2020 REPORT TO OUR COMMUNITY OUR TO REPORT 2020

2020

BEYOND RESILIENT BEYOND

2 020 20 BEYOND RESILIENT

2 0 Clinic Carilion Even amid the extraordinary challenges of 2020, at Carilion, we knew it wasn’t enough to just endure—we had to excel. It wasn’t enough to just persevere—we had to progress. It wasn’t enough to just survive—we had to thrive... and help others do the same.

Because at Carilion, we don’t simply carry on—we go beyond. Beyond strong. Beyond capable. And beyond resilient.

Where to Find Us Find to Where 48

Our Boards and Our Principles Our and Boards Our 47

All Thanks to You to Thanks All 29

Together, We Thrive We Together, 21

Innovating + Educating + Innovating 15

Beyond Carrying On Carrying Beyond 7

Ready for Anything for Ready 4

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TEN 20CON President and CEO Nancy Howell Agee, a registered nurse, administers one of the first COVID-19 vaccinations.

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Dear Neighbors and Friends, MESSAGE 2020 was a year full of disruption and adversity. With the arrival of COVID-19, taking on this global health emergency became our number-one priority— and in the wake of the historic challenges that the pandemic brought with it, we have emerged smarter TO and stronger.

Though routine care was initially affected, we quickly learned that we could treat patients suffering with OUR COVID and continue to deliver other much-needed services in new and better ways.

For all the plans that COVID sidetracked, it accelerated others. We transitioned to virtual care COMMUNITY delivery in a matter of days, instead of years. We’re now planning for a future in which more than a third of care will be provided virtually.

We also moved ahead with building projects— including the expansion of our Roanoke Campus and the construction of a new pediatric outpatient center—and began envisioning an enhanced cancer program that will expand treatment options for patients in our region.

At Carilion, we transform obstacles into opportunities, and that couldn’t have been truer than in 2020. We’re so proud of our frontline staff, who went above and beyond every day to care for our patients. And we’re incredibly grateful to our community, whose support lifted our spirits and helped us meet critical needs during this tumultuous yet inspiring year.

Warmly,

Nancy Howell Agee James A. Hartley President and CEO Nancy Howell Agee, President and CEO Chairman a registered nurse, administers one of the first COVID-19 vaccinations.

3 REA Ready for Anything On March 19, 2020, when COVID-19 information in real time, enabling doctors appeared for the first time in to track cases, predict surges, monitor southwestern Virginia, Carilion was capacity and supplies, and better manage ready. We’d been preparing for this patient care. Our communications team moment for weeks, bringing together also relied on these analytics to deliver leaders from across our enterprise. accurate information and educate DY the public, including through a town Procurement teams kicked into high hall-style Coronavirus Community gear, making thousands of phone calls to Conversation simulcast on all local acquire suddenly precious equipment— television stations, several radio from ventilators to masks. At the same stations and social media platforms. time, our emergency management and safety teams began reorganizing space Laying the groundwork to fight COVID-19 in our facilities. At Carilion Roanoke required collaboration—a core value FOR Memorial Hospital, we installed high- at Carilion. This spirit extends beyond efficiency particulate air (HEPA) filters in our system to our partners like Virginia new COVID isolation units and reduced Tech, whose researchers joined with our entry points to more easily screen physicians to develop innovative, urgent everyone who passed through. solutions. And thanks to this cooperation and foresight, we were already one step Beyond these concrete provisions, we ahead when the virus struck—putting us also got to work collecting data and in a strong position to battle COVID-19. ANY developing a communications plan. Analysts created dashboards to share THI NG

4 MARCIA’S STORY

Conquering COVID-19 At CRMH, Marcia received a transfusion of antibody- in the Face of Tragedy rich plasma from donors who had already recovered from the virus. Within just 24 hours of receiving this treatment, she began to show marked improvement, When her husband of nearly 53 years was admitted as her oxygen levels increased and her inflammation to a local hospital with complications from went down. Doctors also gave her a short course of gastrointestinal bleeding in early 2020, Marcia steroids to temper her immune response. Dupree visited him every other day for two months to help with his care. But when David eventually After the worst of her symptoms passed, Marcia contracted COVID-19, his health took a turn for returned home to live with her son and continue her the worse—and two days later, he succumbed to journey toward a full recovery. Her doctors, who called the virus. her a “warrior,” credit her Midwestern grit, resilient spirit and positive outlook for carrying her through. Heartbroken, Marcia, 75, felt tired and exhausted as For Marcia, it was also the excellent care she received she mourned the loss of her husband. She would at Carilion: “My doctors were so knowledgeable, and soon learn this fatigue wasn’t just a symptom of I felt like I was treated as a family member.” grief; she, too, tested positive for COVID-19. Shortly thereafter, she was admitted to Carilion Roanoke Memorial Hospital for what would ultimately be a three-week ordeal—two of which she spent in intensive care.

After she initially experienced a high fever, profound “My doctors were so knowledgeable, weakness and difficulty breathing, Marcia’s condition and I felt like I was treated as a continued to deteriorate upon her arrival. Her age— along with her diabetes and hypertension—made her family member.” even more vulnerable to the effects of the coronavirus. -Marcia Dupree

5 READY FOR ANYTHING

Tracking the Virus in Virginia COVID-19 by the Numbers: We partnered with the state’s Department of Health to conduct a seroprevalence study that helped determine the number of people in our region affected by COVID-19. Funded by the CARES Act, 8,500+ 23,000% the study will also enable researchers * to better understand high-risk activities confirmed cases increase in virtual visits and how they contribute to the virus’s spread. More than 5,000 Carilion patients enrolled, as well as members of the general public, who agreed to have blood drawn to test for SARS-CoV-2 antibodies. 75,000+ Clinical Trials: staff hours reassigned On the Cutting Edge In the early days of the pandemic, we participated in a number of large-scale Making Testing Safer clinical trials for possible COVID-19 With personal protective equipment (PPE) in short supply and the chance for therapies, giving critically ill patients COVID-19 exposure high, we evolved our traditional testing facilities to make access to potentially lifesaving them safer than ever. By creating remote flu and COVID testing centers, along treatments. A national convalescent with drive-through sites, we were able to better protect health care workers and plasma study enabled patients with patients alike. severe symptoms to receive antibodies from the blood of those who’d already recovered, while a study of remdesivir—an antiviral medication previously analyzed for use against diseases like Ebola— began to show promising results when used to combat COVID. We also enrolled in a clinical trial for otilimab IV, a drug that specifically addresses severe pulmonary COVID-19-related disease.

*Source: Virginia Department of Health data for Carilion Clinic’s primary service area.

6 Beyond Carrying On

Although COVID-19 became our priority in 2020, it wasn’t our sole focus. Even while we were meeting one crisis head- BE on, we were still making headway in other areas. From breakthroughs in heart health to plans for a new cancer center. From propelling pediatrics forward to delivering upgrades in orthopaedics. At Carilion, we made clinical advancements everywhere, every day—continuing to push YOND health care forward in a turbulent time. CAR RY

Seeing You Safely After the statewide ban on elective surgeries and procedures was lifted, we launched our “Seeing You Safely” marketing campaign to promote our safety measures and encourage patients to return for care. Within weeks, we were back to 75 to 90 percent ING of our normal operating capacity—helping our system recover by inspiring confidence in our services.

Beating the Benchmark Certified Excellence By bringing together teams across our In 2020, Carilion Roanoke Memorial system to improve initial diagnoses, Hospital received Advanced Certification ON enhance patient education and focus on for Hip and Knee Joint Replacements follow-up appointments, our heart failure from the Joint Commission. readmission rate is now consistently below the national benchmark.

7 SAM’S STORY

Bouncing Back—and Feeling Doctors at Carilion’s Cardiovascular Institute reviewed Better Than Ever Sam’s heart scans and determined that he’d benefit from an aortic valve replacement. Instead of receiving traditional treatment, though, Sam was a candidate for Sam Igal and his wife, Deborah, had always led an a minimally invasive procedure called transcatheter active life. But when Sam started feeling run down, aortic valve replacement (TAVR), in which surgeons use fatigued and short of breath, he worried that the a catheter to implant an artificial heart valve. years might finally be catching up with him. Almost immediately after his TAVR operation, Sam It turned out that Sam’s symptoms weren’t simply noticed significant improvement in his symptoms—he signs of old age but the result of a life-threatening felt “15 years younger,” something he credits the team at heart valve disease that often affects older patients: Carilion for making possible. “They’re knowledgeable,” severe aortic stenosis. With this condition, the aortic he said. “They’re experts in what they do, from the valve hardens, forcing the heart to work harder than receptionists all the way to the doctors—and that goes usual—and weakening it in the process. It can also a long way.” make the valve narrower, which can restrict blood flow and cause it to build up or “leak” in the heart chambers and sometimes even in the lungs.

“[The Carilion team] are experts in what they do, from the receptionists all the way to the doctors—and that goes a long way.” -Sam Igal

8 1,000 and Counting Severe aortic stenosis is a life-threatening heart valve condition that narrows and hardens the aortic valve, restricting blood flow and forcing the heart to work harder.

With older patients for whom open-heart surgery may be too risky, transcatheter aortic valve replacement (TAVR) provides another option. In the procedure, surgeons use a catheter to implant an artificial heart valve. And because it’s minimally invasive, patients are able to return to their normal activities faster.

Since introducing this groundbreaking treatment in 2012, our Cardiovascular Institute has surpassed 1,000 TAVR procedures—by far the most in our region. That’s 1,000 hearts repaired…and 1,000 lives extended. minimally invasive transcatheter 1,000+ aortic valve replacements

Carilion Clinic’s Cardiovascular Elevating Therapies. Enhancing Lives. Institute was awarded a Center Carilion’s Cardiovascular Institute began providing ventricular assist device (VAD) therapy for patients with advanced heart of Excellence designation by failure. This treatment—which surgically implants a pump in a patient’s chest and connects it to an external controller—can Cardiac Surgical Unit Advanced help regulate the condition and improve quality of life, with certain VADs enabling an unprecedented 87 percent survival Life Support North America. rate after two years in a clinical trial. Some patients also require less invasive surgery, reducing the length of their hospital stays and improving their health overall.

Moving Our Facilities Into the Future Our facilities are a critical part of why we’re able to provide better outcomes for patients with heart health issues. In 2020, we opened our second hybrid operating room, which allowed us to expand our surgical programs to meet the growing needs of our patients. Designed specifically for minimally invasive procedures, this OR will move to our new Crystal Spring Tower—part of a $500 million expansion of our Roanoke Campus—once it’s completed in 2025.

9 BEYOND CARRYING ON

Research Across Species The first phase of the newly opened Fralin Biomedical Research Institute at VTC addition on the Riverside Campus in Roanoke focuses on veterinary cancer care and research, providing opportunities to discover similarities between certain cancers in pets and humans and potential common treatment strategies. The Virginia Tech Animal Cancer Care and Research Center is part of the university’s robust cancer research strategy that will enable opportunities for collaborations between physicians, veterinarians and scientists.

Improving Imaging to Identify Cancer In collaboration with urologists at Jefferson Surgical Clinic and Urology Associates, we began using a new, more accurate technique for diagnosing prostate cancer. The method, known as MRI/US fusion, brings together the power of MRI and ultrasound technologies for a more reliable biopsy. First, an MRI exam maps potentially cancerous areas that aren’t visible to ultrasound. Then, an ultrasound probe guided by a semi-robotic arm targets the locations identified as suspicious.

Plans for a new multifaceted, interdisciplinary cancer program continued following a $1 million seed gift from CEO Nancy Howell Agee and her husband, Steve Agee.

10 MIKE’S STORY

Paying It Forward: Building a New Center Three years later, he began experiencing serious pain Dedicated to Beating Cancer and convulsions—disconcerting symptoms that sent him back to Carilion a third time.

Over his 70 years, Mike Wise has spent a lot of time in the sun. This time, the diagnosis was grim: stage 4 metastatic Growing up three blocks from the neighborhood pool meant melanoma. The cancer had spread to his brain, lungs he was always outside. And as an adult, his golf hobby often and lower back. Mike was told to get his affairs in brought him to wide-open courses—with little shade in sight. order. He called his children and updated his will.

This sun exposure ultimately led to three separate bouts with To slow the progression of the disease and improve skin cancer. his chances of survival, Mike’s doctors at Carilion and Blue Ridge Cancer Care prescribed once- In 2010, Mike’s doctors discovered a squamous cell carcinoma monthly infusions of nivolumab (Opdivo), a new below his left ear lobe. He underwent surgery and then endured immunotherapy treatment. By the second session, two months of chemotherapy and radiation treatments. his lower back pain and convulsions had subsided. And after the fourth session, the miraculous He recovered, but by 2016, the cancer had returned, this happened: Mike’s full-body PET scan showed he time in the form of a melanoma on his scalp, which was was cancer-free. quickly removed. With a new lease on life thanks to the care he received, Mike was ready to pay it forward—literally. He and his wife, Danielle, committed $100,000 to the Carilion Clinic Foundation toward building a new “I appreciate Carilion and Blue Ridge cancer center—one Mike hopes will continue to help other patients make complete recoveries, just Cancer Care, and all the doctors who like he did.

kept me alive.” “I believe in the project,” he explained. “I want to be -Mike Wise a part of that. I appreciate Carilion and Blue Ridge Cancer Care, and all the doctors who kept me alive.”

