CARILION NEW RIVER VALLEY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CARILION NEW RIVER VALLEY MEDICAL CENTER (EIN 54-0553805)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201232289349300938
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 H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T09:46:58-00:00	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	540553805	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Carilion New River Valley 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	24025	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Donald Lorton	Name
Title	Assistant Treasurer	Title
Date Signed	2012-08-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Francis Bedard	Name
Phone	6152591811	Phone
Date Prepared	2012-08-15	DatePrepared

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	Don Halliwill	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	283400315	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.carilionclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1941	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Carilion New River Valley Medical Center, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves. Carilion New River Valley Medical Center, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1065	TotalNbrEmployees
Total Nbr Volunteers	185	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	213284	ContributionsGrantsPriorYear
Contributions Grants Current Year	98753	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	133041096	ProgramServiceRevenuePriorYear
Program Service Revenue CY	143183258	ProgramServiceRevenueCY
Investment Income Prior Year	818392	InvestmentIncomePriorYear
Investment Income Current Year	5268794	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1983311	OtherRevenuePriorYear
Other Revenue Current Year	4376493	OtherRevenueCurrentYear
Total Revenue Prior Year	136056083	TotalRevenuePriorYear
Total Revenue Current Year	152927298	TotalRevenueCurrentYear
Grants And Similar Amnts CY	135383	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	48232209	SalariesEtcPriorYear
Salaries Etc Current Year	49926473	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	81123769	OtherExpensePriorYear
Other Expenses Current Year	84701060	OtherExpensesCurrentYear
Total Expenses Prior Year	129355978	TotalExpensesPriorYear
Total Expenses Current Year	134762916	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6700105	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18164382	RevenuesLessExpensesCY
Total Assets BOY	179764362	TotalAssetsBOY
Total Assets EOY	190142332	TotalAssetsEOY
Total Liabilities BOY	101827386	TotalLiabilitiesBOY
Total Liabilities EOY	107140870	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	77936976	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	83001462	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Carilion New River Valley Medical Center, part of Carilion Clinic, is a not-for-profit healthcare organization committed to improving health outcomes for every patient while advancing the quality of care in the community it serves.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	115687147	Expense
Grants	135383	Grants
Revenue	145989083	Revenue
Description	See Schedule O.	Description
Total Program Service Expense	115687147	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	false	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	true	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	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	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	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	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	1065	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	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 Organization	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 (23 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
Carolyn Brown
Director	002.00	X	0	0	0
Joseph Scartelli PhD
Director	002.00	X	0	0	0
Howard Conduff
Director	002.00	X	0	0	0
Joseph Sheffey
Director	002.00	X	0	0	0
William Hendricks MD
Director	050.00	X	0	175284	78319
Lester Lamb
Director	002.00	X	0	0	0
Barbara Turk
Director	002.00	X	0	0	0
James Williams OD
Director	002.00	X	0	0	0
Thomas Starnes
Director	002.00	X	0	0	0
Charles Bissell MD
Director/Chief of Staff	002.00	X	0	0	0
Ted Puckett MD
Director/Chief of Staff	002.00	X	0	0	0
Stephanie Shortt
Chairperson	002.00	X	0	0	0	X
Melissa Rotenberry
Vice Chairperson	002.00	X	0	0	0	X
John Piatkowski MD
President	050.00	X	0	0	0	X
Don Halliwill
President/Administrator	050.00	X	24374	197940	50352	X
Todd Murray
Secretary/Treasurer	002.00	X	0	0	0	X
Donald Lorton
Assistant Treasurer	050.00		0	521051	332850	X
Rachel Mabe
Assistant Secretary	050.00		0	70949	17506	X
Dennis Means
VP - Medical Affairs	050.00		284986	0	51181		X
Ralph Brown
Physician	050.00		270396	0	39237		X
Charlotte Ramsey
Chief Nursing Officer	050.00		169956	0	32715		X
Dale Bryant
Pharmacist	050.00		147304	0	50325		X
Louis Harlow
Pharmacy Director	050.00		138144	0	23155		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1035160	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	965224	TotalReportableCompFrmRltdOrgs
Total Other Compensation	675640	TotalOtherCompensation
Number Individuals GT100 K	18	NumberIndividualsGT100K
Formers Listed	false	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
Anesthesiology Associates of Radford
PO Box 3605	Radford	VA	24143	Anesthesiology services	2437368
Carilion Labs LLC
213 S Jefferson 1202	Roanoke	VA	24011	Laboratory services	3726569
Breakell Inc
2314 Patterson Ave	Roanoke	VA	24016	Construction contractor	248373
Siemens Medical Solutions
51 Valley Stream Pkwy	Malvern	PA	19355	Equipment and software maintenance	830736
Foodservice Partners of VA
2823 Franklin Road Bldg B	Roanoke	VA	24014	Food service	480826

