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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1234769</ProgramServicesAmt>
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      </PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1116695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288199</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>505446</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>484</TotalAmt>
        <ProgramServicesAmt>339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>147124</TotalAmt>
        <ManagementAndGeneralAmt>147124</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2688515</TotalAmt>
        <ProgramServicesAmt>2500806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187709</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>844</TotalAmt>
        <ProgramServicesAmt>591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>226654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97137</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>484587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2363</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>791671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>358333</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
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        <ProgramServicesAmt>4550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1950</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5603</TotalAmt>
        <ProgramServicesAmt>5603</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>3012171</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4300000</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1400000</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>32005948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4264687</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      </CashNonInterestBearingGrp>
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        <EOYAmt>7288115</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
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        <EOYAmt>26069205</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <OtherChangesInNetAssetsAmt>61825596</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
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      <GrossReceiptsNonUnrltBusGrp>
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      <TaxRevLeviedOrgnztnlBnft509Grp>
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      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>12344</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4382</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1514</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>168919</CurrentTaxYearAmt>
        <TotalAmt>199590</TotalAmt>
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      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>19599023</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21596929</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27085599</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28178486</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32021373</CurrentTaxYearAmt>
        <TotalAmt>128481410</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99721</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99833</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00155</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00029</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5346474</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2387252</DepreciationAmt>
        <BookValueAmt>2959222</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>861617</DepreciationAmt>
        <BookValueAmt>362003</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>167052</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3488277</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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        <BookValueAmt>6285485</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER SHORT TERM RECEIVABLES</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>542866</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEPARTMENTAL DEVELOPMENT FUND</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INCENTIVE PRACTICE INCOME PAYABLE</Desc>
        <Amt>1212166</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL SCHOOL ENRICHMENT FUND</Desc>
        <Amt>457457</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL SERVICES PLAN TRUST FUND</Desc>
