FLETCHER HOSPITAL INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1920

Legal Domicile

Principal Officer

BRANDON NUDD

Phone

8286848501

Tax Period

2023-01-01 to 2023-12-31

FLETCHER HOSPITAL INC, founded in 1920, is a major nonprofit in the Health Care sector that reported $289.7M in total revenue in fiscal year 2023. Revenue surged 22% from the prior year, signaling strong growth momentum. Expenses of $266.0M left a modest 8% surplus.

Mission

ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION AND ALL ITS SUBSIDIARY ORGANIZATIONS WERE ESTABLISHED BY THE SEVENTH-DAY ADVENTIST CHURCH TO BRING A MINISTRY OF HEALING AND HEALTH TO THE COMMUNITIES SERVED. OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST.THE HOSPITAL AND HEALTHCARE SYSTEM WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION IS KNOWN AS ADVENTHEALTH. ADVENTHEALTH SEEKS TO BE WIDELY RESPECTED AS A CONSUMER-FOCUSED ORGANIZATION THAT ENGAGES INDIVIDUALS IN THEIR HEALTH BY DELIVERING WHOLISTIC, BEST PRACTICE CARE ACROSS A CONNECTED, COMPREHENSIVE CONTINUUM OF SERVICES. WITH CHRIST AS OUR EXAMPLE, ADVENTHEALTH CARES FOR AND NURTURES PEOPLE: OUR EMPLOYEES, OUR COMMUNITIES, OUR HEALTHCARE PROFESSIONALS, AND THOSE WHO TRUST US FOR CARE AND HEALING.

Program Service Accomplishments

Program 1

Expenses: $243,866,988 Revenue: $287,868,168

THE HOSPITAL OPERATES A 103-BED ACUTE CARE HOSPITAL WITH 4,469 PATIENT ADMISSIONS, 19,560 PATIENT DAYS, 326,300 OUTPATIENT VISITS, AND 270,517 PHYSICIAN PRACTICE PATIENT VISITS IN THE CURRENT YEAR.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $119,893

Program Service Revenue $287,911,766

Investment Income $1,667,767

Other Revenue $29,575

TOTAL REVENUE $289,729,001

Expense Breakdown

Grants Paid $679,369

Salaries & Benefits $128,181,312

Fundraising Expenses $0

Program Expenses $243,866,988

Other Expenses $137,093,048

TOTAL EXPENSES $265,953,729

Year-over-Year Comparison

	2023	2022	Change
Revenue	$289,729,001	$237,882,965	+0.2%
Expenses	$265,953,729	$237,005,287	+0.1%
Net Income	$23,775,272	$877,678	+26.1%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

1701

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,386,248

Total Directors

$7,779,359

Key Employees

$997,992

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
BANKS DAVID	DIRECTOR (BEG 11/2023)	0.30	Director	$0	$180,461	$2,385,812
THOMPSON MICHAEL	DIR/CHAIR/CEO SE REGION (BEG 01/2023)	12.50	Director	$0	$144,054	$1,487,155
MURRILL MICHAEL	DIR/CHAIR/CEO SE REGION (END 01/2023)	12.50	Officer Director	$0	$54,621	$1,475,098
DIMITROVA GERGANA	PHYSICIAN - MD (PSYCHIATRY)	38.80	Highest	$660,867	$36,582	$697,449
GUYTON ALAN	DIRECTOR/CFO SE REGION	12.50	Director	$0	$116,901	$695,684
HERBERT MD TERESA	CMO (END 10/2023)	50.00	Key Emp	$0	$61,693	$670,366
NUDD BRANDON	DIRECTOR/PRES/CEO	33.33	Officer Director	$0	$117,329	$666,184
STALFORD MDMICHAEL	PHYSICIAN - MD (OTORHINOLA	43.00	Highest	$608,165	$52,690	$660,855
THOMPSONDOUGLAS	PHYSICIAN - MD (ONCOLOGY/HEMATOLOGY)	39.10	Highest	$539,188	$43,195	$582,383
HARDIN MD JEFFREY	PHYSICIAN - MD (CARDIOLOGY)	36.10	Highest	$494,117	$49,255	$543,372
LUGUS MDTHOMAS R	PHYSICIAN - MD (GEN MED/FP)	36.00	Highest	$509,063	$32,840	$541,903
COSTON DO JEFFREY	DIRECTOR	40.70	Director	$442,665	$44,012	$486,677
GARRIS MD JEFFREY	DIRECTOR (BEG 01/2023)	43.40	Director	$370,305	$27,016	$397,321
MILLER SCOTT	FORMER COO	0.00		$0	$28,008	$377,486
STENSTROM ELLA	FORMER CFO	0.00		$0	$26,840	$333,612
DZIALO MAUREEN	CNO	50.00	Key Emp	$0	$42,392	$327,626
BURROUGHS STEVEN	CFO (BEG 03/2023)	50.00	Officer	$0	$32,844	$244,966
REEVES CORY	FORMER CEO	0.00		$0	$0	$243,707
KIESSLING-URITIS MD MARY ANNE	DIRECTOR (END 12/2023)	40.90	Director	$145,632	$28,954	$174,586
LOUIS LESLIE	DIRECTOR	0.30	Director	$8,216	$0	$8,216
LEATHERWOOD LAURA	DIRECTOR (END 05/2023)	0.30	Director	$895	$0	$895
GRIFFIN LOWELL STUART	DIRECTOR (BEG 08/2023)	0.30	Director	$497	$0	$497
HAMILTON TRISTAN	DIRECTOR	0.30	Director	$497	$0	$497
NABERS WAGGONER FAIR	DIRECTOR (BEG 05/2023)	0.30	Director	$497	$0	$497
MCGRADY CHUCK	DIRECTOR (END 06/2023)	0.30	Director	$240	$0	$240

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$289,729,001	$265,953,729	$281,913,818	$23,775,272
2022	$237,882,965	$237,005,287	$251,870,727	$877,678
2021	$263,584,919	$242,095,833	$309,247,463	$21,489,086
2020	$238,689,375	$209,675,414	$288,014,341	$29,013,961
2019	$222,805,056	$195,371,718	$235,768,500	$27,433,338
2018	$196,768,066	$181,444,738	$185,551,560	$15,323,328