Carilion Clinic Executive and Leadership Team

November, 2026

Leadership Overview

Carilion Clinic has 10 executives leading key functions including strategy, clinical operations, financial management, human resources, and information technology.

Committed to advancing regional health outcomes, Carilion Clinic delivers comprehensive medical services through an integrated non-profit model that prioritizes patient-centered care and community wellness across Virginia.

Leadership Roles at Carilion Clinic

  • Chief Executive Officer - Ed Murphy
  • Chief Financial Officer - Shelby Nunn
  • Chief of Staff - Christopher Turnbull
  • Senior Vice President and Chief Human Resources Officer - Paul Hudgins
  • Chief of Staff & Senior Director, Administration - James Keith
  • Chief Information Officer & Vice President - Kay Hix
  • Vice President and Associate Chief Information Officer - Karyn Keay-Otte
  • Vice President, Associate Chief Information Officer - Barbara Schleider
  • Chief Medical Officer - Shyam Md
  • Executive Vice President & Chief Legal Officer - Nicholas Conte
  • Ed Murphy - Chief Executive Officer

    Ed Murphy, the Chief Executive Officer at Carilion Clinic, directs the overarching strategic vision for this integrated health care organization. Murphy architects long-term growth initiatives while ensuring alignment between clinical excellence and operational efficiency across the entire network. By fostering partnerships with academic institutions and regional stakeholders, the Chief Executive Officer expands the reach of high-quality medical services throughout Virginia. This leadership role involves constant evaluation of market trends to maintain the competitive standing of the organization. Ed Murphy drives the implementation of innovative care models that improve patient outcomes and operational sustainability. Through rigorous oversight of executive performance and resource allocation, the Chief Executive Officer secures the financial and clinical future of the institution. Ultimately, Murphy maintains the commitment to community health by guiding the organization through complex regulatory landscapes and evolving health care demands.

    Shelby Nunn - Chief Financial Officer

    Shelby Nunn, the Chief Financial Officer at Carilion Clinic, oversees the fiscal health and long-term economic stability of this non-profit organization. Nunn directs capital allocation, budgeting, and financial reporting to ensure resources support the delivery of high-quality patient care. By analyzing revenue cycles and operational costs, the Chief Financial Officer identifies opportunities for efficiency and growth across the Virginia network. This leadership role involves managing complex financial portfolios and ensuring compliance with all regulatory standards. Shelby Nunn collaborates with the executive team to fund strategic investments in medical technology and facility expansion. Through prudent fiscal management, the Chief Financial Officer protects the assets of the organization while enabling the pursuit of clinical excellence. Nunn maintains a focus on sustainable growth, ensuring that financial performance remains aligned with the core mission of providing accessible, integrated health care services to the community.

    Christopher Turnbull - Chief of Staff

    Christopher Turnbull, the Chief of Staff at Carilion Clinic, manages the daily operational flow of the executive office. Turnbull coordinates communication between the leadership team and the board to ensure seamless execution of corporate objectives. Overseeing administrative workflows, the Chief of Staff facilitates decision-making processes that impact the entire health care network. This role requires constant synchronization with department heads to resolve operational bottlenecks and optimize internal processes. Christopher Turnbull monitors the progress of strategic initiatives, providing the necessary support to keep projects on schedule. By streamlining executive communications, the Chief of Staff enhances the efficiency of the organization. Turnbull maintains a focus on organizational alignment, ensuring that every administrative action supports the broader mission of providing integrated health care. Through meticulous planning and coordination, the Chief of Staff enables the leadership team to focus on high-impact clinical and operational goals.

    Paul Hudgins - Senior Vice President and Chief Human Resources Officer

    Paul Hudgins, the Senior Vice President and Chief Human Resources Officer at Carilion Clinic, directs the talent acquisition and workforce development strategies for the entire organization. Hudgins architects programs that foster a culture of clinical excellence and professional growth among medical staff and administrative personnel. By overseeing recruitment, retention, and employee engagement initiatives, the Senior Vice President and Chief Human Resources Officer ensures the organization maintains a high-performing workforce capable of delivering superior patient care. This role involves managing complex labor relations and implementing policies that support a diverse and inclusive environment. Paul Hudgins aligns human capital strategies with the broader operational goals of the clinic to drive organizational success. Through the development of robust training and leadership pipelines, the Senior Vice President and Chief Human Resources Officer secures the future talent needs of the health care network while maintaining high standards of service delivery.

    James Keith - Chief of Staff & Senior Director, Administration

    James Keith, the Chief of Staff & Senior Director, Administration at Carilion Clinic, manages the administrative infrastructure that supports clinical operations. Keith directs the daily activities of the administrative teams to ensure that resources are deployed effectively across the organization. By overseeing facility management and operational logistics, the Chief of Staff & Senior Director, Administration maintains the environment necessary for high-quality patient care. This role involves coordinating cross-departmental projects and ensuring that administrative policies align with the strategic goals of the clinic. James Keith monitors operational performance metrics to identify areas for improvement and efficiency gains. Through the integration of administrative functions, the Chief of Staff & Senior Director, Administration enables the clinical staff to focus on medical outcomes. Keith drives the implementation of standardized processes that enhance the overall functionality of the health care network, ensuring that administrative support remains robust and responsive to the needs of the organization.