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Related Organizations	26778	RelatedOrganizations
Government Grants	4104	GovernmentGrants
All Other Contributions	67871	AllOtherContributions
Total Contributions	98753	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenues	900099	143022528	143022528
Program-Related Investments	900099	160730	160730

Field	Value	IRS element (for citing)
Total Program Service Revenue	143183258	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-1682050	TotalRevenueColumn
Exclusion	-$1,682,050	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	29	TotalRevenueColumn
Exclusion	$29	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1035209	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1035209	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1035209	TotalRevenueColumn
Exclusion	$1,035,209	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	137410964	Securities
Other	12868	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	130473017	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6937947	Securities
Other	12868	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6950815	TotalRevenueColumn
Exclusion	$6,950,815	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EHR Incentive Payment	900099	1894108	1894108
Cafeteria	900099	535459		$535,459
Court cost recovery	900099	34181	34181

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	877536	TotalRevenueColumn
Related Or Exempt Function Income	877536	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3341284	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	152927298	TotalRevenueColumn
Related Or Exempt Function Income	145989083	RelatedOrExemptFunctionIncome
Exclusion	$6,839,462	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	135383	Total
Program Services	135383	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	66160	Total
Program Services	66160	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	40212996	Total
Program Services	39930873	ProgramServices
Management And General	282123	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2362743	Total
Program Services	2362743	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4403802	Total
Program Services	4356819	ProgramServices
Management And General	46983	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2880772	Total
Program Services	2880772	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	17546675	Total
Management And General	17546675	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2310	Total
Management And General	2310	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	8686	Total
Program Services	8686	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	241150	Total
Management And General	241150	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14492408	Total
Program Services	14228044	ProgramServices
Management And General	264364	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3862	Total
Program Services	3772	ProgramServices
Management And General	90	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	20597659	Total
Program Services	20510964	ProgramServices
Management And General	86695	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	403990	Total
Program Services	403990	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2017062	Total
Program Services	1976764	ProgramServices
Management And General	40298	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	435501	Total
Program Services	432429	ProgramServices
Management And General	3072	ManagementAndGeneral

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	4039826	Total
Program Services	4039826	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5987921	Total
Program Services	5987921	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1136689	Total
Program Services	670118	ProgramServices
Management And General	466571	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	7960021	7960021
I/C Practice Subsidy	9496319	9496319
Business Fees	45331	45112	219
Dues Subscriptions	165337	89693	75644
Court Costs	75588	75588

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	44725	Total
Program Services	25150	ProgramServices
Management And General	19575	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	134762916	Total
Program Services	115687147	ProgramServices
Management And General	19075769	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6447	BOY
EOY	6447	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	266980	BOY
EOY	278811	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	14389426	BOY
EOY	18264048	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1763861	BOY
EOY	1571081	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	509993	BOY
EOY	537464	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	142575396	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	81990229	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	62573160	BOY
EOY	60585167	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	59499757	BOY
EOY	59083341	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	39950355	BOY
EOY	48571429	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	804383	BOY
EOY	1244544	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	179764362	BOY
EOY	190142332	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11559697	BOY
EOY	11156150	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	206134	BOY
EOY	182468	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	73199000	BOY
EOY	70977440	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16862555	BOY
EOY	24824812	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	101827386	BOY
EOY	107140870	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	77936406	BOY
EOY	83000892	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	570	BOY
EOY	570	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	77936976	BOY
EOY	83001462	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	179764362	BOY
EOY	190142332	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18164382	ReconcilationRevenueExpenses
Reconcilation Other Changes	-13099896	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	false	FederalGrantAuditRequired

