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 256 of 1033 by CEO pay.

Doylestown Hospital

James L Brexler FACHE, President & CEO, Board Member. Fiscal year ending 2025-06.

$1.6M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.72%
of expenses spent on charity care
Schedule H Part I line 7a
56.5%
CEO pay as a share of all charity care
James L Brexler FACHE’s pay of $1,594,700 equals 56.5 percent of the $2,823,703 the system spent on charity care in the same year.

§1The filing

Total revenue
$385,475,843
Total expenses
$391,333,152
Net assets
$116,408,380
Employees
2,739
Hospitals covered
1 facilities across 1 filing
Charity care, net
$2,823,703
Bad debt
$8,757,005
Medicare surplus (shortfall), as filed
($13,061,444)
CEO pay from the organization (Part VII col. D)
$1,531,551
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$63,149
CEO total compensation (D+E+F)
$1,594,700 to James L Brexler FACHE

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, Doylestown Hospital, EIN 23-1352174, 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)$40.4M Of which charity care to patients who could not pay (line 7a)$2.8M (7%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($8.8M) 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.

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Doylestown Hospital: CEO pay $1.6M, charity care 0.72% of expenses