Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Virginia · Ranked 160 of 1033 by CEO pay.

Carilion Medical Center

Steven Arner, CEO. Fiscal year ending 2025-09.

$2.2M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.98%
of expenses spent on charity care
Schedule H Part I line 7a
9.7%
CEO pay as a share of all charity care

Most of the reported compensation ($1,715,344 of $2,205,266) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Nancy Howell Agee, CEO Emeritus, Carilion Clinic, $2,583,851. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$2,540,353,219
Total expenses
$2,325,062,796
Net assets
$1,390,337,650
Employees
11,776
Hospitals covered
4 facilities across 3 filings
Charity care, net
$22,824,896
Bad debt
$111,064,922
Medicare surplus (shortfall), as filed
($30,043,090)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,715,344
Other compensation, including deferred pay and nontaxable benefits (col. F)
$489,922
CEO total compensation (D+E+F)
$2,205,266 to Steven Arner

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Carilion Medical Center, EIN 54-0506332, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$97.4M Of which charity care to patients who could not pay (line 7a)$22.8M (23%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($111.1M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Carilion Medical Center54-05063322025-09$2.3B$20.5M0.99%990
Carilion Franklin Memorial Hospital54-04806062025-09$114.9M$1.3M1.57%990
Carilion Rockbridge Community Hospital54-05680012025-09$101.2M$1.0M1.50%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Carilion Medical Center: CEO pay $2.2M, charity care 0.98% of expenses