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March 16, 2026

Executive Compensation at Prisma Health (2024)

by Anne Paddock

Prisma Health is a tax-exempt, non-profit healthcare provider (the largest) in South Carolina. With nearly 30,000 employees, 18 acute and speciality hospitals with 2,800 licensed beds, and 320 practice sites, Prisma Health serves more than 1.5 million patients in 21 counties that cover 50% of South Carolina and parts of Tennessee.

Based in Greenville, SC, Prisma consists of 6 tax-exempt organizations, 2 taxable partnership, and 7 organizations taxable as a corporation or trust.  This post addresses the executive compensation at Prisma Health (Prisma), a tax-exempt corporation that derives most of its revenue from investment income, government grants, and gains on the sale of businesses, and appears to be the management entity of the entire system.

Total revenue in 2024 was $137 million which primarily came from 3 sources:  investment income ($70million),  government grants ($8 million), and program service revenue – primarily net patient and other program revenue – ($50  million).

Total expenses in 2024 were $1.1 billion (including $48 million in depreciation) with the largest expense reported to be compensation ($533 million) which was offset by a negative expense (which is revenue) of $989 million of corporate allocations.  Why they do this is not clear.

 7,666 employees received $533 million in compensation, which equates to an average compensation of $70,000.  975 employees received more than $100,000 in compensation with the 21 most highly compensated (including 6 former employees) reported to be:

  • $2,934,885:  Mark S O’Halla, Presdient and CEO
  • $2,129,208:  Clarence M Sevillian II, EVP, COO
  • $1,965,578:  Howard P West, EVP, Former Chief Legal Officer (until 9/30/23)
  • $1,821,225:  Matthew Elsey, EVP and CFO
  • $1,805,285:  Jonathan Gleason, EVP, Chief Clinical Officer
  • $1,600,249:  Jean Meyer, Former SVP, Acute Care (until 9/30/23)
  • $1,522,981:  Richard J Rogers, SVP, CIO
  • $1,388,176:  Amy M Linsin, EVP, Chief HR and Diversity Officer
  • $1,370,593:  Edward Duffy, Jr, Former Board Director (until 12/31/22)
  • $1,354,827:  William S Cobb IV, Clinical VP, Prisma Health Medical Group
  • $1,211,924:  Greta Harper, VP, Chief Medical Officer Acute Care
  • $1,059,253:  Catherine Chang, VP,Chief Quality Officer
  • $1,050,252:  Angela Orsky, SVP, Value Based Care
  • $1,005,629:  Elizabeth Tibbs, SVP, COO, Medical Group
  • $  945,755:  Christopher Wright, VP, Chief Medical Staff Affairs
  • $  939,814:  Malcolm W Isley, EVP Chief Strategy Officer
  • $  926,532:  Michael T Burke, Former EVP and CFO (until 9/30/22)
  • $  904,498:  William Gerard, EVP, Value Based Care
  • $  846,297:  Larry D Gosnell, Former SVP and Treasurer (until 5/1/23)
  • $  720,826:  James Lucas, SVP, Government Affairs
  • $  621,743:  Gregory J Rusnak, Former EVP and COO (until 10/1/21)

The 21 most highly compensated employees received $28 million in compensation, which equates to an average compensation of $1.4 million.

8 of the 10 most highly compensated employees are male while 2 are female.

Prisma paid for personal residences or provided housing allowances, Specifically, Alexander Gladney, James Lucas, Matthew Elsey  and Howard West received housing allowances.

To read about severance payments and the 457(F) plan for a select group of management or highly compensated employees, see the Form 990, Schedule J,Part III, Supplemental Information.

272 independent contractors received more than $100,000 in compensation. The 5 most highly compensated were reported to be:

  • $28 million:  EPIC Systems, of Verona, Wisconsin for EPIC services
  • $13 million:  Crothall Facilities Management, of Wayne, PA for facilities management
  • $ 9 million:  Crothall Healthcare, of Wayne, PA for environmental services
  • $18 million:  Phillips Healthcare, of Atlanta, GA for machine maintenance
  • $11 million:  Advantix Solutions Group, of Frisco, Texas for telecommunications

To read the IRS Form 990 (2023 for the year ending 9/30/24), click here.

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