Clinic TraumaCritical Care
3 Riverside Circle	Roanoke	VA	24016	Surgical Services
35 - Carilion Clinic Urogynecology
101 Elm Avenue Suite 400	Roanoke	VA	24013	Obstetrics
36 - Carilion Clinic Urology Christiansburg
120 Akers Farm Road NE	Christiansburg	VA	24073	Urology
37 - Carilion Dental Care
2017 S Jefferson Street	Roanoke	VA	24014	Dental Service
38 - Carilion Dentistry Pediatric Surgery
101 Elm Avenue	Roanoke	VA	24013	Dental Service
39 - Carilion Diabetic Education
1030 S Jefferson Suite G101	Roanoke	VA	24016	Diabetic Education
40 - Carilion General Pediatric Clinic
1030 S Jefferson Street Suite 106	Roanoke	VA	24016	General Pediatrics
41 - Carilion Genetics
102 Highland Avenue Suite 104	Roanoke	VA	24013	Genetic Counseling
42 - Carilion GYN Clinic
102 Highland Avenue Suite 303	Roanoke	VA	24013	Gynecolgical Services
43 - Carilion GYN Oncology
1 Riverside Circle Suite 300	Roanoke	VA	24016	Gynecolgical Oncology
44 - Carilion Heart Failure Clinic
127 McClanahan Street	Roanoke	VA	24016	Heart Failure Services
45 - Carilion Imaging
3 Riverside Circle	Roanoke	VA	24016	Imaging Services
46 - Carilion Imaging Professionals
1 Taylor Avenue	Pearisburg	VA	24134	Imaging Services
47 - Carilion Infectious Disease Clinic
2001 Crystal Spring Avenue Suite	Roanoke	VA	24014	Infectious Disease	301
48 - Carilion Maternal Fetal Medicine
101 Elm Avenue SW Suite 400	Roanoke	VA	24013	Maternal Fetal Medicine
49 - Carilion OBGYN - Riverside
3 Riverside Circle	Roanoke	VA	24016	Obsetrics and Gynecology
50 - Carilion ObstetricsGynecology Clinic
902 South Jefferson Street Upper	Roanoke	VA	24016	Obsetrics and Gynecology	Level
51 - Carilion OtolaryngologyENT
3 Riverside Circle 4th Floor	Roanoke	VA	24016	Otolaryngology and ENT Services
52 - Carilion Pediatric Endocrinology Clinic
102 Highland Avenue MOB Suite 455	Roanoke	VA	24013	Endocrinology
53 - Carilion Pediatric Neurology
102 Highland Avenue Suite 104	Roanoke	VA	24013	Neurosciences
54 - Carilion Pediatric OtolaryngologyENT
3 Riverside Circle 4th Floor	Roanoke	VA	24016	Pediatric Otolaryngology and ENT Services
55 - Carilion Pediatric PulmonologyAllergy
102 Highland Avenue Suite 203	Roanoke	VA	24013	Pulmonology
56 - Carilion Physical Medicine and Rehab
2331 Franklin Road SW	Roanoke	VA	24014	Physical Medicine
57 - Carilion PlasticReconstructive Surg
3 Riverside Circle Suite 400	Roanoke	VA	24016	Plastic and Reconstructive Surgery
58 - Carilion Prenatal Diagnostic Center
102 Highland Ave Ste 455	Roanoke	VA	24013	Prenatal Testing
59 - Carilion Reproductive Endocrinology
102 Highland Avenue Suite 304	Roanoke	VA	24013	Reproductive Endocrinology
60 - Carilion Roanoke IP Psychiatry
2017 S Jefferson Street 1st Floor	Roanoke	VA	24014	Psychiatry Services
61 - Carilion Sleep Center
1030 Jefferson Plaza Ste G100	Roanoke	VA	24016	Sleep Disorder
62 - Carilion Sleep Center Westlake
35 Medical Court	Hardy	VA	24101	Sleep Disorder
63 - Carilion Surgery Westlake
35 Medical Court	Hardy	VA	24101	Surgical Services
64 - Carilion Wellness- Botetourt
105 Summerfield Court	Roanoke	VA	24019	Outpatient Therapy Services
65 - Carilion Wellness- Roanoke
4508 Starkey Road	Roanoke	VA	24018	Physical Therapy Services
66 - Carilion Wound Care Center
101 Elm Ave SE	Roanoke	VA	24013	Wound Care
67 - CES - Franklin
180 Floyd Avenue	Rocky Mount	VA	24151	Emergency Physicians
68 - CES - Giles
1611 Wenonah Avenue	Pearisburg	VA	24134	Emergency Physicians
69 - CES - Tazewell
388 Ben Bolt Avenue	Tazewell	VA	24651	Emergency Physicians
70 - CFM - Salem
2102 West Main Street	Salem	VA	24153	Family Practice
71 - CFM Roanoke Salem
1314 Peters Creek Road	Roanoke	VA	24017	Family Practice
72 - CFM Southeast
2145 Mount Pleasant Boulevard	Roanoke	VA	24014	Family Practice
73 - Child and Adolescent Psychiatry
2017 S Jefferson Street 2nd Floor	Roanoke	VA	24014	Child and Adolescent Psychiatry Services
74 - CNRV Emergency Services
2900 Lamb Circle	Christiansburg	VA	24073	Emergency Physicians
75 - CNRVMC - Neurosciences
2900 Lamb Circle	Christiansburg	VA	24073	Neurology
76 - CNRVMC - Radiology
2900 Lamb Circle	Christiansburg	VA	24073	Radiology Services