11 When Hitting the Brakes Isn’t an Option In order to fix the rotator cuff and regain total mobility in her right arm, Lisa was looking at a complete shoulder replacement—an operation that would have left her unable to do many of the athletic For many, exercise is just a healthy habit. But for activities she enjoyed as a 53-year-old. Lisa Hamm, it is so much more. As a former body builder and model, her interests required her to stay Doctors at Carilion’s Institute for Orthopaedics and Neurosciences fit. Working out was a way of life that she valued even recommended a better option: superior capsular reconstruction before she was competing—and she wasn’t ready (SCR). A new treatment developed in Japan, SCR minimizes pain and to give it up anytime soon. restores function by grafting durable dermal tissue to the shoulder socket and ball, which takes the place of the injured rotator cuff. The Yet, after years of physical training and conditioning, procedure is ideal for healthy, non-arthritic patients who are younger overuse was beginning to take its toll on Lisa’s than 60—criteria that made Lisa an ideal candidate. shoulders. She’d already undergone surgery on both her left and right rotator cuffs. Yet more repairs were Oftentimes, SCR patients eventually require a full shoulder needed for her right shoulder to be fully functional. replacement. But with a success rate of over 80 percent, SCR can significantly delay the need for a replacement. And because the surgical procedure is minimally invasive, recovery is quicker and patients can return to normal activity without restrictions once they’ve healed—something that was non-negotiable for Lisa. “Stopping altogether was not an “I want to keep working out and staying fit,” she said. “Stopping option for me.” altogether was not an option for me. This reconstruction has -Lisa Hamm allowed me to continue doing the workouts I love.”

LISA’S STORY Breakthrough Brachial Plexus Care The brachial plexus is the nerve complex in the neck that sends signals down the arm—and when it’s damaged in a shoulder injury, it can lead to symptoms that range from being unable to bend an elbow to losing function of an entire limb. Because nerves have a limited ability to regenerate, treating these issues quickly is essential.

Carilion’s new Brachial Plexus Clinic uses a multidisciplinary approach to ensure patients receive timely treatment for shoulder injuries. In a single appointment, a patient will meet with surgeons, therapists, nerve specialists, nurses and a social worker, who together develop a personalized treatment plan that’s best for the patient.

Driving Medicine—and Our Patients—Forward Wide-awake, local anesthetic, no-tourniquet (WALANT) surgery is a common technique used in hand operations—which numbs the hand. A research team from Carilion and Virginia Tech set out to learn how the effects from the procedure could influence patients’ ability to drive home afterwards. They found that driving under WALANT conditions had no negative impact on driving fitness. While WALANT is already known for the medical benefits it delivers, like less pain and swelling, we’ve now officially added another advantage to that list: a more convenient post-op experience that enables patients to safely drive themselves home.

13 BEYOND CARRYING ON

A Single Center for Pediatric Services A Gala Gone, Set to open in 2021, our new pediatric outpatient specialty center will but Giving Continues consolidate more than a dozen pediatric and adolescent services into a When the Carilion Clinic Foundation’s first single familiar location: Roanoke County’s Tanglewood Mall. In the former gala, “A Soaring Soiree,” was cancelled JCPenney space, our new 77,000-square-foot center will make pediatric care due to COVID-19, our donors stepped more accessible for patients and their families, many of whom travel long up to make sure it was still a “soaring” distances and see multiple specialists. success. Major sponsors along with other generous contributors opted to keep Thinking Deeply About Design their gifts in place. The result? Nearly $300,000 raised for Carilion Children’s. To ensure the best design for our new pediatric center, our Human Factors team conducted simulations of the space—considering users’ movement, interactions with equipment and overall experience. Their recommendations Providing Parents to improve the workflow, patient-doctor communication and visitation Peace of Mind promise a better patient experience, along with a potential savings of $1 million. Thanks to our generous donors, the Carilion Clinic Foundation was able to purchase an Angel Eye System for the neonatal intensive care unit (NICU) at Carilion Children’s Hospital. This system places a secure camera at the end of each baby’s bed so parents can see their child all the time, any time. Mothers and fathers can also use this technology to interact with nurses and doctors, so they’re always in the loop about their child’s care and progress.

Protecting Babies From Bacteria For babies born prematurely who need a catheter, a central line-associated bloodstream infection (CLABSI) can be life-threatening. By improving sterilization techniques and developing a dedicated insertion line team, our NICU has been CLABSI-free for the past two years.

14 Innovating + Educating

When COVID-19 arrived in our region last year, we had no choice but to INN get creative. As prepared as we were, we still had to think up smart solutions every step of the way to support our system, protect our people and our patients, and ultimately save lives.

Throughout the crisis, we pioneered new ideas and joined with our partners to take care to the next level both here at home and across the world of OVAT health care.

When Innovation bilevel positive airway pressure (BiPAP) machine— Became Indispensable commonly used to treat sleep apnea—into an ING inexpensive ventilator alternative. Together, the When a catastrophe happens, there is no team added a HEPA filter, mechanisms to measure playbook, no roadmap and no step-by- air volume and alarms to monitor patient breathing. step guide. These are the moments when And though we thankfully haven’t needed the new innovation thrives. machine, Virginia Tech students are continuing to refine the design for future use. During the pandemic, we harnessed the power of ingenuity and collaboration to Modifying Face Shields for Flight + create critical innovations that helped us meet the moment head-on. The With the advent of the coronavirus, face shields subsequent stories show how “thinking became vital pieces of equipment for health care outside the box” helped us adapt, adjust providers. Air ambulance teams in particular needed and pivot in an unprecedented time. face shields that would protect them from COVID-19 exposure without obstructing visibility during Making Masks Last flight. Together with the Virginia Tech College of Engineering, Carilion’s innovation team created EDU A shortage of N95 masks made it critical numerous prototypes, which ultimately resulted to extend the lifespan of our current in a fogless face shield that fit seamlessly onto stock. We found that hydrogen-peroxide the responder’s helmet—and will benefit air gas could decontaminate these masks. crews nationwide. But how would it affect their efficacy? Working with researchers at Virginia Tech, we discovered that the masks could be sanitized up to 10 times and still be CATI completely safe. Our findings were a huge win for researchers, as well as for our procurement teams and the providers who depended on this equipment every day.

Transforming Machines NG As the demand for ventilators began to outpace supply, our physicians improvised. Working with partners at Virginia Tech, they transformed a

15 INNOVATING + EDUCATING

Tackling COVID-19 With a Dedicated Team During the pandemic, we expanded our innovation program—opening it up to more physicians, nurses and staff members, who collectively submitted more than 60 ideas for inventions to combat COVID-19. Using rapid prototyping processes and human factors methodologies, our innovation team built important devices—including a new stopgap powered air purifying respirator (PAPR) and a user-centered intubation hood. These ideas, which helped protect health care providers, have immediate commercial potential too—so patients elsewhere could one day benefit.

Simulation That Strengthens Safety Carilion’s Center for Simulation, Research and Patient Safety played a key role in preparing and protecting our people during the pandemic. Developing simulated experiences for intubation procedures, ventilator usage and personal protective equipment application, we ensured that our care teams were ready. Our sim center also worked with Emergency Department physicians to develop “Hot Zone” training, designed to ensure the safety of those interacting with COVID-positive patients.

16 COVID-19: A Digital Catalyst While COVID-19 caused much of the world to hit “pause,” one area was an exception: digital health. As more patients began seeking remote care options and more providers adapted to accommodate them, virtual care took off.

The trend continued when the U.S. Department of Agriculture awarded Carilion nearly $1 million to further expand telemedicine and extend access to specialty care for many rural communities in our region for the first time. With additional support from the community, we plan to open our first virtual care center in 2021 in Bluefield, Virginia.

An Overnight Shift Early in the pandemic, face-to-face visits were suspended for five weeks. Seemingly overnight, virtual care flourished, with more than 70 percent of all ambulatory visits transitioning to virtual as a result. What began as a back- 70% up plan delivered impressive levels of patient and physician satisfaction, of doctor’s visits held proving that digital health is more than a moment in time. It’s a movement that will define the future of health care. via phone, video or secure patient portal Customer-Centric Tools Text messages that send appointment reminders. Patient portals that enable e-check in. Carilion Bill Pay—our online payment system, which provides more flexible options. These were just some of the digital tools we launched in 2020 to improve convenience for our patients, all while working to meet 95% COVID-19 safety guidelines and minimize physical contact. And we didn’t stop there—we also increased our use of remote monitoring and diagnostic of ambulatory psychiatry tools to improve health outcomes. conducted virtually A Vision for the Future Our goal is to engage with patients at every major touchpoint using technology they’re already familiar with—like their smartphones. This vision includes a Carilion app that brings together the breadth of our 28,000+ services into one easy-to-use “digital front door” to ensure that our patients are only a tap away from world-class care. patients used Carilion Bill Pay

17 INNOVATING + EDUCATING

Innovation, Accelerated Supporting Startups Carilion Innovation is our in-house idea incubator—dedicated When it comes to innovation, we put our to developing, accelerating and commercializing the health care money where our mouth is. At Carilion, inventions of our own physicians, nurses and staff. we provide investment and business support to help early-stage companies From a Geiger counter holder that measures radiation in a mature, while also fueling the research fixed position to ensure that patients receive the right dosage ecosystems that are important for the to software that uses blockchain technology to streamline Fralin Biomedical Research Institute at credential verification for prospective providers—the projects VTC and Carilion Clinic. from Carilion Innovation span the spectrum, promising to advance care for patients everywhere. • BRAINBox Solutions, which grew out of research conducted at Fralin Biomedical Research Institute at VTC, will continue to develop its diagnostic test for concussions here. Carilion Roanoke Memorial Hospital has been named the lead center in a national multi-center clinical trial. The BRAINBox device had earlier been recognized with an FDA “Breakthrough Device” designation.

• Mytonomy, with funding from Carilion, is working to advance the industry-wide adoption of “microlearning” videos to help educate and engage patients in their care.

• Ontera, a precision diagnostics point-of- care testing company, chose to partner with Carilion for clinical trials. Ontera received support from the Virgina Tech Carilion Seed Fund, which provides venture capital for early-stage startups.

Working collaboratively with cross- industry, cross-institutional partners, we’re building an entrepreneurial ecosystem and accelerating our region’s status as a hub for innovation, biomedicine and technology.

Returning physicians, from left: Joshua Eikenberg, M.D.; Matthew Joy, M.D.; Ashley Gerrish, M.D.; Robert Brown, M.D.; Andrew Moore, M.D.; and Don Vile, M.D.

18 Our commitment to medical education dates to the 1940s. More Achievements at And today, our educational partnerships continue to grow— Virginia Tech Carilion helping us advance care in the process. School of Medicine • Received its first U.S. News & World Report ranking among the nation’s Returning to Roanoke top medical schools and ranked the highest in its cohort of new 2020 marked 10 years since the Virginia Tech Carilion School of Medicine medical schools. welcomed its charter class. After graduating, the group of 42 spread across the country for residencies and fellowships—from Chicago to Baltimore and • Expanded class size from 42 to 49 beyond. Now, after completing their training, many have returned to their students and added health systems roots. In fact, today, a sixth of the charter class members are practicing in the science—considered the third pillar of region—with some former students coming full circle to serve as VTCSOM medical education—to the curriculum. faculty members. Of all VTCSOM alumni, 20 percent are serving in Virginia, Only 20 percent of medical schools with 8 percent in Roanoke itself. offer this training.

Many love our region—and, of course, the personal and professional • Saw a 48 percent increase in opportunities. But they also say they’re driven to give back, remembering applications for the class of 2025— the mentorship they received during their time in school and wanting to some 130 candidates for each pay it forward. available spot.

“Our success comes from the strength of our community,” said Virginia Tech • The class of 2020, which graduated President Tim Sands. “We’re proud to see so many alumni returning to amid the pandemic, continued support our shared mission to serve the commonwealth.” the school’s streak of 100 percent residency match for the seventh year in a row.

19 INNOVATING + EDUCATING

Playing a Critical Part During the Pandemic Approved and Accredited By Executive Order from Virginia Governor Ralph Northam, Our neurological surgery residency became the first in the Radford University Carilion (RUC) respiratory therapy students country to transition its accreditation from the American joined the workforce early to aid the fight against COVID-19. Osteopathic Association to the more stringent Accreditation Though the typical requirements for certification and licensing Council for Graduate Medical Education (ACGME)—which exams were waived, students were still well-equipped—with is now the sole accrediting body for all graduate medical nearly four years of learning in state-of-the-art labs at Carilion education programs in the U.S. Since welcoming our first Roanoke Community Hospital and hands-on clinical experience neurological surgery residents in 2007, 10 trainees have at Carilion Roanoke Memorial Hospital. completed the program, with eight more who are currently residents. More Achievements at Radford University Carilion (RUC) • After the 2019 merger between Radford University and More Achievements in Graduate Medical Education Carilion’s Jefferson College of Health Sciences, 1,100 new • Despite the disruption that COVID-19 brought to clinical students became part of the Radford University Carilion education, Carilion Clinic – Virginia Tech Carilion School school of allied health sciences. In addition, 19 new programs of Medicine Graduate Medical Education programs were added to the curriculum—ranging from associate to accomplished many firsts, including graduating our first doctorate level. trainees in plastic surgery, neurology, surgical critical care • Family nurse practitioner graduates achieved a perfect 100 and hand fellowships. percent pass rate on their national exams in March 2020. • The program continued to grow, with the addition of • U.S. News & World Report ranked RUC among the nation’s fellowships in addiction medicine and rheumatology— top health schools. Noted programs include the doctor of resulting in 13 residency and 15 fellowship programs physical therapy, doctor of nursing practice and master of accredited through the ACGME and involving more than occupational therapy. 314 trainees. • Following a competitive grant process in 2020, Carilion was chosen by the Virginia Department of Medical Assistance Services (DMAS) to receive $2.5 million in funding for 19 internal medicine residents and six psychiatry residents. This was our fourth year receiving DMAS funding, which has allowed us to grow and expand.

