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Passes our checks

Carilion Services Inc

EIN 54-1190879 · Roanoke, VA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthStrong96 out of 100GovernanceGood70 out of 100Impact evidenceDescribes programsHow well its results are evidenced

Points to look into

  • It reported loans to or from officers, directors or other insiders.

These come from the organization's own tax return. There may be a good explanation; ask the charity.

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
$427.1 million
Spending
$412.1 million
Spent on programs
93%
Reserves
28.7 months of spending
Largest source of income
fees for its services, 96%
Employees
2,855
Volunteers
0
Highest pay
$3.8 million, director/president/ceo, carilion clinic

Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 96 out of 100. Higher than 93% of charities in its peer group (health care, over $100m).

  • Reserves

    35 of 35

    Spendable reserves would cover 28.7 months of spending.

  • Debt

    16 of 20

    It owes 16% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 3% of income.

  • Income trend

    15 of 15

    Income rose 12% on the year before.

  • Spending floor

    15 of 15

    93% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Good: 70 out of 100. Higher than 4% of charities in its peer group (health care, over $100m).

  • Independent board

    5 of 25

    0 of 4 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    0 of 10

    Reports at least one of: diversion of assets, excess benefits, loans to insiders.

Source: Form 990 for the year ending September 30, 2024, 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)
  1. $383.5 million spent. 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.

Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. 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 September 7, 2026.

  2. 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 September 30, 2026.

  3. 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 September 10, 2026.

  4. 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 September 7, 2026.

  5. 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 September 7, 2026.

  6. 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 7, 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.