Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Michigan · Not ranked: see note below.

Covenant Medical Center

Bethany Charlton, President. Fiscal year ending 2025-06.

$1.9M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.25%
of expenses spent on charity care
Schedule H Part I line 7a
82.1%
CEO pay as a share of all charity care
Bethany Charlton’s pay of $1,907,478 equals 82.1 percent of the $2,324,036 the system spent on charity care in the same year.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

§1The filing

Total revenue
$915,996,052
Total expenses
$921,889,564
Net assets
$567,498,690
Employees
5,212
Hospitals covered
3 facilities across 1 filing
Charity care, net
$2,324,036
Bad debt
$31,825,743
Medicare surplus (shortfall), as filed
$21,092,155
CEO pay from the organization (Part VII col. D)
$1,039,656
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$867,822
CEO total compensation (D+E+F)
$1,907,478 to Bethany Charlton

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, Covenant Medical Center, EIN 38-3369438, fiscal year ending 2025-06, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$24.1M Of which charity care to patients who could not pay (line 7a)$2.3M (10%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($31.8M) 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.

§Share

Covenant Medical Center: CEO pay $1.9M, charity care 0.25% of expenses