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Carilion Services

Roanoke, VA · EIN 54-1190879 · 501(c)(3) · Supporting organization (509(a)(3))
Latest filing: Form 990 for the fiscal year ending September 30, 2025 (tax year 2024) · View the filing · Correct or respond

Carilion Services reported $514.3 million in revenue and $497.1 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $76.81 went to program services, $23.19 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.8% of the total. The highest compensation it reported for one person was $2,583,851 (CEO EMERITUS, CARILION CLINIC). 438 people received more than $100,000 in reportable compensation. Revenue rose 70% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $497M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $514M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
76.8%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
23.2%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
Not reported$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
0.0%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.0%0.1%
Program service revenue share
Part VIII 2g ÷ 12
95.8%93.7%
Highest reported compensation
Part VII-A, columns D–F
$2,583,851$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.52%1.34%
People paid over $100,000
Part VII, line 2
43827
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
27.36.6
Independent voting board members
Part VI 1a–1b
0 of 388.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$382M expenses · 100.0% of program spending · grants $15,730 · revenue $494M

No description in Part III; see the filing.

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CEO EMERITUS, CARILION CLINIC
Former, 24.0 hrs/week
$2,565,963$0$17,888$2,583,851
PRESIDENT/CEO-CARILION CLINIC
Director/trustee, officer, 28.5 hrs/week
$1,715,344$0$489,922$2,205,266
DIRECTOR/ASST. TREASURER/EVP/CFO
Director/trustee, officer, 42.5 hrs/week
$1,309,012$0$407,205$1,716,217
DIRECTOR/EVP/CAO
Director/trustee, 46.0 hrs/week
$1,224,529$0$335,912$1,560,441
SECRETARY/EVP/CLO
Officer, 34.0 hrs/week
$1,218,022$0$268,294$1,486,316
CHIEF PHYSICIAN EXECUTIVE/EVP
Highest compensated employee, 0.0 hrs/week
$926,859$22,924$161,937$1,111,720
SENIOR VICE PRESIDENT
Highest compensated employee, 50.0 hrs/week
$860,289$0$16,059$876,348
SENIOR VICE PRESIDENT/CIO
Key employee, 50.0 hrs/week
$698,487$0$176,437$874,924

438 people received more than $100,000 in reportable compensation from Carilion Services (Part VII, line 2). Compensation of current officers, directors and key employees totaled $8.6M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$200M$400M$600M$800MFY2020FY2021FY2022FY2023FY2024FY2025$514M$497M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$514M$497M76.8%$1.13B$2,583,851
FY2024 ⓘ$427M$412M93.1%$1.03B$3,832,497
FY2023 ⓘ$383M$376M93.5%$974M$3,187,971
FY2022 ⓘ$380M$377M94.1%$825M$2,657,171
FY2021 ⓘ$339M$334M94.1%$710M$2,122,786
FY2020 ⓘ$302M$320M93.7%$667M$2,596,589

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b3 · 0 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aYes
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2Yes
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 52,915

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
HURON CONSULTING SERVICES LLC
Consulting services
$10,766,083
ENSEMBLE HEALTH PARTNERS
Revenue cycle services
$6,090,115
EPIC SYSTEMS CORP
Software services
$6,033,233
FIRSTSOURCE SOLUTIONS USA LLC
Software services
$4,962,663
MAINLINE INFORMATION SYSTEMS
Software services
$4,516,615

Individuals listed as contractors are left out. 179 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Carilion Services's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Carilion Services, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Virginia

Questions people ask

How much of Carilion Services's spending goes to programs?

In the fiscal year ending September 30, 2025, Carilion Services reported that 76.8% of its $497.1 million in expenses went to program services, 23.2% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Carilion Services pay its top executive?

The largest total compensation Carilion Services reported for one person in the fiscal year ending September 30, 2025 was $2,583,851, for the role of CEO EMERITUS, CARILION CLINIC (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Carilion Services get its money?

Of $514.3 million in revenue in the fiscal year ending September 30, 2025, 0.0% came from contributions and grants (including 0.0% from government grants) and 95.8% from program service revenue (Form 990, Part VIII).

Is Carilion Services a registered charity?

The IRS lists EIN 54-1190879 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202622299349301957 · read the filing
  • FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202512279349303961 · read the filing
  • FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202432289349304278 · read the filing
  • FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312279349301211 · read the filing
  • FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202212279349300716 · read the filing
  • FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202132289349300003 · read the filing

All filings for EIN 54-1190879: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.