Civic Intelligence

Medstar Southern MD Hospital Center Inc

EIN 46-0726303 • 501(c)3 • Clinton, MD

Profile

See schedule oas a proud member of medstar health, medstar southern maryland hospital center's (medstar southern maryland) mission is to uphold its commitment to the community by continuously promoting, maintaining, and improving health through education and service while assuring fiscal integrity. Medstar southern maryland is located in southern prince george's county, maryland. In fiscal year 2023, msmhc had 11,176 inpatient admissions, 75,688 outpatient visits, and 43,054 emergency visits.

7503 Surratts RoadClinton, MD 20735

medstarsouthernmaryland.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

41st percentile

0.21x

Higher debt load relative to assets than 41% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

15th percentile

0.12x

Higher debt load relative to revenue than 15% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

13th percentile

-11%

Higher net margin than 13% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

98th percentile

$7,189,835

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

21st percentile

-0.3%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

29th percentile

3.0%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$170,007,829

Down $455,961 (-0.3%) from 2023

Liabilities

Down

$35,214,531

Down $307,109 (-0.9%) from 2023

Net Assets

Down

$134,793,298

Down $148,852 (-0.1%) from 2023

Revenue

Up

$288,784,421

Up $8,514,055 (+3.0%) from 2023

Expenses

Up

$320,167,082

Up $13,012,140 (+4.2%) from 2023

Net Income

Down

-$31,382,661

Down $4,498,085 (-17%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2013: $139,355,996Liabilities 2013: $63,015,706Net Assets 2013: $76,340,2902013Assets 2014: $178,459,823Liabilities 2014: $91,776,999Net Assets 2014: $86,682,8242014Assets 2015: $180,721,525Liabilities 2015: $44,789,530Net Assets 2015: $135,931,9952015Assets 2016: $134,949,359Liabilities 2016: $42,415,275Net Assets 2016: $92,534,0842016Assets 2017: $128,214,654Liabilities 2017: $36,088,333Net Assets 2017: $92,126,3212017Assets 2018: $121,930,477Liabilities 2018: $32,658,534Net Assets 2018: $89,271,9432018Assets 2019: $126,940,958Liabilities 2019: $30,601,185Net Assets 2019: $96,339,7732019Assets 2020: $138,221,613Liabilities 2020: $75,267,641Net Assets 2020: $62,953,9722020Assets 2021: $157,643,306Liabilities 2021: $77,970,576Net Assets 2021: $79,672,7302021Assets 2022: $173,756,133Liabilities 2022: $47,614,635Net Assets 2022: $126,141,4982022Assets 2023: $170,463,790Liabilities 2023: $35,521,640Net Assets 2023: $134,942,1502023Assets 2024: $170,007,829Liabilities 2024: $35,214,531Net Assets 2024: $134,793,2982024

Highlighted filing

2024

Assets$170,007,829
Liabilities$35,214,531
Net Assets$134,793,298

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0-$100MRevenue 2013: $120,243,012Expenses 2013: $126,650,803Net Income 2013: -$6,407,7912013Revenue 2014: $213,884,566Expenses 2014: $203,546,250Net Income 2014: $10,338,3162014Revenue 2015: $226,118,846Expenses 2015: $233,626,409Net Income 2015: -$7,507,5632015Revenue 2016: $235,865,602Expenses 2016: $242,323,187Net Income 2016: -$6,457,5852016Revenue 2017: $248,132,613Expenses 2017: $243,441,308Net Income 2017: $4,691,3052017Revenue 2018: $237,383,321Expenses 2018: $247,512,598Net Income 2018: -$10,129,2772018Revenue 2019: $238,969,870Expenses 2019: $246,795,133Net Income 2019: -$7,825,2632019Revenue 2020: $252,093,019Expenses 2020: $239,937,555Net Income 2020: $12,155,4642020Revenue 2021: $262,367,241Expenses 2021: $266,909,163Net Income 2021: -$4,541,9222021Revenue 2022: $278,650,920Expenses 2022: $298,164,421Net Income 2022: -$19,513,5012022Revenue 2023: $280,270,366Expenses 2023: $307,154,942Net Income 2023: -$26,884,5762023Revenue 2024: $288,784,421Expenses 2024: $320,167,082Net Income 2024: -$31,382,6612024

