Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Kentucky · Ohio · Ranked 345 of 1033 by CEO pay.

Ashland Hospital

Sara Marks, President/CEO. Fiscal year ending 2025-06.

$1.2M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.42%
of expenses spent on charity care
Schedule H Part I line 7a
31.5%
CEO pay as a share of all charity care
Sara Marks’s pay of $1,196,109 equals 31.5 percent of the $3,793,012 the system spent on charity care in the same year.

§1The filing

Total revenue
$1,046,122,676
Total expenses
$906,581,674
Net assets
$1,047,856,218
Employees
6,120
Hospitals covered
2 facilities across 2 filings
Charity care, net
$3,793,012
Bad debt
$18,239,747
Medicare surplus (shortfall), as filed
($27,378,105)
CEO pay from the organization (Part VII col. D)
$1,057,903
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$138,206
CEO total compensation (D+E+F)
$1,196,109 to Sara Marks

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, Ashland Hospital, EIN 61-0444716, 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)$29.2M Of which charity care to patients who could not pay (line 7a)$3.8M (13%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($18.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Ashland Hospital Corporation61-04447162025-06$1.0B$3.7M0.44%990
Portsmouth Hospital Corporation45-32153122025-06$39.5M$129,4380.43%990

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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Ashland Hospital: CEO pay $1.2M, charity care 0.42% of expenses