Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

North Carolina · Ranked 702 of 1033 by CEO pay.

Charles A Cannon Jr Memorial Hospital

David Nathan Nipper, CEO. Fiscal year ending 2025-06.

$472,368
CEO total compensation
Form 990 Part VII, columns D+E+F
3.12%
of expenses spent on charity care
Schedule H Part I line 7a
45.8%
CEO pay as a share of all charity care
David Nathan Nipper’s pay of $472,368 equals 45.8 percent of the $1,031,162 the system spent on charity care in the same year.

Most of the reported compensation ($448,212 of $472,368) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Charles Mantooth, CEO, $1,180,817. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$36,277,432
Total expenses
$33,072,384
Net assets
−$3,959,838
Employees
0
Hospitals covered
2 facilities across 2 filings
Charity care, net
$1,031,162
Bad debt
$2,762,058
Medicare surplus (shortfall), as filed
$13,108,019
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$448,212
Other compensation, including deferred pay and nontaxable benefits (col. F)
$24,156
CEO total compensation (D+E+F)
$472,368 to David Nathan Nipper

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, Charles A Cannon Jr Memorial Hospital, EIN 56-0529974, fiscal year ending 2025-06, 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)$1.4M Of which charity care to patients who could not pay (line 7a)$1.0M (71%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.8M) 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
Charles A Cannon Jr Memorial Hospital Inc56-05299742025-06$28.6M$744,4352.81%990
Appalachian Regional Behavioral Health Inc85-13132652025-06$7.7M$286,7274.35%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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Charles A Cannon Jr Memorial Hospital: CEO pay $472,368, charity care 3.12% of expenses