Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Virginia · Ranked 728 of 1033 by CEO pay.

Smyth County Community Hospital

Dale Clark, CEO, Scch. Fiscal year ending 2025-06.

$446,072
CEO total compensation
Form 990 Part VII, columns D+E+F
1.49%
of expenses spent on charity care
Schedule H Part I line 7a
60.5%
CEO pay as a share of all charity care
Dale Clark’s pay of $446,072 equals 60.5 percent of the $737,169 the system spent on charity care in the same year.

Most of the reported compensation ($416,813 of $446,072) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$57,206,760
Total expenses
$49,466,975
Net assets
$47,388,961
Employees
4
Hospitals covered
1 facilities across 1 filing
Charity care, net
$737,169
Bad debt
$2,837,186
Medicare surplus (shortfall), as filed
$1,565,902
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$416,813
Other compensation, including deferred pay and nontaxable benefits (col. F)
$29,259
CEO total compensation (D+E+F)
$446,072 to Dale Clark

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, Smyth County Community Hospital, EIN 54-0794913, 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)$6.8M Of which charity care to patients who could not pay (line 7a)$737,169 (11%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.8M) 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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Smyth County Community Hospital: CEO pay $446,072, charity care 1.49% of expenses