2025-08-15T16:55:51+00:00 2024-09-30 990 2023-10-01 540549603 Carilion Giles Community Hospital CARI 5402245102 PO BOX 12385 Roanoke VA 240252385 G ROBERT VAUGHAN JR TREASURER 5402245102 2025-08-15 2023 2025-03-06 01:10:19Z KRISTIE WILLIAMS PO BOX 12385 Roanoke VA 240252385 101507177 false X WWW.CARILIONCLINIC.ORG X 1954 VA 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. 17 11 757 20 0 0 592364 311067 96209673 98455306 218569 779523 549066 454727 97569672 100000623 92351 83839 0 50973680 52491305 0 0 47674757 48750312 98740788 101325456 -1171116 -1324833 51744714 50438018 56736168 63002673 -4991454 -12564655 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. false false 86950304 83839 98687230 See schedule O. 86950304 true true false true false false false false false true true false false true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true X 0 0 757 true false false false false false false false false false false false false X 17 11 true true false false true true true true true false false true true true true true true true true false VA X MATTHEW BARR 5402245021 213 S JEFFERSON ST ROANOKE VA 24011 Chris McKlarney Director/Vice Chair 1.2 0 X X 0 0 0 Richard McCoy Director/Chair 1.2 0 X X 0 0 0 William Flattery Director/Sec./Treas. 2.5 47.5 X X 0 319259 54007 Andrew Wagner Director 1.2 0 X 0 0 0 Christopher Hansen OD Director 1.2 0 X 0 0 0 James Hartley Director 1.2 7.5 X 0 30000 0 John Mills Jr Director 1.2 0 X 0 0 0 Jose Rivero MD Director 1.2 48.8 X 0 721246 60140 Kristie Williams Director/Hospital VP 47.5 2.5 X 250738 0 15407 Melissa Stump Director 1.2 38.8 X 0 94181 7048 Michael A McMahon MD Director 1.2 0 X 0 0 0 Michael Bailey DO Director 1.2 48.8 X 0 327802 27891 Priscilla Morris Director 1.2 0.0 X 0 440 0 Richard Jennell Director 1.2 0 X 0 0 0 Senthil Marimuthu Director 1.2 0 X 0 0 0 Timothy Meredith Director 1.2 0 X 0 0 0 Veronica Stump Director 1.2 0 X 0 0 0 Donald Halliwill Asst. Treasurer 0.5 49.5 X 0 1119248 167911 G Robert Vaughan Jr Asst. Treasurer 0.5 49.5 X 0 458008 71002 J Harrison Lapuasa Asst. Treasurer 0.5 39.5 X 0 34109 -1202 Julie Smith-Hamilton Asst. Secretary 0.5 39.5 X 0 60728 18375 Nicholas Conte Asst. Secretary 1.0 49.0 X 0 1023717 174893 Amy Westmoreland Pharmacy Manager 40.0 0 X 186329 0 35256 Clarence Pearson MD Physician 50.0 0 X 444044 0 36684 Danielle Ogle Nurse Practitioner 50.0 0 X 136386 0 6100 India Thomas Regional Practice Director 40.0 0 X 135534 0 20102 Sarah Kurstedt Physician Assistant 50.0 0 X 134782 0 -2437 David Hagadorn Former Officer 0.0 0.0 X 0 159104 25072 1287813 4347842 716249 75 true true false QUEST DIAGNOSTICS 500 Plaza Drive Secaucus NJ 07094 Laboratory Services 1104587 QUALIVIS LLC 1601 Assembly Street Unit 1439 Columbia SC 29201 Temporary Staffing 549924 F & S BUILDING INNOVATIONS INC 2944 Orange Ave NE Roanoke VA 24012 CONTRACTOR SERVICES 426825 TRANE 2303 TRANE DRIVE ROANOKE VA 24017 CONTRACTOR SERVICES 177147 KEGLEY ELECTRIC CO 55 EXECUTIVE CIRCLE ROANOKE VA 24012 CONTRACTOR SERVICES 164695 6 230949 80118 311067 Net Patient Revenue 622110 91217022 91217022 Rent from Affiliates 531120 15638 15638 Patient Pharmacy Revenue 446110 7222646 7222646 0 0 0 0 98455306 134239 134239 90135 90135 0 90135 90135 2148859 2979 1503956 2598 644903 381 645284 645284 Occupational Health Revenue 621399 141561 141561 Dining Services 722514 132668 132668 School Health Services 621399 