FTHEUTURE

2019 REPORT TO OUR COMMUNITY 2

PATHWAYS

PEOPLE The opportunity to shape our future—to deal future—to our to shape opportunity The support one another—residessupport in our ability From the internet to economy, the global there is no question that our future is a connected one. thatis question no is future our aconnected to collaborate. collaborate. to with problems, cure diseases, and understand

PURPOSE

Virginia areality. would not be We value collaboration at Carilion and consider engine and point of pride we’ve become for it away the breakthrough it, of life. Without wouldn’t be available. And the sustainable economic economic sustainable the available. And be wouldn’t education The andhappened. research we support procedures we’ve would pioneered never have

connect us andprovidethat the answers will shape connect Our spirit minds of collaborationOur to brings the best our future. future. our Now, than more ever, to we collaboration look to the table and the biggest hearts to the community. hearts andthe biggest the table

PASSION Dear Neighbors and Friends, CONTENTS Collaboration drove our work in 2019. Collaboration In our communities, we continued to empower Beyond the care we provide, each of us has benefited between experts, between organizations and between neighbors to improve their health, and forged from the positive economic impact we’ve seen as health communities and beyond. It speaks to our belief that innovative, new partnerships. care transforms our region. A study released last year 4 BRIDGING TO BETTER OUTCOMES the very future of health care depends on collaboration measured our contribution at more than $3.2 billion. at every level. We now have one of the largest nursing schools in Virginia in our own backyard, thanks to the Radford With a commitment to innovation, the most advanced From being among the first to offer groundbreaking University Carilion partnership, and our partnership clinical care, education and research, and community new treatments to extending our reach through with Virginia Tech continues to flourish. engagement, we’ll continue to pursue our mission of technology, we made advancements and expanded improving health. And, thanks to collaboration, provide services to improve access to care for patients across Our hard work is being recognized. Carilion Roanoke leadership for the future. our region. Notably, our collaborative outreach helped Memorial Hospital was named the third best 12 FORTIFYING OUR RESOURCES thousands of previously uninsured patients enroll hospital in Virginia by U.S. News & World Report and in Medicaid—making care available for the first time again named one of the “150 Top Places to Work in Warmly, for many. Healthcare” in Becker’s Hospital Review.

And because convenient, clinically advanced facilities are essential to ensuring access to world-class care in the future, we announced ambitious plans to expand our Roanoke campus and create a Carilion Children’s 19 VITALIZING HERE, EVERY DAY outpatient clinic. Nancy Howell Agee, President and CEO

28 GIVING & ACKNOWLEDGING

James A. Hartley, Chairman

2 Powered by collaboration, technology creates amazing clinical SARAH’S advancements. Along with connecting doctors and patients STORY virtually, we can see more than ever without surgical exploration and deliver even better results with less invasive procedures. “It’s so important to listen to Advanced technology, along with shared innovative thinking your body and go to the and approaches, builds a bridge to our future. doctor when you feel like something isn’t right.” - Sarah

Sarah Gregory

Sarah Gregory, a 31-year-old human resources The cardiologist heard a slight murmur, gave her several Open heart surgery was scheduled to repair the professional at Carilion, had been training to participate in tests, and scheduled her for an echocardiogram. A few aneurysm. Following successful surgery, she began an Ironman competition—when she awoke in the middle days later, he called with some shocking news: Sarah’s weeks of recovery. After years of working on the staffing of the night with chest pain. Because of her strenuous aorta was enlarged like a balloon and in danger of side of Carilion, she got to see her employer from the workouts, she assumed she had pulled something. rupturing. She was born with a bicuspid aortic valve, patient’s side. which is frequently associated with weakening of the Yet the pain didn’t stop. segment of the aorta adjacent to the heart, causing an Within weeks after surgery, Sarah returned to cycling ascending aortic aneurysm. and working out. While her Ironman aspirations are At work, she noticed a Carilion poster describing the on hold for now, her cardiologist has her on a plan to warning signs of a heart attack. “It sounded like what Sarah’s doctor told her to leave work immediately and continue the active lifestyle she enjoyed before. I was experiencing,” she said. When the pain didn’t have someone drive her to the Emergency Department. stop after a doctor visit, Sarah’s primary care physician When she arrived, she was given a CT scan that showed referred her to a Carilion cardiologist. how enlarged her aorta had become.

5 BRIDGING TO BETTER OUTCOMES One day, Army veteran Daniel Lang collapsed onto the floor from a seizure. His medical alert dog, YaYa, notified his wife who was able to get him to a doctor. An evaluation determined Daniel had a complex brain aneurysm.

Up to six percent of Americans have brain NATION-LEADING HEART CARE NEW EP LAB DEBUTS aneurysms, a weakening in an artery wall that allows it to stretch and potentially burst. Consistently ranked among the nation’s top A second cardiac electrophysiology lab was added to heart programs, our Cardiovascular Institute improve access for the growing number of patients Luckily for Daniel, he was referred to Carilion (CVI) brings together an interdisciplinary with heart rhythm disorders. The lab incorporates the Clinic, the first health system in Virginia to team of heart care professionals to provide latest technology to reduce radiation exposure, making employ a treatment newly approved by the FDA DANIEL’S the latest, most technologically advanced procedures safer for patients and staff. The new lab also called the Woven EndoBridge (WEB) Aneurysm care for patients. provides space to perform more complex procedures. Embolization System. It addresses complex brain aneurysms in a way that allows them to heal on STORY their own. CARDIAC CATH LAB GETS A FACELIFT In the minimally invasive procedure, doctors Space renovations in our cardiac catheterization lab insert a catheter that delivers a mesh-like ball into created a big impact. One of six at Carilion Roanoke the bulging vessel to stabilize it, and in response, Memorial Hospital, the new lab’s reconfigured space the patient’s body naturally produces a wall made for greater efficiency, with upgraded imaging of cells that permanently block the aneurysm, equipment and state-of-the-art mapping systems to eliminating the risk of a future hemorrhage. ensure exact stent placement. Improved radiographic images make the renovated lab ideal for repairing heart Not only is this approach less invasive than valves and other structural heart procedures. the traditional open surgery, it allows patients to avoid blood thinners and more complex The new lab honors the memory of Gary Swank, M.D., endovascular procedures. an interventional cardiologist and the cath lab medical “It’s a lot of stress every director, who died in 2019. Daniel was back home with his wife and YaYa daythe day after to the leave treatment. him and go A newly renovated “Theto work doctor and was not really know if cardiac catheterization easyhe is togoing talk to,to andbe there he lab created significant explainedwhen I get everything home,” said improvements. Darlene.really well. “That’s You could all changedsee he cared.” now.” Daniel Lang and YaYa - Daniel

6 7

BRIDGING TO BETTER OUTCOMES Ten-year-old Bella Mays of Lexington was born a micro-preemie—just one pound—and, as a result, regularly sees several specialists. Until last year, that meant a lot of travel time for her and her mom and a fair amount of inconvenience for their family, which includes Bella’s four brothers and sisters.

Through the use of advanced technology, visits with OUR DIGITAL FUTURE Here are a few telemedicine collaborations BELLA’S Bella’s pulmonologist became easier. Now instead of worth noting: spending more than an hour in the car each way, the trip From big data to artificial intelligence and takes only 10 minutes. telemedicine, new technologies promise to • Teleneurology services became available STORY change how we care for patients—in some ways through a partnership with Children’s National Over a secure connection at Carilion’s family medicine quite dramatically. Already, our use of technology Hospital in Washington, D.C. practice in Lexington, Bella sees her doctor, who is 45 miles is advancing our vision of a future in which the away in Roanoke. With the hands-on help of a nurse in delivery of care is more efficient, personalized • Telestroke services successfully launched at our Lexington, her doctor provides routine therapy for asthma, and precise. hospitals in Lexington, the New River Valley which also includes pulmonary function testing, asthma and Rocky Mount. With access to neurologists control testing and a review of medication history. at any time, day or night, stroke patients are treated within crucial minutes of arriving at our These telemedicine appointments allow Bella’s GOING THE DISTANCE Emergency Departments. pulmonologist to conduct a visit as if Bella were sitting in front of him. He can listen to her lungs and her heart, • Telepsychiatric services delivered through Telemedicine involves electronically exchanging OUR DIGITAL FRONT DOOR and do everything he would normally do during an MyChart began, opening the opportunity to medical information from one site to another. It exam in person. care for patients with mental health needs delivers faster, more efficient ways to improve a To improve convenience for patients, we began anywhere, anytime, via our secure patient patient’s health. offering e-check-in, online appointment scheduling portal, which is accessible from a range of and expanded options for paying bills online. digital devices.

• Telesitting services for inpatient fall prevention “I thought it was going to As an organization, we began at Carilion Roanoke Memorial Hospital. GETTING PERSONAL Special equipment is used to monitor patients be a little bit harder, but are focusing on the through real-time auditory feeds that alert care Artificial intelligence and machine-learning techniques teams of patient movement. The installation of provide predictive and prescriptive data to our clinicians, it turned out to be really best ways to provide additional computers dramatically increased allowing them to better guide treatment for patients our monitoring capability, with one sitter now at the highest risk of illness and understand our community’s health needs. easy. He could hear innovative telemedicine able to effectively monitor 12 patients at a time. • Telepsychiatric services became available for everything like he was services to improve access students at Radford University through the IN THE CLOUD student health center on campus. actually there.” to care, offer convenient, By transitioning our data warehouse to a cloud environment, we facilitated even greater collaboration - Bella on world-class, data-driven research studies that on-demand care and promise to improve care for patients everywhere.

reduce wait times. Bella Mays

8 9 BRIDGING TO BETTER OUTCOMES

IN OUR COMMUNITIES • Physical therapy came to the Westlake area of Smith Mountain Lake with the opening of a 3,600-square- • A new infusion center at Carilion New River Valley foot center to treat neck and back pain, orthopaedic JENNIFER’S Medical Center consolidated services in a single injuries, post-operative conditions, vestibular and location and improved the privacy and comfort balance concerns, neurological diagnoses, pain and of patients, with new chairs, dimmable lights, a falls. This facility may expand and offer additional STORY television and charging outlets for mobile devices. services in the future.

• With the addition of subspecialty care for hand • Tonsillectomies and basic ear and nasal surgeries and upper extremity, patients in the New River became available at Carilion Franklin Memorial Valley gained closer access to all orthopaedic Hospital, with more complex ENT surgeries to follow. care, including joint replacement, sports medicine, • A new VelocityCare urgent care opened behind the Jennifer Brown (left) and orthopaedic spinal surgery and foot and ankle care. Nadine Morgan with their truck stop at White’s Travel Center in Raphine. The son Jace • Pharmacists at Carilion Giles Community Hospital new facility is a bridge between primary care and improved care for diabetic patients both in and the emergency room, with everything from its own out of the hospital with the IHOPE 2020 initiative lab and X-ray facility to a pharmacy right next door. that increases pharmacist rounding and follow-up with patients. When Virginia Tech assistant women’s basketball The couple, together for more than five years, were NEXT-GENERATION IVF COMMUNITY PROJECT coach Jennifer Brown and her wife, Nadine Morgan, married Feb. 4, 2019—the same day they learned Jennifer WITH A VITAL IMPACT decided they wanted to have a baby, they turned was pregnant with a boy. Jace Nathaniel was born five With the goal of conception and a healthy to Carilion Women’s to learn more about in vitro months later after an uncomplicated pregnancy. pregnancy, Carilion Women’s Reproductive Our “Wishes“ guidebook, created in collaboration with fertilization (IVF). Medicine & Fertility provides evaluation and care The Roanoke Times, provided important information for Before coming to Carilion, Jennifer didn’t know for both women and men in every stage end-of-life planning and decisions, along with helpful IVF can be a complex and lengthy process. The IVF services were available in the area. Now, as the of the fertility and reproductive process. answers about hospice and other resources. It was part team at our Reproductive Medicine & Fertility mother of Jace, she’s grateful they are. of a broader effort to encourage and facilitate important Clinic made sure it wasn’t also an intimidating one. Our board-certified reproductive and fertility end-of-life conversations. specialists collaborate through a unique “Seeing how knowledgeable and personable our partnership with the University of North Carolina’s doctor was made the process easier,” said Jennifer, “I’d encourage anyone Fertility Center and offer the full range of assisted who became pregnant in the fall of 2018. reproductive technologies and techniques. interested in IVF to learn Nadine knew she would have to be out of town a lot during the pregnancy. “I felt better while I was away, knowing the staff was monitoring the pregnancy so more about the process closely,” she added. Carilion New River Valley and not to be intimidated.” Medical Center infusion center ribbon cutting - Jennifer

10 11 Simulation is an important training tool that allows health care workers to practice in a realistic setting LUCINA’S without putting actual patients at risk.