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	$8,686	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8686	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 Virginia Hospital and Healthcare Assn. spent on lobbying.	Explanation

Schedule D IRS990ScheduleD

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1507465	OtherCostOrOtherBasis
Book Value	1507465	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79420910	OtherCostOrOtherBasis
Depreciation	31872212	Depreciation
Book Value	47548698	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	247117	OtherCostOrOtherBasis
Depreciation	157862	Depreciation
Book Value	89255	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56562228	OtherCostOrOtherBasis
Depreciation	49191938	Depreciation
Book Value	7370290	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4837676	OtherCostOrOtherBasis
Depreciation	768217	Depreciation
Book Value	4069459	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	60585167	TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	48571429	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	48571429	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Qualified Pension Liability	$10,986,508
2005 Fixed Payor Swap Unrealized	$9,059,913
2008 Fixed Swap Unrealized Losses	$4,608,333
2010 Barclays Swap Unrealized Losses	$122,549
2010 PNC Swap Unrealized Losses	$47,509

Field	Value	IRS element (for citing)
Total Of Amounts	24824812	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	X	Identifier
Return Reference	2	ReturnReference
Explanation	Carilion had no material unrecognized tax benefits and no adjustments to its consolidated financial statements were required as of and for the years ended September 30, 2011 and 2010. Carilion does not expect that unrecognized tax benefits will materially increase within the next 12 months.	Explanation

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	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
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	8410620	TotalCommunityBenefitExpense
Net Community Benefit Expense	8410620	NetCommunityBenefitExpense
Percent Of Total Expense	0.06240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9679155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7346047	DirectOffsettingRevenue
Net Community Benefit Expense	2333108	NetCommunityBenefitExpense
Percent Of Total Expense	0.01730	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18089775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7346047	DirectOffsettingRevenue
Net Community Benefit Expense	10743728	NetCommunityBenefitExpense
Percent Of Total Expense	0.07970	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	187	NumberOfActivitiesOrPrograms
Persons Served	31744	PersonsServed
Total Community Benefit Expense	356364	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20640	DirectOffsettingRevenue
Net Community Benefit Expense	335724	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	285	PersonsServed
Total Community Benefit Expense	15117	TotalCommunityBenefitExpense
Net Community Benefit Expense	15117	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	378	PersonsServed
Total Community Benefit Expense	77277	TotalCommunityBenefitExpense
Net Community Benefit Expense	77277	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	196	NumberOfActivitiesOrPrograms
Persons Served	32407	PersonsServed
Total Community Benefit Expense	448758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20640	DirectOffsettingRevenue
Net Community Benefit Expense	428118	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	196	NumberOfActivitiesOrPrograms
Persons Served	32407	PersonsServed
Total Community Benefit Expense	18538533	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7366687	DirectOffsettingRevenue
Net Community Benefit Expense	11171846	NetCommunityBenefitExpense
Percent Of Total Expense	0.08290	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	14006	TotalCommunityBuildingExpense
Net Community Building Expense	14006	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	250	TotalCommunityBuildingExpense
Net Community Building Expense	250	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	98	PersonsServed
Total Community Building Expense	2374	TotalCommunityBuildingExpense
Net Community Building Expense	2374	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	98	PersonsServed
Total Community Building Expense	16630	TotalCommunityBuildingExpense
Net Community Building Expense	16630	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$2,790,991	BadDebtExpenseAmount
Amount Attributable To	944683	AmountAttributableTo
Amount Reimbursed By Medicare	34217251	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	39089295	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4872044	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

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	New River Valley Surgery Center LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Ambulatory surgery	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.52870	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.47130	PhysicansProfitOrOwnership

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	Er24 HoursEr24Hours	OtherOther
Carilion New River Valley Medical Center
1	2900 Lamb Circle	Christiansburg	VA	24073	X	X	X
New River Valley Surgery Center LLC
2	2901 Lamb Circle	Christiansburg	VA	24073	X			Ambulatory surgery

