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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angela Poppe Ries MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>234760</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27898</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lawrence Scanlan</PersonNm>
        <TitleTxt>director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J WARD JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Albert J A Young</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Henry J Franey</PersonNm>
        <TitleTxt>Director (UMMS rep)</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.25</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1754810</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24034</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rajiv Goel Esq</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.25</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis Kurgansky MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew L Heath MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph E Hoffman III</PersonNm>
        <TitleTxt>Senior VP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>706001</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>182189</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Diane C Fitzgerald</PersonNm>
        <TitleTxt>Exec Dir - Oncology Svc Line</TitleTxt>
        <AverageHoursPerWeekRt>49.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>20950</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce Fox</PersonNm>
        <TitleTxt>VP - Patient Svcs/cno</TitleTxt>
        <AverageHoursPerWeekRt>25.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>424530</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63488</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Roy H Phillips</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52550</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Olufunmilayo Onobrakpeya</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationAmt>53186</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey M Zale</PersonNm>
        <TitleTxt>Physician Advisor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tanu S Chandra</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Angela M Kaitis</PersonNm>
        <TitleTxt>Dir - Pharmaceutical Services</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43417</OtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TEAM HEALTH HOLDINGS INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>265 BROOKVIEW CENTRE WAY SUITE 400</AddressLine1Txt>
            <CityNm>KNOXVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37934</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN FEES</ServicesDesc>
        <CompensationAmt>1384434</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PROCO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>630 MEADOW DRIVE</AddressLine1Txt>
            <CityNm>WEST CHESTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19380</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>A/R Collection Svcs</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SCOTT M STEINMETZ</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>420 UPPER CHESAPEAKE DRIVE STE 410</AddressLine1Txt>
            <CityNm>BEL AIR</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21014</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN FEES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SUSQUEHANNA OB GYN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 420</AddressLine1Txt>
            <CityNm>HAVRE DE GRACE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21078</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN FEES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HICKEN CRANLEY TAYLOR</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2330 WEST JOPPA RD STE 100</AddressLine1Txt>
            <CityNm>LUTHERVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21093</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>201978</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>747799</RelatedOrganizationsAmt>
      <TotalContributionsAmt>747799</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>306683667</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SPINE CENTER/ENDOCRINOLOGY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>123585</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>123585</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>POST REHAB FITNESS</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1190</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMP CARE CENTER/REHAB</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>866920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>866920</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>307675362</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>508808</TotalRevenueColumnAmt>
        <ExclusionAmt>508808</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>1373891</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>3196108</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-1822217</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-1822217</TotalRevenueColumnAmt>
        <ExclusionAmt>-1822217</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>64290791</SecuritiesAmt>
        <OtherAmt>5160</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>61858790</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2432001</SecuritiesAmt>
        <OtherAmt>5160</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2437161</TotalRevenueColumnAmt>
        <ExclusionAmt>2437161</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
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        <ExclusionAmt>130281</ExclusionAmt>
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        <Desc>PURCHASE DISCOUNTS</Desc>
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        <ExclusionAmt>24568</ExclusionAmt>
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        <ExclusionAmt>2757062</ExclusionAmt>
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        <ProgramServicesAmt>14026321</ProgramServicesAmt>
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        <ProgramServicesAmt>26371</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>94578642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24481913</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3758360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>972707</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6307464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1632446</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7332828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1897822</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>2284609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1491309</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>8640</TotalAmt>
