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 499 of 1033 by CEO pay.

Noland Health Services

Barbara E Estep, President & CEO. Fiscal year ending 2025-06.

$819,208
CEO total compensation
Form 990 Part VII, columns D+E+F
0.79%
of expenses spent on charity care
Schedule H Part I line 7a
62.8%
CEO pay as a share of all charity care
Barbara E Estep’s pay of $819,208 equals 62.8 percent of the $1,304,150 the system spent on charity care in the same year.

§1The filing

Total revenue
$180,510,888
Total expenses
$164,123,538
Net assets
$478,984,015
Employees
2,771
Hospitals covered
4 facilities across 1 filing
Charity care, net
$1,304,150
Bad debt
$804,328
Medicare surplus (shortfall), as filed
$1,920,192
CEO pay from the organization (Part VII col. D)
$464,184
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$355,024
CEO total compensation (D+E+F)
$819,208 to Barbara E Estep

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, Noland Health Services, EIN 63-0308739, 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)$4.2M Of which charity care to patients who could not pay (line 7a)$1.3M (31%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($804,328) 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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Noland Health Services: CEO pay $819,208, charity care 0.79% of expenses