CARILION MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CARILION MEDICAL CENTER (EIN 54-0506332)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201202289349303860
Schema version: 2010v3.4
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T16:25:43-00:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	424 Church Street	AddressLine1
City	Nashville	City
State	TN	State
ZIP Code	37219	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506332	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Carilion Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARI	NameControl
Phone	5402245112	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 12385	AddressLine1
City	Roanoke	City
State	VA	State
ZIP Code	240252385	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Donald Lorton	Name
Title	Treasurer	Title
Date Signed	2012-08-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Francis Bedard	Name
Phone	6152591811	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Nancy Agee	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 12385	AddressLine1
City	Roanoke	City
State	VA	State
ZIP Code	24025	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1514520525	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.carilionclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Carilion Medical Center, includes Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, part of Carilion Clinic, a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care through medical education and research. Carilion Medical Center, includes Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, part of Carilion Clinic, a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care through medical education and research.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	7056	TotalNbrEmployees
Total Nbr Volunteers	199	TotalNbrVolunteers
Total Gross UBI	3590	TotalGrossUBI
Contributions Grants Prior Year	3928940	ContributionsGrantsPriorYear
Contributions Grants Current Year	3115861	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	825307754	ProgramServiceRevenuePriorYear
Program Service Revenue CY	867464903	ProgramServiceRevenueCY
Investment Income Prior Year	16521743	InvestmentIncomePriorYear
Investment Income Current Year	16755315	InvestmentIncomeCurrentYear
Other Revenue Prior Year	13417224	OtherRevenuePriorYear
Other Revenue Current Year	16277538	OtherRevenueCurrentYear
Total Revenue Prior Year	859175661	TotalRevenuePriorYear
Total Revenue Current Year	903613617	TotalRevenueCurrentYear
Grants And Similar Amnts CY	645000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	404305708	SalariesEtcPriorYear
Salaries Etc Current Year	424781502	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	219568	TotalFundrsngExpCurrentYear
Other Expense Prior Year	433158106	OtherExpensePriorYear
Other Expenses Current Year	456261337	OtherExpensesCurrentYear
Total Expenses Prior Year	837463814	TotalExpensesPriorYear
Total Expenses Current Year	881687839	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21711847	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21925778	RevenuesLessExpensesCY
Total Assets BOY	886304973	TotalAssetsBOY
Total Assets EOY	899698355	TotalAssetsEOY
Total Liabilities BOY	604479037	TotalLiabilitiesBOY
Total Liabilities EOY	667713487	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	281825936	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	231984868	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	See Schedule O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	769299231	Expense
Grants	645000	Grants
Revenue	884364976	Revenue
Description	See Schedule O.	Description
Total Program Service Expense	769299231	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7056	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	EI	NameOfForeignCountry
Name Of Foreign Country	UK	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	The Corporation	NamePerson
Telephone Number	5402245112	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	213 S Jefferson Street	AddressLine1
City	Roanoke	City
State	VA	State
ZIP Code	24011	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
R Steve Blanks
Director	002.00	X	0	0	0
Onzlee Ware
Director	002.00	X	0	0	0
Cynda Johnson MD
Director	050.00	X	0	527783	45532
George Cartledge III
Director	002.00	X	0	0	0
William Dichtel Jr MD
Director	050.00	X	448417	0	45544
Beth Doughty
Director	002.00	X	0	0	0
John Hans
Director	002.00	X	0	0	0
Victor Iannello
Director	002.00	X	0	0	0
Stephen Musselwhite
Director	002.00	X	0	0	0
Clifford Nottingham MD
Director	050.00	X	0	243154	75516
Philip Shiner MD
Director	050.00	X	193812	0	37501
Donald Smith
Director	002.00	X	0	0	0
David Thompson
Director	002.00	X	0	0	0
David Caudill
Chairman	002.00	X	0	0	0
Edward Murphy MD
President/CEO	050.00	X	0	1288078	680866	X
Nancy Agee
President/CEO	050.00	X	0	508405	399109	X
Briggs Andrews
Secretary	050.00		0	334006	207297	X
Donald Lorton
Treasurer	050.00		0	521051	332850	X
R Wayne Gandee
EVP/Chief Medical Officer	050.00		518598	0	57910	X
Mark Werner MD
EVP	050.00		0	518369	154534	X
Hugh Thornhill
EVP	050.00		0	113371	93948	X
Donald Halliwill
VP/Asst. Treasurer	050.00		0	222314	50352	X
G Robert Vaughan
Asst. Treasurer	050.00		0	202072	45136	X
Rachel Mabe
Asst. Secretary	050.00		0	70949	17506	X
Joseph Moskal MD
Physician	050.00		915396	0	24040		X
Joseph Baker MD
Physician	050.00		759319	0	44200		X
William Arnold MD
Physician	050.00		726175	0	34261		X
Cay Mierisch MD
Physician	050.00		709806	0	37827		X
Gary Simonds MD
Physician	050.00		696661	0	45636		X
Joan Fisher MD
Former Chief of Medical Staff/Dir.	050.00		117636	0	36781			X
Rayburn Thompson
Former EVP	050.00		0	215788	96291			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5085820	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4765340	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2562637	TotalOtherCompensation
Number Individuals GT100 K	493	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Siemens Medical Solutions
51 Valley Stream Parkway	Malvern	PA	19355	Equipment and software maintenance	4507572
Carilion Labs LLC
213 S Jefferson 1202	Roanoke	VA	24011	Laboratory Services	17007247
Breakell Inc
2314 Patterson Ave	Roanoke	VA	24016	Construction contractor	3223419
Deloitte Consulting LLP
285 Peachtree Center Ave	Atlanta	GA	303031234	Consulting	2890745
Foodservice Partners of Virginia
2823 Franklin Rd Bldg B	Roanoke	VA	24014	Food services contractor	1905401

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	81	NumberOfContractorsGT100K
Federated Campaigns	604901	FederatedCampaigns
Fundraising Events	99116	FundraisingEvents
Related Organizations	20288	RelatedOrganizations
Government Grants	1971586	GovernmentGrants
All Other Contributions	419970	AllOtherContributions
Noncash Contributions	44206	NoncashContributions
Total Contributions	3115861	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenues	900099	844608279	844608279
Tuition and Other	900099	20314529	20314529
Program-related Investments	900099	1173730	1173730
Other Health Education	900099	738909	738909
Clinical Research	900099	629456	629456

Field	Value	IRS element (for citing)
Total Program Service Revenue	867464903	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	815735	TotalRevenueColumn
Unrelated Business Revenue	3590	UnrelatedBusinessRevenue
Exclusion	$812,145	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1443	TotalRevenueColumn
Exclusion	$1,443	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1072361	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1072361	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1072361	TotalRevenueColumn
Exclusion	$1,072,361	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	626731084	Securities
Other	45672	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	610838619	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	15892465	Securities
Other	45672	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	15938137	TotalRevenueColumn
Exclusion	$15,938,137	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	89890	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	99116	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	68289	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	21601	TotalRevenueColumn
Exclusion	$21,601	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other	900099	8838915	8838915
Other Affiliated Income	900099	6761894	6761894
Cafeteria Income	900099	1299264	1299264

