Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

North Carolina · Not ranked: see note below.

Lexington Medical Center

Chad Brown, Director, President AHWFB South/West Area. Fiscal year ending 2024-12.

$590,162
CEO total compensation
Form 990 Part VII, columns D+E+F
1.19%
of expenses spent on charity care
Schedule H Part I line 7a
18.0%
CEO pay as a share of all charity care
Chad Brown’s pay of $590,162 equals 18.0 percent of the $3,281,133 the system spent on charity care in the same year.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

Most of the reported compensation ($537,777 of $590,162) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$321,347,646
Total expenses
$276,671,131
Net assets
$297,188,705
Employees
0
Hospitals covered
2 facilities across 2 filings
Charity care, net
$3,281,133
Bad debt
$7,373,440
Medicare surplus (shortfall), as filed
($12,269,871)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$537,777
Other compensation, including deferred pay and nontaxable benefits (col. F)
$52,385
CEO total compensation (D+E+F)
$590,162 to Chad Brown

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, Lexington Medical Center, EIN 56-0543238, fiscal year ending 2024-12, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$3.4M Of which charity care to patients who could not pay (line 7a)$3.3M (95%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($7.4M) 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
Lexington Medical Center56-05432382024-12$165.2M$1.9M1.57%990
Wrmc Hospital Operating Corporation83-03437892024-12$156.1M$1.4M1.08%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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Lexington Medical Center: CEO pay $590,162, charity care 1.19% of expenses