TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) JOHN B CHESSARE MD...................................................................... DIRECTOR/CEO GBMC HEALTHCARE	32.00 ................. 28.00	X	X	1,139,114	33,270
(2) ROBIN MOTTER-MAST DO...................................................................... DIRECTOR/CHIEF OF STAFF	50.00 ................. 10.00	X	X	421,636	35,567
(3) J CHRISTOPHER GREENAWALT MD...................................................................... DIRECTOR/VICE CHIEF OF STAFF	50.00 ................. 10.00	X	X	369,702	21,001
(4) FAITH E THOMAS...................................................................... CHAIR	1.00 ................. 2.00	X	X	0	0
(5) TIMOTHY L KRONGARD...................................................................... CO VICE CHAIR	1.00 ................. 1.00	X	X	0	0
(6) JAMES B STRADTNER...................................................................... CO VICE CHAIR	1.00 ................. 1.00	X	X	0	0
(7) STEPHEN T SCOTT...................................................................... TREASURER	1.00 ................. 1.00	X	X	0	0
(8) CHRISTINA FITTS...................................................................... SECRETARY	1.00 ................. 1.00	X	X	0	0
(9) ROBERT AUMILLER...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(10) HEIDI KENNY BERMAN...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(11) SANDRA BERMAN...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(12) MONIQUE BOOKER...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(13) TOBI HOLLANDER...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(14) FREDERICK M HUDSON...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(15) HARRY S JOHNSON...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(16) LEON KAPLAN...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(17) ANTHONY V MILANDO...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PATRICIA J MITCHELL........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(19) BERNARD RHEE........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0
(20) STEPHEN PLANO........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(21) JOHN R SAUNDERS MD........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(22) MICHELLE SIRI........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(23) STUART A SMITH III........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0
(24) DEVON SMITH DVM........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0
(25) BONNIE B STEIN........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0
(26) STEVEN A THOMAS........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(27) ALEXIS THOMPSON........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(28) MARION G THOMPSON........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0
(29) JOHN L FLOWERS MD........................................................................ EVP & CHIEF MEDICAL OFFICER	50.00 .......................10.00		X			824,782	40,927
(30) LAURIE R BEYER........................................................................ EVP & CFO GBMC HEALTHCARE	40.00 .......................20.00		X			700,392	115,031
(31) CATHERINE HAMEL........................................................................ EVP/PRES. GILCHRIST & CHIEF STRATEGY OFFICER	20.00 .......................40.00			X		621,557	35,771
(32) CARL JEAN-BAPTISTE........................................................................ GENERAL COUNSEL & SVP FOR LEGAL SERVICES	40.00 .......................20.00			X		402,632	67,585
(33) ANNA-MARIA G PALMER........................................................................ SVP HR AND ORG DEVELOPMENT AND CHRO	40.00 .......................20.00			X		484,241	71,884
(34) ERLENE WASHINGTON........................................................................ SVP & COO OF GBMC HEALTH PARTNERS	50.00 .......................10.00			X		456,532	73,652
(35) JENNY COLDIRON........................................................................ SVP OF DEVELOPMENT AND MARKETING	10.00 .......................50.00			X		429,487	30,662
(36) STACEY L MCGREEVY........................................................................ EVP & COO HOSPITAL	50.00 .......................10.00			X		436,110	77,403
(37) ANGELA FEURER........................................................................ SVP AND CNO	10.00 .......................50.00			X		392,473	76,792
(38) CAROLYN L CANDIELLO........................................................................ SVP OF QUALITY AND PATIENT SAFETY	59.00 .......................1.00			X		375,116	29,100
(39) MICHAEL STEIN........................................................................ SVP CLINICAL & SUPPORT OPPS	50.00 .......................10.00			X		326,318	61,053
(40) DAVID J HYNSON........................................................................ VP & CIO (PART YEAR)	45.00 .......................15.00			X		239,542	6,871
(41) VICTOR A KHOUZAMI MD........................................................................ CHAIR/PHYSICIAN	60.00 .......................0.00				X	1,295,261	34,268
(42) BIMAL G RAMI MD........................................................................ PHYSICIAN	60.00 .......................0.00				X	1,214,999	37,991
(43) NIRAJ JANI MD........................................................................ PHYSICIAN	60.00 .......................0.00				X	797,330	38,239
(44) ANEESHA VARREY MD........................................................................ PHYSICIAN	60.00 .......................0.00				X	748,593	11,465
(45) CHEN GANG MD........................................................................ PHYSICIAN	60.00 .......................0.00				X	886,445	14,330

(A) Name and business address	(B) Description of services	(C) Compensation
SHEPPARD PRATT HEALTH SYSTEM 6501 N CHARLES STREET BALTIMORE,MD21204	CONTRACTED PHYSICIAN & MEDICAL SERVICES	5,325,788
COMPUTER DESIGN & INTEGRATION 500 FIFTH AVENUE SUITE 1500 NEW YORK,NY10110	INFORMATION TECHNOLOGY SERVICES	5,032,384
JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE,MD21205	RESIDENCY PROGRAM	4,887,673
HEALTH CAROUSEL LLC 4000 SMITH ROAD CINCINNATI,OH45209	MEDICAL STAFFING	4,715,095
SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG,MD20878	MANAGEMENT - HOTEL SERVICES	4,437,611
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 122

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization GREATER BALTIMORE MEDICAL CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization GREATER BALTIMORE MEDICAL CENTER INC		Employer identification number 52-6049658

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization GREATER BALTIMORE MEDICAL CENTER INC			Employer identification number 52-6049658
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

29,110

Total. Add lines 1c through 1i ....................................................................................................

29,110

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	GOVERNMENT RELATIONS IS A FUNCTION WITHIN THE MARKETING AND COMMUNICATIONS DEPARTMENT OF GBMC HEALTHCARE. IN THIS ROLE, A STAFF MEMBER DEVOTES A PORTION OF HIS TIME SERVING ON THE LEGISLATIVE COMMITTEE OF THE MARYLAND HOSPITAL ASSOCIATION AND ATTENDS REGULAR COMMITTEE MEETINGS DURING THE STATE LEGISLATIVE SESSION. ADDITIONALLY, THIS ROLE INVOLVES THE COORDINATION OF PERIODIC TOURS OF GBMC WITH LOCAL AND STATE ELECTED OFFICIALS. A PORTION OF THIS PERSON'S SALARY IS ALLOCATED TO LOBBYING COSTS ($23,383). THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES ($5,727).

Return Reference

Explanation

PART II-B, LINE 1:

GOVERNMENT RELATIONS IS A FUNCTION WITHIN THE MARKETING AND COMMUNICATIONS DEPARTMENT OF GBMC HEALTHCARE. IN THIS ROLE, A STAFF MEMBER DEVOTES A PORTION OF HIS TIME SERVING ON THE LEGISLATIVE COMMITTEE OF THE MARYLAND HOSPITAL ASSOCIATION AND ATTENDS REGULAR COMMITTEE MEETINGS DURING THE STATE LEGISLATIVE SESSION. ADDITIONALLY, THIS ROLE INVOLVES THE COORDINATION OF PERIODIC TOURS OF GBMC WITH LOCAL AND STATE ELECTED OFFICIALS. A PORTION OF THIS PERSON'S SALARY IS ALLOCATED TO LOBBYING COSTS ($23,383). THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES ($5,727).

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	46,073,595	40,818,185	38,625,980	45,212,836	3,775,539
b	Contributions ...	5,826,574	3,550,053	2,394,158	3,486,805	1,488,212
c	Net investment earnings, gains, and losses	4,226,814	4,933,533	2,723,286	-5,035,114	11,549,578
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,828,576	3,228,196	2,924,903	5,038,547	5,400,493
f	Administrative expenses ....
g	End of year balance ......	52,298,407	46,073,595	40,818,521	38,625,980	45,212,836

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

65.290 %

Term endowment right arrow

34.710 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	15,290,673		15,290,673
b	Buildings ....	552,744,374	283,122,355	269,622,019
c	Leasehold improvements	15,948,313	9,093,844	6,854,469
d	Equipment ....	164,680,605	123,492,104	41,188,501
e	Other .....	143,776,585	107,909,205	35,867,380
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				368,823,042

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) CLOSELY HELD INVESTMENTS	6,670,444	C
(B) ALTERNATIVE INVESTMENTS	55,626,101	C
(C) PARTNERSHIP INVESTMENTS	1,884,702	C
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	64,181,247

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTERCOMPANY RECEIVABLES				82,330,860
(2)DEFERRED ASSETS				23,104
(3)RIGHT OF USE ASSETS				39,321,841
(4)DONATED TIMESHARE				44,500
(5)DUE FROM AFFILIATES - LONG TERM				3,479,104
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				125,199,409

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
CAPITAL & OPERATING LEASES	57,158,471
OTHER LIABILITIES	9,913,518
CHARITABLE GIFT ANNUITY	1,134,910
INSURANCE RESERVES	2,358,994
OTHER THIRD PARTY ADVANCES	15,926,139
INTERCOMPANY PAYABLES	56,084,416



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	142,576,448
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

GREATER BALTIMORE MEDICAL CENTER, INC, HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - ONCOLOGY, PEDIATRICS, EMERGENCY DEPARTMENT, CHAPEL, OPHTHALMOLOGY, AND SAFE {DOMESTIC VIOLENCE PROGRAM), 2) RESEARCH - SUPPORT CLINICAL RESEARCH PERFORMED AT GREATER BALTIMORE MEDICAL CENTER, 3) EDUCATION - SUPPORT EDUCATION PROGRAMS, LECTURES AND SCHOLARSHIPS, CENTER FOR NURSING EXCELLENCE, 4) GENERAL SUPPORT FOR GREATER BALTIMORE MEDICAL CENTER, 5) UNCOMPENSATED CARE.