77 - Community Care
101 Elm Avenue SE	Roanoke	VA	24013	Family Medicine
78 - Community Psychiatry
2017 S Jefferson Street	Roanoke	VA	24014	Psychiatry Services
79 - CRMH Rheumatology Clinic
3 Riverside Circle	Roanoke	VA	24016	Rheumatology
80 - CSJH Emergency Department
1 Health Circle	Lexington	VA	24450	Emergency Physicians
81 - Daleville Imaging
46 Wesley Road	Daleville	VA	24083	Imaging Services
82 - General Surgery Clinic
180 Floyd Avenue	Rocky Mount	VA	24151	Surgical Services
83 - General Surgery Rocky Mount
390 South Main Street	Rocky Mount	VA	24151	Surgical Services
84 - Northwest Internal Medicine
615 McDowell Avenue	Roanoke	VA	24016	Internal Medicine
85 - Pediatric Cardiology Clinic
102 Highland Avenue Suite 101	Roanoke	VA	24013	Cardiology
86 - Pediatric Developmental Clinic
1030 S Jefferson Street Suite 201	Roanoke	VA	24016	Pediatric Development
87 - Pediatric Gastroenterology
102 Highland Avenue Suite 305	Roanoke	VA	24013	Gastronenterology
88 - Tazewell Veterans Affairs Community
388 Ben Bolt Avenue	Tazewell	VA	24651	Veteran Affairs Outpatient Clinic

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: https://carilionclinic.org/community-health-assessments.
Part I, Line 7:	Part I, Line 7 a-b: The ratio of cost-to-charges was used to calculate the expense.Part I, Line 7:Column f calculation-The organization's bad debt expense of $89,796,742 is subtracted from total expenses for the calculation.Part I, Line 7e:Community Health Improvement:This line is reported at actual cost. Carilion Medical Center provides education to the public about health risks and steps that can be taken to improve health. Events include regularly scheduled health screenings such as blood pressure, blood glucose and cholesterol as well as seasonal stroke, vascular and facial sun damage detection screenings. Carilion Medical Center's community health education department serves as host of the local chapter of the National Safe Kids Coalition and provides education on childhood injury prevention to the community and other providers. In addition, Carilion Medical Center's Safe Kids Coalition coordinator provided training and national certification on proper car seat installation for other health and safety providers free of charge. Additional health improvement services include physician coverage at the Bradley Free Clinic and the Roanoke Rescue Mission, blood drives, assistance with enrollment in public medical programs such as Medicaid, and interpreter services for non-English speaking patients. Community benefit operations includes expenses related to support of Healthy Roanoke Valley, a collaboration of health and human service agencies developing initiatives to address prioritized community health needs, the cost associated with tracking community health improvement activities, and the cost associated with conducting a Community Health Needs Assessment.Part I, Line 7f: Health professions education - This line is reported at actual cost. Carilion Medical Center provides in-kind support to Radford University's Bachelor of Science Nursing Program and mentors nursing students within Carilion Roanoke Memorial Hospital. Part I, Line 7g: Subsidized Health Services - n/aPart I, Line 7h: Research - This line is reported at actual cost. Carilion Medical Center participates in clinical research projects which includes internal review board oversight. Additionally, community research is provided through a cancer registry to assist public health professionals in understanding and addressing the cancer burden more effectively. Information obtained is used in development of programs on cancer prevention, early detection, and successful treatment and care. Part I, Line 7i: Cash and In-Kind Contributions: At 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 dozens of 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 nutrient dense foods, promotion of exercise and healthy activity, chronic disease management, access to mental health services and coordination of care, in addition to a multitude of other community health improvement goals.