That’s where Lucina comes in. STORY

Lucina is a wireless childbirth simulator with realistic, Collaborating in education and research fortifies our global integrated maternal-fetal physiology. She enables training on all the stages of delivery and the rare reach and local economy. We are expanding our bounds of emergency scenario. From normal delivery and breech birth to shoulder knowledge—through connections across the country and dystocia and eclampsia, Lucina allows health care learners to get hands-on experience through a around the world. We are providing career paths through higher range of birthing room scenarios they will face in their careers. education to train—and retain—the best minds here. And we Lucina and other advanced patient simulators have become a magnet for attracting creativity, innovation are among the many sophisticated training tools that our Center for Simulation, Research and Patient Safety uses to create experiential learning and thought leadership to Virginia. opportunities for health care providers.

Lucina allows health care learners to get hands-on experience through a range of birthing room scenarios.

Lucina and baby

13 FORTIFYING OUR RESOURCES FORTIFYING OUR RESOURCES

Simulating a Better Patient Experience FAST-FORWARDING Collaborating with teams from Patient Experience and NURSING CAREERS Nursing, our Center for Simulation, Research and Patient Safety used simulation to develop a course to make A point of pride for Carilion is the nursing nurse rounding more consistent and patient-focused. careers we encourage and develop. We joined Vizient and the American Association Human Factors’ Winning Ways of Colleges of Nursing to offer a year-long Our human factors team won a $300,000, 18-month nurse residency program for new nursing contract with the U.S. Centers for Disease Control and graduates and nurses with less than one Prevention to improve the safety of outpatient dialysis year experience. by reducing infection, a leading cause of illness and death among patients receiving dialysis. Our research The new program provides an evidence-based findings may be used to redesign processes, tools and curriculum, focusing on leadership, quality and technologies at dialysis centers nationwide. professional roles. It is dedicated to expediting a smooth transition and career advancement. Medical Device Design Engineers and industrial designers from a range of medical device manufacturers began working with our human factors team to test software and hardware COMBINED STRENGTH BRINGING LEARNING ANYWHERE Our Sim Center while it’s still in development. A better understanding of the clinical context allows them to design tools that are Following a historic merger, Carilion Clinic’s Jefferson Our Center for Simulation, Research and Patient served nearly easier to use and safer for patients. College of Health Sciences and Radford University Safety expanded well beyond its 13,000 square feet announced a new name—Radford University with the addition of a simbulance. The simbulance Carilion—and welcomed its first class last year. can go anywhere and provides a realistic learning The merger combines two organizations that are environment, making it easy to bring simulations to stronger together, creating the second-largest all our locations and into the community. 6,000 nursing school in Virginia and beginning a new chapter of health sciences in Roanoke. The simbulance is a mobile complement to our Sim students and professionals Center, which includes a simulated OR, trauma bay, skills labs, advanced manikins, debrief room and last year with Teresa Ann Conner, Ph.D., patient rooms—everything needed to reproduce M.B.A., was named just about any hospital situation. associate provost for health sciences, with responsibility for Radford 677 University Carilion. course offerings

14 15 FORTIFYING OUR RESOURCES FORTIFYING OUR RESOURCES

GROWING SMARTER TOGETHER GRADUATE MEDICAL Last year, we welcomed EDUCATION—A BEACON The partnership between Virginia Tech, a public, FOR TOP PHYSICIAN TALENT research-intensive university, and Carilion Clinic, a nationally ranked health system for nearly 1 million patients, has allowed an academic health Almost five decades ago, we established one care center to emerge. The unique public-private of the nation’s first family practice residencies. 300 partnership positions the Virginia Tech Carilion Our family practice program joined our surgical physician trainees to School of Medicine to become a national leader in residency and together began Carilion’s dedicated medical education. approach to graduate medical education.

In 2019, about 40 percent of graduates remained A NEW LEADER AT THE VIRGINIA TECH in Virginia after completing their training here. Of 27 CARILION SCHOOL OF MEDICINE those, nearly two-thirds are employed by Carilion. residency and fellowship COMMITTED TO ADVANCED CARE Lee A. Learman, M.D., Ph.D., was named the second programs dean of the Virginia Tech Carilion School of Medicine As demand for care grows, so does the role of following a nationwide search. He also was named advanced clinical practitioners (ACPs), which include professor in the school’s Department of Obstetrics physician assistants, nurse practitioners, nurse and Gynecology. Dr. Learman has made significant A CLASS STAT anesthetists, nurse midwives, psychologists contributions to medical education, research and and audiologists. clinical care and will continue the momentum that The Virginia Tech Carilion School of Medicine’s began with Founding Dean Cynda Johnson. sixth class, which graduated in 2019, continued A series of Carilion ACP fellowship programs provides the streak from the classes before them, with all 100% a year of intensive, specialized training to more 37 members matching to a residency program match rate for efficiently and effectively prepare them. to continue their education. More than 43,000 all 6 classes medical student applicants nationwide vied for The fellowships include emergency medicine, only 33,000 residency positions. orthopaedic surgery, urgent care and rural health and acute care surgery. And, last year, we added fellowships in hospitalist medicine and wilderness A SHARED VISION 240 medicine, for a total of six. At a first-ever meeting that brought together total students matched representatives from 21 local governments, public officials learned how Virginia Tech and Carilion Clinic’s unique partnership is invigorating the region’s economy and our shared vision for the future.

16 17 FORTIFYING OUR RESOURCES

Biomedical Research Addition Fralin Biomedical Research Institute at VTC

RESOURCEFUL RESEARCH BIOMEDICAL RESEARCH Our support of the Regional Acceleration and Mentoring Program (RAMP) in Roanoke provided Together with Virginia Tech, the University of Virginia The Fralin Biomedical Research Institute at VTC additional assistance for startups, while the $15 million and Inova Health, we received a $23 million Clinical and continued to make strides over the past year to Virginia Tech Carilion Innovation Fund and the Translational Science Awards grant from the National advance our understanding of human health and $7 million VTC Seed Fund, created last year, encourage Institutes of Health, placing us among the nation’s elite to develop new preventions, diagnostics, treatments further entrepreneurialism in our region. research institutions. and cures for major health issues. We’re also building a thriving innovation ecosystem Our collaboration, known as the Integrated Translational With the opening of the 140,000-square-foot within Carilion by supporting the ideas of our own Health Research Institute (iTHRIV), is intended to Biomedical Research Addition in 2020, the institute physicians, nurses and staff. accelerate the use of data to improve health. will expand from 30 research teams to 55 or 60 teams by 2027. Initial projects include exploring the use of an intelligent Our collaborative efforts in the communities we serve are at virtual coach for manual laparoscopy training and novel approaches for repairing rotator cuff injuries. INNOVATION ECOSYSTEM the heart of shaping our future. By focusing on physical, mental, While the Fralin Biomedical Research Institute at iTHRIV won a five-year, VTC is bringing changes to biomedicine, its research social and environmental well-being, we make an enduring also contributed to the creation of new biomedical businesses—fueling an entrepreneurial ecosystem commitment to improving life for everyone. Like the effect of a known as Roanoke’s Innovation Corridor. pebble tossed into a pond, the ripples of a healthier life for one of million Among the companies benefiting from research $23 conducted here is BRAINBox Solutions. It received an us radiate outward—with a vitalizing impact on all they touch. FDA Breakthrough Device Designation for its portable grant from the NIH test to help diagnose mild traumatic brain injury.

18 VITALIZING HERE, EVERY DAY VITALIZING HERE, EVERY DAY

A COMMUNITY HOME-GROWN HEALTH • We promoted the purchase of healthy food MORNINGSIDE MOMENTUM GROWING HEALTHIER at area farmers’ markets by funding incentives The Morningside Urban Farm grew out of a partnership offered to SNAP recipients and others. with the City of Roanoke, Roanoke Community Garden Last year we opened Morningside Urban Farm—to Association and nearly a dozen other organizations. It is • We sponsored the Feeding America provide healthy food and inspire well-being. The project co-located with a community garden for residents who Southwest Virginia Veggie Mobile to improve is a direct result of findings from the Roanoke Valley may not have space to maintain their own garden. nutrition by providing fresh, healthy food and Community Health Assessment, which has consistently education for those at risk for hunger. 1,200 identified nutrition as a top priority in the City of Roanoke. Along with the opening of the Morningside Urban Farm, pounds of produce grown • We participated as an active partner in United we increased access to local food and food programs to Way’s Healthy Franklin County, a coalition that Neighbors proposed the idea of a community gathering encourage access to healthier food choices: addresses community health needs. Through space, where they could learn how to garden and grow its Giving Garden initiative, 16 active gardens their own produce. Funding from the Carilion Clinic • We hosted a LEAP (Local Environmental Agriculture produced more than 27,000 pounds of produce Foundation made it a reality. Project) farmshare community pick-up site at Carilion for the local community. Roanoke Memorial Hospital and offered payroll 60+ The goal was to grow food in the space and relationships deduction to spur employee participation. Employees holistic health events in the neighborhood with an emphasis on connecting purchased 130 shares in 2019. homegrown food with better health. • We adopted healthier food goals in our hospitals Cameron Terry is the farmer for the project, helping in an effort to drive demand for locally sourced and grow crops year-round. “People in this neighborhood sustainable products and to reduce waste. have limited access to fresh fruits and vegetables. At the educational events held at the farm, folks can take home 950+ free produce grown and used for the classes,” Terry said. participants at block parties

“We are giving them methods that they can 226 community volunteer hours use to go home and produce their own food.” - Cameron 16 partner organizations

20 21 VITALIZING HERE, EVERY DAY Anthony is a Community Health Worker based at Carilion Clinic’s family medicine practice in southeast Roanoke and sponsored by the Healthy Roanoke Valley Pathways HUB. He received a referral for a patient with a disability, who was living in unsanitary conditions. Staying healthy was an uphill battle. Her caregiver, Tracy Johnson, had been desperately trying to find her patient better housing, but without success. PLEDGING OURSELVES TO UP TO THE OPIOID FIGHT ANTHONY’S A VITAL COMMUNITY When Anthony learned about the patient’s living Our opioid task force continues to make a meaningful situation, he approached a local non-profit for help. Health care is more than what happens in our facilities. impact. The Virginia Department of Health (VDH) STORY The next day, the patient was moved into temporary Research shows that our social and economic circumstances awarded Carilion a $300,000 grant to develop and study an 82% housing while Anthony searched for a long-term solution. and our environment are just as important. That’s why ED Bridge to Treatment Program that provides immediate of patients who were referred we focus on the factors that offer the greatest promise treatment for patients arriving in the Emergency enrolled in office-based Financial assistance from the patient’s church afforded for a healthier community now and well into the future: Department due to opioid overdose or active withdrawal. extra time for the search. Finally, an appeal on social outpatient treatment media came through. It was exactly what they had • We make sure our communities have access to The fight is succeeding on other fronts, as well: been looking for: a new home that was both accessible state-of-the-art health care close to home. and affordable. And, thanks to Anthony and the FREE • Our peer recovery specialist program, which provides BREAKING DOWN ADDICTION Foundation, a new wheelchair too. • We develop health professionals for the future. coaching for those with substance use disorder or mental illness, expanded to three full-time employees The Virginia Tech Carilion Partnership hosted a • We invest in cutting-edge research and encourage While not every situation requires this kind of and opened a peer recovery center. first-of-its-kind conference, Neuroscience and Law, innovation to improve care. teamwork, the idea that “it takes a village” to improve bringing together clinicians; behavioral health • VDH chose us as one of three hubs for Virginia’s community health is real. • We create and implement strategies to reduce specialists; local, state, and federal judges and law Project ECHO®, which connects medical professionals barriers, coordinate resources and enhance enforcement officials; and lawyers to take an in-depth across the state to share the latest knowledge on strengths, starting at the community level. look at addiction and how brain-based and behavior opioid treatment and prevention. science can be applied to law, finance, treatment • We provide community-based health and and public policy. wellness programs. These programs build on our successful Office-Based Outpatient Treatment (OBOT) program for opioid- • We partner with organizations, neighborhoods and dependent women and the Neonatal Abstinence “By bringing together individuals to address health and social needs in Syndrome program for opioid-exposed babies. our communities.

available community • We are committed, through our environmental sustainability council, to creating a culture of resources, we were environmental stewardship and sustainability for our patients, employees and communities. able to address a basic need and improve our Carilion believes in patient’s health.” service, collaboration - Anthony and caring for all.

