Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Kentucky · Ranked 302 of 1033 by CEO pay.

Owensboro Health

Mark Marsh, President And CEO. Fiscal year ending 2025-05.

$1.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.76%
of expenses spent on charity care
Schedule H Part I line 7a
22.9%
CEO pay as a share of all charity care
Mark Marsh’s pay of $1,394,120 equals 22.9 percent of the $6,097,228 the system spent on charity care in the same year.

§1The filing

Total revenue
$960,763,333
Total expenses
$797,326,678
Net assets
$1,332,770,693
Employees
4,409
Hospitals covered
3 facilities across 2 filings
Charity care, net
$6,097,228
Bad debt
$37,527,022
Medicare surplus (shortfall), as filed
($28,494,185)
CEO pay from the organization (Part VII col. D)
$1,331,050
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$63,070
CEO total compensation (D+E+F)
$1,394,120 to Mark Marsh

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, Owensboro Health, EIN 61-1286361, fiscal year ending 2025-05, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$14.9M Of which charity care to patients who could not pay (line 7a)$6.1M (41%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($37.5M) 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
Owensboro Health Inc61-12863612025-05$888.7M$5.8M0.82%990
Owensboro Health Twin Lakes Regional Medical Center Inc85-30339152025-05$72.1M$309,6580.57%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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Owensboro Health: CEO pay $1.4M, charity care 0.76% of expenses