The Daily Dig
Select Medical Corporation and Carilion Clinic have entered into a joint venture to build and operate a new 50-bed inpatient rehabilitation hospital in Roanoke, Virginia. Select Medical will hold majority ownership and manage the facility, which will be named Carilion Rehabilitation Hospital.
The new hospital is planned for 9th Street, SE in Roanoke. Per the May 2026 announcement, construction was slated to begin in spring 2026 with a targeted opening in spring or summer 2028. When the facility opens, Carilion Roanoke Community Hospital will cease operation of its existing 34-bed acute rehabilitation unit.
Select Medical operated 41 rehabilitation hospitals across 15 states as of March 31, 2026. Carilion Clinic is a not-for-profit health system headquartered in Roanoke, serving close to one million Virginians across its hospital and specialty practice network.
The partnership is designed to grow inpatient rehabilitation capacity across Virginia's Blue Ridge region, with the new facility focused on patients recovering from stroke, traumatic brain injury, spinal cord injury, and other neurological conditions.
Snapshot:
Project Name: Carilion Rehabilitation Hospital
Type: Inpatient Rehabilitation Hospital (new construction)
Joint Venture Partners: Select Medical Corporation, Carilion Clinic
Majority Owner/Manager: Select Medical Corporation
Location: 9th Street, SE, Roanoke, Virginia
Capacity: 50 beds
Existing Unit Closing Upon Opening: 34-bed acute rehabilitation unit, Carilion Roanoke Community Hospital
Sector: Healthcare / Post-Acute Care
Construction Start: Spring 2026 (per May 2026 announcement)
Targeted Opening: Spring/Summer 2028
Select Medical Rehab Portfolio (as of 3/31/26): 41 rehabilitation hospitals in 15 states
Carilion Service Area: Nearly 1 million Virginians
TheJobWalk Thoughts
Inpatient rehabilitation hospitals are among the more MEP-intensive healthcare builds a contractor will take on. Medical gas distribution, nurse call systems, and low-voltage infrastructure all carry substantial scope. On a specialty facility like this one, MEP coordination is a primary schedule driver, and trades that get ahead of it early are in a far better position than those chasing it later. Mechanical and electrical subs in the Roanoke market should be tracking this project and positioning now.
The operational handover on this project is not flexible. When the new hospital opens, Carilion Roanoke Community Hospital shuts down its existing 34-bed unit. That hard transition creates real schedule accountability across the entire build, and it gives the GC and key trade partners very little room to recover from delays in the back half of the project.
For suppliers and building materials reps, healthcare builds of this complexity typically move through major procurement milestones well before a casual observer would expect. By the time a GC is deep into buyout, the meaningful conversations have already happened. The window to be relevant on a project like this is earlier than most people think.
