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Fletcher Hospital

Hendersonville, NC · EIN 56-0543246 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for calendar year 2024 (tax year 2024) · View the filing · Correct or respond

Fletcher Hospital reported $332.2 million in revenue and $304.6 million in expenses for calendar year 2024. Of every $100 it spent, $90.75 went to program services, $9.25 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 91.2% of the total. The highest compensation it reported for one person was $4,869,658 (DIRECTOR). 223 people received more than $100,000 in reportable compensation. Revenue rose 49% between 2019 and 2024. Source: Form 990, 2024.

Where $100 of spending went

Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $305M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

Calendar year 2024 · Form 990, Part VIII · total revenue $332M

The 990 scorecard · same measures for every charity, no grades

2024 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure2024Median
Program services
Part IX 25(B) ÷ 25(A)
90.7%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
9.3%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
Not reported$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
0.0%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.0%0.1%
Program service revenue share
Part VIII 2g ÷ 12
91.2%93.7%
Highest reported compensation
Part VII-A, columns D–F
$4,869,658$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.60%1.34%
People paid over $100,000
Part VII, line 2
22327
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
9.76.6
Independent voting board members
Part VI 1a–1b
5 of 1388.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

2024 · Form 990, Part III · the three largest programs by expense
$276M expenses · 100.0% of program spending · grants $624K · revenue $325M

Operation of adventhealth hendersonville, a 103-bed acute care hospital with 4,774 patient admissions, 21,605 patient days, and 391,627 outpatient visits in the current year; operation of adventhealth polk, a 25-bed acute care hospital with 252 patient admissions, 935 patient days, and 9,798 outpatient visits following adventhealth's aquisition of the hospital in october of the current year; and of a medical group with 285,815 physician/patient encounters/visits during the current year

Highest reported compensation

2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
DIRECTOR
Director/trustee, 0.30 hrs/week
$0$4,659,499$210,159$4,869,658
DIR/CHAIR/CEO SE REGION
Director/trustee, 12.50 hrs/week
$0$1,692,559$158,445$1,851,004
FORMER OFFICER
Former, 0.00 hrs/week
$0$941,767$135,838$1,077,605
DIRECTOR/CFO SE REGION
Director/trustee, 12.50 hrs/week
$0$745,561$121,315$866,876
DIRECTOR/PRES/CEO
Director/trustee, officer, 33.30 hrs/week
$0$703,978$123,721$827,699
PHYSICIAN - MD (PSYCHIATRY)
Highest compensated employee, 39.60 hrs/week
$721,676$0$38,306$759,982
PHYSICIAN - MD (OTORHINOLARYNGEOLOGY)
Highest compensated employee, 43.20 hrs/week
$640,220$0$55,628$695,848
FORMER CMO
Former, 0.00 hrs/week
$0$595,080$61,631$656,711

223 people received more than $100,000 in reportable compensation from Fletcher Hospital (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.8M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$100M$200M$300M$400M201920202021202220232024$332M$305M
FilingRevenueExpensesProgramsNet assetsTop pay
2024 ⓘ$332M$305M90.7%$247M$4,869,658
2023 ⓘ$290M$266M91.7%$220M$2,385,812
2022 ⓘ$238M$237M91.2%$191M$1,086,556
2021 ⓘ$264M$242M91.0%$220M$861,577
2020 ⓘ$239M$210M91.4%$201M$910,377
2019 ⓘ$223M$195M92.0%$170M$1,278,726

Governance answers, as filed

2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b13 · 5 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 52,185
  • Volunteers Part I, line 664

Largest outside contractors

2024 · Form 990, Part VII, Section B · businesses only
PT SOLUTIONS HOLDINGS LLC
Physical therapy services
$9,947,934
COOPER CONSTRUCTION COMPANY INC
Construction services
$5,149,507
OB HOSPITALISTS GROUP LLC
Hospitalist services
$1,712,682
AMN HEALTHCARE SERVICES INC
Agency fees
$1,275,385
VANNOY CONSTRUCTION
Construction services
$1,211,616

Individuals listed as contractors are left out. 74 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to Fletcher Hospital totaling $250K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from Fletcher Hospital's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Fletcher Hospital, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in North Carolina

Questions people ask

How much of Fletcher Hospital's spending goes to programs?

In calendar year 2024, Fletcher Hospital reported that 90.7% of its $304.6 million in expenses went to program services, 9.3% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Fletcher Hospital pay its top executive?

The largest total compensation Fletcher Hospital reported for one person in calendar year 2024 was $4,869,658, for the role of DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Fletcher Hospital get its money?

Of $332.2 million in revenue in calendar year 2024, 0.0% came from contributions and grants and 91.2% from program service revenue (Form 990, Part VIII).

Is Fletcher Hospital a registered charity?

The IRS lists EIN 56-0543246 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • 2024: Form 990 for calendar year 2024, object 202513219349317031 · read the filing · XML
  • 2023: Form 990 for calendar year 2023, object 202443209349302734 · read the filing
  • 2022: Form 990 for calendar year 2022, object 202333199349316628 · read the filing
  • 2021: Form 990 for calendar year 2021, object 202243189349306429 · read the filing
  • 2020: Form 990 for calendar year 2020, object 202143129349303009 · read the filing
  • 2019: Form 990 for calendar year 2019, object 202003099349303000 · read the filing

All filings for EIN 56-0543246: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.