CARILION GILES COMMUNITY HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CARILION GILES COMMUNITY HOSPITAL (EIN 54-0549603)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202502279349303955
Schema version: 2023v6.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T16:55:51+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540549603	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Carilion Giles Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CARI	BusinessNameControlTxt
Phone	5402245102	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12385	AddressLine1Txt
City	Roanoke	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	240252385	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	G ROBERT VAUGHAN JR	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5402245102	PhoneNum
Signature	2025-08-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KRISTIE WILLIAMS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12385	AddressLine1Txt
City	Roanoke	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	240252385	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$101,507,177	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CARILIONCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	757	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$592,364	PYContributionsGrantsAmt
CY Contributions Grants	$311,067	CYContributionsGrantsAmt
PY Program Service Revenue	$96,209,673	PYProgramServiceRevenueAmt
CY Program Service Revenue	$98,455,306	CYProgramServiceRevenueAmt
PY Investment Income	$218,569	PYInvestmentIncomeAmt
CY Investment Income	$779,523	CYInvestmentIncomeAmt
PY Other Revenue	$549,066	PYOtherRevenueAmt
CY Other Revenue	$454,727	CYOtherRevenueAmt
PY Total Revenue	$97,569,672	PYTotalRevenueAmt
CY Total Revenue	$100,000,623	CYTotalRevenueAmt
PY Grants And Similar Paid	$92,351	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$83,839	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$50,973,680	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$52,491,305	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,674,757	PYOtherExpensesAmt
CY Other Expenses	$48,750,312	CYOtherExpensesAmt
PY Total Expenses	$98,740,788	PYTotalExpensesAmt
CY Total Expenses	$101,325,456	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,171,116	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,324,833	CYRevenuesLessExpensesAmt
Total Assets BOY	$51,744,714	TotalAssetsBOYAmt
Total Assets EOY	$50,438,018	TotalAssetsEOYAmt
Total Liabilities BOY	$56,736,168	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$63,002,673	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$4,991,454	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$12,564,655	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$86,950,304	ExpenseAmt
Grant	$83,839	GrantAmt
Revenue	$98,687,230	RevenueAmt
Desc	See schedule O.	Desc
Total Program Service Expenses	$86,950,304	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	757	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MATTHEW BARR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5402245021	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	213 S JEFFERSON ST	AddressLine1Txt
City	ROANOKE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24011	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Chris McKlarney
Director/Vice Chair	1.2	0	Yes (X)	Yes (X)	$0	$0	$0
Richard McCoy
Director/Chair	1.2	0	Yes (X)	Yes (X)	$0	$0	$0
William Flattery
Director/Sec./Treas.	2.5	47.5	Yes (X)	Yes (X)	$0	$319,259	$54,007
Andrew Wagner
Director	1.2	0	Yes (X)		$0	$0	$0
Christopher Hansen OD
Director	1.2	0	Yes (X)		$0	$0	$0
James Hartley
Director	1.2	7.5	Yes (X)		$0	$30,000	$0
John Mills Jr
Director	1.2	0	Yes (X)		$0	$0	$0
Jose Rivero MD
Director	1.2	48.8	Yes (X)		$0	$721,246	$60,140
Kristie Williams
Director/Hospital VP	47.5	2.5	Yes (X)		$250,738	$0	$15,407
Melissa Stump
Director	1.2	38.8	Yes (X)		$0	$94,181	$7,048
Michael A McMahon MD
Director	1.2	0	Yes (X)		$0	$0	$0
Michael Bailey DO
Director	1.2	48.8	Yes (X)		$0	$327,802	$27,891
Priscilla Morris
Director	1.2	0.0	Yes (X)		$0	$440	$0
Richard Jennell
Director	1.2	0	Yes (X)		$0	$0	$0
Senthil Marimuthu
Director	1.2	0	Yes (X)		$0	$0	$0
Timothy Meredith
Director	1.2	0	Yes (X)		$0	$0	$0
Veronica Stump
Director	1.2	0	Yes (X)		$0	$0	$0
Donald Halliwill
Asst. Treasurer	0.5	49.5		Yes (X)	$0	$1,119,248	$167,911
G Robert Vaughan Jr
Asst. Treasurer	0.5	49.5		Yes (X)	$0	$458,008	$71,002
J Harrison Lapuasa
Asst. Treasurer	0.5	39.5		Yes (X)	$0	$34,109	-$1,202
Julie Smith-Hamilton
Asst. Secretary	0.5	39.5		Yes (X)	$0	$60,728	$18,375
Nicholas Conte
Asst. Secretary	1.0	49.0		Yes (X)	$0	$1,023,717	$174,893
Amy Westmoreland
Pharmacy Manager	40.0	0			$186,329	$0	$35,256	Yes (X)
Clarence Pearson MD
Physician	50.0	0			$444,044	$0	$36,684	Yes (X)
Danielle Ogle
Nurse Practitioner	50.0	0			$136,386	$0	$6,100	Yes (X)
India Thomas
Regional Practice Director	40.0	0			$135,534	$0	$20,102	Yes (X)
Sarah Kurstedt
Physician Assistant	50.0	0			$134,782	$0	-$2,437	Yes (X)
David Hagadorn
Former Officer	0.0	0.0			$0	$159,104	$25,072		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,287,813	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,347,842	TotReportableCompRltdOrgAmt
Total Other Compensation	$716,249	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	75	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
500 Plaza Drive	Secaucus	NJ	07094	Laboratory Services	$1,104,587
QUALIVIS LLC
1601 Assembly Street Unit 1439	Columbia	SC	29201	Temporary Staffing	$549,924
F & S BUILDING INNOVATIONS INC
2944 Orange Ave NE	Roanoke	VA	24012	CONTRACTOR SERVICES	$426,825
TRANE
2303 TRANE DRIVE	ROANOKE	VA	24017	CONTRACTOR SERVICES	$177,147
KEGLEY ELECTRIC CO
55 EXECUTIVE CIRCLE	ROANOKE	VA	24012	CONTRACTOR SERVICES	$164,695

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Government Grants	$230,949	GovernmentGrantsAmt
All Other Contributions	$80,118	AllOtherContributionsAmt
Total Contributions	$311,067	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$91,217,022	$91,217,022
Rent from Affiliates	531120	$15,638	$15,638
Patient Pharmacy Revenue	446110	$7,222,646	$7,222,646

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$98,455,306	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$134,239	TotalRevenueColumnAmt
Exclusion	$134,239	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$90,135	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$90,135	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,135	TotalRevenueColumnAmt
Exclusion	$90,135	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,148,859	SecuritiesAmt
Other	$2,979	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,503,956	SecuritiesAmt
Other	$2,598	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$644,903	SecuritiesAmt
Other	$381	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$645,284	TotalRevenueColumnAmt
Exclusion	$645,284	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Occupational Health Revenue	621399	$141,561	$141,561
Dining Services	722514	$132,668		$132,668
School Health Services	621399	$27,989	$27,989

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,374	TotalRevenueColumnAmt
Related Or Exempt Func Income	$62,374	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$364,592	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$100,000,623	TotalRevenueColumnAmt
Related Or Exempt Func Income	$98,687,230	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,002,326	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$83,839	TotalAmt
Program Services	$83,839	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$284,979	TotalAmt
Management And General	$284,979	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$23,008	TotalAmt
Program Services	$23,008	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,399,615	TotalAmt
Program Services	$42,262,218	ProgramServicesAmt
Management And General	$137,397	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$849,146	TotalAmt
Program Services	$846,394	ProgramServicesAmt
Management And General	$2,752	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,017,096	TotalAmt
Program Services	$6,919,385	ProgramServicesAmt
Management And General	$97,711	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,917,461	TotalAmt
Program Services	$1,899,178	ProgramServicesAmt
Management And General	$18,283	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,443,569	TotalAmt
Management And General	$10,443,569	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,390	TotalAmt
Program Services	$5,390	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$15,439	TotalAmt
Management And General	$15,439	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,407,328	TotalAmt
Program Services	$6,398,898	ProgramServicesAmt
Management And General	$3,008,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,690	TotalAmt