Anthony Wells (right) 22 and Tracy Johnson 23 VITALIZING HERE, EVERY DAY VITALIZING HERE, EVERY DAY

A BREATH OF FRESH AIR MEDICAID MADE ACCESSIBLE A SUSTAINABLE SENSE OF SUCCESS

Through a partnership with Roanoke City Public With the expansion of Medicaid in Virginia, we We’re pursuing a culture of sustainability for Schools, we identified asthma as a health issue began assisting patients and other community our patients, employees and communities— among children in southeast Roanoke. Our Asthma in members with Medicaid enrollment. 5,104 acknowledging that minimizing our impact on Schools program, which began last year at Fallon Park newly enrolled the environment is implicit in our mission, vision Elementary School, allows school nurses to administer Our involvement is part of a broader effort and values. medication to students with asthma. Besides to improve access to care and resources— Medicaid patients reducing Emergency Department visits, the program increasing capacity in response to community Our goals include less waste, healthier food, leaner helps keep students safe and in school. health needs—that includes financial energy, green building, sustainable procurement and assistance, support for free clinics and a engaged leadership. The Asthma in Schools program is part of a broader medication assistance program. innovative solution to community health concerns: One notable success last year was reducing food waste. Local Impact for Tomorrow (LIFT), which includes a 7,644 After learning that the salads and milk cartons on pediatric health clinic and community center on the Medicaid patient encounters patients’ food trays were regularly being thrown away grounds of the new Fallon Park Elementary. rather than consumed, we made them optional food selections. As a result, disposals fell dramatically. A partnership between Carilion, Roanoke City Public Schools, Freedom First Credit Union and Delta Dental of Virginia, the clinic will provide physical, mental and oral health care services, as well as financial wellness We eliminated programs for students and local families. The center is expected to open in August 2020. 26,000 pounds of food waste, saving $53,000

24 25 VITALIZING HERE, EVERY DAY

COMMUNITY BENEFIT OTHER WAYS WE IMPROVED HEALTH

Measured in dollars and cents, we contributed nearly $194.5 million to our region. In total, we returned $2.86 for every dollar of tax exemption.* 25,340 2,316 people in our communities community members were Community participated in health screened for blood pressure, Outreach education opportunities blood sugar, cholesterol and $5.9 Research skin cancer risk Education $.7 Charity Care $38.1 $75.1 42 blood drive events were held at Carilion facilities CONTINUING OUR INVESTMENT JUMPSTARTING THE FUTURE $54 million With an eye toward the future, we announced a A $1 million seed gift to the Carilion Clinic Foundation worth of medications $1 billion capital investment in our communities. It jumpstarted plans for a new cancer center on our were made more affordable includes $500 million to expand our flagship Carilion Roanoke campus. President and CEO Nancy Howell $194.5 800+ Roanoke Memorial Hospital by adding a new Crystal Agee and her husband, the Honorable G. Steven Agee, million car seats were installed, corrected for patients Spring Tower and constructing a new Behavioral donated the money in honor of the many individuals or checked to ensure safety Health building and parking garage. who have dedicated their lives to caring for patients with cancer, along with those confronting the disease Once complete, the hospital will have 2.4 million through research and advocacy efforts. square feet, making it one of the largest in Virginia. Plans also include consolidating Carilion Children’s The new center will enhance cancer care in our region more than one dozen outpatient pediatric and with a beautiful facility that will provide a sophisticated, WE ALSO... adolescent specialty practices in renovated space warm and caring environment that will open new Offered access to support groups for many chronic diseases, grief and those at nearby Tanglewood Mall. opportunities for research and clinical trials. The new center will Other who were considering bariatric surgery. Uncompensated enhance cancer care Care Replenished supplies and medications at no cost for use by local EMS crews for $74.7 bringing patients to our Emergency Department. in our region. million *Fiscal year 2018, per Virginia Hospital and $500 Healthcare Association guidelines. to expand CRMH

26 27 GIVING & ACKNOWLEDGING

INDIVIDUAL DONORS

Carilion’s pursuit of more effective cures, procedures and The Presidents Society The Patron Society The Champion Society The Leadership Society Dr. David and Keith Perry $50,000+ $5,000+ $1,500+ $1,000+ Mrs. Clara Gregory Manjusha Sahni, M.D. answers is made possible by the contributions of many. The Honorable G. Steven and Don Bandy Carole M. Agee Anonymous (3) Rollin J. Hawley, M.D. Joseph Scartelli, Ph.D. Nancy Howell Agee Shelby and Jason Bingham Steve and Brenda Arner Lisa Andruscavage, M.D. Andrea Henson Barbara Schleider Drs. Charles and Noelle Bissell Tim Auwarter The Honorable Terry and Tom Hill Paul Skolnik, M.D. Thank you to the generous supporters who made annual The Visionary Society Alexander and Lynne Boone Ralph K. Baker, Jr. Mrs. Kathy Austin Linda Short Hodges Eddie and Missy Smith $25,000+ Derrick Family Foundation Laurent and Matthew Barr Shirley Holland John L. Smith gifts between January 1 and December 31, 2019. Teresa George Mark and Joanne Greenawald Elizabeth Boetsch Robert Bennett Michael Jeremiah, M.D. Keith Stephenson, M.D. Thomas and Dr. K. Kellogg and R. Webb Burns Carol Bernier, D.O. Daniel R. Jones, M.D. Kurt Stockstill, M.D. Mary Evelyn Tielking Mrs. Lita Hunt John and Tracy Burton Steve and Rachel Blanks Michael L. Jones, M.D. Kay and Wayne Strickland Mary Kamm Jonathan J. Carmouche, M.D. Scott Brown Daniel Karolyi, M.D. Paul Stromberg, M.D. The Benefactor Society Bill and Louise Magdycz Kathy and Sammy Chalflinch Bob Capito and Bob Clark Thomas Kayrouz, M.D. Jon and Mary Beth Sweet $10,000+ Drs. Michael and Richard M. Frye Elizabeth Chilman Donald Kees, M.D. Daniel R. Tershak, M.D. Peter and Franny Apel Sue Nussbaum Dr. Dan and Vikas Chitnavis, M.D. Paul King and Family Dr. and Mrs. Bruce R. Thomas Shields and Virginia Jarrett David and Kathryn Robertson Mrs. Gil Harrington Dan and Carolyn Chrisman Billy and Betty Kingery John R. Thorsen The Love Family James A. Hartley Bryan Collier, D.O. and Amy Kryder, M.D. Robert Trestman, M.D. Sarah Plymale The Innovators Society Dr. Karl Kletzing and Family Liz Chilton Justin LaClair Marguerite Underwood Joseph B. and $2,500+ Cynthia and Mark Lawrence Nick Conte Mr. and Mrs. Stanard F. Patrice Weiss, M.D. Pamela M. Wright Jeanne Armentrout Janel H. McDonald Benjamin Coobs, M.D. Lanford, Jr. Martin R. Willis Dr. and Mrs. Nathaniel Steve and Ellen Morgan Dottie Cook Dr. Lee and Beverly Learman Margaret and Mike Young L. Bishop Steve and Martha and Grimes Creasy William Lee Ab and Julie Boxley Billie Sue Musselwhite Melissa Crigger Donna M. Littlepage Mary Ann and George Virginia Powel, M.D. Tracey Criss, M.D. W. Daniel Lyon Cartledge Mattie Tenzer Robin and Michael Czar Neil MacDonald, M.D. Marianne Gandee Isabel Thornton Michael L. Dame Elizabeth McCuin, M.D. Don and Tammy Halliwill E. Mark Watts, M.D. Heather Davenport Karrie N. Moses Leonard Horner Amjad U. Wyne, M.D. Greg Dehmer, M.D. Joseph Moskal, M.D. Clifford and Danielle and Ed Yarber Kim P. Dunsmore, M.D. Sam Nakat, M.D. Mary Nottingham Francis and Mary Farrell Jonathan Nogueira, D.O. Gary and Tara Scott Jorge M. Garcia, M.D. Page E. Pace Charles Tarasidis Rand and Jan Garrett John Perkins, M.D. MaryAnn and J. David Wine

