Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Nebraska · Not ranked: see note below.

Methodist Fremont Health

Brett Richmond, President. Fiscal year ending 2024-12.

$649,330
CEO total compensation
Form 990 Part VII, columns D+E+F
2.93%
of expenses spent on charity care
Schedule H Part I line 7a
16.0%
CEO pay as a share of all charity care
Brett Richmond’s pay of $649,330 equals 16.0 percent of the $4,070,179 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 ($529,905 of $649,330) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$170,437,552
Total expenses
$138,919,320
Net assets
$130,161,559
Employees
1,042
Hospitals covered
1 facilities across 1 filing
Charity care, net
$4,070,179
Bad debt
$5,623,612
Medicare surplus (shortfall), as filed
($9,091,715)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$529,905
Other compensation, including deferred pay and nontaxable benefits (col. F)
$119,425
CEO total compensation (D+E+F)
$649,330 to Brett Richmond

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, Methodist Fremont Health, EIN 83-1362276, 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)$27.0M Of which charity care to patients who could not pay (line 7a)$4.1M (15%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($5.6M) 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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Methodist Fremont Health: CEO pay $649,330, charity care 2.93% of expenses