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 190 of 1033 by CEO pay.

Saint Thomas West Hospital

Fahad Tahir, President/CEO, Ministry Market. Fiscal year ending 2025-06.

$2.0M
CEO total compensation
Form 990 Part VII, columns D+E+F
2.40%
of expenses spent on charity care
Schedule H Part I line 7a
4.4%
CEO pay as a share of all charity care

Most of the reported compensation ($1,935,347 of $1,998,851) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$2,067,620,082
Total expenses
$1,905,506,681
Net assets
$648,799,081
Employees
10,542
Hospitals covered
16 facilities across 7 filings
Charity care, net
$45,730,757
Bad debt
$24,999,086
Medicare surplus (shortfall), as filed
$25,630,607
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,935,347
Other compensation, including deferred pay and nontaxable benefits (col. F)
$63,504
CEO total compensation (D+E+F)
$1,998,851 to Fahad Tahir

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, Saint Thomas West Hospital, EIN 62-0347580, 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)$155.8M Of which charity care to patients who could not pay (line 7a)$45.7M (29%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($25.0M) 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
Saint Thomas West Hospital62-03475802025-06$1.3B$25.6M2.20%990
Saint Thomas Rutherford Hospital62-04758422025-06$519.8M$12.8M2.71%990
Saint Thomas Regional Hospitals47-40630462025-06$120.6M$6.9M5.60%990
Saint Thomas Health58-17168042025-06$109.7M$314,9100.25%990
Baptist Health Care Affiliates Inc58-15092512025-06$23.2M$59,6260.08%990
Saint Thomas Hickman Hospital58-17375732025-06$17.2M$00.00%990
Humphreys County Community Health Services Inc26-18616762025-06$11.5M$00.00%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.

§Share

Saint Thomas West Hospital: CEO pay $2.0M, charity care 2.40% of expenses