Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $84,948

• 1d · Related organizations

  $13,620,606

• 1e · Government grants (contributions)

  $2,523,039

• 1f · All other contributions, gifts and grants

  $13,161,667

• 2a · Program service revenue: NET PATIENT SRV

  total $1,643,259,114 · related or exempt $1,642,784,707 · unrelated business $474,407

• 2b · Program service revenue: ONCOLOGY REVENUE

  total $663,370,618 · related or exempt $663,370,618

• 2c · Program service revenue: PHARMACY REV

  total $643,096,167 · related or exempt $621,668,550 · unrelated business $21,427,617

• 2d · Program service revenue: NEUROSURGERY REVENUE

  total $177,246,772 · related or exempt $177,246,772

• 2e · Program service revenue: CARDIAC SURGERY

  total $106,794,087 · related or exempt $106,794,087

• 3 · Investment income

  total $40,437,182 · unrelated business $5,131 · excluded $40,432,051

• 6a · Gross rents

  real property $1,255,323

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $1,255,323

• 6d · Net rental income or loss

  total $1,255,323 · excluded $1,255,323

• 7a · Gross sales of assets other than inventory

  securities $291,991,000 · other assets $306,957

• 7b · Less cost or other basis and sales expenses

  securities $267,112,109 · other assets $0

• 7c · Gain or loss

  securities $24,878,891 · other assets $306,957

• 7d · Net gain or loss

  total $25,185,848 · excluded $25,185,848

• 8a · Fundraising events: gross income

  $25,602

• 8a · Fundraising events: contributions included on line 1c

  $84,948

• 8b · Fundraising events: direct expenses

  $32,389

• 8c · Net income from fundraising events

  total -$6,787 · excluded -$6,787

• 10a · Gross sales of inventory

  $2,455,513

• 10b · Cost of goods sold

  $937,334

• 10c · Net income from sales of inventory

  total $1,518,179 · excluded $1,518,179

• 11a · Other revenue: OTHER LAB REVENUE

  total $27,433,723 · related or exempt $27,433,723

• 11b · Other revenue: MISCELLANEOUS REV.

  total $18,953,101 · related or exempt $18,953,101

• 11c · Other revenue: CAFETERIA INCOME

  total $4,754,036 · related or exempt $4,754,036

• 11d · All other revenue

  total $3,200,868 · related or exempt $3,200,868

• 11e · Other revenue, total

  $54,341,728

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $47,138,913 · program services $47,138,913

• 5 · Compensation of officers, directors and key employees

  total $374,342 · management and general $374,342

• 7 · Other salaries and wages

  total $851,966,399 · program services $754,490,254 · management and general $97,476,145

• 8 · Pension plan contributions

  total $44,536,200 · program services $39,423,444 · management and general $5,112,756

• 9 · Other employee benefits

  total $107,495,152 · program services $95,156,479 · management and general $12,338,673

• 10 · Payroll taxes

  total $66,912,207 · program services $59,230,686 · management and general $7,681,521

• 11a · Fees: management

  total $190,419 · management and general $190,419

• 11b · Fees: legal

  total $6,906,645 · management and general $6,906,645

• 11c · Fees: accounting

  total $6,707,643 · management and general $6,707,643

• 11d · Fees: lobbying

  total $239,345 · management and general $239,345

• 11f · Fees: investment management

  total $2,530,951 · management and general $2,530,951

• 11g · Fees: other

  total $245,943,418 · program services $222,726,087 · management and general $23,217,331

• 12 · Advertising and promotion

  total $451,730 · program services $87,989 · management and general $363,741

• 13 · Office expenses

  total $38,327,268 · program services $17,288,738 · management and general $21,038,530

• 14 · Information technology

  total $6,995,305 · program services $6,192,244 · management and general $803,061

• 16 · Occupancy

  total $8,397,839 · program services $7,433,767 · management and general $964,072

• 17 · Travel

  total $1,212,498 · program services $55,493 · management and general $1,157,005

• 19 · Conferences, conventions and meetings

  total $1,640,162 · program services $1,450,234 · management and general $189,928

• 20 · Interest

  total $26,643,269 · program services $26,643,269

• 22 · Depreciation, depletion and amortization

  total $112,630,340 · program services $99,700,377 · management and general $12,929,963

• 23 · Insurance

  total $34,195,081 · program services $30,010,771 · management and general $4,184,310

• 24a · Other expenses: MEDICAL SUPPLIES

  total $1,040,084,155 · program services $1,040,084,155 · management and general $0

• 24b · Other expenses: PURCHASED SERVICES

  total $517,239,756 · program services $385,059,347 · management and general $132,180,409

