Carilion Clinic
Public records show a registered, tax-exempt organization in good standing.
What it says it does
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.
- Income
- $42.3 million
- Spending
- $41.8 million
- Spent on programs
- 92%
- Reserves
- -23.5 months of spending
- Largest source of income
- fees for its services, 91%
- Employees
- 0
- Volunteers
- 0
- Highest pay
- $2.6 million, ceo emeritus
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 42 out of 100. Higher than 19% of charities in its peer group (health care, $10m to $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
5 of 20It owes 64% of what it owns.
Living within its means
12 of 15Income exceeded spending by 1% of income.
Income trend
10 of 15Income fell 0% on the year before.
Spending floor
15 of 1592% of spending went to programs.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 2520 of 23 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $38.5 million spent. 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 900 PHYSICIANS AND 500 ADVANCED PRACTICE PROVIDERS ACROSS 86 MEDICAL SPECIALTIES AT NEARLY 300 PRACTICE SITES AND SEVEN HOSPITALS (1,041 BEDS) ACROSS A 7,400 SQUARE-MILE SERVICE AREA 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 NEARLY 55,000 PATIENTS, DELIVERED 4,211 BABIES, SERVED 177,225 EMERGENCY VISITS, AND PROVIDED 296,581 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 $103 MILLION IN UNCOMPENSATED CARE AND OTHER COMMUNITY SUPPORT IN FISCAL YEAR 2025. THESE ACCOMPLISHMENTS REFLECT CARILION CLINIC'S ONGOING COMMITMENT TO ADVANCING HEALTH, EXPANDING ACCESS TO CARE, AND SERVING OUR COMMUNITIES WITH EXCELLENCE.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since May 1982.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.