Carilion Clinic Executive and Leadership Team

July, 2026

Leadership Overview

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

Driven by a commitment to patient care, Carilion Clinic advances healthcare through integrated services and a focus on community well-being, impacting the health landscape of Virginia.

Leadership Roles at Carilion Clinic

  • Chief Executive Officer - Morris Reece
  • President & Chief Executive Officer - Steven Arner
  • Chief Financial Officer - Shelby Nunn
  • Chief of Staff - Christopher Turnbull
  • 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
  • Senior Vice President and Chief Information Officer - Keith Perry
  • Chief of Staff & Senior Director, Administration - James Keith
  • Morris Reece - Chief Executive Officer

    Morris Reece, the Chief Executive Officer at Carilion Clinic, directs the overarching strategy and operational framework for the integrated health system. Reece guides the organization's mission to provide high-quality patient care across its network of facilities. This leadership role involves setting the long-term vision and ensuring financial sustainability for Carilion Clinic's extensive healthcare services. Reece's executive decisions shape the organization's response to evolving healthcare demands and market dynamics. By fostering collaboration among clinical and administrative teams, Reece ensures seamless integration of services, from primary care to specialized treatments. The Chief Executive Officer's focus remains on enhancing patient outcomes and operational efficiency throughout the Roanoke region and beyond. Morris Reece drives the strategic initiatives that position Carilion Clinic as a leading healthcare provider.
    Morris Reece

    Steven Arner - President & Chief Executive Officer

    Steven Arner, the President & Chief Executive Officer at Carilion Clinic, spearheads the comprehensive strategic direction and executive leadership of the integrated healthcare organization. Arner's mandate includes driving innovation in patient care delivery and ensuring the operational excellence of Carilion Clinic's extensive network. This position involves overseeing all major business units and fostering a culture of continuous improvement across clinical and administrative functions. Arner's leadership is critical in navigating the complex healthcare landscape, focusing on patient outcomes, community health, and organizational growth. The President & Chief Executive Officer works closely with the board and senior leadership to align strategic goals with the organization's mission. Steven Arner's executive oversight ensures Carilion Clinic maintains its commitment to providing accessible, high-quality healthcare services throughout Virginia.

    Shelby Nunn - Chief Financial Officer

    Shelby Nunn, the Chief Financial Officer at Carilion Clinic, manages the organization's financial health and strategic fiscal planning. Nunn oversees all financial operations, including budgeting, revenue cycle management, and capital allocation for Carilion Clinic's extensive healthcare services. This critical role ensures the financial stability required to support patient care initiatives and infrastructure development across Virginia. The Chief Financial Officer's responsibilities extend to financial risk management and optimizing resource utilization to maintain operational efficiency. Nunn collaborates with other executive leaders to align financial strategies with the overall mission of providing accessible, high-quality healthcare. Shelby Nunn's financial acumen is essential for Carilion Clinic's long-term sustainability and growth, driving fiscal responsibility across all departments.

    Christopher Turnbull - Chief of Staff

    Christopher Turnbull, the Chief of Staff at Carilion Clinic, provides direct executive support and strategic counsel to the senior leadership team, particularly the President & Chief Executive Officer. Turnbull manages key initiatives, facilitates cross-departmental communication, and ensures the efficient execution of strategic priorities for Carilion Clinic. This role involves coordinating projects, preparing executive briefings, and optimizing the flow of information within the organization. The Chief of Staff acts as a liaison, bridging operational needs with strategic objectives to enhance overall organizational effectiveness. Turnbull's focus is on streamlining operations and driving key projects to successful completion, supporting Carilion Clinic's mission of advanced patient care. Christopher Turnbull's operational expertise is vital for maintaining executive alignment and driving forward critical organizational goals.

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

    Karyn Keay-Otte, the Vice President and Associate Chief Information Officer at Carilion Clinic, supports the strategic direction and operational management of the organization's information technology infrastructure. Keay-Otte collaborates with the Chief Information Officer to ensure robust and secure IT systems that support patient care and administrative functions across Carilion Clinic. This role involves overseeing the implementation of new technologies and optimizing existing systems to enhance efficiency and data integrity. The Vice President and Associate Chief Information Officer plays a key part in driving digital transformation initiatives within the healthcare system. Keay-Otte's leadership ensures that technology effectively supports Carilion Clinic's mission of providing advanced, integrated healthcare services. Karyn Keay-Otte's technical expertise is crucial for maintaining a cutting-edge IT environment.

    Kay Hix - Chief Information Officer & Vice President

    Kay Hix, the Chief Information Officer & Vice President at Carilion Clinic, directs the comprehensive information technology strategy and operations for the integrated health system. Hix oversees the development and implementation of technology solutions that enhance patient care, streamline operations, and ensure data security across Carilion Clinic. This leadership position involves managing all aspects of IT infrastructure, including electronic health records, cybersecurity, and digital innovation. The Chief Information Officer & Vice President collaborates with executive leadership to align technology initiatives with the organization's strategic goals. Hix's vision guides Carilion Clinic's digital transformation, ensuring technology supports its mission of providing accessible, high-quality healthcare. Kay Hix's strategic IT leadership is fundamental to Carilion Clinic's operational success and future growth.

    Barbara Schleider - Vice President, Associate Chief Information Officer

    Barbara Schleider, the Vice President, Associate Chief Information Officer at Carilion Clinic, assists in the strategic oversight and operational execution of the organization's information technology initiatives. Schleider works in tandem with the Chief Information Officer to manage and enhance the IT infrastructure that underpins Carilion Clinic's patient care and administrative functions. This role focuses on optimizing technology deployment, ensuring system reliability, and supporting digital innovation across the health system. The Vice President, Associate Chief Information Officer contributes to strategic planning for IT resources, ensuring alignment with Carilion Clinic's mission and operational needs. Schleider's efforts support the seamless integration of technology to improve healthcare delivery and patient outcomes. Barbara Schleider's contributions are vital to maintaining Carilion Clinic's technological advancement and operational efficiency.

    Paul Hudgins - Senior Vice President and Chief Human Resources Officer

    Paul Hudgins, the Senior Vice President and Chief Human Resources Officer at Carilion Clinic, leads the strategic development and execution of human capital management initiatives. Hudgins oversees all aspects of HR, including talent acquisition, employee relations, compensation, and benefits, ensuring Carilion Clinic attracts and retains top healthcare professionals. This executive role is critical for fostering a positive and productive work environment that supports the organization's mission of exceptional patient care. The Senior Vice President and Chief Human Resources Officer collaborates with other leaders to align HR strategies with Carilion Clinic's operational and growth objectives. Hudgins's leadership ensures a robust workforce capable of meeting the evolving demands of the healthcare industry. Paul Hudgins's expertise is fundamental to Carilion Clinic's success through its people.

    Keith Perry - Senior Vice President and Chief Information Officer

    Keith Perry, the Senior Vice President and Chief Information Officer at Carilion Clinic, directs the overall information technology strategy and infrastructure for the integrated healthcare system. Perry is responsible for overseeing the implementation and management of advanced technological solutions that enhance patient care, operational efficiency, and data security across Carilion Clinic. This executive position involves leading IT operations, cybersecurity efforts, and digital transformation initiatives. The Senior Vice President and Chief Information Officer works closely with the executive team to ensure technology aligns with Carilion Clinic's strategic goals and mission. Perry's leadership drives innovation in healthcare technology, supporting the organization's commitment to providing accessible and high-quality medical services. Keith Perry's vision is integral to Carilion Clinic's technological advancement and operational excellence.

    James Keith - Chief of Staff & Senior Director, Administration

    James Keith, the Chief of Staff & Senior Director, Administration at Carilion Clinic, provides critical support to executive leadership and manages key administrative functions. Keith facilitates strategic initiatives, enhances operational workflows, and ensures effective communication across various departments within Carilion Clinic. This dual role involves overseeing administrative operations and supporting the strategic direction set by the President & Chief Executive Officer. The Chief of Staff & Senior Director, Administration plays a vital part in streamlining processes and driving project execution to support Carilion Clinic's mission. Keith's focus is on optimizing administrative efficiency and ensuring seamless coordination of executive-level priorities. James Keith's contributions are essential for the effective functioning of Carilion Clinic's leadership and administrative structure.

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    Frequently Asked Questions Regarding Carilion Clinic Top Executives and Leadership Team

    Who leads Carilion Clinic?
    Carilion Clinic is led by Morris Reece (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 Morris Reece (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, Vice President and Associate Chief Information Officer.