Highlighted filing

2024

Revenue$288,784,421
Expenses$320,167,082
Net Income-$31,382,661

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 9, 2025
Return Version
2023v6.0
Gross Receipts
$288,784,421
Mission and Program Overview

Mission

As a proud member of medstar health, medstar southern maryland hospital center's (medstar southern maryland) mission is to uphold its commitment to the community by continuously promoting, maintaining, and improving health through education and service while assuring fiscal integrity. Medstar southern maryland is located in southern prince george's county, maryland. In fiscal year 2020, msmhc had approximately 10,805 inpatient admissions and approximately 88,071 outpatient visits including 44,763 emergency visits.

Medstar southern md hospital center upholds its tradition of caring by continuously promoting, maintaining and improving health through education and service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$111,719,072$113,634,171▲ $1,915,099
Accounts Receivable$31,512,530$34,275,956▲ $2,763,426
Intangible Assets$16,673,811$14,903,811▼ $1,770,000
Inventories for Sale or Use$4,755,472$5,661,688▲ $906,216
Investments Other Securities$737,378$786,044▲ $48,666
Prepaid Expenses and Deferred Charges$654,384$729,726▲ $75,342
Pledges and Grants Receivable$71,822$9,190▼ $62,632
Cash and Non-Interest-Bearing Accounts$6,729$7,243▲ $514
Total Assets$170,463,790$170,007,829▼ $455,961
Other Assets Total$4,332,592$0▼ $4,332,592
Liabilities
Accounts Payable and Accrued Expenses$18,640,471$19,221,352▲ $580,881
Other Liabilities$16,368,390$15,403,664▼ $964,726
Deferred Revenue$512,779$589,515▲ $76,736
Total Liabilities$35,521,640$35,214,531▼ $307,109
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$134,135,398$133,997,873▼ $137,525
Net Assets With Donor Restrictions$806,752$795,425▼ $11,327
Total Net Assets Fund Balance$134,942,150$134,793,298▼ $148,852
Total Liabilities and Net Assets / Fund Balance$170,463,790$170,007,829▼ $455,961

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$27,315,581$88,000,343$115,315,924
Buildings$75,554,290$31,539,194$107,093,484
Other Land Buildings$6,139,003$500,126$6,639,129
Leasehold Improvements$1,485,297$2,135,590$3,620,887
Land$3,140,000-$3,140,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Stephen T Michaels MdPresident/directorFT$579,655$479,170$1,058,825
Clyde Pray MdDirectorFT$640,079$97,556$737,635
Seema Pai MdDirectorFT$466,842$174,588$641,430
William O Suddath MdDirector (until 1/2024)FT$285,576$133,107$418,683
Kelly HaynieVP, OperationsFT$239,711$71,913$311,624
Emily HaleyPhysician AssistantFT$252,536$28,662$281,198
Francisca SarfoPharmacy DirectorFT$239,162$34,859$274,021
Belen BasilanRegistered NurseFT$230,963$31,342$262,305
Sallu MunuRegistered NurseFT$235,906$7,802$243,708

Board Members and Trustees

NameTitle
Kerry R Watson JrChair
Rosalind E BishopVice Chair
David H MichaelDirector
Debborah T CollinsDirector
Kenneth a SametDirector
Sonya WilliamsDirector
Thomas GrahamDirector
Venard WrightDirector
Tammy L JonesDirector (until 10/31/2023)
Purvi JaniCFO/treasurer
Michael MeiselCFO/treasurer (until 08/2023)
Daniel FeeleyFormer Officer
David HavrillaFormer Officer
Robert LallyFormer Officer
Annette BronerSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Amn Healthcare INCStaffing Services2735 COLLECTION CENTER DR, Chicago, IL 60693$21,104,018
Aya Healthcare INCStaffing ServicesPO BOX 123519 DEPT 3519, Dallas, TX 75312-3519$11,151,373
Diamond Healthcare Of Northern VaMedical StaffingPO BOX 670755, Dallas, TX 75267-0755$6,913,292
Medical Solutions LLCStaffing ServicesPO BOX 850737, Minneapolis, MN 55485-0737$4,342,055
Total Renal Care INCMedical ServicesPO BOX 8500-1607, Philadelphia, PA 19178-1607$1,513,263
Revenue and Support

