Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Washington · Oregon · Ranked 39 of 1033 by CEO pay.

Commonspirit Washington F/K/A Franciscan Health System

Ketul Patel, CEO VMFH & President Northwest Region. Fiscal year ending 2025-06.

$5.8M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.17%
of expenses spent on charity care
Schedule H Part I line 7a
12.6%
CEO pay as a share of all charity care

Most of the reported compensation ($5,665,901 of $5,754,859) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$3,909,972,057
Total expenses
$3,906,892,431
Net assets
$1,631,710,633
Employees
17,532
Hospitals covered
11 facilities across 5 filings
Charity care, net
$45,525,395
Bad debt
$113,869,811
Medicare surplus (shortfall), as filed
($282,615,790)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$5,665,901
Other compensation, including deferred pay and nontaxable benefits (col. F)
$88,958
CEO total compensation (D+E+F)
$5,754,859 to Ketul Patel

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, Commonspirit Washington F/K/A Franciscan Health System, EIN 91-0564491, 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)$281.0M Of which charity care to patients who could not pay (line 7a)$45.5M (16%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($113.9M) 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
Commonspirit Washington F/K/A Franciscan Health System91-05644912025-06$2.0B$29.4M1.47%990
Virginia Mason Medical Center91-05655392025-06$1.4B$7.0M0.48%990
Commonspirit Oregon93-03868682025-06$352.1M$5.9M1.92%990
St Anthony Hospital93-03916142025-06$101.9M$2.3M2.57%990
Enumclaw Regional Hospital Association91-07158052025-06$76.0M$989,9671.44%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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Commonspirit Washington F/K/A Franciscan Health System: CEO pay $5.8M, charity care 1.17% of expenses