AdventHealth
Legal name: Fletcher Hospital Inc
Nonprofit profile at a glance
- EIN
- 560543246
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Hendersonville, NC, USA
- Phone
- 8286812102
- Rating
- 70
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $332,217,579
- Expenses
- $304,582,621
- Assets
- $330,684,738
- Liabilities
- $83,371,201
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- THOMPSON MICHAEL (DIR/CHAIR/CEO SE REGION)
- NUDD BRANDON (DIRECTOR/PRES/CEO)
Highest reported compensation
- BANKS DAVID (DIRECTOR): $4,869,658 total reported compensation
- THOMPSON MICHAEL (DIR/CHAIR/CEO SE REGION): $1,851,004 total reported compensation
- MURRILL MICHAEL (FORMER OFFICER): $1,077,605 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Extending the Healing Ministry of Christ
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 98% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 77
- Transparency & Controls: 69
- Accountability: 55
- Sustainability: 59
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 84%; rating input score 84
- Program expense ratio: 90.7%; rating input score 91
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 80.8%; rating input score 81; 18th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 38.5%; rating input score 38; 11th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 8.3%; rating input score 68; 68th percentile among comparable filings
- Total-asset coverage ratio: 1.09; rating input score 42; 42nd percentile among comparable filings
- Liabilities to assets ratio: 0.25; rating input score 62; 62nd percentile among comparable filings
- Officer compensation ratio: 1.7%; rating input score 62; 62nd percentile among comparable filings
Growth
- Program expense growth: 6.7% per year; rating input score 100; 55th percentile among comparable filings
- Revenue growth: 7.1% per year; rating input score 100; 61st percentile among comparable filings
- Asset growth: 8.7% per year; rating input score 100; 63rd percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 10 operating locations identified
- Where the money goes: 84% of revenue deployed · 90.7% of spending went to programs
- Governance: 5 of 13 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $276.4M in reported program spending
- Leadership: top reported pay $4.9M · 24 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $19.3M reported
- Consistency: 34 of 35 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 32 filed money-flow records
- Related organizations: 145 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Accountability: Independent voting board scored 38/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 42/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.