Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Michigan · Not ranked: see note below.

Metropolitan Hospital

Ronald Grifka, President. Fiscal year ending 2025-06.

$782,405
CEO total compensation
Form 990 Part VII, columns D+E+F
1.03%
of expenses spent on charity care
Schedule H Part I line 7a
11.4%
CEO pay as a share of all charity care

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
$669,759,062
Total expenses
$663,774,209
Net assets
$116,443,777
Employees
3,985
Hospitals covered
1 facilities across 1 filing
Charity care, net
$6,866,883
Bad debt
$9,449,391
Medicare surplus (shortfall), as filed
($49,280,935)
CEO pay from the organization (Part VII col. D)
$764,258
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$18,147
CEO total compensation (D+E+F)
$782,405 to Ronald Grifka

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, Metropolitan Hospital, EIN 38-0593405, fiscal year ending 2025-06, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$15.6M Of which charity care to patients who could not pay (line 7a)$6.9M (44%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($9.4M) 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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Metropolitan Hospital: CEO pay $782,405, charity care 1.03% of expenses