Part II, Lines 1-8	Part II, Line 1: Physical improvements and housing- Support was provided to Habitat for Humanity and the Roanoke Regional Housing Network for an Educational Symposium.Part II, Line 2:Economic development- Carilion Medical Center actively participates with and supports local Chambers of Commerce in the Roanoke Valley which improves economic development through support and advocacy for business. Carilion takes an active role in local economic development through investment in research and technology and conversations with local businesses regarding the region's development. Support was also provided for Virginia's Blue Ridge, focusing on economic development through tourism. Funding was provided to the Greater Roanoke Transit Company for the Star Line Trolley providing free transportation around downtown Roanoke. Support was also provided for the Better Business Bureau and the Roanoke Blacksburg Technology Council.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. Though support of local partners, Carilion is able to help provide better education and opportunities for children and families as well as housing, nutrition and resources for our neighbors in need, removing obstacles to good health.Part II, Line 4:Environmental improvements- Carilion Medical Center partnered with Ride Solutions to make available a Bikeshare program in Roanoke, making it easier for people to bike to and from work, school and activities. Support was also provided to Pathfinders for Greenways for our local greenway.Part II, Line 5:Leadership development and training for community members- Support was provided to DePaul Community Resources for a leadership conference.Part II, Line 6:Coalition building- In addition to financial support, Carilion Medical Center is deeply involved with a variety of health-related initiatives and supports local organizations through coordination of activities and participation as volunteers and on boards. In-kind support was provided through representation on Roanoke Area Youth Substance Abuse Coalition and Roanoke Prevention Alliance, a group of concerned citizens, parents, youth, teachers, police officers, business people, judges, and other caring individuals that strive to keep the youth of the Roanoke Valley and southwest Virginia alcohol-, tobacco- and drug-free; Safe Kids coalition, a multidisciplinary team, working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome (SIDS); Virginia Highway Safety Board representation; Roanoke City School Health Advisory Board representation; and YOVASO, a statewide youth leadership program, dedicated to saving the lives of teenage drivers through educating, encouraging and empowering teenagers to be traffic safety advocates in their schools and communities. In-kind support was also provided through participation and volunteering with the following organizations: Healthy Youth VA, EMS2020 meeting, Ronald McDonald House, Roanoke City Health Department, CityWorks Expo, United Way of Roanoke Valley, Local Agency on Aging, Roanoke City Libraries, Botetourt County, Compress and Shock Foundation, Roanoke Community Garden Association, Happy Healthy Cooks, Healing Arts Garden, Rescue Mission, American Red Cross, Invest Health Coalition, Bradley Free Clinic, Big Brothers Big Sisters, Roanoke Star Soccer, YMCA, Ride Solutions, Family Service, New Horizons, Recovery Coalition, Roanoke Children's Theater, Virginia Peer Recovery Specialist Network, Suicide Prevention Council of Roanoke Valley, and the Healthy Families initiative. Part II, Line 7:Community health improvement advocacy - In-kind support was provided for distribution of a newsletter on behalf of adolescent and student health services.Part II, Line 8:Workforce development -Carilion Medical Center partnered with Goodwill Industries of the Roanoke Valley, the Department of Rehabilitative Services, Blue Ridge Behavioral Health, Blue Ridge Independent Living Center and local parent representatives to offer Project SEARCH, a one year high school transition program that provides employment and educational opportunities for individuals with significant disabilities and assists with finding long term employment in skilled positions for its participants. Additional expenses include recruitment of providers to meet the needs of underserved individuals in the Roanoke Valley. Support was also provided for the Virginia Tech Foundation Educational Fund, Virginia Foundation of Community College Education, Virginia Health Workforce Development Authority, Junior League Leadership for a Healthier Tomorrow and Virginia Business Higher Education.
Part III, Line 2:	Carilion Medical Center estimates bad debt expense by reserving a percentage of all self-pay patient accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends.
Part III, Line 4:	Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Carilion Medical Center estimates the allowance for doubtful accounts by reserving a percentage of all self-pay patient accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends. Carilion Medical Center collects substantially all of its third-party insured receivables, which include receivables from governmental agencies 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. Carilion Clinic and Healthy Roanoke Valley (HRV) partnered to conduct the 2015 Roanoke Valley CHNA. This process was community-driven and focused on high levels of community engagement involving health and human services leaders, stakeholders, and providers; the target population; and the community as a whole. Healthy Roanoke Valley (HRV), housed under the United Way of Roanoke Valley, was formed in 2012 as a community response to needs identified in Carilion Clinic's triennial Roanoke Valley CHNA. HRV's mission is to mobilize community resources to improve access to care, coordination of services, and promote a culture of wellness. Using the collective impact model, the partnership boasts more than 160 individuals representing cross-sector stakeholders and leaders who are working to implement cost-effective programs resulting in improved health outcomes.
