Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

West Virginia · Not ranked: see note below.

Princeton Community Hospital Association

Karen Bowling, President. Fiscal year ending 2024-12.

$817,870
CEO total compensation
Form 990 Part VII, columns D+E+F
0.30%
of expenses spent on charity care
Schedule H Part I line 7a
84.5%
CEO pay as a share of all charity care
Karen Bowling’s pay of $817,870 equals 84.5 percent of the $967,914 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.

§1The filing

Total revenue
$326,410,729
Total expenses
$323,653,375
Net assets
$22,632,899
Employees
1,824
Hospitals covered
1 facilities across 1 filing
Charity care, net
$967,914
Bad debt
$7,053,536
Medicare surplus (shortfall), as filed
($33,286,981)
CEO pay from the organization (Part VII col. D)
$788,492
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$29,378
CEO total compensation (D+E+F)
$817,870 to Karen Bowling

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, Princeton Community Hospital Association, EIN 55-0483245, fiscal year ending 2024-12, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$40.4M Of which charity care to patients who could not pay (line 7a)$967,914 (2%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($7.1M) 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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Princeton Community Hospital Association: CEO pay $817,870, charity care 0.30% of expenses