Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Kentucky · Ohio · Not ranked: see note below.

Saint Joseph Health System

Matt Grimshaw, Director/Market President. Fiscal year ending 2025-06.

$954,065
CEO total compensation
Form 990 Part VII, columns D+E+F
0.72%
of expenses spent on charity care
Schedule H Part I line 7a
9.5%
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.

Most of the reported compensation ($861,549 of $954,065) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$1,521,159,000
Total expenses
$1,398,172,841
Net assets
$725,969,459
Employees
7,799
Hospitals covered
9 facilities across 4 filings
Charity care, net
$10,078,204
Bad debt
$54,275,506
Medicare surplus (shortfall), as filed
($19,820,413)
CEO pay from the organization (Part VII col. D)
$11,692
From related organizations (col. E)
$861,549
Other compensation, including deferred pay and nontaxable benefits (col. F)
$80,824
CEO total compensation (D+E+F)
$954,065 to Matt Grimshaw

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, Saint Joseph Health System, EIN 61-1334601, fiscal year ending 2025-06, 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)$32.1M Of which charity care to patients who could not pay (line 7a)$10.1M (31%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($54.3M) 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
Saint Joseph Health System Inc61-13346012025-06$1.1B$6.1M0.62%990
Trinity Health System Group30-07529202025-06$303.9M$2.8M0.93%990
Flaget Health Care Inc61-13453632025-06$117.7M$485,1730.53%990
Trinity Hospital Twin City27-54011052025-06$26.1M$741,7392.77%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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Saint Joseph Health System: CEO pay $954,065, charity care 0.72% of expenses