Program Services	$1,395	ProgramServicesAmt
Management And General	$295	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,196,683	TotalAmt
Program Services	$1,132,208	ProgramServicesAmt
Management And General	$64,475	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$448,194	TotalAmt
Program Services	$448,194	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,440,289	TotalAmt
Program Services	$3,440,289	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$199,745	TotalAmt
Program Services	$156,786	ProgramServicesAmt
Management And General	$42,959	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,202,438	TotalAmt
Program Services	$1,202,438	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,446,683	TotalAmt
Program Services	$2,446,683	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$651,000	TotalAmt
Program Services	$420,746	ProgramServicesAmt
Management And General	$230,254	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Med Supplies	$9,846,552	$9,845,289	$1,263
Bad Debt	$6,257,848	$6,257,848
Affiliate Practice Subsidy	$2,903,483	$2,903,483
Business Fees and Taxes	$132,372	$132,372

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,609	TotalAmt
Program Services	$124,263	ProgramServicesAmt
Management And General	$27,346	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$101,325,456	TotalAmt
Program Services	$86,950,304	ProgramServicesAmt
Management And General	$14,375,152	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,295	BOYAmt
EOY	$3,495	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,869	BOYAmt
EOY	$20,561	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$27,491	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,439,313	BOYAmt
EOY	$12,155,843	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$166,855	BOYAmt
EOY	$199,422	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$60,888,194	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,399,958	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,285,854	BOYAmt
EOY	$26,488,236	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,874,754	BOYAmt
EOY	$3,598,556	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,428,274	BOYAmt
EOY	$7,316,378	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$529,500	BOYAmt
EOY	$628,036	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,744,714	BOYAmt
EOY	$50,438,018	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,962,190	BOYAmt
EOY	$9,025,958	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$106,892	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,130,972	BOYAmt
EOY	$33,093,864	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,643,006	BOYAmt
EOY	$20,775,959	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,736,168	BOYAmt
EOY	$63,002,673	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$5,211,597	BOYAmt
EOY	-$12,772,485	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$220,143	BOYAmt
EOY	$207,830	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$4,991,454	BOYAmt
EOY	-$12,564,655	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,744,714	BOYAmt
EOY	$50,438,018	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,324,833	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$670,681	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,577,687	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,390	OtherActivitiesAmt
Total Lobbying Expenditures	$5,390	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A portion of dues paid to various healthcare industry associations is attributable to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,849,365	OtherCostOrOtherBasisAmt
Book Value	$1,849,365	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,502,544	OtherCostOrOtherBasisAmt
Depreciation	$13,025,168	DepreciationAmt
Book Value	$18,477,376	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,176	OtherCostOrOtherBasisAmt
Depreciation	$10,690	DepreciationAmt
Book Value	$24,486	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,296,181	OtherCostOrOtherBasisAmt
Depreciation	$20,403,526	DepreciationAmt
Book Value	$4,892,655	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,204,928	OtherCostOrOtherBasisAmt
Depreciation	$960,574	DepreciationAmt
Book Value	$1,244,354	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$26,488,236	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$141,104	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative Investments	Desc
Book Value	$7,175,274	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$7,316,378	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Pension Liability	$8,513,705
Interest Rate Swap Liability	$2,774,701
Due to Affiliate	$6,895,979
Lease Liability	$2,591,574

Field	Value	IRS element (for citing)
Total Liability	$20,775,959	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$757,163	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$757,163	NetCommunityBenefitExpnsAmt
Total Expense	0.0080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,179,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,765,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$413,600	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,936,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,765,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,170,763	NetCommunityBenefitExpnsAmt
Total Expense	0.0123	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$273,727	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,165	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$401,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$329,892	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,338,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,837,448	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,500,655	NetCommunityBenefitExpnsAmt
Total Expense	0.0158	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$525	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$525	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,257,848	BadDebtExpenseAmt
Reimbursed By Medicare	$22,132,198	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,203,063	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$70,865	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARILION GILES COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	159 HARTLEY WAY	AddressLine1Txt
City	PEARISBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24134	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://carilionclinic.org/locations/carilion-giles-community-hospital	WebsiteAddressTxt
State License	H 1837	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARILION GILES COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.carilionclinic.org/cho-community-health-assessments#reports	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	https://issuu.com/carilionclinic/docs/2024_cgch_cha_final_report	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.carilionclinic.org/cho-community-health-assessments#reports	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.carilionclinic.org/billing/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.carilionclinic.org/billing/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.carilionclinic.org/billing/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The publicly available Community Health Needs Assessment (CHNA) report details the prioritization process for the community's significant health needs identified through the CHNA. The Community Health Assessment Team (CHAT), comprised of community stakeholders, reviews all data and completes a prioritization survey. Through the survey, each CHAT member selects the most pertinent community needs. Following the survey, CHAT members can further refine the priorities through a consensus-building activity. CHAT members prioritize needs according to the perceived burden, scope, severity or urgency; the importance the community places on addressing the need through survey responses and other interactions; and each member's unique perspective on community health.