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Carilion Rockbridge Community Hospital

EIN 54-0568001 · Roanoke, VA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood89 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH, AND LOWER COST.

Income
$101.2 million
Spending
$77.1 million
Spent on programs
82%
Reserves
9.2 months of spending
Largest source of income
fees for its services, 95%
Employees
568
Volunteers
24
Highest pay
$2.2 million, asst. secretary/ceo-carilion clinic

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 89 out of 100. Higher than 83% of charities in its peer group (health care, over $100m).

  • Reserves

    28 of 35

    Spendable reserves would cover 9.2 months of spending.

  • Debt

    16 of 20

    It owes 21% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 24% of income.

  • Income trend

    15 of 15

    Income rose 22% on the year before.

  • Spending floor

    15 of 15

    82% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, over $100m).

  • Independent board

    25 of 25

    7 of 13 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $63.1 million spent. CARILION ROCKRIDGE COMMUNITY HOSPITAL, PART OF CARILION CLINIC, IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION COMMITTED TO IMPROVING HEALTH OUTCOMES FOR EVERY PATIENT WHILE ADVANCING THE QUALITY OF CARE IN THE COMMUNITY IT SERVES. LOCATED IN LEXINGTON, VIRGINIA, THIS 25-BED CRITICAL ACCESS HOSPITAL PROVIDES 24-HOUR EMERGENCY CARE AND A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING IMAGING, ORTHOPEDIC, SURGICAL AND THERAPIES. CARILION ROCKBRIDGE COMMUNITY HOSPITAL EXISTS TO SERVE THE HEALTH CARE NEEDS OF ITS COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE ACUTE HOSPITAL ADMITTED 1,735 PATIENTS AND PROVIDED 6,305 DAYS OF CARE DURING THE YEAR. HOSPITAL PROGRAMS INCLUDE THE PROVISION OF NURSING CARE, SWING BED SERVICES, EXTENSIVE OUTPATIENT AND INPATIENT SURGICAL AND ENDOSCOPIC SERVICES, RESPIRATORY THERAPY, AND DIAGNOSTIC IMAGING SERVICES INCLUDING CT, MRI, MAMMOGRAPHY, ULTRASOUND, DEXA SCAN AND NUCLEAR MEDICINE, WOMEN'S SERVICES AND SLEEP MEDICINE. THE HOSPITAL ALSO OFFERS INTEGRATED AND COMPREHENSIVE PRIMARY CARE SERVICES THROUGH MULTIPLE RURAL HEALTH CLINICS, SERVING OVER 83,914 PATIENT VISITS. THE HOSPITAL PROVIDES SEVERAL SERVICES TARGETING THE SPECIFIC HEALTH NEEDS OF ITS POPULATION, INCLUDING DIABETES MANAGEMENT, PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY PROGRAMS, PARTICIPATION IN CARDIAC REHABILITATION, PULMONARY REHABILITATION AND DISEASE MANAGEMENT PROGRAMS. FURTHER, THE HOSPITAL SERVED 14,414 PATIENT VISITS IN ITS EMERGENCY DEPARTMENT, WHICH PROVIDES 24-HOUR CARE, EMERGENCY TRANSPORTATION, AND A CHEST PAIN PROGRAM. EMERGENCY SERVICES ARE A CRITICAL COMPONENT OF THE HEALTH SAFETY NET IN THE HOSPITAL'S SERVICE AREA, ACTING AS A VITAL HEALTH PROVIDER FOR A SIGNIFICANT NUMBER OF UNINSURED PATIENTS, WHO COMPRISE NEARLY 7 PERCENT OF ED VISITS. THE HOSPITAL SUPPORTS COMMUNITY SCREENINGS AND EDUCATION ON CHRONIC DISEASE PREVENTION AND MANAGEMENT. IN FURTHERANCE OF ITS MISSION, THE HOSPITAL PROVIDES EXTENSIVE UNCOMPENSATED CARE AND COMMUNITY SUPPORT. STATED AT COST, FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS FOR THE YEAR EXCEEDED $1.2 MILLION.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending September 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since August 1955.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.