        <ProgramServicesAmt>8640</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>23555932</TotalAmt>
        <ProgramServicesAmt>8229570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15326362</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>49127</TotalAmt>
        <ProgramServicesAmt>7486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41641</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>344886</TotalAmt>
        <ProgramServicesAmt>198730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146156</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>4484705</TotalAmt>
        <ProgramServicesAmt>618450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3866255</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>74771</TotalAmt>
        <ProgramServicesAmt>57128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17643</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>176401</TotalAmt>
        <ProgramServicesAmt>88004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88397</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>6901024</TotalAmt>
        <ProgramServicesAmt>5482173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1418851</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>7716439</TotalAmt>
        <ProgramServicesAmt>622576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7093863</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>16310686</TotalAmt>
        <ProgramServicesAmt>12957209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3353477</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>4936</ProgramServicesAmt>
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        <ProgramServicesAmt>100000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8197752</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>63400002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3628163</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>ALLOCATION-RENTAL EXPENSES</Desc>
        <TotalAmt>-3196108</TotalAmt>
        <ManagementAndGeneralAmt>-3196108</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3579777</TotalAmt>
        <ProgramServicesAmt>2986726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>593051</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>304896751</TotalAmt>
        <ProgramServicesAmt>232925004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71971747</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>26475939</EOYAmt>
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        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>32509071</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>6958684</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1123221</BOYAmt>
        <EOYAmt>1914856</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>269909903</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>52578276</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>217331627</EOYAmt>
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        <EOYAmt>110900213</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>269203899</EOYAmt>
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        <EOYAmt>665294289</EOYAmt>
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        <EOYAmt>28363969</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>234066486</BOYAmt>
        <EOYAmt>218651657</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>262833060</BOYAmt>
        <EOYAmt>247015626</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>219126028</BOYAmt>
        <EOYAmt>250050811</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>168227852</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>386027810</BOYAmt>
        <EOYAmt>418278663</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>648860870</BOYAmt>
        <EOYAmt>665294289</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6283472</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6995195</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>18972186</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>8640</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>8640</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE C, PART II-B, LINE 1I The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 6.46% and 22.80% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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        <OtherCostOrOtherBasisAmt>10700000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10700000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>186940571</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18158485</DepreciationAmt>
        <BookValueAmt>168782086</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3089663</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>740405</DepreciationAmt>
        <BookValueAmt>2349258</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>48409026</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23419684</DepreciationAmt>
        <BookValueAmt>24989342</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>20770643</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10259702</DepreciationAmt>
        <BookValueAmt>10510941</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>217331627</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ECONOMIC INT- LEGACY FUND</Desc>
        <BookValueAmt>172465053</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>UCMC FIXED ASSET FMV</Desc>
        <BookValueAmt>55686000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS HELD FOR SWAP</Desc>
        <BookValueAmt>28958933</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER CURRENT ASSETS</Desc>
        <BookValueAmt>12093913</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>269203899</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTES PAYABLE TO UMMS</Desc>
        <Amt>171619767</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG TERM CAPITAL LEASE</Desc>
        <Amt>22527590</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADVANCES FROM THIRD PARTY PAYORS</Desc>
        <Amt>6714887</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LT LIABILITIES</Desc>
        <Amt>4831614</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>2064925</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>COGEN CAPITAL LEASE</Desc>
        <Amt>5352624</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UMMS ACCRUED SAL, BENEFITS, OTHER</Desc>
        <Amt>5540250</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>218651657</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>308430659</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6995195</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-12073647</OtherRevenueAmt>