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Carilion Giles Community Hospital. Carilion Clinic's Community Health Needs Assessments (CHNA) are community-driven projects. Their success depends highly on engaging citizens, health and human service agencies, businesses and community leaders. Stakeholder collaborations known as Community Health Assessment Teams (CHATs) lead the CHNAs. The CHATs are a dynamic group that includes health and human service agency leaders, people with exceptional knowledge of, or expertise in, public health, and local health department officials. The CHATs include other individuals or organizations serving or representing the community's medically underserved, low-income and minority populations. The following organizations served on the CHAT for the 2024 (tax form year 2023) Giles County Area Community Health Needs Assessment (GCACHNA): Carilion Community Benefit, Carilion Community Health and Outreach, Carilion Giles Community Hospital, Community Health Center of the NRV, First Steps NRV/CFNRV, Giles Community Garden, Giles County Administration, Giles County Christian Service Mission, Giles County Commonwealth's Attorney Office, Giles County DSS, Giles County Public Schools, Giles Early Education Project, Giles Health and Family, Giles Ministerial Association, Giles Victim Witness, Monroe Health Center, New River Community Action, New River Health District (NRHD), NRV Agency on Aging, NRV CARES, NRV Regional Commission, The Community Foundation of the NRV, VA Cooperative Extension, Virginia Department of Veterans Services, Virginia Tech and Women's Resource Center NRV. To obtain input from the community, the GCACHNA included a community listening session, a stakeholder listening session, a follow-up stakeholder survey and a 27-question community health survey administered broadly across the service area. These efforts occurred from October 1, 2023, through December 31, 2023. The survey was developed (in English and Spanish) and asked questions about access to care and other services, health status, community strengths, quality of life, subjective well-being and demographics. The survey included commonly used questions and metrics from previously validated community surveys conducted by organizations such as the National Association of County and City Health Officials and the Centers for Disease Control and Prevention. CHAT members were invited to provide an additional perspective on the needs and barriers to health facing our community. Carilion staff from across the organization facilitated small group discussions. To quantify focus group data, CHAT members were asked to complete the Stakeholder Survey. Community stakeholders, leaders and providers were encouraged to complete the Stakeholder Survey after participating in a listening session. The survey was also shared with leaders who may not have attended a listening session. Carilion representatives shared the online survey at the CHAT meetings and via email. Surveys were analyzed and reported using Qualtrics and Microsoft Excel. Community members were invited to participate in Community Listening Sessions to collect qualitative data to understand health-related needs further. A facilitated listening session was held with the county's recovery court program participants. The CHAT assisted with survey distribution to reach particular target populations. The survey focused on Giles County area residents 18 years of age and older in Giles County, Virginia, and Monroe County, West Virginia. Special efforts were made to include underserved/vulnerable populations disproportionately impacted by social determinants of health such as poverty, race/ethnicity, education and lack of insurance. Specific populations served by CHAT representatives include people who are uninsured or underinsured; people experiencing low income, homelessness, and/or food insecurity; people who own businesses; and families with young children. The CHAT also made the survey available to all residents living in the Giles County Area.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Carilion Giles Community Hospital. The CHAT conducted the 2024 Giles County Area Community Health Needs Assessment with: Community Health Center of the NRV, First Steps NRV/CFNRV, Giles Community Garden, Giles County Administration, Giles County Christian Service Mission, Giles County Commonwealth's Attorney Office, Giles County DSS, Giles County Public Schools, Giles Early Education Project, Giles Health and Family, Giles Ministerial Association, Giles Victim Witness, Monroe Health Center, New River Community Action, New River Health District (NRHD), NRV Agency on Aging, NRV CARES, NRV Regional Commission, The Community Foundation of the NRV, VA Cooperative Extension, Virginia Department of Veterans Services, Virginia Tech and the Women's Resource Center NRV.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - Carilion Giles Community Hospital. The Community Health Assessment Team shared the 2024 Giles Area Community Health Needs Assessment (GCACHNA) on partner websites, social media, and regional news coverage. The GCACHNA was also shared through community presentations to groups, including Giles County FOCUS, Healthy Roots New River Valley, First Steps New River Valley (Early Childhood Provider Network) and NRV Partnership for Access to Healthcare (PATH).
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Carilion Giles Community Hospital. The following information describes the implementation strategy used by Carilion Giles Community Hospital (CGCH) to address the community health needs identified in the 2024 Giles County Area Community Health Needs Assessment (GCACHNA). The complete implementation strategy is available online at https://issuu.com/carilionclinic/docs/implementation_strategy_final_cgch The hospital is working to address all significant health needs prioritized through the CHNA. The top prioritized needs for the 2024 GCACHNA were grouped into four overarching categories: chronic disease, mental health and substance use, interpersonal violence and dental health. We also focus on layered interventions that address multiple priority areas through place-based strategies. We are addressing prioritized needs with the following strategies and committing financial resources, staff time and leadership. Strategies to address chronic disease include implementing the Healthy Heart Ambassadors program, a fruit and vegetable prescription program, and other evidence-based health and nutrition programs. Strategies to address mental health and substance use include expanding Carilion's peer support specialist workforce and implementing evidence-based mental health education and well-being workshops. Strategies to address interpersonal violence include working with the forensic nursing program to support transitioning patients from acute care to the community and convening local and external partners to explore collaborative initiatives to reduce interpersonal violence in Giles County. Strategies to address dental health include supporting collaborative, community-identified efforts to increase access to dental care. Place-based strategies addressing multiple priority areas include developing an employee volunteer program to support the capacity of local organizations working to address CHA-identified needs, evaluating a pop-up clinic model supporting safety net partnerships, the expansion of Carilion's community health workforce, exploring the expansion of adolescent health and other wraparound services, and supporting the creation of a community wellness center and resource hub in Giles County.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CARILION CLINIC FAMILY MEDICINE - GILES
430 BOXWOOD LANE	PEARISBURG	VA	24134	PHYSICIAN PRACTICE
Carilion Clinic Multi-Practice Clinic
159 HARTLEY WAY	PEARISBURG	VA	24134	PHYSICIAN PRACTICE
Carilion Clinic Multi-Practice Clinic
1107A B Brookdale St	Martinsville	VA	24112	PHYSICIAN PRACTICE
Carilion Clinic Family & Internal Medicine - Galax
544 East Stuart Drive Suite D	Galax	VA	24333	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Rocky Mount S Main
390 S Main St Suite 201	Rocky Mount	VA	24151	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Rocky Mount
796 Old Franklin Turnpike	Rocky Mount	VA	24151	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Tazewell
388 Ben Bolt Ave	Tazewell	VA	24651	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Wytheville
1375 West Ridge Rd	Wytheville	VA	24382	PHYSICIAN PRACTICE
Carilion Clinic Family & Internal Medicine - Westlake
282 Westlake Rd	Hardy	VA	24101	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Hillsville
416 S Main St	Hillsville	VA	24343	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Floyd
911 East Main St	Floyd	VA	24091	PHYSICIAN PRACTICE
Carilion Clinic Family Medicine - Boones Mill
22890 Virgil Goode Highway	Boones Mill	VA	24065	PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Other Financial Assistance Eligibility Criteria	Financial assistance policy in effect for fiscal year 2024: families with family income equal or below 300% of the Federal Poverty Guidelines and countable assets equal or below $25,000 receive 100% adjustment under FAP. Families with family income greater than 300% of the Federal Poverty Guidelines but less than or equal to 500% of the Federal Poverty Guidelines or countable assets above $25,000 and less than or equal to $100,000 receive a partial adjustment under FAP. The partial adjustment matches the highest AGB percentage determined for all facilities.
