Baltimore City Announces New $48M Nonprofit Assessment Deal with 14 Core Institutions
BALTIMORE, MD (October 1, 2025) — Today, Baltimore Mayor Brandon M. Scott and the City’s 14 largest anchor institutions announced new nonprofit assessment (“PILOT”) agreements for Fiscal Years 2027-2031.
The 14 institutions are as follows: Grace Medical Center (formerly Bon Secours Hospital), Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Good Samaritan Hospital, MedStar Harbor Hospital, MedStar Union Memorial Hospital, MedStar Mercy Medical Center, Sinai Hospital, Ascension St. Agnes Hospital, University of Maryland Medical Center Downtown Campus, University of Maryland Medical Center Midtown Campus, Johns Hopkins University, Loyola University Maryland, Maryland Institute College of Art, and Notre Dame of Maryland University.
Over the last 16 years, under previous PILOT agreements, these organizations have contributed between $1.4 million and $6 million annually to the City. This new agreement will double the institutions’ current annual investment within three years, from $6 million in 2027 to $12 million in 2030.
Annual rate increases will allow the institutions to adjust to the financial realities of higher obligations to the City. This agreement takes into account the ongoing impacts of federal funding cuts to health care and educational institutions, particularly to smaller institutions like Grace Medical Center and Maryland Institute College of Art. This PILOT agreement will be renegotiated in FY 2031.
 “Baltimore’s economy is powered by ‘meds and eds,’ the institutions that employ, train, educate, and treat so many of our residents,” said Mayor Scott. “This agreement increases their shared investments in our city, while taking into account the financial strain that they are experiencing as this federal administration continues to target colleges, universities, and hospitals. As always, we are grateful for their significant contributions to our city and our residents, and look forward to continuing to build on our partnership in the years to come.”
“The largest nonprofit institutions in Baltimore deliver billions of dollars in community impact each year and are deeply invested in the success of the City,” said Matthew Power, president of the Maryland Independent College and University Association (MICUA). “We are pleased to have a new agreement with Mayor Brandon Scott to increase the annual contribution this group makes to the City. These institutions are proud to be a part of the positive transformation taking place in communities across our city, and they remain committed to working every day to support Baltimore’s residents.”
“We are proud of the deep commitment our nonprofit hospitals have for the City of Baltimore,” the Maryland Hospital Association said in a statement. “They continuously invest in and support a wide array of programs and services including charity medical care, support for local schools, and community health services throughout the City that help improve the health and well-being of Baltimore residents.”
In addition to payments under the nonprofit assessment agreement program, the 14 institutions contribute $29 million in taxes and fees annually, in addition to $19 million for community safety, $7 million for waste management and $2 million for public right-of-way maintenance.
Collectively, these institutions employ 71,000 people, or one out of four private sector positions in the City, generating $57.6 million in local income taxes. In 2024, they invested approximately $652 million in Baltimore, which includes investments in public schools, economic development, arts and culture, and community health services.
Over five years, if economic conditions remain consistent, the institutions will contribute a total of $481 million to the City’s General Fund from annual contributions, taxes and fees. This includes local income taxes, parking, energy and utilities taxes, and other miscellaneous fees—which peer institutions with PILOT agreements in other cities are not required to pay.
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