      <RevenueNotReportedAmt>-5078452</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>313509111</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-2328888</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-2328888</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>311180223</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>284217759</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3196108</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3196108</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>281021651</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>23875100</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>23875100</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>304896751</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Fin 48 (ASC 740) Footnote THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS THAT SHOULD BE RECOGNIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF REVENUE LINE 2D - OTHER REVENUE ON BOOKS NOT ON RETURN Change in Fair Value of Swaps $ (2,224,868) Reclass - provision for BAD DEBT (9,848,779) ------------ Total Line 2d $ (12,073,647) LINE 4B - OTHER REVENUE ON RETURN NOT ON BOOKS Income from Comp Care Ctr/Rehab 866,920 RECLASS - RENTAL EXPENSES (3,196,108) Miscellaneous Income 300 ------------ Total Line 4b $(2,323,888)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES LINE 2D - OTHER EXPENSES ON BOOKS NOT ON RETURN RECLASS - RENTAL EXPENSES $ 3,196,108 LINE 4B - OTHER EXPENSES ON RETURN NOT ON BOOKS Reclass - provision for BAD DEBT $ 9,848,779 Grant to Upper Chesapeake Medical Services 13,569,921 Grant to Upper Chesapeake Properties 296,336 Grants to Upper Chesapeake Health Ventures 160,064 ------------- Total Line 4b $ 23,875,100</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
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      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <NetCommunityBenefitExpnsAmt>14630219</NetCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.04960</TotalExpensePct>
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        <DirectOffsettingRevenueAmt>47833</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2583693</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>646005</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>11605</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>285794</NetCommunityBenefitExpnsAmt>
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      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>9848779</BadDebtExpenseAmt>
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      <ReimbursedByMedicareAmt>140518107</ReimbursedByMedicareAmt>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>upper chesapeake medical center inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>500 upper chesapeake drive</AddressLine1Txt>
          <CityNm>bel air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.UMUCH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>12-006</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>part v, section b narratives</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>part v, section b narratives</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>Part V, Section c narratives</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>Part V, section c narratives</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>Part V, section c narratives</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, QUESTION 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2015. THE PURPOSE OF THE ASSESSMENT WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS. IN MARCH OF 2015, STAKEHOLDERS FROM UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM (UMUCHS - PARENT COMPANY OF HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER), THE HARFORD COUNTY HEALTH DEPARTMENT, HARFORD COUNTY GOVERNMENT, AND A REPRESENTATIVE FROM THE INTERFAITH COMMUNITY MET TO REVIEW THE DATA AND DISCUSS THE HEALTH PRIORITIES THAT UMUCH WOULD FOCUS ON FOR THE NEXT THREE YEARS. THE BOARD OF DIRECTORS OF UMUCH VOTES TO ADOPT THE FINAL SUMMARY REPORT AND IMPLEMENTATION STRATEGY AND PROVIDE THE NECESSARY RESOURCES AND SUPPORT TO CARRY OUT THE INITIATIVES THEREIN. UMUCHS MAINTAINS A KEY LEADERSHIP ROLE IN HEALTHY HARFORD (AN IRC SECTION 501(C)(3) ORGANIZATION LABELED - THE HEALTHY COMMUNITIES INITIATIVE OF HARFORD COUNTY), ESTABLISHED IN 1995. IN 1996, HEALTHY HARFORD BEGAN COLLECTING COMMUNITY DATA VIA A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT PROJECT (CHAP) SURVEY THAT MEASURED THE INCIDENCE OF DISEASE, PREVENTIVE BEHAVIORS, AND LIFESTYLE BEHAVIORS OF HARFORD COUNTY RESIDENTS WITH AN EYE TOWARDS ASSESSING COMMUNITY HEALTH AND ESTABLISHING HEALTH PRIORITIES IN THE COMMUNITY. CHAP DATA WAS SUBSEQUENTLY COLLECTED IN 2000, 2005, AND 2010. THE GOALS OF THE CHAP SURVEY WERE MULTIPLE: ASSESSING THE OVERALL HEALTH OF HARFORD COUNTY ADULT RESIDENTS, INSURING THAT HEALTH EDUCATION AND PROGRAMMING EFFORTS IN HARFORD COUNTY MATCH ACTUAL NEEDS, ESTABLISHING A BASELINE OF HEALTH INDICATORS SO THAT PROGRESS CAN BE MEASURED OVER TIME, AND ALIGNING COMMUNITY STAKEHOLDERS AROUND THE COMMON GOAL OF IMPROVING HEALTH IN OUR COMMUNITY. TO MEET THE NEW AFFORDABLE CARE ACT REQUIREMENTS, IN 2014 THE CHAP SURVEY WAS REPLACED WITH THE MORE UNIVERSAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY WHICH IS TIED NATIONALLY TO HOSPITAL-BASED COMMUNITY BENEFIT REPORTING. IN ADDITION TO THE CHNA SURVEY, A STATISTICAL SECONDARY DATA PROFILE IS USED THAT DEPICTS POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES AND OTHER HEALTH STATISTICS FOR HARFORD COUNTY. THE DATA WAS GATHERED AND INTEGRATED INTO A GRAPHICAL REPORT TO PORTRAY THE CURRENT HEALTH AND SOCIO-ECONOMIC STATUS OF RESIDENTS OF HARFORD COUNTY. SECONDARY DATA WAS COLLECTED FROM REPUTABLE SOURCES INCLUDING THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE STATE HEALTH IMPROVEMENT PLAN. KEY COMMUNITY PARTNERS AND INFLUENCERS IN CREATING THE SECONDARY DATA PROFILE WERE UMUCH, HEALTHY HARFORD, THE COUNTY HEALTH RANKINGS AND ROADMAPS PROJECT, THE HARFORD COUNTY HEALTH DEPARTMENT, AND THE OBESITY TASK FORCE OF THE HEALTHY COMMUNITY PLANNING BOARD. AN ONLINE COMMUNITY SURVEY WAS CONDUCTED WITH HARFORD COUNTY RESIDENTS BETWEEN OCTOBER 2014 AND JANUARY 2015. THE SURVEY WAS DESIGNED TO ASSESS HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES AND HEALTH CARE ACCESS PRIMARILY RELATED TO CHRONIC DISEASE AND INJURY. A TOTAL OF 1,549 SURVEYS WERE COMPLETED THROUGHOUT THE COUNTY TO PROMOTE GEOGRAPHICAL AND ETHNIC DIVERSITY AMONG RESPONDENTS. ADDITIONALLY, KEY INFORMANT INTERVIEWS WITH 54 REPRESENTATIVES FROM PUBLIC HEALTH AND MEDICAL SERVICES DEPARTMENTS, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILD AND YOUTH AGENCIES AND THE BUSINESS COMMUNITY WERE CONDUCTED BETWEEN OCTOBER AND NOVEMBER 2014. THE HEALTH AREAS THAT WERE DEEMED THE MOST PRESSING FOR OUR COMMUNITY BY (1) CHRONIC DISEASE, (2) TOBACCO USE, (3) MENTAL HEALTH/ADDICTIONS, (4) ACCESS