Carilion Clinic

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Carilion Clinic
LocationRoanoke, Virginia
Care systemPrivate, Not-for-Profit
Hospital typeHospital network, primary and specialty physician practices
Emergency departmentAmbulance transportation, Emergency Room, Life-guard air transportation, Pediatric emergency room, Trauma Center, VelocityCare-Urgent Care by Carilion
WebsiteCarilion Clinic

Carilion Clinic, formerly known as Carilion Health System, is a Roanoke, Virginia-based tax-exempt integrated health care organization that provides care for nearly one million Virginians and West Virginians. Carilion owns and operates seven hospitals in the western part of Virginia as well as Jefferson College of Health Sciences and a joint venture medical school and research institute with Virginia Tech. The system consists of hospitals, primary and specialty physician practices, pharmacies, health clubs and other complementary services. Carilion Clinic is also home to the region's only Level 1 Trauma Center at Carilion Roanoke Memorial Hospital. Carilion has more than 13,200 employees with 737 physicians covering more than 70 specialties at 225 practice sites[1], making it the largest employer in the Roanoke Valley[2] Clinical expertise include cancer, cardiology, heart surgery and vascular care, gastroenterology, neurology, neurosurgery, orthopaedics, primary and preventive care, pediatrics, trauma, and women's health.


Carilion originated with Roanoke Memorial Hospital, founded in 1899 and located at the base of Mill Mountain in southwest Roanoke. The hospital expanded into related health care services and the acquisition of other hospitals beginning in the mid 1900s. Most prominent was the acquisition of the competing Community Hospital of Roanoke Valley in downtown Roanoke. The deal took several years to complete because of anti-trust concerns by the United States Department of Justice that two of the three major hospitals in the Roanoke Valley would now be under the same ownership. In the early 1990s, Roanoke Memorial adopted the name Carilion for its consolidated health care business.

Carilion Clinic reorganization[edit]

In 2006, Carilion's management warned that trends in the health care sector threatened to undermine the organization's financial position. In response, Carilion announced plans for a significant business reorganization to change its emphasis from running hospitals to hiring more doctors in a larger number of medical specialties, with a primary goal of better coordination of patient care and an emphasis on medical education and research.

The plan was developed after visits to the Mayo Clinic and other similar organizations. As part of the reorganization plan, Carilion renamed itself Carilion Clinic.[3] The vision for moving Carilion toward the "clinic" model was spearheaded by CEO Ed Murphy, who left Carilion in 2011 to work with a New York and London based firm in order to help develop ways to better manage and coordinate physicians and services provided by hospitals.[4]

Virginia Tech Carilion School of Medicine and Research Institute[edit]

As part of the Carilion Clinic's plan to promote education and research, Carilion and Virginia Tech partnered to establish the Virginia Tech Carilion School of Medicine and Research Institute in Roanoke. The Virginia Tech Carilion School of Medicine and Research Institute was established on January 1, 2007 and accepted its first class in 2010. The school created a bridge between science research at Virginia Tech and clinical expertise at Carilion Clinic. It aims to improve human health and quality of life by providing leadership in medical education and biomedical and clinical research. The school is a fully accredited 4-year medical school by the Liaison Committee on Medical Education.

Virginia Tech Carilion School of Medicine currently has 726 appointed faculty, and 164 enrolled students. It is adjacent to the Carilion Roanoke Memorial Hospital, and features the Hokie Stone used to build most buildings on Virginia Tech's campus.

The school also offers residency and fellowship programs, with 275 medical residents and fellows currently enrolled.

The 13 accredited residency programs include dermatology, emergency medicine, family medicine, general hospital dentistry, internal medicine, neurology, neurosurgery, Obstetrics/Gynecology, pediatrics, plastic surgery, podiatry, psychiatry and surgery.

The 11 accredited fellowship programs are adult joint reconstruction, cardiovascular disease, child and adolescent psychiatry, emergency medical services, gastroenterology, Geriatric medicine, Geriatric psychiatry, hospice and palliative care, infectious disease, interventional cardiology, and pulmonary critical care.

The curriculum puts a strong emphasis on training future physicians to conduct research and implement the research in their practice. Research conducted at the institute is aimed at understanding the molecular basis for health and disease, and development of diagnostic tools, treatments and therapies that will contribute to the prevention and solution of existing and emerging problems in contemporary medicine[5].

Many physicians and executives at Carilion teach courses at VTCSOM.

Jefferson College of Health Sciences[edit]

Jefferson College of Health Sciences is the oldest hospital-based college in Virginia offering undergraduate and graduate programs of study. It was founded by Dr. Hugh Trout, Sr. as the Jefferson Hospital School of Nursing. Carilion Clinic partners with the college to provide residencies and fellowships for students. It is housed in Carilion Roanoke Community Hospital, and features skill laboratories and science laboratories for chemistry, microbiology, physics and anatomy and physiology.

There are currently 82 full-time faculty teaching at Jefferson, as well as 1151 students enrolled. The school is accredited by the Southern Association of Colleges and Schools Commission of Colleges.

Bachelor's degree graduates from Jefferson earn the highest average salaries in Virginia, and 93 percent of school graduates are employed within six months of graduation[6]. According to U.S. News and World Report, the school ranks 88 in occupational therapy and 70 in physician assistant in the country.

Academically, the school offers associate's, bachelor's, master's, and doctoral degrees, and programs include occupational therapy assistant, physical therapy assistant, surgical technology, and much more.