        <Amt>135712</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>63469</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>22322471</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THERE WERE NO INCOME TAXES PAID ON UNRELATED BUSINESS ACTIVITIES FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. RELEVANT ACCOUNTING STANDARDS REQUIRE THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN BY THE ASSOCIATION IN THE PREPARATION OF ITS TAX RETURNS. THE ASSOCIATION DETERMINES WHETHER IT IS MORE-LIKELY-THAN-NOT THAT A CERTAIN TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. IF AN UNCERTAIN TAX POSITION IS LESS-LIKELY-THAN-NOT TO BE SUSTAINED, AN ESTIMATE OF THE POTENTIAL EFFECT IS RECOGNIZED IN THE FINANCIAL STATEMENTS, AND THE UNCERTAIN TAX POSITION IS REQUIRED TO BE DISCLOSED. PER MANAGEMENT'S EVALUATION, IT HAS BEEN DETERMINED THAT NO MATERIAL ADJUSTMENTS WERE REQUIRED IN THE FINANCIAL STATEMENTS FOR TAX POSITIONS LESS-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. THE ASSOCIATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
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          <BusinessNameLine1Txt>Orthopaedic Research &amp; Education Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>9400 W Higgins Road</AddressLine1Txt>
          <CityNm>Rosemont</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60018</ZIPCd>
        </USAddress>
        <RecipientEIN>366009467</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>31000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UMMS Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22 South Green Street</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <RecipientEIN>522238893</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>CHARITABLE</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>2</Total501c3OrgCnt>
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      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>FRANK R HENN MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHAIR (FROM 12/22)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ANDREW N POLLAK MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHAIR(UNTIL 12/22)</TitleTxt>
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        <PersonNm>DANIEL E GELB MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>18683</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCUS F SCIADINI MD</PersonNm>
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        <PersonNm>LAWRENCE K THOMPSON IV MD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>281000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47684</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3339</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>56466</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENT BAUER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>536601</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL CAVANAUGH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>692264</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EUGENE Y KOH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22051</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>509696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN C LUDWIG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <PersonNm>JASON W NASCONE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22290</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization maintains discretionary spending accounts available to all physicians within the Organization, including those listed on Schedule J. Receipts are required to be submitted for substantiation and the Organization's allowance policy is followed. These substantiated benefits are not treated as taxable to the recipients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS VARIABLE COMPENSATION ARRANGEMENTS WHICH TAKE INTO CONSIDERATION REVENUES, NET EARNINGS, AND OTHER OPERATIONAL TARGETS, SOME OF WHICH ARE POSITION SPECIFIC AND OTHERS WHICH ARE ORGANIZATION WIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS VARIABLE COMPENSATION ARRANGEMENTS WHICH TAKE INTO CONSIDERATION REVENUES, NET EARNINGS, AND OTHER OPERATIONAL TARGETS, SOME OF WHICH ARE POSITION SPECIFIC AND OTHERS WHICH ARE ORGANIZATION WIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE MEDICAL SERVICE PLAN OF THE UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE, MEDICAL SERVICES ARE RENDERED BY THE MEMBERS OF THE FACULTY ON BEHALF OF THE SCHOOL OF MEDICINE IN CONNECTION WITH THEIR DUTIES TO PROVIDE CLINICAL INSTRUCTION FOR MEDICAL STUDENTS AND OTHER TRAINEES AND TO DELIVER HEALTHCARE TO THE GENERAL PUBLIC WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY IS A MARYLAND CORPORATION WHOSE STOCKHOLDERS ARE PHYSICIANS AND MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT PROVIDE A COMPLETED COPY OF THIS FORM 990 TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THEIR EMPLOYMENT BY UNIVERSITY OF MARYLAND FACULTY PHYSICIANS, INC (FPI) AND THE FACULTY PRACTICES OF THE UNIVERSITY OF MARYLAND (PAS), EMPLOYEES AND FACULTY ARE REQUIRED TO FOLLOW THE MEDICAL SERVICE PLAN. MSP POLICY #37 LISTS THE REQUIREMENTS OF COMPLIANCE AND GOOD BUSINESS PRACTICES. AS PART OF THE MSP POLICY #37, FPI ALSO MAINTAINS A CORPORATE COMPLIANCE PLAN, WHICH DETAILS EXPECTATIONS AROUND CONFLICT OF INTEREST SITUATIONS AND