PART X, LINE 2:

GREATER BALTIMORE MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. AND SUBSIDIARIES, WHICH INCLUDES BOTH TAXABLE AND TAX-EXEMPT AFFILIATES. THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY IS SUBJECT TO INCOME TAX ON UNRELATED BUSINESS INCOME. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS STANDARD ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF AND DURING THE YEARS ENDED JUNE 30, 2025 AND 2024 FOR UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1	0	INVESTMENT EXPENDITURES	14,580,350
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1	0	INVESTMENTS	19,788,812
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	INVESTMENTS	3,736,266














3a	Sub-total ....	1	0		38,105,428
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	1	0		38,105,428

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) (Rev. 1-2025)

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 WALK A MILE (event type)	(b) Event #2 GBMC GOLF OUTINGS (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	252,442	157,634	142,384	552,460
2	Less: Contributions . . . .	247,876	135,134	135,122	518,132
3	Gross income (line 1 minus line 2) . . . . . .	4,566	22,500	7,262	34,328

4	Cash prizes . . . . .
5	Noncash prizes . . . .	12,610		9,792	22,402
6	Rent/facility costs . . . .	18,613	59,934	14,077	92,624
7	Food and beverages . . .	31,910		26,772	58,682
8	Entertainment . . . .	1,287		2,454	3,741
9	Other direct expenses . . .	482	775	14,878	16,135
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				193,584
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-159,256

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) (Rev. 1-2025)

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,421,094		4,421,094	0.650 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	4,421,094		4,421,094	0.650 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,366,133	447,676	1,918,457	0.280 %
f	Health professions education (from Worksheet 5) . . .	8,680,303	589,228	8,091,075	1.190 %
g	Subsidized health services (from Worksheet 6) . . . .	204,934,935	143,417,024	61,517,911	9.070 %
h	Research (from Worksheet 7) .	666,517	608,401	58,116	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	146,072	0	146,072	0.020 %
j	Total. Other Benefits . .	216,793,960	145,062,329	71,731,631	10.570 %
k	Total. Add lines 7d and 7j .	221,215,054	145,062,329	76,152,725	11.220 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support			36,801		36,801	0.010 %
4	Environmental improvements
5	Leadership development and training for community members			11,590		11,590	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			48,391		48,391	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

13,928,682

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

133,496,844

Enter Medicare allowable costs of care relating to payments on line 5.....

103,737,377

Subtract line 6 from line 5. This is the surplus (or shortfall)........

29,759,467

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE,MD21204 WWW.GBMC.ORG 03-015	X	X	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GREATER BALTIMORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.GBMC.ORG/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.GBMC.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GREATER BALTIMORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	GREATER BALTIMORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	GREATER BALTIMORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
GREATER BALTIMORE MEDICAL CENTER	PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), GBMC ENGAGED A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES - INCLUDING PUBLIC HEALTH OFFICIALS, MEDICAL PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, CHILD AND YOUTH ADVOCATES, AND FAITH-BASED LEADERS - TO PARTICIPATE IN A SURVEY IDENTIFYING THE MOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITY. THESE RESPONSES WERE INCORPORATED INTO THE OFFICIAL CHNA REPORT. BI-ANNUALLY, GBMC HOSTS TWO ANNUAL COMMUNITY STAKEHOLDER MEETINGS TO GATHER FEEDBACK ON INITIATIVES AND PROGRESS TOWARD GOALS. COMMUNITY INPUT INCLUDED CONSULTATIONS WITH BEHAVIORAL HEALTH SYSTEMS BALTIMORE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) MARYLAND, AND THE BALTIMORE COUNTY DEPARTMENT OF HEALTH.
GREATER BALTIMORE MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: NORTHWEST HOSPITAL (LIFEBRIDGE HEALTH), SHEPPARD PRATT, UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, AND MEDSTAR FRANKLIN SQUARE MEDICAL CENTER.
GREATER BALTIMORE MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH ONE NON-HOSPITAL FACILITY, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH.
GREATER BALTIMORE MEDICAL CENTER	PART V, SECTION B, LINE 11: GBMC HAS IMPLEMENTED TARGETED PROGRAMS ADDRESSING PRIORITY NEEDS IDENTIFIED IN THE CHNA, FOCUSING ON AREAS WHERE THE ORGANIZATION CAN MAKE THE GREATEST IMPACT AS FOLLOWS: BEHAVIORAL HEALTH, PHYSICAL HEALTH, AND HEALTH DISPARITIES. KEY INITIATIVES INCLUDE:- BEHAVIORAL HEALTH INTEGRATION: COLLABORATIVE CARE MODEL (COCM) EMBEDDED WITHIN GBMC'S PRIMARY CARE PRACTICES WAS DEVELOPED IN COORDINATION WITH SHEPPARD PRATT. IN FY25, CARE PROVIDED TO 1,819 PATIENTS, IMPROVING BEHAVIORAL HEALTH OUTCOMES AND REDUCING EMERGENCY DEPARTMENT UTILIZATION.- EXPANDED CARE COORDINATION/CARE MANAGEMENT: PATIENTS ARE MANAGED THROUGH PRIMARY CARE PRACTICES BY A TWO-PERSON CARE TEAM WHO DEVELOP INDIVIDUALIZED CARE PLANS. THESE TEAMS FOLLOW UP AFTER EMERGENCY VISITS OR HOSPITALIZATIONS TO ENSURE CONTINUITY AND REDUCE READMISSIONS. THIS INITIATIVE ADVANCES GBMC'S MISSION TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN THE COMMUNITY. IN FY25, THE PROGRAM MANAGED APPROXIMATELY 30,000 PATIENT ENCOUNTERS.- GBMC HEALTHCARE'S ELDER MEDICAL CARE (EMC) PROGRAM, IN PARTNERSHIP WITH GILCHRIST, BRINGS PRIMARY CARE DIRECTLY TO SENIORS AT HOME AND EXPANDS ACCESS IN UNDERSERVED BALTIMORE CITY COMMUNITIES. THIS INNOVATIVE APPROACH REDUCES BARRIERS LIKE TRANSPORTATION AND IMPROVES HEALTH OUTCOMES FOR FRAIL, CHRONICALLY ILL PATIENTS.GBMC'S EMC PROGRAM DELIVERS PRIMARY CARE TO SENIORS IN THEIR HOMES AND UNDERSERVED BALTIMORE COMMUNITIES, REDUCING BARRIERS LIKE TRANSPORTATION AND IMPROVING HEALTH EQUITY. WITH ADDED SUPPORT SUCH AS FREE LYFT RIDES AND CONNECTIONS TO FOOD AND BEHAVIORAL HEALTH RESOURCES, GBMC IS TRANSFORMING ELDER CARE BY KEEPING PATIENTS HEALTHIER AT HOME, LOWERING COSTS, AND REDUCING DISPARITIES.ADDITIONAL COMMUNITY-FOCUSED PROGRAMS INCLUDE:- SAFE & DOMESTIC VIOLENCE PROGRAM: GBMC PARTNERS WITH BALTIMORE COUNTY LAW ENFORCEMENT, THE CHILD ADVOCACY CENTER, THE STATE'S ATTORNEY'S OFFICE, AND THE MARYLAND CENTER FOR SCHOOL SAFETY TO IMPROVE VICTIM SAFETY AND WELL-BEING. THE SAFE PROGRAM PROVIDES COMPREHENSIVE MEDICAL FORENSIC SERVICES AND ADVOCACY FOR VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE, AND HUMAN TRAFFICKING. COVERAGE IS AVAILABLE 365 DAYS PER YEAR WITH AT LEAST ONE FORENSIC NURSE AND AN ADVOCATE ON CALL; OFTEN TWO FORENSIC NURSES ARE AVAILABLE. SAFE CONTINUES TO EXPAND SERVICES FOR PEDIATRIC SEXUAL ABUSE, HUMAN TRAFFICKING VICTIMS, AND INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY. IN FY24, THE PROGRAM WAS RECOGNIZED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR INNOVATION IN HUMAN TRAFFICKING PREVENTION.- COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP): IN FY25, GBMC PERFORMED 308 BARIATRIC SURGERIES; 98% WERE COMPLETED WITHOUT COMPLICATIONS WITHIN 30 DAYS.- GECKLE DIABETES & NUTRITION CENTER: DIABETES PREVENTION AND MANAGEMENT. THE CENTER OFFERS A COMPREHENSIVE, EVIDENCE-BASED APPROACH TO HELP INDIVIDUALS LIVE HEALTHIER LIVES. SERVICES INCLUDE PERSONALIZED NUTRITION COUNSELING, DIABETES EDUCATION CLASSES, MEAL PLANNING, AND PHYSICAL ACTIVITY GUIDANCE - ALL DELIVERED BY A MULTIDISCIPLINARY TEAM OF REGISTERED DIETITIANS, CERTIFIED DIABETES EDUCATORS, AND NURSES.TO IMPROVE ACCESS, GBMC HAS EXPANDED THESE SERVICES BEYOND THE MAIN CAMPUS INTO PRIMARY CARE OFFICES, MAKING EXPERT SUPPORT MORE CONVENIENT FOR PATIENTS. BY TEACHING SELF-MANAGEMENT SKILLS AND PROMOTING LIFESTYLE CHANGES, THE PROGRAM REDUCES COMPLICATIONS, IMPROVES BLOOD GLUCOSE CONTROL, AND ENHANCES QUALITY OF LIFE. THESE EFFORTS DIRECTLY ALIGN WITH GBMC'S MISSION TO PREVENT CHRONIC DISEASE AND EMPOWER PATIENTS TO TAKE CONTROL OF THEIR HEALTH.GBMC HAS IDENTIFIED SEVERAL BARRIERS IN IMPLEMENTING ITS CHNA INITIATIVES, INCLUDING MENTAL HEALTH STIGMA AND ISOLATION, A SHORTAGE OF PSYCHIATRIC PHYSICIANS, AND TRANSPORTATION CHALLENGES FOR PATIENTS. TO ADDRESS THESE ISSUES, GBMC CONTINUES TO IMPLEMENT SYSTEM-WIDE WORKFLOWS TO ASSESS AND MITIGATE SOCIAL DETERMINANTS OF HEALTH. DUE TO LIMITED RESOURCES, GBMC DID NOT PRIORITIZE VIOLENCE AND SAFETY DURING THIS CHNA CYCLE. INSTEAD, THE ORGANIZATION FOCUSED ON OTHER CRITICAL ISSUES AS DISCUSSED ABOVE TO ENSURE RESOURCES ARE USED EFFECTIVELY AND ACHIEVE THE GREATEST IMPACT ON COMMUNITY HEALTH.
GREATER BALTIMORE MEDICAL CENTER	PART V, SECTION B, LINE 16J: GBMC PROVIDES FINANCIAL ASSISTANCE FOR EMERGENT AND MEDICALLY NECESSARY CARE TO UNINSURED AND UNDERINSURED PATIENTS. THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGEMENT DOCUMENT THAT SUMMARIZES ITS FINANCIAL ASSISTANCE POLICY (FAP). THIS DOCUMENT IS GIVEN TO PATIENTS AT ADMISSION AND INCLUDED WITH INVOICE BILLING. NOTICES ARE PROMINENTLY DISPLAYED IN PATIENT AREAS, INCLUDING THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, AND SURGICAL SERVICE AREAS AND PATIENT REPRESENTATIVES ASSIST WITH APPLICATIONS. PRESUMPTIVE ELIGIBILITY IS DETERMINED THROUGH CREDIT SCORING AND ENROLLMENT IN MEANS-TESTED PROGRAMS SUCH AS WIC AND SNAP.
GREATER BALTIMORE MEDICAL CENTER, INC.:	PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORTPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.GBMC.ORG/SITES/DEFAULT/FILES/PDF/BILLING/GBMC-FINANCIAL-ASSISTANCE-APPLICATION.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.GBMC.ORG/SITES/DEFAULT/FILES/PDF/BILLING/GBMC-FINANCIAL-ASSISTANCE-POLICY.PDF

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT: OFFSETTING REVENUE REFERS TO INCOME GENERATED BY AN ACTIVITY DURING THE YEAR THAT REDUCES ITS TOTAL COMMUNITY BENEFIT EXPENSE. THIS INCLUDES ALL PAYMENTS OR REIMBURSEMENTS FOR SERVICES PROVIDED, AS WELL AS RESTRICTED GRANTS OR CONTRIBUTIONS USED TO SUPPORT THE SERVICE. DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, AND OTHER EXPENSES THAT ARE SPECIFICALLY ATTRIBUTABLE TO THE SERVICE AND WOULD NOT OCCUR WITHOUT IT. INDIRECT COSTS ARE DERIVED FROM AN INDIRECT COST RATIO CALCULATED FROM THE FY 2025 HSCRC ANNUAL COST REPORT AS DESCRIBED IN THE INSTRUCTIONS FOR THE COMMUNITY BENEFIT REPORT SUBMISSION. INDIRECT COSTS INCLUDE PATIENT CARE AND NON-PATIENT CARE OVERHEAD AS WELL AS CAPITAL FACILITIES ALLOWANCES. OVERHEAD INCLUDES, BUT IS NOT LIMITED TO, FINANCE, FACILITIES MANAGEMENT, AND HUMAN RESOURCES.
PART I, LINE 7G:	THE MAJORITY OF GBMC'S PHYSICIAN SUBSIDY (66%) SUPPORTS PHYSICIANS DELIVERING SERVICES IDENTIFIED BY THE HEALTH SYSTEM AS ESSENTIAL COMMUNITY NEEDS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, ONCOLOGY, ANESTHESIOLOGY, PRIMARY CARE, OBSTETRICS AND GYNECOLOGY, SURGERY, AND ORTHOPEDICS. IN FY25 GBMC INVESTED $49.4 MILLION IN PHYSICIAN SERVICES. ITS INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP COORDINATES PATIENT CARE ACROSS THE SYSTEM, EMPHASIZING PREVENTION AND WELLNESS, EVIDENCE-BASED PRACTICES, AND PROACTIVE MANAGEMENT OF CHRONIC CONDITIONS. BY EXPANDING CARE BEYOND THE ACUTE SETTING, GBMC HAS SIGNIFICANTLY REDUCED THE TOTAL COST OF CARE AND IMPROVED PATIENT ACCESS. THE REMAINING PORTION OF GBMC'S PHYSICIAN SUBSIDY SUPPORTS NON-RESIDENT ADVANCED PRACTITIONERS AND HOSPITALISTS.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES PATHWAYS TO HEALTH EQUITY PROGRAM GBMC IMPLEMENTED THE PATHWAYS TO HEALTH EQUITY PROGRAM TO REDUCE HEALTH DISPARITIES AND IMPROVE ACCESS TO CARE FOR UNDERSERVED COMMUNITIES IN BALTIMORE CITY. THIS INITIATIVE ADDRESSES SOCIAL DETERMINANTS OF HEALTH THROUGH PARTNERSHIPS AND OUTREACH, INCLUDING: - PRIMARY CARE EXPANSION: OFFERING FLEXIBLE HOURS, TRANSPORTATION ASSISTANCE, AND INTEGRATED CARE AT GBMC HEALTH PARTNERS JONESTOWN PRACTICE.- IN-HOME MEDICAL CARE: PROVIDING SERVICES FOR HOMEBOUND PATIENTS AGED 55+ WITH CHRONIC CONDITIONS THROUGH GILCHRIST ELDER MEDICAL CARE.- COMMUNITY SUPPORT & PARTNERSHIPS: COLLABORATING WITH LOCAL ORGANIZATIONS TO DELIVER FRESH GROCERIES, FITNESS PROGRAMS, MENTAL HEALTH SERVICES, LEGAL AND INSURANCE ASSISTANCE, AND TRANSPORTATION RESOURCES.- HEALTH EDUCATION & OUTREACH: HOSTING COMMUNITY EVENTS SUCH AS THE BMORE HEALTHY EXPO AND SHARING EDUCATIONAL RESOURCES ON CHRONIC DISEASE PREVENTION, SCREENINGS, AND WELLNESS.- EQUITY & ACCESS INITIATIVES: PROMOTING EQUITABLE HEALTHCARE, ADDRESSING OPIOID EPIDEMIC PREVENTION, AND SUPPORTING VICTIMS OF DOMESTIC VIOLENCE AND HUMAN TRAFFICKING. THIS INITIATIVE ACCOMPLISHED THE FOLLOWING IN FY25: - 713 NEW PATIENTS ENROLLED IN PRIMARY CARE- 100 HEALTH PROMOTION EVENTS HELD- 151,000 POUNDS OF FOOD DISTRIBUTED
PART III, LINE 2:	GBMC INC. ESTIMATES BAD DEBT EXPENSE THROUGH AN ANALYSIS OF ANNUAL COLLECTIONS, BAD DEBT, AND CONTRACTUAL RATES ON ACCOUNTS RECEIVABLE AS OF A SPECIFIC POINT IN TIME. THIS ANALYSIS, UPDATED MONTHLY, APPLIES COLLECTION, BAD DEBT, AND CONTRACTUAL RATES BASED ON ACCOUNT AGE AND PAYOR. SEE PART III, LINE 4.
PART III, LINE 3:	MARYLAND HOSPITALS ARE RATE-REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THIS METHODOLOGY, GREATER BALTIMORE MEDICAL CENTER, INC. CANNOT DETERMINE THE AMOUNT REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.
PART III, LINE 4:	THE COMPANY APPLIES ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, WHICH PROVIDES A PRINCIPLE-BASED FRAMEWORK FOR RECOGNIZING REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS AND SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS AND SERVICES. NET PATIENT SERVICE REVENUE IS RECOGNIZED, OVER TIME, AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE MAJORITY OF THE COMPANY'S HEALTHCARE SERVICES REPRESENT A BUNDLE OF SERVICES THAT ARE NOT CAPABLE OF BEING DISTINCT AND AS SUCH, ARE TREATED AS A SINGLE PERFORMANCE OBLIGATION SATISFIED OVER TIME AS SERVICES ARE RENDERED. THE COMPANY ALSO PROVIDES CERTAIN ANCILLARY SERVICES, WHICH ARE NOT INCLUDED IN THE BUNDLE OF SERVICES, AND AS SUCH, ARE TREATED AS SEPARATE PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, IF AND WHEN THOSE SERVICES ARE RENDERED. THE COMPANY'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES ESTIMATES OF EXPLICIT PRICE CONCESSIONS FOR SUCH ITEMS AS CONTRACTUAL ALLOWANCES, CHARITY CARE, POTENTIAL ADJUSTMENTS THAT MAY ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS, WHICH ARE DETERMINED USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR IMPLICIT PRICE CONCESSIONS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE, NET IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSES. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2025, AND 2024 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND AS MARYLAND HOSPITALS ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTS ARE REPORTED CONSISTENT WITH THE MEDICARE COST REPORT FILING.
PART III, LINE 9B:	PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR CHARITY CARE, ARE NOT MEDICAL ASSISTANCE ELIGIBLE, AND HAVE NO INSURANCE DO NOT RECEIVE INVOICES. THEY ARE AUTOMATICALLY REFERRED TO GBMC'S ASSUMPTIVE FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS RUN IN PARTNERSHIP WITH THE TRANSUNION CREDIT REPORTING AGENCY. ALL SELF-PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHICH UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE THE LIKELIHOOD OF ABILITY TO PAY BASED ON ESTIMATED INCOME AND FAMILY SIZE. THE RESULTS FROM THE TRANSUNION CREDIT SCORING ARE COMPARED TO GBMC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES.
PART VI, LINE 2:	OVER AN 8-MONTH PERIOD, GBMC CONDUCTED OUR TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROCESS WAS A COLLABORATIVE PROCESS IN WHICH WE GATHERED NEW AND EXISTING DATA TO ASSESS THE HEALTH OF OUR COMMUNITY. COMMUNITY BENEFIT ACTIVITIES ARE PLANNED, ORGANIZED, AND MEASURED APPROACHES TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS WITHIN A GIVEN SERVICE AREA. IT MOST OFTEN REQUIRES COLLABORATION WITH OTHER NON-PROFIT AND PUBLIC COMMUNITY-BASED ORGANIZATIONS AND MEETS THE FOLLOWING PARAMETERS: - IMPROVES THE HEALTH STATUS AND WELL-BEING OF SPECIFIC VULNERABLE POPULATIONS- GENERATES A LOW OR NEGATIVE MARGIN- IS NOT PROVIDED FOR MARKETING PURPOSES- SUPPORTS SERVICES OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS. THE 2023-2024 BALTIMORE COUNTY CHNA WAS A COLLABORATIVE EFFORT OF GBMC, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, NORTHWEST HOSPITAL OF LIFEBRIDGE HEALTH, SHEPPARD PRATT, AND THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER. SEVERAL STAFF FROM EACH ORGANIZATION COMPRISED THE CHNA STEERING COMMITTEE. THE PURPOSE OF THE CHNA WAS TO UNDERSTAND, QUANTIFY, AND ARTICULATE THE HEALTH NEEDS OF BALTIMORE COUNTY RESIDENTS AND THEN DETERMINE HEALTH PRIORITIES. MORE THAN 2,200 COMMUNITY MEMBERS AND STAKEHOLDERS CONTRIBUTED TO THE CHNA. THE DATA WAS COLLECTED THROUGH FOCUS GROUPS AND WEB-BASED SURVEYS. ACCESS TO HEALTHCARE, FOOD INSECURITY, AND TRANSPORTATION WERE IDENTIFIED AS THE TOP NEEDS THAT IMPACT THE HEALTH AND WELL-BEING OF PEOPLE LIVING IN BALTIMORE COUNTY. IN ADDITION TO NEW DATA FROM THE COMMUNITY, MORE THAN 100 DATA INDICATORS WERE ANALYZED. SOME OF THE DATA SOURCES INCLUDE THE MARYLAND DEPARTMENT OF HEALTH, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. TOP COMMUNITY NEEDS IDENTIFIED THROUGH SECONDARY DATA ANALYSIS INCLUDED SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, AND HEALTH EQUITY. THE CHNA STEERING COMMITTEE WORKED TOGETHER TO IDENTIFY THE HEALTH PRIORITIES FOR THE NEXT THREE YEARS (FISCAL YEARS 2025 - 2028). ALONG WITH ANALYZING A WEALTH OF INFORMATION, NEEDS WERE IDENTIFIED BASED ON MANY FACTORS INCLUDING: SEVERITY OF NEED, THE ABILITY FOR HOSPITALS OR HEALTH DEPARTMENTS TO MAKE AN IMPACT, ASSOCIATED HEALTH DISPARITIES, AND IMPORTANCE TO THE COMMUNITY. THE STEERING COMMITTEE SELECTED THREE TOP PRIORITY HEALTH NEEDS: BEHAVIORAL HEALTH, PHYSICAL HEALTH, AND ACCESS TO CARE. THE COMPLETE CHNA REPORT IS AVAILABLE AT WWW.GBMC.ORG/CHNA.
PART VI, LINE 3:	GBMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE FOR EMERGENT AND MEDICALLY NECESSARY CARE TO INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS, OR OTHERWISE UNABLE TO PAY BASED ON THEIR FINANCIAL SITUATION. ALL PATIENTS PRESENTING FOR EMERGENCY SERVICES ARE TREATED REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE NOTICES ARE POSTED AT ADMITTING AND REGISTRATION POINTS THROUGHOUT THE HOSPITAL, AND GBMC'S "GREATER SERVICE" BROCHURE IS AVAILABLE TO ALL INPATIENTS AND OUTPATIENTS. PATIENT REPRESENTATIVES ASSIST PATIENTS AND FAMILIES WITH THE APPLICATION PROCESS. GBMC ALSO OFFERS PRESUMPTIVE FINANCIAL ASSISTANCE THROUGH A PARTNERSHIP WITH A CREDIT REPORTING AGENCY. SELF-PAY ACCOUNTS ARE EVALUATED USING A PROPRIETARY CREDIT SCORING SYSTEM BASED ON ESTIMATED INCOME AND FAMILY SIZE. RESULTS ARE COMPARED TO GBMC'S ELIGIBILITY CRITERIA. PRESUMPTIVE ELIGIBILITY IS GRANTED FOR PATIENTS ENROLLED IN MEANS-TESTED PROGRAMS SUCH AS WOMEN, INFANTS, AND CHILDREN (WIC) AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP).
PART VI, LINE 4:	GBMC IS A PRIVATE, NOT-FOR-PROFIT, 211-BED REGIONAL MEDICAL CENTER LOCATED IN TOWSON, MARYLAND, A SUBURBAN BALTIMORE COUNTY COMMUNITY TWO MILES NORTH OF BALTIMORE CITY. GBMC'S PRIMARY SERVICE AREA INCLUDES ALL OF BALTIMORE COUNTY, THE NORTHERN PORTION OF BALTIMORE CITY, AND PORTIONS OF CARROLL AND HARFORD COUNTIES. BALTIMORE COUNTY OCCUPIES 612 SQUARE MILES OF LAND PLUS 28 SQUARE MILES OF WATER IN THE GEOGRAPHIC CENTER OF MARYLAND. BALTIMORE COUNTY SURROUNDS MOST OF BALTIMORE CITY; HOWEVER, THE CITY WAS SEPARATED FROM THE COUNTY IN 1851. TODAY, BALTIMORE CITY IS AN INDEPENDENT JURISDICTION ON PAR WITH COUNTIES. WITH A POPULATION OF APPROXIMATELY 856,174 PEOPLE, BALTIMORE COUNTY IS THE THIRD-LARGEST COUNTY IN MARYLAND AND THE LARGEST JURISDICTION IN THE CENTRAL MARYLAND METROPOLITAN AREA. BALTIMORE CITY HAS AN ESTIMATED POPULATION OF 564,541. THE AGE DISTRIBUTION OF BALTIMORE COUNTY SKEWS SLIGHTLY OLDER THAN THAT OF BALTIMORE CITY, MARYLAND, AND THE U.S. THE MEDIAN AGE IN BALTIMORE COUNTY IS 39.5 YEARS. OF THE TOTAL POPULATION, 18.1% ARE UNDER AGE 15, 19.0% ARE AGES 15-29, 45.2% ARE AGES 30-64, 15.5% ARE AGES 65-84, AND 2.3% ARE 85 AND OLDER. WHILE PEOPLE OF ALL AGES BENEFIT FROM PREVENTIVE SERVICES AND HEALTH EDUCATION, OLDER ADULTS OFTEN REQUIRE HIGHER-ACUITY HEALTHCARE AND SPECIALIZED SERVICES SUCH AS CANCER CARE AND CHRONIC DISEASE MANAGEMENT. THE POPULATIONS OF BALTIMORE COUNTY AND BALTIMORE CITY SKEW MORE HEAVILY FEMALE COMPARED TO MARYLAND OVERALL. A GREATER PROPORTION OF BALTIMORE COUNTY RESIDENTS IDENTIFY AS BLACK OR AFRICAN AMERICAN COMPARED TO THE U.S. OVERALL. BY RACE, BALTIMORE COUNTY IS 54.1% WHITE, 30.3% BLACK OR AFRICAN AMERICAN, 6.0% ASIAN, 5.9% TWO OR MORE RACES, AND 3.4% OTHER RACES. BY ETHNICITY, ABOUT 7% OF BALTIMORE COUNTY'S POPULATION IS HISPANIC, WHICH IS SMALLER THAN BALTIMORE CITY, MARYLAND, AND THE U.S. OVERALL. THE PROPORTION OF FOREIGN-BORN INDIVIDUALS IN BALTIMORE COUNTY IS APPROXIMATELY 12-13%, HIGHER THAN BALTIMORE CITY BUT LOWER THAN THE MARYLAND STATE AVERAGE. THE DIVERSITY OF BALTIMORE COUNTY AND BALTIMORE CITY IS REFLECTED IN THE LANGUAGES RESIDENTS SPEAK AT HOME. ACCORDING TO THE MOST RECENT AMERICAN COMMUNITY SURVEY, ABOUT 15% OF BALTIMORE COUNTY RESIDENTS AND 10% OF BALTIMORE CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO ROUGHLY 20% STATEWIDE AND NATIONALLY. LESS THAN 5% OF BALTIMORE COUNTY RESIDENTS REPORT SPEAKING ENGLISH "LESS THAN VERY WELL," INDICATING THAT WHILE LINGUISTIC DIVERSITY EXISTS, MOST RESIDENTS ARE PROFICIENT IN ENGLISH. THE POPULATION IN GBMC'S SERVICE AREA HAS TRADITIONALLY BEEN AFFLUENT COMPARED TO THE NATION. THE MEDIAN HOUSEHOLD INCOME IN BALTIMORE COUNTY IS $90,904, WHICH IS HIGHER THAN THE NATIONAL MEDIAN OF APPROXIMATELY $85,157. IN BALTIMORE CITY, THE MEDIAN HOUSEHOLD INCOME IS $59,623. APPROXIMATELY 10% OF BALTIMORE COUNTY HOUSEHOLDS LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL), WHILE BALTIMORE CITY'S POVERTY RATE IS SIGNIFICANTLY HIGHER AT 20.1%, COMPARED TO THE U.S. AVERAGE OF ABOUT 11.5%. BALTIMORE COUNTY IS RELATIVELY WELL-EDUCATED, WITH 67% OF RESIDENTS HAVING COMPLETED SOME EDUCATION BEYOND HIGH SCHOOL, AND 40% HOLDING A BACHELOR'S DEGREE OR HIGHER, WHICH IS SLIGHTLY ABOVE STATE AND NATIONAL AVERAGES. THE OVERALL UNEMPLOYMENT RATE IN BALTIMORE COUNTY WAS 4.3% IN AUGUST 2025, HIGHER THAN MARYLAND'S STATEWIDE RATE OF 3.6%, BUT LOWER THAN BALTIMORE CITY'S 5.6% AND THE U.S. RATE OF 4.3%. THE HIGHEST UNEMPLOYMENT RATE IN THE COUNTRY CONTINUES TO BE AMONG INDIVIDUALS AGES 25 TO 54.
PART VI, LINE 5:	A MAJORITY OF GBMC'S GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. GBMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. GBMC REINVESTS ITS OPERATING MARGIN INTO IMPROVEMENTS IN PATIENT CARE AND RESEARCH. GBMC PROVIDES TEACHING THROUGH ACCREDITED INTERN AND RESIDENT EDUCATION PROGRAMS IN INTERNAL MEDICINE, GYNECOLOGY, OPHTHALMOLOGY, OTOLARYNGOLOGY, AND COLORECTAL SURGERY. MOST RECENTLY, GBMC HAS EXPANDED ITS INVESTMENT IN A GERIATRIC NURSE PRACTITIONER PROGRAM, WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES TO LOW-INCOME SENIOR LIVING FACILITIES IN THE LOCAL SERVICE AREA. THE ORGANIZATION CONTINUES TO PROVIDE A PEDIATRICIAN TO CATHOLIC CHARITIES, SERVING AT-RISK ADOLESCENTS BY PERFORMING PRIMARY CARE ASSESSMENTS AND TREATMENTS, AS WELL AS COORDINATING FURTHER SPECIALIZED CARE. GBMC DONATES A PORTION OF ITS SPACE TO COMMUNITY PARTNERS TO HOST CLASSES THAT HELP STROKE VICTIMS REGAIN MOBILITY AND FUNCTIONALITY. GBMC CONTINUES TO FUND ANESTHESIA, OBSTETRICAL, AND ORTHOPEDIC SERVICES FOR MEDICAID AND UNINSURED PATIENT POPULATIONS. GBMC GENERALLY COVERS THESE COSTS BY AGREEING TO PROVIDE PHYSICIAN PAYMENT FOR SURGICAL CASES ORIGINATING IN THE EMERGENCY DEPARTMENT WHEN THE PATIENT IS CONSIDERED INDIGENT. PATIENT OUTCOME METRICS- HOSPITAL-ACQUIRED INFECTION RATES: GBMC REPORTED A 24% REDUCTION IN CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI) AND A 25% REDUCTION IN CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) COMPARED TO PRE-PANDEMIC BENCHMARKS. [AHA.ORG] - HAND HYGIENE COMPLIANCE: GBMC ACHIEVED A COMPLIANCE RATE CONSISTENTLY ABOVE 94%, SUPPORTING ITS GOAL OF ZERO PREVENTABLE HARM. - READMISSION RATES: GBMC MAINTAINED A 30-DAY ALL-CAUSE READMISSION RATE NEAR THE NATIONAL BENCHMARK OF 13.5%, WITH TARGETED PROGRAMS REDUCING PREVENTABLE READMISSIONS BY UP TO 20%. [GITNUX.ORG] - PATIENT SATISFACTION: GBMC'S HCAHPS SCORES INDICATE STRONG PERFORMANCE IN COMMUNICATION AND CARE COORDINATION, WITH 88% OF PATIENTS WILLING TO RECOMMEND THE HOSPITAL, EXCEEDING NATIONAL AVERAGES. [HEALTH.USNEWS.COM] MORTALITY OUTCOMES: GBMC PERFORMS BETTER THAN THE NATIONAL AVERAGE FOR CRITICAL CONDITIONS, INCLUDING HEART ATTACK AND STROKE, WITH MORTALITY RATES 5% LOWER THAN NATIONAL BENCHMARKS. [HOSPITALSTATS.ORG]
PART VI, LINE 6:	GBMC, INC. IS A SUBSIDIARY OF GBMC HEALTHCARE, A NONPROFIT HEALTH SYSTEM DEDICATED TO PROVIDING A COMPREHENSIVE RANGE OF HEALTH CARE AND RELATED SERVICES TO RESIDENTS PRIMARILY IN BALTIMORE CITY AND BALTIMORE, CARROLL, AND HARFORD COUNTIES. GBMC HEALTHCARE COLLABORATES ACROSS ITS ENTITIES TO ADDRESS COMMUNITY HEALTH NEEDS, IMPROVE ACCESS TO CARE, AND REDUCE AVOIDABLE HOSPITAL ADMISSIONS THROUGH COORDINATED PROGRAMS AND SERVICES. GBMC'S POPULATION HEALTH INITIATIVES INCLUDE: - ADVANCED PRIMARY CARE PRACTICES: GBMC OPERATES MULTIPLE ADVANCED PRIMARY CARE PRACTICES WITH EXTENDED WEEKDAY AND WEEKEND HOURS, INTEGRATED ELECTRONIC HEALTH RECORDS, AND A STRONG FOCUS ON PREVENTIVE MEDICINE AND CHRONIC DISEASE MANAGEMENT. EACH PRACTICE USES A PATIENT CENTERED APPROACH TO CARE DELIVERY, INCLUDING PROVIDERS, NURSE CARE MANAGERS, AND CARE COORDINATORS. BEHAVIORAL HEALTH SPECIALISTS, PSYCHIATRISTS, AND ADDICTION SPECIALISTS ARE ALSO EMBEDDED WITHIN THESE PRACTICES. IMPACT METRICS: - PREVENTIVE CARE COMPLIANCE: GBMC PRIMARY CARE PATIENTS ACHIEVED A 12% INCREASE IN ANNUAL WELLNESS VISITS COMPARED TO FY24. - CHRONIC DISEASE CONTROL: AMONG ENROLLED PATIENTS, BLOOD PRESSURE CONTROL IMPROVED BY 10 PERCENTAGE POINTS, AND DIABETES HBA1C CONTROL IMPROVED BY 8 PERCENTAGE POINTS YEAR-OVER-YEAR. - BEHAVIORAL HEALTH INTEGRATION: OVER 1,200 PATIENTS RECEIVED BEHAVIORAL HEALTH INTERVENTIONS, REDUCING ER VISITS FOR MENTAL HEALTH CRISES BY 15%.- MARYLAND PRIMARY CARE PROGRAM PARTICIPATION: GBMC PARTICIPATES IN THE MARYLAND PRIMARY CARE PROGRAM. THIS PROGRAM ADDRESSES THE MANAGEMENT OF DIABETES, HYPERTENSION, AND SUBSTANCE USE DISORDERS, WHILE REDUCING UNNECESSARY UTILIZATION THROUGH CENTRALIZED INPATIENT AND OUTPATIENT CARE TEAMS COMPOSED OF PROVIDERS AND CARE MANAGERS. IMPACT METRICS: - AVOIDABLE ADMISSIONS: GBMC REDUCED AVOIDABLE HOSPITAL ADMISSIONS BY 9% AMONG HIGH-RISK PATIENTS. - CARE PLAN ENGAGEMENT: 94% OF ELIGIBLE PATIENTS ENROLLED IN CARE MANAGEMENT PLANS, EXCEEDING PROGRAM TARGETS.- EPISODE QUALITY IMPROVEMENT PROGRAM: GBMC ACTIVELY PARTICIPATES IN THIS PROGRAM, WHICH IS DESIGNED TO IMPROVE OUTCOMES AND CARE COORDINATION FOR PARTICIPATING CLINICAL EPISODE CATEGORIES WHICH INCLUDES PATIENTS UNDERGOING HIP AND KNEE REPLACEMENT SURGERIES. IMPACT METRICS: - READMISSION REDUCTION: GBMC ACHIEVED A 49% REDUCTION IN 90-DAY READMISSIONS FOR JOINT REPLACEMENT SURGERIES COMPARED TO FY24.- INTEGRATED PALLIATIVE MEDICINE: GBMC OFFERS AN INTEGRATED PALLIATIVE CARE TEAM ACROSS ITS SYSTEM TO ENHANCE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS ILLNESSES AND REDUCE UNNECESSARY HOSPITAL UTILIZATION. IMPACT METRICS: - HOSPITAL UTILIZATION: GBMC REDUCED HOSPITAL READMISSIONS FOR PATIENTS BY 48% IN THE MONTH AFTER ADMISSION, AS REPORTED BY CRISP.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number
52-6049658