Schedule H, Part I, Line 6a Public Availability of Community Benefit Report	Information on community benefit is reported annually through a consolidated report prepared by Carilion Clinic (EIN 54-1190771). 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 Clinic's website https://www.carilionclinic.org/cho-community-health-assessments#community-impact-reports
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	6257848
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Line 7a and 7b: For activities reported on the Medicaid Cost Report, a cost-to-charge ratio as determined from the Medicaid Cost Report was used. For all other activities, a cost to charge ratio derived from Worksheet 2 of the 990 instructions was used. Lines 7e and 7i at actual cost.
Schedule H, Part II Community Building Activities	Line 3 - Community support: Research demonstrates the strong connection between social determinants of health-such as transportation, housing and education -and communities' overall health and well-being. Carilion supports nonprofit organizations addressing barriers to good health arising from these social determinants in various ways. Carilion collaborates with local partners to support better education and opportunities for children and families, as well as improved housing, better nutrition and additional resources for our neighbors in need. These efforts help remove various obstacles to good health for our region's residents. Through financial support, Carilion provided a safe activity for teens after prom (Giles After Prom) and supported the Pearisburg Junior Women's Club, the Town of Pearisburg and a local Rotary chapter.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Carilion Giles Community Hospital estimates bad debt expense by reserving a percentage of all self-pay patient accounts receivable by aging category, based on collection history, adjusted for expected recoveries and, if present, anticipated changes in trends.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Patient accounts receivable are stated at net realizable amounts due from patients, third-party payors, and other insurers for which Carilion Giles Community Hospital expects to be entitled in exchange for providing patient care. In accordance with Accounting Standards Update (ASU) No. 2014-09, Revenue from Contracts with Customers (Topic 606) (ASU 2014-09), the estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction to patient accounts receivable.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Medicare allowable costs are determined from the Medicare cost report using the cost-to-charge ratio. The hospital believes our Medicare shortfall is a cost we incur as a benefit to the community. IRS REV. RUL. 69-545 provides that one of the factors demonstrating community benefit is caring for patients who pay their bills through public programs such as Medicare. In order to operate for the benefit of the broad community that we serve we must include our significant Medicare population, even if we are required to subsidize care to our Medicare patients due to being reimbursed at less than cost by Medicare's nonnegotiable rates.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	When accounts receivable efforts are exhausted, the account may be placed with a collection agency and extraordinary collection actions (ECAs) may be considered. Accounts will not be placed with a collection agency prior to 120 days from the date the first post-discharge billing statement is provided except when mailings are returned with no forwarding address and combining multiple accounts of varying age with those already transferred or for legal verification regarding other liabilities. Reasonable efforts will be made to identify appropriate forwarding addresses. When a financial assistance application (FAA) is received during the application period (within 240 days after the date the first post-discharge billing statement is provided), but after initiation of ECAs, all ECAs will be suspended. Best efforts will be made to process completed applications within 30 days of receipt of the application; financial assistance eligibility will be determined and communicated to the individual. Incomplete applications must be completed within 30 days of the initial notification of additional items required; otherwise, the application will be deemed incomplete and closed. If an individual is eligible for financial assistance, ECAs, other than the sale of debt, will be reversed and any payments related to eligible care refunded to the extent no longer owed. ECAs will be reinstated if the individual is not eligible for financial assistance or does not complete the FAA by the deadline. At least 30 days before initiating an ECA, Carilion will send the patient written notice of intended ECA(s), a plain language summary explaining financial assistance available and the process for determining eligibility, and the deadline for applying for assistance. Carilion will also attempt to call individuals at least 30 days before initiating an ECA to make them aware of the financial assistance available and how to obtain assistance with the application process. Carilion shall enter into a written contract with any collection agency to which it refers bad debt. The contract will obligate the collection agency to observe and comply with Carilion's obligations under this policy and the Financial Assistance Policy. A collection agency to which bad debt is referred for collection may not engage in any ECAs without the prior written consent of Carilion. After making reasonable efforts to determine if a patient qualifies for financial assistance and the patient either does not qualify for financial assistance or fails to submit an application as requested, within 240 days from the date the first post-discharge billing statement is provided, Carilion may engage in one or more of the following ECAs: 1. Place a lien on an individual's property; 2. Attach or seize an individual's bank account or any other personal property; 3. Commence a civil action against an individual; 4. Garnish an individual's wages; 5. Sell an individual's debt to another party; or 6. Report the account to credit agencies. Individual account balances greater than $5,000 are not sent to a collection agency. These are handled through the Debt Recovery Department (DRD) for verification of financial assistance status before further collection activity occurs. DRD will also investigate any accounts that require special handling. For example, in cases of a deceased patient, auto accident, or any other unique circumstances requiring special handling, the accounts are placed with the DRD. When all collection efforts have been exhausted, all hospital accounts will be returned and closed as uncollectible. No further collection activity is taken at that time. Accounts with satisfactory payment arrangements, legal activity or accounts with pending payment will be considered active and are not returned.