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-1716497	TotalRevenueColumn
Exclusion	-$1,716,497	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	15183576	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	903613617	TotalRevenueColumn
Related Or Exempt Function Income	884364976	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3590	UnrelatedBusinessRevenue
Exclusion	$16,129,190	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	639000	Total
Program Services	639000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	6000	Total
Program Services	6000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1287577	Total
Program Services	1287577	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	354580195	Total
Program Services	354241652	ProgramServices
Management And General	190721	ManagementAndGeneral
Fundraising	147822	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	16323335	Total
Program Services	16323335	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30363615	Total
Program Services	30284087	ProgramServices
Management And General	48688	ManagementAndGeneral
Fundraising	30840	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	22226780	Total
Program Services	22226780	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	104208929	Total
Management And General	104208929	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	265344	Total
Management And General	265344	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	18950	Total
Management And General	18950	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	41810	Total
Program Services	41810	ProgramServices

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1096291	Total
Management And General	1096291	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	65788224	Total
Program Services	63606876	ProgramServices
Management And General	2180162	ManagementAndGeneral
Fundraising	1186	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	337807	Total
Program Services	275559	ProgramServices
Management And General	44039	ManagementAndGeneral
Fundraising	18209	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	135887753	Total
Program Services	135755887	ProgramServices
Management And General	122947	ManagementAndGeneral
Fundraising	8919	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1948539	Total
Program Services	1948539	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	27034239	Total
Program Services	27021667	ProgramServices
Management And General	7049	ManagementAndGeneral
Fundraising	5523	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1645361	Total
Program Services	1620914	ProgramServices
Management And General	21537	ManagementAndGeneral
Fundraising	2910	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	18744978	Total
Program Services	18744978	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34355335	Total
Program Services	34355335	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10147853	Total
Program Services	6506870	ProgramServices
Management And General	3640983	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Bad Debt	46545177	46545177
College Expenses	4337912	4337912
Recruitment	473670	473670
Dues Subscriptions	1571271	1257458	312350	1463
Education	832103	826918	5000	185

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	979791	Total
Program Services	971230	ProgramServices
Management And General	6050	ManagementAndGeneral
Fundraising	2511	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	881687839	Total
Program Services	769299231	ProgramServices
Management And General	112169040	ManagementAndGeneral
Fundraising	219568	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21589	BOY
EOY	22924	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	13616024	BOY
EOY	4124433	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	522569	BOY
EOY	664791	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	103314802	BOY
EOY	118637222	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2478135	BOY
EOY	3074561	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5077936	BOY
EOY	4635911	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2832505	BOY
EOY	3375408	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	931695643	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	644165389	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	268037179	BOY
EOY	287530254	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	293608683	BOY
EOY	262078161	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	187139075	BOY
EOY	206175374	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9656476	BOY
EOY	9379316	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	886304973	BOY
EOY	899698355	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	93444020	BOY
EOY	93502406	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3866254	BOY
EOY	5141868	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	387177116	BOY
EOY	383640136	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	150000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	119991647	BOY
EOY	185279077	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	604479037	BOY
EOY	667713487	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	264968958	BOY
EOY	214338155	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4972431	BOY
EOY	5762167	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11884547	BOY
EOY	11884546	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	281825936	BOY
EOY	231984868	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	886304973	BOY
EOY	899698355	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21925778	ReconcilationRevenueExpenses
Reconcilation Other Changes	-71766846	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Public Support Pertcentage170	0.00000	PublicSupportPertcentage170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$41,810	OtherActivitiesAmount
Total Lobbying Expenditures IIB	41810	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	II-B	Identifier
Return Reference	1j	ReturnReference
Explanation	Portion of dues paid to American Hospital Assn. and Virginai Hospital and Healthcare Assn, spent on lobbying.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14308087	BeginningOfYearBalance
Investment Earnings Or Losses	540534	InvestmentEarningsOrLosses
Other Expenditures	629626	OtherExpenditures
End Of Year Balance	14218995	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14015347	BeginningOfYearBalance
Investment Earnings Or Losses	1036467	InvestmentEarningsOrLosses
Other Expenditures	743727	OtherExpenditures
End Of Year Balance	14308087	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14692907	BeginningOfYearBalance
Investment Earnings Or Losses	-147078	InvestmentEarningsOrLosses
Other Expenditures	530482	OtherExpenditures
End Of Year Balance	14015347	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.16480	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.83520	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3616529	OtherCostOrOtherBasis
Book Value	3616529	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	410750030	OtherCostOrOtherBasis
Depreciation	229574455	Depreciation
Book Value	181175575	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2513152	OtherCostOrOtherBasis
Depreciation	2368189	Depreciation
Book Value	144963	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	499747767	OtherCostOrOtherBasis
Depreciation	406523482	Depreciation
Book Value	93224285	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15068165	OtherCostOrOtherBasis
Depreciation	5699263	Depreciation
Book Value	9368902	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	287530254	TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	206175374	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	206175374	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Deferred Physicians Payable
Unrealized Swap Losses	$40,280,940
Nonqualifed Pension Liability	$150,793
Qualified Pension Liability	$144,847,344