Revenue Composition

Contributions and Grants
$12,202,450
Program Service Revenue
$275,359,833
Investment Income
$130,624
Other Revenue
$1,091,514
All Other Contributions
$113,882
Change in Net Assets
$-31,382,661
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$170,892,907
Salaries, Compensation, and Employee Benefits$149,274,175
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$116,804,022$9,125,263-$125,929,285
Fees for Services Other$49,774,219$7,834,218-$57,608,437
Fees for Services Management-$28,752,437-$28,752,437
Depreciation Depletion$5,381,959$9,757,325-$15,139,284
Other Employee Benefits$877,862$10,871,152-$11,749,014
All Other Expenses$5,861,976$2,995,546-$8,857,522
Payroll Taxes$6,845,797$623,806-$7,469,603
Interest-$7,198,258-$7,198,258
Insurance$-59,566$3,938,253-$3,878,687
Other Expenses$2,826,313$552,371-$3,378,684
Current Officers, Directors, Trustees, and Key Employees$2,566,481$290,092-$2,856,573
Office Expenses$1,557,797$435,380-$1,993,177
Pension Plan Contributions-$1,269,700-$1,269,700
Travel$435,127$2,839-$437,966
Advertising-$383,415-$383,415
Conferences and Meetings$32,944$11,367-$44,311
Total Functional Expenses$235,868,226$84,298,856$0$320,167,082
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Substantial ContributorConstructionNo$986,801
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Advances$8,400,057
Other Liabilities$5,861,771
Credit Balances Patient Ar$1,141,244
Pending Pfs Refunds$592
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Organization members the organization is an affiliate and subsidiary of medstar health, inc., a tax-exempt maryland non-stock corporation. Medstar health, inc., or one of its affiliates and subsidiaries, is the sole member of the organization.

Form 990, Part VI, Section A, Line 7A

Description of members as an affiliate and subsidiary of medstar health, inc., a tax-exempt maryland non-stock corporation, the organization may recommend person(s) for membership on the organization's governing body. Any such recommendation by the organization is subject to approval by the governance committee of the board of directors of medstar health, inc. The board of medstar health, inc. Has delegated certain approval authority to the governance committee and the president & ceo of medstar health, inc.

Form 990, Part VI, Section A, Line 7B

Decisions of governing body as an affiliate and subsidiary of medstar health, inc., a tax-exempt maryland non-stock corporation, the bylaws of the organization are subject to certain reserved powers, which provide that the sole member of the organization must approve certain decisions, including but not limited to matters concerning the sale or purchase of real or personal property, capital budgets, strategic planning, investments, and corporate governance.

Form 990, Part VI, Section B, Line 11B

Process for reviewing form 990 the process for reviewing the form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed form 990 and accompanying instructions. In addition, senior executives reviewed the relevant sections of the form 990 with the following committees of the organization's governing body: finance, audit, governance and executive compensation. Following these meetings, the governing body was provided a copy of the form 990 in its final form and given an opportunity to provide any input or comments relating to the form 990 prior to its filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy appointment of boards of directors medstar health (and its subsidiaries) require all nominated directors, prior to their appointment or election, to disclose the existence of (or potential existence of) any transaction with medstar that would result in a conflict of interest. Such disclosures (if any) are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. Annual disclosures - all officers, directors, and senior managers all officers, directors and senior managers are required, not less than annually, to complete a survey of questions concerning any transactions or relationships which would or could represent a conflict of interest. Such disclosures (if any) are reviewed by the governance committee of the medstar health board of directors which determines how the matter should be resolved. In addition, officers and directors of maryland hospitals and nursing centers are required to annually disclose additional information relating to potential conflicts of interest and such disclosures are reported to the maryland health services cost review commission (hscrc).