Schedule H, Part V, Section B, Line 16a FAP website	- CARILION GILES COMMUNITY HOSPITAL: Line 16a URL: https://www.carilionclinic.org/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CARILION GILES COMMUNITY HOSPITAL: Line 16b URL: https://www.carilionclinic.org/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CARILION GILES COMMUNITY HOSPITAL: Line 16c URL: https://www.carilionclinic.org/billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	In addition to conducting regular Community Health Needs Assessments (CHNAs), Carilion Clinic closely monitors community health indicators and responds to needs as they arise. Each year, Carilion updates scorecards with refreshed County Health Rankings indicators provided by the Robert Wood Johnson Foundation. Carilion responds to needs identified through clinical data and internal departments, including data collected through social determinants of health screenings. A health equity and social determinants of health steering committee exists to provide oversight and guidance related to health equity and screenings, and a resource navigation subcommittee tackles more nuanced topics around current community needs as seen in the patient population. Carilion's call center, Carilion Direct, allows community members to ask questions and connect with community resources. Community Health Workers (CHWs) help address needs, and data is reviewed periodically to identify trends in the healthcare needs of patients served by CHWs. Healthcare needs are also identified through current collaborative relationships and community partnerships, including collaboration with the Virginia Department of Health and local safety net partners. Ongoing collaboration with stakeholders allows for regular communication of needs and gives our partners opportunities to respond cohesively. Carilion has adapted its community health improvement process from Associates in Process Improvement's Model for Improvement and the Plan-Do-Study-Act cycle developed by Walter Shewhart. It consists of five steps: (1) conducting the CHNA, (2) strategic planning, (3) creating the implementation strategy, (4) program implementation, and (5) evaluation. This cycle repeats every three years. The Strive Collective Impact Model for the Community Health Assessment Team helps Carilion foster community development in its CHNA and community health improvement processes. This evidence-based model focuses on "the commitment of a group of important players from different sectors to a common agenda for solving a specific social problem(s) can lead to large-scale changes. It focuses on relationship-building between organizations and the progress toward shared strategies.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Information on Financial Assistance is provided to the patient at hospital admission and ambulatory areas in the form of signage, a plain language summary which includes contact information, financial assistance application and documentation in the inpatient handbook. Patient Access staff, Hospital social workers and customer service representatives verbally inform patients on availability of assistance. Each patient billing statement and patient financial responsibility letter includes information on the Financial Assistance policy including who to contact for additional information and location of in-person assisters. The Application, the Policy, and the plain language summary are available free of charge to the patient. They are available by mail and on the web site if the patient did not receive written information at the time of service. Financial Assistance policy and application are also distributed to community partners through electronic mailing groups. Carilion Clinic employs an Eligibility staff that counsel patients on federal and state programs. The staff completes applications for Medicaid and provides information on Social Security, Social Security Disability and Medicare. The staff provides support services ensuring the applications are processed correctly based on federal and state policy. In addition, Eligibility staff are trained as Certified Application Counselors and will assist patients in enrollment in the Marketplace. Eligibility staff will also complete Carilion's financial assistance application and counsel patients on the requirements for financial assistance.
Schedule H, Part VI, Line 4 Community information	The Giles County Area, including Giles County, Virginia, and Monroe County, West Virginia, is the Giles County Area Community Health Needs Assessment (GCACHNA) service area. Carilion Giles Community Hospital (CGCH) sits atop a hill in the Town of Pearisburg in Giles County. The county is a picturesque region of Appalachian America with mountainous terrain, cliffs, rivers and streams. It is part of the New River Valley, which includes the counties of Floyd, Giles, Montgomery (including the towns of Christiansburg and Blacksburg) and Pulaski, and the independent City of Radford. Giles County is rural and topographically isolated, with 46 persons per square mile compared to 219 persons per square mile in Virginia (US Census Bureau, ACS, 2019-2023). The Giles County Area comprises distinct communities with disparities in size, population, and social determinants of health. The 2019-2023 ACS found the total population of the counties of Giles and Monroe Counties to be 16,610 and 12,401, respectively, and median ages of 45.8 and 46.7, respectively. According to the Weldon Cooper Center for Public Service, Giles County is predicted to have a slightly reduced population by 2040. The service area is predominately white, with results from the ACS reporting 2.25% of the population as persons of color. The average household income differs between the two counties and is well below the state of Virginia ($125,225), and the national ($110,490) averages at $76,718 for Giles County and $66,393 for Monroe County. The service area also experiences a larger percentage of residents living below the federal poverty line-11.80% for the service area overall averages 8.91% for Giles County and 15.67% for Monroe County (US Census Bureau, ACS, 2019-2023). According to US Census data, 14.41% of the Giles County insured population receives Medicaid, and 7.84% of Giles County residents have no medical insurance. In Monroe County, 37.19% of insured residents receive Medicaid, while 8.04% remain uninsured. (US Census Bureau, ACS. 2019-2023.) During FY24, 20.08% of patients receiving care at CGCH were Medicaid recipients, while 4.35% were self-pay, a proxy for uninsured (Strata internal data). In addition to Carilion Clinic's two New River Valley area hospitals, Carilion New River Valley Medical Center and CGCH, the region is also served by LewisGale Hospital-Montgomery, located in the Town of Blacksburg. Key safety-net providers in the region include the Community Health Center of the New River Valley, the Giles County Health Department, New River Valley Community Services, and other service organizations. Despite the services available in the region, all of Giles County is a federally-designated Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA) for primary care, dental and mental health professionals. Monroe County is an MUA for primary care, an HPSA for dental care and an HPSA for primary care and mental health, which are specific to the low-income population (https://data.hrsa.gov/tools/shortage-area).
Schedule H, Part VI, Line 5 Promotion of community health	Carilion Giles Community Hospital is part of the non-profit Carilion Clinic, integrated healthcare system located in the Blue Ridge Mountains. Carilion provides quality care for nearly one million individuals through a comprehensive network of hospitals, primary and specialty physician practices, wellness centers and other complementary services. Carilion's roots go back more than a century, when a group of dedicated citizens came together and built a hospital to meet the community's healthcare needs. Today, Carilion is a vital anchor institution focused on health care and dedicated to our mission of improving the health of the communities we serve. With an enduring commitment to our region's health, care is advanced through clinical services, medical education, research and community health investments. Carilion believes in service, collaboration and caring for all. Carilion invests in discovering and responding to local and regional health needs, understanding that we must involve additional stakeholders to address community health issues and create change effectively. Carilion recognizes the impact the environment has on the health of our communities. Efforts continue to make our hospitals and other facilities more energy-efficient, increase recycling and use of recyclable or bio-degradable materials, reduce waste materials and serve local, sustainable foods to patients and in our cafeterias. Carilion has an office of sustainability that leads these efforts and empowers employees to be involved in environmental health-related projects. Carilion Giles Community Hospital (CGCH) is a modern, 25-bed Critical Access hospital is nationally-recognized for quality and patient satisfaction, offering emergency services, high-quality inpatient care and an extended care recovery program (Swing Bed) that allows eligible patients to grow stronger before going home. The main entrance is the access point for all walk-in patients needing emergency care, diagnostics, rehabilitation and other outpatient services. CGCH works to bring new services to the community as the need is identified (https://www.carilionclinic.org/locations/carilion-giles-community-hospital). CGCH serves all patients regardless of their ability to pay. The hospital's governing board members reside in the region and are elected to 3-year terms, with board officers elected annually. The majority of members are neither hospital employees nor contractors. Medical staff privileges are extended to qualified providers. Surplus funds are reinvested in new technology, clinical initiatives, education and charitable efforts, including free, discounted and subsidized care and critical medical services that operate at a loss.
