Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Nebraska · Ranked 1003 of 1033 by CEO pay.

Bryan Hospital Kearney

Douglas Koch, Krmc Chief Executive Officer Effective 8/5/2024. Fiscal year ending 2024-12.

$158,487
CEO total compensation
Form 990 Part VII, columns D+E+F
1.31%
of expenses spent on charity care
Schedule H Part I line 7a
6.7%
CEO pay as a share of all charity care

The chief executive's title on the filing indicates a change during the year (KRMC CHIEF EXECUTIVE OFFICER EFFECTIVE 8/5/2024); the pay shown is what the filing reports for that person, which may cover part of the year.

§1The filing

Total revenue
$172,591,781
Total expenses
$181,292,672
Net assets
$137,284,830
Employees
961
Hospitals covered
1 facilities across 1 filing
Charity care, net
$2,374,259
Bad debt
$0
Medicare surplus (shortfall), as filed
($8,647,153)
CEO pay from the organization (Part VII col. D)
$141,456
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$17,031
CEO total compensation (D+E+F)
$158,487 to Douglas Koch

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, Bryan Hospital Kearney, EIN 87-3486516, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$5.1M Of which charity care to patients who could not pay (line 7a)$2.4M (46%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($0) 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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Bryan Hospital Kearney: CEO pay $158,487, charity care 1.31% of expenses