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Virginia · Nonprofit

CARILION CLINIC

CARILION CLINIC (Virginia) receives grants from 8 organizations whose IRS filings report $1,368,141 to it, the largest being THE BEIRNE CARTER FOUNDATION ($1,000,000). 2 of them have funded it in more than one year.

Revenue FY2025
$42M
Funders on record
8
Grants received
$1.4M
Net assets
$94M
2/8 repeat funderspeak grant-dependency 2%
01What it does

What Carilion Clinic does

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.

As stated on its FY2025 Form 990.

Program

  1. 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,…

    $38,547,184 spent$43,563,700 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $38,547,184.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($35M) Expenses 100 ($28M) Net assets 100 ($73M)2018 Revenue 107 ($37M) Expenses 104 ($29M) Net assets 132 ($97M)2019 Revenue 123 ($43M) Expenses 103 ($28M) Net assets 123 ($91M)2020 Revenue 134 ($47M) Expenses 113 ($31M) Net assets 128 ($94M)2021 Revenue 113 ($39M) Expenses 122 ($34M) Net assets 130 ($95M)2022 Revenue 124 ($43M) Expenses 131 ($36M) Net assets 145 ($107M)2023 Revenue 100 ($35M) Expenses 145 ($40M) Net assets 144 ($106M)2024 Revenue 122 ($42M) Expenses 149 ($41M) Net assets 135 ($99M)2025 Revenue 121 ($42M) Expenses 151 ($42M) Net assets 127 ($94M)
'17'18'19'20'21'22'23'24'25
Revenue (121)Expenses (151)Net assets (127)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $242M to $282M (+17%).

$217M
$227M
$232M
$242M
$282M
$278M
$276M
$269M
$258M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

0% of CARILION CLINIC’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$7.2M
’17
$8.6M
’18
$14M
’19
$16M
’20
$5.7M
’21
$7.0M
’22
−$5.2M
’23
$1.2M
’24
$491k
’25
0.9
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Steven Arner

President, CEO

Board chair

James Hartley

Director/chair

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2024 and FY2025 filings.

2017201820242025
Listed25233131
Joined·+1·+2
No longer listed·3·2
03Who funds it

Who funds it, year by year

2018 → 2023: the base broadened from 1 funder to 3 funders, grant income rose $250 → $772k.

Left out of every figure on this page: $98k from 2 payers (the payer shares this organization's board, largest United Way of Virginia's Blue Ridge Inc). These are real filings, and they are not money CARILION CLINIC raised.

From the IRS filings of CARILION CLINIC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

CARILION CLINIC leans on a few funders — its largest provides 73% of grant income and the top three 95%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

73%
largest funder
95%
top three
~2
effective funders

Largest funder’s share by year: 2018 100% · 2019 100% · 2022 90% · 2023 71% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

40% of CARILION CLINIC's funders are still giving 1 year after their first grant; 25% give in more than one year at all.

first grant+1y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

100% of CARILION CLINIC's grant income comes from Virginia funders.

SD
VA
NC

In-state vs out-of-state, by year

’18
’19
’22
’23
Virginia out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

CARILION CLINIC's funding base is broadening — from 1 funders to 3 as grant income climbed.

Operating margin1% · below the median
Months of reserve0.9mo · below the median
Revenue growth (annualized)2% · bottom quartile

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding CARILION CLINIC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $756k on record.

Federal$756k
grants $335kcontracts $421k
17
18
19
22
Top agencies
  • Department of Veterans Affairs$421k
  • Department of Agriculture$335k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like CARILION CLINIC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Virginia

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

92% of spending goes to programs.

Program 92%Management 8%Fundraising 0%

Governance

23
board members
87%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 33 related entities

  • Carilion Clinic Properties LLC · disregarded
  • Carilion Rehabilitation Services LLC · disregarded
  • Carilion Clinic Foundation · exempt
  • Carilion Franklin Memorial Hospital · exempt
  • Carilion Giles Community Hospital · exempt

Screen this organization

A dated, signed PDF of the compliance screen for CARILION CLINIC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds CARILION CLINIC?
CARILION CLINIC (Virginia) receives grants from 8 organizations whose IRS filings report $1,368,141 to it, the largest being THE BEIRNE CARTER FOUNDATION ($1,000,000). 2 of them have funded it in more than one year.
How many funders does CARILION CLINIC have?
IRS filings report 8 organizations giving $1,368,141 in grants to CARILION CLINIC, 2 of which have funded it in more than one year.
Who is the largest funder of CARILION CLINIC?
THE BEIRNE CARTER FOUNDATION is the largest funder on record, with $1,000,000 in grants. The full list of funders is on this page.
How can an organization like CARILION CLINIC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Virginia. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Carilion Clinic →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 8 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing