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■ COVER STORY


S


by Tim Thornton


omewhere, Nancy Agee says, there’s a photograph of her as a 5-year-old on Christmas morning, holding her new


puppy while wearing her first nurse’s cap. The photo captures the beginning of Agee’s interest in a medical career. “That poor puppy got bandaged and


pok ed,” says the president and CEO of Caril- ion Clinic, a nonprofit regional health system. “He was very tolerant.” As a teenager, Agee was a patient. She had


five knee surgeries. Early on, she was told the problem was cancer and doctors would have to amputate her leg. Luckily, it wasn’t cancer and she kept her leg. The nurses and doctors who took care of Agee came to mean a lot to her. “I wanted to be like them,” she says. Agee became a nurse, then an administra-


tor and later a health-care executive. She was named Carilion’s chief operating officer a little more than a decade ago when it began trans- forming itself from a hospital network into a physician-led clinic. Agee became president and CEO in 2011.


Based in Roanoke, Carilion serves Southwest Virginia’s roughly 1 million people at more than 200 patient-care sites, including seven hospitals. The largest private employer in western Virginia, Carilion has 13,000 employ- ees, including almost 700 doctors, Last year, the health system generated $1.7 billion in revenue. In addition to providing health care,


Carilion has become an economic driver under Agee, collaborating with Virginia Tech on the creation of a medical school and research institute. The facilities are the anchors of an evolving “innovation district” that is attracting highly skilled professionals to Roanoke. Next year, Agee will become chairwoman


of the American Hospital Association board of trustees at a time when national policy on the


www.VirginiaBusiness.com


direction of health care remains in doubt. In recognition of her influence in so many


areas, Virginia Business has named Agee its Virginia Business Person of the Year for 2017. Joyce Waugh, president and CEO of


the Roanoke Regional Chamber, says Agee’s leadership style “is servant leadership. It means that you’re open to and truly see yourself help- ing others, not only to get their jobs done, but helping the community to get to the next level it needs to get to.”


Finding a new model “I think I just grew restless,” Agee says in


explaining her evolution from nurse to CEO. “I wanted to effect more change than I could see one-on-one, and so I started volunteering for other kinds of things that led to management and promotions, and that’s sort of the story.” That’s a very short version of the story,


one that leaves out a lot of experience, a lot of work. Agee was born in 1952 in Crippled


Children’s Hospital, a name Roanoke’s hos- pital bore for a few years during the height of Southwest Virginia’s polio epidemic. Her brother was born in the same building two years later, but by then it was called Roanoke Memorial Hospital. “Which I think is a great story,” Agee says,


“because what I love about Carilion is that it’s changed to meet the needs of those that we serve. It’s a very dynamic organization.” Carilion rarely has been more dynamic


than it was 11 years ago when it began to move toward the clinic model. “The economic ecosystem was changing,”


Agee says. “It is still changing. This was previ- ous to Obamacare, but Obamacare didn’t just happen overnight, right? “So, there was swirling all across the coun- try this catalyst for change … We were doing


VIRGINIA BUSINESS 21


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