    Kay Hix - Chief Information Officer & Vice President

    Kay Hix, the Chief Information Officer & Vice President at Carilion Clinic, directs the digital transformation and information technology strategy for the entire health care system. Hix architects secure, scalable data infrastructure that supports electronic health records and clinical decision-support systems. By overseeing cybersecurity protocols and digital innovation, the Chief Information Officer & Vice President ensures the integrity and availability of patient data across the Virginia network. This role involves managing large-scale technology investments and aligning IT capabilities with the evolving needs of medical practitioners. Kay Hix collaborates with the executive team to leverage data analytics for improved patient outcomes and operational efficiency. Through the implementation of advanced digital tools, the Chief Information Officer & Vice President enables the organization to remain at the forefront of medical technology. Hix maintains a focus on technological resilience, ensuring that the digital foundation supports the long-term mission of the clinic.

    Karyn Keay-Otte - Vice President and Associate Chief Information Officer

    Karyn Keay-Otte, the Vice President and Associate Chief Information Officer at Carilion Clinic, manages the implementation of clinical information systems and software applications. Keay-Otte directs the technical teams responsible for maintaining the stability and performance of the electronic health record platforms used by medical staff. By overseeing the integration of new software solutions, the Vice President and Associate Chief Information Officer ensures that clinicians have access to accurate and timely patient information. This role involves troubleshooting complex technical issues and optimizing system workflows to reduce administrative burdens on medical providers. Karyn Keay-Otte collaborates with the IT leadership to align technical projects with the clinical priorities of the organization. Through the continuous improvement of information systems, the Vice President and Associate Chief Information Officer supports the delivery of efficient and safe patient care. Keay-Otte maintains a focus on system reliability, ensuring that technology serves as a catalyst for clinical success.

    Barbara Schleider - Vice President, Associate Chief Information Officer

    Barbara Schleider, the Vice President, Associate Chief Information Officer at Carilion Clinic, directs the data governance and business intelligence initiatives for the health care system. Schleider architects data management frameworks that allow the organization to analyze clinical performance and operational metrics effectively. By overseeing the development of reporting tools and analytics dashboards, the Vice President, Associate Chief Information Officer provides the leadership team with actionable insights to drive decision-making. This role involves managing data quality standards and ensuring compliance with health information privacy regulations. Barbara Schleider collaborates with clinical and administrative departments to identify data-driven opportunities for improving patient care and operational efficiency. Through the strategic use of data, the Vice President, Associate Chief Information Officer supports the long-term goals of the clinic. Schleider maintains a focus on data integrity, ensuring that the information infrastructure remains a reliable asset for the entire organization.

    Shyam Md - Chief Medical Officer

    Shyam Md, the Chief Medical Officer at Carilion Clinic, directs the clinical strategy and quality assurance programs for the entire health care network. Md architects medical protocols that ensure the delivery of safe, evidence-based care across all departments. By overseeing physician performance and clinical outcomes, the Chief Medical Officer maintains the high standards of medical excellence expected by the community. This role involves leading peer review processes and fostering a culture of continuous improvement among the medical staff. Shyam Md collaborates with the executive team to integrate clinical services and expand the reach of specialized medical care throughout Virginia. Through the implementation of quality improvement initiatives, the Chief Medical Officer drives better patient outcomes and operational efficiency. Md maintains a focus on clinical leadership, ensuring that the medical staff remains aligned with the mission of providing integrated, patient-centered health care services to the region.
    Shyam Md
    Nicholas Conte, the Executive Vice President & Chief Legal Officer at Carilion Clinic, directs the legal strategy and risk management framework for the organization. Conte architects compliance programs that protect the clinic from regulatory and legal challenges while supporting the pursuit of strategic growth. By overseeing contract negotiations, litigation management, and corporate governance, the Executive Vice President & Chief Legal Officer ensures that all operations adhere to the highest ethical and legal standards. This role involves advising the board and executive team on complex health care regulations and policy changes. Nicholas Conte collaborates with department heads to mitigate operational risks and resolve legal disputes efficiently. Through the provision of sound legal counsel, the Executive Vice President & Chief Legal Officer enables the organization to navigate the complex health care landscape with confidence. Conte maintains a focus on protecting the interests of the clinic, ensuring that legal operations support the broader mission.

    Explore Leadership Teams in Hospitals & Physicians Clinics

    Frequently Asked Questions Regarding Carilion Clinic Top Executives and Leadership Team

    Who leads Carilion Clinic?
    Carilion Clinic is led by Ed Murphy (Chief Executive Officer), along with executives such as Shelby Nunn (Chief Financial Officer) and Christopher Turnbull (Chief of Staff).
    Who is part of Carilion Clinic’s executive team?
    The executive team of Carilion Clinic includes leaders such as Ed Murphy (Chief Executive Officer), Shelby Nunn (Chief Financial Officer), Christopher Turnbull (Chief of Staff) and other senior executives.
    How many executives does Carilion Clinic have?
    Carilion Clinic has 10 executives leading key business areas.
    What roles are included in Carilion Clinic’s leadership team?
    The leadership team of Carilion Clinic includes roles such as Chief Executive Officer, Chief Financial Officer, Chief of Staff, Senior Vice President and Chief Human Resources Officer, Chief of Staff & Senior Director, Administration.