Part VI, Line 3:	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:Carilion Medical Center (CMC), comprised of two hospitals, Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, is located in Roanoke, Virginia. The following community data comes from the 2015 Roanoke Valley Community Health Assessment. Roanoke is a 1,186 square mile valley located in southwest Virginia near the Blue Ridge and Allegheny Mountains. In fiscal year 2014, CMC served 121,168 unique patients. Patient origin data revealed that in fiscal year 2014, 72.77% of patients served by CMC lived in the following localities: Roanoke City (30.80%), Roanoke County (19.97%), Franklin County (8.78%), Botetourt County (6.94%), Salem City (5.61%), and Craig County (0.68%). The Roanoke Metropolitan Statistical Area (MSA), commonly known as the Roanoke Valley, is composed of the independent cities of Roanoke and Salem and the counties of Botetourt, Craig, Franklin and Roanoke.According to the 2010 Census, the total population of the Roanoke MSA is 308,707. 78.5% of residents are 18 years old or over and 16.3% are 65 years old or over. The MSA is 82.2% white and 12.8% black. According to the 2011-2015 American Community Survey 5-Year Estimates, 38.01% of MSA residents are not in the labor force, the median household income is $50,340, 10.8% of residents have no health insurance coverage, 13.9% of all people and 20.5% of people under 18 years old live below the federal poverty level, 87.9% of residents have graduated high school, and 26.7% of residents have a bachelor's degree or higher. Craig County and Franklin County are designated Medically Underserved Areas (MUA) as are portions of northern Botetourt County. In the city of Roanoke, nine census tracts are designated MUA's - seven are located in the northwest (NW) quadrant (Census Tracts 1, 9-11, 23-25) and two in the southeast (SE) quadrant (Census Tracts 26 and 27). Health Professional Shortage Areas (HPSA) are present in the portions of the Roanoke MSA for Primary Care, Dental, and Mental Health providers.
Part VI, Line 5:	Community Health Promotion:Carilion Medical Center includes Carilion Clinic's flagship facility, Carilion Roanoke Memorial Hospital (CRMH). The 703-bed hospital includes a Neonatal Intensive Care Unit, Carilion Children's Hospital, specialty and advanced clinical care and the region's only Level 1 Trauma Center. U.S. News & World Report ranks it among Virginia's top five; it is one of only 43 in the country ranked at the top for nine adult procedures and conditions. CRMH provides access to the region's most experienced providers and specialty services, while teaching and developing tomorrow's medical leaders through residencies and fellowships sponsored by the Virginia Tech Carilion School of Medicine. Carilion Medical Center serves all patients regardless of their ability to pay. The Hospital's governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. 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:	Our Affiliated health care system:Carilion Medical Center is wholly 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 over 700,000 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 inter-professionalism training.Part VI, Line 7: N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Alzheimer's Assoication
1160 Pepsi Place Ste 306	Charlottesville	VA	22901	133039601	501(c)(3)	$8,000	General Support
American Cancer Society
2840 Electric Rd Ste 106A	Roanoke	VA	24018	131788491	501(c)(3)	$18,700	Event Sponsorships
American Heart Association Mid-Atlantic Affliliate
PO Box 50045	Prescott	AZ	86304	135613797	501(c)(3)	$18,500	Event Sponsorships
Anchor of Hope Community Foundation
118 Centre Avenue NW	Roanoke	VA	24017	474222612	501(c)(3)	$8,500	Community Health Promoter program in SE Roanoke.
Big Brothers Big Sisters of Southwest Virginia
124 Wells Avenue NW	Roanoke	VA	24016	540837136	501(c)(3)	$33,000	Mentoring program
Boys and Girls Clubs of Southwest Virginia
1714 9th Street SE	Roanoke	VA	24013	541867366	501(c)(3)	$9,500	Triple Play program
Bradley Free Clinic Inc
1240 Third Street SW	Roanoke	VA	24016	237380491	501(c)(3)	$10,000	Open a specialty Women's Health Program.
Carilion Clinic Patient Transportation
431 McClanahan St SW	Roanoke	VA	24014	541864693	501(c)(3)	$50,013	General Support
Children's Trusts of Roanoke
541 Luck Ave Suite 308	Roanoke	VA	24016	510235891	501(c)(3)	$91,500	Operational Support
CHIP of Roanoke Valley
1201 3rd Street	Roanoke	VA	24016	541566451	501(c)(3)	$52,403	Operational Support
City of Roanoke
215 Church Ave Room 254	Roanoke	VA	24011	546001569	City of Roanoke	$49,750	General Support
DePaul Community Resources
5650 Hollins Road	Roanoke	VA	24019	541108079	501(c)(3)	$6,680	Event sponsorships
Down by Downtown Music Inc
22 Kirk Ave SW	Roanoke	VA	24011	812334271	501(c)(3)	$5,000	General support
Family Service of Roanoke Valley
360 Campbell Ave SW	Roanoke	VA	24016	540505946	501(c)(3)	$15,000	Therapy Subsidies and Play Therapy Institue
Feeding America Southwest Virginia
1025 Electric Rd	Salem	VA	24153	541939556	501(c)(3)	$25,000	Community Solutions Center/ General Support
Foundation for Rehabilitation Equipment and Endowment
PO Box 8873	Roanoke	VA	24014	541934695	501(c)(3)	$8,500	General Support
Greater Roanoke Transit Company
1108 Campbell Avenue SE	Roanoke	VA	24013	540982022	City of Roanoke	$55,889	General support
