Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

North Dakota · Ranked 933 of 1033 by CEO pay.

Pembina County Memorial Hospital Association

Lisa Letexier, CEO. Fiscal year ending 2024-12.

$228,806
CEO total compensation
Form 990 Part VII, columns D+E+F
0.24%
of expenses spent on charity care
Schedule H Part I line 7a
445.2%
CEO pay as a share of all charity care
In the most recent filing year, Lisa Letexier’s reported compensation was $228,806. The system’s charity care for the same year was $51,393. One person’s reported compensation was 4.5 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$23,478,668
Total expenses
$21,706,799
Net assets
$21,072,659
Employees
206
Hospitals covered
1 facilities across 1 filing
Charity care, net
$51,393
Bad debt
$448,029
Medicare surplus (shortfall), as filed
($106,838)
CEO pay from the organization (Part VII col. D)
$212,022
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$16,784
CEO total compensation (D+E+F)
$228,806 to Lisa Letexier

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, Pembina County Memorial Hospital Association, EIN 45-6013474, fiscal year ending 2024-12, 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)$519,987 Of which charity care to patients who could not pay (line 7a)$51,393 (10%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($448,029) 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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Pembina County Memorial Hospital Association: CEO pay $228,806, charity care 0.24% of expenses