Carilion Clinic Executive and Leadership Team

September, 2026

Leadership Overview

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

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

Leadership Roles at Carilion Clinic

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

    Ed Murphy, the Chief Executive Officer at Carilion Clinic, directs the overarching strategic vision for this non-profit integrated health care organization. Murphy architects long-term growth initiatives while ensuring alignment between clinical excellence and operational efficiency. By overseeing the executive leadership team, the Chief Executive Officer maintains focus on expanding access to high-quality medical services throughout the region. This leadership role involves constant collaboration with the Board to refine the mission of providing superior patient care. Ed Murphy drives the organizational culture toward innovation and sustainable health outcomes. Through rigorous oversight of system-wide performance metrics, the Chief Executive Officer secures the financial and operational health of the entire network. Murphy champions initiatives that improve community wellness, ensuring that the organization remains a cornerstone of the regional health infrastructure while navigating the complexities of the modern medical landscape.

    Steven Arner - President & Chief Executive Officer

    Steven Arner, the President & Chief Executive Officer at Carilion Clinic, manages the daily operational execution of the integrated health care system. Arner drives the implementation of clinical protocols and administrative policies that define the patient experience. Overseeing the coordination of multi-specialty services, the President & Chief Executive Officer ensures that resources reach the communities requiring specialized care. This role involves managing complex internal workflows to optimize hospital throughput and service delivery. Steven Arner aligns departmental goals with the broader mission of the organization, fostering a culture of accountability and excellence. By monitoring regional health trends, the President & Chief Executive Officer adapts operational strategies to meet evolving patient needs. Arner maintains focus on operational scalability, ensuring that the infrastructure supports the growing demand for integrated medical services across the service area while maintaining high standards of safety and quality.

    Shelby Nunn - Chief Financial Officer

    Shelby Nunn, the Chief Financial Officer at Carilion Clinic, directs the fiscal strategy and capital allocation for the entire health care network. Nunn architects robust financial models that support the expansion of clinical facilities and the acquisition of advanced medical technology. Overseeing the revenue cycle and budgetary planning, the Chief Financial Officer ensures the long-term economic viability of the organization. This leadership role involves managing complex financial reporting and compliance requirements to maintain institutional integrity. Shelby Nunn collaborates with the executive team to prioritize investments that yield the highest impact on patient care and operational efficiency. By analyzing market data and cost structures, the Chief Financial Officer identifies opportunities for fiscal optimization. Nunn secures the financial foundation necessary for the organization to continue providing essential health services, ensuring that resources remain available for critical clinical initiatives and community-focused programs.

    Christopher Turnbull - Chief of Staff

    Christopher Turnbull, the Chief of Staff at Carilion Clinic, coordinates the administrative functions and strategic communications for the executive office. Turnbull architects the flow of information between the leadership team and the broader organization, ensuring that strategic priorities receive consistent attention. Overseeing the management of high-level projects, the Chief of Staff facilitates cross-departmental collaboration to achieve organizational objectives. This role involves preparing critical briefings and managing the agenda for executive meetings to drive decision-making processes. Christopher Turnbull maintains alignment between the vision of the leadership and the daily operations of the clinical staff. By streamlining administrative workflows, the Chief of Staff enhances the productivity of the executive team. Turnbull supports the implementation of system-wide initiatives, ensuring that every department remains focused on the core mission of delivering integrated health care services to the community.

    James Keith - Chief of Staff & Senior Director, Administration

    James Keith, the Chief of Staff & Senior Director, Administration at Carilion Clinic, manages the operational infrastructure and administrative support systems. Keith architects efficient processes that enable clinical departments to function without disruption. Overseeing the administrative staff, the Chief of Staff & Senior Director, Administration ensures that organizational policies remain consistent across all facilities. This role involves managing the logistics of internal operations and supporting the executive team in executing strategic directives. James Keith facilitates the integration of administrative functions with clinical workflows to improve overall system performance. By identifying bottlenecks in operational procedures, the Chief of Staff & Senior Director, Administration implements solutions that enhance service delivery. Keith maintains a focus on organizational stability, ensuring that the administrative framework supports the mission of providing high-quality, integrated health care to the region.

