Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $36,202,159

• 1e · Government grants (contributions)

  $5,653,433

• 1f · All other contributions, gifts and grants

  $1,917,676

• 2a · Program service revenue: AFFILIATION FEE

  total $614,124,884 · related or exempt $611,939,099 · unrelated business $2,185,785

• 2b · Program service revenue: PACE PROG. REV.

  total $19,430,675 · related or exempt $19,430,675

• 2c · Program service revenue: CARE TRANSFORMATION SV

  total $6,119,815 · related or exempt $6,119,815

• 3 · Investment income

  total $65,241,857 · excluded $65,241,857

• 6a · Gross rents

  real property $11,128,178

• 6b · Less rental expenses

  real property $2,674,542

• 6c · Rental income or loss

  real property $8,453,636

• 6d · Net rental income or loss

  total $8,453,636 · unrelated business $1,706 · excluded $8,451,930

• 7a · Gross sales of assets other than inventory

  securities $304,587

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

  securities $0 · other assets $27,736

• 7c · Gain or loss

  securities $304,587 · other assets -$27,736

• 7d · Net gain or loss

  total $276,851 · excluded $276,851

• 11a · Other revenue: MISCELLANEOUS INCOME

  total $26,353,065 · excluded $26,353,065

• 11e · Other revenue, total

  $26,353,065

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $23,292,471 · program services $23,292,471

• 5 · Compensation of officers, directors and key employees

  total $27,884,514 · management and general $27,884,514

• 7 · Other salaries and wages

  total $330,614,787 · program services $316,682,095 · management and general $13,932,692

• 8 · Pension plan contributions

  total $44,496,425 · program services $41,728,128 · management and general $2,768,297

• 9 · Other employee benefits

  total $32,571,857 · program services $29,244,925 · management and general $3,326,932

• 10 · Payroll taxes

  total $60,146,517 · program services $53,530,400 · management and general $6,616,117

• 11b · Fees: legal

  total $1,629,892 · management and general $1,629,892

• 11c · Fees: accounting

  total $3,238,358 · management and general $3,238,358

• 11d · Fees: lobbying

  total $356,449 · management and general $356,449

• 11f · Fees: investment management

  total $47,103 · management and general $47,103

• 11g · Fees: other

  total $27,939,924 · program services $24,866,532 · management and general $3,073,392

• 12 · Advertising and promotion

  total $10,177,060 · program services $10,177,060

• 13 · Office expenses

  total $6,946,083 · program services $6,182,014 · management and general $764,069

• 14 · Information technology

  total $30,216,643 · program services $26,892,812 · management and general $3,323,831

• 16 · Occupancy

  total $16,585,368 · program services $14,760,978 · management and general $1,824,390

• 17 · Travel

  total $1,610,791 · program services $1,433,604 · management and general $177,187

• 19 · Conferences, conventions and meetings

  total $989,276 · program services $880,456 · management and general $108,820

• 20 · Interest

  total $65,456,570 · program services $65,456,570

• 22 · Depreciation, depletion and amortization

  total $12,844,512 · program services $12,844,512

• 23 · Insurance

  total $612,611 · management and general $612,611

• 24a · Other expenses: PURCHASED SERVICES

  total $125,362,133 · program services $112,821,709 · management and general $12,540,424 · fundraising $0

• 24b · Other expenses: COLLECTION AGENCY EXPEN

  total $11,687,658 · program services $11,687,658 · management and general $0 · fundraising $0

• 24c · Other expenses: DUES & SUBSCRIPTIONS

  total $1,535,873 · program services $1,366,927 · management and general $168,946 · fundraising $0

• 24d · Other expenses: FOOD COSTS

  total $491,894 · program services $437,786 · management and general $54,108 · fundraising $0

• 24e · All other expenses

  total $455,091 · program services $405,031 · management and general $50,060

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  end of year $1

• 2 · Savings and temporary cash investments

  beginning of year $440,962,122 · end of year $377,653,536

• 4 · Accounts receivable

  beginning of year $33,955,016 · end of year $44,497,206

• 7 · Other notes and loans receivable

  beginning of year $1,448,618,955 · end of year $1,451,378,174

• 9 · Prepaid expenses and deferred charges

  beginning of year $12,696,919 · end of year $25,014,926

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

  $177,661,630

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

  $114,608,329

• 10c · Land, buildings and equipment, net

  beginning of year $59,792,971 · end of year $63,053,301

• 12 · Investments: other securities

  beginning of year $191,600,364 · end of year $193,904,699

• 15 · Other assets

  beginning of year $50,480,660 · end of year $153,924,187

• 17 · Accounts payable and accrued expenses

  beginning of year $161,517,703 · end of year $191,941,809

• 19 · Deferred revenue

  beginning of year $2,751,181 · end of year $825,246

• 20 · Tax-exempt bond liabilities

  beginning of year $648,056,713 · end of year $632,470,770

• 24 · Unsecured notes and loans payable

  beginning of year $991,663,000 · end of year $972,308,000

• 25 · Other liabilities

  beginning of year $274,245,882 · end of year $403,574,770

• 27 · Net assets without donor restrictions

  beginning of year $159,822,528 · end of year $108,135,744

• 28 · Net assets with donor restrictions

  beginning of year $50,000 · end of year $169,691

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, FOUR OFFICERS AND TWO KEY EMPLOYEES OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUALS. JHHS POLICY ALLOWS FOR CORPORATE SOCIAL CLUB MEMBERSHIPS, BUT SUCH MEMBERSHIPS ARE FOR STRICT BUSINESS USE. SUCH DEPARTMENTAL OR DIVISIONAL MEMBERSHIPS CANNOT BE USED FOR ANY PERSONAL USE. AS SUCH, USE OF SUCH MEMBERSHIPS FOR JHHS BUSINESS IS NOT TREATED AS TAXABLE COMPENSATION. JHHS EMPLOYS A DRIVER TO ACCOMMODATE THE FREQUENT TRAVEL OF THE JHHS PRESIDENT. THE PERSONAL AND BUSINESS TIME FOR THE DRIVER IS LOGGED AND ANY PERSONAL USE IS TREATED AS TAXABLE COMPENSATION TO THE PRESIDENT.

