Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Tennessee · Ranked 419 of 1033 by CEO pay.

East Tennessee Children's Hospital Association

Matt Schaefer, Board Member/President & CEO. Fiscal year ending 2025-06.

$1.0M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.25%
of expenses spent on charity care
Schedule H Part I line 7a
22.8%
CEO pay as a share of all charity care
Matt Schaefer’s pay of $1,000,831 equals 22.8 percent of the $4,389,872 the system spent on charity care in the same year.

§1The filing

Total revenue
$413,764,965
Total expenses
$351,919,144
Net assets
$535,962,262
Employees
2,543
Hospitals covered
1 facilities across 1 filing
Charity care, net
$4,389,872
Bad debt
$2,024,421
Medicare surplus (shortfall), as filed
($8,471)
CEO pay from the organization (Part VII col. D)
$872,869
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$127,962
CEO total compensation (D+E+F)
$1,000,831 to Matt Schaefer

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, East Tennessee Children's Hospital Association, EIN 62-6002604, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$100.3M Of which charity care to patients who could not pay (line 7a)$4.4M (4%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.0M) 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.

§Share

East Tennessee Children's Hospital Association: CEO pay $1.0M, charity care 1.25% of expenses