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber
Carilion New River Valley Medical Center
1
Carilion New River Valley Medical Center Rehabilitation
2
Carilion New River Valley Medical Center Home Health and Hospice
3
Orthopedic Spine PT Clinic
4
Orthopedic Spine PT Clinic
5

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Carilion New River Valley Medical Center
2900 Lamb Circle	Christiansburg	VA	24073	0
Carilion New River Valley Medical Center Rehabilitation
118 Broad Street	Dublin	VA	24084	Psychiatric Unit
Carilion New River Valley Medical Center Home Health and Hospice
707 Randolph Street Suite 251	Radford	VA	24141	Outpatient therapy
Orthopedic Spine PT Clinic
51 West Main Street	Radford	VA	24141	0
Orthopedic Spine PT Clinic
178 West Main Street	Wytheville	VA	24382	Orthopedic spine- PT

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 8,013,353.
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	Contd. The bad debt expense reported on line 2 was calculated using the cost-to-charges ratio applied to the provision for bad debt reported in the financial statements.
Part III line 4	Contd. The estimated amount of bad debt expense, reported on line 3, attributable to patients eligible for charity care was determined using external credit reporting data to identify the patients that were eligible and applying the cost-to-charges ratio to the charges of the patients so identified. Sufficient information was not available to make a definitive determination of their eligibility.
Part III line 4	Contd. 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	Contd. 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	Contd. If the patient does not qualify for one of the programs then the Federal Poverty Guidelines FPG are used to determine eligibility for charity care. A patient whose account balance is less than 1,500 and is at or below 100 of FPG is automatically given a 100 discount of their account.
Part III line 9b	Contd. For balances greater than 1,500 the patient must complete a Financial Assistance Application and provide appropriate documentation. A sliding scale of discounts is available for patients with incomes up to 400 of FPG.
Part III line 9b	Contd. An underinsured patient can apply for charity care. Applications are available at all Patient Access/Registration points, offices of EAS, Carilion Clinics Internet website or by calling for an application.
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 explaining 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 (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
CARILION CLINIC FOUNDATION
213 S JEFFERSON ST 807	ROANOKE	VA	24011	541190773	501c3	80990	COMMUNITY GRANTS
WARM HEARTH FOUNDATION
2607 WARM HEARTH DR STE 100	BLACKSBURG	VA	24060	541639629	501c3	20000	VILLAGE CENTER
NEW RIVER VALLEY ECONOMIC DEVELPMENT ALLIANCE
6226 UNIVERSITY PARK DR 2200	RADFORD	VA	24141	541545804	501c6	10000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 1590	HAGERSTOWN	MD	21741	135613797	501c3	5000	HEART WALK

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 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.
I	2	The Hospital also donates funds to other 501c3 charitable organizations with a similar mission. Such organizations also have community boards which oversee the expenditure of such funds.

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 (8 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	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Bonus Filing OrgBonusFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg
William Hendricks MD
155480	20187	-383	58739	19580	253603
Don Halliwill
194958	10823	-7841	29782	19993	247715	25429	-1055	577	24951
Donald Lorton
436800	21491	62760	316614	16236	853901					61212
Dennis Means
						274482	-2976	20587	336167		13480	30594
Ralph Brown
						225098	-2293	17404	309633		47591	21833
Charlotte Ramsey
						158221	-2249	11055	202671		13984	21660
Dale Bryant
						122132	5870	14837	197629		19302	35488
Louis Harlow
						133909	4235	13629	161299			9526

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	Donald Lorton - 131,084

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 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	770084ES6	2005-12-14	65880000	Capital projects, Current Refunding of Series 2002 B-E bonds Costs of issuance, bond insurance	false	false	false
VA Small Business Financing Authority
541300845	928101AD6	2008-07-09	20000000	Capital projects, Costs of issuance	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	15387000	AmountRetired
Total Proceeds	65880000	TotalProceeds
Issuance Costs From Proceeds	406156	IssuanceCostsFromProceeds
Credit Enhancement	949368	CreditEnhancement
Other Spent Proceeds	64524476	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

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	false	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS & Citigroup
true	true	true	0000000027.000000000000	false	false	true	AIG	0000000000.300000000000	true	false	true
UBS & Citigroup
true	true	true	0000000033.000000000000	false	false	false				false	true

