Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

West Virginia · Ranked 184 of 1033 by CEO pay.

Charleston Area Medical Center

David L Ramsey, President And CEO Vandalia Health. Fiscal year ending 2024-12.

$2.1M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.02%
of expenses spent on charity care
Schedule H Part I line 7a
10.3%
CEO pay as a share of all charity care

Most of the reported compensation ($1,926,954 of $2,058,561) 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: Glenn Crotty Jr MD, President And CEO Camc, $1,214,952. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$2,042,263,839
Total expenses
$1,970,099,348
Net assets
$659,685,744
Employees
11,905
Hospitals covered
6 facilities across 2 filings
Charity care, net
$20,040,366
Bad debt
$73,806,532
Medicare surplus (shortfall), as filed
($409,636,487)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,926,954
Other compensation, including deferred pay and nontaxable benefits (col. F)
$131,607
CEO total compensation (D+E+F)
$2,058,561 to David L Ramsey

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, Charleston Area Medical Center, EIN 55-0526150, 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)$207.2M Of which charity care to patients who could not pay (line 7a)$20.0M (10%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($73.8M) 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
Charleston Area Medical Center Inc55-05261502024-12$2.0B$18.3M0.99%990
Camc Plateau Medical Center Inc92-17151172024-12$54.6M$1.7M3.46%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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Charleston Area Medical Center: CEO pay $2.1M, charity care 1.02% of expenses