Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

South Dakota · Ranked 921 of 1033 by CEO pay.

St Michael's Hospital

Ashli Danilko, CEO. Fiscal year ending 2025-06.

$236,013
CEO total compensation
Form 990 Part VII, columns D+E+F
0.73%
of expenses spent on charity care
Schedule H Part I line 7a
218.5%
CEO pay as a share of all charity care
In the most recent filing year, Ashli Danilko’s reported compensation was $236,013. The system’s charity care for the same year was $108,000. One person’s reported compensation was 2.2 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$16,980,936
Total expenses
$14,757,587
Net assets
$27,499,378
Employees
102
Hospitals covered
1 facilities across 1 filing
Charity care, net
$108,000
Bad debt
$338,391
Medicare surplus (shortfall), as filed
($33,251)
CEO pay from the organization (Part VII col. D)
$191,128
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$44,885
CEO total compensation (D+E+F)
$236,013 to Ashli Danilko

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 Michael's Hospital, EIN 46-0225414, 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)$1.8M Of which charity care to patients who could not pay (line 7a)$108,000 (6%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($338,391) 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 Michael's Hospital: CEO pay $236,013, charity care 0.73% of expenses