Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

New York · Ranked 299 of 1033 by CEO pay.

Richmond Medical Center

Daniel J Messina PhD Mpa, Trustee - President & CEO. Fiscal year ending 2024-12.

$1.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
4.43%
of expenses spent on charity care
Schedule H Part I line 7a
6.5%
CEO pay as a share of all charity care

§1The filing

Total revenue
$461,087,322
Total expenses
$487,899,436
Net assets
$151,934,268
Employees
2,962
Hospitals covered
1 facilities across 1 filing
Charity care, net
$21,589,627
Bad debt
$3,919,608
Medicare surplus (shortfall), as filed
$610,936
CEO pay from the organization (Part VII col. D)
$1,159,086
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$241,314
CEO total compensation (D+E+F)
$1,400,400 to Daniel J Messina PhD Mpa

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, Richmond Medical Center, EIN 74-3177454, 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)$78.4M Of which charity care to patients who could not pay (line 7a)$21.6M (28%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($3.9M) 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.

§Share

Richmond Medical Center: CEO pay $1.4M, charity care 4.43% of expenses