Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Alabama · Ranked 923 of 1033 by CEO pay.

Escambia County Alabama Community Hospitals

Stephen Fischer, CEO (Left 12. Fiscal year ending 2024-09.

$232,871
CEO total compensation
Form 990 Part VII, columns D+E+F
0.03%
of expenses spent on charity care
Schedule H Part I line 7a
3633.5%
CEO pay as a share of all charity care
In the most recent filing year, Stephen Fischer’s reported compensation was $232,871. The system’s charity care for the same year was $6,409. One person’s reported compensation was 36.3 times what the system gave to every patient who could not pay.

Most of the reported compensation ($206,667 of $232,871) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$19,370,245
Total expenses
$23,608,778
Net assets
$2,683,584
Employees
316
Hospitals covered
1 facilities across 1 filing
Charity care, net
$6,409
Bad debt
Medicare surplus (shortfall), as filed
($682,538)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$206,667
Other compensation, including deferred pay and nontaxable benefits (col. F)
$26,204
CEO total compensation (D+E+F)
$232,871 to Stephen Fischer

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, Escambia County Alabama Community Hospitals, EIN 63-1143638, fiscal year ending 2024-09, 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)$1.2M Of which charity care to patients who could not pay (line 7a)$6,409 (1%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt () 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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Escambia County Alabama Community Hospitals: CEO pay $232,871, charity care 0.03% of expenses