29 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

INDIVIDUAL DONORS

The Guardian Society Paul T. Frantz, M.D. Cindy Petersen and Friends Donna Benson Teri Byers Geoffrey W. Collins Thomas DiStanislao Mr. Joseph E. Elligson Arby and Donna Frost Brenda H. Hale Greg Holcomb $500+ Rodney Fultz Robert Borneff Gifts Under $500 Chanda Betourney Buddy and Joan Caldwell Marglean C. Collins Diane DeKnight Cynthia Ellinwood Janis Fugel Brenda L. Hale Janice M. Holcomb Anonymous (6) The Grafsky Family Kerry Powell, M.D. Anonymous (27) Compton and Emilie Biddle Richard and Ann Calhoon Janice Conner Jennifer DeKnight Gregory English Mary Furrow James E. Hall, Jr. Jennifer Hager Holden Michael Abbott Terry D. Graham Xavier Preud’Homme, M.D. Caudel N. Abbott Robert and Rick and Shirley Calhoun Conner Family Sheila Delp The English Family Christine Gabbard The Halls Patsy Holley-Hylton Patricia Abbott Niki Hale Harry and Anna Michael and Elizabeth Abbott Carol Birmingham Connie Callahan Richard G. Cook Sherrie Denison Patti Esperti Robert Gainer Albin B. Hammond Garrett Hollingsworth Kelly Adkins Paul Haskins, M.D. Marie Richardson Karen Adams and Family Mary Bishop Kathy Cameron Anne and Travis Cooper Charles Edward Denny Debbie Estep Janet M. Galbraith Nancy E. Hammond Marc Holloman Patricia Akers Doug Henson Kimberly Robertson Gwendolyn Adkins Yvonne Blackwell Dee Campbell John and Ginny Corcoran Mary and Rob Deyo Dorros Evans Drs. Nadia and Robert Gard Eva S. Hancock Susan M. Hood and Amanda Briggs Andrews Dr. Tamera and Kim Roe Samuel and Pearl Akers Louis Blair Gale M. Campbell Billie Corn Laurie Di Maio Necia Evans Harford Gardner Jeannette L. Hancock Hood-Bailey Monica Bailey Mrs. Wendy Howell J. Thomas Ryan, M.D. and Selma Akers Amanda Blankenship Charles and Kathy Campbell Rev. Foster Covington Julia Dill Mr. and Mrs. John Ewart Lori B. Gardner Vernon M. Harmon Diane E. Hoover Joseph Baker, M.D. Debra Huddleston Susan Bull Ryan Howard and Joyce Aldridge Doug Blankenship Rae G. Campbell Deanna L. Cox James M. Dillon Thomas Faist Ann H. Garst Patricia Harris Jimmy L. Horn Billy and Jane Belcher Lee R. Jones, D.M.D. Chuck Sawyers Sharon Aldridge Dana Blankenship Larry Canterbury Jean Cox Piyapong Ditsuvankul Mark and Sandi Falls Robert Garst Tonia Harris Paul and Judy Houle Patricia Bennett Amy Kageals Meg Scheaffel Shonna L. Allen Jodi Bock Lindsay Cantrell Harry and Delores Craft Jennifer Divers Thomas and Barbara Fansler Howard and Jennifer Gavin Zelma H. Harris Bobby Howell Robert J. Berkstresser George Kegley Helen Schneider Anne Keeley Allison Sara R. Bohn Dennie J. Carmichael Paul Craghead Corinne Dolinger Patricia Fariss Helen A. Gay Katherine Harrison Jim and Carol Howell Harsha Bhagtani, M.D. Daniel R. Kelly, M.D. Nancy J. Schuessler Sam and Sue Allison Chan and Kae Bolling Marianne Carpency Denise Crampton Michelle G. Dom Michael and Karen Fechisin Mary Colleen Gaydos Dorothy Harter and Family Martha Hubbard Christopher Blake Heidi Kirk Georgia Anne Mr. and Mrs. George Almond Kimberly Bolling Emily P. Carter and Family James Crews, M.D. John and Elizabeth Dooley Mark and Kathryn Feldmann Laura K. Gayhardt Glenn and Peggy Hartsook Patsy Hubbard John A. and Megan B. Bond Damon Kuehl, M.D. Snyder-Falkinham Kim and Chad Alvarez Reid W. Bolling Ken and Frances Carter Shawn Crist Lisa Dooley Kenneth W. Ferguson Danola Gibson Ann Margaret and Joyce C. Hudson Tracy Branson Karen Kuehl, M.D. Robert Sprague Judith Anderson Karen H. Bondurant Kimberly F. Carter Nicole Crowder Linda Douglas Michael S. Ferguson, Esq. Barbara Gilleo Andrew Harvey Roger and Deborah Huff Joel Buhyoff Mr. and Mrs. W. Tucker Lemon Linda Staley James K. Andrews Mr. and Mrs. E. Kay Carver Pat Crowder Janie Dowdy The Family of Gerald Walter B. Gladstone Loretta Haskins Joan V. Hughes The Bundy Family Fund Bruce A Long, M.D. Charles Suba Joseph and Betty Jo Anthony Benjamin Boone Christine Casazza David and Janice and Charles Downey Housenfleur Kimberly M. Glass Justin Hatter Charles S. and Sandra R. Hunt Cheryle Chapin Renny and Lucky Lynch John Tamminem, M.D. Miss Terry Armstrong Patricia H. Boone Alexa Casey Darlene Cunningham M. Lynn Dozier Victoria Ferrarini Cathy Goad The Haupt Family T. Hunter The Chervenak Family Diane and Ed Machado Gregory and Jamie Tarasidis Mary Jo Atkinson Beverly and Wayne Booth Benny Casey Thomas and Dolores Curling David Draper Daniel and Donna Fisher David P. Godwin Steve and Katrina Hawes Paula Hutchison Billy Chumbley Family Greg Madsen Daniel Threlkel Leslie and Paul Augustino Ralph and Mary Bosen Kathleen Cassell Les and Karlyn Daenzer Dr. Joseph and Brittany Fitzgerald Nathan and Sally Goff Steve and Brenda Hawks Ruby Hutchison Carl and Sharon Cline Dr. Jonathan and Jill Maher Kayla Vinson Scott and LaDawn Avis David C. Bousman Pamela and Michael Cassell Harriet Dahlgren Mrs. Sharon Duckwall Margaret Fitzgerald Andriette Goode Eddie and Dawn Hearp Ron and Ann Hutton Dr. Richard and Jennifer A. Martin Jaclyn Walker Suzanne Avis Ina Gail Bowers Mrs. Michele Caufield Susanne M. Dana Gwendolyn Dudding Debra A. Fitzko Diane Goode, N.P. John and Patsy Heffernan Charles Hylton Mrs. Michelle Cordle Michael Maxey Dr. and Mrs. Ken Walker Gary D. Ayers Marvin and Lois Bowman Melissa and Paul Cauley David Danco Audrey D. Dudley Shirley and Bev Fitzpatrick Rex and Rose Goodnight Lila Helms Martha P. Hylton Joyce Cox Michael McMahon, M.D. Rob Way Kristina Bachmann Lucien Brailsford, M.D. Katherine Cavanaugh John and Jenny Daniels Deborah and Abigail Dudley Mr. and Mrs. Broaddus Joseph B. Goria, Jr. Richard Heslep Pete Ipolito Angela Craig David McMillan William and Joyce White Carmen B. Backus Nick and Carol Brash Deanna Cebulash Carol Danielsen Larkin S. Dudley Fitzpatrick Jean Grady F. Staley Hester, Jr. Christine A. Irvin Lori Crowder Brian J. Meier, M.D. Betsy Whitney Linda S. Bailey Nelson and Mary Britto Somer Chappell The Danstrom Family Glada D. Dulaney Tom and Dottie Flinchum Lois T. Graham Thomas Higgins Phyllis and Tim Isaacs Austin and Lauren Eells John Merten, M.D. Eugene and Phyllis Willis Grady Baker Marguerite H. Brown Dennis and Debbie Charles Lawrence Davidson Dorothy Holt Dunbar LeVonne J. Flint Mildred M. Graham Mary Jane Hill Susan and Robert Iuppa Lauren Ellerman Chris Mertes, M.D. Mr. and Mrs. Victoria F. Ball Mary C. Brown Angela Charlton Rebecca M. Davies Dr. Christina Dunbar Matos Corrine Flowers Jeremiah Green, Jr. Sarah C. Hill James and Martha Jackson Kandy Elliott Tom Miller M. Lanier Woodrum Bonnie and Ronald Ballard Michael Brown Christine Choi Diane L. Davis and Dr. Miguel Matos Shanna Flowers Ken Greer Jennie S. Hilton Yvonne James John Epling, M.D. Martin Misicko Mr. and Mrs. Byron Yost Donna Barker Robert E. Budin, M.D. and Carl and Rita Christian Judith F. Davis Sharon W. Duncan Bob and MaryEllen Flynn Marcella J. Griggs Larry Hincker Robert W. Jarrett, M.D. Shelly Feazell Mel Morris Donald Young Judith C. Barnett Diane A. Lowe, M.D. Rev. Douglas A. Chubb Michael and Carolyn Davis Wesley and Jeane Dunkum Shelley Fortier Bobbie Joe Grimes Cynthia J. Hinkle Robert Jeans Cathy Fisher Zeke Oliver, M.D. Janet Young, M.D. Cynthia Barrett Amy and Bob Buehler David and Lou Clark Peggy C. Davis Don and Barbara Dyer Roger and Carol Foutz Ron and Laurie Guertin The Hitchins Family Judy Jefferson Betty C. Fitzgerald Thomas T. Palmer Debra K. Zerwekh Mr. and Mrs. Wayne Barrett George Bunce Aileen Claytor Rachel and Phil Davis Ann Dyer Sandy and David Fralin Patricia Guthrie Anne H. Hite Betty Jenkins Bill Flattery Rebecca Pelaez Sarah Beatty Rick and Molly Burch W. Rivers and Patricia Claytor Sandra and William Davis Barbara and Mark Eanes Elizabeth Francis Mark and Margaret Guy Delores Hodge Paul and Brenda Jenkins Al Flora Jeff and Linda Perry Eva Beck Margaret J. Burks Marlene Clement Delmar Garrett Dayton Saju Eapen, M.D. David Fraser Shelly Haas Frank and Connie Hodges Cathy Jennings Jim and Janet Frantz Robert M. Perry Andrea Becker Ms. Helen Burnett Deborah H. Cobler The Jamey DeBord Family Kay A. East Jeremy H. Freeman, M.D. Leslie Hager-Smith Ann Hoff, M.D. Huiju Jeon Laura E. Benjamin Melinda Bush Elizabeth Cole Wayne and Diane Decker Bill and Adele Elias Becky Fritz Dr. and Mrs. J. A. Hagy Nancy Holbrook Angie B. Johnson

30 31 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

INDIVIDUAL DONORS

Drs. Bruce and Cynda Johnson Paul Laflam, M.D. Robert Martinet Nancy Morris Hanish Patel, M.D. Erin Raymond Jennifer W. Rush Joyce G. Sloan Burch and Hilarie Sweeney Ruth and Bill Valentine Helen N. Wilcox Kathryn A. Johnson Elizabeth M. Landes Marjorie Mastin Kristan Morrison Beth A. Paterson Kathleen Rayne Kristina Rutledge Sheila Slonim Dr. Nina and Mr. Joe Sweeney Carol T. Vaughn Paula G. Wilder Mac and Marcy Johnson Bill and Lorraine Lange Leroy and Carolyn Mathena Paul and Laura Morrison Debra J. Patterson Steven Redd Janet Rutherford Sandra Smeltzer Susan Sypolt, M.D. Shirley and Newsom Via Lainy and Lee Wilhelm Bonnie and Pegram Johnson Rosemary Larsen Rich and Chris Maxwell Clay and Mike Morrissett Jeannette L. Peabody Wanda Redmond Aidee Saavedra-Angeles and Dena Baron Smith Deborah Tatar Robert Villamil Carolyn and David Wilks Sandra Johnson-Harris Anna and Tom Lawson Emma May Helga M. Morrow James and Brenda Pearman Judith Repass Alberto Chu Frances O. Smith Meighan Sharp and George I. Vogel, II Damon and Florence Williams Marla Johnston Paulette Lawson Alicia McAllister Carol and Bill Movius Gaynelle Pearson Michelle Repetto Jean Sahudrungsinee Ruby D. Smith A. Scott Tate Jean Walker Mr. and Mrs. Cranston Darren Jones Allen and Ann Layman J.D. McCall, Jr. Mary and Larry Moyer Marshall and Alma Peery Helen E. Retaleato Benita Salyers-Ferguson Esther Smith Susan and Thomas Tate Carl and Karen Walker Williams, Jr. Douglas H. Jones Roger W. Lazorchack Carolyn and Jay McClellan Mr. and Mrs. Johnny Staley and Pat Reymore Vivian Sanchez-Jones Sharron and Ray Smith Dana F. Taylor Susan Walker Bob and Jeanette Williams Mary D. Jones Hansford B. Leake James McCloskey Murray, Jr. Carolyn Pennington Randall R. Rhea, M.D. JoLean Sanderson Kimberly R. Snider Gwen Taylor Arlette H. Wallace Tina M. Williams Sandra B. Jones David Lee Ellen McConnell Rick and Pam Murray Barbara G. Perdue Tanya Richardson Linda G. Sargent Mr. and Mrs. Lucas Snipes Leslie Taylor Jane and Bill Wallace Kay E. Wilson Christine Jordan Connie and Steve Leftwich Mac and Dorry McCorkle Sarah Murray Lanear Perdue Sharon J. Riddle Panzie G. Saunders Michael Snow Nancy C. Taylor Bill Walsh Nancy Wingfield Stephen and Linda Journiette Alison W. LePera, D.O. Seth McCormick Madayath Narayanan Linda Perdue Jenny Riffe Rodney W. Savage, M.D. Alan and Lisa Soltis Rick Taylor Diane Walton Marilyn Wintrow Sue Juanarena Lana J. Lewis Lynn McCree Edie Naughton Rebecca Perdue Sarah Riganti Malinda Sayers Cathy B. Songer Richard Teaff, Ph.D. Charles Warren Mr. and Mrs. Barry Wirt Amanda Julius Bruce and Patricia Lightner Meredith McCree William L. Neal Thomas E. Perkins Rebecca H. Riley Lt. Col. Fred and Bertram and Joanne Spetzler Dr. Nelson and Jack L. Watts Christina J. Witcher Debra Kanode Kerry Liles Donald D. McDonald Dianne Nellor Deirdre Perry Mark Ringold, M.D. Mrs. Carolyn Schleifer Sam and Sue Sprinkel Mrs. Martha Teague Linda K. Weade Gary Wolfe James Karlen Christine L. Lincicome Donna T. McGuire Tammy J. Nerenberg Daniel and Annette Peters Marilyn A. Rio Delmar Schnabel Lowell R. Stanley Joel and Judy Tenzer Mr. and Mrs. Carroll Mary Leigh Wolfe Claudia and Lloyd Kautz Janice Litschert Lynda M. McKibben Paul and Amy Nester Debra H. Peters Dick and Mary Jane Robers Herb and Charlotte Scholz Duward and Helen Starkey Edwin L. and Dianne R. Terry W. Weaver Craig Wood Eloise Keatts Ernie and Kim Littlefield Jerry and Sharon McLaughlin Elda S. Nichols Rick Pevarski Brenda Roberts Elaine L. Scott Dr. John and Mrs. Lynda Starr Betty Thomas Ron and Janice Weaver JeLaine Y. Wood David and Bonna Keeley Roy Lochner Leo and Nancy McMahon Pauline Nickelston R. D. Phelps, III Dr. Patrick Roberts Geraldine Scott Patricia Steahly James and Melissa Thompson Jack and Marie Webb Mike Wray Dr. Christopher and Lou R. Long Terry and Betty McVey James R. Niederlehner, M.D. Emily and Alex Phillips Terry and Cecile Roberts Glenn and Christel Scott Jim and Sally Steffen Katherine Thompson Rev. Dr. Jonathan and Mr. and Mrs. Gary W. Wright Mrs. Mitzi Keeley Judy Longobardi Jane McWilliams Patricia Nivens Peggy Phillips Joyce G. Robertson Karen G. Scott Thelma Stephens Mary Z. H. Thompson Rev. Donna Webster L. Stanley Wright, Jr. Daniel and Donna Keeley Dan and Lisa Lovelace Debra B. Melican Karl Northwall, MD Dr. Douglas and Mr. and Mrs. Thomas William H. Scott Terrie L. Sternberg Betty E. Thornhill Delia C. Weeks Robert and Jane Wright Dr. Robert and Glenn and June Loveless Lynn H. Meyer Virginia Nuckols Mrs. Barbara Pierce L. Robertson Geeta Shadab Rev. George and Pat Tinnell Debbie Weems David and Janice Wymer Mrs. Barbara Keeley Rebecca P. Lovingood Matthew and Mary Ann Miller Jim O’Malley Valeta and Jackson Pittman Tom and Joy Robertson Joe and Jeannette Sheffey Mrs. Gloria Stevenson David and Sharon Tobias Violet Wender Gene Yagow Thomas Keeley Elizabeth Lowe Susan Mills Beth O’Brochta Zlatan Ploskic Betty W. Robinson Victoria Shelly Margaret Stidham Sandra L. Toensing Lewis Wertz Paul Yeaton, M.D. Terry S. Kelley Chester T. Lyle Valerie J. Miser Dr. Margaret L. O’Dell James W. Poage Mary and Dana Robinson Gregory and Joan Shelton Leonard W. Stiff Rosemary Toobert James S. Weston, M.D., P.C. Darlene C. Young Jennifer M. Kellinger Rory MacGregor Drs. Tom and Willem Offerman Sharon M. Poff Walter R. Robinson Keith and Ann Shelton Ray D. Stone, Jr. Sharon Trammell and Ingrid B. Wetzel Pat Yuzawa-Rubin Jack and Velma Kendrick Judy and Jimmy Machynski Florence Mogen Linda Oiler Chesten L. Ponte Kathy Rohr Julius and Eleanor Shepheard Stephen H. Stout the Family of Debbie Whatley Caryl Zaronikos Michael Kennedy Brenda Mack Judith Moody Ellen Oliver Penelope S. Prevo Jeanne Roper Philip O. Sheridan Aletha A. Stovall Virginia Annette Saul Barbara Wheeler Alan and Judy Zeigler Robin Kennedy Gail Mack and Family Sharon Moomey Lance Oliver Doris M. Prillaman F. Gray Rose Gloria and Martin Shindler Erik L. Stromberg Gale Trent Neriann Whichard Anne Zielinski Reverend Cynthia Keyser Sara L. Madsen George E. Moonan Kerry A. Onaitis Roy Prusak Ann B. Roseman Lewis F. Shontell Annie Strong Bhairvi Trivedi, M.D. Judith G. White Melissa Zimmerman Kathlyn Killian Andrea Makriyianis Johnny S. Moore Brenda and Thomas Overholt Richard and Aubrey Rosser, Jr. Wanda Shouse David Stout Nancy Trussell Mary Beth White Zina L. Zimmerman David and Susan King Joe and Nancy Malinsky Judy B. Moore Sarah Ovink Kathryn Pumphrey Richard Rosti Lawrence Simmons Richard Stout Eileen Turbessi Maryann and Robert White Joelle Zullo David A. Kirk Ruth Mann Richard and Janie W. Owen Estill Putney Mary and James Rowe Linda and Carl Simpson Natalie Strum Marc Turner Rebecca White Cynthia Kitts Patricia N. Marcolini Katherine Moriarty Charles E. Page, Jr. Valerie Ramey The Rozier Family Barbara Sims Melissa D. Stump Levon and Clarence Turpin Lisa Whitley Al and Susan Knighton Clifford and John and Marie Morris Mr. and Mrs. R. Keith Painter Cynthia M. Ramsey Kathleen and Gary Ruby Janice and Ron Sink Claudia J. Stutzman Ann Tynan Mike and Linda Whitlock Ellen Kormann Nancy Marshall Laura Morris Mark and Marilyn Pando Suzanne Ranson Carolyn Rude Pradeep Siwach, M.D. Claudine B. Sumner Sara Ullman G. W. Whittaker Kathleen Kraninger Deborah and Jeryl Martin Margaret M. Morris Bethann Parker Ann C. Raridon Rita Rufty Leah Slagle Daniel M. Sumner Patricia Underwood Beth A. Widdowson Gail Krieg Jerry Martin, Jr. Melinda Morris Tommie Parker Richard Ratcliff Clarkson Runyon Jimmy Sledd A. G. Sumpter and Family John Wiercioch

