Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Michigan · Not ranked: see note below.

Barbara Ann Karmanos Cancer Hospital

Brian Gamble, President Kcc. Fiscal year ending 2025-09.

$1.1M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.34%
of expenses spent on charity care
Schedule H Part I line 7a
58.2%
CEO pay as a share of all charity care
Brian Gamble’s pay of $1,095,039 equals 58.2 percent of the $1,883,001 the system spent on charity care in the same year.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

Most of the reported compensation ($1,040,039 of $1,095,039) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$606,826,459
Total expenses
$551,051,132
Net assets
$84,373,371
Employees
1,156
Hospitals covered
1 facilities across 1 filing
Charity care, net
$1,883,001
Bad debt
$16,151,554
Medicare surplus (shortfall), as filed
$683,335
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,040,039
Other compensation, including deferred pay and nontaxable benefits (col. F)
$55,000
CEO total compensation (D+E+F)
$1,095,039 to Brian Gamble

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, Barbara Ann Karmanos Cancer Hospital, EIN 20-1649466, fiscal year ending 2025-09, as published by the IRS. CEO identification: president title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$15.8M Of which charity care to patients who could not pay (line 7a)$1.9M (12%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($16.2M) 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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Barbara Ann Karmanos Cancer Hospital: CEO pay $1.1M, charity care 0.34% of expenses