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE,MD21231	36-4067306	501(C)(3)	34,000	TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE
(2) ALZHEIMER'S ASSOCIATION 225 N MICHIGAN AVE FLOOR 17 CHICAGO,IL60601	13-3039601	501(C)(3)	17,500	GENERAL SUPPORT
(3) ASSOCIATED BLACK CHARITIES INC 2 HAMILL ROAD STE 272 BALTIMORE,MD21210	52-1427774	501(C)(3)	15,000	GENERAL SUPPORT
(4) CENTER FOR A HEALTHY MARYLAND 1211 CATHEDRAL STREET BALTIMORE,MD21212	52-1110642	501(C)(3)	10,000	TO EDUCATE AND ADVANCE THE PRACTICE OF MEDICINE, ENHANCE THE QUALITY OF MEDICAL CARE AND PROMOTE THE HEALTH OF THE CITIZENS OF THE STATE OF MARYLAND.
(5) THE BIT COMMUNITY CENTER 315 HOMELAND SOUTHWAY BALTIMORE,MD21201	52-2169101	501(C)(3)	10,000	TO EDUCATE AND ADVANCE THE PRACTICE OF MEDICINE, ENHANCE THE QUALITY OF MEDICAL CARE AND PROMOTE THE HEALTH OF THE CITIZENS OF THE STATE OF MARYLAND.
(6) ULMAN CANCER FUND 1215 E FORT AVENUE 104 BALTIMORE,MD21230	52-2057636	501(C)(3)	6,000	SUPPORTING YOUNG ADULTS IMPACTED BY CANCER

