Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Arkansas · Ranked 978 of 1033 by CEO pay.

Little River Medical Center

James Dowell, CEO. Fiscal year ending 2025-06.

$188,512
CEO total compensation
Form 990 Part VII, columns D+E+F
0.06%
of expenses spent on charity care
Schedule H Part I line 7a
2555.1%
CEO pay as a share of all charity care
In the most recent filing year, James Dowell’s reported compensation was $188,512. The system’s charity care for the same year was $7,378. One person’s reported compensation was 25.6 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$10,196,627
Total expenses
$11,933,242
Net assets
−$565,410
Employees
174
Hospitals covered
1 facilities across 1 filing
Charity care, net
$7,378
Bad debt
$594,354
Medicare surplus (shortfall), as filed
($92,672)
CEO pay from the organization (Part VII col. D)
$181,388
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$7,124
CEO total compensation (D+E+F)
$188,512 to James Dowell

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, Little River Medical Center, EIN 81-2677745, 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)$239,225 Of which charity care to patients who could not pay (line 7a)$7,378 (3%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($594,354) 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.

§Share

Little River Medical Center: CEO pay $188,512, charity care 0.06% of expenses