32 33 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

CORPORATIONS, FOUNDATIONS AND SPECIAL GROUPS

The Presidents Society The Patron Society Cloud’s Clothing The Guardian Society Bevinco of SW Virginia General Mills Serenity Funeral Home The Caduceus Society is a philanthropic group of $50,000+ $5,000+ Edward Via Virginia College $500+ Bible Baptist Church GFWC Floyd County Shaffers Crossing Retirement Children’s Miracle Hilsmier, Inc. of Osteopathic Medicine American Academy of Blue Ridge Land & Auction Woman’s Club, Inc. Shively Electrical Co, Inc. physicians, senior management and collaborative Network Hospitals Interactive Design, Inc. Kroger Community Rewards Family Physicians Company Inc. Grandpa Ike’s Mini Donuts Star City Games Roanoke Women’s Foundation Roanoke Gas LeClairRyan, A Professional Anesthesiology Associates Bridgewater College Halesford Baptist Church Starr Hill Brewery, LLC of the Community SunTrust Foundation Corporation of Radford, Inc. Burnett Transport, LLC Health Industries Target leadership partners who make a gift of $1,000 or Foundation Serving The National Arts Quick Med Claims LLC Bassett Furniture C. Jeffrey Stump CPA PC Research Companies Tharp Funeral Home & Western Virginia Program Foundation Resurrection Catholic Church Building Specialists Inc. Childrens Advocacy Healthcare Business Crematory Inc. more annually to Carilion Clinic. VS. Cancer Foundation Richfield Retirement Cornerstone Land Programs of the Blue Ridge Media, Inc. The Benevity Community The Visionary Society Community Surveying, Inc. Cintas Corporation Hooker Furniture Corporation Impact Fund $25,000+ The Innovators Society Roanoke Oral Surgery, Inc. Dairy Queen of Virginia Inc. Commonwealth Hughes Associates Architects The Uttermost Co. THE CADUCEUS SOCIETY Atlantic Union Bank $2,500+ Union Bank and Trust Hoffman & Hoffman Hospitality Corp. & Engineers TR Toppers Freedom First Federal Amish Church Fund Zelda and Julius Halpern Humphrey Stump & Commonwealth Lighting Inc. J. W. and A. G. Davis Trinity Friends Church SALT Anonymous (2) Don Halliwill Keith Perry Credit Union Balzer & Associates Fund of the Community Haynie Insurance Commonwealth Charitable Remainder Ladies Group Nancy Howell Agee Dan Harrington, M.D. Virginia Powel, M.D. New River Valley Capital District Kiwanis Foundation Serving Lawrence Perry & Tool Specialty Unitrust Triple S Realty LLC Lisa Andruscavage, M.D. Ryan Harris, D.O. Manjusha Sahni, M.D. Health Foundation Foundation Inc Western Virginia Associates, Inc. Concrete Pipe and Precast John C. Echols Turner’s Building Inc. Peter Apel, M.D. Rollin J. Hawley, M.D. Barbara Schleider Virginia Prosthetics Commonwealth Care McAlister’s Deli Cooperative Milk Memorial Fund UAW Local 2069 Jeanne Armentrout Tom Hill Gary Scott and Orthotics of Roanoke The Leadership Society S & D Coffee, Inc. Producers Association John T. Morgan Roofing Womens Committee Steve Arner Shirley Holland Paul Skolnik, M.D. Dixon, Hubard, Feinour $1,000+ Simpson Funeral Home Copeland Excavation Kellogg’s United Rentals Inc Tim Auwarter Kellogg Hunt, M.D. Keith R. Stephenson, M.D. The Benefactor Society & Brown, Inc. Applied Medical & Crematory and Construction Mac and Bob’s United Way of Roanoke Valley Matthew Barr Michael Jeremiah, M.D. Kurt Stockstill, M.D. $10,000+ First Friday’s at Five Inc. Blue Ridge Beverage Co. Inc. Suntrust Bank Dart Container Mama Ann’s Gifts Unity Christian Church Carol Bernier, D.O. Daniel R. Jones, M.D. Paul Stromberg, M.D. AECOM G & H Contracting, Inc. The Turner Family Fund of the TBC Corporation Deli-Matic and Goodies Venddy LLC Nathaniel L. Bishop, D.Min. Michael L. Jones, M.D. Jon Sweet, M.D. American National Bank HoneyTree Early Community Foundation U.S. Foods E.C. Pace Company Moe’s Virginia Association Medical Drs. Charles and Noelle Bissell Daniel Karolyi, M.D. Daniel R. Tershak, M.D. & Trust Co. Learning Centers Inc. Serving Western Virginia Virginia Business Council ECS Mid Atlantic, LLC Mt. Ivy Christian Church Staff Services R. Webb Burns Thomas Kayrouz, M.D. Bruce R. Thomas, M.D. Boxley Materials Company Oakey’s Funeral Service F & S Building WDBJ-7 Exper-T’s Mt. Pleasant Wall & Associates John Burton, M.D. Donald Kees, M.D. Robert Trestman, M.D. Robins & Morton/Branch Builds PNC Foundation Innovations, Inc. White Electrical Services, LLC Fairfax County Retired Volunteer Fire Dept. Westside Ladies Jonathan J. Carmouche, M.D. Karl Kletzing, M.D. E. Mark Watts, M.D. City of Roanoke, Virginia STTI Tau Phi Chapter Fink’s Jewelers, Inc. Police Association MTCBR Golf Association Vikas Chitnavis, M.D. Amy Kryder, M.D. Patrice Weiss, M.D. Farrell Foundation The Secular Society Franklin County High School Friends Farm Credit of the My Brothers Crossing Inc. Winter Properties Partnership Carolyn Chrisman Lee Learman, M.D., Ph.D. Amjad U. Wyne, M.D. G.J. Hopkins, Inc. The Whiting-Turner Investco Foundation Gifts Under $500 Virginias, ACA NSA Civilian Welfare Fund Bryan Collier, D.O. Donna M. Littlepage Mike Young Hidden Valley Country Club Contracting Co. Kegley Electric Company LLC Advances for Daily Living First Bank and Trust Oakland Elementary School Nick Conte Don Love Marsh & McLennan Agency LLC Wells Fargo Bank, N.A. Lichtenstein Law Group PLC Affinity Infusion VA, LLC Flora Funeral Service Inc. Parcell Sales Inc. Benjamin Coobs, M.D. Neil MacDonald, M.D. Physicians to Children MB Contractors, Inc. Allstate Giving Campaign Floyd Xpress Market Piedmont Community Tracey Criss, M.D. Bill Magdycz, M.D. Trane Commercial Systems The Champion Society Stellar Solutions Foundation Amazon Smile Foundation FPC Greensboro Services Michael L. Dame Elizabeth McCuin, M.D. Skanska $1,500+ Valley Financial Solutions Baird Drywall & Acoustic, Inc. Frametek Construction Pointe West Management Heather Davenport Steve Morgan, M.D. Quest Diagnostics American Hospital Western Albemarle Bank of Botetourt Co., Inc. Redwood Minute Market, Inc. Greg Dehmer, M.D. Joseph Moskal, M.D. Woods Rogers, PLC Association High School Bedford Lions Club Freshens Yogurt Ventures River Rock Entertainment Inc. Kim Dunsmore, M.D. Sam Nakat, M.D. Member One Federal Avis Construction Zoll Medical Corporation Belspring Presbyterian USA, Inc. Roanoke Glass, Inc. Jorge M. Garcia, M.D. Kipper Nottingham, M.D. Credit Union Company, Inc. Women Frith Anderson & Peake Roanoke Round Table Mark Greenawald, M.D. Michael Nussbaum, M.D. Truist Child’s Play Charity Berkshire Hathaway Gay and Neel, Inc. Sail Away Bows David Gregory, M.D. John Perkins, M.D.

34 35 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

The Loyalty Club recognizes donors who give $500 or more For many of our employees, Carilion Clinic is more than a place annually for at least three consecutive years. to work. Many individuals choose to support Carilion because they believe in our mission and the value of our work together.

