Roanoke, VA
4 risk indicators measuring financial stability and operational resilience
Sign in with your work email to view Tuckman-Chang indicators
Sign In — Free (10 views/day)Carilion Clinic, founded in 1981, is a mid-sized nonprofit in the Health Care sector that reported $42.5M in total revenue in fiscal year 2023. Revenue surged 22% from the prior year, signaling strong growth momentum. Net assets of $99.0M represent 28 months of operating reserves.
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.
Carilion Clinic is a not-for-profit health system headquartered in Roanoke, Virginia, serving a population of approximately 1 million Virginians and West Virginians. It is the parent company of all...
Carilion Clinic is a not-for-profit health system headquartered in Roanoke, Virginia, serving a population of approximately 1 million Virginians and West Virginians. It is the parent company of all Carilion affiliates and drives the fulfillment of the organization's mission of improving the health of the communities it serves. The Carilion Clinic Board of Directors provides strategic direction to all of its wholly-owned subsidiaries, and it holds real estate and investment portfolios for the system. Carilion companies employ more than 800 physicians and 500 Advanced Practice Providers across 86 medical specialties at nearly 300 practice sites and seven hospitals (1,026 beds) across a 200-mile region in western Virginia. With nearly 15,000 employees, Carilion also is the largest private employer west of Richmond, Virginia. Committed to innovation and clinical excellence supported by education and research, Carilion delivers world-class care through a regional cancer center, the region's only Level I Trauma Center with a helicopter fleet and emergency ground support, ambulatory surgery centers, an inpatient physical rehabilitation program, urgent care facilities, retail pharmacies, and a home health and hospice agency. Its hospitals admitted more than 48,000 patients, delivered 4,013 babies, served 174,201 emergency visits, and provided 270,789 days of care. Additionally, Carilion is home to the region's only pediatric center of excellence, with an inpatient unit within Carilion Roanoke Memorial Hospital that includes a pediatric intensive care unit, Virginia's third largest neonatal ICU, trauma care and western Virginia's only pediatric Level I Trauma Center. Carilion Children's freestanding outpatient clinic houses more than a dozen pediatric sub-specialties. To meet the growing need for care in Southwest Virginia, in Summer 2025, Carilion opened a $500 million tower addition to Carilion Roanoke Memorial Hospital as part of a $1 billion investment in systemwide facility upgrades. The 12-story, 500,000-square-foot Crystal Spring Tower is home to the Carilion Clinic Cardiovascular Institute and a significantly expanded Emergency Department. The investment also included expansions at Carilion hospitals in Franklin County, Roanoke and Lexington as it seeks to improve access to care closer to home . In addition to providing medical care, Carilion is deeply invested in training for the current and next generations of medical professionals. The health system's Graduate Medical Education program trains more than 300 residents and fellows in 29 programs with nearly half of program graduates remaining in Southwest Virginia to care for patients in the region. Through partnerships with premier institutions like Virginia Tech and Radford University, Carilion also provides undergraduate medical education and training for physicians, nurses and a range of allied health professionals. The health system also provides community health screenings and education on chronic disease prevention and management, invests in an internal community health workforce, and partners with community organizations to identify and address health needs. To advance its mission to improve health regardless of patient ability to pay, Carilion provides extensive uncompensated care and community benefits. Stated at cost, the Carilion Clinic system together provided nearly $87 million in uncompensated care and other community support in fiscal year 2024. These accomplishments reflect Carilion Clinic's ongoing commitment to advancing health, expanding access to care, and serving our communities with excellence.
Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency
Sign in to view Trantor Score and financial metrics
Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)
Sign In — Free (10 views/day)| 2023 | 2022 | Change | |
|---|---|---|---|
| Revenue | $42,476,639 | $34,848,444 | +0.2% |
| Expenses | $41,253,784 | $40,085,436 | +0.0% |
| Net Income | $1,222,855 | $-5,236,992 | -1.2% |
Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics
Financial Distress Indicator
Liquidity & Cash Position
Sign in to view all financial metrics
Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics
Sign In| Name | Title | Hours/Week | Role | Reportable Comp | Other Comp | Total |
|---|---|---|---|---|---|---|
| James Hartley | Director/Chair | 7.0 |
Officer
Director
|
$30,000 | $0 | $30,000 |
| Nancy Howell Agee | Director/CEO | 8.0 |
Officer
Director
|
$0 | $1,792 | $3,832,497 |
| Abney Boxley III | Director | 4.5 |
Director
|
$14,773 | $0 | $14,773 |
| Damon Williams | Director | 4.5 |
Director
|
$10,748 | $0 | $10,748 |
| Danielle Yarber | Director | 4.5 |
Director
|
$14,873 | $0 | $14,873 |
| Elizabeth McClanahan | Director | 2.4 |
Director
|
$12,565 | $0 | $12,565 |
| Garry Norris | Director | 2.4 |
Director
|
$13,375 | $0 | $13,375 |
| J Alexander Boone | Director | 4.5 |
Director
|
$15,498 | $0 | $15,498 |
| James C Thompson | Director | 2.4 |
Director
|
$10,250 | $0 | $10,250 |
| James Williams Jr | Director | 2.4 |
Director
|
$10,250 | $0 | $10,250 |
| Jason Bingham | Director | 2.4 |
Director
|
$13,375 | $0 | $13,375 |
| Jeri Lantz MD | Director | 2.4 |
Director
|
$0 | $51,952 | $340,095 |
| John Bond | Director | 4.5 |
Director
|
$13,750 | $0 | $13,750 |
| Joseph Scartelli PhD | Director | 2.4 |
Director
|
$11,875 | $0 | $11,875 |
| Joseph Sheffey | Director | 2.4 |
Director
|
$9,000 | $0 | $9,000 |
| Lisa Goldstein | Director | 2.4 |
Director
|
$12,125 | $0 | $12,125 |
| Mark Pace | Director | 2.4 |
Director
|
$8,375 | $0 | $8,375 |
| Neil Wilkin Jr | Director | 4.5 |
Director
|
$25,282 | $0 | $25,282 |
| Terry Austin | Director | 2.4 |
Director
|
$9,000 | $0 | $9,000 |
| William Farrell II | Director | 2.4 |
Director
|
$0 | $0 | $0 |
| William Kingery Jr | Director | 2.4 |
Director
|
$10,250 | $0 | $10,250 |
| Daniel Harrington MD | Interim Chief Medical Officer/EVP | 2.0 |
Officer
|
$0 | $2,444 | $332,683 |
| Donald Halliwill | Asst. Treasurer/CFO/EVP | 4.0 |
Officer
|
$0 | $167,911 | $1,287,159 |
| G Robert Vaughan Jr | Treasurer / SVP | 2.0 |
Officer
|
$0 | $71,002 | $529,010 |
| J Harrison Lapuasa | Asst. Treasurer | 0.5 |
Officer
|
$0 | $-1,202 | $32,907 |
| Jeanne Armentrout | Chief Administrative Officer/EVP | 4.0 |
Officer
|
$0 | $47,026 | $1,140,643 |
| Julie Smith-Hamilton | Asst. Secretary | 0.5 |
Officer
|
$0 | $18,375 | $79,103 |
| Nicholas Conte | Secretary/EVP/Chief Legal Officer | 6.0 |
Officer
|
$0 | $174,893 | $1,198,610 |
| R Tony Seupaul MD | EVP Chief Physician Executive | 0.5 |
Officer
|
$0 | $0 | $0 |
| Steven Arner | President, COO | 4.0 |
Officer
|
$0 | $209,618 | $1,619,810 |
| David Hagadorn | Former Officer | 0.0 |
|
$0 | $25,072 | $184,176 |
| Year | Revenue | Expenses | Assets | Net Income |
|---|---|---|---|---|
| 2024 | $42,476,639 | $41,253,784 | $268,784,583 | $1,222,855 |
| 2023 | $34,848,444 | $40,085,436 | $276,170,742 | $-5,236,992 |
| 2022 | $43,344,758 | $36,369,857 | $277,918,782 | $6,974,901 |
| 2021 | $39,438,781 | $33,716,489 | $281,656,126 | $5,722,292 |
| 2020 | $46,852,831 | $31,192,551 | $241,576,417 | $15,660,280 |
| 2019 | $42,773,392 | $28,447,524 | $232,077,897 | $14,325,868 |
| 2018 | $37,323,120 | $28,723,516 | $226,809,347 | $8,599,604 |
Compare Carilion Clinic with other nonprofits in Virginia and across the country.