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (34 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	2	Todd Murray and Jeffery Reed - business relationship.
Form 990 Part VI	11b	The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have.
Form 990 Part VI	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 New River Valley Medical Center provided financial support to the City of Radford Recreation Department, an extensive program with a variety of indoor activities, such as racquetball and basketball at several city facilities and outdoor activities such as swimming, hiking and tennis at 14 city parks Radford Chamber of Commerce, dedicated to economic, civic, commercial, industrial, educational and tourism interests of Radford and the New River Valley with goal of advancing quality of life and prosperity
Form 990	Lines 1-10 Contd.	New River Valley Economic Development Council whose mission is to market the New River Valley, to foster job creation, to facilitate new investment, and to nurture and improve quality of life in the Valley and Blacksburg Partnership Foundation, a non-profit organization that promotes economic development. In-kind support has been provided to 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.
Form 990	2	Carilion New River Valley 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 New River Valley Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs.
Form 990	4	Carilion New River Valley Medical Center serves the more than 178,000 residents of the New River Valley in southwestern Virginia between the Blue Ridge and Allegheny Mountains. The New River Valley is a 1,471 square mile region that includes the counties of Giles, Montgomery, Floyd and Pulaski and the city of Radford. The Valley is bordered on the southeast by the Blue Ridge Mountains and on the northwest by West Virginia. Approximately 16 of adults under age 64 and 8 of children who live in the New River Valley are uninsured. Additionally, 17 of residents live below the poverty level and 16 of adults 25 years of age or older did not graduate from high school. 13 of residents are 65 years of age or older.
Form 990	5	Carilion New River Valley Medical Center is a modern hospital facility hosting both medical and psychiatric services. The 146-bed facility offers comprehensive healthcare services with more than 25 specialties and 24-hour emergency care facilities including a Level III Trauma Center with medical air transport. Carilion New River Valley Medical Center serves all patients regardless of their ability to pay. The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers.
Form 990	5 Contd,	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 New River Valley Medical Centers 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 New River Valley Medical Center provides ongoing support of the local EMS crews through replenishment of medications used for patient care or product with an expired use by date. Carilion New River Valley Medical Center provided financial support to the American Cancer Society and American Heart Association for programs to further education and research. A financial contribution was also provided to the Warm Hearth Village Foundation for their capital campaign to add a wellness center that promotes active aging.
Form 990	5 Contd.	Additionally, Carilion New River Valley Medical Center provided grant funding to the Free Clinic of the New River Valley for staffing and supplies of the dental program that serves uninsured, low-income residents. Carilion New River Valley Medical Centers Medication Assistance Program assists uninsured clients obtain medications necessary for disease management and therapeutic outcomes and enrolls eligible individuals into state and federal insurance programs. With many area businesses experiencing layoffs due to the sluggish economy, the Medication Assistance Program partnered with local social services representatives to meet with eligible individuals and provide them with materials on medication assistance.
Form 990	5 Contd.	During fiscal year 2011, Carilion New River Valley Medical Center invested more than 119,000 to assist 678 individuals obtain needed prescription medication. Additionally, 91 patients received free prescription medication through an emergency medication relief fund. Carilion New River Valley Medical Center promotes educating the public about health risks and steps that can be taken to improve health. 31,744 people received health education information provided during 187 events that included screenings, presentations and health fairs during fiscal year 2011. 31,744 people received health education information provided during 187 events that included screenings, presentations and health fairs during fiscal year 2011.
Form 990	5 Contd.	Regularly scheduled health screenings such as blood pressure, blood glucose and cholesterol are offered at various locations throughout the year. In addition, Red Hot Mommas features speakers focusing on womens health issues. The national SafeKids program is coordinated by Carilion New River Valley Medical Center with education on injury prevention for children. Car seat education and regularly scheduled car seat safety checks are provided. Additionally, an annual child health and safety day is offered and more than 350 people attended the 2011 event. Additional health improvement services include assistance with enrollment in public medical programs such as Medicaid.
Form 990	6	Carilion New River Valley 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. 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.