THE LOYALTY CLUB OUR COMMUNITY CAMPAIGN DONORS

The Honorable G. Steven and Michael L. Dame William Lee Kay and Wayne Strickland Anonymous (93) Clinton B. Atwater Jessica Beverley Reba Bowling Joanne Buckley Susan Carter Nancy Howell Agee Derrick Family Foundation Donna M. Littlepage The Stromberg Family Deon Abbitt Holton R. Austin Beverly Binner Angela Bowman Victor Buckwalter, M.D. Mary Colette Carver Briggs Andrews John Epling, M.D. Neil MacDonald, M.D. Charles Suba Michael Abbott Joseph Austin, M.D. Morey Birch Suzanne Bowser R. Webb Burns Benny Casey Lisa Andruscavage, M.D. Francis and Mary Farrell Bill and Louise Magdycz Charles Tarasidis Patricia Abbott Tim Auwarter Jason Bishop Donna G. Boyd Brandon Burrow John Cassell Jeanne Armentrout Bill Flattery Jennifer A. Martin Mattie Tenzer Kelly Adkins Caleb Avery Lynsey Bishop Jennifer A. Bradley Jason Burton Kathleen Cassell Steve Arner Richard M. Frye Elizabeth McCuin, M.D. Daniel Threlkel Tabatha Adkinson Sharon Avery Nathaniel L. Bishop, D.Min. Nancy Brand John Burton, M.D. Denise Cassell Timothy Auwarter Marianne Gandee Janel H. McDonald Thomas and Nick Aesy Marjorie Baggett Rebecca Bishop Kristin Brandenberger Jodi Bush Jim Cassidy Robert Bennett Jorge M. Garcia, M.D. Chris Mertes, M.D. Mary Evelyn Tielking Carole M. Agee Monica Bailey Christopher Blake Orlandra Brandon Melody Buskey Kathy and Sammy Chalflinch Carol Bernier, D.O. Teresa George Tom Miller Daphne and Jay Turner Nancy Howell Agee Joseph Baker, M.D. Julie Blanchard Tracy Branson Shelley Byrd Sandra Champe Nathaniel L. Bishop, D.Min. The Grafsky Family Steve and Ellen Morgan Marguerite Underwood Jessica Albert Chelsie Bard Barbie Blank Kelsay Bratton Cathy Cadd Sherri Chaney Drs. Charles and Noelle Bissell Mark and Joanne Greenawald Mel Morris E. Mark Watts, M.D. Dana Alexander Kimberly Barker Dana Blankenship Lisa Bratton Doris Cadd Cheryle Chapin Christopher Blake Niki Hale Karrie N. Moses Patrice Weiss, M.D. Terri Allen Deborah Barnes Mary Blankenship Brent Brewer Melissa Campbell Rhonda Charr Alexander and Lynne Boone Don and Tammy Halliwill Stephen and William and Joyce White Tiffany P. Allen Matthew Barr Leanne Blatterman Albert Briggs, M.D. Martha Camper David Chernoff, M.D. Molly and Webb Burns Dr. Dan and Mrs. Gil Billie Sue Musselwhite Betsy Whitney Karen Alley Amanda Bartley James Blevins Arthur Brooks Robin Cannon Christina Cherro John and Tracy Burton Harrington Kipper and Mary Nottingham MaryAnn and J. David Wine Nancy Altice Bill Battin Niki Blevins Anissa Brown Bob Capito and Bob Clark Madhu Chibber Bob Capito and Bob Clark James A. Hartley Drs. Michael and Danielle and Ed Yarber Kim and Chad Alvarez Curtis Bayer Ann Blum Dusty M. Brown Mary Jane Carbaugh Vikas Chitnavis, M.D. Mary Ann and George Rollin J. Hawley, M.D. Sue Nussbaum Anissa Aman Lera Bayer Connie Blumhagen Emily Brown Amy Beth Carducci Tammy Chittum Cartledge, Jr. Andrea Henson Keith Perry Preye Amaruntowa Michael and Sally Beachy Jacqueline Boaz Gail Brown Joann Cardwell Karen Chitwood Kathy and Sammy Chalflinch Doug Henson Sarah and Justin Plymale Dorey Anderson Desiree Beasley Lori Bodzioney Linda G. Brown Jonathan Carmouche, M.D. Dan and Carolyn Chrisman Cheryle Chapin Linda Short Hodges Virginia Powel, M.D. Gail Anderson Suzanne Beels Carrie Boggess Lisa Brown Lawrence Carpio, D.O. Charlotte Clark Vikas Chitnavis, M.D. Shirley Holland Kerry Powell, M.D. Lisa Andruscavage, M.D. Pam Behal Jim Bohn Scott Brown Carolyn Carr Deborah Clark Dan and Carolyn Chrisman Leonard Horner David and Kathryn Robertson Michael Anglin Billy Belcher Mary Boitnott Sarah V. Browning Connie Carroll Lindy Clark Bryan Collier, D.O. and Debra Huddleston Kim Roe Jeanne Armentrout Jane Belcher Danielle Bona Linda Brown-Jones Samantha Carroll Nicholas S. Clark, M.D. Liz Chilton Dr. K. Kellogg and Chuck Sawyers Kerry Armentrout Cathy Bell Donna Bond Elaine Brubaker Teresa Carroll Laura Claytor Nick Conte Mrs. Lita Hunt Joseph Scartelli, Ph.D. Steve and Brenda Arner Amanda H. Belue Natalie Bone Jimmy and Mary Bryant Cindy Carter Katina Clements Dottie Cook Shields and Virginia Jarrett Nancy J. Schuessler Paulette Arnold Elizabeth Benson Amy Booth Shonte’ Bryson Diana Carter Monique Clemont Melissa Crigger Daniel R. Kelly, M.D. Gary and Tara Scott Jamey Arthur Belinda Beran Katie Booth Tonia Buchan Kimberly F. Carter Ross Cleveland Lori Crowder Mr. and Mrs. Stanard F. Paul Skolnik, M.D. Shelonda Arthur Danene Bernard Shannon Boswell Wes Buchanan Larry Carter Carl and Sharon Cline Robin and Michael Czar Lanford, Jr. Eddie and Missy Smith Brian Asbury Trinity B. Bess Aaron Boush Jim Buchbinder Rachel Carter Greg Cline

36 37 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

OUR COMMUNITY CAMPAIGN DONORS

Beth Clingenpeel Amy Cundiff Kimberly Dudley Shanna Flowers Elaine Gravely Rhonda Harrell Julie Hoff Kevin Jenkins Souha Khawam Matthew Lowery Ricky Mckinney The Morris Family Bill Coblentz Beverly Cundiff Lisa Dudley Tara Floyd Kathy Gravely Daniel Harrington, M.D. Jason Hoffman Brenda Jennings Elizabeth Kidd Tracy Lucas Stacy McLaughlin Mel Morris Rebekah Coleman Terri Cundiff Doris Duff Drema Fogus Maureen Green Elizabeth Harris Brian Hoffmann, M.D. Cathy Jennings Kye Y. Kim, M.D. Joanna Maas Fran McMaster Marlena Morrison Hope Coles Amy Curtis Leon Dulaney Kimberly Forbes Mark and Joanne Greenawald Gennifer Harris Shirley Holland Faith Jennings Amy King Neil MacDonald, M.D. David McMillan Karrie N. Moses Tanya Coles Robin and Michael Czar Kathy Duncan Monica Ford Kristie Greenman Katie Harris Gina Holmes Wendi Jobe Andrew King Greg Madsen Sarah McMillan Joseph Moskal, M.D. Bryan Collier, D.O. and Michael L. Dame Michelle Duncan Donna Foster David Gregory, M.D. Michelle Harris Linda Holt Carol Johnson Caroline King Bill and Louise Magdycz Trudy McNew David Moulin Liz Chilton Lorrie Danco Lisa Dunn Brenda Foutz John Griessmayer Sandy Harris Tracey Leigh Hooker Christi Johnson Pamela King Jill Maggi Kristin Meador Cynthia Mullen-Gartland Lindsay Collins Debbie Daniel Kim P. Dunsmore, M.D. Kristina Fralin Jack Griffin Tonia Harris Edythe Hooper Dana Johnson Paul King and Family Shelley Mahlert Alesha Meadows Don K. Mullins Jane Colwell Carol Darnell Sarah Eary Kimberly Frampton Sara Grimsley Wendi Harris Noel Hoose Dan Johnson Mary Kingery Jennifer Malone Angela Meadows Wanda Mullins Judith Conley Heather Davenport Teresa D. Eble Michelle Franklin Norma Grimstead Mary Jane Harrison Dawn Horger Delisa Johnson Kathryn Kirby Robert Mandeville Cindy Meadows Diane Mundy Tracie Conley Melanie David Lisa Edwards Angelia Freeman Nicole Grisetti Cheri Hartman Stephanie A. Horn Jessica Johnson Heidi Kirk Kathryn Manning Jennifer Medeiros Jennifer Munsey Bernadette Conner Kaitlin Davis Laura Elliott Andra Fridley Casey Groves David W. Hartman, M.D. Robin Hosey Judy Johnson Crystal Kiser Vivian Mao, M.D. Arlene M. Melendez Amanda Murchison, M.D. Donna Conner Sharoni Davis Carrey Ellis Kristal Fulcher Sheena Gum Sierra M. Hartman Angelita Howe Monica Johnson Stephanie Kohlmeyer Missy Marmon Pamela L. Memitt Ronald Murray Jennifer Conner Steven Davis Clara Ellis Trish Gaither Adrienne Gusler Ellen Harvey Shana Hoy Rhonda Johnson Ellen Kormann Angela Martin Kelley Mentkow Deidre Myers Karen Conner Wanda Davis Danielle Ellis Jessica Garland Rhonda Gusler Mary Hastings Karen Hoynoski Tina Johnson Michele Kosinski Cathy Martin Chris Mertes, M.D. Erika Myers Thomas Conner Heather S. Day Jessica Ellis Jessica Garver Michelle Guthrie Lori Ann Hayes Debra Huddleston Kelly Johnston Mary Kraemer, M.D. Christy Martin Stephanie Michael Karen C. Myers Kerry Ann Conrad Ellen DeForest John Epling, M.D. Dawn Gentry Tina Hagerman Amanda Haynes Sarah R. Hudson Charli Jones Thomas Kraemer Jennifer A. Martin Mac and Amy Michals Peggy L. Myers Bethany Conroy MaryAnn DeHaven Charlotte Epperley Nicholas Georgia James Hairston Carol Haynes Vicki Hudson Daniel R. Jones, M.D. Chris Kuster Pam Martin Amy Fisher Miles Sam Nakat, M.D. Nick Conte Greg Dehmer, M.D. Brenda Epperly Frank Geurrandeno Keevie Hairston Donna F. Helm Kendra Humphrey Darren Jones Jewel Laclair Tina M. Martin Timothy and Wanda Miles Alexandra Nassif Benjamin Coobs, M.D. Amber Dempsey Nathalia Esteves-Fuentes Carson Gibson Betty Hale April Henderson Loraine Humphreys Eva Jones Karen J. LaFon Whitney Martin Brenda Miller Samira Nassif Dottie Cook Charles Edward Denny Kayla Michelle Evans Gibson Family Melissa Hale Erin Henderson Brenda Hunley Kathryn Jones Bonnie Land Tina Martinez Jim Miller Edie Naughton Gloria Cooper Mark Derbyshire Joann Everett Ranessa Gibson Niki Hale Andrea Henson Kimberly Hunt Kelsey Jones Cynthia Lapradd Jeff Marvin Tom Miller Holly and David Neel Marlene Cooper Martha Devinney Cynthia Fallon Elizabeth Gilbert Loretta Hall Doug Henson Laura Hunt Laura Jones Peter S. Larkin Gaynell Mason LeFlore Debra Mills Caren Nelson Cynthia Corbett Janice Dezelich Francis and Mary Farrell Kimberly Giles Susan Hall Michael Herron Samantha Hunt Lee R. Jones, D.M.D. Lisa Laughlin Kristina Massey Sandra Mills Kristina M. Nester Cassandra M. Corn Stephanie Dickenson Melissa Feazell Sara Gill Tiffany Hall Traci Herscher Timothy Hunt Melissa Jones Nicole Lawrence Shannon Matthews Loma Milner Cynthia Newby Claire Cornwell David Dickey Shelly Feazell James Gills Don and Tammy Halliwill Alison Hester, D.O. Terri Hunter Shari Y. Jones Melissa Layton Daronda May Martin Misicko Carol B. Newman Joyce Cox Mary Diggs Sherry Feeny Melinda Girard Thomas Hamilton, M.D. Joel Hicks Sue G. Huntington Amy Kageals Pamela Lee Vickie May Bertha Mitchell Kimberly Newman Diane Coyer Mary Dillon Mark Feldmann, M.D. Janice Gleisner Geneva Hamlett Elizabeth Hill Jamie Hypes Cindy L. Kando-Owen William Lee Pamela Mayberry Tammy Mitchell Mary H. Nicely Angela Craig Raye Dillon Julia Felts Aaron Glenn Sherri Hamlin Sasha Hill Ann Ikunyua Daniel Karolyi, M.D. Dixie Lewis Rebecca McCormick Teresa Renee Mitchell Christy Nichols Michelle Crawford Martin Dittler Emilie Ferguson Jeanette Goad Teresa Hamm Tom Hill Sharon Ingram Barbara Kassebaum Jayne Lilley Seth McCormick Tyrone Molina Tammy Nichols Maria Creasey Pam Divers Melissa Ferguson Paul Godfrey Brian Hancock Jennie S. Hilton Jodi Inman Pamela Katt Rose Lindeberg Elizabeth S. McCuin, M.D. Rebecca P. Monard (Becky) Therese Nichols James Crews, M.D. Regina Donald Jessica S. Fichtner Regina Golding Sinclair Harcus, M.D. Brandie Hinkley Susan Irvine Jana Keen Donna M. Littlepage Joanne McCulloch Christopher H. Moore Andi Nolen Kimberly Crigger Sarah Dooley Kimberly Fifer Minda Goldsmith Gary Hargis Maria Hirsch Angela Jackson Donald Kees, M.D. Jeremy Llavore, M.D. Brad McDaniel Jennifer Moore Alice Nosse Melissa Crigger Michelle Dowdy Michelle Firebaugh Shana Goodwin Lisa Clark Harlin Melissa Hobbins Joan Jackson Glenda Keller Jo-Anne Llavore, M.D. Drema McDaniel Kimberly Moore Clifford and Tracey Criss, M.D. Donna D. Downs Cathy Fisher Donna Goyer Michael Harmon Rickey Hodge Tamara Jackson Daniel R. Kelly Michele Lofaro Janel H. McDonald Stacy Moore Mary Nottingham Kristin Crouse Robert Doyle Vicki Fitzpatrick The Grafsky Family Tanner Harmon Cynthia Hodges Sondra James Lynda Kelly Bruce A Long, M.D. Carol McFaddin Tammy Moore Michael Nussbaum, M.D. Douglas Crowder Andrea Draper Bill Flattery Kathy Graham Kenneth Harper Kristie Hodges Tia James Jennifer Kennedy Don Love Lynda J. McGarry Ursula Moore Katherine Oakley Lori Crowder Marlena Driscoll Allison Flinchum Lauren Graham Melissa Harper Linda Short Hodges Mary Jefferson Kathleen Kessler Lisa and Richard Lovegrove Ruth McGuire Catherine Morgan Natalie O’Donnell Kristen Crumley Christina Dudley Judy Flinchum Trina Graham Gary Harpold Mary Hodnett Meribeth Jefferson Penny R. Key Debra Lovelace Saralea McKenney Steve and Ellen Morgan Gary G. O’Hagan, M.D.