BILLING RESPONSIBILITIES. FPI RELIES ON THE GOOD FAITH OF ITS EMPLOYEES IN THE EXERCISE OF THEIR RESPONSIBILITIES. ALL BUSINESS JUDGMENTS ON BEHALF OF FPI SHOULD BE MADE BY ITS EMPLOYEES ON THE BASIS OF SUCH TRUST AND IN FPI'S BEST INTERESTS. FPI FULLY RESPECTS THE RIGHTS OF EMPLOYEES TO PRIVACY IN THEIR PERSONAL AFFAIRS AND FINANCIAL ACTIVITIES. THE PURPOSE OF THIS POLICY IS TO PROVIDE GUIDANCE TO EMPLOYEES IN AVOIDING SITUATIONS IN THEIR PERSONAL ACTIVITIES WHICH ARE, OR APPEAR TO BE, IN CONFLICT WITH THEIR RESPONSIBILITIES TO FPI. ALTHOUGH IT IS IMPRACTICAL TO ATTEMPT TO DEFINE EVERY SITUATION WHICH MIGHT BE CONSIDERED A CONFLICT OF INTEREST, GENERALLY SPEAKING, A CONFLICT EXISTS WHEN AN EMPLOYEE'S PERSONAL INTERESTS OR ACTIVITIES MAY INFLUENCE HIS OR HER JUDGMENT IN THE PERFORMANCE OF HIS OR HER DUTY TO FPI. THERE MAY BE CASES WHERE SUCH CONFLICTS ARE MORE THEORETICAL THAN REAL, BUT EMPLOYEES SHOULD BE CONCERNED ABOUT POSSIBLE CONFLICTS AND REVIEW AND DISCLOSE THIS SITUATION IN LIGHT OF THE FOLLOWING GUIDELINES. A MAJOR FOCUS OF THE CORPORATE COMPLIANCE PLAN IS CURRENTLY ON CODING, BILLING, AND DOCUMENTATION COMPLIANCE AND ENSURING THAT REGULATIONS ARE BEING FOLLOWED. HOWEVER, COMPLIANCE GOES BEYOND AVOIDING PENALTIES. OUR TOTAL CORPORATE COMPLIANCE PLAN INCLUDES A FULL RANGE OF ISSUES, INCLUDING: -EMPLOYMENT CONTRACTS -CONFLICTS OF INTEREST -PATIENT CONFIDENTIALITY -RECORDS RETENTION -CONTRACTS AND BUSINESS RELATIONSHIPS (INCLUDING PROFESSIONAL SERVICE AGREEMENTS) -WAIVERS OF CO-PAYMENTS, COINSURANCE AND DEDUCTIBLES, AND MORE. WHILE THE COMPLIANCE OFFICE WILL MAKE EVERY EFFORT TO PROVIDE APPROPRIATE COMPLIANCE INFORMATION TO ALL EMPLOYEES, AND TO RESPOND TO ALL INQUIRIES, NO EDUCATIONAL AND TRAINING PROGRAM, HOWEVER COMPREHENSIVE, CAN ANTICIPATE EVERY SITUATION THAT MAY PRESENT COMPLIANCE ISSUES. RESPONSIBILITY FOR COMPLIANCE WITH THE CORPORATE COMPLIANCE PLAN, INCLUDING THE DUTY TO SEEK GUIDANCE WHEN IN DOUBT, RESTS WITH EACH EMPLOYEE. THE ABOVE INFORMATION IS DISCUSSED WITH EACH NEW EMPLOYEE AND FACULTY MEMBER UPON HIRE. ANNUAL CORPORATE COMPLIANCE TRAINING TOUCHES ON THE ABOVE AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR EACH PA PRESIDENT AND OFFICER IS REVIEWED. ANNUALLY BY THE DEAN OF THE SCHOOL OF MEDICINE. THE COMPENSATION DISCUSSION INCLUDES A REVIEW OF BOTH BASE AND VARIABLE COMPENSATION COMPONENTS COMPARED TO RELEVANT BENCHMARKS. THESE TWO COMPONENTS REFLECT THE TOTAL APPROVED SALARY (TAS). AAMC REPORT ON MEDICAL SCHOOL FACULTY SALARIES ISSUED BY THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES PROVIDES COMPENSATION GUIDELINES IN THE 25TH PERCENTILE, 50TH PERCENTILE AND 75TH PERCENTILE AS BENCHMARKS. ONCE THE TAS IS APPROVED BY THE DEAN, IT IS THEN SENT TO THE UMB CAMPUS PRESIDENT FOR FINAL APPROVAL. THE VARIABLE OR BONUS COMPONENT OF COMPENSATION FOR CLINICAL ACTIVITIES IS MANAGED THROUGH A SCHOOL-WIDE PERFORMANCE BASED INCENTIVE COMPENSATION (PBIC) PLAN. BONUS PAYMENTS ARE ALSO APPROVED BY THE PRESIDENT OF UMB BEFORE DISTRIBUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from affiliate organization: $61,825,596</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTING THE AUDITORS HAS NOT CHANGED FROM THE PRECEDING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>UNIV OF MARYLAND FACULTY PHYSICIANS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 W PRATT STREET SUITE 901</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521299563</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B,II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIV OF MARYLAND ORTHO TRAUMA ASSOC PA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 S PACA STREET SUITE 300</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>522381867</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maryland Medicine PA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>250 W PRATT STREET SUITE 901</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521908496</EIN>
        <PrimaryActivitiesTxt>see part VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Univ of MD Orthopaedic Trauma Associates PA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>567823</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Univ of MD Orthopaedic Trauma Associates PA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>9096658</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF RELATED ORGANIZATION: UNIVERSITY OF MARYLAND FACULTY PHYSICIANS, INC. (B) PRIMARY ACTIVITY: COORDINATION AND IMPLEMENTATION OF A MEDICAL SERVICE PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF RELATED ORGANIZATION: UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, P.A. (B) PRIMARY ACTIVITY: MEDICAL SERVICES PROVIDER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF RELATED ORGANIZATION: MARYLAND MEDICINE, P.A. (B) PRIMARY ACTIVITY: EMPLOYMENT SERVICES TO THE PROFESSIONAL ASSOCIATIONS (PA) SCHOOL OF MEDICINE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