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. ARE EVALUATED AND SELECTED THROUGH A FORMAL COMMUNITY NEEDS ADVISORY COMMITTEE AND ARE BASED ON UNIQUE AND IDENTIFIED NEEDS. PERIODIC REPORTS (SOME QUARTERLY AND OTHERS ANNUALLY) ARE REQUIRED BY GRANTORS. ADDITIONALLY, FIELD VISITS ARE CONDUCTED.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN	(i) (ii)	1,078,987 ------------- 0	199,208 ------------- 0	17,066 ------------- 0	11,299 ------------- 0	22,969 ------------- 0	1,329,529 ------------- 0	0 ------------- 0
2BIMAL G RAMI MD PHYSICIAN	(i) (ii)	891,530 ------------- 0	323,193 ------------- 0	276 ------------- 0	11,208 ------------- 0	26,783 ------------- 0	1,252,990 ------------- 0	0 ------------- 0
3JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE	(i) (ii)	848,972 ------------- 0	0 ------------- 0	290,142 ------------- 0	11,208 ------------- 0	22,062 ------------- 0	1,172,384 ------------- 0	0 ------------- 0
4CHEN GANG MD PHYSICIAN	(i) (ii)	545,332 ------------- 0	340,838 ------------- 0	275 ------------- 0	11,459 ------------- 0	2,871 ------------- 0	900,775 ------------- 0	0 ------------- 0
5JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER	(i) (ii)	546,521 ------------- 0	177,694 ------------- 0	100,567 ------------- 0	11,112 ------------- 0	29,815 ------------- 0	865,709 ------------- 0	0 ------------- 0
6NIRAJ JANI MD PHYSICIAN	(i) (ii)	667,011 ------------- 0	130,043 ------------- 0	276 ------------- 0	11,456 ------------- 0	26,783 ------------- 0	835,569 ------------- 0	0 ------------- 0
7LAURIE R BEYER EVP & CFO GBMC HEALTHCARE	(i) (ii)	445,983 ------------- 0	148,630 ------------- 0	105,779 ------------- 0	85,248 ------------- 0	29,783 ------------- 0	815,423 ------------- 0	68,079 ------------- 0
8ANEESHA VARREY MD PHYSICIAN	(i) (ii)	664,662 ------------- 0	83,823 ------------- 0	108 ------------- 0	11,236 ------------- 0	229 ------------- 0	760,058 ------------- 0	0 ------------- 0
9CATHERINE HAMEL EVP/PRES. GILCHRIST & CHIEF STRATEGY	(i) (ii)	394,329 ------------- 0	136,175 ------------- 0	91,053 ------------- 0	6,670 ------------- 0	29,101 ------------- 0	657,328 ------------- 0	0 ------------- 0
10ANNA-MARIA G PALMER SVP HR AND ORG DEVELOPMENT AND CHRO	(i) (ii)	351,803 ------------- 0	93,190 ------------- 0	39,248 ------------- 0	48,655 ------------- 0	23,229 ------------- 0	556,125 ------------- 0	31,459 ------------- 0
11ERLENE WASHINGTON SVP & COO OF GBMC HEALTH PARTNERS	(i) (ii)	332,919 ------------- 0	81,354 ------------- 0	42,259 ------------- 0	46,869 ------------- 0	26,783 ------------- 0	530,184 ------------- 0	33,622 ------------- 0
12STACEY L MCGREEVY EVP & COO HOSPITAL	(i) (ii)	311,042 ------------- 0	92,201 ------------- 0	32,867 ------------- 0	55,121 ------------- 0	22,282 ------------- 0	513,513 ------------- 0	27,365 ------------- 0
13CARL JEAN-BAPTISTE GENERAL COUNSEL & SVP FOR LEGAL SERV	(i) (ii)	358,781 ------------- 0	41,046 ------------- 0	2,805 ------------- 0	40,000 ------------- 0	27,585 ------------- 0	470,217 ------------- 0	0 ------------- 0
14ANGELA FEURER SVP AND CNO	(i) (ii)	289,159 ------------- 0	77,244 ------------- 0	26,070 ------------- 0	42,871 ------------- 0	33,921 ------------- 0	469,265 ------------- 0	0 ------------- 0
15JENNY COLDIRON SVP OF DEVELOPMENT AND MARKETING	(i) (ii)	294,262 ------------- 0	73,781 ------------- 0	61,444 ------------- 0	6,209 ------------- 0	24,453 ------------- 0	460,149 ------------- 0	0 ------------- 0
16ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF	(i) (ii)	401,120 ------------- 0	20,000 ------------- 0	516 ------------- 0	8,640 ------------- 0	26,927 ------------- 0	457,203 ------------- 0	0 ------------- 0
17CAROLYN L CANDIELLO SVP OF QUALITY AND PATIENT SAFETY	(i) (ii)	257,751 ------------- 0	62,498 ------------- 0	54,867 ------------- 0	6,138 ------------- 0	22,962 ------------- 0	404,216 ------------- 0	0 ------------- 0
18J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF	(i) (ii)	369,426 ------------- 0	0 ------------- 0	276 ------------- 0	11,250 ------------- 0	9,751 ------------- 0	390,703 ------------- 0	0 ------------- 0
19MICHAEL STEIN SVP CLINICAL & SUPPORT OPPS	(i) (ii)	261,982 ------------- 0	59,940 ------------- 0	4,396 ------------- 0	34,270 ------------- 0	26,783 ------------- 0	387,371 ------------- 0	0 ------------- 0
20DAVID J HYNSON VP & CIO (PART YEAR)	(i) (ii)	155,159 ------------- 0	70,453 ------------- 0	13,930 ------------- 0	3,940 ------------- 0	2,931 ------------- 0	246,413 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4B