PART I, LINES 4A-B

SEVERANCE PAYMENTS: ANGELO MOJICA $291,237.50 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 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 2024 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 2024. KEVIN SOWERS $534,431.31; DEBORAH BAKER $42,883.73; ANATOLY GIMBURG $12,588; PETER HILL $55,562.04; SALLY MACCONNELL $148,349; TODD NESBIT $34,079; JESSICA MELTON $41,082.42; HASAN ZIA $67,402.59; MOHAMMED SHAFEEQ AHMED $40,273.07; STEVEN J. KRAVET $67,996; MARY COOKE $34,654; MIKE LARSON $159,787; INEZ STEWART $196,403.58; PETER MANCINO $31,222.37; J. EDWARD BERANEK $30,725.43; REDONDA MILLER $125,986.69; JAMES HOLLAND $117,385.28; CAROLYN CARPENTER $74,904.26; ALICIA SCHULHOF $33,088.74 AND EDWARD KUMIAN $28,903.20.

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), JHHS PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHS 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.

PART VII, SECTION A, QUESTION 5

ZAL SARKARI SERVED AS THE INTERIM VICE PRESIDENT OF REVENUE CYCLE MANAGEMENT DURING FISCAL YEAR 2025 UNDER A CONSULTING ARRANGEMENT BETWEEN THE ORGANIZATION AND DELOITTE CONSULTING LLP. MR. SARKARI WAS NOT AN EMPLOYEE OF THE ORGANIZATION; RATHER, HE WAS ENGAGED THROUGH DELOITTE CONSULTING LLP TO PROVIDE INTERIM EXECUTIVE LEADERSHIP SERVICES. ALL FEES FOR THESE SERVICES WERE PAID DIRECTLY TO DELOITTE CONSULTING LLP IN ACCORDANCE WITH THE TERMS OF THE CONSULTING AGREEMENT. THE AMOUNTS REPORTED IN PART VII, SECTION A, REFLECT THE PORTION OF FEES ALLOCABLE TO SERVICES PROVIDED TO THE ORGANIZATION.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• HCGH OBGYN ASSOCIATES SERIES

  OBSTETRICS AND GYNECOLOGY · MD · income $0 · assets $5,000

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JHCSC LLC

  LEASING REAL PROPERTY · MD · income $13,326,000 · assets $65,670,000

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JOHNS HOPKINS CLINICAL ALLIANCE LLC

  CLINICALLY INTEGRATED NETWORK · MD · income $5,992,000 · assets $3,382,000

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JHHS INNOVATION LLC

  INVESTMENT · MD · income $7,985,000 · assets $4,422,000

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

Related partnerships

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

• JOHNS HOPKINS MEDICINE INTERNATIONAL LLC

  RELATED · MEDICAL SERVICE · MD · 27.5% owned · share of income $7,908,440 · share of assets $16,966,662

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JOHNS HOPKINS HEALTHCARE LLC

  RELATED · MEDICAL SERVICE · MD · 30.7% owned · share of income $9,849,740 · share of assets $268,621,889

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JHMI UTILITIES LLC

  UTILITY FACILITIES · MD

• HOWARD COUNTY NEONATAL SERVICES SERIES

  RELATED · NEONATAL HEALTH · MD · 50% owned

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JOHNS HOPKINS SURGERY CENTER SERIES

  RELATED · SURGERY · MD · 50% owned · share of income -$2,540,270 · share of assets $20,280,474

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• WEST COUNTY MEDICAL LLC

  RELATED · REAL ESTATE · MD · 50% owned · share of income $451,777 · share of assets $5,989,779

• JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS LLC

  RELATED · HEALTHCARE SERVICES · MD · 50% owned · share of assets $23,607,054

• HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC

  GROUP PURCHASING · MD

• JOHNS HOPKINS HEALTH CARE AND SURGERY CENTER DEVELOPMENT LLC

  RELATED · LEASING REAL PROPERTY · MD · 50% owned · share of income $853,962 · share of assets $17,953,302 · general or managing partner

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• MARYLAND HEALTH ADVANTAGE LLC

  HOLDING COMPANY · DE

• 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 · 100% owned · share of income $677 · share of assets $5,675,662 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION

  C · NURSING SERVICES · MD · 100% owned · share of income $139,032,301 · share of assets $84,196,942 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC

  C · BENEFIT PLANS · MD · 100% owned · share of income $20,699,566 · share of assets $6,587,303 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• TCAS INC

  C · NURSING SERVICES · MD

  Directly controlled by JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION

• SUBURBAN HEALTH ENTERPRISES INC

  C · MEDICAL OFFICE LEASING AND RELEASING · MD

  Directly controlled by SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC

• SSA HOLDCO INC

  C · HOLDING COMPANY · PA · 100% owned · share of income $3,952,155 · share of assets $2,342,138 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• SAFETOWER INC

  C · DATA PROCESSING · DE · 98.27% owned · share of income $423,823 · share of assets $648,023 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION

• ILLUSTRA HEALTH INC

  C · SOFTWARE ANALYTICS · DE · 99.42% owned · share of income $242,988 · share of assets $3,773,669 · controlled entity

  Directly controlled by JOHNS HOPKINS HEALTH SYSTEM CORPORATION