Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

New York · Ranked 322 of 1033 by CEO pay.

Healthalliance Hospital

Joshua Ratner, CEO Healthalliance (Thru 11/2024)/Trustee (Eff. 11/2024). Fiscal year ending 2024-12.

$1.3M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.88%
of expenses spent on charity care
Schedule H Part I line 7a
59.1%
CEO pay as a share of all charity care
Joshua Ratner’s pay of $1,301,516 equals 59.1 percent of the $2,202,965 the system spent on charity care in the same year.

The chief executive's title on the filing indicates a change during the year (CEO HEALTHALLIANCE (THRU 11/2024)/TRUSTEE (EFF. 11/2024)); the pay shown is what the filing reports for that person, which may cover part of the year.

Most of the reported compensation ($1,214,669 of $1,301,516) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$205,819,546
Total expenses
$249,760,289
Net assets
−$87,403,845
Employees
1,297
Hospitals covered
2 facilities across 2 filings
Charity care, net
$2,202,965
Bad debt
$12,520,948
Medicare surplus (shortfall), as filed
$1,235,873
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,214,669
Other compensation, including deferred pay and nontaxable benefits (col. F)
$86,847
CEO total compensation (D+E+F)
$1,301,516 to Joshua Ratner

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, Healthalliance Hospital, EIN 14-1338470, 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)$53.9M Of which charity care to patients who could not pay (line 7a)$2.2M (4%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($12.5M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Healthalliance Hospital14-13384702024-12$189.4M$1.9M0.85%990
Margaretville Memorial Hospital15-05527262024-12$16.4M$254,6741.27%990

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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Healthalliance Hospital: CEO pay $1.3M, charity care 0.88% of expenses