Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Ohio · Not ranked: see note below.

Bethesda Hospital

Mark Clement, President/CEO-Trihealth. Fiscal year ending 2025-06.

$2.6M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.18%
of expenses spent on charity care
Schedule H Part I line 7a
79.9%
CEO pay as a share of all charity care
Mark Clement’s pay of $2,633,757 equals 79.9 percent of the $3,298,359 the system spent on charity care in the same year.

Not in the ranking because the filing reports zero on line 7a while reporting other community benefit, which usually means charity care was booked on another line; the filing is being read by hand. The figures below are shown as filed.

Most of the reported compensation ($2,558,073 of $2,633,757) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$2,169,265,621
Total expenses
$1,843,261,001
Net assets
$1,763,514,359
Employees
8,095
Hospitals covered
3 facilities across 2 filings
Charity care, net
$3,298,359
Bad debt
$97,223,360
Medicare surplus (shortfall), as filed
($45,625,117)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$2,558,073
Other compensation, including deferred pay and nontaxable benefits (col. F)
$75,684
CEO total compensation (D+E+F)
$2,633,757 to Mark Clement

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, Bethesda Hospital, EIN 31-0537122, 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)$129.4M Of which charity care to patients who could not pay (line 7a)$3.3M (3%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($97.2M) 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
Bethesda Hospital Inc31-05371222025-06$1.1B$00.00%990
The Good Samaritan Hospital of Cincinnati Ohio31-05374862025-06$1.1B$3.3M0.37%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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Bethesda Hospital: CEO pay $2.6M, charity care 0.18% of expenses