Schedule H, Part VI, Line 6 Affiliated health care system	Carilion Giles Community Hospital is owned by Carilion Clinic, a not-for-profit healthcare organization based in Roanoke, Virginia. Carilion Clinic includes a comprehensive network of hospitals, primary and specialty physician practices, and complementary services comprising six hospitals, 86 specialties and 295 practice sites across Southwest Virginia. All are centered on a common mission and shared values. In the mid-2000s, Carilion decided to transform from a collection of hospitals to a physician-led, integrated healthcare system. Advances include developing a multi-specialty physician group, transforming our primary care practices into patient-centered medical homes,implementing electronic health records system-wide,creating a robust partnership with Virginia Tech, including developing the Virginia Tech Carilion (VTC) School of Medicine and the Fralin Biomedical Research Institute at VTC and hosting Radford University Carilion's healthcare professional educational offerings on-site of a Carilion hospital. Each decision and adaptation has fundamentally changed how Carilion collaborates and provides care (https://www.carilionclinic.org/about-carilion-clinic). Carilion's community and population health infrastructure is the health system's engine for providing collaborative opportunities to improve and promote the community's health. Carilion's Community Health Assessment process helps identify the strengths and barriers impacting health. Our community-based programs reflect the Robert Wood Johnson Foundation's framework of four main influences of health: health behaviors, social and economic factors, clinical care access and quality, and physical environment. Our many partnerships with cross-sector organizations create a collaborative culture of health and wellness.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Giles County Christian Service Mission
516 Wenonah Ave	Pearisburg	VA	24134	540786078	501(c)(3)	$7,500	Food insecure support
Giles Community Garden
215 Wilburn Valley Rd	Pearisburg	VA	24134	270891595	501(c)(3)	$6,500	Garden program support
Giles Health and Family Center
701 Wenonah Ave	Pearisburg	VA	24134	383650396	501(c)(3)	$7,500	Scheduling Software
Free Clinic of the New River Valley Inc
215 Roanoke St	Christiansburg	VA	24073	510247098	501(c)(3)		Facility use	$47,114	fmv	Clinic space

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	The hospital donates funds to other charitable organizations in support of health and community improvement. Such organizations also have community boards which oversee the expenditure of such funds. Carilion Clinic is committed to improving the health of the communities that we serve by addressing key health priorities identified through our triennial Community Health Assessments. Carilion fulfills this commitment in many ways, one of which is through targeted grants for community health improvement programs, and those that impact the social determinants of health. For Carilion Clinic's Community Grant Program, each grantee must sign a letter of agreement with Carilion Clinic that delineates the terms and specific objectives of the project. By accepting a Carilion award, grantees are asked to acknowledge the support of Carilion Clinic in all materials and/or related special events or fundraisers throughout the award cycle where other donors are publicly recognized. One mid-cycle progress report and a final program evaluation are required for each funded project. Site visits may be made to grantees. Program evaluation includes alignment with Community Health Assessment priorities, program impact, organizational effectiveness and community benefit through collection of data including clients served, cost effectiveness of the program (cost per client or service), tangible community or client outcomes, collaboration with other organizations, and specific efforts to cultivate diverse funding sources for program sustainability. Each grantee must agree to submit requested data and reports on a timely basis and to complete the evaluation process as requested.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Flattery
Director/Sec./Treas.	$0	$277,504	$0	$26,691	$0	$15,064	$0	$36,986	$0	$17,021	$0	$373,266	$0	$0
Michael Bailey DO
Director	$0	$311,226	$0	$14,453	$0	$2,123	$0	$5,047	$0	$22,844	$0	$355,693	$0	$0
Jose Rivero MD
Director	$0	$448,841	$0	$264,982	$0	$7,423	$0	$50,870	$0	$9,270	$0	$781,386	$0	$0
Kristie Williams
Director/Hospital VP	$201,112	$0	$41,163	$0	$8,463	$0	$3,409	$0	$11,998	$0	$266,145	$0	$0	$0
David Hagadorn
Former Officer	$0	$120,679	$0	$0	$0	$38,425	$0	$13,363	$0	$11,709	$0	$184,176	$0	$0
Nicholas Conte
Asst. Secretary	$0	$731,687	$0	$111,366	$0	$180,664	$0	$156,813	$0	$18,080	$0	$1,198,610	$0	$172,601
Donald Halliwill
Asst. Treasurer	$0	$767,976	$0	$117,511	$0	$233,761	$0	$142,915	$0	$24,996	$0	$1,287,159	$0	$227,735
G Robert Vaughan Jr
Asst. Treasurer	$0	$353,161	$0	$41,359	$0	$63,488	$0	$46,006	$0	$24,996	$0	$529,010	$0	$57,282
Clarence Pearson MD
Physician	$400,000	$0	$35,392	$0	$8,652	$0	$34,817	$0	$1,867	$0	$480,728	$0	$0	$0
India Thomas
Regional Practice Director	$129,529	$0	$0	$0	$6,005	$0	-$2,780	$0	$22,882	$0	$155,636	$0	$0	$0
Amy Westmoreland
Pharmacy Manager	$184,477	$0	$0	$0	$1,852	$0	$34,258	$0	$998	$0	$221,585	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	EMPLOYEES ARE OCCASIONALLY PROVIDED SMALL GIFTS, PRIZES OR AWARDS WHICH MAY BE INCLUDED IN TAXABLE COMPENSATION AT AMOUNTS GROSSED UP FOR TAXES. DURING THE REPORTING PERIOD MS. KURSTEDT AND MS. WESTMORELAND RECEIVED SUCH BENEFIT.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses	MANAGEMENT MAKES TAX GROSS-UP DECISIONS AT ITS DISCRETION FOR NON-ROUTINE SMALL GIFTS, PRIZES OR AWARDS CONSIDERING IRS REQUIREMENTS, AMOUNT, AND NON-CASH STATUS.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The Carilion Clinic Board of Directors Compensation Committee reviews the compensation philosophy for all executive leaders in the health system, including the Hospital Vice President, the organization's top management official. An independent, outside compensation consultant specializing in healthcare organizations conducted a detailed analysis of total compensation and each element thereof, including base salary, bonus, 'at-risk other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The study's data and findings were shared with the health system's EVP/COO.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Mr. Conte, Mr. Halliwill, and Mr. Vaughan participate in a Defined Contribution Supplemental Executive Retirement Plan (DC SERP). Contributions to the plan are at the discretion of Carilion Clinic's Compensation Committee. Amounts vest and become non-forfeitable and payable upon the first of the following (1) attainment of scheduled vesting date (2) attainment of age and years of service requirements (3) disability or death while an eligible employee or (4) entitlement to severance benefits from an involuntary termination without reasonable cause or resignation with good reason. Unvested contributions made to the DC SERP in the reporting period are included in Part II, Column C of this schedule with "retirement and other deferred compensation," while vested contributions paid out during the year are included in Part II, Column B(iii). The following distributions were made to these individuals under this plan in the reporting year. Deferred in prior year and paid out in current year: $227,735 - Donald Halliwill $57,282 - G. Robert Vaughan, Jr. $172,601 - Nicholas Conte
Schedule J, Part I, Line 7 Non-fixed payments	The organization pays annual 'at risk' compensation to certain members of management and physicians based on performance of applicable scorecard metrics. While the scorecard contains a formula as a basis for determining overall performance, in certain cases, senior managers have discretion to include additional elements in their assessment of managers or physicians reporting to them. In addition, for top management, the actual non fixed payment awarded is determined in the discretion of the Carilion Clinic Board of Directors and its compensation committee.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Alli Broyles	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of Richard Jennell, Director	RelationshipDescriptionTxt
Transaction	$23,008	TransactionAmt
Transaction	Employee	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 6 Volunteers	The Auxiliary volunteers assist with various duties including patient escort, packet and kit assemblies, cleaning transport chairs, assisting patients and visitors at the information desk and operation of the gift shop. The Auxiliary assisted with a Christmas pop-up sale, provided stuffed animals to pediatric patients and visitors and weekly hand made 'tray favors' to the Dietary department for patient food trays. They assisted the hospital Rewards and Recognition committee with revival of our Love Light Tree event and combined it with visit and pictures with Santa. The Auxiliary also provided scholarships to local high school students, purchased peanut butter for the Giles Christian Mission, purchased four patient transport chairs, and sponsored a hand hygiene project, purchasing hygiene supplies for Giles County Schools. Donations were made to the American Heart Association and to CGCH for employee flood assistance.
