Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Kentucky · Ranked 517 of 1033 by CEO pay.

Tj Samson Community Hospital

Neil Thornbury, Chief Executive Director. Fiscal year ending 2025-09.

$774,994
CEO total compensation
Form 990 Part VII, columns D+E+F
0.47%
of expenses spent on charity care
Schedule H Part I line 7a
56.7%
CEO pay as a share of all charity care
Neil Thornbury’s pay of $774,994 equals 56.7 percent of the $1,366,956 the system spent on charity care in the same year.

Most of the reported compensation ($738,164 of $774,994) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$314,604,562
Total expenses
$291,311,950
Net assets
$254,258,969
Employees
1,531
Hospitals covered
2 facilities across 2 filings
Charity care, net
$1,366,956
Bad debt
$10,717,528
Medicare surplus (shortfall), as filed
($5,038,751)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$738,164
Other compensation, including deferred pay and nontaxable benefits (col. F)
$36,830
CEO total compensation (D+E+F)
$774,994 to Neil Thornbury

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, Tj Samson Community Hospital, EIN 61-0461767, 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)$16.2M Of which charity care to patients who could not pay (line 7a)$1.4M (8%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($10.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Tj Samson Community Hospital61-04617672025-09$289.6M$1.2M0.44%990
Tj Health Columbia Inc81-08931032025-09$25.0M$183,4910.84%990

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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Tj Samson Community Hospital: CEO pay $774,994, charity care 0.47% of expenses