20 Together, We Thrive

At Carilion, we’re a part of the places and people we serve—and TOG they’re a part of us. Our relationship with our communities is one of teamwork and togetherness, camaraderie and collaboration.

And at no time was this mutual support more evident than in 2020. As COVID-19 disrupted so much, we went above and beyond for patients and the public—doing everything in our power to ensure ETH they had the care and resources they needed. And in return, our community rallied around us—sending supplies, delivering meals ER, and offering donations. WE THRI VE TOGETHER, WE THRIVE

Helping Heroes Our COVID-19 Support Fund raised more than $120,000 from businesses and individual donors alike. Two families donated $10,000 each to purchase meals for employees at Carilion New River Valley Medical Center. The families also asked that the money be spent at local restaurants in Blacksburg— ensuring that their gifts would benefit the community even more.

Beyond donations, gestures of support arrived in other forms. From encouraging sidewalk chalk art to socially distanced vehicle parades. From ringing church bells to personal thank-you cards. From landmarks lit in blue to American flags flying high. All these actions inspired, motivated and lifted the spirits of our frontline workers.

Showing Our Appreciation To express our profound appreciation for our community’s support during the pandemic, we 230 held a “Week of Gratitude.” As part of this celebration, individual and business donors we gave away $5 vouchers for fresh produce at our region’s farmers’ markets and made $1,000 donations to food pantries in regions without markets. We also thanked businesses that contributed to our cause with a specially minted commemorative coin and posted a community $120,000+ tribute video on our social media channels. contributed to our COVID-19 Support Fund 200,000 pieces of personal protective equipment donated

22 “Home Alone” but Not Forgotten Because older adults are especially vulnerable to COVID-19, accessing essential resources presented another serious challenge for them during the pandemic. Amid stay-at- home orders, business closures and medical-appointment cancellations, we made it our mission to check on seniors in need who were living alone.

As part of our Home Alone initiative, our Community Health and Outreach team made more than 1,200 phone calls to provide up-to-date information and connect seniors with local government and community resources. From delivering masks to offering support over the phone, our program helped meet wide-ranging needs head-on—so seniors could stay home safely, reduce their exposure to COVID and avoid the hospital. Beyond this crisis, Home Alone promises to transform how we interact with our communities far into the future.

Recovery Goes Remote Extending Our Impact Through Partners As Virginia’s stay-at-home order went into effect, Carilion’s Peer In 2020, we focused our grant funding exclusively on local, Recovery Specialist Program adapted to support patients remotely pandemic-related initiatives. Our newly created COVID-19 with a support line available 12 hours a day, seven days a week. Community Health Fund received a significant number of grant Over two-and-a-half months, specialists answered more than applications. From organizations offering food for those in need 1,300 calls from those suffering from substance misuse or mental to nonprofits helping the homeless amid never-before-seen health challenges. From creating wellness toolboxes to simply challenges, this fund allowed us to broaden our response to the listening, our team provided critical support, helping patients crisis through our partners. cope during a dark time.

With in-person events no longer possible, we continued our community health education efforts through a virtual meeting series, offering more than 100 online sessions on exercise, mindfulness and more.

23 TOGETHER, WE THRIVE

LIFTing the Community Up Joining Forces in Flu Season The Local Impact for Tomorrow (LIFT) coalition moved one step closer to During the COVID-19 pandemic, getting a building a new community health clinic at Fallon Park Elementary School flu shot became more important than ever. after receiving a contribution from Roanoke City Schools toward construction To amplify our impact, our Community costs. The clinic will provide physical, mental and oral health care services, Health and Outreach team joined forces as well as financial wellness programs for local students and families. It with the Virginia Department of Health, represents a partnership between Carilion, Roanoke City Public Schools, LewisGale Regional Health System, Kroger Freedom First Credit Union, Delta Dental of Virginia and the Roanoke and Roanoke City Public Schools, among Women’s Foundation. others. By working together, we gained access to more vaccines and supplies, In addition, LIFT’s Asthma in Schools program at Fallon Park Elementary staffing support and vaccination sites. —which allows school nurses to administer medication to students with The result: 30 clinics and more than asthma—received funding from Roanoke City to extend care into the 1,100 people vaccinated—quadruple the home, working with the Child Health Investment Partnership during the number in 2019. COVID-19 pandemic.

Together, these two programs are advancing LIFT’s goal of making health care more accessible to families in southeast Roanoke. 4x Coming Together for a Healthier Roanoke Valley more people vaccinated The American Hospital Association named Carilion one of five national recipients of its 2020 Dick Davidson NOVA award for our role as a founding for the flu in 2020 partner of Healthy Roanoke Valley. This coalition comprises more than 50 local organizations that work together to eliminate health care disparities in the region and improve community health.

Coalition projects include Fresh Food Rx—a nutrition and education program that led to healthy weight loss and a reduction in diabetes risk among participants—and Pathways Hub, which connected at-risk individuals with community resources to reduce Emergency Department visits.

Building a Bigger Network After purchasing the last 20 percent share of Lexington’s Stonewall Jackson Hospital in 2020, Carilion became its full owner. The $10.9 million proceeds from the sale will fund programs to improve health in the Lexington/Rockbridge community. And with new ownership comes a new name, Carilion Rockbridge Community Hospital, that keeps the spotlight on the region and people we serve.

Since initially acquiring 80 percent ownership of the hospital in 2005, Carilion has invested more than $25 million in operations, capital improvements and clinical services.

24 Prioritizing the Planet Serving as Stewards A community is one part people, one part place. Carilion was one of just three health systems in And at Carilion, we’re working to make our buildings, the nation chosen to participate with ReThink region and world a healthier place. In 2020, we Health, part of the Rippel Foundation, to broaden expanded our recycling program to Carilion Roanoke the role of hospital systems in their regions. The Community Hospital and Carilion Franklin Memorial ReThink Health approach sees hospitals as stewards Hospital. We also upgraded lighting across our responsible for guiding transformative change facilities by installing LED options that use 25 to to advance health for entire populations. Along 80 percent less energy and outfitted our Carilion with Trinity Health in Detroit and Jefferson Health Administrative Services Building with a system that’s in Philadelphia, we’re honored to be one of the projected to reduce energy use by 500,000 kWh pioneering members of this initiative. per year.

Bee Healthy: Carilion New River Valley Medical Center now has two beehives on campus, promoting a healthier environment by enabling these pollinators to produce food and vegetation across our community. TOGETHER, WE THRIVE

Emphasizing Equity As part of our mission to advance health equity within our community, Carilion created a new office of Diversity, Equity and Inclusion, and named Dr. Nathaniel L. Bishop to lead it.

Dr. Bishop will be responsible for collaborating with the executive team, community organizations and regional leaders to reduce health disparities. Internally, he will work with our Human Resources Department and Inclusion Council to continue cultivating a culture that welcomes employees from all walks of life.

Fighting Racism As a renewed call for racial justice spread across the U.S. in 2020, Carilion took a stand too. To drive awareness and heighten visibility of the cause, Carilion, along with the Virginia Tech Carilion School of Medicine, helped fund an “End Racism Now” street mural in downtown Roanoke—capturing the attention of the local community. In addition, more than 45 staff members from Carilion Roanoke Memorial Hospital participated in a silent vigil in solidarity with White Coats for Black Lives, a national campaign created by health care workers to fight racism.

26 Community Benefit Other Ways We Carilion Clinic is a not-for-profit organization. Our only shareholders are Improved Health: our neighbors, and the only dividends we seek are a healthier community and a stronger region. Each year we contribute millions, measured in dollars and cents. In the most recent year for which figures are available, we provided $138.7 million* in community benefit, including $42.8 million in financial assistance. Put another way, for every dollar of tax exemption, we gave back $2.47. 785 educational programs, health Community Outreach Research screenings and immunizations $4.2 Million $1 Million hosted, serving 90,305 people 1,207 community members screened for elevated blood pressure, blood sugar, cholesterol and other chronic disease risks $138.7 Million 66 virtual educational programs held, serving 437 people 56% Education Uncompensated Care of virtual class participants $41 Million $92.5 Million inspired to adopt healthier (includes $42.8 million behaviors in financial assistance)

*Fiscal year 2019, as per Virginia Hospital and Healthcare Association guidelines.

27 TOGETHER, WE THRIVE

Financials As a not-for-profit entity, our main source of capital is our operating income, 100 percent of which we continuously reinvest directly back into our communities in facility upgrades, new equipment and technology, and to attract and retain the best talent. In 2020, lost revenue and unanticipated expenses related to the COVID-19 pandemic had a significant financial impact. With limited support through the CARES Act and other federal, state and local sources, we ended the year with a 1 percent operating margin, down 80 percent from the previous year and short of the targeted 3 to 5 percent required to sustain capital reinvestment to meet the needs of our communities.

Operating Revenues and Expenses ($ in thousands)

Salaries and 49.8% outside labor Supplies and Net patient other expenses 91.5% service revenue 33.1% Other 11.2% Benefits 8.5% revenues Depreciation and 5.9% interest expense

Revenues Expenses

Net patient service revenues* $1,762,607 Salaries and outside labor $948,412

Other revenues (includes COVID-19 assistance 162, 687 Supplies and other expenses 628,127 from CARES Act and other sources) Benefits 213,089 Total $1,925,294 Depreciation and interest expense 112,542

Total $1,902,170

Volume Represented by Revenue Operating Revenue ($ in thousands)

$1,902,170 2020 $1,925,294 1.2% 48% Medicare $1,847,316 2019 5.0% 26% Commercial $1,943,823 21% Medicaid** $1,734,105 2018 4.0% 3% Other $1,806,506

$1,671,933 2% Self-pay** 2017 $1,720,786 2.8%

$1,586,637 2016 $1,655,477 4.2% *Excludes financial assistance. See Community Benefit on page 27. **Unlike state academic medical centers in Virginia, Carilion does not receive additional reimbursement based on legislative designation as Type 1. Operating Expenses Operating Revenues % Operating Margin

28 All Thanks to You

Carilion’s pursuit of more effective cures, procedures and ALL answers is made possible by the contributions of many. Thank you to the generous supporters who made annual TH gifts between January 1 and December 31, 2020.

High school senior Sophie Hoff was a regular volunteer in Carilion Roanoke ANKS Memorial Hospital’s mother/baby unit, as well as at our pediatric ear, nose and throat clinic. Then came COVID-19—shutting down all non-essential activity, including volunteering. Though she could no longer give her time, Sophie decided to give another way: through fundraising. By selling home- cooked meals to her family and friends, she raised more than $1,000 for the Carilion Clinic Foundation—a donation that we deeply treasure, just like all of yours.

TO Without your philanthropy, our work wouldn’t be possible. Your generosity powers our progress—enabling us to discover cures and care for our community. To advance research and enhance health care. And to not just ride out the storm of a global pandemic but rise up in the face of adversity— stronger than before. Thank you to our incredible supporters who made YOU annual gifts in 2020.