27989 27989 62374 62374 0 0 364592 100000623 98687230 0 1002326 83839 83839 284979 284979 23008 23008 42399615 42262218 137397 849146 846394 2752 7017096 6919385 97711 1917461 1899178 18283 10443569 10443569 5390 5390 15439 15439 9407328 6398898 3008430 0 1690 1395 295 1196683 1132208 64475 448194 448194 3440289 3440289 199745 156786 42959 1202438 1202438 2446683 2446683 651000 420746 230254 Med Supplies 9846552 9845289 1263 Bad Debt 6257848 6257848 Affiliate Practice Subsidy 2903483 2903483 Business Fees and Taxes 132372 132372 151609 124263 27346 0 101325456 86950304 14375152 0 4295 3495 15869 20561 27491 14439313 12155843 0 0 0 0 166855 199422 60888194 34399958 27285854 26488236 2874754 3598556 6428274 7316378 0 529500 628036 51744714 50438018 10962190 9025958 106892 33130972 33093864 0 0 12643006 20775959 56736168 63002673 X -5211597 -12772485 220143 207830 -4991454 -12564655 51744714 50438018 X -1324833 -670681 -5577687 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5390 5390 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of dues paid to various healthcare industry associations is attributable to lobbying activities. 1849365 1849365 31502544 13025168 18477376 35176 10690 24486 25296181 20403526 4892655 2204928 960574 1244354 26488236 141104 F Alternative Investments 7175274 F 7316378 Pension Liability 8513705 Interest Rate Swap Liability 2774701 Due to Affiliate 6895979 Lease Liability 2591574 20775959 true true X true X 300 true X 500 true true true false true true 757163 757163 0.0080 11179288 10765688 413600 0.0044 0 0.0 0 0 11936451 10765688 1170763 0.0123 345487 71760 273727 0.0029 0 0.0 0 0.0 0 0.0 56165 56165 0.0006 0 0 401652 71760 329892 0.0035 0 0 12338103 10837448 1500655 0.0158 0 0.0 0 0.0 525 525 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 525 0 525 0.0000 true 6257848 22132198 22203063 -70865 X true true 1 1 CARILION GILES COMMUNITY HOSPITAL 159 HARTLEY WAY PEARISBURG VA 24134 https://carilionclinic.org/locations/carilion-giles-community-hospital H 1837 X X X X CARILION GILES COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 23 true false true true X https://www.carilionclinic.org/cho-community-health-assessments#reports X https://issuu.com/carilionclinic/docs/2024_cgch_cha_final_report X X true 24 true https://www.carilionclinic.org/cho-community-health-assessments#reports false true X 300.0 500.0 X X X X true true X X X true X https://www.carilionclinic.org/billing/financial-assistance X https://www.carilionclinic.org/billing/financial-assistance X https://www.carilionclinic.org/billing/financial-assistance X X X X X X true X false X X X X true X false false 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. 12 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 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. true Giles County Christian Service Mission 516 Wenonah Ave Pearisburg VA 24134 540786078 501(c)(3) 7500 Food insecure support Giles Community Garden 215 Wilburn Valley Rd Pearisburg VA 24134 270891595 501(c)(3) 6500 Garden program support Giles Health and Family Center 701 Wenonah Ave Pearisburg VA 24134 383650396 501(c)(3) 7500 Scheduling Software Free Clinic of the New River Valley Inc 215 Roanoke St Christiansburg VA 24073 510247098 501(c)(3) 47114 fmv Clinic space Facility use 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X false true false true false false false false false true false William Flattery Director/Sec./Treas. 