Happy Healthy Cooks
1914 Belleville Rd SW	Roanoke	VA	24015	464937238	501(c)(3)	$20,000	Healthy Eating Program
Jefferson Center Foundation
541 Luck Avenue SW Suite 221	Roanoke	VA	24016	621392982	501(c)(3)	$60,000	General Support
Junior Achievement of Southwest Virginia Inc
3433 Brambleton Avenue SW Suite	Roanoke	VA	24018	540628293	501(c)(3)	$5,500	General Support	202B
March of Dimes Greater Roanoke
4191 Innslake Drive Suite 201	Glenn Allen	VA	23060	131846366	501(c)(3)	$5,000	Event sponsorship
Mental Health of America Rke Valley
PO Box 592	Roanoke	VA	24004	540703132	501(c)(3)	$31,000	General Support
Mill Mountain Theatre
One Market Square SE	Roanoke	VA	24011	540792067	501(c)(3)	$10,000	Corporate Sponsorship
National Multiple Sclerosis Society
4200 Innslake Dr Ste 301	Glen Allen	VA	23060	540633474	501(c)(3)	$8,700	Event sponsorship
Northern Virginia Technology Council Inc
2214 Rock Hill Road Suite 300	Herndon	VA	20170	621471948	501(c )(6)	$5,000	Corporate Sponsorship
Opera Roanoke
20 E Church Ave 3rd Floor	Roanoke	VA	24011	510213334	501(c)(3)	$10,000	Corporate Sponsorship
Presbyterian Community Center Inc
1228 Jamison Ave SE	Roanoke	VA	24013	541610899	501(c)(3)	$5,000	Event sponsorship
Roanoke Academy of Medicine Alliance Foundation
PO BOX 8602	Roanoke	VA	24014	510218435	501(c)(3)	$9,100	Event Sponsorship
Roanoke Branch NAACP
PO Box 12362	Roanoke	VA	24025	546070115	501(c)(4)	$5,200	Event Sponsorship
Roanoke Community Garden Association
655 Highland AveSE	Roanoke	VA	24012	262082150	501(c)(3)	$19,000	Nutrition Program
Roanoke Symphony Orchestra
128 East Campbell Avenue	Roanoke	VA	24011	546019736	501(c)(3)	$22,500	Corporate Sponsorship
Roanoke Valley - Alleghany Regional Commission
PO Box 2569	Roanoke	VA	24010	540722734	City of Roanoke	$18,000	Bike Share Sponsorship
Roanoke Valley End of Life Care Partnership
PO Box 18238	Roanoke	VA	24014	113683571	501(c)(3)	$7,795	General Support
Ronald McDonald House Charities of SW VA
2224 S Jefferson St	Roanoke	VA	24014	541244769	501(c)(3)	$600	General Support		$249,690	FMV	Donated Rent
RX Drug Access Partnership
2924 Emerywood Parkway Suite 30	Rickmond	VA	23294	571186937	501(c)(3)	$5,405	General Support
Scott Robertson Memorial Junior Golf Academy
3707 Densmore Rd NW	Roanoke	VA	24017	201237999	501(c)(3)	$10,000	Event sponsorship
Southwest Virginia Ballet Company
PO Box 3275	Roanoke	VA	24015	541563448	501(c)(3)	$5,000	Event Sponsorship
Total Action Against Poverty in Roanoke Valley
302 2nd Street SW	Roanoke	VA	24001	546057095	501(c)(3)	$10,000	General Support
United Way of Roanoke Valley
325 Campbell Ave SW	Roanoke	VA	24016	540535302	501(c)(3)	$36,441	Fresh Foods RX program/Healthy Roanoke Valley collaborative
Virginia Blue Ridge Affiliate of Susan G Komen
4910 Valley View Blvd Ste 212	Roanoke	VA	24012	562619425	501(c)(3)	$20,000	Event sponsorships
Virginia Business Higher Education Council
1108 E Main St 1100	Richmond	VA	23219	541827038	501(c)(3)	$50,000	General Support
Virginia Foundation for Independent Colleges
901 East Byrd Street No 1625	Richmond	VA	23219	540554396	501(c)(3)	$10,000	Science Research Fellowships
Virginia Polytechnic Institute and State University
2 Riverside Circle	Roanoke	VA	24016	546001805	State of Virginia	$32,500	General Support
Virginia Tech Carilion School of Medicine Inc
Two Riverside Circle	Roanoke	VA	24016	264556177	501(c)(3)	$90,029	General Support
Visit Virginia's Blue Ridge Foundation
101 Shenandoah Ave NE	Roanoke	VA	24016	814589910	501(c)(3)	$11,200	Community Bike Repair stations
West End Center
PO Box 4562	Roanoke	VA	24015	541150320	501(c)(3)	$5,000	Healthy Living
Western Virginia Foundation For The Arts And Sciences
1 Market Square	Roanoke	VA	24011	510238900	501(c)(3)	$270,000	Children's Museum
WSLC-FM
3934 Electric Rd SW	Roanoke	VA	24018	952913603	-	$5,000	Charity Fundraiser Sponsorship
YMCA of Roanoke Valley Inc
PO Box 2130	Roanoke	VA	24009	540515736	501(c)(3)	$55,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	46	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Endowment-funded indigent patient medical bills	48	$228,425
Scholarships	5	$9,000

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 2	The hospital donates funds to other 501(c)3 charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds. Carilion Medical Center also has a program under which funds are granted to community organizations with a focus on chidren's health and well-being. A committee of Carilion Medical Center employees reviews the applications and selects the recipients. Recipients sign a letter of agreement that delineates the terms and objectives of the project. One mid-year project report, a site visit and a final program evaluation reports on the program's services, outcomes and budget. For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives of the project. By accepting a Carilion award, grantees are asked to acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle progress report and a final program evaluation are required for each funded project. Site visits may be made to new grantees. Program evaluation includes organizational effectiveness, program impact, and community benefit through collection of data including clients served, cost effectiveness of the program (cost per client of service), tangible community or client outcomes, and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested.
