Civic Intelligence

Medstar Health Inc

EIN 52-2087445 • 501(c)3 • Columbia, MD

Profile

Plan, develop, coordinate, direct and manage an integrated healthcare system.

10980 Grantchester WayColumbia, MD 21044

www.medstarhealth.org

Siviq Scores

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

Liabilities / Assets

91st percentile

0.85x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2023

Liabilities / Revenue

95th percentile

7.42x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2023

Net Margin

78th percentile

18%

Higher net margin than 78% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2023

Top Officer Pay

94th percentile

$9,501,620

Higher top officer pay than 94% of similar nonprofits.

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

501(c)3 • $1B+ nonprofits • Source year 2021

Asset Growth

13th percentile

-1.2%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

64th percentile

13%

Faster revenue growth than 64% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$3,406,041,925

Up $202,567,561 (+6.3%) from 2023

Liabilities

Down

$2,670,927,095

Down $48,935,417 (-1.8%) from 2023

Net Assets

Up

$735,114,830

Up $251,502,978 (+52%) from 2023

Revenue

Down

$363,603,125

Down $3,048,918 (-0.8%) from 2023

Expenses

Down

$298,423,419

Down $461,376 (-0.2%) from 2023

Net Income

Down

$65,179,706

Down $2,587,542 (-3.8%) from 2023

Trend Graphs

Balance Sheet Trend

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

$6.0B$4.0B$2.0B$0Assets 2010: $1,362,506,894Liabilities 2010: $1,297,723,562Net Assets 2010: $64,783,3322010Assets 2011: $1,508,495,983Liabilities 2011: $1,259,963,842Net Assets 2011: $248,532,1412011Assets 2012: $1,570,721,309Liabilities 2012: $1,381,198,602Net Assets 2012: $189,522,7072012Assets 2013: $1,908,887,923Liabilities 2013: $1,553,531,705Net Assets 2013: $355,356,2182013Assets 2014: $2,176,542,391Liabilities 2014: $1,596,652,258Net Assets 2014: $579,890,1332014Assets 2015: $2,173,531,045Liabilities 2015: $1,741,205,542Net Assets 2015: $432,325,5032015Assets 2016: $2,174,672,346Liabilities 2016: $1,892,137,236Net Assets 2016: $282,535,1102016Assets 2017: $2,835,852,476Liabilities 2017: $2,362,736,908Net Assets 2017: $473,115,5682017Assets 2018: $2,974,268,762Liabilities 2018: $2,272,549,412Net Assets 2018: $701,719,3502018Assets 2019: $3,005,315,672Liabilities 2019: $2,386,838,162Net Assets 2019: $618,477,5102019Assets 2020: $4,670,764,797Liabilities 2020: $3,609,084,303Net Assets 2020: $1,061,680,4942020Assets 2021: $4,258,618,902Liabilities 2021: $2,779,330,744Net Assets 2021: $1,479,288,1582021Assets 2022: $3,241,361,236Liabilities 2022: $2,671,602,033Net Assets 2022: $569,759,2032022Assets 2023: $3,203,474,364Liabilities 2023: $2,719,862,512Net Assets 2023: $483,611,8522023Assets 2024: $3,406,041,925Liabilities 2024: $2,670,927,095Net Assets 2024: $735,114,8302024

Highlighted filing

2024

Assets$3,406,041,925
Liabilities$2,670,927,095
Net Assets$735,114,830

Operations Trend

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

$400M$300M$200M$100M$0-$100MExpenses 2010: $58,578,8192010Revenue 2011: $62,513,331Expenses 2011: $69,426,773Net Income 2011: -$6,913,4422011Expenses 2012: $77,324,8722012Expenses 2013: $96,377,8292013Revenue 2014: $195,315,774Expenses 2014: $119,995,240Net Income 2014: $75,320,5342014Revenue 2015: $237,822,390Expenses 2015: $202,855,973Net Income 2015: $34,966,4172015Revenue 2016: $202,160,994Expenses 2016: $172,933,801Net Income 2016: $29,227,1932016Revenue 2017: $272,431,902Expenses 2017: $201,502,748Net Income 2017: $70,929,1542017Revenue 2018: $292,624,293Expenses 2018: $278,337,829Net Income 2018: $14,286,4642018Revenue 2019: $301,686,539Expenses 2019: $261,224,498Net Income 2019: $40,462,0412019Revenue 2020: $275,133,645Expenses 2020: $272,142,862Net Income 2020: $2,990,7832020Revenue 2021: $383,171,265Expenses 2021: $287,056,514Net Income 2021: $96,114,7512021Revenue 2022: $324,422,604Expenses 2022: $283,205,907Net Income 2022: $41,216,6972022Revenue 2023: $366,652,043Expenses 2023: $298,884,795Net Income 2023: $67,767,2482023Revenue 2024: $363,603,125Expenses 2024: $298,423,419Net Income 2024: $65,179,7062024

