Carilion Clinic
Nonprofit profile at a glance
- EIN
- 541190771
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Roanoke, VA, USA
- Phone
- 800-422-8482
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Nonmonetary Support N.E.C.
Reported finances
- Revenue
- $42,307,838
- Expenses
- $41,816,858
- Assets
- $257,898,673
- Liabilities
- $164,354,641
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
31 people listed
Executive titles in this filing
- STEVEN ARNER (PRESIDENT, CEO)
- NANCY HOWELL AGEE (CEO EMERITUS)
Highest reported compensation
- NANCY HOWELL AGEE (CEO EMERITUS): $2,583,851 total reported compensation
- STEVEN ARNER (PRESIDENT, CEO): $2,205,266 total reported compensation
- DONALD HALLIWILL (ASST. TREASURER/CFO): $1,716,217 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Carilion Clinic is committed to improving the health of the communities it serves through better patient care, better community health, and lower cost. Carilion Clinic is a not–for–profit health care organization based in Roanoke, Va. Through our comprehensive network of hospitals, primary and specialty physician practices and other complementary services, we work together to provide quality care close to home for nearly 1 million Virginians. With an enduring commitment to the health of our region, we also seek to advance care through medical education and research, help our community stay healthy and inspire our region to grow stronger. []( CRMH_Campus_Fall_20201023_IMG_7734_003.
What it reported doing in 2024
See schedule o.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.
Rating breakdown
- Financial Efficiency: 83
- Transparency & Controls: 65
- Accountability: 92
- Sustainability: 51
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 95.5%; rating input score 95
- Program expense ratio: 92.2%; rating input score 92
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 6 of 6 controls in place; rating input score 100
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: Scored; rating input score 0
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 87%; rating input score 87; 19th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 1.2%; rating input score 38; 38th percentile among comparable filings
- Total-asset coverage ratio: 6.17; rating input score 87; 87th percentile among comparable filings
- Liabilities to assets ratio: 0.64; rating input score 20; 20th percentile among comparable filings
- Officer compensation ratio: 5.9%; rating input score 44; 44th percentile among comparable filings
Growth
- Program expense growth: 3.4% per year; rating input score 100; 29th percentile among comparable filings
- Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
- Asset growth: 2.4% per year; rating input score 100; 20th percentile among comparable filings
Details
- What they do: 1 operating location identified
- Where the money goes: 95.5% of revenue deployed · 92.2% of spending went to programs
- Governance: 20 of 23 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $38.5M in reported program spending
- Leadership: top reported pay $2.6M · 31 people listed · 6 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $4.8M reported
- Consistency: 27 of 27 current checks pass
- Schedules: 7 filed schedules · includes foreign activity, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 22 filed money-flow records
- Related organizations: 31 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Transparency & Controls: Grant itemization coverage scored 0/100.
- Moderate — Sustainability: Operating margin scored 38/100.
- High — Sustainability: Liabilities to assets ratio scored 20/100.
- Moderate — Sustainability: Officer compensation ratio scored 44/100.