Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Florida · Ranked 14 of 1033 by CEO pay.

Adventist Health System/Sunbelt

Terry D Shaw, Dir/President/Adventhealth CEO. Fiscal year ending 2024-12.

$9.9M
CEO total compensation
Form 990 Part VII, columns D+E+F
3.76%
of expenses spent on charity care
Schedule H Part I line 7a
3.8%
CEO pay as a share of all charity care

Most of the reported compensation ($8,529,704 of $9,855,391) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Haffner PhD Randall, Group CEO Fl & Clinical, $4,345,131; Harcombe Douglas, CEO Ah South Fl Market, $2,384,901; Adams Brian, CEO Central Fl Division, $2,125,679; Deininger Robert, CEO Ah Central Fl Market, $1,281,513. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$8,312,865,593
Total expenses
$6,857,775,203
Net assets
$8,718,941,676
Employees
37,154
Hospitals covered
3 facilities across 1 filing
Charity care, net
$258,143,697
Bad debt
$253,040,831
Medicare surplus (shortfall), as filed
($130,874,819)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$8,529,704
Other compensation, including deferred pay and nontaxable benefits (col. F)
$1,325,687
CEO total compensation (D+E+F)
$9,855,391 to Terry D Shaw

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Adventist Health System/Sunbelt, EIN 59-1479658, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$462.1M Of which charity care to patients who could not pay (line 7a)$258.1M (56%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($253.0M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Adventist Health System/Sunbelt: CEO pay $9.9M, charity care 3.76% of expenses