Abstract All black holes (BHs) in nature are expected to be described by the Kerr vacuum solution of general relativity. However, the Kerr BH interior contains several problematic features such as a Cauchy horizon, a curvature singularity, and a causality-violating region. Non-Kerr BH models, which are used to examine the genericity of these features, typically contain nontrivial matter content. When such self-gravitating matter is minimally-coupled to Einstein–Hilbert gravity, the Einstein equations can be directly used to investigate its physical properties. We examine here the properties of matter in a broad class of stationary and axisymmetric, geodesically-integrable BH spacetimes, and how they are linked to various features of the spacetime geometry. In these spacetimes, we find the matter to typically flow along timelike Killing orbits in the BH exterior, usually exhibiting differential rotation but sometimes additionally also non-rigid rotation. At a horizon, the matter rest-frame energy density, ε, and principal normal pressure, pn , are shown to necessarily satisfy p n = − ϵ , implying that only specific types of matter can thread stationary event horizons (e.g. electromagnetic fields but not massless real scalar fields). Furthermore, we introduce Boyer–Lindquist-like coordinates for the nonstationary regions in the BH interior, which show the matter to be comoving with the interior cosmology. We also obtain simple expressions for the expansions of the ingoing and outgoing zero angular momentum null congruences and comment on the light-focussing behavior of the cosmology. Finally, we verify above results explicitly by working with a representative set of well-known BH spacetimes which contain various types of matter—scalar fields, electromagnetic fields, anisotropic fluids. Some spacetimes have singularities while others have regular interiors. In the exterior, the matter satisfies the weak energy condition. The framework developed here can be extended to cover more general spacetimes.