Field	Value	IRS element (for citing)
Total Of Amounts	185279077	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
V	4	Endowment Fund income used for 1 pediatrics- internal/external programs and/or purchase of equipment 2 indigent care patients.
X	2	Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2011 and 2010. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising
Licensed States	VA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	2010 Gala	NameOfEvent1
Gross Receipts Event1	101154	GrossReceiptsEvent1
Charitable Contributions Event1	62714	CharitableContributionsEvent1
Gross Revenue Event1	38440	GrossRevenueEvent1
Rent Facility Costs Event1	1000	RentFacilityCostsEvent1
Food And Beverage Event1	8813	FoodAndBeverageEvent1
Entertainment Event1	250	EntertainmentEvent1
Other Direct Expenses Event1	27166	OtherDirectExpensesEvent1
Name Of Event2	Heels for Healing	NameOfEvent2
Gross Receipts Event2	41343	GrossReceiptsEvent2
Charitable Contributions Event2	25571	CharitableContributionsEvent2
Gross Revenue Event2	15772	GrossRevenueEvent2
Non Cash Prizes Event2	2650	NonCashPrizesEvent2
Food And Beverage Event2	5419	FoodAndBeverageEvent2
Other Direct Expenses Event2	11328	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	46509	GrossReceiptsOtherEvents
Charitable Contrib Other Events	10831	CharitableContribOtherEvents
Gross Revenue Other Events	35678	GrossRevenueOtherEvents
Cash Prizes Other Events	400	CashPrizesOtherEvents
Non Cash Prizes Other Events	758	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	3570	RentFacilityCostsOtherEvents
Food And Beverage Other Events	1375	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	5560	OtherDirectExpensesOtherEvents
Gross Receipts Total	189006	GrossReceiptsTotal
Charitable Contributions Total	99116	CharitableContributionsTotal
Gross Revenue Total Events	89890	GrossRevenueTotalEvents
Cash Prizes Total Events	400	CashPrizesTotalEvents
Non Cash Prizes Total Events	3408	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	4570	RentFacilityCostsTotalEvents
Food And Beverage Total Events	15607	FoodAndBeverageTotalEvents
Entertainment Total Events	250	EntertainmentTotalEvents
Other Direct Expenses Total Events	44054	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	68289	DirectExpenseSummaryEvents
Net Income Summary	21601	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46534786	TotalCommunityBenefitExpense
Net Community Benefit Expense	46534786	NetCommunityBenefitExpense
Percent Of Total Expense	0.05280	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	100258333	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86730921	DirectOffsettingRevenue
Net Community Benefit Expense	13527412	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	146793119	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86730921	DirectOffsettingRevenue
Net Community Benefit Expense	60062198	NetCommunityBenefitExpense
Percent Of Total Expense	0.06810	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	786	NumberOfActivitiesOrPrograms
Persons Served	37464	PersonsServed
Total Community Benefit Expense	2105637	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25687	DirectOffsettingRevenue
Net Community Benefit Expense	2079950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	56	NumberOfActivitiesOrPrograms
Persons Served	1626	PersonsServed
Total Community Benefit Expense	29047124	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8681827	DirectOffsettingRevenue
Net Community Benefit Expense	20365297	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1795	PersonsServed
Total Community Benefit Expense	688376	TotalCommunityBenefitExpense
Net Community Benefit Expense	688376	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	7469	PersonsServed
Total Community Benefit Expense	269389	TotalCommunityBenefitExpense
Net Community Benefit Expense	269389	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	861	NumberOfActivitiesOrPrograms
Persons Served	48354	PersonsServed
Total Community Benefit Expense	32110526	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8707514	DirectOffsettingRevenue
Net Community Benefit Expense	23403012	NetCommunityBenefitExpense
Percent Of Total Expense	0.02660	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	861	NumberOfActivitiesOrPrograms
Persons Served	48354	PersonsServed
Total Community Benefit Expense	178903645	TotalCommunityBenefitExpense
Direct Offsetting Revenue	95438435	DirectOffsettingRevenue
Net Community Benefit Expense	83465210	NetCommunityBenefitExpense
Percent Of Total Expense	0.09470	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	5	PersonsServed
Total Community Building Expense	5000	TotalCommunityBuildingExpense
Net Community Building Expense	5000	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	60087	PersonsServed
Total Community Building Expense	51672	TotalCommunityBuildingExpense
Net Community Building Expense	51672	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	1775	PersonsServed
Total Community Building Expense	1557	TotalCommunityBuildingExpense
Net Community Building Expense	1557	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	85	NumberOfActivitiesOrPrograms
Persons Served	1063	PersonsServed
Total Community Building Expense	14682	TotalCommunityBuildingExpense
Net Community Building Expense	14682	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	553	PersonsServed
Total Community Building Expense	272	TotalCommunityBuildingExpense
Net Community Building Expense	272	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	23	PersonsServed
Total Community Building Expense	12076	TotalCommunityBuildingExpense
Net Community Building Expense	12076	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	100	NumberOfActivitiesOrPrograms
Persons Served	63506	PersonsServed
Total Community Building Expense	85259	TotalCommunityBuildingExpense
Net Community Building Expense	85259	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$17,461,127	BadDebtExpenseAmount
Amount Attributable To	2194499	AmountAttributableTo
Amount Reimbursed By Medicare	197212569	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	190965084	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	6247485	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Roanoke Ambulatory Surgery Center LLC
Ambulatory surgery	0.48310	0.51690
Southwest Virginia Health Properties LLC
Real estate	0.48310	0.51690

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther
Carilion Medical Center- DBA- Carilion Roanoke Memorial
1	1906 Belleview Avenue	Roanoke	VA	24019	X	X	X	X	X
Carilion Medical Center- DBA- Carilion Roanoke Community Hospital
2	101 Elm Avenue	Roanoke	VA	24011	X					Rehabilitation Unit Urgent Care

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (78 entries)

Hospital Facility NumberHospitalFacilityNumber
Carilion Medical Center- DBA- Carilion Roanoke Memorial Rehab
1
Carilion Clinic Orthopaedics
2
Carilion Clinic - Bone and Joint Center
3
CSC - Brambleton
4
Carilion Clinic Orthopaedics
5
Carilion Clinic Cardiology
6
CNRV Emergency Services
7
Carilion Breast Care Center
8
CSC - Roanoke
9
Carilion Cardiothoracic Surgery
10
Carilion Obstetrics and Gynecology Clinic
11
CES - Franklin
12
Carilion Clinic Neurology
13
Carilion Clinic Internal Medicine
14
Carilion Clinic Otolaryngology
15
CES - Bedford
16
Trauma Surgery
17
CES - Giles
18
Roanoke Athletic Club
19
Carilion Dermatology
20
Carilion Pediatric Clinic
21
CFM Roanoke Salem
22
Carilion Clinic Obstetrics and Gynecology - NRV
23
CES - Tazewell
24
Brambleton Radiology Services
25
CFM Southeast
26
Carilion Behavioral Health Radford
27
Carilion Prenatal Diagnostic Center
28
Carilion Department of Psychiatry and Behavioral Medicine
29
Carilion Clinic Ortho-Spine
30
Botetourt Athletic Center
31
Daleville Imaging
32
Carilion Center for Healthy Aging
33
CFM - Salem
34
Carilion Dentistry General Surgery
35
Department of Psychiatry & Behavioral Medicine
36
Pediatric Gastroenterology
37
Carilion Dentistry Pediatric Surgery
38
Carilion Dental Care
39
Carilion Department of Psychiatry Roanoke
40
Carilion Gynecological Oncology
41
Carilion Anticoagulation Clinic
42
CRMH Rheumatology Clinic
43
Salem Family Practice - Spartan Drive
44
Breast Mammography - North
45
Carilion Pulmonary Clinic
46
Carilion Clinic Neurological Care - Roanoke
47
Carilion Pediatric Neurology
48
Carilion Roanoke IP Psychiatry
49
Carilion Clinic Gastroenterology
50
Carilion Urgent Care Westlake
51
Carilion Child and Adolescent Psychiatry
52
Department of Psychiatry & Behavioral Medicine
53
Pediatric Cardiology Clinic
54
Pediatric Pulmonology
55
Roanoke Ambulatory Center LLC
56
Carilion Sleep Center
57
Carilion Clinic Urogynecology
58
Carilion Clinic Pediatric Surgery Clinic
59
CFM - Rocky Mount
60
Carilion Cardiac Rehab
61
Carilion ID Crystal Spring
62
Reproductive Endocrinology Clinic
63
Carilion Imaging
64
CIM Crystal Spring
65
Pediatric Developmental Clinic
66
Carilion Clinic Physiatry
67
Carilion Diabetic Education
68
Carilion Pediatric Endocrinology Clinic
69
Carilion Breast Care Center
70
Carilion Sleep Center Westlake
71
Carilion Genetics
72
CNRVMC - Neurosciences
73
Carilion Surgery Westlake
74
Northwest Internal Medicine
75
Carilion Heart Failure Clinic
76
OB-GYN Private - Roanoke
77
Carilion Imaging Professionals
78

