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Carilion Giles Community Hospital

EIN 54-0549603 · Roanoke, VA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthWeak47 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH, AND LOWER COST.

Income
$136.6 million
Spending
$111.8 million
Spent on programs
85%
Reserves
-1.2 months of spending
Largest source of income
fees for its services, 99%
Employees
794
Volunteers
20
Highest pay
$1.7 million, asst. treasurer/evp/cfo

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Weak: 47 out of 100. Higher than 25% of charities in its peer group (health care, over $100m).

  • Reserves

    0 of 35

    Spendable reserves are negative: it owes or has committed more than it holds.

  • Debt

    2 of 20

    It owes 80% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 18% of income.

  • Income trend

    15 of 15

    Income rose 37% on the year before.

  • Spending floor

    15 of 15

    85% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, over $100m).

  • Independent board

    25 of 25

    12 of 17 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $94.8 million spent. CARILION GILES COMMUNITY HOSPITAL (CGCH), PART OF CARILION CLINIC, IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION COMMITTED TO IMPROVING HEALTH OUTCOMES FOR EVERY PATIENT WHILE ADVANCING THE QUALITY OF CARE IN THE COMMUNITY IT SERVES. LOCATED IN PEARISBURG, VA. THIS 25-BED CRITICAL ACCESS HOSPITAL PROVIDES 24-HOUR EMERGENCY CARE, ADVANCED DIAGNOSTIC PROCEDURES, MINIMALLY INVASIVE SURGERY, NUCLEAR MEDICINE STUDIES, RESPIRATORY SERVICES, AND COMPREHENSIVE REHABILITATION PROGRAMS. CGCH EXISTS TO SERVE THE HEALTH CARE NEEDS OF ITS COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE HOSPITAL ADMITTED 1,433 PATIENTS AND PROVIDED 6,529 DAYS OF CARE DURING THE YEAR. HOSPITAL PROGRAMS INCLUDE PROVISION OF NURSING CARE; SWING BED SERVICES; EXTENSIVE OUTPATIENT AND INPATIENT SURGICAL AND ENDOSCOPIC SERVICES; AND DIAGNOSTIC IMAGING SERVICES INCLUDING CT, MRI, SONOGRAPHY, BONE DENSITOMETRY, ECHOCARDIOGRAPHY AND MAMMOGRAPHY. SPECIALTY SERVICES OFFERED ON CAMPUS INCLUDE ORTHOPAEDICS, GENERAL SURGERY, CARDIOLOGY, UROLOGY, NEUROSURGERY, PLASTIC SURGERY, PULMONARY, OTOLARYNGOLOGY, AND WOUND CARE. CGCH ALSO PROVIDES INTEGRATED AND COMPREHENSIVE PRIMARY CARE SERVICES THROUGH MULTIPLE RURAL HEALTH CLINICS, SERVING OVER 320,487 PATIENT VISITS. CGCH DELIVERS SEVERAL SERVICES TARGETING THE SPECIFIC HEALTH NEEDS OF ITS POPULATION, INCLUDING DIABETES MANAGEMENT, COMPREHENSIVE PHYSICAL, SPEECH, OCCUPATIONAL THERAPY PROGRAMS, AND PARTICIPATION IN CARDIAC REHAB AND DISEASE MANAGEMENT PROGRAMS. CGCH PROVIDES AN EMERGENCY DEPARTMENT WITH 24-HOUR CARE AND EMERGENCY TRANSPORTATION. WITH 12,600 VISITS, EMERGENCY SERVICES ARE A CRITICAL COMPONENT OF THE HEALTH SAFETY NET IN ITS SERVICE AREA, ACTING AS A PRIMARY HEALTH PROVIDER FOR A SIGNIFICANT NUMBER OF UNINSURED PATIENTS, WHO COMPRISE OVER 5 PERCENT OF ED VISITS. CGCH SUPPORTS COMMUNITY SCREENINGS AND EDUCATION ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, AS WELL AS PROVIDED ESSENTIAL SUPPORT AND COORDINATION FOR A COMMUNITY-BASED MEDICATION ASSISTANCE PROGRAM. IN FURTHERANCE OF ITS MISSION, CGCH PROVIDES EXTENSIVE UNCOMPENSATED CARE AND COMMUNITY SUPPORT. STATED AT COST, FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS FOR THE YEAR EXCEEDED $1.5 MILLION.

Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending September 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since February 1952.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.