29 ALL THANKS TO YOU

Individual Donors

The Presidents Society The Innovators Society Bill and Diane Elliot Patrice Weiss, M.D. Francis and Mary Farrell Neil Wilkin, Jr. $50,000+ $2,500+ Sibyl Fishburn MaryAnn and J. David Wine Anonymous Anonymous Bill Flattery Mrs. Lee H. Woody The Honorable G. Steven and Chinekwu Anyanwu, M.D. Nicholas Foeger, M.D. Amjad U. Wyne, M.D. Nancy Howell Agee Jeanne Armentrout Michelle Franklin Danielle and Ed Yarber Mike and Danielle Wise Steve and Brenda Arner Richard M. Frye Jennifer Bennett Grube, M.D. Marianne Gandee Shelby and Jason Bingham Jorge M. Garcia, M.D. The Guardian Society The Visionary Society Laurent and Elizabeth Boetsch Richard Gilbert $500+ $25,000+ Alexander and Lynne Boone Hugh Hagan, M.D. Alan and Benton Brenner James E. Hall, Jr. Anonymous (3) James and Ashby Hopkins Family of Carol S. Brenner Christopher Hansen, O.D. Patricia Abbott Nick Conte Ellen Harvey Narantsetseg Altantsetseg Batuul Don Halliwill Andrea Henson Kim and Chad Alvarez The Benefactor Society Dr. Dan and Mrs. Gil Harrington Tom Hill Briggs Andrews $10,000+ James A. Hartley Sophie Hoff Joseph Baker, M.D. Leonard Horner Shirley Holland Mack and Linda Banner Peter and Franny Apel Dr. Bruce and Mrs. Dawn Long Joseph Hughes, M.D. Elizabeth Baringer Justin and Jenny Fuente Steve and Billie Sue Musselwhite Michael Jeremiah, M.D. Robert J. Berkstresser and Sarah Plymale Joseph Scartelli, Ph.D. Daniel R. Jones, M.D. Sue Ellen Berkstresser Gary and Tara Scott Isabel Thornton Daniel Karolyi, M.D. Carol Bernier, D.O. Charles Tarasidis Mr. and Mrs. M. Lanier Woodrum Kye Y. Kim, M.D. Dr. and Mrs. Nathaniel L. Bishop Thomas and Mary Evelyn Tielking Mr. and Mrs. Stanard F. Lanford, Jr. Christopher Blake Joseph B. and Pamela M. Wright Dr. Lee and Beverly Learman John A. and Megan B. Bond Margaret and Mike Young The Leadership Society Donna M. Littlepage Angela Brannan $1,000+ Neil Macdonald, M.D. Tracy Branson Drs. Stephen and Elizabeth McCuin Linda Brown-Jones The Patron Society Anonymous (7) Steve and Ellen Morgan Joel Buhyoff $5,000+ Michael Abbott Joseph Moskal, M.D. R. Webb Burns Felicity Adams-Vanke, M.D. Clifford and Mary Nottingham Jodi Bush Anonymous Carole M. Agee Betsy Parkins Michael Callahan Drs. Charles and Noelle Bissell Lisa Andruscavage, M.D. Drs. Daniel and Rebecca Pauly Cheryle Chapin Ab and Julie Boxley Delegate Terry and Keith Perry Martha and Grimes Creasy Andrea Conti, D.O. Mrs. Kathy Austin Virginia Powel, M.D. Tracy Dixon Mr. and Mrs. H.E. Derrick L. Scott Avis David and Kathryn Robertson Janet Doyle Kandy Elliott Matthew Barr Nell Ross Trina Epperly Christopher C. Foeger Robert Bennett Rhonda Shannon Craig Favor Mark and Joanne Greenawald Steve and Rachel Blanks Alecia Sizemore, M.D. Mark and Kathryn Feldmann Dr. Ryan and Ashley Harris Scott Brown Paul Skolnik, M.D. Peggy Fisher Dr. K. Kellogg and Mrs. Lita Hunt Bob Capito and Bob Clark Jacek Slowikowski, M.D. Rodney Fultz Shields and Virginia Jarrett George and MaryAnn Cartledge Eddie and Melissa Smith Anthony Grafsky Howard (Buster) Jones Kathy and Sammy Chalflinch Lisa S. Smith Elaine Gravely Mary Kamm Vikas Chitnavis, M.D. Raymond and Jean Smoot Niki Hale Bill and Louise Magdycz Carl and Sharon Cline Wayne and Kay Strickland Belinda Harris Drs. Michael and Sue Nussbaum Bryan Collier, D.O. and Liz Chilton Charles Suba Justin R. Hazelwood Richard N. Robertson Angela Craig James and Melissa Thompson Mr. Lawrence Hincker Robert L. Trestman, Ph.D., M.D. Tracey Criss, M.D. Suzanne Thorniley Lee Ann Hodge and Bonnie Hennig Trestman, Lori Crowder Jay and Daphne Turner Linda Short Hodges D.S.W. Robin and Michael Czar Marguerite Underwood Debra Huddleston Apostolos P. Dallas, M.D. Oleg Uryasev Paul Hudgins Michael L. Dame Fidel Valea, M.D. Laura Hunt Austin and Lauren Eells Reagan Valeyev Karyn Keay-Otte Whit and Lauren Ellerman Katherine Walker Daniel R. Kelly, M.D.

30 Stephen H. Kennedy, Jr. Friends Gifts Under Susan Bowles Les and Karlyn Daenzer Heidi Kirk Barbara and Jonathan Bradshaw Harriet Dahlgren M. Suzanne Kraemer, M.D. $500 Robin Branham Douglas Dalton Paul Laflam, M.D. Anonymous (33) Nelson and Mary Britto David Danco Mr. and Mrs. W. Tucker Lemon Mary Abramson Teresa Brooks Carrie Daniel Drs. Jeremy and Jo-Anne Llavore Susan Addelston Howe Brown, Jr. Larry and Janice Davidson Robin Lowery Philip and Anna Agee Sarah Browning Sherry Davidson Renny and Lucky Lynch Diane Akers Victor Buckwalter, M.D. Benjamin Davis, M.D. Greg Madsen Katherine Alexander Mark Budd Diane L. Davis Jennifer A. Martin Anne Keeley Allison Melanie Burnette Gilbert Davis Janel H. McDonald Lisa Altis Anastacia Burton Karie Davis Michael McMahon, M.D. Mary Arnold Allan and Marcia Butterfield Mary Davis David McMillan E. Lynn Atkinson Elizabeth Cain-Kelly Delmar Dayton John Merten, M.D. Wendell Atkinson Joan and Buddy Caldwell The Jamey DeBord Family Chris Mertes, M.D. Dr. Thomas Au Anthony Capito, M.D. Traci DeGroat Tom Miller Ann Austin Patty Cargill Diane and Tom DeKnight Easter and Susan Moses Tim Auwarter Dale Carter Jennifer DeKnight Nancy Mulheren Brenda Aveline Diana Carter Ramon Delgado Thomas T. Palmer Arthur Ayers Christine Casazza Sheila Delp Karen Palmieri Elizabeth Ayers Pamela and Michael Cassell Deborah Derr Kerry Powell, M.D. Donald Baker Sharon Chaney Robert Devereaux, M.D. Lori Price Emmy Baker Deb Chappell Mary and Rob Deyo David Pugh Tom and Catherine Baker Rev. Douglas A. Chubb Shelby Dickerson, M.D. Tammy Reed Miki and Jerry Ballengee Richard, Frances and Andrea Chubb Sarah Dickson Tony Ringold, M.D. Drs. Azziza and Adegbenga Bankole June and Leah Chung Mary Diggs Kimberly Robertson Cindy Barden Gloria Clark Dwight Dillon, Jr. Mr. and Mrs. Thomas L. Robertson Alexander Barge Kay L. Clatterbuck James M. Dillon Kim Roe Don Barnhart Ross Cleveland Florence Dodson The Timothy Rowe Family The Beal Family Edgar and Patricia Cliborne Mrs. Dorothy Dokey J. Thomas Ryan, M.D. David Beard Gordon and Marcia Clouser Michelle G. Dom Chuck Sawyers Rita Beasley Deborah H. Cobler Ronald Donelson Charles Schleupner, M.D. Sarah Beatty Timothy and Patricia Cochran Beth Doughty Linda Staley Andrea Becker Carolyn R. Coffman Marie Doyle Robin Starke Karen Beheler Rick and Carolyn Cogar Henry Drake Keith R. Stephenson, M.D. Valerie Bell Linda Collins Kevin Ducey, M.D. Elizabeth Stringer, M.D. Laura Benjamin Lindsay Collins Chester Dudczak Jason Summey Carmon Bennett Kevin Combs, D.O. Gwendolyn Dudding Sarah Teed Mrs. R. H. Bennett Jennifer Conner Edith-Anne and David Duncan Mattie Tenzer Samuel Bickford Thomas Conner Matthew Duncan Bill and Amy Terry Beverly Binner John Cooper Melvin Dunman Daniel Threlkel Robert and Carol Birmingham Rev. Foster Covington Don and Barbara Dyer Rob Vaughan Carolyn Black Ressie Cowley Barbara Eagle E. Mark Watts, M.D. Emily Blackstock Valerie Cox Linwood Edwards Rob Way Norma and Peter Blann Otey and Audrey Craghead Katherin Elam Ralph Whatley, M.D. Charlie Blaschke Stekeshia Craighead Mr. Joseph E. Elligson Betsy Whitney William Blaylock, M.D. James Crews, M.D. Billy and Linda Elliott Kim and Scott Wickham Jim Bohn Julie Crimmins Rhonda Ellis Damon and Florence Williams Chan and Kae Bolling Christy and Kaleb Crouch Sidney Evans Melissa Wills Dorothy C. Bolling Pat Crowder Sally Ewart Ann Marie and Reggie Wood Reid W. Bolling Freda and Kenneth Crusenberry Mark and Whitney Feldmann Andrew Woody James, Kim, Abby and Andy Boone Cheryl V. Cunningham Angela Ferguson Teresa L. Wright Leighann Boone David and Darlene Cunningham William Fintel, M.D. Gene Yagow Curtis Bower, M.D. William S. Cunningham Daniel and Donna Fisher Anne and Joe Zielinski Larry Bowers W. Wesley Custer Shelby Fisher

31 ALL THANKS TO YOU

Individual Donors

Bev and Shirley Fitzpatrick F. Staley Hester, Jr. Elizabeth Kidd Rebecca McConnell Bob and MaryEllen Flynn Reverend Todd and Kathlyn Killian Seth McCormick Helen Fortner Dr. Alison Hester Kenneth King Dale McCoy Douglas Foster Dr. Britny Hildebrandt Michael and Donna King Brad McDaniel Edna Foutz Mary Jane Hill Megan Kirchgessner Ralph McDaniel Michelle Francisco Patty and Sam Hiott Cynthia Kits Marilu McFarland John and Donna Frantz Judith Hodges Martin and Sylvia Klaus James McHenry David Fraser Dr. Ann Hoff Michael Knight, D.O. Richard McKown Jeremy H. Freeman, M.D. Courtney Hoge Al and Susan Knighton Eva McMahan Dwight and Charlotte Freeze David and Valerie Hoff Kathleen Koomen Sarah McMillan Janis Fugel Janice Holland’s James Kreitzer Sheryl and Ed McNally Kristal Fulcher Sunday School Class Zane Kuhrt Kristen McNamara Stephen Gallagher Rocky and Gail Holley Betty Lamar Kristin Meador Drs. Robert and Nadia Gard Patsy Holley-Hylton Franklin Lancaster and Family Cindy Meadows Jane Gardner Marilyn Hooker The Lang Family Christopher Meinecke Ann H. Garst Luke Horne Thomas and Ann Latham Julia and Albert Merz Robert Garst Bruce Houghton and Katie Cates Robert Lavelle Lynda and Henry Messenger Helen A. Gay Paul and Judy Houle Ed Lawhorn Denis Michel Carolyn Gedris Robert Howell Cynthia and Mark Lawrence Fawn Miller Karla Gee Albert Hubbard, II Anna and Tom Lawson Judy Miller Sue George Rebecca Huddleston Layman Family Foundation Lolly and Dennis Miller Brandon Gibb Leigh Ann Huffman Greg Layne Mark Miller Carol Gibson Bill and Bonnie Hughes Dreama Lee Robert and Karen Mills Jacob Gillen, M.D. Walter Hughes Jiyoung Lee Henry Mitchell, Jr. Mary Gillespie George Husfelt Oscar and Lorene Lenning Drs. Tom and Florence Mogen Carol F. Goad Martha P. Hylton Dorothy Lentz Nathan Moody Sally Godsey Ruth Ingram Alison LePera, D.O. Amy and Doug Moore Robert Goh Christine A. Irvin George Lester, II April Moore Dr. Tina Goldstein Tim and Phyllis Isaacs Linda Linville Christopher H. Moore Diane Goode, NP Susan and Robert Iuppa Gavin Littledike Judy B. Moore Virgil Goode Fred and Dorothy Ives Ernie and Kim Littlefield Laura Morales Alice and Frank Gourley Lauren Jackson The Litton Family Nancy Moran Elizabeth Greene Sondra James Judy Longobardi Albert Moreau Judy Gregory The Jamison Family Marcy Lovell Kim Moreau Walter Grigg, Jr. Robert Jeans Susan Lucas Fran and John Morgan Johanna J. Gurley Frances Jefferson Steve Lugar John Morris Rural and Leslie Gusler Geoff and Susan Jennings James E. Lynch, Jr. Clay and Mike Morrissett Price Gutshall Marilyn Jernigan Mark Lynch, M.D. Karrie N. Moses Francis Gwazdauskas Michael and Barbara Jirka Dr. Marie Malinchak Bruce and Barbara Mueller Keevie Hairston Bonnie and Pegram Johnson Tobey and Rob Marshall Nancy Naff John Hale Ethel Jones Mr. and Mrs. Jan Martens and Samira Nassif Alice Hall Janet Jones Candace Martens Caren Nelson Iva J. Hammje John Jones, III Angela Martin Paul and Amy Nester Albin B. Hammond Sharon Jones James Martin Miles Newman Tonia Harris Thomas Jones Jeannie Martin Dianne Nichols David Harrison Marsha Kahle Robert and Linda Martin Hertha Nichols Katherine Harrison James Karlen Suzannah and Felix Martinez Ronald Nolan Cheri Hartman Daniel and Donna Keeley Leroy and Carolyn Mathena Justine Nylen Rollin J. Hawley, M.D. Thomas Keeley Jessica, Tenley and Stetson Beth O’Brochta Sheryl Heath George Kegley Matheny Emma May Kerry A. Onaitis Kent and Susan Henry Frank and Betty Kelly Alicia McAllister-Daniels Janie Osterhaus Patricia Hepburn Jim and Charlotte Kelly Reverend Edward and Terri O’Sullivan R.A. Herskovitz Lannie Kempnich Mrs. Constance McClain Karen Pannabecker Richard Heslep Michael Kennedy Christopher McClanahan Adel Pappas