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	78	NumberOfOtherFacilities

Other Facilities OtherFacilities (78 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Carilion Medical Center- DBA- Carilion Roanoke Memorial Rehab
2017 South Jefferson Street	Roanoke	VA	24011	Rehabilitation Unit Urgent Care
Carilion Clinic Orthopaedics
4064 Postal Drive SW	Roanoke	VA	24018	Psych Unit Outpatient Rehabilitation
Carilion Clinic - Bone and Joint Center
3 Riverside Circle 1st Floor	Roanoke	VA	24016	Orthopaedic Services
CSC - Brambleton
3707 Brambleton Avenue	Roanoke	VA	24018	Orthopedics
Carilion Clinic Orthopaedics
3 Riverside Circle	Roanoke	VA	24014	Surgical Services
Carilion Clinic Cardiology
127 McClanahan Street SW	Roanoke	VA	24014	Orthopaedic Services
CNRV Emergency Services
2900 Lamb Circle	Christiansburg	VA	24073	Cardiology
Carilion Breast Care Center
102 Highland Ave Ste 202	Roanoke	VA	24014	Emergency Physicians
CSC - Roanoke
213 McClanahan Suite 404	Roanoke	VA	24014	Breast Care Center
Carilion Cardiothoracic Surgery
2001 Crystal Spring Avenue	Roanoke	VA	24014	Surgical Services
Carilion Obstetrics and Gynecology Clinic
902 South Jefferson Street	Roanoke	VA	24016	Cardiac Surgery Office
CES - Franklin
180 Floyd Avenue	Rocky Mount	VA	24017	Obstetrics and Gynecology
Carilion Clinic Neurology
3 Riverside Circle	Roanoke	VA	24016	Emergency Physicians
Carilion Clinic Internal Medicine
3 Riverside Circle	Roanoke	VA	24016	Neurosciences
Carilion Clinic Otolaryngology
1 Riverside Circle Suite 300M	Roanoke	VA	24016	Internal Medicine
CES - Bedford
1613 Oakwood St	Bedford	VA	24153	Otolaryngology Services
Trauma Surgery
213 McClanahan Suite 404	Roanoke	VA	24014	Emergency Physicians
CES - Giles
1611 Wenonah Avenue	Pearisburg	VA	24134	Surgical Services
Roanoke Athletic Club
4508 Starkey Road	Roanoke	VA	24018	Emergency Physicians
Carilion Dermatology
1 Riverside Circle Suite 300M	Roanoke	VA	24018	Physical Therapy Services
Carilion Pediatric Clinic
1030 S Jefferson Street Suite 106	Roanoke	VA	24014	Dermatology
CFM Roanoke Salem
1314 Peters Creek Road	Roanoke	VA	24014	General Pediatrics
Carilion Clinic Obstetrics and Gynecology - NRV
2900 Lamb Circle Suite 202	Christiansburg	VA	24073	Family Practice
CES - Tazewell
141 Ben Bolt Ave	Tazewell	VA	24651	Obstetrics and Gynecology
Brambleton Radiology Services
3707 Brambleton Avenue	Roanoke	VA	24016	Emergency Physicians
CFM Southeast
2145 Mount Pleasant Boulevard	Roanoke	VA	24014	Imaging Services
Carilion Behavioral Health Radford
2900 Lamb Circle	Christiansburg	VA	24073	Family Practice
Carilion Prenatal Diagnostic Center
102 Highland Ave Ste 455	Roanoke	VA	24014	Behavioral Health
Carilion Department of Psychiatry and Behavioral Medicine
2900 Tyler Road	Christiansburg	VA	24073	Prenatal Testing
Carilion Clinic Ortho-Spine
3 Riverside Circle 1st Floor	Roanoke	VA	24017	Behavioral Health
Botetourt Athletic Center
105 Summerfield Court	Roanoke	VA	24019	Orthopaedic Services
Daleville Imaging
46 Wesley Road	Daleville	VA	24073	Outpatient Therapy Services
Carilion Center for Healthy Aging
2001 Crystal Spring Avenue	Roanoke	VA	24014	Imaging Services
CFM - Salem
2102 West Main Street	Salem	VA	24153	Geriatrics
Carilion Dentistry General Surgery
2017 S Jefferson Street 2nd Floor	Roanoke	VA	24014	Family Practice
Department of Psychiatry & Behavioral Medicine
213 McClanahan Street Suite 310	Roanoke	VA	24014	Dental Service
Pediatric Gastroenterology
102 Highland Avenue Suite 305	Roanoke	VA	24014	Behavioral Health
Carilion Dentistry Pediatric Surgery
101 Elm Avenue 1st Floor	Roanoke	VA	24017	Gastroenterology
Carilion Dental Care
2017 S Jefferson Street	Roanoke	VA	24014	Dental Service
Carilion Department of Psychiatry Roanoke
2017 S Jefferson Street	Roanoke	VA	24014	Dental Service
Carilion Gynecological Oncology
1 Riverside Circle Suite 300	Roanoke	VA	24016	Behavioral Health
Carilion Anticoagulation Clinic
1030 S Jefferson St Ste G101	Roanoke	VA	24014	Gynecological Oncology
CRMH Rheumatology Clinic
3 Riverside Circle	Roanoke	VA	24016	Anticoagulation Clinic
Salem Family Practice - Spartan Drive
150 Spartan Drive	Salem	VA	24153	Rheumatology
Breast Mammography - North
6415 Peters Creek Road	Roanoke	VA	24014	Family Practice
Carilion Pulmonary Clinic
2001 Crystal Spring Avenue	Roanoke	VA	24014	Breast Mammography
Carilion Clinic Neurological Care - Roanoke
1030 S Jefferson Street	Roanoke	VA	24016	Pulmonary Services
Carilion Pediatric Neurology
102 Highland Avenue Suite 104	Roanoke	VA	24013	Neurosciences
Carilion Roanoke IP Psychiatry
2017 S Jefferson Street 1st Floor	Roanoke	VA	24014	Neurosciences
Carilion Clinic Gastroenterology
3 Riverside Circle	Roanoke	VA	24016	Physical Medicine and Rehab
Carilion Urgent Care Westlake
35 Medical Court	Hardy	VA	24101	Gastroenterology
Carilion Child and Adolescent Psychiatry
213 McClanahan Street Suite 310	Roanoke	VA	24014	Urgent Care
Department of Psychiatry & Behavioral Medicine
213 McClanahan Street Suite 310	Roanoke	VA	24014	Child and Adolescent Psychiatry Services
Pediatric Cardiology Clinic
102 Highland Avenue Suite 101	Roanoke	VA	24013	Behavioral Health
Pediatric Pulmonology
102 Highland Avenue Suite 203	Roanoke	VA	24013	Cardiology
Roanoke Ambulatory Center LLC
1102 Jefferson Street	Roanoke	VA	24016	Pulmonology
Carilion Sleep Center
1030 Jefferson Plaza Suite G100	Roanoke	VA	24016	Surgical Services
Carilion Clinic Urogynecology
1030 S Jefferson Suite 109	Roanoke	VA	24016	Sleep Disorder
Carilion Clinic Pediatric Surgery Clinic
102 Highland Avenue Suite 404	Roanoke	VA	24013	Urogynecological Services
CFM - Rocky Mount
195 Maple Avenue	Rocky Mount	VA	24151	Surgical Services
Carilion Cardiac Rehab
127 McClanahan Street	Roanoke	VA	24016	Family Practice
Carilion ID Crystal Spring
2001 Crystal Spring Avenue	Roanoke	VA	24014	Cardiac Rehab
Reproductive Endocrinology Clinic
102 Highland Avenue Suite 304	Roanoke	VA	24013	Infectious Disease
Carilion Imaging
3 Riverside Circle	Roanoke	VA	24016	Reproductive Endocrinology
CIM Crystal Spring
2001 Crystal Spring Avenue	Roanoke	VA	24014	Imaging Services
Pediatric Developmental Clinic
1030 S Jefferson Street Suite 201	Roanoke	VA	24016	Imaging Services
Carilion Clinic Physiatry
3 Riverside Circle	Roanoke	VA	24016	Pediatrics
Carilion Diabetic Education
1030 S Jefferson Suite G101	Roanoke	VA	24016	Physical Medicine and Reahb
Carilion Pediatric Endocrinology Clinic
102 Highland Avenue MOB	Roanoke	VA	24013	Diabetic Eduation
Carilion Breast Care Center
1211 S Jefferson St	Roanoke	VA	24014	Endocrinology
Carilion Sleep Center Westlake
35 Medical Court	Hardy	VA	24101	Breast Care Center
Carilion Genetics
102 Highland Avenue Suite 104	Roanoke	VA	24013	Sleep Disorder
CNRVMC - Neurosciences
2900 Lamb Circle	Christiansburg	VA	24073	Genetic Counseling
Carilion Surgery Westlake
35 Medical Court	Hardy	VA	24101	Neurosciences
Northwest Internal Medicine
615 McDowell Avenue	Roanoke	VA	24016	Surgical Services
Carilion Heart Failure Clinic
127 McClanhan St	Roanoke	VA	24016	Internal Medicine
OB-GYN Private - Roanoke
102 Highland Avenue Suite 455	Roanoke	VA	24013	Heart Failure Services
Carilion Imaging Professionals
1 Taylor Avenue	Pearisburg	VA	24134	Obstetrics and Gynecology