38 39 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

OUR COMMUNITY CAMPAIGN DONORS

Hayley Ohl Rachel Potter Cheryl Riffe Denise Settle Lisa Sprinkel Sharon Taylor Susan Viars Dorrene Whorton Lisha Osborne Virginia Powel, M.D. Sarah Riganti Julie Sexton Kathy Stafford Mattie Tenzer Kimberly Vickey Mariea Wickline Holly Ostby Kerry Powell, M.D. Debra Rigsby Melony Sexton Linda Staley Daniel Terrell Carly Villarreal Tara Wiedeman Ben Ostrander Naomi Powers Ivan Ritter Rhonda Shannon Jeanie Stanley Karen Terry Kathy Wade Dawn Wilkerson Regina Otey Coty Preston Ana Roberts Anne Shaver Robin Starke Daniel R. Tershak, M.D. Leisa Wade Belinda J. Williams Kathy Ott Amara Price Kippy Roberts Carol Shaver Karen Steahly Brandi Thomas Kimberly Waldeck Joan Williams Melissa Otterman Lori Price Amanda Robertson Rebecca Shaver Tiffany Steele Chris Thomas Jacqueline Waldoch Karen Williams Peggy Owens Patti Price Kimberly Robertson Thomas Sheedy John Steffe, M.D. Jennifer Thomas Jaclyn Walker Kathleen Williams Jessica Pagans Jill Prillaman Samuel T. Robertson Kathy Shelton Corri Stevens Todd Thomas Karen Walker Kristie Williams Karen Pagans David Pugh Wanda Robertson Laurie Shipman Phaedra Stevens Farah Thomason Pauline Walker Lisa Williams Melissa Page Melissa Pullin Cynthia Robinson Patricia Shorner Denise Stewart Betty E. Thornhill Michelle Waller Susan G. Williams Marie M. Painter Bobby Putnam Deborah Robinson Nancy Shumate Bill Stinchcomb Jason Thornhill Connie Walters Susan H. Williams Chelsea Pardue Boyd Queen John Rockwell Chelsea Sibold Kurt Stockstill, M.D. Lori Tibbs Vicki Walters Bill and Shari Wilson Cheryl Parker Shannon Radmacher Kim Roe Jennifer A. Simmons Denise Stockton Mark Tilburg Cynthia Ward Roxanne Wilson Allison Parkhurst Krishnaswamy William Rogers Patricia Simmons Suzanne Stone Grace Tilson Melodie Warren Tom and Nancy Wilson Betsy Parkins Ramachandran, M.D. Alicia Rollins Lisa Simpson Kimi Stover Christi Toms LeVita Washington Vivian Wilson Jessica Pauley Jessica Ratcliffe John Romeo Paul Skolnik, M.D. Robin Strachman Tina Toms Timmara Washington Karen Wimmer Susan Pauley Edward Ratzell Lisa Ross Leah Slagle Lorinda Straley Lisa Toney E. Mark Watts, M.D. Tina Wimmer Courtney Peery Karen Ray Martha Ross Andrew A. Slemp, M.D. Kay Strickland Rosemary Toobert Maria Watts Amber Wines Rebecca Pelaez Tracy Reaser Victoria Ross Cynthia Diana Slocum Beverly Sturgill Brett Tracy Alex Waweru Deborah Wines Kathleen Pellant Kathleen Recame Alice Rousselle Bridgette Smigiel Charles Suba Leigh Ann Trent Rob Way William Winkler Lisa Pendleton Amanda Reece Lisa J. Rowland Carl Smith Danielle Sutler Robert Trestman, M.D. Heather Weatherford Maygon Wirt Hayley Penix Chanda Reece Manjusha Sahni, M.D. Casey Smith Polly Sutphin Kelsey Trevilian Chelsea Weaver Cheryl Witt Alison Perdue Kelly Reece Christina Salazar Dawn M. Smith Kaycie Suttle Tanya Trevilian Samantha Weaver Angela Wolfe Brenda Perigen Anita Reed Stephania Santy Dawn V. Smith Tammy Swank Mary Trudgeon Donna Webb Brittany Wood Amy Perkins Janice Reeks Casi Saunders Ellie Smith Jon and Mary Beth Sweet Dedria Tuck Lisa Webb Emily Woody Kathryn Perry Kaitlyn Reep Chuck Sawyers Ginger Smith Kimberly Swisher Benisa Turner Vickie Webb Gregory Wright Keith Perry Kelly Reese Sandy Sayre Lauren Smith Mark Swope Sara Ullman Debbie Weems Pam and Joe Wright Margaret Perry Jared Register William Sayre, M.D. Lisa Smith Deb Sydnor Lorri Umberger Patrice Weiss, M.D. Nish Wright Robert M. Perry George Remaine Dawn Schaben Meta Smith Gustaf Sylvester-Johnson Carrie Underwood Maegan Weller Sheila Wright Heather Peters Marsha ReMine Skip Scheaffel Terry M. Smith Iris Tabor Marguerite Underwood Tara West Tracy B. Wright Lori Peters Avis Reynolds Barbara Schleider Ronald Snell Kimberly Tamminen Karen W. Unroe Amy R. Westmoreland Tracy J. Wright Christopher Peterson Rachel Reynolds Helen Schneider Adrienne Sowers Charles Tarasidis Fidel Valea, M.D. Vickie L. Westmoreland Robin Wunderlich Cynthia Phelps Rae Rhodes David W. Scott Karen Spangler Jennifer Tarter David Vance Ralph Whatley, M.D. Dora Wygal Deborah Pierce Jana M. Rice Gary and Tara Scott Saterra Spears Danielle Taylor Robert Varner Linda Wheeling Amjad U. Wyne, M.D. Kristen Pilarski Michelle Rice Tracy Scruggs Ron Spellman Janet Taylor Denise Vaughan Amy Whichello Rosemary Zaucha Kristin Polverino Anna Marie Richardson Pam Seay Stephanie Spencer Julie Taylor Rob Vaughan Tonya Whitlow Debra K. Zerwekh Teresa Poole Mary Riddle Leslie Sechrist Kim Spicer Laurie Taylor Latasha Vega Kelley and Michelle Whitmer Goldie Potter Tara Riddle Gayle Sellars Robert Sprague Robyn Taylor Leta and David Vess Betsy Whitney