Form 990, Part VI, Section B, Line 15

Description of executive compensation the executive compensation committee of the board of directors of medstar health, inc. (the "committee") has oversight of the executive compensation program (the "program") of medstar health, inc. And its affiliates. Total compensation for the top management officials, officers and key employees of medstar health, inc. And its affiliates are reviewed and approved by the committee with assistance and guidance from an independent third party advisor. The members of the committee are independent from all of the participants in the program. The main objective of the program is to provide market competitive total compensation that is internally equitable and has a strong pay-for-performance linkage. Performance is evaluated at the system, operating unit, and individual levels. The overall total compensation philosophy is managed at the 75th percentile of the competitive market for comparable size (net revenue) and type (tax-exempt healthcare organizations). Where appropriate, additional industry data is considered (general business and/or taxable healthcare) for selected positions that can be recruited from or potentially lost to these industries (e.g., information technology, finance, etc.). The committee has engaged ernst & young llp ("e&y") to serve as an advisor on the reasonableness and competitiveness of the program. In determining reasonableness and competitiveness, e&y reviews market practices and trends, and makes recommendations related to the program. E&y utilizes information from custom surveys, national compensation surveys, proprietary databases, and client experiences to determine its final recommendations. E&y presents their findings and recommendations to the committee. The committee makes the final decisions on all of the compensation determinations of the program. All decisions made by the committee are contemporaneously documented.

Form 990, Part VI, Section C, Line 19

Financial statement availability medstar health posts its annual financial audit and quarterly financial reports to the electronic municipal market access (emma) system. The organization also e-mails its annual and quarterly disclosures to holders of the company's publicly traded debt. The company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices.

Filing and Contact Details

Filer

Filer Name
Medstar Southern Md Hospital Center Inc
EIN
46-0726303
Phone
3018688000
Address
7503 SURRATTS ROAD, CLINTON, MD 20735

Signing Officer

Name
Joel Bryan
Title
VP/treasurer/CIO
Phone
4107726721
Signed
2025-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stephen T Michaels Md
Formed
2012
Legal Domicile
Md
Voting Board Members
11
Independent Board Members
7
Employees
1,651
Volunteers
1

Preparer

Firm
Kpmg Llp
Address
8350 BROAD STREET SUITE 900, MCLEAN, VA 22102
Preparer
Raymond Ly
Phone
7032868000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Pharmacy services: program service expenses 6,663. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,663. Subsidy expense - intercompany: program service expenses 32,968,845. Management and general expenses 70,416. Fundraising expenses 0. Total expenses 33,039,261. Purchased professional services: program service expenses 10,619,331. Management and general expenses 1,580,906. Fundraising expenses 0. Total expenses 12,200,237. Physician services: program service expenses 1,943,979. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,943,979. Misc purchased services: program service expenses 30,530. Management and general expenses 2,651,595. Fundraising expenses 0. Total expenses 2,682,125. Non-phys interco purch srvs: program service expenses 98,734. Management and general expenses 0. Fundraising expenses 0. Total expenses 98,734. Commercial laundry: program service expenses 484,262. Management and general expenses 4,603. Fundraising expenses 0. Total expenses 488,865. Protection services: program service expenses 290,306. Management and general expenses 0. Fundraising expenses 0. Total expenses 290,306. Lab services: program service expenses 508,250. Management and general expenses 0. Fundraising expenses 0. Total expenses 508,250. Printing services: program service expenses 318. Management and general expenses 0. Fundraising expenses 0. Total expenses 318. Patient transportation: program service expenses 44,945. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,945. Computer services: program service expenses 41,329. Management and general expenses 2,956. Fundraising expenses 0. Total expenses 44,285. Bank fees: program service expenses 0. Management and general expenses 80,526. Fundraising expenses 0. Total expenses 80,526. Miscelllaneous fees for svcs: program service expenses 2,656,505. Management and general expenses 3,443,216. Fundraising expenses 0. Total expenses 6,099,721. Security system-contract svc: program service expenses 80,222. Management and general expenses 0. Fundraising expenses 0. Total expenses 80,222.

