Carilion Services Inc

EIN: 541190879 501(c)(3) Health Care

Roanoke, VA

Total Revenue
$427,070,951
Total Expenses
$412,141,678
Total Assets
$1,225,982,731
Net Assets
$1,027,684,924
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Financial Trends

Organization Details

Formation Year
1982
Legal Domicile
VA
Phone
5402245102
Tax Period
2023-10-01 to 2024-09-30

Carilion Services Inc, founded in 1982, is a major nonprofit in the Health Care sector that reported $427.1M in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion. Expenses of $412.1M left a modest 3% surplus.

Mission

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.

Program Service Accomplishments

Program 1
Expenses: $383,502,819 Revenue: $410,971,249

Carilion Services, Inc. (CSI) is an affiliate of Carilion Clinic, a not-for-profit health system headquartered in Roanoke, Virginia serving a population of approximately 1 million Virginians and West...

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Carilion Services, Inc. (CSI) is an affiliate of Carilion Clinic, a not-for-profit health system headquartered in Roanoke, Virginia serving a population of approximately 1 million Virginians and West Virginians. Carilion is the largest private employer west of Richmond, Virginia with nearly 15,000 employees, including more than 800 physicians and 500 Advanced Practice Professionals across 86 medical specialties at nearly 300 practice sites and seven hospitals (1,026 beds) over a 200-mile geography in western Virginia. CSI assists in fulfilling Carilion's mission to improve the health of the communities it services by providing management and administrative support services to Carilion affiliates. Its centralized services enhance our core hospital and physician business for cost-effectiveness, compliance, and quality. CSI provides management leadership and oversight for information technology, human resources, legal services, patient billing, accounting and finance, internal audit, privacy and compliance, materials management, marketing & communications, community health and outreach, market planning and development and overall wellness services. In addition, through its ownership of Carilion Clinic Patient Transportation, LLC, CSI staffs medical air transport helicopters which flew 1,765 patients and operates a ground service which provided 16,735 medical transports during the year. It also provides medical staffing to its supported affiliate hospitals through its Carilion Professional Services, LLC division. CSI's support assisted the Clinic's hospitals in admitting 48,209 patients, serving 174,201 emergency visits, and providing 270,789 days of care during the year, supporting patient services at physician practices, and providing programs designed to serve the health needs of the area. Such programs led or supported by CSI include community health screenings, education on chronic disease prevention and management, a community health workforce, collaboration with community organizations to identify and address health needs, and providing patients with financial assistance. 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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $679,330
Program Service Revenue $409,171,271
Investment Income $15,420,372
Other Revenue $1,799,978
TOTAL REVENUE $427,070,951

Expense Breakdown

Grants Paid $0
Salaries & Benefits $239,815,133
Fundraising Expenses $0
Program Expenses $383,502,819
Other Expenses $172,326,545
TOTAL EXPENSES $412,141,678

Year-over-Year Comparison

2023 2022 Change
Revenue $427,070,951 $382,602,553 +0.1%
Expenses $412,141,678 $376,025,019 +0.1%
Net Income $14,929,273 $6,577,534 +1.3%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Financial Health Indicators

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Liquidity & Cash Position

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Governance

Voting Members
4
Independent Members
N/A
Employees
2855
Volunteers
N/A

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
7
$8,579,096
Total Directors
4
$6,789,309
Key Employees
3
$1,738,419
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
Donald Halliwill Director/Asst. Treasurer 42.5
Officer Director
$1,119,248 $167,911 $1,287,159
G Robert Vaughan Jr Director/Treasurer/SVP 44.5
Officer Director
$458,008 $71,002 $529,010
Nancy Howell Agee Director/President/CEO, Carilion Clinic 39.0
Officer Director
$3,830,705 $1,792 $3,832,497
Jeanne Armentrout Director 46.0
Director
$1,093,617 $47,026 $1,140,643
J Harrison Lapuasa Asst. Treasurer 36.5
Officer
$34,109 $-1,202 $32,907
Julie Smith-Hamilton Asst. Secretary 36.0
Officer
$60,728 $18,375 $79,103
Nicholas Conte Secretary 34.0
Officer
$1,023,717 $174,893 $1,198,610
Steven Arner Vice President/COO, Carilion Clinic 0.0
Officer
$1,410,192 $209,618 $1,619,810
Matthew Barr VP Accounting Services/Revenue Cycle 50.0
Key Emp
$344,943 $31,993 $376,936
Paul Hudgins Senior Vice President/CHRO 50.0
Key Emp
$566,125 $111,355 $677,480
R Keith Perry Senior Vice President/CIO 50.0
Key Emp
$595,777 $88,226 $684,003
Donna Littlepage Senior Vice President 50.0
Highest
$417,109 $77,483 $494,592
Fred Greear Vice President 50.0
Highest
$572,943 $177,036 $749,979
Nathaniel Bishop DMin Senior Vice President 50.0
Highest
$405,958 $4,086 $410,044
Stephen Morgan MD Senior Vice President/CMIO 50.0
Highest
$704,037 $82,804 $786,841
Tom Hill Senior Vice President 50.0
Highest
$437,104 $43,434 $480,538
David Hagadorn Former Officer 0.0
$159,104 $25,072 $184,176
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $427,070,951 $412,141,678 $1,225,982,731 $14,929,273
2023 $382,602,553 $376,025,019 $1,131,010,157 $6,577,534
2022 $379,747,521 $377,095,243 $995,517,464 $2,652,278
2021 $339,416,707 $334,141,124 $929,594,621 $5,275,583
2020 $302,052,496 $320,096,416 $938,637,589 $-18,043,920
2019 $285,536,868 $279,988,354 $904,033,763 $5,548,514
2018 $267,707,517 $265,476,443 $805,087,779 $2,231,074
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