Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

California · Ranked 559 of 1033 by CEO pay.

Marshall Medical Center

Siri Nelson, President/CEO. Fiscal year ending 2024-10.

$683,825
CEO total compensation
Form 990 Part VII, columns D+E+F
0.96%
of expenses spent on charity care
Schedule H Part I line 7a
20.9%
CEO pay as a share of all charity care
Siri Nelson’s pay of $683,825 equals 20.9 percent of the $3,272,905 the system spent on charity care in the same year.

§1The filing

Total revenue
$343,631,671
Total expenses
$340,245,116
Net assets
$199,800,852
Employees
1,819
Hospitals covered
1 facilities across 1 filing
Charity care, net
$3,272,905
Bad debt
$5,244,372
Medicare surplus (shortfall), as filed
($60,286,183)
CEO pay from the organization (Part VII col. D)
$654,913
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$28,912
CEO total compensation (D+E+F)
$683,825 to Siri Nelson

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, Marshall Medical Center, EIN 94-1450151, fiscal year ending 2024-10, 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)$11.7M Of which charity care to patients who could not pay (line 7a)$3.3M (28%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($5.2M) 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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Marshall Medical Center: CEO pay $683,825, charity care 0.96% of expenses