TO CARE, (5) MATERNAL AND CHILD HEALTH, AND (6) INJURY AND ILLNESS PREVENTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, QUESTION 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>UPPER CHESAPEAKE MEDICAL CENTER'S CHNA WAS CONDUCTED IN CONJUNCTION WITH ITS RELATED AFFILIATE HOSPITAL, HARFORD MEMORIAL HOSPITAL. PART V, SECTION B, QUESTION 6B THE HOSPITAL'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES AS FOLLOWS: HEALTHY HARFORD (A 501(C)(3) ORGANIZATION), HARFORD COUNTY HEALTH DEPARTMENT, AND THE HARFORD COUNTY GOVERNMENT AGENCY. Part V, Section B, Question 7 For the community health needs assessment 2015 report url: https://www.umms.org/uch/community/outreach/health-benefits Part V, Section B, Question 10 See page 7 of the community health improvement report 2016 for the implementation strategy</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, QUESTION 11</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS BEING ADDRESSED: AFTER THE COMPLETION OF THE CHNA, UPPER CHESAPEAKE HEALTH'S STRATEGIC PLAN INCORPORATED THE FOLLOWING IDENTIFIED NEEDS: - CHRONIC DISEASE: HEART DISEASE STROKE BLOOD PRESSURE CHOLESTEROL DIABETES OBESITY CANCER - TOBACCO USE: ASTHMA/COPD - MENTAL HEALTH/ADDICTIONS - ACCESS TO CARE - ILLNESS &amp; INJURY PREVENTION: FLU VACCINES HELMETS CAR SAFETY SEATS NEEDS NOT BEING ADDRESSED: UMUCHS HAS NOT IDENTIFIED A PRIORITY NEED THAT IS NOT BEING ADDRESSED BY THE HEALTH SYSTEM. Part V, Line 13b UCMC uses Maryland Hospital Association standards for income eligibility which are 200% of the Federal Poverty Guideline. The standard is based on family size, ranging from 1 to 8+ family members. Patient responsibility is gradually declined as income rises above the MHA poverty level. All patients become ineligible when income is above three times the MHA poverty level.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, QUESTION 16A, B, C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS WIDELY AVAILABLE ON A WEBSITE AT THE FOLLOWING ADDRESS: UMUCH.ORG/PATIENTS/FINANCIAL-ASSISTANCE Part V, question 20 Hospital Efforts Before Initiating Action During this fiscal year, the Hospital did not send a plain language summary of the FAP, but this oversight has been corrected. In the case of an incomplete FAP application, patients are not automatically denied. A letter is mailed to the patient requesting the missing documentation, and FAP applications are approved once the missing documentation is provided.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, question 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE CHARGED STATE REGULATED RATES REGARDLESS OF THEIR ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, Lines 6A and 7</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 6A AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR EACH FISCAL YEAR ENDING JUNE 30. THIS REPORT IS SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 15 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE WEBSITE (WWW.UMUCH.ORG) UNDER THE COMMUNITY HEALTH SECTION AND UPON REQUEST FROM THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM'S DEPARTMENT OF COMMUNITY OUTREACH. LINE 7 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVCIES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNQIUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUE IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. PART II THE MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES. UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH (UM UCH) IS A COMMUNITY BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY. IT IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN ITS COMMUNITIES THROUGH AN INTEGRATED HEALTH DELIVERY SYSTEM THAT PROVIDES THE HIGHEST-QUALITY CARE TO ALL. UM UCH INCLUDES TWO ACUTE CARE HOSPITALS (1) UM UPPER CHESAPEAKE MEDICAL CENTER IN BEL AIR, MD AND (2) UM HARFORD MEMORIAL HOSPITAL IN HAVRE DE GRACE, MD. WITH OVER 82 PERCENT OF OUR 3,200 TEAM MEMBERS LIVING IN HARFORD AND CECIL COUNTIES, WE TRULY ARE NEIGHBORS WHO TAKE CARE OF OUR NEIGHBORS. WE ARE DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITY AND PROVIDING THEM WITH THE HIGHEST QUALITY OF CARE. OUR TWO HOSPITALS SUPPORT PROGRAMS AND ACTIVITIES WHERE OUR EXPERTISE AND RESOURCES CAN INFLUENCE THE FUNDAMENTAL ISSUES THAT AFFECT THE HEALTH OF THE COMMUNITY. ONE OF OUR BIGGEST AND MOST VALUABLE RESOURCES, HEALTHLINK IS A SERVICE OF OUR COMMUNITY OUTREACH PROGRAM. FOR MANY YEARS, IT HAS PROVIDED HEALTH SCREENINGS, EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO INDIVIDUALS EITHER FREE OF CHARGE OR FOR A NOMINAL FEE. BECAUSE OF THESE RESOURCES, THOUSANDS OF PEOPLE IN OUR SURROUNDING NEIGHBORHOODS HAVE THE KNOWLEDGE THEY NEED TO MAKE POSITIVE HEALTH AND WELLNESS CHOICES. HEALTHLINK ALSO PARTNERS WITH HARFORD COUNTYS OFFICE ON AGING TO PROVIDE SCREENINGS FOR THE SENIOR POPULATION, AN EVIDENCE-BASED FALLS PREVENTION PROGRAM, AND DIABETES MANAGEMENT SUPPORT GROUPS. IN CONJUNCTION WITH OUR MANY HEALTH, GOVERNMENTAL AND NON-PROFIT PARTNERS, INCLUDING HEALTHY HARFORD INC., UM UCH ACTIVELY REACHES OUT TO OUR COMMUNITY TO PROMOTE HEALTHY LIFESTYLES, IMPROVED EATING HABITS, INCREASED PHYSICAL ACTIVITY AND DECREASED TOBACCO USE FOR THE PREVENTION OF CHRONIC DISEASE AND OBESITY, TWO PREVALENT AND VERY PREVENTABLE CONDITIONS. HEALTHY HARFORD, WHICH WAS FOUNDED BY UM UCH AND OTHER COUNTY PARTNERS, PREDOMINANTLY ENGAGES THE UNDERSERVED AND HOMELESS POPULATION AND WORKS ALONGSIDE HARFORD COUNTY UNITED WAY AND MORE THAN 100 AGENCIES, INCLUDING THE INTERFAITH COMMUNITY. TO MEET THE HIGH PRIORITY NEEDS OF THE AREA, UM UCH ALSO IMPLEMENTED THE FOLLOWING: - A SIX-WEEK LIVING WELL CHRONIC DISEASE SELF-MANAGEMENT PROGRAM - MENTAL HEALTH FIRST AID TRAINING - INCREASED ACCESS TO CARE STUDIES FOR LOW-INCOME HARFORD COUNTY RESIDENTS WITHOUT TRANSPORTATION - KIDS IN SAFETY SEATS (KISS)-TRAINED CAR SEAT INSTALLATION INSPECTOR TEAMS - PRESCRIPTION AND ILLEGAL SUBSTANCE ABUSE PREVENTION PROGRAMS UM UCH ALSO PARTICIPATES IN VARIOUS COUNTY, STATE AND REGIONAL EMERGENCY PREPAREDNESS PLANNING ACTIVITIES AND DRILLS WITH OUR COMMUNITY PARTNERS SUCH AS EMERGENCY SERVICES, FIRE AND RESCUE, THE DEPARTMENT OF HEALTH, COUNTY GOVERNMENT, FEMA AND MEMA. THIS SERVES TO ENSURE THAT, IN THE EVENT OF A DISASTER OR EMERGENCY, OUR HOSPITALS ARE READY TO SUPPORT AND CARE FOR OUR COMMUNITY. ECONOMIC DEVELOPMENT IS A PRIORITY OF THE HEALTH SYSTEM, AS WELL, AND WE HAVE LEADERSHIP PARTICIPATION IN THE HARFORD COUNTY CHAMBER OF COMMERCE. HEALTH CARE SYSTEMS ACROSS THE COUNTRY, INCLUDING UM UCH, FACE NEW CHALLENGES AS THEY WORK TO IMPROVE THE WAY HEALTH CARE IS DELIVERED. AT UPPER CHESAPEAKE, WE STRIVE TO ENHANCE THE LIVES OF THOSE IN OUR COMMUNITY BY WORKING TOGETHER TO PROVIDE A CONTINUUM OF CARE ACROSS MANY DISCIPLINES. OUR AFFILIATION WITH THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM ALLOWS US TO PROVIDE THE