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 969 of 1033 by CEO pay.

Madison County Hospital Health Systems

Tammy Stevens, CEO. Fiscal year ending 2025-09.

$196,172
CEO total compensation
Form 990 Part VII, columns D+E+F
2.23%
of expenses spent on charity care
Schedule H Part I line 7a
51.2%
CEO pay as a share of all charity care
Tammy Stevens’s pay of $196,172 equals 51.2 percent of the $383,230 the system spent on charity care in the same year.

§1The filing

Total revenue
$17,476,793
Total expenses
$17,170,457
Net assets
−$2,064,292
Employees
203
Hospitals covered
1 facilities across 1 filing
Charity care, net
$383,230
Bad debt
$2,525,365
Medicare surplus (shortfall), as filed
($40,718)
CEO pay from the organization (Part VII col. D)
$196,172
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$0
CEO total compensation (D+E+F)
$196,172 to Tammy Stevens

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, Madison County Hospital Health Systems, EIN 59-2319288, fiscal year ending 2025-09, 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)$647,053 Of which charity care to patients who could not pay (line 7a)$383,230 (59%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.5M) 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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Madison County Hospital Health Systems: CEO pay $196,172, charity care 2.23% of expenses