0 277504 0 26691 0 15064 0 36986 0 17021 0 373266 0 0 Michael Bailey DO Director 0 311226 0 14453 0 2123 0 5047 0 22844 0 355693 0 0 Jose Rivero MD Director 0 448841 0 264982 0 7423 0 50870 0 9270 0 781386 0 0 Kristie Williams Director/Hospital VP 201112 0 41163 0 8463 0 3409 0 11998 0 266145 0 0 0 David Hagadorn Former Officer 0 120679 0 0 0 38425 0 13363 0 11709 0 184176 0 0 Nicholas Conte Asst. Secretary 0 731687 0 111366 0 180664 0 156813 0 18080 0 1198610 0 172601 Donald Halliwill Asst. Treasurer 0 767976 0 117511 0 233761 0 142915 0 24996 0 1287159 0 227735 G Robert Vaughan Jr Asst. Treasurer 0 353161 0 41359 0 63488 0 46006 0 24996 0 529010 0 57282 Clarence Pearson MD Physician 400000 0 35392 0 8652 0 34817 0 1867 0 480728 0 0 0 India Thomas Regional Practice Director 129529 0 0 0 6005 0 -2780 0 22882 0 155636 0 0 0 Amy Westmoreland Pharmacy Manager 184477 0 0 0 1852 0 34258 0 998 0 221585 0 0 0 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. Alli Broyles Family member of Richard Jennell, Director 23008 Employee false 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; 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 true CARILION FRANKLIN MEMORIAL HOSPITAL PO BOX 12385 ROANOKE VA 24025 540480606 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540506332 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION NEW RIVER VALLEY MEDICAL CENTER PO BOX 12385 ROANOKE VA 24025 540553805 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION SERVICES INC PO BOX 12385 ROANOKE VA 24025 541190879 SUPPORTING ORGANIZATION VA 501(c)(3) Type II CARILION CLINIC true CARILION ROCKBRIDGE COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 540568001 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION TAZEWELL COMMUNITY HOSPITAL PO BOX 12385 ROANOKE VA 24025 546074580 HEALTHCARE VA 501(c)(3) 3 CARILION CLINIC true CARILION GILES COMMUNITY HOSPITAL FOUNDATION 159 Hartley Way Pearisburg VA 24134 541522205 HEALTHCARE SUPPORT VA 501(c)(3) PF NA false 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 412F Route dEsch Luxembourg LU Investments LU NA N/A 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 CHS INC PO BOX 12385 ROANOKE VA 24025 541725732 SERVICES VA NA C Corporation true CARILION BEHAVIORAL HEALTH INC PO BOX 12385 ROANOKE VA 24025 203136891 HEALTHCARE VA NA C Corporation true CARILION EMERGENCY SERVICES INC PO BOX 12385 ROANOKE VA 24025 542033006 HEALTHCARE VA NA C Corporation true SCA CREDIT SERVICES INC PO BOX 12385 ROANOKE VA 24025 541180398 COLLECTION AGENCY VA NA C Corporation true CARILION HEALTHCARE CORPORATION PO BOX 12385 ROANOKE VA 24025 541586601 HEALTHCARE VA NA C Corporation true MEDKEY INC PO BOX 12385 ROANOKE VA 24025 541645357 FINANCING SERVICES VA NA C Corporation true Carilion DTC Services Inc PO Box 12385 Roanoke VA 24025 872635239 Healthcare VA NA C Corporation true true false false false false false false false false false true false true false false false false false false Carilion New River Valley Medical Center A 12009 Cost Carilion Healthcare Corporation A 3629 Cost Carilion Franklin Memorial Hospital K 263601 Cost Carilion Tazewell Community Hospital K 166630 Cost CHS Inc K 431249 Cost Carilion Medical Center M 708531 Cost Carilion Services Inc M 13698888 Cost CHS Inc M 124007 Cost Carilion Healthcare Corporation M 2289763 Cost