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	ExplanationExplanation
Part I line 3c	N/A
Part I line 6a	Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic. Printed copies of this report are distributed throughout communities served by hospitals affiliated with Carilion Clinic. Additionally, the community benefit report is available on Carilion Clinics website.
Part I line 7g	N/A
Part I line 7 column f	Bad debt expense subtracted from total expenses for the calculation is 46,641,205.
Part I line 7	Ratio of cost-to-charges was used to calculate the expense.
Part III line 4	The financial statements do not include a footnote on bad debt. The audited financial statements include a provision for bad debt. The provision is calculated based on historical bad debt experience and managements evaluation of the collectibility of the accounts receivable. Balances are written off after all reasonable collection efforts have been made.
Part III line 4	The bad debt expense reported on line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements.
Part III line 4	The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definitive determination of their eligibility.
Part III line 4	Patient account balances are reduced by discounts allowed and payments.
Part III line 8	Medicare allowable costs are determined from the Medicare cost report using the cost-to-charges ratio.
Part III line 8	The Hospital does not consider a Medicare shortfall as a community benefit.
Part III line 9b	When an uninsured self pay patient registers for medically necessary services, the patients account is electronically marked as being potentially eligible for charity care. Carilion Clinics Eligibility Assistance Service EAS screens the patient to determine if charity care is appropriate. The patient must apply for all entitlement programs for which he or she may be eligible i.e. Medicaid, Social Security Disability, etc. EAS assists the patient with the applications.
Part III line 9b	If the patient does not qualify for one of the programs then the Federal Poverty Guidelines FPG are used to determine eligibility for charity care. A patient whose account balance is less than 1,500 and is at or below 100 of FPG is automatically given a 100 discount of their account.
Part III line 9b	For balances greater than 1,500 the patient must complete a Financial Assistance Application and provide appropriate documentation. A sliding scale of discounts is available for patients with incomes up to 400 of FPG.
Part III line 9b	An underinsured patient can apply for charity care. Applications are available at all Patient Access/Registration points, offices of EAS, Carilion Clinics Internet website or by calling for an application.
Part V	N/A
Part VI Line 3	The charity care policy is posted in all patient registration areas. At the time of registration all uninsured self pay patients are given a brochure expaining the charity care policy and how to apply. Also, see comments for Part III line 9b.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
VIRGINIA TECH CARILION SCHOOL OF MEDICINE
2 RIVERSIDE CIRCLE	ROANOKE	VA	24016	264556177	501c3	45627	Research
MILL MOUNTAIN THEATRE
1 MARKET SQUARE	ROANOKE	VA	24011	540792067	501c3	11000	General Support
RADFORD UNIVERSITY
EAST MAIN ST	RADFORD	VA	24142	546001789	Virginia	86520	Nursing Education
VIRGINIA TECH FOUNDATION
1872 PRATT DRIVE 1000	BLACKSBURG	VA	24060	540721690	501c3	10000	Biomedical Institute
CARILION CLINIC FOUNDATION
213 S JEFFERSON ST 807	ROANOKE	VA	24011	541190773	501c3	296600	Community grants
CHILD HEALTH INVESTMENT PARTNERSHIP
1201 THIRD ST SW	ROANOKE	VA	24016	541566451	501c3	57500	General Support
CHILDREN'S TRUST FOUNDATION ROANOKE VALLEY
541 LUCK AVE STE 308	ROANOKE	VA	24016	510235891	501c3	75000	General Support
RONALD MCDONALD HOUSE CHARITIES
2224 S JEFFERSON ST	ROANOKE	VA	24014	541244769	501c3	50000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	4	NumberOfRecipients
Amount Of Cash Grant	6000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
1	2	As part of the Carilion Clinic system, the organization donates funds to Carilion Clinic Foundation, which provides grants to other organizations in the Hospitals service area intended to further the health and well-being of the community. Expenditure of such funds is overseen and monitored by the Foundations independent community board
1	2	The Hospital also donates funds to other 501c3 charitable organizations with a similar mission. Such organizations have community boards which oversee the expenditure of such funds.
1	2	The Hospital also has a grant program under which funds are granted to community organizations with a focus on childrens health and well-being. A committee of Carilion Medical Center employees and an independent physician 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 report on the programs services, outcomes, and budget are required for every funded project.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Cynda Johnson MD
439875	87975	-67	32511	13021	573315
William Dichtel Jr MD
						335000	112000	1417	33223	12321	493961
Clifford Nottingham MD
190144	53204	-194	53627	21889	318670
Philip Shiner MD
						174096	18170	1546	25415	12086	231313
Edward Murphy MD
890000	297223	100855	618095	62771	1968944							297392
Nancy Agee
436800	21491	50114	386089	13020	907514							50278
Briggs Andrews
301600	14812	17594	195902	11395	541303
Donald Lorton
436800	21491	62760	316614	16236	853901							61212
R Wayne Gandee
						489250	27502	1846	40679	17231	576508
Mark Werner MD
439300	21491	57578	136230	18304	672903							54246
Hugh Thornhill
97212		16159	104304	85412	303087
Donald Halliwill
220387	10823	-8896	29782	20570	272666
G Robert Vaughan
186563	9132	6377	28287	16849	247208
Joseph Moskal MD
						750453	168871	-3928	1866	22174	939436
Joseph Baker MD
						524458	216298	18563	23727	20473	803519
William Arnold MD
						524458	180874	20843	16778	17473	760426
Cay Mierisch MD
						539813	175838	-5845	14771	23056	747633
Gary Simonds MD
						550000	147014	-353	29363	16273	742297
Joan Fisher MD
						94187	30139	-6690	27434	9347	154417
Rayburn Thompson
164672		51116	87627	8664	312079							51800