40 41 GIVING & ACKNOWLEDGING GIVING & ACKNOWLEDGING

We sincerely thank the donors who made special gifts Lee A. Learman, Ph.D., M.D. Donald B. Nolan, M.D. Joseph L. Sheffey Michael Wiid, M.D. Ursula Lee Clifford A. Nottingham, M.D. Cynthia M. Shelor Craig Wilhelms, D.P.M. in honor of the following individuals and groups who William Lee NTICU Paul Skolnik, M.D. Neil D. Wilkin, Jr. Joseph P. Lehman Michael Nussbaum, M.D. Parker Slayton, M.D. A. Damon Williams Apollo Y. Leong, M.D. Gary G. O’Hagan, M.D. John F. Sloboda, M.D. Eric Williams, M.D. brighten our days, lift our spirits and bring us hope. Dr. and Mrs. M. Levine Lisha Osborne Sheila Slonim Kristie Williams Kelli Linick, M.D. Elvis Pagan, M.D. Donald G. Smith, M.D. Carolyn Wilson Jeremy Llavore, M.D. Melissa Page Fran Smith Mark R. Witcher, M.D. IN HONOR OF Anthony Loschner, M.D. Todd Palmerton, M.D. Lisa Smith Michael Wolfe, M.D. Donald Love Biraj Patel, M.D. Tiara Smolinski Erik Womeldorf, M.D. Michael Abbott Trinity Bess Lawrence Carpio, D.O. Pam Divers Sam Garber Henry R. Ivey, M.D. Matt Lowery Vishal D. Patel, M.D. Raymond D. Smoot, Jr. Christopher Wood, D.O. Jennifer Adkins Matthew Billups, D.O. Kenneth Carr Thomas Donohue, M.D. Evelyn M. Garcia, M.D. Margaret Jackson Kathryn S. Mabe Robert Patten, M.D. Ann B. Sollinger Janie Wood Nancy Howell Agee Jason E. Bingham Ellen Carroll Amy W. Doolan, D.O. George Garhartt Sondra James Greg Madsen Visionary Pediatric Leaders Peggy Sowers Danielle H. Yarber Becky Akers Nathaniel L. Bishop, D.Min. George B. Cartledge, III Lamiere J. Downing, M.D. My 21 Great Granchildren Cathy Jennings Bill Magdycz, M.D. Linda Perdue Millie Spence Janet Young Amanda Allen Allen Blackwood, M.D. Collette Carver Harold and Elinor Draper Mark Greenawald, M.D. Michael Jeremiah, M.D. John W. Mann, M.D. Pet Pals Team Anthony Stavola, M.D. Julie Zielinski, M.D. Chad Alvarez, Pharm.D. Christopher Blake Benjamin Casey James Drougas, M.D. L.Y. Grove, M.D. Wendy Jobe Kianna Price Marshall Benjamin Philpott, M.D. Donald Strum Anderson, Desimone and Steve Blanks Pamela K. Cassell G.C. Duck Hugh Hagan, M.D. Brent Johnson, M.D. Paula Martin, D.O. Marc Platt, D.P.M. Sarah Stubbs, M.D. Green PC William Blaskis, D.O. Kathy Chalflinch Kim Dunsmore, M.D. Keevie Hairston Bruce Johnson, M.D. Eric A. Marvin, D.O. John W. Priddy, M.D. Jonathan Suarez Chinekwu Anyanwu, M.D. Larry Boetsch, Jr., D.M.L. Eric H. Chen, M.D. Saju Eapen, M.D. Dennis Haley Brandon Jones James A. Maxey, D.O. Scott Pritchard Christopher M. Sullivan, M.D. Joan Arbitblit Lia Boggs John Choi Katherin A. Elam Don Halliwill Daniel R. Jones, M.D. Terrence P. May, M.D. Ann S. Raikes Mary Sweet, M.D. Jeanne Armentrout Sonya Bohon, M.D. Carolyn Chrisman John Epling, M.D. Daniel Harrington, M.D. Amy Kageals Alicia Mcallister Patrick Randolph John Swisher Steve Arner John A. Bond Laura B. Cieraszynski, D.O. Benjamin Ernst, D.O. William K. Harris, M.D. Daniel Karolyi, M.D. Johnny and Ann McCandless Catherine Rea, M.D. Daniel R. Tershak, M.D. Christy Arthur, M.D. J. Alexander Boone Ross Cleveland Family and Friends James A. Hartley Richard Kauffman, D.O. Christopher McClanahan Shravani Reddy, M.D. James C. Thompson Shelonda Arthur John Boone, D.O. Carl Cline Joshua D. Farrar, M.D. Paul A. Haskins, M.D. Ashutosh Kaushal, M.D. Chris Mertes, M.D. Randall R. Rhea, M.D. Isabel R. Thornton Vergel Atienza, M.D. Abney S. Boxley, III Lindsay Collins Ashley Jean C. Feuerstein Suzan Hassell Stephen J. Kellam, M.D. Cay Mierisch, M.D. Anna Marie Richardson Brett Tracy Ann Austin, D.O. Wayne Brackenrich, D.O. Nick Conte Corey M. Fidler, D.P.M. Ido Heletz, M.D. Jenna L. Kellstrom Marty Misicko Kim Roe Bob Trestman, M.D. Terry L. Austin Donald I. Brady, M.D. Rachael Cook William Fintel, M.D. Julia Hemphill, M.D. Souha J. Khawam, M.D. Leeda Momand Joseph Rowe III, M.D. Fidel Valea, M.D. Timothy Auwarter Bratton NICU Graduates James Crews, M.D. Bill Flattery Andrew B. Hilldrup, D.O. Doris E. Kidd Maxine Morehead Marrieth G. Rubio, M.D. Rob Vaughan Sameh Aziz, M.D. Emily Brown Tracey Criss, M.D. Glynis Flowers Carol Hilligsberg Kim Kincer Stephen Morgan, M.D. Aneysa Sane, M.D. Bill Wasserman Dewey R. Bailey, M.D. Rheanna Bunn Paul Dallas, M.D. Shanna Flowers Ava and Jace Hodnett Patricia K. Kingery Karrie Moses Chuck Sawyers Sarah Watkins Timothy C. Ball, M.D. Webb Burns Vickie Dameron Jason Foerst, M.D. Shirley B. Holland William R. Kingery, Jr. Joseph Moskal, M.D. Joe Scartelli, Ph.D. E. Mark Watts, M.D. Matt Barr John Burton, M.D. Lorrie Danco Becky Foster Housenfleur Service Funeral Adrienne M. Kinsey, D.O. Ross Murchison, M.D. Lauren J. Schantz Brad Weaver, M.D. Jennifer L. Bath John and Tracy Burton Paul Davenport Bethany Franklin Choir Volunteers Heather Kissner Edward Murphy Meg Scheaffel Jonathan Webster, D.Min Harold Beattie Elizabeth Byrd Paul and Heather Davenport Michelle Franklin Debbie Huddleston Christian Klaus, D.O. Carl W. Musser, M.D. Mark Schleupner, M.D. Patrice Weiss, M.D. Faye Bedsaul Ghislaine Cady Roxanne Davenport, M.D. Janet D. Frantz Dee W. Humbard Mary S. Kraemer, M.D. Sam Nakat, M.D. Tarin Schmidt-Dalton, M.D. Robert M. Whisnant, M.D. Timothy Beirne, M.D. Tammy Campbell Mary Alice and Dick Davis Trishia Frazier Kellogg Hunt, M.D. Damon Kuehl, M.D. Luke Naughton Ronald Scobbo, M.D. Norma White Karen Belek Martha Camper Perry Deaver Richard M. Frye David A. Iglesias, M.D. Jeri Lantz, M.D. John T. Nelson, M.D. Susan Self William White, Sr. Francis Benko, D.O. Carilion Cardiology Sandra Denny Shravan Kumar R. Robert W. Irvin, M.D. Mark Lawrence The NICU Rhonda Shannon Jessica R. Whiting, D.O. Robert G. Bennett Jonathan J. Carmouche, M.D. Julia Dill Gaddam, M.D. Kathy Isom Mark and Cynthia Lawrence Carolyn Nolan Roy Lee and Sandra Shaw William P. Whitney, M.D.

42 43 GIVING & ACKNOWLEDGING 2019 BOARDS OF DIRECTORS CARILION CLINIC CARILION CLINIC FOUNDATION

James A. Hartley, Chair Directors Emeriti Robert G. Bennett, Chair We sincerely thank the donors who made special gifts Nancy Howell Agee, President and CEO George B. Cartledge, Jr. Nancy Howell Agee Terry L. Austin Warner Dalhouse Abney S. Boxley, III in memory of the following individuals who will stay in Jason E. Bingham Charles I. Lunsford, II George B. Cartledge, Jr. R. Steve Blanks Guy E. Murray, Jr. H.E. Derrick, Jr. H. Laurent Boetsch, Jr., D.M.L. James M. Turner, Jr. James A. Hartley our hearts forever. John A. Bond Virginia B. Jarrett J. Alexander Boone William R. Kingery, Jr. Abney S. Boxley, III Cynthia Lawrence IN MEMORY OF Daniel R. Jones, M.D. Stephen A. Musselwhite William R. Kingery, Jr. J. David Wine Jay Abbott Arthur Clarke Robert L. Gibson Merle Linby-Young Edith Reese James and Frances Whitlow Joseph P. Scartelli, Ph.D. Eva Agee John O. Claytor Wanda Gibson Richard Marmaduke Joann Robertson Hubert Wills Joseph L. Sheffey Jack Akers Infant Sonya Claytor Edward C. Hamilton Walter McCammond Harry Roeder Barbara Wilson Raymond D. Smoot, Jr., Ph.D. Carl Alley Sean T. Claytor Melissa and Mark Hammond Randy and Barbara Romeo Robert P. Wingfield James C. Thompson Betty Ruth Altis Treva Claytor Martin Harris McCormack Frances Roop Bob and Lola Wood William White, Sr. Elwood Angus Georgia Covington Stanley Harter Louise McWilliams Virginia A. Saul Brian L. Worrell Neil D. Wilkin, Jr. Helen Aylor Richard Davis Sheri Lynn Haupt Linda Meadows Carolyn Shamaa Stan Wszolek Danielle H. Yarber Lee P. Baker Marcia Degler Linda Higgins Jean’s Family Members Margaret Sizemore Eleanor Barile Paul and Minnie Dickinson Charles R. Hill Ian Mills Darcie Ann H. Sloan Robert “Bear” Beckner Novella Dodson Doris H. Holley Susan Renee Milner Cole Smith Roger Bedwell, Jr. Carl Dooley Fred C. and Catherine H. Holt Frank and Linda Morgan George Smith Lois C. Belcher Bob and Betty Douglas Carl S. Hood Glenn Morris Regina Smith OUR PRINCIPLES Paul Norman Belue Sylvesta T. Dozier Carolyn “Deechie” Hooper Ruth and Maurice Murray Virginia L. Smith Kevin Benson Jack Dudley Fannie J. Hooper Billy E. Oakes Virginia P. Smith OUR MISSION Michael Bierle Sara Beth Duncan Harold “Lee” Hooper, Jr. Eva Oakes Maynard Staples Improve the health of the communities we serve. Marjorie Blair Geneva Eckles Harold L. Hooper, Sr. Mary Elizabeth Osborne Rosa Stout Scott Blankenship Irene Elliott Millard Eugene “Gene” Singleton Osterhoudt Gary Swank, M.D. OUR VISION John and Annie Bolt Delores Esposito Janney Darrell Owen Kathleen H. Thorsen We are committed to a common purpose of better patient care, better community Carol Brenner William N. Evans Rush Jennings Charles Parrish George and Thelma health and lower cost. Johnny H. Brooks Elizabeth “Beatrice” Faist Carl Johnson Emily Patterson Tompkins Caroline Brown Mr. and Mrs. Donald Ferren Charles “Chuck” Jordan Mandy Payne Dixie Walker Tucker OUR VALUES Christopher Brunert Shannon and Lois Flowers Walter Keats John G. Peck Boyd L. Turner Collaboration — working together with purpose to achieve shared goals Howard Thomas Bryant Kathy Frahm Robert Louis A. Keeley Betty, Raymond, Steve and Timothy Umberger Commitment — unwavering in our quest for exceptional quality and service Reda Burnett Harper L. Frame Beatrice Rose Keleher Jane Peery Gary Wagner David Carey Augusta Frisbee Avery and Pepper Sundy Warf Compassion — putting heart into everything we do Thomas Casey Shirley Fronk Anson Deknight Kline Jesse Perdue Monte Weade Courage — doing what’s right for our patients without question Geraldine Casey-Saunders John Fugel Alvin “Clyde” Lambert Melina D. Perdue Thomas K. Weeks Jerry Chocklett Tia Gardner Demond Lark Grayson Reed Corky and Emerson Whatley Curiosity — fostering creativity and innovation in our pursuit of excellence Cinnamon Jeffrey E. George Dr. and Mrs. Levine Peggy Reed Mickey White

44 WHERE YOU WILL FIND US Salem URGENT CARE SITES Shawsville VelocityCare Staunton Blacksburg Tazewell Christiansburg Carilion Clinic is a tax-exempt health care organization headquartered in Vinton Daleville Waynesboro Lexington Roanoke, Virginia. Through our comprehensive network of hospitals, primary Westlake Raphine Carilion Stonewall Jackson Hospital and specialty physician practices, and complementary services, we provide Weyers Cave Roanoke Wytheville Salem LEINGTON exceptional care for nearly 1 million Virginians and West Virginians. Westlake

MEDICAL SPECIALTIES Oncology Therapy & Rehabilitation Services MAJOR OUTPATIENT Adolescent Medicine Orthopaedic Spine Surgery & Scoliosis Trauma/Surgical Critical Care CENTERS Allergy & Immunology Orthopaedic Trauma Urogynecology Aortic & Endovascular Surgery Otolaryngology Urology Institute for Orthopaedics & Neurosciences Bariatric Surgery Pain Management Vascular Surgery Riverside Center Breast Surgery Palliative Medicine & Supportive Care Wound Care LYNCHBURG Cardiology Pediatric & Adolescent Gynecology Cardiothoracic Surgery Pediatric Allergy & Immunology FAMILY MEDICINE Carilion Roanoke Community Hospital Colon & Rectal Surgery Pediatric Behavioral Health HOSPITALS LOCATIONS Carilion Giles Community Hospital Cosmetic Surgery Pediatric Cardiology VIRGINIA TECH CARILION SCHOOL OF MEDICINE AND ROANOKE BLACKSBURG FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC Dentistry Pediatric Child Development Tertiary Care Centers Bedford EARISBURG RADFORD Dermatology & Mohs Surgery Pediatric Dentistry Carilion New River Valley Medical Center Blacksburg (3) UNIVERSITY CARILION BEDFORD Diagnostic Radiology Pediatric Endocrinology Carilion Roanoke Memorial Hospital Blue Ridge VIRGINIA TECH Carilion Roanoke Memorial Hospital Emergency Medicine Pediatric Gastroenterology Boones Mill Carilion Children’s Hospital Endocrinology Pediatric Hematology & Specialty Care Hospitals Bridgewater RADFORD UNIVERSITY TAZEWELL

Family Medicine Oncology Carilion Children’s Hospital Buchanan Carilion Tazewell Carilion New River Valley Medical Center Community Hospital Foot & Ankle Pediatric Neurology Carilion Clinic Saint Albans Hospital Buena Vista Carilion Clinic Saint Albans Hospital Gastroenterology Pediatric Neurosurgery Christiansburg (2) General Orthopaedics Pediatric Orthopaedics Community Hospitals Clifton Forge Hospitals General Surgery Pediatric Otolaryngology Carilion Franklin Memorial Hospital Daleville Primary Care Geriatric Medicine Pediatric Pulmonology Carilion Giles Community Hospital Dayton ROCKY MOUNT Urgent Care Gynecological Oncology Pediatric Surgery Carilion Roanoke Community Hospital Dublin Hand & Upper Extremity Pediatrics Carilion Stonewall Jackson Hospital Floyd Home Care and/or Hospice Infectious Disease Physical Medicine & Rehabilitation Carilion Tazewell Community Hospital Fort Defiance Carilion Franklin Memorial Hospital Wellness

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