GROWING NORTHEAST MARYLAND AREA WITH EXPANDED CLINICAL SERVICES, PROGRAMS, FACILITIES AND INCREASED PHYSICIAN RECRUITMENT. WE ARE COMMITTED TO DELIVERING WORLD-CLASS SERVICES AND TECHNOLOGY TO ALL THAT WE SERVE, AND PLAYING A CRITICAL ROLE IN SUSTAINING AND IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINES 2, 4 and 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL GRANTS CREDIT TO PATIENTS, SUBSTANTIALLY ALL OF WHOM ARE LOCAL RESIDENTS. THE HOSPITAL GENERALLY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY IN EXTENDING CREDIT; HOWEVER, THE HOSPITAL ROUTINELY OBTAINS ASSIGNMENT OF (OR ARE OTHERWSIE ENTITLED TO RECEIVE) PATIENTS' BENEFITS RECEIVABLE UNDER THEIR HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES. PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS, FOOTNOTE (1)(N), NET PATIENT SERVICE REVENUE &amp; PROVISION FOR UNCOLLECTIBLE ACCOUNTS, PAGES 15-16 FOR THE DESCRIPTION REGARDING THE ORGANIZATION'S BAD DEBT EXPENSE. THE HOSPITAL DID NOT HAVE A MEDICARE SHORTFALL. In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. In 2014, Maryland's waiver with Medicare was renegotiated and updated to reflect the current healthcare environment. Under this new waiver, several criteria were established to monitor the success of the system in controlling healthcare costs and the continuance of the waiver itself: 1. Revenue growth per capita 2. Medicare hospital revenue per beneficiary 3. Medicare all provider revenue growth per beneficiary 4. Medicare readmission rates 5. Hospital acquired condition rate</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION C, LINE 9B: fap and collection process</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH IRC SECTION 501R AND RELATED TREASURY REGULATIONS, THE HOSPITAL IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE: UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON INDIVIDUAL FINANCIAL SITUATION. IT IS THE POLICY OF THE HOSPITAL TO ATTEMPT TO COLLECT PAYMENT FOR ALL SERVICES RENDERED TO PATIENTS IN THE MOST EFFICIENT AND PATIENT FRIENDLY MANNER. THE HOSPITAL WILL FIRST ATTEMPT TO COLLECT PAYMENT FROM THE PATIENT'S INSURANCE COMPANY. IN THE EVENT THE PATIENT HAS NO INSURANCE OR LIMITED INSURANCE COVERAGE, THE HOSPITAL WILL ATTEMPT TO QUALIFY THE PATIENT FOR THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND/OR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY'S PROCEDURES ARE AS FOLLOWS: -FINANCIAL ASSISTANCE IS MADE AVAILABLE TO ALL OF UPPER CHESAPEAKE HEALTH'S CUSTOMERS -NOTICES OF AVAILABILITY ARE AT ALL PATIENT ACCESS POINTS, BILLING OFFICES AND CASHIER'S STATIONS -NOTICE OF AVAILABILITY PROVIDED TO PATIENTS ON PATIENTS BILLS AND BEFORE DISCHARGE -APPLICATIONS ARE PROVIDED TO ALL PATIENTS UPON REQUEST -FREE CARE IS AVAILABLE TO PATIENTS IN HOUSEHOLDS BETWEEN 0 PERCENT AND 200 PERCENT OF FEDERAL POVERTY LEVEL -REDUCED COST CARE IS AVAILABLE TO UNINSURED PATIENTS BETWEEN 200 PERCENT AND 500 PERCENT OF FEDERAL POVERTY LEVEL -INTEREST FREE PAYMENT PLANS ARE AVAILABLE TO UNINSURED PATIENTS WITH INCOME BETWEEN 200 PERCENT AND 500 PERCENT OF FEDERAL POVERTY LEVEL AND TO ALL PATIENTS WITH BALANCES AFTER INSURANCE COVERAGE AND/OR FINANCIAL ASSISTANCE IS APPLIED -FINANCIAL ASSISTANCE DETERMINATION APPEAL PROCESS IN PLACE -MEDICAL HARDSHIP / CATASTROPHIC CARE POLICY IN PLACE PATIENTS WHO ARE LEFT WITH A BALANCE AFTER ALL INSURANCES HAVE BEEN PURSUED AND FINANCIAL ASSISTANCE HAS BEEN OFFERED, THEIR ACCOUNTS WILL BE HANDLED IN THE FOLLOWING MANNER: -THE ORGANIZATION WILL REFER THESE ACCOUNTS TO ITS EARLY-OUT VENDOR. THIS EARLY-OUT VENDOR IS NOT A COLLECTION AGENCY; IT IS AN EXTENSION OF THE HOSPITAL'S PATIENT ACCOUNTING OFFICE. -THE EARLY-OUT VENDOR WILL FACILITATE THE NEGOTIATION OF SELF-PAY NO-INTEREST PAYMENT ARRANGEMENTS THROUGH A SERIES OF LETTERS AND PHONE CALLS. -AN INITIAL NOTICE WILL BE SENT TO THE PATIENT'S GUARANTOR PROVIDING OPTIONS FOR RESOLUTION. IF GUARANTOR IS UNABLE TO PAY THE BALANCE IN FULL, AN ATTEMPT WILL BE MADE TO HAVE THE BALANCE RESOLVED WITHIN 3 TO 6 MONTHS. THE MINIMUM PAYMENT GUIDELINES REQUIRE THE ACCOUNT BALANCE BE PAID IN 12 MONTHS WITH A MINIMUM PAYMENT OF FIFTY DOLLARS. THERE IS EXCEPTIONS FOR CANCER CENTER PATIENTS. -IF A VALID ADDRESS AND OR PHONE NUMBER IS LISTED A TOTAL OF 3 LETTERS AND 3 PHONE CALL ATTEMPTS WILL BE MADE ON ACCOUNTS THAT HAVE NOT BEEN PAID IN FULL OR WHERE AN APPROVED PAYMENT ARRANGEMENT HAS NOT BEEN MADE. DAY 15 TO 30 ONE PHONE CALL CAMPAIGN WILL BE MADE; DAY 68 TO 80 IF ACCOUNT HAS NOT BEEN PAID IN FULL OR HAS NOT BEEN SET UP ON AN APPROVED PAYMENT PLAN, THE EARLY-OUT VENDOR WILL RECOMMEND THAT THE ACCOUNT BE PLACED WITH A COLLECTION AGENCY. -ACCOUNTS MAINTAINED UNDER AN APPROVED PAYMENT ARRANGEMENT WILL RECEIVE MONTHLY STATEMENTS 30 DAYS PRIOR TO THE PAYMENT DUE DATE. AS A LAST RESORT, ACCOUNTS THAT ARE FORWARDED TO A COLLECTION AGENCY, HAVE THE FOLLOWING PROCEDURES: -TWO COLLECTION AGENCIES ARE EMPLOYED BY THE HOSPITAL; EACH RECEIVING APPROXIMATELY FIFTY PERCENT OF THE ACCOUNT (BASED ON THE FIRST LETTER OF THE LAST NAME OF EACH PATIENT). ACCOUNTS PLACED WITH ONE OF THE COLLECTION AGENCIES ARE CLASSIFIED AS BAD DEBTS AND REMOVED FROM ACCOUNTS RECEIVABLE. -AFTER THE INITIAL PLACEMENT WITH A COLLECTION AGENCY, AN INITIAL NOTICE WILL BE SENT TO THE GUARANTOR ADVISING THAT THE AGENCY HAS BEEN CONTRACTED TO MANAGE THE ACCOUNT AND THE NOTICE WILL PROVIDE THE GUARANTOR WITH OPTIONS FOR RESOLUTION. IN RARE CASES, ACCOUNTS MAY WARRANT LEGAL ACTION. ONCE AN ACCOUNT HAS MET THE FOLLOWING CRITERIA, THE ACCOUNT IS CLOSED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE AND FORWARDED BACK TO PATIENT ACCOUNTING FOR REVIEW TO ESTABLISH GROUNDS FOR LEGAL ACTION. THIS ONLY OCCURS AFTER ALL EFFORTS TO RESOLVE THE DEBT HAVE BEEN EXHAUSTED. CRITERIA: THE DEBT IS VALID; THE ACCOUNT IS EQUAL TO OR GREATER THAN 120 DAYS OLD; PATIENTS REFUSES TO ACKNOWLEDGE THE DEBT; UPON REVIEW AND INVESTIGATION, THE HOSPITAL HAS DETERMINED THAT LIQUID ASSETS ARE AVAILABLE; AND THE HOSPITAL'S VP OF FINANCE MUST AUTHORIZE LEGAL ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 2: Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY THREE YEARS A COMMUNITY HEALTH ASSESSMENT SURVEY/PLAN IS PERFORMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 3: patient education of eligibility for assisstance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DISPLAYS SIGNS AT EVERY REGISTRATION POINT, THE PATIENT ACCOUNTING OFFICE, ON ALL PATIENT BILLS, AND OTHER KEY PATIENT ACCESS AREAS INFORMING THE PATIENTS ABOUT THE AVAILABILITY OF THE VARIOUS FINANCIAL AND MEDICAL ASSISTANCE PROGRAMS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED BEFORE DISCHARGE AND WILL BE AVAILABLE TO ALL PATIENTS UPON REQUEST. THE HOSPITAL OFFERS EVERY SELF-PAY PATIENT OR ANY PATIENT WHO INQUIRES THE FINANCIAL ASSISTANCE INFORMATIONAL PACKET AND APPLICATION. THE COVER SHEET FOR THE FINANCIAL ASSISTANCE PACKET