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
I	7	The organization pays annual bonus compensation to management based on scorecard performance. While the scorecard contains a formula as a basis for determining overall performance, senior managers have discretion to include additional elements in their assessment of managers reporting to them. In addition, for top management, the actual bonus awarded is in the discretion of the Carilion Clinic Compensation Committee, although it is based on the scorecard measures.
I	4b	Edward Murphy MD - 273,199, Nancy Agee -192,697, Briggs Andrews - 60,550, Donald Lorton - 131,084, Mark Werner - 41,081, Rayburn Thompson - 29,648, Hugh Thornhill - 14,788.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Industrial Development Authority of the City of Roanoke VA
541106038	770084EK3	2010-10-13	93754000	Redemptio fo Series 2003A-C bonds Costs of issuance	false	false	false
Industrial Development Authority of the City of Roanoke VA
541106038	770084EQ0	2005-12-14	224795000	Capital projects, Current Refunding of Series 2002 B-E bonds Costs of issuance, bond insurance	false	false	false
VA Small Business Financing Authority
541300845	928101AE4	2008-07-09	12000000	Capital projects Cost of issuance	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	93754000	TotalProceeds
Issuance Costs From Proceeds	1229094	IssuanceCostsFromProceeds
Other Spent Proceeds	95175000	OtherSpentProceeds
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	false	false	0.00200	0.00200	true
false	false	false	false	false			true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
true	false	false	false	false	true
UBS and Citigroup
true	true	true	true	false	true	0000000027.000000000000	false	false	AIG	0000000000.300000000000	true
UBS and Citigroup
true	true	true	false	false	true	0000000033.000000000000	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Nancy Agee
President/CEO	295682	Utilities	false
David Thompson MD
Director	1665334	Anesthesiology Services	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	12	NumberOfContributions
Noncash Contribs Rptd F990	1970	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of comparable items	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	90	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of comparable items	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	6736	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of comparable items	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	56	NumberOfContributions
Noncash Contribs Rptd F990	6324	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of comparable items	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Other Auction items	Description
Number Of Contributions	652	NumberOfContributions
Noncash Contribs Rptd F990	29086	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of comparable items	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (40 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	11b	A draft copy of the Form 990 was provided to the Audit and Compliance Committee of Carilion Clinic in advance of its August meeting and reviewed with Committee members at that meeting. The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have.
Form 990 Part VI	12c	A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee.
Form 990 Part VI	12c Contd.	In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations.
Form 990 Part VI	15a and 15b	Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011.
Form 990 Part VI	15a and 15b Contd.	This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives.
Form 990 Part VI	15a and 15b Contd.	In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles.
Form 990 Part VI	19	The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site.
Form 990 Part VI	3	Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization.
Form 990 Part VI	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	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	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.
Form 990	Lines 1-10	Carilion Medical Center provided in-kind support to many events and initiatives focused on children including the Southwest Virginia Alliance for Safe Babies, a multidisciplinary working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome SIDS Back to School Blast, an event coordinated by the Rescue Mission of Roanoke Valley and other local non-profits and corporate sponsors to provide backpacks, school supplies and free haircuts for low-income children Better Beginnings Coalition with mission of reducing adolescent pregnancy in Virginia through the cooperative efforts of community coalitions comprised of public agencies, private organizations, community groups, and individual volunteers
Form 990	Lines 1-10 Contd.	Roanoke Area Youth Substance Abuse Coalition, 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 Roanoke Adolescent Health Partnership to improve the lives of teenagers by making comprehensive health care services accessible and a teen pregnancy prevention program that partners with local schools to provide educational programs and assist with administration of risk behavior assessments and presentations of results.
Form 990	Lines 1-10 Contd.	In-kind support was provided to the Education and Access to Healthcare Coaltion EACH, an collaboration to provide health advocacy through programs that include training of lay persons to provide basic health screenings and health resources to those in their neighborhoods and churches and 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 is to provide employment and educational opportunities for individuals with significant disabilities and to find long term employment in skilled positions for its participants.
Form 990	Lines 1-10 Contd.	Grant funding was provided for several projects including Smith Mountain Lake Good Neighbors to support a summer day camp program for children in Franklin and Bedford Counties who live near or under the poverty level Greater Roanoke Transit Company for a free trolley service for the community that operates in a continuous loop with stops that include Carilion Medical Center and Downtown Roanoke with goals of reducing the carbon footprint and enhancing the local economy by providing easier access to downtown and Rebuilding Together Roanoke for remediation of houses in lower income neighborhoods. Much in-kind support was provided for the annual United Way campaign to solicit funding from employees of Carilion Medical Center.
Form 990	2	Carilion Medical Center uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2012 along with a strategic implementation plan to address identified needs.
Form 990	4	Carilion Medical Center, comprised of two hospitals, Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, is located in Roanoke, Virginia. Roanoke is a 1,185 square mile valley located in southwest Virginia near the Blue Ridge and Allegheny Mountains. Carilion Medical Center primarily serves a little over 252,000 residents of Roanoke City and County, Salem, Botetourt County, Craig County and the Town of Vinton. Approximately 20 of adults under age 64 and 8 of children who live in the Roanoke Valley are uninsured. Additionally, 13 of residents live below the poverty level and 13 of adults 25 years of age or older did not graduate from high school. 16 Roanoke Valley residents are 65 years of age or older.
Form 990	5	Carilion Medical Center includes Carilion Roanoke Memorial Hospital, one of the largest hospitals in the state of Virginia with 703 beds and an additional 60-bed Neonatal Intensive Care Unit and pediatric emergency department. With a level 1 trauma center and childrens hospital, complete with pediatric emergency room, Carilion Roanoke Memorial Hospital treats residents throughout southwest Virginia. In addition to offering high-tech services, the hospital is also home to ten residency programs and nine fellowship programs affiliated with the University of Virginia. Carilion Medical Center serves all patients regardless of their ability to pay.
Form 990	5 Contd.	The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss.
Form 990	5 Contd.	Carilion Medical Center provides support of the local EMS crews through replenishment of medications used for patient care or product with an expired use by date. Carilion Roanoke Memorial Hospitals Emergency Department has specially trained nurses who deliver immediate crisis intervention to victims of sexual assaults and/or abuse. They offer victims a unique, thorough and objective medical and legal examination, comprised of both a physical examination and forensic evidence collection and documentation. Clinical Forensic Nurse Examiners are the link between the judicial system, law enforcement, community resources, and the laboratories that process the evidence.
Form 990	5 Contd.	Carilion Medical Center provides financial and in-kind support annually to the Mission of Mercy Dental event in Roanoke. Approximately 1,000 residents of southwest Virginia received free dental services from volunteer dentists and Carilion Medical Center employees provided free medical screenings including health and medication histories, blood pressure, blood coagulation rates, and blood glucose levels for all patients. Carilion Medical Centers community health education department serves as host of the local chapter of the National Safe Kids Coalition and provides education on injury prevention to the community and other providers. In 2011, more than 300 individuals received car seat education or car seat safety checks during 32 events.
Form 990	5 Contd.	In addition, Carilion Medical Centers Safe Kids Coalition coordinator provided training, through a program offered by the Virginia Department of Health on proper car seat installation for other health and safety providers free of charge.
Form 990	5 Contd.	Carilion Medical Center provides education to the public about health risks and steps that can be taken to improve health. 37,464 people were touched during 786 events that include regularly scheduled health screenings such as blood pressure, blood glucose and cholesterol as well as seasonal stroke, vascular, prostate and facial sun damage detection screenings. Each Saturday morning Physicians on Foot, a program that encourages physical activity in the community, is led by a local primary care physician who walks with participants for two miles on a local greenway near the Roanoke River. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid and interpreter services for non-English speaking patients.
Form 990	5 Contd.	In-kind support was provided to Roanoke Adolescent Health Partnership, a unique collaboration of the Roanoke City Health Department, Roanoke City Public Schools, Roanoke Redevelopment and Housing Authority, and Blue Ridge Behavioral Healthcare, to provide clinical services at local public schools. Financial and in-kind support is provided to Child Health Investment Project CHIP of Roanoke Valley for operational expenses related to their early childhood home visiting program as they pair low-income children, ages birth to kindergarten-entry, with a community health nurse and family case manager for health care coordination help accessing needed medical services, assistance with the management of chronic conditions, and preventive services like fluoride dental varnish developmental education, kindergarten preparation and regular child assessment and monitoring.
