Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Michigan · Not ranked: see note below.

Munson Healthcare Cadillac

Ellen Smith, President Am. Fiscal year ending 2025-06.

$548,244
CEO total compensation
Form 990 Part VII, columns D+E+F
0.35%
of expenses spent on charity care
Schedule H Part I line 7a
25.4%
CEO pay as a share of all charity care
Ellen Smith’s pay of $548,244 equals 25.4 percent of the $2,161,458 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 ($538,574 of $548,244) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$684,314,189
Total expenses
$617,129,255
Net assets
$229,492,792
Employees
3,142
Hospitals covered
6 facilities across 6 filings
Charity care, net
$2,161,458
Bad debt
$23,785,135
Medicare surplus (shortfall), as filed
$11,533,280
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$538,574
Other compensation, including deferred pay and nontaxable benefits (col. F)
$9,670
CEO total compensation (D+E+F)
$548,244 to Ellen Smith

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, Munson Healthcare Cadillac, EIN 47-1156297, fiscal year ending 2025-06, as published by the IRS. CEO identification: president title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$40.2M Of which charity care to patients who could not pay (line 7a)$2.2M (5%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($23.8M) 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
Munson Healthcare Cadillac47-11562972025-06$256.0M$677,4960.32%990
Munson Healthcare Otsego Memorial Hospital38-13038432025-06$145.3M$598,5580.48%990
Munson Healthcare Grayling47-11619922025-06$106.9M$479,2150.48%990
Munson Healthcare Charlevoix Hospital38-14593662025-06$92.5M$178,3600.22%990
Munson Healthcare Manistee Hospital38-03503042025-06$52.3M$106,2290.22%990
Paul Oliver Memorial Hospital38-14156232025-06$31.4M$121,6000.47%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.

§Share

Munson Healthcare Cadillac: CEO pay $548,244, charity care 0.35% of expenses