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 818 of 1033 by CEO pay.

Fulton County Medical Center

Michael Makosky, CEO. Fiscal year ending 2025-06.

$342,894
CEO total compensation
Form 990 Part VII, columns D+E+F
0.03%
of expenses spent on charity care
Schedule H Part I line 7a
2143.1%
CEO pay as a share of all charity care
In the most recent filing year, Michael Makosky’s reported compensation was $342,894. The system’s charity care for the same year was $16,000. One person’s reported compensation was 21.4 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$59,030,879
Total expenses
$60,974,209
Net assets
$10,033,591
Employees
452
Hospitals covered
1 facilities across 1 filing
Charity care, net
$16,000
Bad debt
$2,693,831
Medicare surplus (shortfall), as filed
$5,130
CEO pay from the organization (Part VII col. D)
$287,827
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$55,067
CEO total compensation (D+E+F)
$342,894 to Michael Makosky

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, Fulton County Medical Center, EIN 23-1401561, 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)$5.3M Of which charity care to patients who could not pay (line 7a)$16,000 (0%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.7M) 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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Fulton County Medical Center: CEO pay $342,894, charity care 0.03% of expenses