ALSO INCLUDES INFORMATION ON OBTAINING MEDICAL ASSISTANCE. IN ADDITION, THE HOSPITAL HAS A FINANCIAL COUNSELOR THAT VISITS THE SELF-PAY PATIENT IN THE EMERGENCY DEPARTMENT OR IN THE PATIENT'S ROOM TO DISCUSS WHAT IS AVAILABLE TO THEM. THE HOSPITAL ALSO EMPLOYS A MEDICAL ASSISTANCE ADVOCACY COMPANY TO ASSIST THE HOSPITAL'S PATIENTS GET MEDICAL ASSISTANCE. DETERMINATION FOR FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON ASSETS, INCOME AND FAMILY SIZE. A FEW ITEMS TO NOTE AS FOLLOWS: -LIQUID ASSETS GREATER THAN $15,000 FOR INDIVIDUALS, AND $25,000 FOR FAMILIES WILL DISQUALIFY THE PATIENT FOR 100% ASSISTANCE -EQUITY OF $150,000 IN A PRIMARY RESIDENCE WILL BE EXCLUDED FROM THE CALCULATION FOR DETERMINATION OF FINANCIAL ASSISTANCE -RETIREMENT ASSETS WILL NOT BE USED FOR DETERMINATION OF FINANCIAL ASSISTANCE -THERE IS SPECIAL QUALIFICATIONS FOR NON-CITIZENS/NON-RESIDENTS OF THE UNITED STATES PATIENTS MAY ALSO BE CONSIDERED FOR PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY WITH PROOF OF ENROLLMENT IN ONE OF THE PROGRAMS LISTED BELOW: -ACTIVE MEDICAL ASSISTANCE PHARMACY COVERAGE -SPECIAL LOW INCOME MEDICARE BENEFICIARY COVERAGE -PRIMARY ADULT CARE COVERAGE -HOMELESSNESS -MEDICAL ASSISTANCE AND MEDICAID MANAGED CARE PATIENTS -MARYLAND PUBLIC HEALTH SYSTEM EMERGENCY PETITION PATIENTS -PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAM -SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM -ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS -DECEASED WITH NO KNOWN ESTATE -ELIGIBILITY FOR STATE ONLY MEDICAL ASSISTANCE PROGRAM -HOUSEHOLDS WITH CHILDREN IN THE FREE OR REDUCED LUNCH PROGRAM -LOW INCOME HOUSEHOLD ENERGY ASSISTANCE PROGRAM -SELF-ADMINISTERED DRUGS -MEDICAL ASSISTANCE SPENDDOWN AMOUNTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 4: community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERVICE AREA OF THE UPPER CHESAPEAKE HEALTH SYSTEM, WHICH INCLUDES UPPER CHESAPEAKE MEDICAL CENTER, CONSISTS OF THE NORTHEAST PART OF MARYLAND, INCLUDING HARFORD COUNTY, WESTERN CECIL COUNTY AND PORTION OF BALTIMORE COUNTY. THIS SERVICE AREA IS LOCATED AT THE APEX OF THE CHESAPEAKE BAY AND IS SPREAD ACROSS 536 SQUARE MILES. IT CONTAINS, AMONG OTHERS, THE CITIES AND TOWNS OF HAVRE DE GRACE, ABERDEEN, BEL AIR, FALLSTON, AND EDGEWOOD. THE SERVICE AREA ENJOYS A DIVERSE ECONOMIC BASE, RANGING FROM CONCENTRATIONS IN SERVICE, MANUFACTURING, DISTRIBUTION, AND RETAIL, TO FEDERAL GOVERNMENT EMPLOYMENT. HARFORD COMMUNITY COLLEGE PROVIDES A LOCAL VENUE FOR ADVANCED EDUCATION AND HARFORD COUNTY'S PROXIMITY TO BALTIMORE GIVES IT ACCESS TO NATIONALLY RECOGNIZED UNIVERSITIES WHICH HELP PROVIDE A SKILLED WORKFORCE. THE SERVICE AREA IS SERVED BY INTERSTATE 95, AMTRAK AND FREIGHT RAIL LINES ALONG THE BUSY EAST-COAST TRANSPORTATION CORRIDOR BETWEEN NEW YORK AND WASHINGTON, DC. IN 2013, THE SERVICE AREA HAD A TOTAL POPULATION OF 249,215 PEOPLE WITH HISTORICAL ANNUAL GROWTH RATES OF APPROXIMATELY 1.8% PER YEAR. THIS GROWTH HAS BEEN CHARACTERIZED BY AN INFLUX OF YOUNG FAMILIES SEEKING SUBURBAN ENVIRONMENT IN WHICH TO LIVE AND IS COMPLEMENTED BY A GROWTH IN BUSINESSES AND OTHER SERVICES THAT FOLLOW YOUNG, MIDDLE CLASS FAMILIES. IN 2013, THE SERVICE AREA HAD AN ESTIMATED 90,218 HOUSEHOLDS WITH A MEDIAN FAMILY INCOME OF $80,441. 91% OF THE SERVICE AREA'S ADULTS OVER THE AGE OF 25 ARE HIGH SCHOOL GRADUATES OR HIGHER; 30% ACHIEVED BACHELOR'S DEGREES OR HIGHER. THE SERVICE AREA'S GROWTH AND GEOGRAPHIC LOCATION EXPLAIN ITS ABILITY TO ATTRACT MAJOR EAST-COAST DISTRIBUTION CENTER AND INDUSTRY, WHICH HAVE PROVIDED ADDITIONAL EMPLOYMENT OPPORTUNITIES IN THE SERVICE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 5: promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>MONIES SPENT FOR HOSPITAL AND COMMUNITY PREPAREDNESS FOR HAZARDOUS ACCIDENTS, NATURAL DISASTERS, AND COALITION BUILDING IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 6: affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>UPPER CHESAPEAKE MEDICAL CENTER, INC. (UCMC) IS ONE HOSPITAL IN AN "AFFILIATED HEALTH CARE SYSTEM" THAT INCLUDES A SECOND HOSPITAL, HARFORD MEMORIAL HOSPITAL, INC. (HMH), A PHYSICIAN SERVICES ORGANIZATION (UPPER CHESAPEAKE MEDICAL SERVICES, INC.), A PROPERTY HOLDING COMPANY (UPPER CHESAPEAKE PROPERTIES, INC.), A HOSPICE RESIDENCE (UPPER CHESAPEAKE RESIDENTIAL HOSPICE HOUSE, INC. &amp; HOSPICE OF HARFORD COUNTY LLC) AND A FOR-PROFIT VENTURE WITH INVESTMENTS IN PRIVATE IMAGING SERVICES (UPPER CHESAPEAKE HEALTH VENTURES, INC.). THE "SYSTEM" PROVIDES A BROAD RANGE OF COMMUNITY HEALTH CARE SERVICES, INCLUDING PREVENTIVE, AMBULATORY, ACUTE AND HOSPICE SERVICES, THROUGH AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN HARFORD COUNTY AND PARTS OF BALTIMORE AND CECIL COUNTIES, IN NORTHEAST MARYLAND. UCMC AND HMH ARE THE ONLY HOSPITALS IN HARFORD COUNTY, MARYLAND. UCMC OFFERS ACUTE CARE SERVICES, INCLUDING INTENSIVE CARE, EMERGENCY AND OTHER OUTPATIENT SERVICES, AND HAS THE ONLY ACUTE CARE MATERNITY SERVICES IN HARFORD COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 7: State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH SERVICES COST REVIEW COMMISSION, THE STATE AGENCY THAT REGULATES HOSPITAL RATES IN MARYLAND, REQUIRES A COMMUNITY BENEFIT REPORT TO BE FILED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE PROPERTIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DRIVE BEL AIR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <RecipientEIN>521907237</RecipientEIN>
        <IRCSectionDesc>501(C)(2)</IRCSectionDesc>
        <CashGrantAmt>296336</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE HEALTH VENTURES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DRIVE BEL AIR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <RecipientEIN>521501734</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>160064</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPPER CHESAPEAKE MEDICAL SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>520 UPPER CHESAPEAKE DRIVE BEL AIR</AddressLine1Txt>
          <CityNm>BEL AIR</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <RecipientEIN>260737028</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13569921</CashGrantAmt>
        <PurposeOfGrantTxt>PHYSICIAN PRACTICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS TO STUDY IN THE MEDICAL FIELD</GrantTypeTxt>
        <RecipientCnt>10</RecipientCnt>