Schedule I, Part III, Line 1	Grant requests for indigent patients are evaluated for eligibility based on the restriction criteria placed by the grantor of the endowment, account payment status and funds available under the grant.
Schedule I, Part III, Line 2	Scholarship applications are evaluated and awards made by an independent committee according to prescribed guidelines.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nancy Howell Agee
Director	$0	$1,189,180	$0	$358,500	$0	$245,942	$0	$2,363,574	$0	$12,316	$0	$4,169,512	$0	$235,766
Nathaniel L Bishop D Min
Director, SVP, President-JCOHS	$339,978	$0	$52,178	$0	$5,838	$0	$180,525	$0	$3,442	$0	$581,961	$0	$0	$0
John H Burton MD
Director, SVP, Medical Chair	$486,735	$0	$93,654	$0	$6,464	$0	$75,880	$0	$15,812	$0	$678,545	$0	$0	$0
Cynda A Johnson MD
Director	$0	$587,496	$0	$0	$0	$11,014	$0	$91,656	$0	$10,542	$0	$700,708	$0	$0
Clifford A Nottingham MD
Director	$0	$285,867	$0	$47,640	$0	$6,567	$0	$196,725	$0	$10,335	$0	$547,134	$0	$0
Patrice M Weiss MD
Director, EVP	$0	$551,506	$0	$134,942	$0	$7,280	$0	$161,196	$0	$15,812	$0	$870,736	$0	$0
Ralph E WhatleyIII MD
Director, SVP	$451,154	$0	$86,254	$0	$11,150	$0	$117,215	$0	$13,547	$0	$679,320	$0	$0	$0
Steve C Arner
Director/President/CEO/COO	$0	$426,986	$0	$98,146	$0	$4,840	$0	$192,610	$0	$14,330	$0	$736,912	$0	$0
Nicholas C Conte
Secretary	$0	$332,117	$0	$117,252	$0	$3,542	$0	$54,850	$0	$14,330	$0	$522,091	$0	$0
David S Hagadorn
Assistant Treasurer	$0	$128,352	$0	$3,000	$0	$7,717	$0	$61,157	$0	$843	$0	$201,069	$0	$0
Donald B Halliwill
Assistant Treasurer/CFO	$0	$464,019	$0	$107,317	$0	$4,271	$0	$196,448	$0	$13,030	$0	$785,085	$0	$0
G Robert Vaughan Jr
Treasurer	$0	$300,771	$0	$48,281	$0	$7,946	$0	$168,199	$0	$14,090	$0	$539,287	$0	$0
Bruce A Long MD
Physician, Interim Medical Chair	$477,695	$0	$250,894	$0	$13,453	$0	$100,042	$0	$13,160	$0	$855,244	$0	$0	$0
Joseph T Moskal MD
SVP, Medical Chair	$1,040,512	$0	$243,057	$0	$9,259	$0	$101,207	$0	$15,812	$0	$1,409,847	$0	$0	$0
Paul R Skolnik MD
SVP, Medical Chair	$229,052	$0	$0	$0	$8,476	$0	$9,231	$0	$8,567	$0	$255,326	$0	$0	$0
Jonathan J Carmouche MD
Physician	$1,184,900	$0	$449,358	$0	$2,549	$0	$44,322	$0	$13,160	$0	$1,694,289	$0	$0	$0
Caleb J Behrend MD
Physician	$737,035	$0	$497,566	$0	$2,562	$0	$15,825	$0	$13,160	$0	$1,266,148	$0	$0	$0
Eric A Marvin MD
Physician	$697,131	$0	$429,977	$0	$2,293	$0	$24,868	$0	$13,160	$0	$1,167,429	$0	$0	$0
Gregory A Howes MD
Physician	$742,331	$0	$286,191	$0	$20,204	$0	$44,820	$0	$13,160	$0	$1,106,706	$0	$0	$0
Cay M Mierisch MD
Physician	$790,188	$0	$228,874	$0	$3,553	$0	$81,933	$0	$13,420	$0	$1,117,968	$0	$0	$0
Tracy W Criss MD
Physician, Former Officer	$197,749	$0	$66,743	$0	$2,647	$0	$148,862	$0	$12,493	$0	$428,494	$0	$0	$0
Thomas D Denberg MD PhD
Former Officer	$0	$299,868	$0	$0	$0	$0	$0	$0	$0	$0	$0	$299,868	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation, including that of the organization's Chief Executive Officer, 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 after 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 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. THe following reported individual was paid amounts under these plans during the calendar year: Nancy Howell Agee -$235,766
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 (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Economic Development Authority of the City of Roanoke VA
A	541106038	770084EQ0	2017-03-01	$125,000,000	Reissuance of Series 2005A originally issued on 12/14/05	0	0	0
VA Small Business Financing Authority Hospital Revenue Bonds
B	541300845	928101AE4	2017-04-03	$11,950,000	Reissuance of Series 2008A and 2008B originally issued on 07/16/08	0	0	0
Economic Development Authority of the City of Roanoke VA
C	541106038	770082AB1	2010-10-13	$96,404,094	Refunding of Series 2003A-C Bonds (08/03), Costs of Issuance	0	0	0
Economic Development Authority of the City of Roanoke VA