• 24c · Other expenses: PATIENT CARE

  total $88,829,841 · program services $88,829,841 · management and general $0

• 24d · Other expenses: FOOD COSTS

  total $10,417,332 · program services $8,729,031 · management and general $1,688,301

• 24e · All other expenses

  total $18,450,816 · program services $16,824,426 · management and general $1,626,390

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $38,904,145 · end of year $35,016,438

• 2 · Savings and temporary cash investments

  beginning of year $267,067 · end of year $267,677

• 3 · Pledges and grants receivable

  beginning of year $300,000 · end of year $2,938,275

• 4 · Accounts receivable

  beginning of year $397,197,321 · end of year $493,785,370

• 7 · Other notes and loans receivable

  beginning of year $121,601,480 · end of year $111,358,871

• 8 · Inventories for sale or use

  beginning of year $95,917,489 · end of year $102,683,293

• 9 · Prepaid expenses and deferred charges

  beginning of year $7,791,788 · end of year $12,370,683

• 10a · Land, buildings and equipment: cost or other basis

  $2,662,388,720

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,531,493,075

• 10c · Land, buildings and equipment, net

  beginning of year $1,108,440,721 · end of year $1,130,895,645

• 12 · Investments: other securities

  beginning of year $1,404,372,022 · end of year $1,452,908,502

• 15 · Other assets

  beginning of year $288,672,969 · end of year $264,487,863

• 17 · Accounts payable and accrued expenses

  beginning of year $285,704,570 · end of year $325,811,661

• 18 · Grants payable

  beginning of year $2,124,095 · end of year $1,009,008

• 19 · Deferred revenue

  beginning of year $2,372,944 · end of year $1,187,093

• 25 · Other liabilities

  beginning of year $1,214,970,418 · end of year $1,194,303,894

• 27 · Net assets without donor restrictions

  beginning of year $1,948,190,652 · end of year $2,071,511,547

• 28 · Net assets with donor restrictions

  beginning of year $10,102,323 · end of year $12,889,414

The filer's explanations (Part III)

PART I, LINE 1A

THE ORGANIZATION WILL PROVIDE TAX GROSS UP PAYMENTS IN CERTAIN CIRCUMSTANCES WITH APPROPRIATE LEVELS OF REVIEW AND APPROVAL. DURING THE TAX YEAR, ONE OFFICER AND TWO EMPLOYEES OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUALS.

PART I, LINE 4B

A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2023 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2023. KEVIN SOWERS $203,752.20; PETER MANCINO $32,522.41; SALLY MACCONNELL $132,553.00; JAMES SCHEULEN $13,870.00; RENEE DEMSKI $35,319.88; DEBORAH BAKER $49,263.30; REDONDA MILLER $147,291.77; PETER HILL $228,151.41 AND KRISTENA LUKISH $50,458.78.

PART I, LINE 7

ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. DEPENDENT TUITION REIMBURSEMENT: DUE TO THEIR CLOSE COLLABORATION WITH THE JOHNS HOPKINS UNIVERSITY (JHU), JHHSC PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHSC EMPLOYEES. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEARS OF FULL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• JHMI UTILITIES LLC

  RELATED · UTILITY FACILITIES · MD · 50% owned

• JOHNS HOPKINS MEDICINE INTERNATIONAL LLC

  MEDICAL SVCS · MD

• JOHNS HOPKINS HEALTHCARE LLC

  MEDICAL SVCS · MD

• WEST COUNTY MEDICAL LLC

  REAL ESTATE · MD

• MARYLAND HEALTH ADVANTAGE LLC

  HOLDING COMPANY · DE

• JOHNS HOPKINS SURGERY CENTER SERIES

  SURGERY · MD

• JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS

  HEALTHCARE SVC · MD

• JOHNS HOPKINS HEALTH CARE AND SURGERY CENTER DEVELOPMENT LLC

  LEASING REAL PROPERTY · MD

• HOWARD COUNTY NEONATAL SERVICES SERIES

  NEONATAL HEALTH · MD

• HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC

  GROUP PURCHASING · MD

• JOHNS HOPKINS PERSONALIZED CARE LLC

  MEDICAL SVCS · MD

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• HOWARD COUNTY HEALTH SERVICES INC

  C · HEALTHCARE MANAGEMENT · MD

• JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION

  C · NURSING SERVICES · MD

• JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC

  C · BENEFIT PLANS · MD

• TCAS INC

  C · NURSING SERVICES · MD

• SUBURBAN HEALTH ENTERPRISES INC

  C · MEDICAL OFFICE LEASING AND RELEASING · MD

• SSA HOLDCO INC

  C · INVESTMENT · PA

• SAFETOWER INC

  C · MEDICAL TECH COMPANY · DE