Highlighted filing

2024

Revenue$363,603,125
Expenses$298,423,419
Net Income$65,179,706

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3,406$2,671$735$364$298$65.2
2023Detailed filing. Detailed filing data is available for this year.$3,203$2,720$484$367$299$67.8
2022Detailed filing. Detailed filing data is available for this year.$3,241$2,672$570$324$283$41.2
2021Detailed filing. Detailed filing data is available for this year.$4,259$2,779$1,479$383$287$96.1
2020Detailed filing. Detailed filing data is available for this year.$4,671$3,609$1,062$275$272$2.99
2019Detailed filing. Detailed filing data is available for this year.$3,005$2,387$618$302$261$40.5
2018Detailed filing. Detailed filing data is available for this year.$2,974$2,273$702$293$278$14.3
2017Detailed filing. Detailed filing data is available for this year.$2,836$2,363$473$272$202$70.9
2016Detailed filing. Detailed filing data is available for this year.$2,175$1,892$283$202$173$29.2
2015Detailed filing. Detailed filing data is available for this year.$2,174$1,741$432$238$203$35.0
2014Detailed filing. Detailed filing data is available for this year.$2,177$1,597$580$195$120$75.3
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,909$1,554$355$96.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,571$1,381$190$77.3
2011Summary only. Only limited summary data is available for this year.$1,508$1,260$249$62.5$69.4$6.91
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,363$1,298$64.8$58.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 6, 2025
Return Version
2023v6.0
Gross Receipts
$363,603,125
Mission and Program Overview

Mission

Plan, develop, coordinate, direct and manage an integrated healthcare system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$2,086,492,676$2,223,932,028▲ $137,439,352
Cash and Non-Interest-Bearing Accounts$433,724,655$412,593,145▼ $21,131,510
Intangible Assets$264,513,924$261,036,847▼ $3,477,077
Savings and Temporary Cash Investments$161,650,844$166,562,624▲ $4,911,780
Accounts Receivable$22,139,397$36,993,041▲ $14,853,644
Land, Buildings, and Equipment, Net$21,584,755$31,542,249▲ $9,957,494
Prepaid Expenses and Deferred Charges$5,192,445$6,118,254▲ $925,809
Inventories for Sale or Use$6,167,102$4,884,739▼ $1,282,363
Total Assets$3,203,474,364$3,406,041,925▲ $202,567,561
Other Assets Total$202,008,566$262,378,998▲ $60,370,432
Liabilities
Tax Exempt Bond Liabilities$1,669,713,145$1,631,799,254▼ $37,913,891
Accounts Payable and Accrued Expenses$426,631,064$458,395,634▲ $31,764,570
Other Liabilities$492,114,885$449,174,124▼ $42,940,761
Unsecured Notes Loans Payable$130,588,825$130,588,825→ $0
Deferred Revenue$814,593$969,258▲ $154,665
Total Liabilities$2,719,862,512$2,670,927,095▼ $48,935,417
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$478,578,747$730,541,330▲ $251,962,583
Net Assets With Donor Restrictions$5,033,105$4,573,500▼ $459,605
Total Net Assets Fund Balance$483,611,852$735,114,830▲ $251,502,978
Total Liabilities and Net Assets / Fund Balance$3,203,474,364$3,406,041,925▲ $202,567,561

