Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Pennsylvania · Ranked 371 of 1033 by CEO pay.

Chester County Hospital

Lori Gustave, UPHS CEO Designee. Fiscal year ending 2025-06.

$1.1M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.32%
of expenses spent on charity care
Schedule H Part I line 7a
17.1%
CEO pay as a share of all charity care
Lori Gustave’s pay of $1,109,479 equals 17.1 percent of the $6,495,285 the system spent on charity care in the same year.

Most of the reported compensation ($968,072 of $1,109,479) 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: Michael J Duncan, Pres,CEO& Ex-Officio Thru 7/24, $1,039,978. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$463,359,990
Total expenses
$493,499,641
Net assets
−$58,041,174
Employees
3,114
Hospitals covered
1 facilities across 1 filing
Charity care, net
$6,495,285
Bad debt
$9,615,445
Medicare surplus (shortfall), as filed
($10,811,899)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$968,072
Other compensation, including deferred pay and nontaxable benefits (col. F)
$141,407
CEO total compensation (D+E+F)
$1,109,479 to Lori Gustave

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, Chester County Hospital, EIN 23-0469150, 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)$26.9M Of which charity care to patients who could not pay (line 7a)$6.5M (24%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($9.6M) 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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Chester County Hospital: CEO pay $1.1M, charity care 1.32% of expenses