32 Gaynelle Pearson Panzie G. Saunders Charles Thurman Scott Perelstein Ronda Saunders Michael Towe Joseph Perez Terris Scales Will Trinkle Thomas E. Perkins Vicki Schaefer Cristina Trout Margaret Perry Meg Scheaffel Jane Troutt Scott J. Pesek Meghan Schertz Myrna Trussler Anne Peters James and Suzette Sells Betty Jo Tuck Brian Peters Jennifer Selman Kirsten Turner Ehrich Gary Peters Judith Sgroi Kyle and Julie Umberger Marie Peters Joe and Jeannette Sheffey Patricia Vassar William Peters Gregory and Joan Shelton Amy Veigel Lonnie Phillips Patricia Shorner Peggy Via Zlatan Ploskic Stephanie & James Shortt Helen and George Vogel Isaac Poff Donald Shumaker Lindsey Wakely and Sharon M. Poff Elizabeth Sibbick and KC Baer Chris Perelstein Marvin Ponton, Jr James Simpkins Dr. and Mrs. Ken Walker Kay and Bob Porterfield Ron and Janice Sink Jessica Wall Glen Powell Pradeep Siwach, M.D. James N. Walter Lorene Powers Leah Slagle Yuqi Wang and the FEND Lab Graham Pratt June and Gerald Slaughter Charles Warren Penelope S. Prevo Mr. and Mrs. Michael K. Smeltzer Rita Watkins Jean Quade Deborah Smith Chelsea Weaver Robert Rader Randolph Smith Ron and Janice Weaver Brenda Ragland The Family of Roy J. Smith Jack and Marie Webb Daniel Rakes Mr. and Mrs. Lucas Snipes Nola Weinstein Thomas and Pat Ramsey Michael Snow Tom and Ruthann Werkheiser Lauren Randle Barry Sobel David Werner Richard Ratcliff Claudine Sowers James Weston, M.D. Kimberly Rawlings The Sowers Family Cynthia White Steven Redd Deanna Sparks Robert White Dan Rey Ray Spears, Jr. Lisa Whitley Roscoe and Linda Reynolds Ron Spellman Eleanor Whitlock Vivian Reynolds Anthony Stavola, M.D. Dr. Claiborne Whitworth, IV Anna Marie Richardson James and Sally Steffen Ellen H. Wickersham Chris Richardson Sierra Steffen Albern Williams Dick and Mary Jane Robers Elaine Stephenson Dr. Forrest and Linda Williams James Robertson Bruce and Kathy Stockburger Robert Williams, Sr. Joyce G. Robertson Aletha A. Stovall Bob and Jeanette Williams Betty W. Robinson Beverley Stover Gregory Wilson Melany Robinson Erik and Verlyn Stromberg Vivian Wilson Gene Rose Melissa D. Stump Mr. and Mrs. Barry Wirt Michael Rosella Theresa Stump Craig Wood Ann B. Roseman A. G. Sumpter Christopher Wood, D.O. Jean Rosenbaum Thelma Swisher David and Beverly Woody Brad Ross Ann Syminick Betty Worley Linda and Roger Royal Susan Sypolt, M.D. Kelli Wray Robert Rude, M.D. Meighan Sharp and A. Scott Tate Gregory Wright Rita Rufty Allan and Susan Temple Mr. and Mrs. Gary W. Wright Kathleen Ryland Betty Thomas Kristi Wright Susan Sallwasser Sandra Thomas Robert and Jane Wright Laura Sams Jonathan and Leah Thompson Tracey Zadell JoLean Sanderson Katherine Thompson Caryl Zaronikos Donna Sanzenbach Mary Thornhill Andrea Zimmerman Pamela Sardo Shannon Thrasher Janice Zook

33 ALL THANKS TO YOU

Corporations, Foundations and Special Groups

The Presidents Society Carilion Clinic Department of The Leadership Society Frankl Miller Webb & Moyers, LLP Orthopaedic Surgery Physicians Fred D. Smith, Jr., PC $50,000+ Independent Orthopaedic $1,000+ Gentry Locke CMN Hospitals Surgeons The Great 611 Steakhouse Hawkins, Bingham & Miller, P.C. Draper Aden Associates Company Hughes Associates Architects & Earl Swensson Architects Absolute Construction, LLC Engineers The Visionary Society Friendship Health Allen Allen Allen & Allen James River High School $25,000+ G.J. Hopkins American Hospital Association Law Offices of Cranwell & Moore, Interactive Design Group Anesthesiology Associates of PLC Atlantic Union Bank Kegley Electric Company, LLC Radford, Inc. The Lawrence Law Firm, PLC City of Roanoke Magic City Brenda Woody, Long & Foster Macado’s Epic OT Entertainment Foundation, Inc. Blacksburg, VA Mel Wheeler, Inc. Employees Freedom First Credit Union Physicians to Children Bright Funds MKB, REALTORS House of Miracles-SCI-ND, Inc. Piedmont Association of C&C Consulting Patrick Henry Community Subaru of America Occupational Health Nurses Carilion Clinic Cardiothoracic College Foundation Synchrony Labs, LLC Roanoke Gas Company Surgery and Aortic Center Progressive Valley Star Credit Union Shelor Motor Mile Carilion Clinic Health Analytics Roanoke Valley Association Virginia Prosthetics and Orthotics The National Arts Program Team of Obstetricians and Foundation Child’s Play Charity Gynecologists The Benefactor Virginia Furniture Market Cloud’s Clothing Rockingham Cooperative - Virginia Tech Foundation, Inc. Dominion Door & Hardware, Inc. Ace Hardware Society $10,000+ Zelda and Julius Halpern Fund of Sail Away Bows the Community Foundation Salem Professional Baseball AECOM The Innovators Society Serving Western Virginia Club Berglund Automotive Group $2,500+ Hillrom The Warren Firm, PLC Boxley John T. Morgan Roofing Thomas and Thomas Law Branch Builds/Robins&Morton Amish Church Fund Mountain Roofing, Inc. United Way Roanoke Valley Carilion Medical Center Avis Construction Company, Inc. NRV Chinese Community VFW Post 1264 Medical Staff Balzer & Associates OxygenPlus Medical Systems, Inc. Virginia Furniture Market Edmund Beck Foundation Better Sofas, Inc. Paypal Charitable Giving Fund Volvo Group Tax Department Kahler Slater/RRMM Architects Capital District Kiwanis Roanoke Oral Surgery, Inc. Wells Fargo Bank, N.A. Life Ring Foundation Foundation, Inc. Rowe Young, Haskins, Mann, Gregory, Marsh & McLennan Agency, LLC Commonwealth Care Scott Avis Real Estate, LLC McGarry & Wall, P.C. Member One Federal Copeland Excavation and Sidewinders Steakhouse Credit Union Construction The Whiting-Turner Contracting Co. Roanoke Blacksburg Regional Credit Union Miracle Day, Inc. VisitPay Friends Gifts Under Airport Commission Dixon, Hubard, Feinour & Brown, Western Albemarle High School $500 Signature Flight Inc. Investment Counsel Winter Properties Partnership Skanska USA Building First Citizens Bank 5 Points Music Foundation Southwest Sunroom & Window Hewlett Packard Enterprises 5Points Creative Company Honeytree Early Learning Centers The Guardian Society Agricultural and Home Water Trane Technologies Lonestar Management Group, LLC Services Truist Camille M. Lownds Charitable $500+ Alexander’s Vistar Eye Center, Inc. Fund of the Community Abuelo’s Mexican Food Embassy Allstate Insurance Company Woods Rogers, PLC Foundation Serving Western Virginia Blackwell Healthcare AmazonSmile Foundation Musselwhite & Associates Blue Ridge Nephrology American Electric Power The Patron Society Planet Fitness Associates, Inc. Andrew Gomez Dream PNC Foundation Charles M. Aaron, PLC Foundation $5,000+ Robertson Marketing The Joe Crawford Charitable Association of the US Army The Pediatric Brain Tumor Gift Fund Asthma and Allergy Center of American National Bank Foundation Dairy Queen of Virginia, Inc. Roanoke Barclays The Pie Shoppe Dewberry Engineers Austinville Baptist Church Blacksburg Country Club Valley Distributing Corporation Dr. Pepper Park Belspring Presbyterian Women Foundation The VMI Class of 1980 Farmer, Cline & Campbell, PLLC Breakthru Beverage Virginia

34 Brown, Edwards & Co. NRV Eye Center P.C. C&C Runners Paul Mitchell The School Roanoke Carilion Clinic Center for Pulaski High School Class of 1960 Healthy Aging Website Friends Carpet Village PW Communications, Inc. Cintas Corporation Quattro Consulting, Inc. Citizens Telephone Cooperative Randolph-Henry High School City of Salem Electric Department Roanoke College Commercial Driver Services, Inc. Roanoke Valley Breakfast Lions Commonwealth Hospitality Corp Charities, Inc. CRCH Employees Federal Rocky Mount Sheriff’s Department Credit Union Rockydale Quarries Corporation D&S Custom Upholstery Sleepsafe Beds, LLC Dart Container Staunton River High School Davis H. Elliot Company, Inc. Steven Silcott, Inc. J. W. and A. G. Davis Charitable Sundown Electric, Inc. Remainder Unitrust Total Action Against Poverty Doughton’s, Inc. TR Toppers Evergreen Healthcare Partners, Inc. Unity of New River Valley Fairfax County Retired Wade Brothers, Inc. Police Association First Bank and Trust First Baptist Church of Roanoke First Team Auto Mall Five Guys Properties,, LLC Forrest Hill Christian Church Fraternal Order of Eagles GFWC Floyd County Woman’s Club, Inc. Grand Home Furnishings Grants Auto Detail, LLC Hale’s Restaurant, Inc. The Hartford Staff Haywood’s Westlake, LLC Helix Hogue Insurance Agencies, Inc. Hooker Furniture Corporation James Buck Plumbing & Heating, Inc. JDC Events, LLC Jewish Community Preschool Kitchen Kompact, Inc. Landscape Supply, Inc. Mama Ann’s Gifts and Goodies Marietta Community Foundation McCall Insurance Agency, Inc. Mountain Pass Baptist Church Mt. Pleasant Baptist Church National Association of Railway Business Women National Pools of Roanoke, Inc. New River Woodworks, LLC New Vision Baptist Church Northside High School

35 ALL THANKS TO YOU

The Caduceus Society

The Caduceus Society is a philanthropic group of physicians, members of the senior management team and members of Carilion Clinic boards who make a gift of $1,000 or more annually to Carilion Clinic.

Anonymous (4) Joseph Hughes, M.D. Michael Abbott K. Kellogg Hunt, M.D. Felicity Adams-Vanke, M.D. Virginia Jarrett Nancy Howell Agee Michael Jeremiah, M.D. Lisa Andruscavage, M.D. Daniel R. Jones, M.D. Chinekwu Anyanwu, M.D. Daniel Karolyi, M.D. Peter Apel, M.D. Kye Y. Kim, M.D. Jeanne Armentrout Lee Learman, M.D., Ph.D. Steve Arner Donna M. Littlepage Terry Austin Mark and Cynthia Lawrence Matthew Barr Bruce A Long, M.D. Robert Bennett Neil Macdonald, M.D. Jennifer Bennett Grube, M.D. Bill Magdycz, M.D. Jason Bingham Drs. Stephen and Drs. Charles and Noelle Bissell Elizabeth McCuin Steve and Rachel Blanks Steve Morgan, M.D. Laurent Boetsch, Jr., D.M.L. Joseph Moskal, M.D. Alexander Boone Steve Musselwhite Ab Boxley Kipper Nottingham, M.D. George Cartledge, Jr. Michael Nussbaum, M.D. Vikas Chitnavis, M.D. Sue Nussbaum, M.D. Carl Cline Drs. Daniel and Bryan Collier, D.O. Rebecca Pauly Nick Conte Keith Perry Andrea Conti, D.O. Virginia Powel, M.D. Tracey Criss, M.D. David Robertson Apostolos P. Dallas, M.D. Joseph Scartelli, Ph.D. Michael Dame Gary Scott H.E. (Buddy) Derrick Rhonda Shannon Kandy Elliott Alecia Sizemore, M.D. Bill Flattery Paul Skolnik, M.D. Michelle Franklin Jacek Slowikowski, M.D. Jorge M. Garcia, M.D. James Thompson Mark and Joanne Isabel Thornton Greenawald Robert L. Trestman, Ph.D., M.D. Hugh Hagan, M.D. Fidel Valea, M.D. James E. Hall, Jr. Patrice Weiss, M.D. Don Halliwill Neil Wilkin, Jr. Christopher Hansen, O.D. J. David Wine Dan Harrington, M.D. Amjad U. Wyne, M.D. Ryan Harris, D.O. Danielle Yarber James A. Hartley Tom Hill Shirley Holland

36 Gifts in Kind

Advance Auto Parts Anne Spivey Advance Auto Parts Staunton River Veterinary Clinic Distribution Center Brenda Strickland Alpine Sewing Machine Company SVS Hospitality, Inc Appalachian Power Taste of Asia Athens Corner Grill The Roanoke Times Bethlehem United The Shenandoah Club Methodist Church Thompson Masonry Blue Haven Financial Trinity Ecumenical Parish Botetourt County Public Schools Twin Creeks Distillery Dale Brown Valley iRepair Celanese Corporation Walmart Clearbrook Pharmacy Cross, Lavinder, Quinn & Park Wasena Park Elementary School Family Dentistry Wildwood Smokehouse Drillers Service Inc. Rebecca Yopp Embrace Home Loans Ferrum College Franklin County Missionary Baptist Response Association Franklin County Public Schools Giles County Technical Center Gleaning for the World Goodwill Industries of the Valleys Habitat for Humanity in Roanoke Valley Regina Harding Hollins University Infor.com Integrated Textile Solutions Kim Nails Lampros & Reopelle Orthodontists Lowe’s Steve Marsh MJM Construction Modea Moog Newbilt Construction Norfolk Southern North Cross School Novozymes Biologicals, Inc. Nathan O’Kane Panda Express ProAmpac Property Navigators Radford University Emergency Management Venkat Reddy Riverbend Nursery Roanoke College Roanoke Valley SPCA Rock & Roll Diner Runabout Sports Sherwin-Williams