Form 990, Part III, Line 4a Program Service Accomplishments	Carilion Giles Community Hospital (CGCH), 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 Pearisburg, VA. this 25-bed critical access hospital provides 24-hour emergency care, advanced diagnostic procedures, minimally invasive surgery, nuclear medicine studies, respiratory services, and comprehensive rehabilitation programs. CGCH exists to serve the health care needs of its community, regardless of a patient's ability to pay. The hospital admitted 1,265 patients and provided 6,164 days of care during the year. Hospital programs include provision of nursing care; swing bed services; extensive outpatient and inpatient surgical and endoscopic services; and diagnostic imaging services including CT, MRI, sonography, bone densitometry, echocardiography and mammography. Specialty services offered on campus include orthopaedics, general surgery, cardiology, urology, neurosurgery, plastic surgery, pulmonary, otolaryngology, and wound care. CGCH also provides integrated and comprehensive primary care services through multiple Rural Health Clinics, serving over 260,208 patient visits. CGCH delivers several services targeting the specific health needs of its population, including diabetes management, comprehensive physical, speech, occupational therapy programs, and participation in cardiac rehab and disease management programs. CGCH provides an emergency department with 24-hour care and emergency transportation. With 12,441 visits, emergency services are a critical component of the health safety net in its service area, acting as a primary health provider for a significant number of uninsured patients, who comprise over 5 percent of ED visits. CGCH supports community screenings and education on chronic disease prevention and management, as well as provided essential support and coordination for a community-based medication assistance program. In furtherance of its mission, CGCH provides extensive uncompensated care and community support. Stated at cost, financial assistance and other community benefits for the year exceeded $1.5 million.
Form 990, Part IV, Line 11f Disclosure of Uncertain Tax Positions	Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
Form 990, Part V, Line 1a 1099's	1099s are issued on Carilion Giles Community Hospital's behalf by Carilion Services, Inc., a related supporting organization providing management and administrative services, including payment processing.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Nicholas Conte, William Flattery, Donald Halliwill, J. Harrison Lapuasa, G. Robert Vaughan Jr., Julie Smith-Hamilton, Jose Rivero, Michael Bailey, and Melissa Stump - Business relationship
Form 990, Part VI, Line 3 Delegation of management duties	Certain management and related services for the organization are provided by the management and employees of Carilion Services, Inc., a related and supporting organization of the filing organization. Some or all of the compensation of the following individuals listed in Part VII, Section A was provided by Carilion Services Inc.: Nicholas Conte, David Hagadorn, Donald Halliwill, J. Harrison Lapuasa, Julie Smith-Hamilton, Melissa Stump, and G. Robert Vaughan, Jr.
Form 990, Part VI, Line 6 Classes of members or stockholders	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, Line 7a Members or stockholders electing members of governing body	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, Line 7b Decisions requiring approval by members or stockholders	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, among others. 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. See also Schedule O disclosure for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 was prepared by Carilion's internal Tax Department with input from various Carilion departments as applicable, and reviewed by internal management. Several days prior to filing, all Board Members were notified via email that the final Form 990 was available for their access on the organization's Board portal and were provided contact information to reach out to for any questions.
Form 990, Part VI, Line 12c Conflict of interest policy	Our organization monitors and reviews proposed and current transactions for conflicts of interest in a variety of ways. At the governing board level, we have board members complete an initial (upon appointment) and annual conflict of interest questionnaire to disclose actual or potential conflicts. Board members are required to update their disclosure as needed in between questionnaires. All disclosures are reviewed by the Compliance Office and as needed escalated to the appropriate leaders/board members for further discussion/review. If a disclosure is viewed as an actual or potential conflict, an action is recommended to the Compliance Committee of the Carilion Clinic Board and implemented as approved. Actions can include recusal in discussion/voting at board meetings, limitation/termination of the transaction, removal from board appointment or other appropriate controls. In addition, at any time, board members are encouraged to disclose any potential conflicts as they arise at a board meeting and to recuse themselves as deemed appropriate. The same process takes place as described above for key employees (upon hire and annually thereafter), including all officers, members of the management team, physicians/mid-level practitioners, pharmacists and key supply chain buyers. After review and further discussion as needed, action may be required to manage an actual conflict or to reduce the appearance of such as approved by the Compliance Office and other key management team members. As needed, the governing board leaders are notified of any conflicts which may impact board proceedings.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The organization has a single member, Carilion Clinic, a charitable tax-exempt organization which serves as the parent company of the Carilion Clinic integrated health care delivery system. The Carilion Clinic Board of Directors Compensation Committee reviews the compensation of the Carilion Clinic Board of Governors annually, which includes the Carilion Clinic President and Chief Executive Officer, Executive Vice Presidents (Chief Financial Officer, Chief Physician Executive, Chief Operating Officer, Chief Administrative Officer and Chief Legal Officer), and select Senior Vice Presidents who are the physician Chairs of the Clinical Departments. Certain of these same individuals also hold roles as officers of the filing organization. The Compensation Committee is made up of independent Board Members of Carilion Clinic who do not have a conflict of interest with any of the executives being reviewed. The Compensation Committee also annually reviews the compensation philosophy for all executive leaders in the health system, which includes Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, and the CEO, among them the filing organization's top management official and certain other officers. This review included review of a comprehensive report from an independent, outside compensation consultant specializing in healthcare organizations for certain select positions and the prior year's report on all the reviewed positions . The reports reviewed by the Committee included a detailed comparison of total compensation and each element thereof, including base salary, bonus, 'at-risk other cash compensation, and benefits, including deferred and retirement benefits. Compensation was compared to both a national and regional peer group of organizations similar in size and structure to the organization, which list was reviewed by the Compensation Committee. The Compensation Committee maintained minutes of its meetings, setting forth the deliberations and decisions of the Committee regarding the compensation of these executives. For the filing organization's top management official and certain officers who are not directly reviewed by the Compensation Committee, the independent external compensation consultant conducts the same analysis and shares the data/findings with the system EVP/COO. Certain assistant officers of the organization who are not compensated in their capacity as an officer but rather in their role as employee in a position not mentioned above are not subject to Committee or consultant review but are compared to market benchmarks by the Human Resources department.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	See response to line 15A.
