Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

South Carolina · Ranked 77 of 1033 by CEO pay.

Prisma Health-Upstate

Mark S O'Halla, President And CEO Of Prisma Health. Fiscal year ending 2025-09.

$3.8M
CEO total compensation
Form 990 Part VII, columns D+E+F
3.46%
of expenses spent on charity care
Schedule H Part I line 7a
2.4%
CEO pay as a share of all charity care

Most of the reported compensation ($3,807,923 of $3,807,923) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Michael N Bundy, CEO-Market, $1,046,966. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$5,924,339,318
Total expenses
$4,606,005,862
Net assets
$1,525,080,621
Employees
21,701
Hospitals covered
12 facilities across 3 filings
Charity care, net
$159,160,647
Bad debt
$114,209,520
Medicare surplus (shortfall), as filed
($337,410,980)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$3,807,923
Other compensation, including deferred pay and nontaxable benefits (col. F)
$0
CEO total compensation (D+E+F)
$3,807,923 to Mark S O'Halla

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, Prisma Health-Upstate, EIN 81-1723202, fiscal year ending 2025-09, 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)$350.6M Of which charity care to patients who could not pay (line 7a)$159.2M (45%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($114.2M) 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
Prisma Health-Upstate81-17232022025-09$3.6B$100.0M3.58%990
Prisma Health-Midlands58-22960522025-09$2.1B$51.3M3.25%990
Prisma Health Tuomey47-49149172025-09$242.5M$7.8M3.37%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.

§Share

Prisma Health-Upstate: CEO pay $3.8M, charity care 3.46% of expenses