Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Report No. 1 · 2026 edition · all states

Virginia

In Virginia, 0 of the 12 general hospital systems over $100 million with a hospital in the state reported more in chief executive compensation than they gave in charity care; nationally, 73 of 655. The median system with a hospital in Virginia spent 1.26% of expenses on charity care, against 1.06% for all systems nationally. Highest reported chief executive compensation: $12,809,033, John Starcher Jr JD, Bon Secours Mercy Health (files from Ohio).

30 nonprofit hospital systems have a hospital in Virginia, 6 of them filing from another state. A system with hospitals in several states is listed on each of those states' pages with its system-wide figures.

#System and CEOCEO payRevenueCharity care,
% of expenses
Charity careCEO pay as %
of charity care
11 Bon Secours Mercy HealthJohn Starcher Jr JD · files from Ohio $12.8M $11.5B 0.77% $86.9M 14.7%
33 Inova Health Care ServicesJ Stephen Jones MD $6.6M $6.4B 2.51% $150.9M 4.4%
93 Children's Hospital of the King's DaughtersAmy Sampson · children’s $3.3M $821.0M 0.47% $3.4M 96.3%
135 Mary Washington HealthcareMichael P Mcdermott MD MBA $2.5M $1.1B 0.66% $6.7M 37.0%
160 Carilion Medical CenterSteven Arner $2.2M $2.5B 0.98% $22.8M 9.7%
166 Valley Health SystemMark Nantz $2.2M $1.4B 0.51% $6.9M 31.6%
226 Riverside Healthcare Association IncMichael J Dacey MD $1.7M $2.6B 1.23% $31.6M 5.5%
308 Augusta Health CareMary N Mannix $1.4M $559.1M 0.63% $2.9M 46.7%
317 Virginia Hospital Center Arlington Health SystemChristopher Lane $1.3M $896.4M 2.28% $20.3M 6.5%
358 Uva Prince William Medical CenterErik Shannon $1.2M $587.7M 0.90% $5.1M 22.9%
488 Centra HealthRichard Tugman $837,122 $1.3B 1.29% $17.2M 4.9%
602 Rehab JvAlan Lombardo $608,763 $89.9M 3.20% $2.9M 21.2%
628 Wellmont Health SystemJohn Jeter · files from Tennessee $576,994 $1.1B 2.03% $22.2M 2.6%
639 Mountain States Health AllianceKenneth Shafer · files from Tennessee $551,509 $1.3B 2.97% $36.1M 1.5%
695 Dickenson Community HospitalShannon Showalter · files from Tennessee $481,360 $11.3M 1.46% $172,297 279.4%
728 Smyth County Community HospitalDale Clark · files from Tennessee $446,072 $57.2M 1.49% $737,169 60.5%
783 Bath Community HospitalJeff Lingerfelt $378,815 $30.0M 0.48% $149,348 253.6%
794 Richmond Eye and Ear Healthcare AllianceTaylan Bozkurt $369,095 $3.8M 2.26% $117,366 314.5%
845 Buchanan General HospitalRobert Ruchti $311,972 $32.8M 0.12% $42,491 734.2%
887 Hospital for Extended RecoveryAimee Marie Vergara $265,919 $8.3M 4.10% $515,395 51.6%

Systems not shown: 10 with an unidentifiable chief executive or charity care reported off line 7a. Each has its own page: Sentara Hospitals, Sentara Rmh Medical Center, Sentara Princess Anne Hospital, Martha Jefferson Hospital, Carilion New River Valley Medical Center, Potomac Hospital Corporation of Prince William, Carilion Giles Community Hospital, Halifax Regional Hospital, Carilion Tazewell Community Hospital, Duke Quality Network.

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Virginia nonprofit hospitals: CEO pay vs charity care