Carilion Clinic Foundation
Nonprofit profile at a glance
- EIN
- 541190773
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Roanoke, VA, USA
- Phone
- 5402245102
- Rating
- 64
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $15,481,894
- Expenses
- $4,349,028
- Assets
- $85,331,508
- Liabilities
- $155,395
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
19 people listed
Executive titles in this filing
- NANCY HOWELL AGEE (DIRECTOR/CEO EMERITUS, CARILION CLINIC)
- RALPH ALEE (VICE PRESIDENT)
Highest reported compensation
- NANCY HOWELL AGEE (DIRECTOR/CEO EMERITUS, CARILION CLINIC): $2,583,851 total reported compensation
- DONALD HALLIWILL (ASST. TREASURER/EVP/CFO): $1,716,217 total reported compensation
- NICHOLAS CONTE (SECRETARY/EVP/CLO): $1,486,316 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our mission is to improve the health of the communities served by carilion clinic through fundraising, asset management, grants, projects, and related activities to support patient care, community needs, medical research, and capital needs.
What it reported doing in 2024
The carilion clinic foundation supports development and outreach and secures philanthropic support for carilion clinic's 7 hospitals and multiple clinic sites. Gifts to the foundation support carilion clinic's patient care, community outreach, medical research and capital needs.
Operating model
- Revenue model
- Donor-supported. 67% of the money available for current operations came from contributions and gifts.
- Distribution model
- Grant intermediary. The nonprofit sent 71% of its reported program spending out as grants.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 38
- Transparency & Controls: 73
- Accountability: 90
- Sustainability: 85
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 31.9%; rating input score 32
- Program expense ratio: 54.1%; rating input score 54
- Fundraising efficiency: $5.62 raised per $1 spent on fundraising; rating input score 23; 23rd percentile among comparable filings
Transparency & Controls
- Consistency checks: 94.4%; rating input score 94; 22nd percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 98.7%; rating input score 99; 31st percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 81.8%; rating input score 82; 16th 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: 71.9%; rating input score 97; 97th percentile among comparable filings
- Total-asset coverage ratio: 19.62; rating input score 96; 96th percentile among comparable filings
- Liabilities to assets ratio: 0; rating input score 96; 96th percentile among comparable filings
- Officer compensation ratio: 43.5%; rating input score 1; 1st percentile among comparable filings
Growth
- Program expense growth: 12.7% per year; rating input score 100; 79th percentile among comparable filings
- Revenue growth: 17.4% per year; rating input score 100; 90th percentile among comparable filings
- Asset growth: 23.3% per year; rating input score 100; 92nd percentile among comparable filings
Details
- Where the money goes: 31.9% of revenue deployed · 54.1% of spending went to programs
- Governance: 9 of 11 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.4M in reported program spending
- Leadership: top reported pay $2.6M · 19 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $172K reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- Related organizations: 35 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.
- Moderate — Financial Efficiency: Mission deployment rate scored 32/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Financial Efficiency: Program expense ratio scored 54/100.
- High — Financial Efficiency: Fundraising efficiency scored 23/100.
- High — Sustainability: Officer compensation ratio scored 1/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.