GBMC HEALTHCARE HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN ("SERP"). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GBMC HEALTHCARE BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS, THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. DURING CALENDAR YEAR 2024, THE FOLLOWING PARTICIPATED IN THE SERP PLAN: JOHN B. CHESSARE - $249,618 LAURIE R. BEYER - $74,730 JOHN L. FLOWERS, M.D. - $87,750 CATHERINE HAMEL - $64,845 CAROLYN L. CANDIELLO - $29,480 JENNY COLDIRON - $36,567 DAVID J. HYNSON - $12,473 STACEY L. MCGREEVY - $48,315 ANNA-MARIA G. PALMER - $36,980 ERLENE WASHINGTON - $35,320 MICHAEL STEIN - $27,000 ANGELA FEURER - $31,400 CARL JEAN-BAPTISTE - $40,000 DURING THE CALENDAR YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE SERP PLAN: JOHN B. CHESSARE, M.D. - $249,618 JOHN L. FLOWERS, M.D. - $87,750 CATHERINE Y. HAMEL - $64,845 CAROLYN L. CANDIELLO - $29,480 JENNY COLDIRON - $36,567 LAURIE BEYER - $74,069 ERLENE WASHINGTON - $36,622 ANNA-MARIA PALMER - $31,794 STACEY MCGREEVY - $29,773 DAVID J. HYNSON - $12,473

PART I, LINE 7

EXECUTIVE BONUSES ARE ESTABLISHED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE WITH THE CONSULTATION OF AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES: - ESTABLISHES AN EXECUTIVE COMPENSATION PHILOSOPHY. - CONDUCTS A COMPREHENSIVE COMPENSATION REVIEW AND APPROVAL PROCESS LED BY AN INDEPENDENT, BOARD-AUTHORIZED COMPENSATION COMMITTEE. - REINFORCES PAY-FOR-PERFORMANCE THROUGH AN ANNUAL INCENTIVE PLAN, WITH GOALS AND METRICS APPROVED BY THE COMPENSATION COMMITTEE; DETERMINATION OF ACHIEVEMENT AND AWARDS WITHIN COMPENSATION COMMITTEE'S SOLE DISCRETION. - PROMOTES TRANSPARENCY WITH ANNUAL REPORT TO THE BOARD. - ENSURES COMPLIANCE WITH IRS "INTERMEDIATE SANCTIONS" SAFE HARBOR* PROTECTIONS FOR EXECUTIVE COMPENSATION DECISIONS.

Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number
52-6049658

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MD HEALTH & HIGHER ED	52-0936091		03-08-2017	73,720,000	TO REFUND BONDS ISSUED 04/20/11 AND 04/11/12		X		X		X
B	MD HEALTH & HIGHER ED	52-0936091	57421CCW2	09-01-2021	139,417,204	TO FUND CONSTRUCTION OF PROMISE PROJECT		X		X		X
C	MD HEALTH & HIGHER ED	52-0936091		10-19-2023	29,000,000	TO FUND CONSTRUCTION OF BERMAN CANCER CENTER		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	9,580,000				200,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	73,720,000		141,280,405		30,146,825
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			6,244,517		1,000,178
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	22,274				309,280
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			135,035,888		14,781,455
11 Other spent proceeds .............	73,697,726
12 Other unspent proceeds .............					14,055,912
13 Year of substantial completion .............	2011		2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X
16 Has the final allocation of proceeds been made? ..........	X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.170 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.170 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X			X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X
b Name of provider ..........					CAPITAL ONE NATIONAL
c Term of hedge .........					770.0000000000 %
d Was the hedge superintegrated? ......					X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MD HEALTH & HIGHER ED DATE THE REBATE COMPUTATION WAS PERFORMED: 09/23/2022
SCHEDULE K, PART II, LINE 3, COLUMN B:	TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT INCOME OF THE INVESTMENT OF BOND PROCEEDS.
SCHEDULE K, PART II, LINE 3, COLUMN C:	TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT INCOME OF THE INVESTMENT OF BOND PROCEEDS.