        <CashGrantAmt>26371</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I - GRANTS &amp; OTHER ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, QUESTION 2 FOR THE CURRENT YEAR, THE FILING ORGANIZATION MADE GRANTS TO ITS RELATED ORGANIZATIONS. THERE IS NO SPECIFIC MONITORING OF THE GRANT FUNDS; HOWEVER, THE FILING ORGANIZATION HAS ADOPTED BEST PRACTICES FOR INTERNAL CONTROLS. WHEN GRANTS ARE MADE TO UNRELATED ORGANIZATIONS, THE FILING ORGANIZATION DOES HAVE A WRITTEN AND APPROVED CHARITABLE GIVING POLICY AND PROCEDURE. THERE IS WRITTEN CRITERIA REGARDING THE RECOMMENDATIONS FOR CONSIDERATION WHEN EVALUATING CONTRIBUTION REQUESTS SUCH AS FOLLOWS: (1) THAT CONTRIBUTIONS WILL BE MADE ONLY TO ORGANIZATIONS FOR PURPOSES CONSISTENT WITH UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM'S (PARENT ENTITY) VISION AND MISSION. (2) CONTRIBUTIONS WILL BE MADE ONLY TO NOT-FOR-PROFIT ORGANIZATIONS. (3) CONTRIBUTIONS WILL PREFERABLY BE MADE TO ORGANIZATIONS WHICH DIRECTLY SERVE THE CITIZENS OF HARFORD AND CECIL COUNTIES. (4) CONTRIBUTIONS WILL NOT BE GIVEN TO INDIVIDUALS (EXLUDING SCHOLARSHIPS). (5) CONTRIBUTIONS WILL NOT BE MADE FOR RELIGIOUS PURPOSES; HOWEVER, THERE MAY BE CONTRIBUTIONS GIVEN FOR A SPECIFIC EFFORT OR PROGRAM WITHIN A CHURCH OR RELIGIOUS FACILITY WHICH PROVIDES HEALTH-RELATED SERVICES TO THE BROADER COMMUNITY. (6) CONTRIBUTIONS WILL NOT BE MADE IN SUPPORT OF POLITICAL ADVOCACY. (7) UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM WILL STRIVE TO DONATE TO ORGANIZATIONS WHERE THE MAJORITY OF THE FUNDS RECEIVED ARE APPLIED DIRECTLY TO THE NEED THE ORGANIZATION IS DESIGNED TO MEET. *** REQUESTS FOR $5,000 AND UNDER ARE REFERRED TO THE PRESIDENT/CEO FOR REVIEW *** REQUESTS FOR GREATER THAN $5,000 ARE REFERRED TO THE COMMUNITY DEVELOPMENT COMMITTEE FOR DISCUSSION AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYLE E SHELDON</PersonNm>
        <TitleTxt>PRESIDENT/CEO/DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>599094</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>346301</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>640022</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>242349</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26901</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1854667</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>558193</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John W Ashworth III</PersonNm>
        <TitleTxt>Dir/UMMS SVP - end 8/23/16</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>602349</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>390000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>122128</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10600</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17216</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1142293</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert A Chrencik</PersonNm>
        <TitleTxt>Director/UMMS President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1265687</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1105294</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1870062</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10600</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13434</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>4265077</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Angela Poppe Ries MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>234576</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>184</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>27117</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>781</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>262658</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Henry J Franey</PersonNm>
        <TitleTxt>Director (UMMS rep)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>812487</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>397804</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>544519</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10600</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13434</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1778844</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diane C Fitzgerald</PersonNm>
        <TitleTxt>Exec Dir - Oncology Svc Line</TitleTxt>
        <BaseCompensationFilingOrgAmt>151333</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13619</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>587</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3864</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17086</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186489</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Roy H Phillips</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>211945</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>65000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1525</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32224</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20326</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331020</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Olufunmilayo Onobrakpeya</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>186902</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>456</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33478</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19708</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>280544</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey M Zale</PersonNm>
        <TitleTxt>Physician Advisor</TitleTxt>
        <BaseCompensationFilingOrgAmt>175544</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tanu S Chandra</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>157584</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>124</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9835</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>607</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201150</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Angela M Kaitis</PersonNm>
        <TitleTxt>Dir - Pharmaceutical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>138424</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13492</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1764</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33106</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10311</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197097</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joyce Fox</PersonNm>
        <TitleTxt>VP - Patient Svcs/cno</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>250337</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>94532</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>79661</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>63375</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>113</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>488018</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>75711</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph E Hoffman III</PersonNm>
