Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Montana · Ranked 857 of 1033 by CEO pay.

Frances Mahon Deaconess Hospital

Nickolas Dirkes, CEO. Fiscal year ending 2025-06.

$298,227
CEO total compensation
Form 990 Part VII, columns D+E+F
1.70%
of expenses spent on charity care
Schedule H Part I line 7a
39.9%
CEO pay as a share of all charity care
Nickolas Dirkes’s pay of $298,227 equals 39.9 percent of the $747,360 the system spent on charity care in the same year.

§1The filing

Total revenue
$51,955,419
Total expenses
$43,888,733
Net assets
$88,522,021
Employees
345
Hospitals covered
1 facilities across 1 filing
Charity care, net
$747,360
Bad debt
Medicare surplus (shortfall), as filed
($81,829)
CEO pay from the organization (Part VII col. D)
$276,261
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$21,966
CEO total compensation (D+E+F)
$298,227 to Nickolas Dirkes

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, Frances Mahon Deaconess Hospital, EIN 81-0231786, 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)$3.2M Of which charity care to patients who could not pay (line 7a)$747,360 (24%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt () 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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Frances Mahon Deaconess Hospital: CEO pay $298,227, charity care 1.70% of expenses