D	541106038	770082AW5	2012-02-09	$69,968,434	Refunding of Series 2000 and 2002A Bonds, Costs of Issuance Capital Projects	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$1,890,000	$125,000,000	$797,940	$1,940,086	$122,261,974	2007	Yes (1)	0	Yes (1)	Yes (1)
B		$11,950,000	$107,259			2009	0	0	Yes (1)	Yes (1)	$11,842,741
C		$96,404,094	$1,229,094		$95,175,000		Yes (1)	0	Yes (1)	Yes (1)
D	$25,583,000	$69,968,434	$771,282		$64,007,954	2011	0	Yes (1)	Yes (1)	Yes (1)	$5,189,198

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AIG
A	0	0	0	Yes (1)	Yes (1)	0	Yes (1)	0.300000000000	Yes (1)	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	Yes (1)	0	0			0	Yes (1)
(no name)
C	0	0	0	Yes (1)	0	0	0			0	Yes (1)
(no name)
D	0	0	0	Yes (1)	0	0	0			0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (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: 04/30/2009 Issuer Name: VA Small Business Financing Authority, Hospital Revenue Bonds Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/29/2011 Issuer Name: Economic Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 04/04/2013 Issuer Name: Industrial Development Authority of the City of Roanoke, VA Date the Rebate Computation was Performed: 05/04/2011

Schedule K, Part II

All bond issues- multiple entities across multiple jurisdictions; therefore, proceeds allocated to multiple hospitals.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	541106038	BondIssuerEIN
CUSIP	770084FU0	CUSIPNum
Bond Issued	2010-10-13	BondIssuedDt
Issue Price	$98,852,291	IssuePriceAmt
Purpose	Reoffering Circular and interest rate conversion to fixed, Costs of Issuance	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	$20,634,000	RetiredAmt
Total Proceeds	$98,852,291	TotalProceedsAmt
Issuance Costs From Proceeds	$1,068,911	IssuanceCostsFromProceedsAmt
Credit Enhancement	$41,693	CreditEnhancementAmt
Other Spent Proceeds	$97,741,687	OtherSpentProceedsAmt
Substantial Completion	2007	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

GIC Provider Name GICProviderName

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

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
1 Eric Chen MD
See Part V	$329,412	Employee	0
2 Bruce Johnson MD
See Part V	$312,541	Employee	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sched. L Part IV	FormAndLineReferenceDesc
Explanation	(1) Family member of Lauren Schantz, Officer.(2) Family member of Cynda Johnson, Director	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part 1, Line 6, Total number of volunteers:	The hospital operates a Customer Service-based program for volunteers and we do anything to make our patients and patient families comfortable in very uncomfortable circumstances. Tasks include delivering mail, delivering flowers, greeting and escorting patients and providing snacks in the hospital waiting rooms. Through Hospice, volunteers provide respite support for caregivers, visits for socialization and comforting presence, check in calls, take care of patients' pets, sing to patients, pet therapy, deliver supplies, help in the hospice office, assist with fundraisers, assist with bereavement support activities, facilitate children's grief support groups, deliver birthday gifts, make holiday gifts and memory quilts and record patient's life stories.
Form 990, Part V, Line 1a	1099s are issued on Carilion Medical Center's behalf by Carilion Services, Inc., a related supporting organization providing management and administrative services, including payment processing.
Form 990, Part VI, Section A, line 1	As of the first day of the new fiscal year, a majority of the filing organization's Directors were independent.
Form 990, Part VI, Section A, line 2	Nancy Howell Agee, Steve Arner, John H. Burton, M.D., Nicholas C. Conte, David S. Hagadorn, Donald B. Halliwill, Cynda A. Johnson, M.D., Clifford A. Nottingham, M.D., Lauren J. Schantz, G. Robert Vaughan, Jr., Patrice M. Weiss, M.D., and Ralph E. Whatley, III, M.D. - Business relationship due to each serving as officers, directors, and/or employees of the same related organizations.