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	3,124,656	SOFTWARE SERVICES		No
(2) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	2,204,137	GENERAL CONTRACTOR		No
(3) SUBSTANTIAL CONTRIBUTOR	SUBSTANTIAL CONTRIBUTOR	259,134	ENGINEERING		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	MS. HEIDI KENNY BERMAN AND MRS. SANDRA BERMAN HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC, IS THE GOVERNING BODY FOR THE ORGANIZATION, GBMC HEALTHCARE, INC, IS THE PARENT CORPORATION AND SOLE STOCKHOLDER OF THE ORGANIZATION, THE BUSINESS AND AFFAIRS OF THE ORGANIZATION ARE MANAGED UNDER THE DIRECTION OF ITS BOARD OF DIRECTORS EXCEPT AS RESERVED TO THE STOCKHOLDER, GBMC HEALTHCARE, INC, IN ACCORDANCE WITH THE BYLAWS SUCH AS: A) TO CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE ORGANIZATION B) TO AMEND THE BYLAWS OF THE ORGANIZATION C) TO DISSOLVE, TO CONSOLIDATE OR TO MERGE THE ORGANIZATION D} TO RATIFY THE ELECTION OF THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION E) TO REMOVE THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION F} TO ELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION G) TO REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION H} TO PURCHASE, SELL OR ENCUMBER WITH DEBT I) TO SELL ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, OR TO UNDERTAKE MAJOR EXPANSION PROJECTS J) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION K) TO APPOINT GENERAL COUNSEL TO AND THE FISCAL AUDITOR OF THE ORGANIZATION L) TO SET THE FISCAL YEAR OF THE ORGANIZATION M} TO ISSUE ADDITIONAL STOCK, FOLLOWING THE INITIAL ISSUANCE OF STOCK
FORM 990, PART VI, SECTION A, LINE 7A	SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION
FORM 990, PART VI, SECTION A, LINE 7B	SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION
FORM 990, PART VI, SECTION B, LINE 11B	THE AUDIT COMMITTEE OF GREATER BALTIMORE MEDICAL CENTER, INC.'S SUPPORTED PARENT ORGANIZATION, GBMC HEALTHCARE, INC., REVIEWS THIS FORM 990, A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS OF THE HOSPITAL AND GBMC HEALTHCARE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	GREATER BALTIMORE MEDICAL CENTER, INC. IS GOVERNED BY THE POLICIES OF ITS PARENT ORGANIZATION, GBMC HEALTHCARE, INC, THESE POLICIES INCLUDE A WRITTEN CONFLICT OF INTEREST POLICY ATTESTED TO ANNUALLY, A WRITTEN WHISTLEBLOWER POLICY, AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. ANNUALLY, EVERY BOARD MEMBER, PHYSICIAN, ADVANCED PRACTITIONER AND MANAGER (WHICH INCLUDES KEY EMPLOYEES) MUST COMPLETE A COMPREHENSIVE QUESTIONNAIRE THAT PROVIDES FOR THE DISCLOSURE OF POTENTIAL CONFLICTS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. THOSE DISCLOSURES THAT ARE QUESTIONABLE OR MAY RISE TO THE LEVEL OF A CONFLICT ARE DISCUSSED WITH THE CHIEF LEGAL OFFICER AND APPROPRIATE ACTION IS TAKEN, IF NECESSARY. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE AUDIT COMMITTEE (FOR MANAGEMENT) AND TO THE GOVERNANCE COMMITTEE (FOR BOARD MEMBERS) ANNUALLY
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC., WHICH IS COMPRISED OF DIRECTORS THAT ARE "DISINTERESTED" AS DEFINED BY IRS REGULATIONS, IS AUTHORIZED TO OVERSEE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND EACH OFFICER, KEY EMPLOYEE AND SENIOR LEADER, WHETHER OR NOT THESE INDIVIDUALS WOULD BE CONSIDERED "DISQUALIFIED PERSONS" UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS ADOPTED A WRITTEN PHILOSOPHY SETTING FORTH THE GUIDING PRINCIPLES GOVERNING THE COMPENSATION PROVIDED TO THE ORGANIZATION'S EXECUTIVES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS WAS ESTABLISHED AND IS CONDUCTED IN A MANNER SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED, WHICH INCLUDES CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NONQUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE, FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION, FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC, ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS {EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT, THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	LOSS ON UNCOLLECTIBLE PLEDGES (DIRECT WRITE-OFFS) -519,470. DEFERRED PENSION & NET PERIODIC PENSION 378,063. TRANSFER TO AFFILIATE -13,887,944. TRANSFEER FROM AFFILIATE 225,000.
FORM 990, PART XII, LINE 2C:	NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS FOR THE ORGANIZATION'S FINANCIAL STATEMENT AUDIT HAVE CHANGED FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

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SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GREATER BALTIMORE MEDICAL CENTER INC

Employer identification number

52-6049658

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GBMC HEALTHCARE PARTNERS AT HELPING UP MISSION LLC 6545 N CHARLES ST TOWSON,MD21204 83-3101128	HEALTHCARE	MD	1,290,187	1,121,187	GREATER BALTIMORE MEDICAL CENTER INC
(2) GBMC HOSPITAL BASED SERVICES LLC 6701 N CHARLES ST TOWSON,MD21204 88-1423038	HEALTHCARE	MD	11,774,150	1,188,052	GREATER BALTIMORE MEDICAL CENTER INC
(3) GBMC OPTICAL CENTER LLC 8625 PLEASANT PLAINS RD TOWSON,MD21286 88-2319666	HEALTHCARE	MD	784,923	754,332	GREATER BALTIMORE MEDICAL CENTER INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)GBMC FOUNDATION INC 6701 NORTH CHARLES STREET BALTIMORE,MD21204 52-1411935	FUNDRAISING	MD	501(C)(3)	LINE 12B, II	GBMC HEALTHCARE INC		No
(2)GILCHRIST HOSPICE CARE INC 11311 MCCORMICK ROAD SUITE 350 HUNT VALLEY,MD21031 52-1851251	HOSPICE SERVICES	MD	501(C)(3)	LINE 3	GBMC HEALTHCARE INC		No
(3)GBMC LAND INC 6701 NORTH CHARLES STREET BALTIMORE,MD21204 52-1413360	REAL ESTATE PROPERTY	MD	501(C)(3)	LINE 12A, I	GBMC HEALTHCARE INC		No
(4)GBMC HEALTHCARE INC 6701 NORTH CHARLES STREET BALTIMORE,MD21204 52-1484872	HEALTHCARE	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(5)PRESBYTERIAN EYE EAR & THROAT CHARITY HOSP INC BOARD LADY MGRS 1055 W JOPPA RD 718 TOWSON,MD20878 52-6052408	SUPPORTING	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(6)PRESBYTERIAN EYE EAR & THROAT CHARITY HOSPITAL 320 MORRIS AVE LUTHERVILLE,MD21093 52-0449990	SUPPORTING	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(7)WOMEN'S HOSPITAL FOUNDATION INC 102 W PENNSYLVANIA AVE 600 TOWSON,MD21204 52-0591609	FUNDRAISING	MD	501(C)(3)	LINE 12D, III-O	N/A		No
(8)MILTON J DANCE JR ENDOWMENT INC 10112 NICHOLSON RD ELLICOTT CITY,MD21042 52-1104173	SUPPORTING	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(9)GILCHRIST BALTIMORE CENTER SUPPORT CORP 11311 MCCORMICK ROAD SUITE 350 HUNT VALLEY,MD21031 85-4086504	SUPPORTING	MD	501(C)(3)	LINE 12C, III-FI	GILCHRIST HOSPICE CARE INC		No
(10)JOSEPH RICHEY HOUSE INC 11311 MCCORMICK ROAD SUITE 350 HUNT VALLEY,MD21031 52-1184960	PALLIATIVE CARE FOR TERMINALLY ILL ADULTS AND CHILDREN	MD	501(C)(3)	LINE 7	GILCHRIST HOSPICE CARE INC		No
(11)HOSPICE OF WASHINGTON COUNTY INC 1710 UNDERPASS WAY SUITE 300 HAGERSTOWN,MD21740 52-1902068	HOSPICE CARE	MD	501(C)(3)	LINE 7	GILCHRIST HOSPICE CARE INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) GBMC PAVILION WEST MEDICAL ARTS LLC 6701 NORTH CHARLES STREET BALTIMORE,MD21204 52-1899034	REAL ESTATE MANAGEMENT	MD	GBMC AGENCY INC	EXCLUDED	236,469	2,474,474		No			No	37.900 %
(2) GBMC-WP-PT LLC 1447 YORK ROAD SUITE 401 LUTHERVILLE,MD21093 81-2388743	PHYSICAL THERAPY	MD	N/A					No			No
(3) GREATER BALTIMORE DIAGNOSTIC IMAGING 7253 AMBASSADOR ROAD BALTIMORE,MD21244 52-1411931	RADIOLOGY	MD	N/A					No			No
(4) NORTHERN BALTIMORE SURGERY CENTER 110 WEST ROAD SUITE 229 TOWSON,MD21204 52-2234559	OCULAR SURGERY	MD	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) GBMC AGENCY INC 6701 NORTH CHARLES STREET BALTIMORE,MD21204 52-1411931	INVESTMENTS	MD	N/A	C					No
(2) RUXTON INSURANCE COMPANY INC 3 GORHAM ROAD HAMILTON HM 08 HAMILTON BD 98-0413102	INSURANCE CAPTIVE	BD	GREATER BALTIMORE MEDICAL CENTER INC	C	4,713,598	80,044,728	100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) RUXTON INSURANCE COMPANY LTD	R	14,580,350	COST
(2) RUXTON INSURANCE COMPANY LTD	Q	2,648,957	COST
(3) RUXTON INSURANCE COMPANY LTD	S	225,000	COST

