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 890 of 1033 by CEO pay.

Pr Health

Marcus Lewis, CEO. Fiscal year ending 2024-12.

$264,191
CEO total compensation
Form 990 Part VII, columns D+E+F
0.38%
of expenses spent on charity care
Schedule H Part I line 7a
314.5%
CEO pay as a share of all charity care
In the most recent filing year, Marcus Lewis’s reported compensation was $264,191. The system’s charity care for the same year was $84,000. One person’s reported compensation was 3.1 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$22,433,056
Total expenses
$22,275,694
Net assets
$24,514,337
Employees
160
Hospitals covered
1 facilities across 1 filing
Charity care, net
$84,000
Bad debt
$146,690
Medicare surplus (shortfall), as filed
($105,506)
CEO pay from the organization (Part VII col. D)
$232,611
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$31,580
CEO total compensation (D+E+F)
$264,191 to Marcus Lewis

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, Pr Health, EIN 45-0232743, 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)$528,810 Of which charity care to patients who could not pay (line 7a)$84,000 (16%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($146,690) 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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Pr Health: CEO pay $264,191, charity care 0.38% of expenses