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,387,344$21,000,777$24,388,121
Other Land Buildings$19,575,999$576,620$20,152,619
Leasehold Improvements$6,596,677$11,621,952$18,218,629
Buildings$817,266$969,682$1,786,948
Land$1,164,963-$1,164,963
Other Assets Org$12--
Other Securities$54,625,313--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kenneth a SametCEO and PresidentPT$2,308,151$4,881,684$7,189,835
M Joy Drass MdEvpFT$1,560,255$2,837,264$4,397,519
Stephen Evans MdEvpFT$1,332,096$1,557,579$2,889,675
Susan NelsonEvp & CFOFT$1,033,926$1,218,840$2,252,766
Oliver M Johnson IiEvpFT$950,707$1,133,474$2,084,181
Eric WagnerEvpPT$514,910$1,540,639$2,055,549
Michael SachtlebenSVP & COO, Washington RegionFT$994,316$1,006,687$2,001,003
David H Song MdVP of Medical Affairs & CMOFT$1,651,964$302,970$1,954,934
Bradley ChambersSVP & COO, Balitmore RegionFT$884,291$856,640$1,740,931
Loretta WalkerSVPFT$774,170$917,536$1,691,706
Susan EckertSVP & Chief Nursing OfficeFT$480,808$959,033$1,439,841
Michael J CurranFormer Evp & CAOFT$393,240$239,130$632,370

Highest Paid Contractors

ContractorServicesLocationCompensation
Sodexo INC & AffiliatesFood & Facilities ManagementPO BOX 360170, Pittsburgh, PA 15251-6170$27,751,394
Crothall Svcs GroupEnvironmental Services13028 COLLECTIONS CENTER DR, Chicago, IL 60693$15,410,632
Up To Date Laundry INCLaundry Services5521 RESEARCH PARK DRIVE, Catonsville, MD 21228$8,812,980
Deloitte Consulting LLPProfessional Services30 ROCKEFELLER PLAZA, New York, NY 10112$4,634,829
Jones Lang Lasalle AmericasProfessional Services95661 TREASURY CENTER DR, Chicago, IL 60694-5661$4,107,304
Revenue and Support

Revenue Composition

Contributions and Grants
$5,315,609
Program Service Revenue
$271,502,992
Investment Income
$77,472,526
Other Revenue
$9,311,998
All Other Contributions
$749,048
Change in Net Assets
$65,179,706
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$183,862,001
Other Expenses$98,123,326
Grants and Similar Amounts Paid$14,419,384
Professional Fundraising Fees$2,018,708
Total Fundraising Expense$2,018,708

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$147,810,317--$147,810,317
Fees for Services Other$31,120,219--$31,120,219
Current Officers, Directors, Trustees, and Key Employees$20,869,525--$20,869,525
Advertising$16,382,633--$16,382,633
Grants to Domestic Orgs$14,419,384--$14,419,384
Occupancy$9,842,699--$9,842,699
Office Expenses$9,380,446--$9,380,446
Fees for Services Legal$8,714,077--$8,714,077
Payroll Taxes$7,626,226--$7,626,226
Interest$7,196,258--$7,196,258
Other Employee Benefits$4,285,465--$4,285,465
Depreciation Depletion$3,618,585--$3,618,585
Pension Plan Contributions$2,638,098--$2,638,098
Fees for Services Accounting$2,262,484--$2,262,484
Fees for Services Professional Fundraising--$2,018,708$2,018,708
Insurance$1,479,500--$1,479,500
Travel$686,983--$686,983
Comp Disqual Persons$632,370--$632,370
Fees for Services Lobbying$408,565--$408,565
Conferences and Meetings$191,910--$191,910
Other Expenses$3,500--$3,500
All Other Expenses$-831,825--$-831,825
Total Functional Expenses$296,404,711$0$2,018,708$298,423,419
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Georgetown UniversityWashington, DC501(c)(3)Supporting the School of Medicine$14,419,384

International Summary

Offices
0
Employees
0
Spending
$300,757,431

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$299,490,628
Europe (including Iceland and Greenland)Investments-00$1,266,803
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$2,018,708
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See Part VEnvironmental ServicesNo$14,731,937
-See Part VMarketing and Media ManagementNo$3,400,152
-See Part VLegal ServicesNo$1,222,901
-See Part VLegal ServicesNo$859,590
-See Part VSignage ProductsNo$272,124
-See Part VMarketing ServicesNo$151,583
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$207,084,621
Gu 2017 Apa Lt Liability$84,927,194
Other Liabilities$61,830,034
Operating Lease Liability$54,493,933
Professional Liab. Ibnr$23,450,352
Pension Liability$17,152,020
L/t Liability - Swap$235,970

