Hamilton Health CARE System
Also known as Vitruvian Health
Hamilton Health CARE System reported $28.0 million in revenue and $29.0 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $98.34 went to program services, $1.66 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 69.2% of the total. The highest compensation it reported for one person was $2,944,136 (PRESIDENT/CEO). 56 people received more than $100,000 in reportable compensation. Revenue rose 28% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $29MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $28MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 98.3% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 1.7% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 4.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 69.2% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,944,136 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 10.17% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 56 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 41.4 | 6.6 |
| Independent voting board members Part VI 1a–1b | 11 of 13 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHighest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT/CEO Director/trustee, officer, 40.00 hrs/week | $2,822,417 | $0 | $121,719 | $2,944,136 |
| PRESIDENT OF OPERATIONS Officer, 40.00 hrs/week | $1,385,386 | $0 | $254,120 | $1,639,506 |
| VICE PRESIDENT/ASSISTANT TREASURER Officer, 40.00 hrs/week | $951,442 | $0 | $116,875 | $1,068,317 |
| VICE PRESIDENT Key employee, 1.00 hrs/week | $757,399 | $215,613 | $58,626 | $1,031,638 |
| VICE PRESIDENT Key employee, 40.00 hrs/week | $791,656 | $0 | $57,961 | $849,617 |
| TRUSTEE Director/trustee, 1.00 hrs/week | $0 | $761,844 | $43,900 | $805,744 |
| VICE PRESIDENT/CIO Key employee, 40.00 hrs/week | $490,091 | $0 | $27,596 | $517,687 |
| ASSISTANT TREASURER Officer, 40.00 hrs/week | $394,556 | $0 | $14,893 | $409,449 |
56 people received more than $100,000 in reportable compensation from Hamilton Health CARE System (Part VII, line 2).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b13 · 11 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5129
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| WORKDAY INC Information management systems | $2,131,926 |
| MARTIN SMITH AT 117 GUIDANCE Healthcare systems advisory | $459,070 |
| PERSHING YOAKLEY ASSOCIATES Accounting services | $434,775 |
| HSI FINANCIAL SERVICES INC CO PHOENI Purchased services | $386,641 |
Individuals listed as contractors are left out. 22 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Hamilton Health CARE System totaling $3.0M on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Hamilton Health CARE System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Hamilton Health CARE System, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Hamilton Health CARE System spent in FY2025, $98.34 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Baltimore Washington Emergency PhysiciansGlen Burnie, MD · revenue $28M · programs 99.3% · FY2025
- HumanimColumbia, MD · revenue $28M · programs 80.1% · FY2025
- HeartspringWichita, KS · revenue $28M · programs 89.5% · FY2025
- Mainehealth CARE at HomeSaco, ME · revenue $28M · programs 91.3% · FY2025
- Health Access for AllLos Angeles, CA · revenue $28M · programs 88.1% · 2024
Questions people ask
How much of Hamilton Health CARE System's spending goes to programs?
In the fiscal year ending September 30, 2025, Hamilton Health CARE System reported that 98.3% of its $29.0 million in expenses went to program services, 1.7% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Hamilton Health CARE System pay its top executive?
The largest total compensation Hamilton Health CARE System reported for one person in the fiscal year ending September 30, 2025 was $2,944,136, for the role of PRESIDENT/CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hamilton Health CARE System get its money?
Of $28.0 million in revenue in the fiscal year ending September 30, 2025, 4.0% came from contributions and grants and 69.2% from program service revenue (Form 990, Part VIII).
Is Hamilton Health CARE System a registered charity?
The IRS lists EIN 58-1519913 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202612309349301681 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202512259349300436 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202402279349302405 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202302269349302050 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202222239349302662 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202122249349301137 · read the filing
All filings for EIN 58-1519913: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.