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

    Karyn Keay-Otte, the Vice President and Associate Chief Information Officer at Carilion Clinic, directs the implementation of specialized clinical software and data management systems. Keay-Otte architects digital solutions that improve the accuracy of patient records and the efficiency of diagnostic workflows. Overseeing the integration of health information technology, the Vice President and Associate Chief Information Officer ensures that clinical teams have access to real-time data. This role involves managing the technical infrastructure that supports electronic health records and secure communication platforms. Karyn Keay-Otte collaborates with medical staff to tailor digital tools to specific clinical requirements. By optimizing the performance of information systems, the Vice President and Associate Chief Information Officer enhances the quality of care provided to patients. Keay-Otte drives the adoption of new technologies that streamline administrative tasks, allowing clinicians to focus on patient outcomes.

    Kay Hix - Chief Information Officer & Vice President

    Kay Hix, the Chief Information Officer & Vice President at Carilion Clinic, directs the enterprise-wide technology strategy and cybersecurity framework. Hix architects the digital transformation of the health care network, ensuring that all systems remain secure and scalable. Overseeing the IT department, the Chief Information Officer & Vice President manages the deployment of advanced network infrastructure and cloud-based services. This role involves aligning technology investments with the long-term goals of the organization to support clinical and administrative functions. Kay Hix leads the development of data governance policies that protect sensitive patient information while facilitating research and analytics. By modernizing the technological landscape, the Chief Information Officer & Vice President enables the organization to leverage data for improved decision-making. Hix ensures that the digital environment remains resilient, supporting the continuous delivery of integrated health care services across the entire region.

    Barbara Schleider - Vice President, Associate Chief Information Officer

    Barbara Schleider, the Vice President, Associate Chief Information Officer at Carilion Clinic, manages the operational deployment of information systems within the clinical environment. Schleider architects user-friendly interfaces for medical staff, ensuring that technology facilitates rather than hinders patient care. Overseeing the support teams for health information systems, the Vice President, Associate Chief Information Officer maintains the reliability of critical software applications. This role involves training staff on new digital tools and troubleshooting technical issues that impact clinical workflows. Barbara Schleider collaborates with department heads to identify technology needs that improve patient safety and operational efficiency. By focusing on the usability of information systems, the Vice President, Associate Chief Information Officer enhances the overall effectiveness of the clinical team. Schleider ensures that the technology stack remains aligned with the evolving needs of the health care organization.

    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, retention, and development strategies for the entire workforce. Hudgins architects programs that foster a culture of professional growth and clinical excellence. Overseeing the human resources department, the Senior Vice President and Chief Human Resources Officer manages compensation, benefits, and employee relations to ensure a high-performing staff. This role involves developing recruitment initiatives to attract top medical and administrative talent to the region. Paul Hudgins aligns workforce planning with the strategic goals of the organization, ensuring that the right skills are available to meet patient demand. By implementing performance management systems, the Senior Vice President and Chief Human Resources Officer drives accountability and engagement. Hudgins maintains a focus on employee well-being, recognizing that a supported workforce is essential for delivering superior integrated health care.

    Shyam Md - Chief Medical Officer

    Shyam Md, the Chief Medical Officer at Carilion Clinic, directs the clinical standards and quality assurance protocols for the entire health care system. Md architects evidence-based care pathways that improve patient outcomes and reduce variability in treatment. Overseeing the medical staff, the Chief Medical Officer ensures that all practitioners adhere to the highest standards of safety and professional conduct. This role involves leading clinical committees and collaborating with the executive team to integrate medical expertise into strategic planning. Shyam Md monitors clinical performance metrics to identify areas for improvement and innovation. By fostering a culture of continuous learning, the Chief Medical Officer supports the professional development of the medical staff. Md ensures that the organization remains at the forefront of medical practice, providing high-quality, integrated care that meets the diverse needs of the community served by the clinic.
    Shyam Md

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    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 Steven Arner (President & Chief Executive Officer) and Shelby Nunn (Chief Financial Officer).
    Who is part of Carilion Clinic’s executive team?
    The executive team of Carilion Clinic includes leaders such as Ed Murphy (Chief Executive Officer), Steven Arner (President & Chief Executive Officer), Shelby Nunn (Chief Financial Officer) 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, President & Chief Executive Officer, Chief Financial Officer, Chief of Staff, Chief of Staff & Senior Director, Administration.