Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Montana · Not ranked: see note below.

St James Healthcare

James Doyle, President Sjb (Partial). Fiscal year ending 2024-12.

$728,721
CEO total compensation
Form 990 Part VII, columns D+E+F
1.89%
of expenses spent on charity care
Schedule H Part I line 7a
26.2%
CEO pay as a share of all charity care
James Doyle’s pay of $728,721 equals 26.2 percent of the $2,778,833 the system spent on charity care in the same year.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

§1The filing

Total revenue
$143,416,832
Total expenses
$146,670,516
Net assets
$128,579,924
Employees
675
Hospitals covered
1 facilities across 1 filing
Charity care, net
$2,778,833
Bad debt
$2,686,333
Medicare surplus (shortfall), as filed
($13,933,679)
CEO pay from the organization (Part VII col. D)
$716,911
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$11,810
CEO total compensation (D+E+F)
$728,721 to James Doyle

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 James Healthcare, EIN 81-0231785, fiscal year ending 2024-12, as published by the IRS. CEO identification: president title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$13.2M Of which charity care to patients who could not pay (line 7a)$2.8M (21%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.7M) 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 James Healthcare: CEO pay $728,721, charity care 1.89% of expenses