Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Report No. 1 · 2026 edition · all states

Tennessee

In Tennessee, 0 of the 15 general hospital systems over $100 million with a hospital in the state reported more in chief executive compensation than they gave in charity care; nationally, 73 of 655. The median system with a hospital in Tennessee spent 2.88% of expenses on charity care, against 1.06% for all systems nationally. Highest reported chief executive compensation: $16,481,139, Jeffrey R Balser MD PhD, Vanderbilt University Medical Center.

27 nonprofit hospital systems have a hospital in Tennessee, 4 of them filing from another state. A system with hospitals in several states is listed on each of those states' pages with its system-wide figures.

#System and CEOCEO payRevenueCharity care,
% of expenses
Charity careCEO pay as %
of charity care
5 Vanderbilt University Medical CenterJeffrey R Balser MD PhD $16.5M $8.7B 2.82% $233.1M 7.1%
65 University Health SystemJoseph R Landsman Jr $4.1M $1.6B 2.88% $46.3M 8.9%
94 Parkwest Medical CenterJames D VanderSteeg $3.2M $1.6B 3.51% $56.5M 5.7%
105 Hamilton Medical CenterJeffrey D Myers · files from Georgia $2.9M $733.4M 2.80% $18.9M 15.6%
139 Methodist Healthcare-Memphis HospitalsMichael Ugwueke $2.4M $2.0B 4.59% $100.4M 2.4%
190 Saint Thomas West HospitalFahad Tahir · files from Missouri $2.0M $2.1B 2.40% $45.7M 4.4%
230 St Jude Children's Research HospitalJames R Downing · children’s $1.7M $2.2B 7.52% $142.7M 1.2%
239 Erlanger HealthJim Coleman $1.7M $1.7B 5.69% $92.7M 1.8%
253 Shelby County Health CareReginald Coopwood $1.6M $809.1M 7.29% $59.1M 2.7%
362 Memorial Health Care SystemJanelle Reilly · files from Arizona $1.1M $731.7M 1.70% $13.1M 8.7%
419 East Tennessee Children's Hospital AssociationMatt Schaefer · children’s $1.0M $413.8M 1.25% $4.4M 22.8%
458 Baptist Memorial HospitalEdwin P Cade $907,999 $1.1B 5.39% $54.8M 1.7%
581 Siskin Hospital for Physical RehabilitationMatthew A Gibson PhD FACHE $652,806 $61.0M 0.40% $232,357 280.9%
628 Wellmont Health SystemJohn Jeter $576,994 $1.1B 2.03% $22.2M 2.6%
639 Mountain States Health AllianceKenneth Shafer $551,509 $1.3B 2.97% $36.1M 1.5%
753 Baptist Memorial Hospital- HuntingdonSusan M Breeden $412,293 $48.3M 3.19% $1.7M 23.7%
758 Takoma Regional HospitalEric Carroll $407,273 $152.3M 3.95% $5.5M 7.5%
802 Baptist Memorial Hospital-Union CityBarry Bondurant $361,091 $78.7M 3.60% $2.4M 15.1%
824 Baptist Memorial Hospital-TiptonParker Harris $338,965 $487.8M 2.46% $9.2M 3.7%
864 Sweetwater Hospital AssociationAndrea Henry $292,468 $84.9M 2.09% $1.7M 17.1%
907 Ridgeview Psychiatric Hospital & CenterBrian Buuck $250,931 $23.6M 1.67% $368,066 68.2%
976 Baptist Memorial Regional Rehabilitation ServicesMark Kelly $189,479 $7.8M 0.89% $94,235 201.1%
1018 Prisma Health - Blount Memorial HospitalGeorge H Naramore · files from South Carolina $120,401 $240.5M 2.56% $5.7M 2.1%

Systems not shown: 4 with an unidentifiable chief executive or charity care reported off line 7a. Each has its own page: Unity Medical Center, Macon Hospital, Wellmont Hawkins County Memorial Hospital, Case Management Inc dba Cmi Health Services.

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Tennessee nonprofit hospitals: CEO pay vs charity care