FORM 990, PART XI, LINE 9:

Equity transfers 31,137,613.

Financial Statement Notes

PART X, LINE 2:

Fin 48 footnote income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of change. The corporation accounts for uncertain tax positions in accordance with the fasb accounting standards codification (asc) topic 740, income taxes. There was no liability recorded for uncertain tax positions as of june 30, 2024.

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IRS990/ActivityOrMissionDesc0MEDSTAR SOUTHERN MD HOSPITAL CENTER UPHOLDS ITS TRADITION OF CARING BY CONTINUOUSLY PROMOTING, MAINTAINING AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE.
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IRS990/Desc0SEE SCHEDULE OMEDSTAR SOUTHERN MARYLAND'S LARGEST PROGRAM IS ACCESS TO AND THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF PRINCE GEORGE'S, CHARLES AND CALVERT COUNTY, MARYLAND AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR SOUTHERN MARYLAND INCURRED $84.3M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES AND IS KNOWN FOR ITS CARDIOVASCULAR AND ORTHOPAEDIC PROGRAMS. THE HOSPITAL ALSO HAS THE WOMEN & NEWBORNS CENTER, WHICH INCLUDES AN OBSTETRICS AND GYNECOLOGY PROGRAM WITH A LEVEL 2 SPECIAL CARE NURSERY AND PRIVATE PATIENT ROOMS. OTHER SPECIALTY SERVICES INCLUDE AN EMERGENCY DEPARTMENT AND CRITICAL CARE UNIT, BREAST HEALTH PROGRAM, SURGICAL CENTER, SLEEP DISORDERS LAB, INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS, AND REHABILITATIVE MEDICINE. THE HOSPITAL HAS SEVERAL RECOGNITIONS AND CERTIFICATIONS. MEDSTAR SOUTHERN MARYLAND HAS A COMMISSION ON CANCER ACCREDITATION FOR OUR CANCER PROGRAM. THE MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS) RE-DESIGNATED MEDSTAR SOUTHERN MARYLAND AS A PRIMARY STROKE CENTER IN APRIL 2022. THIS IS THE FOURTH TIME MIEMSS HAS AWARDED THE PRIMARY STROKE CENTER TO MSMHC SINCE 2007. THE PROGRAM ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES STROKE QUALITY ACHIEVEMENT AWARD. MSMHC WAS DESIGNATED A BABY-FRIENDLY HOSPITAL IN JUNE 2023. MSMHC RECEIVED DESIGNATION AS A PATHWAY TO EXCELLENCE ORGANIZATION FROM THE AMERICAN NURSES CREDENTIALING CENTER IN OCTOBER 2022. MIEMSS HAS ALSO DESIGNATED MSMHC AS A CARDIAC INTERVENTION CENTER. MSMHC RECEIVED HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION AWARD (2023) FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES. THE CORONARY INTERVENTION PROGRAM ALSO RECEIVED HEALTHGRADES CORONARY INTERVENTION EXCELLENCE AWARD FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES.
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IRS990/MissionDesc0SEE SCHEDULE OAS A PROUD MEMBER OF MEDSTAR HEALTH, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER'S (MEDSTAR SOUTHERN MARYLAND) MISSION IS TO UPHOLD ITS COMMITMENT TO THE COMMUNITY BY CONTINUOUSLY PROMOTING, MAINTAINING, AND IMPROVING HEALTH THROUGH EDUCATION AND SERVICE WHILE ASSURING FISCAL INTEGRITY. MEDSTAR SOUTHERN MARYLAND IS LOCATED IN SOUTHERN PRINCE GEORGE'S COUNTY, MARYLAND.IN FISCAL YEAR 2024, MSMHC HAD 10,311 INPATIENT ADMISSIONS, 80,462 OUTPATIENT VISITS, AND 45,461 EMERGENCY VISITS.
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