Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Vermont · Ranked 504 of 1033 by CEO pay.

Southwestern Vermont Medical Center

Thomas A Dee, CEO. Fiscal year ending 2025-09.

$806,849
CEO total compensation
Form 990 Part VII, columns D+E+F
0.56%
of expenses spent on charity care
Schedule H Part I line 7a
60.6%
CEO pay as a share of all charity care
Thomas A Dee’s pay of $806,849 equals 60.6 percent of the $1,332,239 the system spent on charity care in the same year.

§1The filing

Total revenue
$240,334,825
Total expenses
$236,142,651
Net assets
$60,148,734
Employees
1,229
Hospitals covered
1 facilities across 1 filing
Charity care, net
$1,332,239
Bad debt
$8,502,812
Medicare surplus (shortfall), as filed
($11,823,908)
CEO pay from the organization (Part VII col. D)
$665,360
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$141,489
CEO total compensation (D+E+F)
$806,849 to Thomas A Dee

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, Southwestern Vermont Medical Center, EIN 22-2563241, fiscal year ending 2025-09, 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)$34.4M Of which charity care to patients who could not pay (line 7a)$1.3M (4%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($8.5M) 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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Southwestern Vermont Medical Center: CEO pay $806,849, charity care 0.56% of expenses