Programs that are 100 percent online track available are emergency services, health sciences, healthcare management, nursing (RN to BSN), family nurse practitioner, healthcare administration, nursing administration, and occupational therapy.


Carilion Clinic operates seven hospitals located in the South Western region:[7]

Carilion Franklin Memorial Hospital[edit]

Located in Rocky Mount, VA, Carilion Franklin is a 37 licensed bed hospital that provides 24-hour emergency, general medical/surgical care, obstetrical and maternal care and outpatient services.

Carilion Giles Community Hospital[edit]

Located in Pearisburg, VA, Carilion Giles is a 25 licensed bed critical access facility that provides 24-hour emergency care.

Carilion Roanoke Community Hospital[edit]

Located in Roanoke, VA, Carilion Roanoke Hospital is a magnet-designated, 34 licensed bed hospital home to outpatient services such as community care, wound care, occupational medicine, inpatient rehabilitation and pediatric dental. It is also the home of Jefferson College of Health Sciences.

Carilion Roanoke is also home to Carilion's inpatient rehabilitation facility. The unit cares for patients following an illness or accident who need intensive therapy before they can leave the hospital.[8]

Carilion Tazewell Community Hospital[edit]

Located in Tazewell, VA, Carilion Tazewell is a 56 licensed bed acute care facility that provides general medical care.

Carilion Stonewall Jackson Hospital[edit]

Located in Lexington, VA, Carilion Stonewall Jackson is a 25 licensed bed critical access facility. It also serves as a base for Life-Guard 12.

Carilion Clinic Saint Albans Hospital[edit]

Located at entrance 5 of the Carilion New River Valley Medical Center, Carilion Clinic Saint Albans Hospital is a 36-bed facility that specializes in treating mental, emotional and addiction issues. It is staffed by psychiatrists, nurse practitioners and therapists offering inpatient and outpatient treatment.

Services offered at the hospital include behavioral health, CONNECT, chemical dependency recover, electroconvulsive therapy, group skills therapy, psychological counseling and psychological evaluations.

Carilion New River Valley Medical Center (CNRV)[edit]

Located in Radford, VA, CNRV is a 146 licensed bed medical center. The center provides access to more than 50 specialists including cardiology, obstetrics and gynecology and vascular surgery. CNRV is designated as a Level III Trauma Center and serves as a base for Life-Guard 11. In addition, CNRV houses the Saint Albans Hospital for Psychiatry and Behavioral Medicine.

Carilion Roanoke Memorial Hospital[edit]

Carilion Roanoke Memorial Hospital is a magnet-designated, 703 licensed bed hospital. It is one of the largest hospitals in Virginia and is the region's only Level I Trauma Center. The hospital houses Carilion Children's Hospital and offers residencies and fellowships sponsored by Virginia Tech Carilion School of Medicine.

It is the only hospital in Virginia rated by U.S. News & World Report as high-performing for all nine adult procedures and conditions. The report also ranks it as the number three hospital in the state of Virginia.

In 2017, it was listed in the top 50 by IBM Watson Health for cardiovascular hospitals.

Carilion Children’s[edit]

Located at Carilion Roanoke Memorial Hospital, Carilion Children's is a 92 licensed bed hospital within a hospital. It is the third largest neonatal intensive care unit in Virginia and the only pediatric intensive care unit in Western Virginia. The hospital provides medical and intensive care to neonatal, pediatric and adolescent patients.


Carilion Clinic operates a 24-hour air ambulance service. With a fleet of three helicopters that run out of three bases (Radford, Lexington and West Lake) Life-Guard can provide service for the entire state of Virginia, as well as parts of West Virginia, North Carolina and Tennessee. Life-Guard helicopters operation began in 1981 and Life-Guard became Virginia's first air ambulance service.[9]

Institute for Orthopaedics and Neurosciences[edit]

The Institute for Orthopaedics and Neurosciences is a 55,000 square foot facility that brings together education, research and patient care for those two disciplines. The institute provides general orthopaedic, total joints care, sports medicine, brain disorder and neurosurgery services.

Carilion Wellness[edit]

Carilion Wellness is a system of fitness centers owned and operated by Carilion Clinic. With locations in Roanoke, Botetourt and Blacksburg, Carilion Wellness has more than 6,700 members. The fitness centers offer exercise classes, gym equipment, indoor and outdoor pools, as well as wellness programs and services such as nutrition consultations and personal training.


Carilion Clinic runs eight urgent care centers under the brand name Velocity Care. The urgent clinics offer walk-in medical services for non-life-threatening injuries and illnesses. Services include lab work and imagining services, and the ability to treat a wide range of common illnesses and injuries.

Community benefit[edit]

Carilion Clinic contributes a portion of its revenue to various medical causes around the Roanoke Valley. In 2016, around $171 million were donated. This includes $72 million for charity care, $55 million for other uncompensated care, $33 million for education, $11 million for community outreach, and $842 thousand for research.

See also[edit]


  1. ^
  2. ^
  3. ^ Whitcomb, Michael E. (8 April 2010). "New Medical Schools in the United States". New England Journal of Medicine. 362 (14): 1255–1258. doi:10.1056/NEJMp0912179.
  4. ^ Karen McNew (March 24, 2011). "Carilion changes leaders, not vision". Archived from the original on October 8, 2011. Retrieved July 5, 2011.
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  6. ^
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  9. ^ Carilion Clinic Life-Guard

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