Bond Issues

BondIssuerIssuedIssue PricePurpose
BMd Higher Educational Facilities Auth2017-06-29$427,566,974Surg pavilion and hosp expense
AMd Higher Educational Facilities Auth2015-02-11$410,753,755Refund bond issued 98, 04, 07
ADistrict of Columbia2008-05-15$283,137,423Current refund bond issued 1998
DMd Higher Educational Facilities Auth2013-05-21$159,366,620Acquisition of southern md hosp
BMd Higher Educational Facilities Auth2013-03-21$75,951,460Hospital capital expenditures
CMd Higher Educational Facilities Auth2013-03-21$52,709,030Current refund bond issued 1998
BMd Higher Educational Facilities Auth2011-11-17$47,805,502CURRENT REFUND BANK DEBT
AMd Higher Educational Facilities Auth2012-06-27$38,620,000Current refund bond issued 1998
DMd Higher Educational Facilities Auth2011-11-17$15,206,131Current refund bond issued 2009
CMd Higher Educational Facilities Auth2011-11-17$15,007,204Advance refund bond issued 2002

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$445,016,442---
A$410,753,755---
A$283,137,423$283,137,423$87,525,000$634,328
D$159,366,620-$56,455,000$3,438,818
B$76,180,248$52,089,133$5,180,000$1,376,620
C$52,709,030$407,902,189$6,890,000$2,851,566
B$47,805,502$47,171,175$16,785,000$180,830
A$38,620,000$38,620,000$38,620,000$619,896
D$15,206,131$15,003,890$4,065,000$934,175
C$15,007,304$14,826,474$13,790,000$202,240

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
No
Management duties delegated
No

Governance Explanations

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 appointment of directors to the medstar health, inc. Board (and its subsidiaries) require all nominated directors to disclose the existence of (or potential existence of) any transactions or relationships that would create a conflict of interest prior to their appointment or election. Each director is also required to complete an annual questionnaire to disclose conflicts and has an affirmative duty to report obligations if they arise during the board year. Such disclosures (if any) are reviewed by the governance committee of the medstar health, inc. Board of directors which determines how the conflict 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. In the case of directors, such disclosures (if any) are reviewed by the governance committee of the medstar health, inc. Board of directors which determines how the matter should be resolved. In the case of officers and senior managers, the conflicts are reviewed by the appropriate senior executive or manager. Any conflicts by the ceo are reviewed by the medstar health, inc. Board of directors. In addition, officers and directors of maryland hospitals and nursing centers are required to annually disclose additional information relating to 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

Executive compensation process 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.

Part VII, Section A

Compensation from related organization one of the directors listed on part vii, section a receives compensation from georgetown university, a related organization. Please see the most recent form 990 for georgetown university for additional information.

Filing and Contact Details

Filer

Filer Name
Medstar Health Inc
EIN
52-2087445
Phone
4107726721
Address
10980 GRANTCHESTER WAY, COLUMBIA, MD 21044

Signing Officer

Name
Joel Bryan
Title
VP/treasurer/CIO
Phone
4107726721
Signed
2025-05-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth a Samet
Formed
1998
Legal Domicile
Md
Voting Board Members
19
Independent Board Members
15
Employees
891
Volunteers
0

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 III, LINE 1 - ORGANIZATION'S MISSION

