Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Texas · Ranked 693 of 1033 by CEO pay.

Georgetown Healthcare System

M Scott Alarcn, CEO. Fiscal year ending 2024-12.

$483,203
CEO total compensation
Form 990 Part VII, columns D+E+F
15.04%
of expenses spent on charity care
Schedule H Part I line 7a
56.3%
CEO pay as a share of all charity care
M Scott Alarcn’s pay of $483,203 equals 56.3 percent of the $858,800 the system spent on charity care in the same year.

§1The filing

Total revenue
$6,766,296
Total expenses
$5,708,645
Net assets
$54,727,237
Employees
12
Hospitals covered
7 facilities across 1 filing
Charity care, net
$858,800
Bad debt
$100,125
Medicare surplus (shortfall), as filed
$99,938
CEO pay from the organization (Part VII col. D)
$437,406
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$45,797
CEO total compensation (D+E+F)
$483,203 to M Scott Alarcn

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, Georgetown Healthcare System, EIN 74-2427148, fiscal year ending 2024-12, 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)$1.9M Of which charity care to patients who could not pay (line 7a)$858,800 (46%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($100,125) 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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Georgetown Healthcare System: CEO pay $483,203, charity care 15.04% of expenses