37 ALL THANKS TO YOU

You & I

For many of our employees, Carilion Elizabeth Blankemeyer Dale Bryant Becky Blankenship Frank Bryant Clinic is more than a place to work. Many Dana Blankenship Kelly Bryson Mary Blankenship Shonte’ Bryson individuals choose to support Carilion Susan R. Blankenship Jim Buchbinder Leanne Blatterman Eva Burchett because they believe in our mission and Duane Blevins Katrina Burda Niki Blevins Eleanor Burke the value of our work together. Julie Block R. Webb Burns Mariah Blose Denise Burroughs Ann Blum Helen Burton Jacqueline Boaz Jason Burton Anonymous (100) Jennifer Bailey Cindy Bocanegra Jodi Bush Michael Abbott Jonathan Ryan Bailey Lori Bodzioney Taylor Butler Patricia Abbott Monica Bailey-Yates Jim Bohn Jason Byers Sonya Abdelhadi Joseph Baker, M.D. Mary Boitnott Teresa Byrd Raquel Abreu Julie Barbour Kimberly Bolling Shelly Cabaniss-Tullis Alicia Adam Megan Barefield Donna Christine Bond Kimberly Cadd Kelly Adkins Elizabeth Baringer Amy Booth Sylvia Cahoon Lauren Adkins Brenda Barnes Katie Booth Elizabeth Cain-Kelly Carole M. Agee Deborah Barnhart Rayna Boothe Kara Callahan Jamie Agee Matthew Barr Shannon Boswell Kayla Callahan Nancy Howell Agee Suzanne Barron Aaron Boush David Cameron Frances Akers Tammy Barry Ashley Bower Erin Campbell Stacey Akers Amanda Bartley Connie Bowles Nena Campbell Carolyn Allen Bill Battin Reba Bowling Shelia Campbell Monica Allen John Baturoni Suzanne Bowser Martha Camper Terri Allen Curtis Bayer Megan Boyce Bob Capito and Bob Clark Tiffany P. Allen Lera Bayer Melissa Bradbury Mary Jane Carbaugh Karen Alley Cheryle Bean Janee Bradshaw Joann Cardwell Kim and Chad Alvarez Kaitlyn Bean Nancy Brand Jennifer Carignan Heather Anderson Desiree Beasley Kristin Brandenberger Lisa Carleno Sherry Anderson Karen Beasley Angela Brannan Karen Carlton Ginny Andrews Susan Beasley Tracy Branson Doreen Carmona Michael Anglin Jessica Bedwell Lisa Bratton Susan Carpenter Chinekwu Anyanwu, M.D. Suzanne Beels Melissa Bray Carolyn Carr Jeanne Armentrout Rebecca Beemer Irene Brazell Wanetta Carr Steve and Brenda Arner Pam Behal Brent Brewer Samantha Carroll Paulette Arnold Amanda H. Belue Dawn Brewer Amy Carter Gail Arrington Jennifer Bennett Grube, M.D. Jeremy Brookman Kimberly F. Carter Jamey Arthur Tayna Berbert Anissa Brown Larry Carter Michelle Arthur Danene Bernard Cloyd Brown Meg Carter Shelonda Arthur Trinity B. Bess Dusty M. Brown Rachel Carter Brian Asbury Jessica Beverley Emily Brown Susan Carter Katherine Atkins Connie Beverly Kimberly Brown Mary Colette Carver Michelle Atkins Angela Billingsley Kristina Brown Benny Casey Clinton Boyd Atwater Beverly Binner Lisa Brown Lindsey Cash Crystal Austin Jason Bishop Robert Brown, M.D. Casey Cassell Holton R. Austin Dr. and Mrs. Nathaniel L. Bishop Samantha Brown John Cassell Carolyn Ayers Katrina Black Scott Brown Kathleen Cassell Karen Ayers Laura Blackwell Sarah Browning Jennifer Cassidy Hollie Ayres Christopher Blake Linda Brown-Jones Joseph Castiglioni Vira Ayzenbart Julie Blanchard Mary Brubaker Jessica Castro-Argueta Marjorie Baggett Barbie Blank Dana Brumfield Crystal Cawley

38 Kathy and Sammy Chalflinch Melissa Crigger Tambra Downs Melissa Feazell Sherri Chaney Tracey Criss, M.D. Robert Doyle Shirley Felder Cheryle Chapin Beth Crotty Andrea Draper Julia Felts Angela Charlton Stephanie Crotty Angela Draper Linda Fenner Rhonda Charr Kristin Crouse Willliam Drennan Emilie Ferguson Angela Chattin Douglas Crowder Sherri Dressler Melissa Ferguson David Chernoff, M.D. Lori Crowder Kimberly Drew Jessica S. Fichtner Damian Chipriano Kristen Crumley Ashley Dudden Kimberly Fifer Vikas Chitnavis, M.D. Melinda Crutchfield Lindsay Dudley Richard Finger Pamela Chitwood Teresa Cumiford Lisa Dudley William Fintel, M.D. Brandi Ciccarella Amy Cundiff Marianne Dudley Bill Flattery Charlotte A. Clark Terri Cundiff Terri Duke Ally Flinchum Deborah Clark Cheryl V. Cunningham Leon Dulaney Judy Flinchum Lindy Clark Erin Cunningham Rebecca Dunaway Audrey Flowers Bob Clark and Bob Capito Robin and Michael Czar Alice Duncan Shanna Flowers Vicki Claybourn Robin Dair Erin Duncan Tara Floyd Katina Clements Voula Dallas Kathy Duncan Paula Fochtman Ross Cleveland Michael L. Dame Robin Duncan Kimberly Forbes Carl and Sharon Cline Lorrie Danco Valerie Dunford Kristina D. Fralin Beth Clingenpeel Penny Daniel Lisa Dunn Kimberly Frampton LeeAnna Coffey Amanda Daniels Ashley Dunovant Richard France Daniel Cohen Carol Darnell Lora Eakin Michelle Franklin John Coleman Ewa Data Paris Eanes Ciara Frazier Bryan Collier, D.O. and Liz Chilton Chelsey Davidson Tammy O. Eanes Jami Frazier Jennifer Collins Amanda Davis Sarah Eary Stephanie Frazier Regina Collins Kaitlin Davis Lisa Easter Tricia Frazier Sherry D. Collins Melissa Davis Teresa D. Eble Jefferson Freed Jane Colwell Steven Davis Sarah Edwards Mark Freeman Marsha Comer Wanda Davis William Elias, M.D. Linda French Michael Comer Elaine Dawson Kimberly Elliott Mary Ellen French Judith Conley Donna Deadrick Laura Elliott Andra Fridley Judy Conley Nikki Dean Carrey Ellis Becky Fritz Tracie Conley Timothy Deel Danielle Ellis Jessica Furrow Bernadette Conner Ellen DeForest Jessica Ellis Lettitia Furrow Jennifer Conner MaryAnn DeHaven Melinda Ellis Oliver Galicki Tammy Conner Linda Dellis Tonya Ellis Sam Garber Nick Conte India Delp Ashley Emmond Jorge Garcia, M.D. Andrea Conti, D.O. Sherry Delp Michelle English Jessica Garland Jonathan Conti Amber Dempsey Charlotte Epperley Damion Garrison Chrystal Cook Mark H. Derbyshire Brenda Epperly Jessica Garver Kala Cook Ashleigh Deskins James B. Epperly Dreme Gautier Sarah Cook Megan Dewire Trina Epperly Melissa Gautier Misty Coonradt Mary Diggs William Epstein, M.D. Dawn Gentry Gloria D. Cooper Martin Dittler Kristina Estes Renee Gerow Marlene Cooper Pamela S. Divers Alea Evans Gibson Family Karolina Copeland Tracy Dixon Kayla Michelle Evans Mary Gibson Cynthia Corbett Desheda Dobbins-Watkins Melissa Evans Russell Gibson Cassandra M. Corn Heather Doerr Teresa A. Evans Elizabeth Gilbert Joyce Cox Emily Doherty, M.D. Joann Everett Mark Gilbert Judi Cox Tamara Donham Cynthia Fallon Sara Gill Angela Craig April S. Donner Tina Falls Amy Gilliam Michelle Crawford Sarah Dooley David Fariss Laura Gillie Maria Creasey Michelle Dowdy Francis and Mary Farrell James Gills Kimberly Crigger Shannon Downey Jason R. Faulhaber, M.D. Pamela Gipson

39 ALL THANKS TO YOU

You & I

Melinda Girard Bethany Hardy The Hohenstein Family Dana Johnson Jessica Glad Gary Hargis Christie Holland Dan Johnson Corey and Janice Gleisner Lisa Clark Harlin Shirley Holland Delisa Johnson Aaron Glenn Tanner Harmon Gina Holmes Henrietta Johnson Melissa Glick Gary Harpold, M.D. Gordon Holmes Jessica Johnson Jasmine Goffe Rhonda Harrell Tracey Leigh Hooker Judy Johnson Joni Goldwasser Dr. Dan and Edythe Hooper Kaylon Johnson Kimberlie Gonce Mrs. Gil Harrington Noel Hoose Melanie Johnson Dawn Goodman Belinda Harris Stephanie A. Horn Rhonda Johnson Jean Goodwin Elizabeth Harris Robin Hosey Stephanie H. Johnson Shana Goodwin Gennifer Harris Shana Hoy Tina Johnson Neelam Goswami Katie Harris Christina Hubbard Juliet Johnson-Koroma Donna Goyer Michelle F. Harris Sandra Hubbard Gregory Johnston Anthony Grafsky Sandy Harris Debra Huddleston Abbey Jones Jennifer Graham Ted Harris David Hudgins, M.D. Brandon Jones Trina Graham Tonia Harris Paul Hudgins Charli, Amonte and Aakyra Jones Brenda Gravely Wendi Harris Regina Huff Darrick Jones Elaine Gravely Brenda Harrison Kendra Humphrey Kathryn Jones Heaven Gravley Tracy Harrison Loraine Humphreys Kelsey Jones Fred Greear Sierra M. Hartman Brenda Hunley Lee R. Jones, D.M.D. Jacquelyn Green Ellen Harvey Kimberly Hunt Shari Y. Jones Maureen Green Ashley Hash Laura Hunt Donna Joslyn Mark and Joanne Greenawald Amanda Haynes Samantha Hunt Deborah Joyce Sarah Gregory Carol Haynes Timothy Hunt Debra Kanode Jack Griffin Justin R. Hazelwood Alexandria Hunter Daniel Karolyi, M.D. Lynn Griggs Melody Heath Rebecca Hunter Barbara Kassebaum Wendi Griggs Sheryl Heath Sue G. Huntington Melinda Kearns Blair Grimes Bethany Hedrick Ramona Lynn Hyatt Karyn Keay-Otte Sara Grimsley Michelle Helmick Laura Claytor Glenda Keller Nicole Grisetti Shari Helvey Gem Indino Dean Kelley Susan Grossman Erin Henderson Michael Ingle Sherry Kelley Case Grube Joseph Hennessy Sharon Ingram Ayesha J. Kelly, M.D. Cheryl Guilliams Andrea Hensley Joe Rae Inman Daniel R. Kelly, M.D. Sheena Gum Andrea Henson Susan Irvine Lynda Kelly Adrienne Gusler Traci Herscher Angela Jackson Makenzie Kelly Bonnie Gusler Alison Hester, D.O. Joan Jackson Ross Kelly Rhonda Gusler Paul Hickerson, Sr. Luke Jackson Nikki Kemp Michelle Guthrie Tom Hill Robert James Danny George Kennedy Hugh Hagan, M.D. Gloria Hinkle Sondra James Jennifer Kennedy Ryan Hagan Maria Hirsch Tia James Robin Kennedy Karen Hagy Melissa Hobbins Stephen Jamison Glenna Kennett Kaye Hairston Lisa Hobbs-Fisher Melissa Jefferies T. Dawn Ketterer Keevie Hairston Rickey Hodge Kevin Jenkins William Kidd Niki Hale Cynthia Hodges Barbara Jennings Tracy Kiely Steve Hall Dana Hodges Cathy Jennings Kye Y. Kim, M.D. Susan Hall Kristie Hodges Faith Jennings Marlena Kimbleton Don Halliwill Linda Short Hodges Michael Jeremiah, M.D. Angela Kincer April Halm Mona Hodges Kimberly Jernigan Deana King Ali Hama Amin, M.D. Tiffany Hodges Shea Jessee Leslie King Thomas Hamilton, M.D. Mary Hodnett David Jirout Pamela King Geneva Hamlett Julie Hoff Barbara Johnson Paul King and Family Sherri Hamlin Jason Hoffman Carol Johnson Todd King Susan Hamner Lisa Hoffman Christi Johnson Katie M. Kirby Stephanie Hampton Brian Hoffmann, M.D. Christy N. Johnson Heidi Kirk

