The Rojas ReportAHA Intelligence

Eric D. Fish, MD

SVP & Chief Physician Executive | AHA Board of Trustees | Carilion Clinic

9 Red Flags
Affiliations
  • MD, Indiana University School of Medicine
  • Residency in Obstetrics & Gynecology, St. Vincent Hospital, Indianapolis
  • MBA, University of Tennessee, Knoxville
  • BS, University of Evansville
  • Board Certified, American Board of Obstetrics & Gynecology (FACOG)
  • Founded Schneck Obstetrics & Gynecology (2006)
  • Medical Director, Schneck OB/GYN
  • President, Schneck Medical Staff
Financial / Compensation
  • Total operating revenue (2023): $365,471,913 (up 8.2% from 2022)
  • Net position increased by $28,925,122 from 2022 to 2023
  • Total operating revenue (2018): $285,736,564
  • Organized under Indiana County Hospital Law (Indiana Code 16-22)
  • Primary revenue source: patient revenues and ancillary income
  • Fish's specific compensation is reported on Schneck Medical Center's IRS Form 990, Part VII and Schedule J. Filings are available through ProPublica Nonprofit Explorer (EIN: 23-7007694 for the Guild; the hospital entity may file under a separate EIN as a county-owned facility).
  • ProPublica lists 990 filings for Schneck-affiliated entities dated October 2025, October 2024, October 2023, and November 2022.
  • Note: As a county-owned hospital operating under Indiana Code 16-22, Schneck's primary financials are disclosed through audited financial statements filed with the Indiana State Department of Health rather than standard 501(c)(3) Form 990s. This creates an opacity gap — Fish's total compensation (base salary + bonus + deferred + benefits) may be partially obscured across multiple affiliated entities (Schneck Medical Center, Health Development Corporation, Coordinated Health, SIHO Holdings).
Lobbying and Political
  • Fish testified before the Indiana State Senate on behalf of the Indiana Hospital Association against Senate Bill 7, which sought to ban physician noncompete clauses and referral bonuses to reduce healthcare costs.
  • Fish told lawmakers that noncompete clauses are "both necessary and useful" and protect hospitals' investments in physicians.
  • This is a physician-CEO actively lobbying to restrict the professional freedom of other physicians — on behalf of the hospital trade association. He argued hospitals need noncompetes to protect their "investment" in recruiting doctors, framing physicians as hospital assets rather than independent professionals.
  • The AHA is one of the largest healthcare lobbying operations in Washington. The Hospitals & Nursing Homes sector spent heavily on federal lobbying (OpenSecrets tracks this at opensecrets.org/industries/lobbying?ind=H02).
  • The AHA has been a leading opponent of physician ownership of hospitals, supporting the Stark Law self-referral ban and opposing any relaxation of the physician-owned hospital moratorium under the ACA.
  • Fish now sits on the AHA Board of Trustees — the "highest policymaking body" with "ultimate authority for the governance and management of its direction and finances."
  • IHA is a ProPublica-listed nonprofit (EIN: 35-0988753). Fish serves on its Board of Directors (2024–2026).
  • The IHA lobbies the Indiana General Assembly on hospital reimbursement, scope of practice, certificate of need, and workforce issues.

Red Flags

SIHO Holdings: A hospital-owned insurance company where Fish is Chairman. Schneck's relationship with SIHO as both owner and provider creates inherent conflicts in rate-setting and claims management.

JC Bank: A hospital CEO sitting on a local bank board raises questions about lending relationships — does Schneck bank with JC Bank? Do Schneck employees have preferred banking relationships? Are there real estate or construction loans tied to hospital expansion?

Jackson County Industrial Development Corporation: Fish influences both the county's economic development strategy and its largest employer/healthcare provider.

Actual dollar value of charity care provided vs. tax exemption value received

Whether Schneck meets the AHA's own 15.1%-of-expenses benchmark for community benefit

How charity care compares to executive compensation and capital spending

Executive compensation may be fragmented across multiple entities (Schneck, HDC, Coordinated Health, SIHO)

No single public document may capture Fish's total compensation package

The county ownership structure provides a veneer of public accountability while creating disclosure gaps

Pattern Summary

Eric D. Fish represents a specific archetype on the AHA Board: the physician-turned-administrator who has fully crossed over to the institutional side.