Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Maryland · Ranked 421 of 1033 by CEO pay.

Umsj Health System

Thomas B Smyth MD, President And CEO. Fiscal year ending 2025-06.

$995,604
CEO total compensation
Form 990 Part VII, columns D+E+F
0.74%
of expenses spent on charity care
Schedule H Part I line 7a
22.3%
CEO pay as a share of all charity care
Thomas B Smyth MD’s pay of $995,604 equals 22.3 percent of the $4,474,616 the system spent on charity care in the same year.

§1The filing

Total revenue
$605,586,313
Total expenses
$604,408,381
Net assets
$32,679,294
Employees
3,171
Hospitals covered
1 facilities across 1 filing
Charity care, net
$4,474,616
Bad debt
$17,133,000
Medicare surplus (shortfall), as filed
$14,862,358
CEO pay from the organization (Part VII col. D)
$948,140
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$47,464
CEO total compensation (D+E+F)
$995,604 to Thomas B Smyth MD

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, Umsj Health System, EIN 46-2097818, fiscal year ending 2025-06, 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)$44.0M Of which charity care to patients who could not pay (line 7a)$4.5M (10%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($17.1M) 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.

§Share

Umsj Health System: CEO pay $995,604, charity care 0.74% of expenses