Form 990, Part VI, Line 19 Required documents available to the public	The organization's governing documents, conflict of interest statement, and consolidated financial statements are released from time to time during the tax year upon request. The conflict of interest policy is included in our Code of Excellence which is available to the public on our website. The Articles of Incorporation are available from the Virginia State Corporation Commission. Limited consolidated financial information is available on our website.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 62374, Related or Exempt Function Revenue: 62374, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part X, Line 20 Tax-Exempt Bond Liabilities	The amount reported as Tax-Exempt Bonds is the portion of Carilion Clinic Bonds allocated to Carilion Giles Community Hospital. Required information for the Bonds, including Schedule K, is reported in the Carilion Clinic (EIN: 54-1190771) IRS Form 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension-related changes other than net periodic pension costs - -5573202; Transfer from Affiliates - -4485;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CARILION CLINIC
PO BOX 12385	ROANOKE	VA	24025	541190771	SUPPORTING ORGANIZATION	VA	501(c)(3)	Type II	NA	false
CARILION CLINIC FOUNDATION
PO BOX 12385	ROANOKE	VA	24025	541190773	FUNDRAISING	VA	501(c)(3)	7	CARILION CLINIC	Yes (true)
CARILION FRANKLIN MEMORIAL HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	540480606	HEALTHCARE	VA	501(c)(3)	3	CARILION CLINIC	Yes (true)
CARILION MEDICAL CENTER
PO BOX 12385	ROANOKE	VA	24025	540506332	HEALTHCARE	VA	501(c)(3)	3	CARILION CLINIC	Yes (true)
CARILION NEW RIVER VALLEY MEDICAL CENTER
PO BOX 12385	ROANOKE	VA	24025	540553805	HEALTHCARE	VA	501(c)(3)	3	CARILION CLINIC	Yes (true)
CARILION SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	541190879	SUPPORTING ORGANIZATION	VA	501(c)(3)	Type II	CARILION CLINIC	Yes (true)
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	540568001	HEALTHCARE	VA	501(c)(3)	3	CARILION CLINIC	Yes (true)
CARILION TAZEWELL COMMUNITY HOSPITAL
PO BOX 12385	ROANOKE	VA	24025	546074580	HEALTHCARE	VA	501(c)(3)	3	CARILION CLINIC	Yes (true)
CARILION GILES COMMUNITY HOSPITAL FOUNDATION
159 Hartley Way	Pearisburg	VA	24134	541522205	HEALTHCARE SUPPORT	VA	501(c)(3)	PF	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Franklin County Ventures LLC
PO Box 12385	Roanoke	VA	24025	474365316	Real estate	VA	NA	N/A
Carilion Clinic Medicare Shared Savings Company LLC
PO Box 12385	Roanoke	VA	24025	455235473	Medicare ACO	VA	NA	N/A
Roanoke Ambulatory Surgery Center LLC
1102 Jefferson Street SE	Roanoke	VA	24016	010691564	Surgery	VA	NA	N/A
Southwest Virginia Health Properties LLC
1102 Jefferson Street SE	Roanoke	VA	24016	010691570	Real estate	VA	NA	N/A
Raven Asset-Based Opportunity Fund IV LP
75 Spring Street 6th Floor	New York	NY	10012	824119491	Private equity	DE	NA	N/A
Starwood VEP II Co-Invest LLC
591 W Putman Ave	Greenwich	CT	06830	833262407	Investments	DE	NA	N/A
TI Platform CC SMA LP
4304 18th Street 14427	San Francisco	CA	941149991	842852539	Investments	DE	NA	N/A
TI FBV GR LP
4304 18th Street 14427	San Francisco	CA	941149991	862597246	Investments	DE	NA	N/A
TI Platform DCI SPV LP
4304 18th Street 14427	San Francisco	CA	941149991	871897835	Investments	DE	NA	N/A
Transpose Platform Zippedi SPV LP
4304 18th Street 14427	San Francisco	CA	941149991	873425361	Investments	DE	NA	N/A
Transpose Platform Gorgias SPV LP
4304 18th Street 14427	San Francisco	CA	941149991	874563291	Investments	DE	NA	N/A
Transpose Platform Fintech Fund II LP
4304 18th Street 14427	San Francisco	CA	941149991	873126138	Investments	DE	NA	N/A
Opera Investment Two SCSP
					Investments		NA	N/A	412F Route dEsch	Luxembourg	LU	LU
VTC Innovation Fund III LP
c/o Middleand Capital 709 S Jeffers	Roanoke	VA	24016	921362795	Investments	DE	NA	N/A
Pacific North of South Em All CAP Equity Fund
c/o Global Trust Company 12 Gill St	Woburn	MA	01801	842642916	Investments	DE	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHS INC
PO BOX 12385	ROANOKE	VA	24025	541725732	SERVICES	VA	NA	C Corporation	Yes (true)
CARILION BEHAVIORAL HEALTH INC
PO BOX 12385	ROANOKE	VA	24025	203136891	HEALTHCARE	VA	NA	C Corporation	Yes (true)
CARILION EMERGENCY SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	542033006	HEALTHCARE	VA	NA	C Corporation	Yes (true)
SCA CREDIT SERVICES INC
PO BOX 12385	ROANOKE	VA	24025	541180398	COLLECTION AGENCY	VA	NA	C Corporation	Yes (true)
CARILION HEALTHCARE CORPORATION
PO BOX 12385	ROANOKE	VA	24025	541586601	HEALTHCARE	VA	NA	C Corporation	Yes (true)
MEDKEY INC
PO BOX 12385	ROANOKE	VA	24025	541645357	FINANCING SERVICES	VA	NA	C Corporation	Yes (true)
Carilion DTC Services Inc
PO Box 12385	Roanoke	VA	24025	872635239	Healthcare	VA	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Carilion New River Valley Medical Center
A	$12,009	Cost
Carilion Healthcare Corporation
A	$3,629	Cost
Carilion Franklin Memorial Hospital
K	$263,601	Cost
Carilion Tazewell Community Hospital
K	$166,630	Cost
CHS Inc
K	$431,249	Cost
Carilion Medical Center
M	$708,531	Cost
Carilion Services Inc
M	$13,698,888	Cost
CHS Inc
M	$124,007	Cost
Carilion Healthcare Corporation
M	$2,289,763	Cost