Form 990	6 Contd.	Additionally, graduate medical education is provided for 190 residents and 16 fellows. Included are ten residency programs, eight sponsored by Carilion Clinic Emergency Medicine, Family Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynecology, Psychiatry, Surgery, and Transitional Year and two by the University of Virginia Orthopaedics and Otolaryngology. Twelve fellowship programs include Addiction Psychology, Adult Joint Reconstruction, Advanced Endoscopy, Cardiovascular Disease, Child and Adolescent Psychiatry, Hospice and Palliative Care, Infectious Disease, Medical Informatics, Pulmonary Critical Care and Surgery Critical Care.
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 XI	5	Other adjustments- unrealized loss on investments 7,552,513, transfer to Carilion Clinic for effect of pension-related changes 4,147,383 and transfer to affliate of 1,400,000 for total of 13,099,896.
Form 990 Part III	4a	Carilion New River Valley Medical Center exists to serve the health care needs of its community, regardless of patient ability to pay. New River admitted 7,837 patients and provided 30,420 days of care during the year New River also delivered 1,148 babies. Hospital programs include provision of nursing care extensive outpatient and inpatient surgical and endoscopic services comprehensive cardiac treatment, diagnostic, and rehab solutions and diagnostic imaging services including CT, MRI, and mammography.
Form 990 Part III	4a Contd.	With almost 23 of its inpatient admissions representing psychiatric admissions, and a significant outpatient presence in behavioral medicine, New River plays a critical role in providing mental health services for the region. New River is a Level III trauma center, and provides a home base for Lifeguard 11, the emergency medical air transport that serves the surrounding area. New River provides a number of inpatient and outpatient services targeting the specific health needs of its population, including diabetes management home health and hospice physical, speech, and occupational therapy programs and cardiac and respiratory rehab.
Form 990 Part III	4a Contd.	New River also provides an emergency department with 24-hour care, emergency transportation, and a chest pain and stroke program. With 32,003 visits, New Rivers emergency services are a critical component of the health safety net in its service area, acting as the primary health provider for a significant number of uninsured patients, who comprise 19 percent of ED visits. New River supports community screenings and education on chronic disease prevention and management sponsoring 187 events touching more than 31,000 people. New River also champions and supports a Medication Assistance Program in partnership with community-based social services. In furtherance of its mission, New River provides extensive uncompensated care. Stated at cost, charity, charity-eligible bad debt, and unreimbursed Medicaid costs for the year of 11.7 million.
		Form 990 Part VI Section A Line 2 Todd Murray and Jeffery Reed - business relationship. Form 990 Part VI Section B Line 11b The final Form 990 was emailed or delivered in hard copy to each member of the Board of Directors several days prior to filing and Board members were encouraged to call with any questions they might have. Form 990 Part VI Section B Line 12c A Conflict of Interest Questionnaire, along with a copy of the Policy, is sent out annually to all officers, directors and key employees. In addition, such individuals are instructed to inform the organization of potential conflicts which arise during the year. Answers to the Questionnaires are reviewed by the Internal Audit Department. Potential conflicts for officers and key employees are reviewed by an internal Conflict of Interest Committee, which follows up on any potential issues to ensure compliance with all policies of the organization. The answers for Directors are reviewed by the Carilion Clinic Audit and Compliance Committee. Form 990 Part VI Section B Line 12c Contd. In addition, the governing body of the organization is provided with a list of the answers annually to make all Board members aware of potential conflicts in order to ensure compliance with policies on how to handle transactions with Board members that may involve potential conflict situations. Form 990 Part VI Section B Line 15a and 15b Executive compensation is reviewed annually by the Carilion Clinic Compensation Committee. This committee is made up of Board members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. With respect to Carilion Clinic, the Compensation Committee reviews the compensation of the President and Chief Executive Officer, Executive Vice Presidents, which include the Chief Financial Officer and the Chief Medical Officer. For the fiscal year covered by this return, the Compensation Committee also used the same process to review the compensation of other Disqualified Individuals, including the Hospital Vice Presidents. This review was performed in October 2010. A similar review was last performed in October 2011. Form 990 Part VI Section B Line 15a and 15b Contd. This review included a comprehensive report from an outside compensation consultant specializing in healthcare organizations. The report included a detailed comparison of total compensation and each element thereof, including base salary, bonuses and other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to a peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. Detailed