Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Florida · Ranked 142 of 1033 by CEO pay.

Naples Community Hospital

Paul Hiltz, President/CEO/Trustee. Fiscal year ending 2025-09.

$2.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
2.50%
of expenses spent on charity care
Schedule H Part I line 7a
11.5%
CEO pay as a share of all charity care

§1The filing

Total revenue
$932,903,558
Total expenses
$837,177,404
Net assets
$736,785,439
Employees
4,349
Hospitals covered
2 facilities across 2 filings
Charity care, net
$20,935,334
Bad debt
$426,599
Medicare surplus (shortfall), as filed
($71,750,739)
CEO pay from the organization (Part VII col. D)
$2,360,046
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$38,373
CEO total compensation (D+E+F)
$2,398,419 to Paul Hiltz

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, Naples Community Hospital, EIN 59-0694358, fiscal year ending 2025-09, 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)$21.5M Of which charity care to patients who could not pay (line 7a)$20.9M (97%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($426,599) 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
Naples Community Hospital Inc59-06943582025-09$928.2M$20.9M2.51%990
Marco Island Hospital Inc59-23154352025-09$4.7M$2,7100.07%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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Naples Community Hospital: CEO pay $2.4M, charity care 2.50% of expenses