40 Crystal Kiser Greg Madsen Alesha Meadows Paul Muddiman Mindy Kiser Bill and Louise Magdycz Angela Meadows Cynthia Mullen-Gartland Anna Knaus Jenny Malone Cindy Meadows Don K. Mullins Morgan Knight Robert Mandeville Tashina Meadows Wanda Mullins Michele Kosinski Amanda Mann Arlene M. Melendez Diane Mundy Suzanne Kraemer, M.D. Kathryn Manning Pamela L. Memitt Jodi Murphy Thomas Kraemer, M.D. Vivian Mao, M.D. De’Mari Menefee Joanna Murray Chris Kuster Missy Marmon Catherine Meritt Stephanie Murray Rachel Lafaye Angela Martin George Merix Deborah Muse Lora Lafon Christy Martin John Merten, M.D. Deidre Myers Ashley F. Lakes Connie Martin Chris Mertes, M.D. Erika Myers Auntilo Lambert Elizabeth Martin Craig Metz Karen C. Myers Bonnie Land Jennifer A. Martin Collin and Kallie Metz Yvette Naff Jamie Land-Hypes Pam Martin Lynne Metzler Angela Nardecchia Jenny Lane Tina M. Martin Stephanie Michael Elizabeth Nash Betty Lang Tina Martinez Mac and Amy Michals Alexandra Nassif, P.A. Cynthia Lapradd Jeff Marvin Anna Midkiff Samira Nassif Kristina Largen Amy Mason Amy Fisher Miles Holly and David Neel Pete Larkin Kathy Mason Timothy and Wanda Miles Caren Nelson Nicole Lawrence Mark Masonheimer Haley Miller Kristi Nester Melissa Layton Melissa Mathena Jim Miller Carol B. Newman Sam Lazzaro Becky Matthew Mark Miller Julie Newman Pamela Lee Shannon Matthews Suellen Miller Kimberly Newman Brittany Leftwich Lisa Mauk Susan Miller Jennifer Newton Kayla Leviner Matrona Maxey Tom Miller Mary H. Nicely Dixie Lewis Vickie May Terrie Miller-Adams Sandra Nicely Jayne Lilley Connie Mays Brittany Mills Christy Nichols Pamela Teresa Lindsey Tricia McBryde Loretta Mills Jessica Nichols Doris Linkenhoker Lisa McClintic Loma Milner Marie Nichols Betsy Linkous Rebecca McCormick Rebecca Minor Tammy R. Nichols Donna M. Littlepage Craig McCown Tammy Mitchell Therese Nichols Ruby Liwag Tracy McCown Gabriel Moja Kelli Nista Jeremy Llavore, M.D. Cassandra Mccoy, M.D. Tyrone Molina Sarah Noel Jo-Anne Llavore, M.D. Drs. Stephen and Beverly Monroe Andi Nolen Tonja Locklear Elizabeth McCuin Nathan Moody Andrea Norford Michele Lofaro Joanne McCulloch Mark Moody Lauren Norville Shahner Logan Sarah McDaid Christopher H. Moore Drs. Michael and Sue Nussbaum Bruce A Long, M.D. Brad McDaniel Jennifer Moore Gary G. O’Hagan, M.D. Susan Long Drema McDaniel Julie Moore Hayley Ohl Whitney Long Janel H. McDonald Kimberly Moore Jennifer Olewine Clarissa Lovegrove Meredith McDowell Melissa Moore Deborah Orren Debra Lovelace Lynda J. McGarry Sandra Moore Holly Ostby Matthew Lowery Amy McGuire Shannon and Brian Moore Melissa Otterman Robin Lowery Cheryl McGuire Stacy Moore Tonja Paceley Angie Loy Ricky Mckinney Tammy Moore Susan V. Pack Tracy Loyd Julie McMahan Ursula Moore Jessica Pagans Jennifer Lucas Fran McMaster Kim Moreau Karen Pagans Karen Lucas David McMillan Catherine Morgan Karen Palmieri Beth Lucas Sarah McMillan Steve and Ellen Morgan Felecia Pannell Rhonda Lucas Michelle McNeil The Morris Family Roxie Parcell Sonya Lucas James McShane Julie Morris Aaron Parker Tracy Lucas Morgan McVey Karrie N. Moses Cheryl Parker Neil Macdonald, M.D. Glenda T. Meade Joseph Moskal, M.D. Betsy Parkins Brenda MacLean Kristin Meador Jonathan Miles Mrnak Giles Parnell

41 ALL THANKS TO YOU

You & I

Vishal D. Patel, M.D. Skylar Lee Quinn Lisa Ross Carnie L. Smith Jessica Leigh Pauley Gabrielle Rader Martha Ross Casey Smith Deborah Paultre Kayla Radford Alice Rousselle Courtney Smith Drs. Daniel and Rebecca Pauly Shannon Radmacher Lisa J. Rowland Dawn M. Smith Alisa Pence Daniel Rakes Belinda Rudisill Dawn V. Smith Hayley Penix Joan Raney Lauren Rudy Jamie Smith Courtney Perdue Cheryl Ratclif Ryan Russell Joseph Smith Brenda Perigen Jessica Ratcliffe Elizabeth Rutrough Kimberly N. Smith Amy Perkins Edward Ratzell Christina Salazar Kristy Smith Paige Perkins Tracy Reaser Arnold D. Salzberg, M.D. Linda Smith Christie Perry Kathleen Recame Jami Salzberg Lisa Smith Kate Perry Stephen Rechtman Claudia Sammons Lisa S. Smith Keith Perry Jill Redifer Connie Sandridge Marla Smith Margaret Perry Anita Reed Emily Santillo Mary Jane Smith Scott J. Pesek Julie Reese Stephania Santy Rachael Smith Lori Peters Laneshia Reid Mark Sapienza Rachel Smith Sarah Peters Diana Reinhart Kathryn Sathre Stimis Smith Sharon Peters George Remaine Lisa Jane Sauve Tammy Martin Smith Kris Peters Marsha ReMine Jessica Saville Teresa Smith Curtis Pettus Zach Reynolds Chuck Sawyers Stella Snead Sybil Philpott Rae Rhodes Meg Scheaffel Ronald Snell Rhonda Pierson Jana M. Rice Meghan Schertz Patricia Snyder Kristen Pilarski Rhonda Rice Allison Schilling The Sowers Family Cedric Pinckens, M.D. Amy Richardson Crystal Schroeder Peggy Sowers Summer Pippert Linda Richardson Shelia Schroeder Diana Spain Trish Poff Ginny Ricotta Gary and Tara Scott Karen Spangler Cynthia Poindexter Christine Riddell Tracy Scruggs Laurie Spangler Teresa Poole Leah Riddle Pam Seay Ron Spellman Joyce Porter Mary Riddle Donna Sebastian Casey Spencer Goldie Potter Sarah T. Riganti Leslie Sechrist Stephanie Spencer Rachel Potter Rebecca Ritchie Cynthia Sell Alicia Williams Virginia Powel, M.D. Ivan Ritter Denise Settle Lisa Sprinkel Brittany Powell Tammy Roach Rhonda Shannon Joan Stafford Kerry Powell, M.D. Kippy Roberts Scott Sharbaugh Kathy Stafford Laura Powell Amanda Robertson Anne Shaver Linda Staley Margaret Powell Carole Robertson Rebecca Shaver Robin Starke Naomi Powers Kimberly Robertson Ashleigh Sheaves Benjamin Statler Jennifer Preas Kyle Robertson Laurie Shipman Kristen Staton Tabitha Presnell Deborah Robinson Tracy Shirley-McCown Shannon Staton Jodi Price Gregory Robinson Amanda Shively Karen Steahly Kristen Price Jesse Robinson Patricia Shorner Michelle Steele Lori Price Jessica Robinson Jennifer A. Simmons Rosemary Steele Patti Price Penny Robinson Kirsten Simpkins John Steffe, M.D. Jill Prillaman T. Robinette Robinson Jill Sink Corri Stevens Karri P. Proctor Sabra Robitaille Mary Ann Sirback Phaedra Stevens Patricia Pruitt Renee Rochford Alecia Sizemore, M.D. Tina Stevens Judy Psathas John and Michelle Rockwell Paul Skolnik, M.D. Bruce N. Stewart, M.D. David Pugh Kim Roe Leah Slagle Denise Stewart Floretta Pughsley Karen Rogers Andrew A. Slemp, M.D. Jennifer Stewart Sharniece Pulliam Tammy Rolfes Cynthia Diana Slocum Denise Stockton Chaitanya Puppala Alicia Rollins Crystal J. Slusser Andrea Stokes Tammy Purser John Romeo Amanda Smith Naomi Stone Bobby Putnam Kelli Rorrer Becky J. Smith Robin Strachman Jean Quade Victoria Rosenberg Carl Smith Lorinda Straley

42 Theresa Streich Mary Catherine Trudgeon Alex Waweru Gregory Wright Ashley Striblin Terra Trull Rob Way Joseph B. and Kay Strickland Dedria Tuck Chelsea Weaver Pamela M. Wright Cedreca Strickland-Peacock Julia Tucker Donna Webb Teresa L. Wright Debbie Stuckwisch Laurie Tulloh Lisa Webb Tracy Wright Charles Suba Damon Tulou Orr Sonya V. Webb Amjad U. Wyne, M.D. Danielle Sutler Angela Turner Tanya Webb Brian Yeary, D.O. Polly Sutphin Benisa Turner Debbie Weems Laura Yerkey Kaycie Suttle Rhonda Turner Patrice Weiss, M.D. Rachael Yglesias Birte Swartz Tracy Turpin Angela Wells Debbie Zerwekh Kim Swisher Charlotte Tyson Linda Wells Mark Swope, Ph.D. Lisa Uherick, M.D. Tara West Sherry Sydenstricker Sara Ullman Amy R. Westmoreland Gustaf Sylvester-Johnson Carrie Underwood Vickie L. Westmoreland Ryan and Jamie Sypniewski Marguerite Underwood Ralph Whatley, M.D. Iris Tabor Kasey Unterseher Cristy Wheeler Patricia Tait Fidel Valea, M.D. Mrs. Michelle and Kimberly Tamminen Reagan Valeyev Dr. Kelley Whitmer Charles Tarasidis Crystal Vallejo Betsy Whitney Jennifer Tarter Leslie Van Gieson Charlotte Whitworth Brandy Taylor Kaylee Van Horn Mariea Wickline Sharon Taylor Tracie Van Lew Tara Wiedeman William Taylor Tara VanDoren Helen N. Wilcox Sarah Teed Robert Varner Dawn Wilkerson Mattie Tenzer Rob Vaughan June Wilkes Brandi Thomas Tina Vaughn Sonia Willard Chris Thomas Charles Vega Glenda Williams Christina M. Thomas Latasha Vega Jess Williams Heather Thomas Charles Vernon Karen Williams Jennifer Thomas Leta and David Vess Kristie Williams Rebe Thomas Cari Vest Merinda Williams Christina Thompson Deborah Vest Susan Williams James E. Thompson, MD Tammy Via Robin Williamson Kaitlyn Thompson Tammy L. Via Melissa Wills Liddie Thompson Cheryl Viars Hannah Wilson Nicki Thompson Kimberly Vickey Lauren Wilson Tonya Thompson Carly Villarreal Sara Wilson Lori Tibbs Lisa Vineyard Stacy Wilson Kathleen Tickle Kathy J. Wade Susan Wilson Mark Tilburg Leisa Wade Vivian Wilson Grace Tilson Jacqueline Waldoch Bill and Shari Wilson Clay Tingle, M.D. Jeremy Waldoch Kimbereley Wimbish Pranay Tiwari Diana Waldron Tina Wimmer Karen Tomlin Betty Walker Kym Winn Shannon Tomlin Dawn Walker Maygon Wirt Lisa Toney Mary Walker Linda Woleben Rosemary Toobert Monique Walker Kristen Wood Deja Totten Michelle Walkup Tristina Wooden Brett Tracy Mindy Wallace Elizabeth Woodyard Tim Travis Michelle Waller Mary Workman Leigh Ann Trent JoAnn Ward Jessica Wray Robert L. Trestman, Ph.D., M.D. Macy Ware Laura G. Wrenn Kelsey Trevilian E. Mark Watts, M.D. Elsie Wright Tanya Trevilian Maria Watts Eugenia Wright

43 ALL THANKS TO YOU

In Honor Of

We sincerely thank the donors who Ben Davenport Donald W. Kees, M.D. Paul Davenport Doris E. Kidd made special gifts in honor of the Karen Davis Kim Kincer Donna Deadrick Billy Kingery, Jr. following individuals and groups: Nida Debusk Heather Kissner Sandra Denny Christian Klaus, D.O. Buddy and Martha Derrick Mark and Cynthia Lawrence Julia Dill Lee A. Learman, Ph.D., M.D. Pam Divers Susan Lee, D.O. G.C. Duck William T. Lee, Jr., D.Ph Kimberley A. Dulaney, M.D. Pam Lindsey Austin Eells Donna Littlepage Mike Abbott Carilion Clinic Operating Room Katherin A. Elam Mary O. Lloyd Josh Adams, M.D. Staff and Services Maggie Ellerman George Logan Nancy Howell Agee Carilion Clinic Orthopaedics Family and Friends Rachel Mabe Jeanne Armentrout Unsung Heroes Sam Favor Neil A. Macdonald, M.D. Steve Arner Carilion Clinic NICU Graduates Mark E. Feldmann Greg Madsen Whitney Ashley Carilion Clinic Orthopaedic Grace Fincher Albert J. Manville, P.A. Beth Assenat Physicians Marc Fink Kianna Price Marshall Terry L. Austin Carilion RMH Cardiac Surgery Andrew Fintel, D.O. Uncle Butchie Matheny Tim Auwarter OR Team William Fintel, M.D. Sylvia McClure Joseph Baker, M.D. Carilion RMH Cadiac Surgery ICU Bill Flattery Mark Miller Sarah Lynn Elisabeth Baker Team Michelle Franklin Regan Miller Jonah Barge Carilion RMH Vascular Surgery Janet D. Frantz T.K. Miller, M.D. Robert G. Bennett OR Team George Garhartt Marty Misicko Jason E. Bingham Carilion RMH Vascular Surgery Corey and Andrea Gee Sandeep Mittal, M.D. Becca Bishop ICU Team Danielle Goldstein Matayo Moja Ralph Blackwood Carilion RMH 7 South CVI Surgical Jude Grohs Alice C. Moody Christopher Blake PCU Team Jennifer Bennett Grube, M.D. Kim Moreau John A Bond Carilion RMH 9 West Floor Team Joyce Hall Maxine Morehead J. Alexander Boone Members Don Halliwill Diane Lane-Morris and D.J. Morris Lucas Bowman Carilion RMH 4 West Ambulatory Kayla Harman Dottie Morris Ab Boxley, III Surgery Unit Dan Harrington, M.D. Joseph Moskal, M.D. John Burton, M.D. Carilion Team and their efforts James A. Hartley Ross Murchison, M.D. Ivan Byers during COVID Paul A. Haskins, M.D. Teresa Nester Tammy Campbell Ellen Carroll Carol Hilligsberg Michael S. Nussbaum, M.D. Martha Camper Dr. Frank Carter Junior Hodges Olumide Ojeifo, M.D. Virginia Canfield Reba and Gary Carter Tommy Hopkins Trevor Owen, M.D. Carilion Clinic Dept of Family & George B. Cartledge, Jr. Sandra Howell Karen Palmieri Community Medicine George B. Cartledge, III Debbie Huddleston Drew Parker Carilion Clinic Doctors, Nurses, Cynthis Choate, M.D. Dee W. Humbard Vishal M. Patel, M.D. and Support Staff June and Leah Chung Kellogg Hunt, M.D. Keith Perry Carilion Clinic Family Medicine Dr. John Clements David A. Iglesias, M.D. Dr. Price Leadership Team Dorothy Clifton Libby (Elizabeth) Jamison Jerry J. Railey Carilion Clinic Foundation Staff Carl Cline Melissa Jefferies, R.N. Kim Roe Carilion Clinic Health Analytics Dawne W. Coleman Cathy Jennings Carole Rogers Team Mike Coloton Michael Jeremiah, M.D. Joseph Rowe, M.D. Carilion Clinic Healthcare Workers Mary Conkling Evelyn Jernigan Joe Scartelli, Ph.D. Carilion Clinic Home Care Nick Conte Wendi Jobe Meg Scheaffel Carilion Clinic Department of Eddie Crews Dan Jones, M.D. Tarin Schmidt-Dalton, M.D. Radiology and Imaging James Crews, M.D. Howard Jones Gary Scott Carilion Clinic Department of Stephen F. Cromer, D.O. Mark Joseph, M.D. Joe Sheffey Rehabilitation and Therapy Jack E. Cumbie Daniel Karolyi, M.D. Andrea Shirmer Horatiu Dancea, M.D. Richard Kauffman, M.D. Paul Skolnik, M.D.

