Carilion Clinic CEO salary and executive pay
Carilion Clinic paid its CEO, Steven Arner, $2,205,266 for the fiscal year ending September 2025. On the return for the fiscal year ending September 2024, the CEO was Nancy Howell Agee, paid $3,832,497. Total revenue on that return was $514,313,784, up 20.4% from $427,070,951 for the fiscal year ending September 2024. Carilion Clinic ranks 161st of 229 hospital systems on this site by CEO pay. Carilion Clinic has 4 Form 990 returns on record, for fiscal years ending 2022 to 2025.
Last updated from IRS e-file data. EIN 54-1190879, Roanoke, VA.
CEO, fiscal year ending September 2025
$2,205,266
Highest-paid person, fiscal year ending September 2025
$2,583,851Nancy Howell AgeeCEO EMERITUS, CARILION CLINIC
- Revenue on this return
- $514,313,784
- This is the system's parent filer; the system's largest single return is filed by Carilion Medical Center (EIN 54-0506332), with $2,324,266,131 in revenue on its latest return.
Source: Form 990, fiscal year ending September 2025, IRS object ID 202622299349301957.View the filing
Revenue is Part I, line 12. Pay as a share of revenue and the peer comparison are not shown for a parent filer.
Highest-paid people on the latest return
On the latest return, 13 people were paid more than $500,000, 6 of them more than $1 million.
| Name and title | Total |
|---|---|
| Nancy Howell AgeeCEO EMERITUS, CARILION CLINIC | $2,583,851 |
| Steven Arner CEO PRESIDENT/CEO-CARILION CLINIC | $2,205,266 |
| Donald HalliwillDIRECTOR/ASST. TREASURER/EVP/CFO | $1,716,217 |
| Jeanne ArmentroutDIRECTOR/EVP/CAO | $1,560,441 |
| Nicholas ConteSECRETARY/EVP/CLO | $1,486,316 |
Also paid on the latest return: R Tony Seupaul MD (CHIEF PHYSICIAN EXECUTIVE/EVP), $1,111,720; Donna Littlepage (SENIOR VICE PRESIDENT), $876,348; R Keith Perry (SENIOR VICE PRESIDENT/CIO), $874,924; G Robert Vaughan Jr (DIRECTOR/TREASURER/SVP), $869,826; Paul Hudgins (SENIOR VICE PRESIDENT/CHRO), $833,840; Stephen Morgan MD (SENIOR VICE PRESIDENT/CMIO), $832,884; Fred Greear (VICE PRESIDENT / CIO), $741,032; Nathaniel Bishop DMin (SENIOR VICE PRESIDENT), $550,685; Matthew Barr (VP, SUPPORT SERVICES), $438,686; J Harrison Lapuasa (ASST. TREASURER), $127,406; Julie Smith-Hamilton (ASST. SECRETARY), $90,373.
CEO pay by year
Each row is the CEO on that year's return.
| Fiscal year ending | Name and title | Total | Revenue | Source |
|---|---|---|---|---|
| Sep 2025 | Steven Arner CEO PRESIDENT/CEO-CARILION CLINIC | $2,205,266 | $514,313,784 | Filing |
| Sep 2024 | Nancy Howell Agee CEO Director/President/CEO, Carilion Clinic | $3,832,497 | $427,070,951 | Filing |
| Sep 2023 | Nancy Howell Agee CEO Director/President/CEO, Carilion Clinic | $3,187,971 | $382,602,553 | Filing |
| Sep 2022 | Nancy Howell Agee CEO Director/President | $2,657,171 | $379,747,521 | Filing |
How this pay was reported
The parts of each total, as reported on the return for the fiscal year ending September 2025.
Source: Form 990, fiscal year ending September 2025, IRS object ID 202622299349301957.View the filing
| Part VII | Schedule J | |||||||
|---|---|---|---|---|---|---|---|---|
| Name and title | From org | Other | Base | Bonus | Other | Deferred | Nontaxable | Total |
| Nancy Howell AgeeCEO EMERITUS, CARILION CLINIC | $2,565,963 | $17,888 | $1,794,446 | $555,971 | $215,546 | $0 | $17,888 | $2,583,851 |
| Steven ArnerPRESIDENT/CEO-CARILION CLINIC | $1,715,344 | $489,922 | $1,184,280 | $281,741 | $249,323 | $462,803 | $27,119 | $2,205,266 |
| Donald HalliwillDIRECTOR/ASST. TREASURER/EVP/CFO | $1,309,012 | $407,205 | $825,952 | $207,880 | $275,180 | $380,086 | $27,119 | $1,716,217 |
| Jeanne ArmentroutDIRECTOR/EVP/CAO | $1,224,529 | $335,912 | $852,704 | $212,752 | $159,073 | $318,474 | $17,438 | $1,560,441 |
| Nicholas ConteSECRETARY/EVP/CLO | $1,218,022 | $268,294 | $786,488 | $196,275 | $235,259 | $248,836 | $19,458 | $1,486,316 |
These figures come from Carilion Clinic's Form 990 returns, as the IRS publishes them. The methodology page explains how they're chosen. To report an error, email corrections@ceopaycheck.com.
How Carilion Clinic compares
Ranked 161st of 229 hospital systems by CEO pay.
- Previous in this ranking: 160th, Deaconess Health System, $2,206,787
- Next in this ranking: 162nd, Monument Health, $2,199,697
Closest in revenue among the hospital systems on this site:
Cook Children's Health Care System$3,598,135 (CEO), fiscal year ending Sep 2025
INTEGRIS Health$3,100,107 (CEO), fiscal year ending Jun 2025
Northern Light Health$1,659,381 (CEO), fiscal year ending Sep 2025
Virtua Health$3,320,959 (CEO), fiscal year ending Dec 2024
CentraCare$1,969,529 (CEO), fiscal year ending Jun 2025
Common questions
Steven Arner (PRESIDENT/CEO-CARILION CLINIC) was paid $2,205,266 for the fiscal year ending September 2025: $1,715,344 from Carilion Clinic and $489,922 in other compensation (Part VII columns D and F).
The highest-paid person on the latest return was Nancy Howell Agee (CEO EMERITUS, CARILION CLINIC), at $2,583,851. That is $378,585 more than the CEO, Steven Arner.
Carilion Clinic paid its CEO, Steven Arner, $2,205,266 for the fiscal year ending September 2025. On the return for the fiscal year ending September 2024, the CEO was Nancy Howell Agee, paid $3,832,497. The earliest return on record is for the fiscal year ending September 2022, when the CEO was Nancy Howell Agee, paid $2,657,171. By fiscal year end: September 2022, $2,657,171 (Nancy Howell Agee); September 2023, $3,187,971; September 2024, $3,832,497; September 2025, $2,205,266 (Steven Arner).
Carilion Clinic's return for the fiscal year ending September 2025 reports total expenses of $497,080,573 and total revenue of $514,313,784 (Part I, lines 18 and 12), so revenue exceeded expenses by $17,233,211. Expenses were $412,141,678 for the fiscal year ending September 2024, so they rose 20.6%. The CEO's pay of $2,205,266 equals 0.44% of expenses, our calculation.
From the 4 Form 990 returns Carilion Clinic filed with the IRS for fiscal years ending 2022 to 2025. The latest full-year return was filed on August 17, 2026. Schedule J of the fiscal year ending September 2025 return breaks down pay for all 5 people in the pay breakdown above.