Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

North Carolina · Georgia · Ranked 206 of 1033 by CEO pay.

Fletcher Hospital

Thompson Michael, Dir/Chair/CEO Se Region. Fiscal year ending 2024-12.

$1.9M
CEO total compensation
Form 990 Part VII, columns D+E+F
4.00%
of expenses spent on charity care
Schedule H Part I line 7a
8.1%
CEO pay as a share of all charity care

Most of the reported compensation ($1,692,559 of $1,851,004) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$628,259,958
Total expenses
$574,428,100
Net assets
$470,865,990
Employees
6,288
Hospitals covered
4 facilities across 2 filings
Charity care, net
$22,952,709
Bad debt
$41,953,871
Medicare surplus (shortfall), as filed
($23,172,400)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,692,559
Other compensation, including deferred pay and nontaxable benefits (col. F)
$158,445
CEO total compensation (D+E+F)
$1,851,004 to Thompson Michael

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, Fletcher Hospital, EIN 56-0543246, 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)$45.1M Of which charity care to patients who could not pay (line 7a)$23.0M (51%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($42.0M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Fletcher Hospital Inc56-05432462024-12$332.2M$6.7M2.21%990
Adventist Health System Georgia Inc58-14250002024-12$296.0M$16.2M6.01%990

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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Fletcher Hospital: CEO pay $1.9M, charity care 4.00% of expenses