44 Fran Smith Jim Smith Kayla R. Stepp Jim Thompson Isabel R. Thornton Daniel Torrent, M.D. Bob Trestman, M.D. Benisa D. Turner Charlotte Tyson Fidel Valea, M.D. Bill Wasserman Patrice Weiss, M.D. Bill White, Sr. Betsy Whitney William P. Whitney, M.D. Neil D. Wilkin, Jr. A. Damon Williams Kristie G. Williams Teresa Williams Carolyn Wilson Jacqueline Wimbish Colin, Nora and Avery Wright David Wyatt, M.D. Danielle H. Yarber Margaret and Mike Young Julie Zielinski, M.D.

45 ALL THANKS TO YOU

In Memory Of

We sincerely thank the donors who Mary Krayer Roy Jay Smith Lois Lancaster Charles Edward Straub made special gifts in memory of the William “Randy” and Linda Leath Patty Stump Janet and James Lee Gary Swank, M.D. following individuals, who will stay in Barbara A. Lively Jimmy Taylor Dorothy Mackennimer Elsie Mae Tibbs our hearts forever. Teresa Mayo John Tibbs Randy & Barbara McCormack Grover (Junior) Tosh Linda Meadows Wilmer Towe Helen and Luther “Boots” Mercer Tammy Vandergrift Mary G. Miller Ben Vassar Alice K. Mills Diana Vaughan Jerry Akers Joanne Early Ian Mills Heather E. Vehrs Joyce Allen J. H. Ellison Susan Renee Milner Tom Viliborghi Betty Ruth Altis Emmanuel Emodi James and Caryl Murphy Reanna Viliborghi Teresa Atkins Bill Erwin, M.D. Mary S. Myers Lucille Wade Paris “Pete” Bain Baby Girl Evans Edie Naughton Sundy Warf Effie Barnhart Evelyn G. Felts Henry C. Nelson Art Watkins Nancy M. Benefield Grace Fincher Charles Nunnery Thomas H. Webb Alvin Bennett Margaret B. Fisher Peggy Obenchain Dorothy Weiss Ian Berger Shannon and Lois Flowers John F. O’Connor Mickey White Margy Berry Donald K. Foutz Beth Oliver Ruth T. White Phyllis J. Bessler Kathy Frahm Michael “Mike” Otey Paula Williamson Richard Blevins Henry F. Fralin Mary Palmer Winnie Beth Bond John B. Frantz PaPa Samuel F. Woody Ruth Bousman John A. Fugel Our Parents Buddy H. Worley Carol Brenner Robert Garnand Mark Parrish Charles D. Wright JoAnn Brinkman Jeffrey E. George, M.D. Melina D. Perdue Nancy Lee A. Wyatt Harry Linwood Brown Robert L. Gibson Wendell Peters Susan Young Caroline Brown Betty S. Griggs Jack Poff Christopher Brunert Donald R. Grubb Virgil T. Poindexter Howard Thomas Bryant Colleen Hagy Joseph Matthew Pollard Marilyn O. Bucci James Hairston William Preston Ricky R. Bush Thomas W. Hall Hildred C. Quinn Cyrus A. Carper Edward C. Hamilton Shirley H. Railey Geraldine Casey-Saunders Kay Hamlin James Ramsey Elwyn M. Clifton Marilyn T. Hammes Hilda Reynolds James Conklin Oney Bertha Hammock Harry “Ritchie” Richardson Constance Charles and Melissa Hammond Jennifer B. Richardson Elena Conte Lois Hayden Jimmie Richmond Olivia Covell Dr. Wayne Hey, D.O. Leon H. Richmond Ester R. Cowley Vernell Hodges Wyona Rickman Jack E. Cumbie Mary Ann Hollandworth Donald H. Roberts Dad Doris H. Holley Joann Robertson Maggie Davies Coy Holley Kate Robinson Mary Alice and Dick Davis Fred C. and Catherine H. Holt Michel and Tafida Salamoun Neil Davis Bettie R. Hughes Korey Scales Mary Ann DeGarmo Bettie Joyce Hughes Skip Scheaffel Dorothy DellaNoce William (Bill) E. Jefferson Gerald (Jerry) Schertz, M.D. Novella Dodson Sharon Jones Dr. Lee W. Shaffer Leigh Doninger Liam Katz Carolyn Shamaa Carl Dooley Dr. Robert L. A. and Nina B. Keeley Pam Shrewsbury Betty Dudley Dorothy King Margaret Sizemore Diane H. D’Orazio Avery and Anson D. Kline Desarees Skinner

46 2020 Boards of Directors

Carilion Clinic Carilion Clinic Foundation James A. Hartley, Chair Robert G. Bennett, Chair Nancy Howell Agee, President/CEO Nancy Howell Agee Terry L. Austin Abney S. Boxley, III Jason E. Bingham George B. Cartledge, Jr. H. Laurent Boetsch, Jr., D.M.L. H. E. Derrick, Jr. John A. Bond James E. Hall, Jr. J. Alexander Boone James A. Hartley Abney S. Boxley, III Virginia Jarrett Daniel R. Jones, M.D. William R. Kingery, Jr. William R. Kingery, Jr. Edward B. Lawhorn Joseph P. Scartelli, Ph.D. Cynthia Lawrence Joseph L. Sheffey Stephen A. Musselwhite James C. Thompson Sue Weinstein Nussbaum, M.D. William White, Sr. J. David Wine Neil D. Wilkin, Jr. A. Damon Williams Danielle H. Yarber

Directors Emeriti George B. Cartledge, Jr. Warner Dalhouse Charles I. Lunsford, II Guy E. Murray, Jr. James M. Turner, Jr.

Our Principles

Our mission Improve the health of the communities we serve.

Our vision We provide world-class health care through integrated clinical practice, education and patient-centered research. We develop and respect an experienced, talented workforce. We serve for the love of health.

Our values Collaboration— working together with purpose to achieve shared goals Courage — doing what’s right for our patients without question Commitment — unwavering in our quest for exceptional quality and service Compassion — putting heart into everything we do Curiosity — fostering creativity and innovation in our pursuit of excellence WHERE TO FIND US

Where to Find Us

Carilion Clinic is a tax-exempt health care organization headquartered in Roanoke, Virginia. Through our comprehensive network of hospitals, primary and specialty physician practices, and complementary services, we provide exceptional care for nearly 1 million Virginians and West Virginians.

MEDICAL SPECIALTIES Pediatric Dentistry MAJOR OUTPATIENT CENTERS Pediatric Endocrinology Adolescent Medicine Institute for Orthopaedics & Neurosciences Pediatric Gastroenterology Allergy & Immunology Riverside Center Pediatric Hematology & Oncology Aortic & Endovascular Surgery Pediatric Neurology Bariatric Surgery Pediatric Neurosurgery Breast Surgery FAMILY MEDICINE LOCATIONS Pediatric Orthopaedics Cardiology Pediatric Otolaryngology Bedford Cardiothoracic Surgery Pediatric Pulmonology Blacksburg (3) Colon & Rectal Surgery 81 Pediatric Surgery Blue Ridge Cosmetic Surgery Pediatrics Boones Mill Dentistry 64 Physical Medicine & Rehabilitation Bridgewater Dermatology & Mohs Surgery Plastic & Reconstructive Surgery Buchanan Carilion Rockbridge Community Hospital Diagnostic Radiology Psychiatry & Behavioral Medicine Buena Vista LEXINGTON Emergency Medicine Pulmonary Medicine/ Critical Care Christiansburg (2) Endocrinology Reproductive Medicine & Fertility Clifton Forge Family Medicine Rheumatology Daleville Foot & Ankle Sleep Medicine Dayton Gastroenterology Sports Medicine Dublin General Orthopaedics 81 Surgical Oncology Floyd General Surgery Therapy & Rehabilitation Services Fort Defiance 501 Geriatric Medicine Trauma/Surgical Critical Care Galax* 460 Gynecological Oncology Urogynecology LYNCHBURG Hand & Upper Extremity Urology Infectious Disease Vascular Surgery Carilion Roanoke Community Hospital Internal Medicine Interventional Radiology Carilion Giles Community Hospital VIRGINIA TECH CARILION SCHOOL OF MEDICINE AND 581 Joint Replacement & Preservation HOSPITALS BLACKSBURG FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC ROANOKE Maternal Fetal Medicine PEARISBURG 460 RADFORD UNIVERSITY 460 Neurointerventional Radiology Tertiary Care Centers CARILION BEDFORD VIRGINIA TECH Neurology Carilion New River Valley Medical Center Carilion Roanoke Memorial Hospital Neurosurgery Carilion Roanoke Memorial Hospital Carilion Children’s Hospital RADFORD UNIVERSITY 81 Obstetrics & Gynecology TAZEWELL Carilion Tazewell Oncology Specialty Care Hospitals Carilion New River Valley Medical Center Community Hospital Orthopaedic Spine Surgery & Scoliosis Carilion Children’s Hospital Carilion Clinic Saint Albans Hospital Hospitals Orthopaedic Trauma Carilion Clinic Saint Albans Hospital Primary Care Otolaryngology 220 Urgent Care Pain Management Community Hospitals ROCKY MOUNT 120 Home Care and/or Hospice Palliative Medicine & Supportive Care Carilion Franklin Memorial Hospital Pediatric & Adolescent Gynecology Carilion Giles Community Hospital Wellness

Pediatric Allergy & Immunology Carilion Roanoke Community Hospital Education Institution 81 Carilion Franklin Memorial Hospital Pediatric Behavioral Health Carilion Rockbridge Community Hospital (Carilion a liate or partner) Pediatric Cardiology Carilion Tazewell Community Hospital Life-Guard Air WYTHEVILLE 77 Ambulance Base Pediatric Child Development VIRGINIA GALAX 48 Family Medicine Locations URGENT CARE SITES OUTPATIENT THERAPY WELLNESS (cont.) VelocityCare Blacksburg Blacksburg Hillsville Blacksburg Botetourt Botetourt Lexington* (2) Christiansburg Christiansburg Westlake Martinsville* Daleville Dublin Roanoke Pearisburg Lexington Giles Radford* Raphine Hillsville Roanoke* (7) Roanoke Lexington RETAIL PHARMACIES Rocky Mount (2) Salem Radford Salem Roanoke (3) Westlake Roanoke (3) Shawsville Rocky Mount Staunton Salem Tazewell Tazewell Vinton Westlake Waynesboro Wytheville Westlake Weyers Cave Wytheville 81 * Internal medicine site also present. 64

Carilion Rockbridge Community Hospital LEXINGTON

81

501 460 LYNCHBURG

Carilion Roanoke Community Hospital

Carilion Giles Community Hospital VIRGINIA TECH CARILION SCHOOL OF MEDICINE AND 581 BLACKSBURG FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC ROANOKE PEARISBURG 460 RADFORD UNIVERSITY 460 CARILION BEDFORD VIRGINIA TECH

Carilion Roanoke Memorial Hospital 81 Carilion Children’s Hospital TAZEWELL RADFORD UNIVERSITY

Carilion Tazewell Carilion New River Valley Medical Center Community Hospital Carilion Clinic Saint Albans Hospital Hospitals

Primary Care

220 Urgent Care

ROCKY MOUNT 120 Home Care and/or Hospice

Wellness

Education Institution 81 Carilion Franklin Memorial Hospital (Carilion a liate or partner)

Life-Guard Air WYTHEVILLE 77 Ambulance Base VIRGINIA GALAX 800-422-8482 | CarilionClinic.org | 800-422-8482

2020 2 0 BEFORE THAN STRONGER BEYOND BEYOND RESILIENT

2 0 Clinic Carilion