Form 990, Part VI, Section A, line 3	Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the filing organization. Compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nancy Howell Agee, Steven C. Arner, Nicholas C. Conte, David S. Hagadorn, Donald B. Halliwill, Lauren J. Schantz, G. Robert Vaughan, Jr., and Patrice M. Weiss, M.D.
Form 990, Part VI, Section A, line 4	The filing organization's Articles of Incorporation and Bylaws were revised to update the filing organization's ex officio directors.
Form 990, Part VI, Section A, line 6	The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member elects the directors of the organization and has certain other reserved powers.
Form 990, Part VI, Section A, line 7a	The sole member of the organization, Carilion Clinic, elects the members of the governing body of the organization periodically as terms expire. The sole member also has the right to remove directors and fill any vacancies on the board that may occur for any reason.
Form 990, Part VI, Section A, line 7b	The sole member of the organization, Carilion Clinic, holds reserved powers with respect to certain enumerated actions, including appointment of CEO; approval of borrowings, budgets, and strategic plans; and amendments of Articles of Incorporation and Bylaws. Approval by the Board of Directors of Carilion Clinic is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia, certain extraordinary actions require member approval, such as mergers, consolidations, liquidations, and the sale of substantially all of the assets of the organization. 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 and an independent CPA firm. Several days prior to filing, all Board Members were notified by 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 a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. Executive compensation 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:	Transfers to Affiliates -38,975,000. Pension-related changes other than net periodic pension costs 32,556,227. Share of Investment Loss of Related Organization 40,465.
Form 990, Schedule H, Part V, Section A, Line 1:	https://carilionclinic.org/locations/carilion-roanoke-memorial-hospital Form 990, Schedule H, Part V, Section A, Line 2: https://carilionclinic.org/locations/carilion-roanoke-community-hospital

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 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 Stonewall Jackson Hospital
PO Box 12385	Roanoke	VA	24025	540568001	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Tazewell Community Hospital
PO Box 12385	Roanoke	VA	24025	546074580	Healthcare	VA	501(c)(3)	Line 3		Yes (1)	Carilion Clinic
Carilion Biomedical Institute
PO Box 12385	Roanoke	VA	24025	541965057	Supporting organization	VA	501(c)(3)	Line 12a, I		Yes (1)	Carilion Clinic

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Franklin County Ventures LLC
PO Box 12385	Roanoke	VA	24025	474365316	Real estate	VA	Carilion Clinic	Related	-$481	$40,704	0	0	0.10000
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385	Roanoke	VA	24025	455235473	Medicare HMO	VA	Carilion Clinic	Related	-$2,533,465		0	0	0.50000
Community Medical Associates LLP
PO Box 12385	Roanoke	VA	24025	541517662	Real estate	VA	Carilion Clinic	Related	$101,121	$732,060	0	0	0.47300

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHS Inc
PO Box 12385	Roanoke	VA	24025	541725732	Services	VA	N/A	C	Yes (1)
Carilion Clinic Medicare Resources LLC
PO Box 12385	Roanoke	VA	24025	263729975	Medicare HMO	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion Clinic Foundation
A	$31,992	Cost
Carilion Emergency Services
A	$94,524	Cost
Carilion Healthcare Corporation
A	$26,560	Cost
Carilion Services Inc
A	$2,005,071	Cost
CHS Inc
A	$74,873	Cost
Carilion Behavioral Health
L	$93,410	Cost
Carilion Emergency Services
L	$137,892	Cost
Carilion Franklin Memorial Hospital
L	$1,989,363	Cost
Carilion Giles Community Hospital
L	$1,269,782	Cost
Carilion Healthcare Corporation
L	$414,436	Cost
Carilion New River Valley Medical Center
L	$3,502,871	Cost
Carilion Services Inc
L	$1,735,942	Cost
Carilion Stonewall Jackson Hospital
L	$1,566,923	Cost
Carilion Tazewell Community Hospital
L	$1,712,424	Cost
MedKey Inc
L	$406,136	Cost
Carilion Behavioral Health
M	$129,636	Cost
Carilion Giles Community Hospital
M	$77,140	Cost
Carilion New River Valley Medical Center
K	$82,332	Cost
Carilion Services Inc
K	$53,240	Cost
Carilion Services Inc
M	$164,138,025	Cost
Carilion Stonewall Jackson Hospital
M	$67,702	Cost
Carilion Tazewell Community Hospital
K	$137,283	Cost
Carilion Tazewell Community Hospital
M	$59,840	Cost
CHS Inc
K	$2,727,239	Cost
CHS Inc
M	$5,806,804	Cost
SCA Credit Services Inc
M	$839,451	Cost
Carilion Services Inc
R	$38,975,000	Cash