Form 990	5 Contd.	Grant funding was provided to several organizations including Childrens Trust for their regional program that provides child friendly interview room and forensic interviewer to perform interviews of children to be used by multi-disciplinary team investigating alleged child abuse cases provides training for multi-disciplinary team members, and coordination of referral sources for abused children and their family Rx Partnership for operations of the public-private partnership that solicits free drugs in bulk from participating pharmaceutical companies and arranges for their distribution to licensed pharmacies serving uninsured clients and Mental Health America of Roanoke Valley to increase access to mental health services for adults with no health insurance coverage or inadequate insurance for mental health care.
Form 990	5 Contd.	Financial support was provided to several organizations including the American Cancer Society, Feeding America Southwest Virginia, and Virginia Health Care Foundation. More than 1,800 children learned about healthcare careers through Caring Careers, an educational program for school aged children provided onsite at local schools and community centers.
Form 990	6	Carilion Medical Center is wholly owned by Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through a physician specialty group, advanced primary care practices, hospitals and outpatient centers. Led by clinical teams with a shared philosophy that puts the patient first, Carilion is committed to improving the communitys health while advancing the quality of care through medical education and research. Carilion Clinic is based in Roanoke, Virginia and serves the residents of 18 counties and six cities in Western Virginia and southern West Virginia. Carilion Clinic employees 575 physicians representing more than 60 specialties who provide care at 160 practice sites.
Form 990	6 Contd.	To advance the coordination of care and quality, an electronic medical record has been implemented in all Carilion Clinic affiliated hospitals and physician practices, allowing physicians to easily and efficiently collaborate through the use of shared patient records.
Form 990	6 Contd.	Additional improvements in medical programs and services include a nationally certified Stroke Alert protocol that speeds lifesaving care to stroke patients hypothermia therapy for the treatment of cardiac arrest patients a neonatal pediatric mobile ICU outfitted with life-saving, state of the art medical technology certification by the National Committee for Quality Assurance NCQA of 11 Carilion Clinic Family Medicine practices as Patient-Centered Medical Homes, a new model of care designed to keep patients healthy and prevent illness and MyChart, an online tool that gives patients secure access to their health information.
Form 990	6 Contd.	To advance education of health professionals, Jefferson College of Health Sciences, within Carilion Medical Center, is a professional health sciences college offering the Master of Science in Nursing, Physician Assistant and Occupational Therapy and 10 baccalaureate and associate healthcare programs. As one of few private healthcare colleges in the Southern United States, the students have demonstrated excellent licensure pass rates in professional programs. Approximately 1,000 undergraduate students and 80 graduate students are enrolled annually with 87 receiving some type of financial aid.
Form 990	6 Contd.	Through a unique public-private partnership, in 2010 Virginia Tech and Carilion Clinic opened Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. 84 students are enrolled in the first two classes and there are 421 appointed faculty members. Additionally, graduate medical education is provided for 190 residents and 16 fellows. Included are ten residency programs, eight sponsored by Carilion Clinic Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, Surgery, and Transitional Year and two by the University of Virginia Orthopaedics and Otolaryngology.
Form 990	6 Contd.	Twelve fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Hospice and Palliative Care, Infectious Disease, Medical Informatics, Pulmonary Critical Care and Surgery Critical Care.
Form 990	6 Contd.	At the Virginia Tech Carilion VTC Research Institute, senior researchers recruited from across the country are working to unlock the secrets of the human brain as part of the Roanoke Brain Study, which examines the neural basis of human decision-making and its impact on health over a lifetime. The projects goal is to predict illnesses such as Alzheimers and other brain diseases. An additional benefit to the community is Carilion Clinics economic contribution to the region. As the areas largest employer, jobs are provided for nearly 11,000 residents of the region, with a payroll of more than 600 million in 2011.
Form 990 Part III	1	Carilion Medical Center, that includes Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital, is part of Carilion Clinic, a not-for-profit healthcare organization serving nearly one million people in Virginia through hospitals, outpatient specialty centers and advanced primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient first, Carilion is committed to improving health outcomes for every patient while advancing the quality of care through medical education and research.
Form 990 Part XI	5	Increase for transfer of propery and equipment from related organizations of 32,707,535 decrease for transfer of cash to related organizations of 23,525,000. decrease for tranfer to Carilion Clinic for effect of pension related changes of 55,829,246 decrease for unrealized losses on investments of 25,120,135 net change of 71,766,846.
Form 990 Part III	4a	Carilion Medical Center exists to serve the health care needs of its community and region, regardless of patient ability to pay. CMC admitted 34,908 patients and provided 172,693 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 3,300 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 oncology services geriatric services and diagnostic imaging services including CT, MRI, PET, and mammography.
Form 990 Part III	4a Contd.	Housing a childrens 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 and a home base for LifeGuard 10, the emergency medical air transport that serves the surrounding area. 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.
Form 990 Part III	4a Contd.	With 70,936 visits, CMCs 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 21 percent of ED visits. CMCs 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 100 full-time faculty members, CMC hosts residency programs in family medicine, internal medicines, obstetrics and gynecology, psychiatry, general surgery, neurosurgery.
Form 990 Part III	4a Contd.	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 786 events touching over 37,000 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, bad debt, and unreimbursed Medicaid costs for the year exceeded 62.3 million.
		Form 990 Part VI Section B Line 11b A draft copy of the Form 990 was provided to the Audit and Compliance Committee of Carilion Clinic in advance of its August meeting and reviewed with Committee members at that meeting. The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c Contd. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 Part VI Section B Line 15a and 15b Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b Contd. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 Part VI Section C Line 19 The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 Part VI Section A Line 3 Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization. Form 990 Part VI Section A Line 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member 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. Form 990 Section Schedule H, Part II Line Lines 1-10 Carilion Medical Center provided in-kind support to many events and initiatives focused on children including the Southwest Virginia Alliance for Safe Babies, a multidisciplinary working to eliminate infant injury and deaths due to abusive head trauma and sudden infant death syndrome SIDS Back to School Blast, an event coordinated by the Rescue Mission of Roanoke Valley and other local non-profits and corporate sponsors to provide backpacks, school supplies and free haircuts for low-income children Better Beginnings Coalition with mission of reducing adolescent pregnancy in Virginia through the cooperative efforts of community coalitions comprised of public agencies, private organizations, community groups, and individual volunteers Form 990 Section Schedule H, Part II Line Lines 1-10 Contd. Roanoke Area Youth Substance Abuse Coalition, 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 Roanoke Adolescent Health Partnership to improve the lives of teenagers by making comprehensive health care services accessible and a teen pregnancy prevention program that partners with local schools to provide educational programs and assist with administration of risk behavior assessments and presentations of results. Form 990 Section Schedule H, Part II Line Lines 1-10 Contd. In-kind support was provided to the Education and Access to Healthcare Coaltion EACH, an collaboration to provide health advocacy through programs that include training of lay persons to provide basic health screenings and health resources to those in their neighborhoods and churches and 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 is to provide employment and educational opportunities for individuals with significant disabilities and to find long term employment in skilled positions for its participants. Form 990 Section Schedule H, Part II Line Lines 1-10 Contd. Grant funding was provided for several projects including Smith Mountain Lake Good Neighbors to support a summer day camp program for children in Franklin and Bedford Counties who live near or under the poverty level Greater Roanoke Transit Company for a free trolley service for the community that operates in a continuous loop with stops that include Carilion Medical Center and Downtown Roanoke with goals of reducing the carbon footprint and enhancing the local economy by providing easier access to downtown and Rebuilding Together Roanoke for remediation of houses in lower income neighborhoods. Much in-kind support was provided for the annual United Way campaign to solicit funding from employees of Carilion Medical Center. Form 990 Section Schedule H, Part VI Line 2 Carilion Medical Center uses demographic information and data on patients treated to determine community health needs. Additionally, information from public databases compiled on the Virginia Atlas of Community Health website is reviewed for the entire geographic area served by Carilion Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2012 along with a strategic implementation plan to address identified needs. Form 990 Section Schedule H, Part VI Line 4 Carilion Medical Center, comprised of two hospitals, Car