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING, AND HOPE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	28
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	25
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	4,639
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	493,955
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	206,167

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,705,945	14,855,631
9	Program service revenue (Part VIII, line 2g) .........	604,574,307	631,737,335
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,607,313	26,772,608
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,295,243	1,272,744
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	629,182,808	674,638,318
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	147,632	153,880
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	354,634,891	388,519,266
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,048,098
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	267,488,064	289,875,886
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	622,270,587	678,549,032
19	Revenue less expenses. Subtract line 18 from line 12.......	6,912,221	-3,910,714
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	901,301,924	870,329,948
21	Total liabilities (Part X, line 26).............	483,594,312	474,908,914
22	Net assets or fund balances. Subtract line 21 from line 20.....	417,707,612	395,421,034

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 299,191,389 including grants of $ ) (Revenue $ 317,395,558 )
	GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A LEADING HEALTHCARE DESTINATION, PROUDLY SERVING OUR COMMUNITY WITH COMPASSION AND EXCELLENCE. OUR 211-BED ACUTE CARE MEDICAL CENTER PROVIDES ADVANCED MEDICAL SERVICES ON A WELCOMING SUBURBAN CAMPUS. IN THE PAST YEAR, GBMC CARED FOR 12,478 INPATIENTS, SUPPORTED 5,078 PATIENTS UNDER OBSERVATION, AND CELEBRATED THE ARRIVAL OF 3,670 NEWBORNS. OUR SPECIALIZED PROGRAMS - WOMEN'S CANCER CARE, SURGICAL AND MEDICAL SERVICES, AND COMPREHENSIVE ONCOLOGY - CONTINUE TO GROW TO MEET COMMUNITY NEEDS. WE RECENTLY EXPANDED OUR ONCOLOGY SERVICES, OPENING THE SANDRA R. BERMAN CANCER CENTER PROVIDING 15,670 INFUSION THERAPY VISITS.

4b	(Code: ) (Expenses $ 125,969,934 including grants of $ ) (Revenue $ 113,503,709 )
	DURING THE PAST FISCAL YEAR, GBMC'S STATE-OF-THE-ART OPERATING ROOMS SUCCESSFULLY PERFORMED MORE THAN 19,684 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, REFLECTING OUR COMMITMENT TO EXCEPTIONAL CARE AND INNOVATION. OUR SURGICAL SPECIALTIES ARE AMONG THE MOST ADVANCED IN THE REGION AND INCLUDE: - COMPREHENSIVE OBESITY MANAGEMENT PROGRAM - HOME TO THE OLDEST RECOGNIZED ASMBS CENTER OF EXCELLENCE IN METROPOLITAN BALTIMORE, SETTING THE STANDARD FOR BARIATRIC CARE. - JOHNS HOPKINS HEAD AND NECK SURGERY AT GBMC - PROVIDING WORLD-CLASS EXPERTISE CLOSE TO HOME. - MINIMALLY INVASIVE AND ENDOCRINE SURGERY - DELIVERING FASTER RECOVERY AND BETTER OUTCOMES THROUGH CUTTING-EDGE TECHNIQUES. - NEUROSURGERY, VASCULAR AND THORACIC SURGERY, AND UROLOGY - OFFERING HIGHLY SPECIALIZED CARE WITH A FOCUS ON PATIENT SAFETY AND QUALITY.

4c	(Code: ) (Expenses $ 23,671,933 including grants of $ ) (Revenue $ 35,891,927 )
	DURING THE FISCAL YEAR, OUR EMERGENCY DEPARTMENT PROVIDED CARE TO 58,132 PATIENTS, DELIVERING TIMELY AND COMPASSIONATE TREATMENT FOR A WIDE RANGE OF MEDICAL NEEDS. TO ENSURE EFFICIENT SERVICE AND REDUCE WAIT TIMES, THE DEPARTMENT IS ORGANIZED INTO THREE SPECIALIZED CARE AREAS: - URGENT CARE - DESIGNED FOR PATIENTS WITH MINOR INJURIES OR CONDITIONS, SUCH AS SPRAINS, REQUIRING PROMPT ATTENTION. - EMERGENT CARE - EQUIPPED TO HANDLE SEVERE AND COMPLEX CASES, INCLUDING ACUTE ABDOMINAL PAIN, CHEST PAIN, AND TRAUMATIC INJURIES FROM MOTOR VEHICLE ACCIDENTS. - OBSERVATIONAL CARE - LOCATED ADJACENT TO EMERGENT CARE, THIS AREA SUPPORTS ADULT PATIENTS WHO REQUIRE MONITORING AND EVALUATION WITHOUT HOSPITAL ADMISSION. OUR COMMITMENT TO PATIENT-CENTERED CARE ENSURES THAT INDIVIDUALS AND FAMILIES RECEIVE THE HIGHEST LEVEL OF SERVICE IN A SAFE, RESPONSIVE ENVIRONMENT.

	(Code: ) (Expenses $ 129,868,861 including grants of $ 153,880 ) (Revenue $ 164,791,509 )
	AMBULATORY, POST ACUTE AND PRIMARY CARE SERVICES

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 129,868,861 including grants of $ 153,880 ) (Revenue $ 164,791,509 )
4e	Total program service expenses578,702,117

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	12,562,262	0	912,862

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	518,132
d	Related organizations		1d	4,154,990
e	Government grants (contributions)		1e	516,055

f	All other contributions, gifts, grants, and similar amounts not included above		1f	9,666,454

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		14,855,631

		Business Code
2a	PATIENT SERVICE	621110	595,177,431	595,177,431
b	SPECIALTY PHARMACY	620000	24,521,325	24,521,325
c	OTHER PATIENT REVENUE	621110	12,038,579	11,883,947	154,632
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		631,737,335

3 Investment income (including dividends, interest, and othersimilar amounts) ......			18,983,745		339,323	18,644,422
4 Income from investment of tax-exempt bond proceeds			1,146,825			1,146,825
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	7,260,683	979,009
b	Less: cost or other basis and sales expenses	7b	1,597,654	0
c	Gain or (loss)	7c	5,663,029	979,009
d	Net gain or (loss).........			6,642,038			6,642,038
8a	Gross income from fundraising events (not including $ 518,132of contributions reported on line 1c). See Part IV, line 18 ....
			8a	34,328
b	Less: direct expenses ...		8b	193,584
c	Net income or (loss) from fundraising events..			-159,256			-159,256
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	PARKING REVENUE		900099	1,359,958			1,359,958
b	CAFETERIA INCOME		900099	72,042			72,042
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,432,000
12	Total revenue. See instructions.....			674,638,318	631,582,703	493,955	27,706,029

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	153,880	153,880
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	9,188,705		9,188,705
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	324,617,753	290,637,172	32,913,751	1,066,830
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,158,676	4,697,244	2,437,624	23,808
9	Other employee benefits .......	26,258,851	25,543,098	600,570	115,183
10	Payroll taxes ...........	21,295,281	18,483,304	2,734,668	77,309
11	Fees for services (non-employees):
a	Management ......	2,662,313	1,001,434	1,660,879
b	Legal .........	244,201	57,153	187,048
c	Accounting ...........	325,151		325,151
d	Lobbying ...........	5,727		5,727
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	627,087		627,087
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	45,212,976	34,748,991	10,078,855	385,130
12	Advertising and promotion ....	883,895	7,873	821,934	54,088
13	Office expenses .......	8,249,292	7,714,976	312,341	221,975
14	Information technology ......	16,528,285	10,419,236	6,101,848	7,201
15	Royalties ..
16	Occupancy ...........	16,890,588	16,156,092	734,496
17	Travel ............	552,599	194,576	352,428	5,595
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,185,801	611,171	573,265	1,365
20	Interest ...........	7,954,974	76,459	7,878,515
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	35,608,578	21,920,076	13,676,344	12,158
23	Insurance ...	3,267,656	2,302,072	965,584
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	141,608,612	141,608,612
b	PURCHASED SERVICES	6,199,585	2,316,516	3,805,613	77,456
c	GRANT RESERVE	1,136,546		1,136,546
d	INSTITUTIONAL DUES	732,020	52,182	679,838
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	678,549,032	578,702,117	97,798,817	2,048,098
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			76,580,813	2	59,972,569
3	Pledges and grants receivable, net ......			26,924,133	3	28,534,410
4	Accounts receivable, net .............			74,421,946	4	72,239,217
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			6,974,809	8	6,430,592
9	Prepaid expenses and deferred charges ......			17,052,501	9	16,928,240
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	892,440,550
b	Less: accumulated depreciation	10b	523,617,508	376,391,151	10c	368,823,042
11	Investments—publicly traded securities .			130,331,894	11	128,021,222
12	Investments—other securities. See Part IV, line 11 .....			68,189,501	12	64,181,247
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			124,435,176	15	125,199,409
16	Total assets. Add lines 1 through 15 (must equal line 33)...			901,301,924	16	870,329,948

17	Accounts payable and accrued expenses .....	85,698,238	17	78,847,615
18	Grants payable ...		18
19	Deferred revenue .........	1,123,144	19	2,777,980
20	Tax-exempt bond liabilities .........	235,772,862	20	231,628,977
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	21,495,219	23	19,077,894
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	139,504,849	25	142,576,448
26	Total liabilities. Add lines 17 through 25..	483,594,312	26	474,908,914

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	328,469,168	27	313,098,865
28	Net assets with donor restrictions ...........	89,238,444	28	82,322,169
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	417,707,612	32	395,421,034
33	Total liabilities and net assets/fund balances ........	901,301,924	33	870,329,948

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No