Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Oklahoma · Ranked 1014 of 1033 by CEO pay.

Adair County Health Center

James W Causon, President & CEO. Fiscal year ending 2025-06.

$140,000
CEO total compensation
Form 990 Part VII, columns D+E+F
2.91%
of expenses spent on charity care
Schedule H Part I line 7a
21.8%
CEO pay as a share of all charity care
James W Causon’s pay of $140,000 equals 21.8 percent of the $641,117 the system spent on charity care in the same year.

§1The filing

Total revenue
$21,742,505
Total expenses
$22,050,402
Net assets
$505,620
Employees
200
Hospitals covered
1 facilities across 1 filing
Charity care, net
$641,117
Bad debt
$1,230,449
Medicare surplus (shortfall), as filed
($5,126,012)
CEO pay from the organization (Part VII col. D)
$140,000
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$0
CEO total compensation (D+E+F)
$140,000 to James W Causon

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Adair County Health Center, EIN 73-0977997, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$3.2M Of which charity care to patients who could not pay (line 7a)$641,117 (20%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Adair County Health Center: CEO pay $140,000, charity care 2.91% of expenses