Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Minnesota · Ranked 663 of 1033 by CEO pay.

St Francis Medical Center

David Nelson, President/CEO-Partial Year. Fiscal year ending 2025-06.

$517,225
CEO total compensation
Form 990 Part VII, columns D+E+F
3.05%
of expenses spent on charity care
Schedule H Part I line 7a
75.7%
CEO pay as a share of all charity care
David Nelson’s pay of $517,225 equals 75.7 percent of the $683,608 the system spent on charity care in the same year.

The chief executive's title on the filing indicates a change during the year (PRESIDENT/CEO-PARTIAL YEAR); the pay shown is what the filing reports for that person, which may cover part of the year.

Most of the reported compensation ($476,279 of $517,225) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$25,205,143
Total expenses
$22,419,079
Net assets
$104,682,227
Employees
219
Hospitals covered
1 facilities across 1 filing
Charity care, net
$683,608
Bad debt
$784,444
Medicare surplus (shortfall), as filed
($251,437)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$476,279
Other compensation, including deferred pay and nontaxable benefits (col. F)
$40,946
CEO total compensation (D+E+F)
$517,225 to David Nelson

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, St Francis Medical Center, EIN 41-0695598, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$1.5M Of which charity care to patients who could not pay (line 7a)$683,608 (46%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($784,444) 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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St Francis Medical Center: CEO pay $517,225, charity care 3.05% of expenses