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Total IncomeTotalIncome	EOY AssetsEOYAssets
The Center For Surgical Excellence LLC
PO Box 12385	Roanoke	VA	24025	562595597	Surgery	VA	N/A
Odyssey IV LLC
PO Box 12385	Roanoke	VA	24025	562354974	Imaging	VA	N/A	659668	2766303
RMH Emergency Service LLC
PO Box 12385	Roanoke	VA	24025	541686589	Physician billing	VA	N/A

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Carilion Clinic
PO Box 12385	Roanoke	VA	24025	541190771	Supporting organization	VA	501c3	11 Type I	N/A	false
Carilion Clinic Foundation
PO Box 12385	Roanoke	VA	24025	541190773	Supporting organization	VA	501c3	11 Type I	N/A	false
Carilion Franklin Memorial Hospital
PO Box 12385	Roanoke	VA	24025	540480606	Healthcare	VA	501c3	3	N/A	false
Carilion Giles Community Hospital
PO Box 12385	Roanoke	VA	24025	540549603	Healthcare	VA	501c3	3	N/A	false
Carilion New River Valley Medical Center
PO Box 12385	Roanoke	VA	24025	540553805	Healthcare	VA	501c3	3	N/A	false
Carilion Services Inc
PO Box 12385	Roanoke	VA	24025	541190879	Supporting organization	VA	501c3	11 Type I	N/A	false
Carilion Stonewall Jackson Hospital
PO Box 12385	Roanoke	VA	24025	540568001	Healthcare	VA	501c3	3	N/A	false
Carilion Tazewell Community Hospital
PO Box 12385	Roanoke	VA	24025	546074580	Healthcare	VA	501c3	3	N/A	false
Hugh Trout Memorial Foundation
PO Box 12385	Roanoke	VA	24025	510236357	Supporting organization	VA	501c3	11 Type I	N/A	false
Jefferson College of Health Sciences Education Foundation
PO Box 12385	Roanoke	VA	24025	541637118	Supporting organization	VA	501c3	11 Type III	N/A	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg