Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Florida · Not ranked: see note below.

St Vincent's Medical Center-Clay County

Bryan James Walrath, Ex-Officio/Director/President. Fiscal year ending 2025-06.

$592,626
CEO total compensation
Form 990 Part VII, columns D+E+F
1.89%
of expenses spent on charity care
Schedule H Part I line 7a
20.7%
CEO pay as a share of all charity care
Bryan James Walrath’s pay of $592,626 equals 20.7 percent of the $2,864,349 the system spent on charity care in the same year.

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
$163,910,921
Total expenses
$151,492,730
Net assets
$82,915,683
Employees
912
Hospitals covered
1 facilities across 1 filing
Charity care, net
$2,864,349
Bad debt
$2,613,077
Medicare surplus (shortfall), as filed
$537,189
CEO pay from the organization (Part VII col. D)
$464,206
From related organizations (col. E)
$86,253
Other compensation, including deferred pay and nontaxable benefits (col. F)
$42,167
CEO total compensation (D+E+F)
$592,626 to Bryan James Walrath

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 Vincent's Medical Center-Clay County, EIN 46-1523194, 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)$6.3M Of which charity care to patients who could not pay (line 7a)$2.9M (45%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($2.6M) 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 Vincent's Medical Center-Clay County: CEO pay $592,626, charity care 1.89% of expenses