Krista Henderson, the senior director of Carilion patient transportation, and Dan Freeman, the senior director of trauma programs at the hospital, stand atop Carilion Clinic's new helipad on the Crystal Spring Tower at Roanoke Memorial Hospital. The red and yellow helipad surface contrasts with a clear blue sky and mountain views in the background. This is Carilion's second helipad and is part of the new tower set to open in 2025.
Krista Henderson, senior director of patient transportation at Carilion Clinic, stands alongside Dan Freeman, senior director of trauma programs, on the helipad atop the new Crystal Spring Tower at Carilion Roanoke Memorial Hospital. The helipad is part of the tower set to open in 2025. Photo by Emily Schabacker.

Cardinal News: Then & Now takes a look back at the stories we brought you over the last 12 months. Through the end of the year, we’re sharing updates on some of the people and issues that made news in 2024. This installment: Carilion Clinic’s $500 million Roanoke hospital expansion.

Last December, Carilion Clinic celebrated the completion of the vertical construction for its $500 million Crystal Spring Tower project at Roanoke Memorial Hospital. Nearly a year later, many of the lower levels are complete.

Carilion Roanoke Memorial Hospital on a November day. The building is a mix modern architecture with large glass windows and a taller brick structure. Autumn foliage with golden leaves is visible in the foreground, contrasting with the hospital's sleek design.
Carilion Roanoke Memorial Hospital. The new tower is on the far rights. Photo by Emily Schabacker.

The hospital is on track to open the tower in the summer of 2025, which will centralize the hospital’s cardiovascular services, expand the emergency department and add a helipad with direct access to the emergency department. 

[Disclosure: Carilion Clinic is one of our donors, but donors have no say in news decisions; see our policy.]

Announced in 2019, the new tower has 12 floors with two underground levels for parking and 10 above ground, adding 400,000 square feet to the hospital.

Patient rooms for the cardiac intensive care unit on the sixth floor are equipped with special windows and a bespoke camera in the ceiling to make it easier for nurses to monitor patients, said Sarah Henshaw, senior director of nursing for the Carilion Cardiovascular Institute. Patients will also have access to an iPad that they can use to order food and see details about their treatment plans. 

“There’s just more hands-on information,” Henshaw said. 

Dr. Jason Foerst, an interventional cardiologist at Carilion Clinic, wearing a hard hat and safety vest, stands in a cardiac catheterization lab under construction in the Crystal Spring Tower at Roanoke Memorial Hospital. The space features advanced medical equipment, including a large monitor and imaging system, designed to support cardiovascular services.
Dr. Jason Foerst, an interventional cardiologist at Carilion Clinic, stands in the cardiac catheterization lab within the new Crystal Spring Tower. Set to open next summer, the tower will serve as a hub for cardiovascular services at Carilion. Photo by Emily Schabacker.

The rooms are also equipped with lifts built into the ceiling to help safely turn patients. 

In the old hospital, Hoyer lifts, devices that help nurses lift and move patients who have limited mobility, are moved between rooms. A 12-room floor usually has around five lifts, Henshaw said. 

“Having a lift in every room is going to make a huge difference,” she said. 

Dr. Joshua Adams, chief of endovascular and aortic surgery at Carilion's Cardiovascular Institute, explains the new equipment in the endovascular operating room at the Crystal Spring Tower, currently under construction at Carilion Roanoke Memorial Hospital. Adams is wearing a bright yellow safety vest and hard hat as he provides an overview of the room's features.
Dr. Joshua Adams, chief of endovascular and aortic surgery at the Carilion Cardiovascular Institute, stands in the endovascular operating room within the new Crystal Spring Tower at Roanoke Memorial Hospital. Photo by Emily Schabacker.

There are seven operating rooms in the new tower, each designed with the help of hospital staff who had the opportunity to use virtual reality to test the layout and provide feedback. 

The expanded emergency department will connect to Roanoke Memorial’s existing ED, incorporating additional space that includes a newly added pediatric trauma bay.

As the only Level I pediatric trauma center in the region, Carilion has long needed a space specifically designed for treating children. Pediatric medical equipment differs significantly from that used for adults, and the new specialized trauma bay will streamline workflows for medical staff, reduce delays for patients and improve outcomes for young patients, according to Wrenn Brendel, senior director of emergency services.

Wrenn Brendel, senior director of emergency services at Carilion Clinic, stands in a brightly designed pediatric waiting area within the new Crystal Spring Tower at Roanoke Memorial Hospital. The space features colorful seating with flowers on the walls. This area is part of the expanded emergency department in the Crystal Spring Tower, which is set to open in summer 2025.
Wrenn Brendel, senior director of emergency services at Carilion Clinic, stands in a pediatric waiting area located near the trauma bay designed specifically for children. This room is part of the expanded emergency department at Carilion Roanoke Memorial Hospital, housed within the Crystal Spring Tower, which is set to open next summer. Photo by Emily Schabacker.

Emily Schabacker is health care reporter for Cardinal News. She can be reached at emily@cardinalnews.org...