Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Kentucky · Ranked 913 of 1033 by CEO pay.

Russell County Kentucky Hospital District Health Facilities

Scott Thompson, CEO. Fiscal year ending 2025-06.

$241,388
CEO total compensation
Form 990 Part VII, columns D+E+F
1.53%
of expenses spent on charity care
Schedule H Part I line 7a
39.7%
CEO pay as a share of all charity care
Scott Thompson’s pay of $241,388 equals 39.7 percent of the $607,408 the system spent on charity care in the same year.

§1The filing

Total revenue
$46,310,815
Total expenses
$39,591,667
Net assets
$43,047,562
Employees
392
Hospitals covered
1 facilities across 1 filing
Charity care, net
$607,408
Bad debt
$2,942,347
Medicare surplus (shortfall), as filed
($2,487,718)
CEO pay from the organization (Part VII col. D)
$217,108
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$24,280
CEO total compensation (D+E+F)
$241,388 to Scott Thompson

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, Russell County Kentucky Hospital District Health Facilities, EIN 61-0965365, fiscal year ending 2025-06, 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)$667,950 Of which charity care to patients who could not pay (line 7a)$607,408 (91%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.9M) 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.

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Russell County Kentucky Hospital District Health Facilities: CEO pay $241,388, charity care 1.53% of expenses