minutes of the meetings of the Compensation Committee are kept and approved at the next meeting of the Committee, setting forth the deliberations and decisions regarding the compensation of these executives. Form 990 Part VI Section B Line 15a and 15b Contd. In addition, the Compensation Committee annually reviews the compensation plan and philosophy for all vice presidents and senior vice presidents, as well as all employed physicians and physicians in leadership roles. Form 990 Part VI Section C Line 19 The organizations governing documents, conflict of interest statement and financial statements are not generally available to the public, but are released from time to time upon request. The Articles of Incorporation are available from the Virginia State Corporation Commission. The consolidated audited financial statements of Carilion Clinic and of the Obligated Group are released annually to the local newspaper. Limited financial information is available on our web site. Form 990 Part VI Section A Line 3 Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related organization and supporting organization of the organization. Form 990 Part VI Section A Line 6 The organization has a single member. The sole member is Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The sole member 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 New River Valley Medical Center provided financial support to the City of Radford Recreation Department, an extensive program with a variety of indoor activities, such as racquetball and basketball at several city facilities and outdoor activities such as swimming, hiking and tennis at 14 city parks Radford Chamber of Commerce, dedicated to economic, civic, commercial, industrial, educational and tourism interests of Radford and the New River Valley with goal of advancing quality of life and prosperity Form 990 Section Schedule H, Part II Line Lines 1-10 Contd. New River Valley Economic Development Council whose mission is to market the New River Valley, to foster job creation, to facilitate new investment, and to nurture and improve quality of life in the Valley and Blacksburg Partnership Foundation, a non-profit organization that promotes economic development. In-kind support has been provided to 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. Form 990 Section Schedule H, Part VI Line 2 Carilion New River Valley 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 New River Valley Medical Center. A comprehensive community health needs assessment is scheduled for completion by September 30, 2013 along with a strategic implementation plan to address identified needs. Form 990 Section Schedule H, Part VI Line 4 Carilion New River Valley Medical Center serves the more than 178,000 residents of the New River Valley in southwestern Virginia between the Blue Ridge and Allegheny Mountains. The New River Valley is a 1,471 square mile region that includes the counties of Giles, Montgomery, Floyd and Pulaski and the city of Radford. The Valley is bordered on the southeast by the Blue Ridge Mountains and on the northwest by West Virginia. Approximately 16 of adults under age 64 and 8 of children who live in the New River Valley are uninsured. Additionally, 17 of residents live below the poverty level and 16 of adults 25 years of age or older did not graduate from high school. 13 of residents are 65 years of age or older. Form 990 Section Schedule H, Part VI Line 5 Carilion New River Valley Medical Center is a modern hospital facility hosting both medical and psychiatric services. The 146-bed facility offers comprehensive healthcare services with more than 25 specialties and 24-hour emergency care facilities including a Level III Trauma Center with medical air transport. Carilion New River Valley Medical Center serves all patients regardless of their ability to pay. The Hospitals governing Board is elected annually and the majority of members are neither employees nor contractors of the Hospital. Medical staff privileges are extended to qualified providers. Form 990 Section Schedule H, Part VI Line 5 Contd, In addition to clinical care, the hospital works to achieve its mission through the education of health professionals and the community. Any surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts. This includes providing free, discounted and subsidized care as well as critical medical services that operate at a loss. Form 990 Section Schedule H, Part VI Line 5 Contd. Carilion New River Valley Medical Centers Hospitals Emergency Department has specially trained nurses who deliver immediate crisis intervention to victims of sexual assaults and/or abuse. They offer vic

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 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 Medical Center
PO Box 12385	Roanoke	VA	24025	540506332	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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	New River Valley Surgery Center LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2901 Lamb Circle	AddressLine1
City	Christiansburg	City
State	VA	State
ZIP Code	24073	ZIPCode

Field	Value	IRS element (for citing)
EIN	800091329	EIN
Primary Activity	Ambulatory Surgery	PrimaryActivity
Legal Domicile State	VA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	193379	ShareOfTotalIncome
Share Of EOY Assets	1624306	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.52869	PercentageOwnership

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	false	OtherTransferFromOtherOrg