. Medstar health, inc. (medstar health) is the parent and controlling entity for an $8.3 billion, not-for-profit health system dedicated to caring for people in maryland and the washington, d.c., region (comprising baltimore city; 12 counties in maryland; the district of columbia; and 12 counties in northern virginia). Through the combination of academic medicine, research and innovation across a comprehensive spectrum of clinical services, medstar health's more than 35,000 associates and 4,000 affiliated physicians serve approximately 1,360,000 patients and families annually. Through medstar health hospitals, outpatient facilities, physician practices and other health-related entities, patients and families have access to a broad continuum of services including: acute, trauma & surgery, adult burn care, ambulatory & urgent care, clinical research & innovation, emergency services, health & wellness screenings, home health, managed care, medical education, medical transportation, skilled nursing facility & senior living, palliative care, pharmacy, physical therapy & rehabilitation, primary, specialty & surgical care, radiation & infusion therapy, and telehealth. . As the medical education and clinical partner of georgetown university, medstar health has one of the largest medical education programs in the country with more than 1,100 medical residents/fellows and trains more than 1,015 nursing residents annually. . Medstar health offers a multitude of specialty services, leading the market across its strategic focus areas in heart & vascular, neurosciences, transplant, orthopaedics, and gastroenterology. Additional specialty services include physical therapy & rehabilitation, women's health, behavioral health, urology, dermatology, diabetes & endocrinology, primary care, bariatrics, sports medicine, and plastic surgery. . Medstar health research institute, the research arm of medstar health, ranks in the top 20% of recipients of research funding from the federal government (with approximately 1,000 open clinical research studies and more than $70 million in external funding), and provides scientific, administrative and regulatory support for research programs that complement the key clinical services and teaching programs across medstar health. . In fiscal year 2024, medstar health hospitals had approximately 118,900 inpatient admissions and 6.1 million outpatient visits that included nearly 428,300 emergency department visits. . Operating medstar health home care, the largest provider of home care services across maryland, washington, d.c., and northern virginia, approximately 315,400 visits were completed in fiscal year 2024. . Medstar family choice, the system's medicaid managed care company, enrolled approximately 157,000 members living in maryland and washington, d.c., as of june 30, 2024. . Expanded telehealth services, such as remote patient monitoring, video and phone patient visits and e-consultations, conducting more than 457,100 telehealth encounters in fiscal year 2024. . American nurses credentialing center (ancc) recognizes medstar health hospitals for nursing excellence with magnet and pathway to excellence designations: - medstar georgetown university hospital achieved magnet status five times in a row with medstar franklin square medical center following closely, achieving magnet status four times in a row. - medstar harbor hospital, medstar montgomery medical center and medstar st. Mary's hospital received their first magnet designation in 2024. - only 249 of 6,093 u.s. Hospitals have pathway to excellence designations and include medstar southern maryland hospital center and medstar washington hospital center. Medstar washington hospital center is the first acute care hospital in washington, d.c., to achieve this recognition.

Form 990, Part IX, Line 11G

Purchased professional services: program service expenses 16,296,089. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,296,089. Consulting fees: program service expenses 5,446,593. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,446,593. Subsidy expense - intercompany: program service expenses 5,264,927. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,264,927. Misc fixed purch srvcs: program service expenses 2,012,203. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,012,203. Professional fees-other: program service expenses 197,955. Management and general expenses 0. Fundraising expenses 0. Total expenses 197,955. Lab services: program service expenses 263,614. Management and general expenses 0. Fundraising expenses 0. Total expenses 263,614. Testing & diagnostic services: program service expenses 202,256. Management and general expenses 0. Fundraising expenses 0. Total expenses 202,256. Medical service fees: program service expenses 159,218. Management and general expenses 0. Fundraising expenses 0. Total expenses 159,218. Printing services: program service expenses 137,239. Management and general expenses 0. Fundraising expenses 0. Total expenses 137,239. Misc fees for services: program service expenses 1,140,125. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,140,125.

FORM 990, PART XI, LINE 9:

Equity transfers -64,776,578. Add'l min pen liab 48,148,524.

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/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19EVP & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt20EVP
IRS990/Form990PartVIISectionAGrp/TitleTxt21EVP
IRS990/Form990PartVIISectionAGrp/TitleTxt22EVP
IRS990/Form990PartVIISectionAGrp/TitleTxt23EVP
IRS990/Form990PartVIISectionAGrp/TitleTxt24SVP
IRS990/Form990PartVIISectionAGrp/TitleTxt25SVP & CHIEF NURSING OFFICE
IRS990/Form990PartVIISectionAGrp/TitleTxt26SVP & COO, WASHINGTON REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP OF MEDICAL AFFAIRS & CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt28SVP & COO, BALITMORE REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER EVP & CAO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr01998
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt033908299
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt019
IRS990/GovernmentGrantsAmt04566561
IRS990/GrantAmt014419384
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt014419384
IRS990/GrantsToDomesticOrgsGrp/TotalAmt014419384
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt033908299
IRS990/GrossReceiptsAmt0363603125
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt015
IRS990/IndivRcvdGreaterThan100KCnt0407
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X

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