Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Illinois · Ranked 779 of 1033 by CEO pay.

Sarah Bush Lincoln Health Center

Karen Dyer, CEO Fayette County Hospita. Fiscal year ending 2025-06.

$384,339
CEO total compensation
Form 990 Part VII, columns D+E+F
0.63%
of expenses spent on charity care
Schedule H Part I line 7a
8.0%
CEO pay as a share of all charity care

§1The filing

Total revenue
$885,674,306
Total expenses
$763,453,424
Net assets
$845,433,077
Employees
4,038
Hospitals covered
3 facilities across 2 filings
Charity care, net
$4,777,408
Bad debt
$46,263,320
Medicare surplus (shortfall), as filed
($65,887,467)
CEO pay from the organization (Part VII col. D)
$328,673
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$55,666
CEO total compensation (D+E+F)
$384,339 to Karen Dyer

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, Sarah Bush Lincoln Health Center, EIN 23-7098532, 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)$77.4M Of which charity care to patients who could not pay (line 7a)$4.8M (6%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($46.3M) 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
Sarah Bush Lincoln Health Center23-70985322025-06$841.5M$4.4M0.61%990
Heartland Health System Inc20-18904142024-06$44.2M$407,1100.92%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.

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Sarah Bush Lincoln Health Center: CEO pay $384,339, charity care 0.63% of expenses