        <TitleTxt>Senior VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>354580</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>180123</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>171298</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>165477</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16712</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>888190</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>142437</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, QUESTION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION DOES NOT DIRECTLY PAY THE CHIEF EXECUTIVE OFFICER. ALL COMPENSATION TO THE CHIEF EXECUTIVE OFFICER REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP. UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, QUESTION 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR ended June 30, 2017, CERTAIN OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED PLAN. THE INDIVIDUALS, LISTED BELOW, HAVE NOT VESTED IN CERTAIN PORTIONS OF THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE CALENDAR YEAR 2016 IS REPORTED ON SCHEDULE J, PART II, COLUMN (C), RETIREMENT AND OTHER DEFERRED COMPENSATION. ROBERT A. CHRENCIK JOHN W. ASHWORTH, III HENRY J. FRANEY LYLE E. SHELDON JOSEPH E. HOFFMAN, III JOYCE FOX DURING THE FISCAL YEAR ENDED JUNE 30, 2017, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS VESTED IN CERTAIN PORTIONS OF THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE CALENDAR YEAR 2016 ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION: ROBERT A. CHRENCIK JOHN W. ASHWORTH, III HENRY J. FRANEY LYLE E. SHELDON JOSEPH E. HOFFMAN, III JOYCE FOX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, QUESTION 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, GOVERNING BODY &amp; MANAGEMENT, QUESTION 6, 7a &amp; 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXISTENCE OF MEMBERS UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF UPPER CHESAPEAKE MEDICAL CENTER. UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, POLICIES, QUESTION 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONAL REVIEW OF FORM 990 THE BOARD OF UNIVERISTY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM, INC. ("HEALTH SYSTEM") related to the filing organization, HAS ASSIGNED THE EXECUTIVE COMMITTEE OF THE HEALTH SYSTEM'S BOARD TO REVIEW AND APPROVE ALL CONTENTS OF FORM 990 ON BEHALF OF THE BOARDS OF ALL HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES. IN TURN, ONCE THE FORM 990 HAS BEEN APPROVED BY HEALTH SYSTEM'S EXECUTIVE COMMITTEE, A FINAL VERSION OF THE FORM 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS OF THE RESPECTIVE HEALTH SYSTEM'S TAX-EXEMPT AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, POLICIES, QUESTION 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY The organization's written conflict of interest policy covers the following individuals: Directors, Principal Officers, and Senior Management. Furthermore, the policy extends to the family members (per Internal Revenue Service definition) of such Directors, Principal Officers, and Senior Management. The Board of Directors and any committee considering a contract, transaction or arrangement to which a known or potential conflict of interest relates, determines whether a conflict exists. Actual conflicts are reviewed by the Chairman of the Board. An individual with a known or potential conflict of interest must refrain from participating in, or acting on, the decision on any matter in which a conflict of interest, or even the appearance of such a conflict of interest, is present with respect to such individual and will remove himself or herself from any meeting or deliberations on the matter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, POLICIES, QUESTION 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION The executive compensation committee of the board of directors approves compensation for the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and all key employees. The executive compensation committee utilizes but is not limited to the following resources in evaluating and establishing reasonable compensation: independent compensation consultants, compensation surveys and compensation studies. This organization and its tax-exempt affiliates strive to maintain an arm's length relationship between itself and its employees. It is the goal of the executive compensation committee to ensure that total compensation (compensation and benefits) paid to its employees is fair and reasonable. Finally, the process of setting and approving such compensation is performed annually by the board's executive compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, DISCLOSURE, QUESTION 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST: ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VIII, STATEMENT OF REVENUE, Line 2A Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS PATIENT REVENUE $ 342,084,859 Less: Allowances &amp; Charity Policies (24,069,463) Less: Assessments (11,331,729) -------------- NET PATIENT REVENUE $ 306,683,667</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, RECONCILIATION OF NET ASSETS, Line 9, other changes</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Changes to Net Assets $ (19,396,282) Other Income Swap (1,062,586) Swap Settlements (2,418,000) Pension Settlements 20,652,000 Reverse of Transfer to HMH 2,432,628 FY16 Strategic UMMS Fundraising (3,100,000) FY17 UMMS Enterprise Phase II Allocation (1,312,361) UMMS Community Medical Group Funding (184,000) UMMS Depreciation Allocation 1,004,235 Economic Interest in Legacy Funding 1,326,069 Pension Plan Adjustment 21,030,783 Miscellaneous Income (300) --------------- TOTAL $ 18,972,186</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDING HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. FOR MORE THAN 90 YEARS, UPPER CHESAPEAKE HEALTH HAS BEEN PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTHCARE. ITS TWO HOSPITALS, HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER OFFER SOME OF THE AREA'S MOST ADVANCED INPATIENT AND OUTPATIENT SERVICES SO THAT PATIENTS CAN ENJOY THE SUPERIOR WELLNESS RESOURCES A HEALTHY LIFESTYLE NEEDS, WITHOUT LEAVING THEIR NEIGHBORHOOD. UPPER CHESAPEAKE HEALTH IS A COMMUNITY-BASED, NON-PROFIT HEALTH SYSTEM LOCATED IN HARFORD COUNTY, MARYLAND. OUR VISION IS BASED ON CREATING THE HEALTHIEST COMMUNITY IN MARYLAND. BUILDING ON THAT VISION, WE HAVE A STRONG COMMITMENT TO SERVICE EXCELLENCE. SO MUCH SO THAT IT HAS BECOME PART OF THE FABRIC OF THE HEALTHCARE EXPERIENCE AT UPPER CHESAPEAKE HEALTH. UPPER CHESAPEAKE HEALTH HAS OVER 2,500 PHYSICIANS AND HEALTHCARE PROFESSIONALS WHO ARE DELIVERING CARE FOR THE MIND, BODY, AND SPIRIT IN SETTINGS FROM OFFICES, TO OUTPATIENT CENTERS, TO HOSPITALS, TO SHOPPING CENTERS, TO BUSINESSES, AND TO HOMES. UPPER CHESAPEAKE MEDICAL CENTER IS A MEMBER OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. UPPER CHESAPEAKE MEDICAL CENTER (THE MEDICAL CENTER) IS AN ACUTE CARE, NON-PROFIT FACILITY OFFERING A FULL COMPLEMENT OF MEDICAL, DIAGNOSTIC AND EMERGENCY CARE SERVICES. THE MEDICAL CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THIS PREMIER HEALTH CARE FACILITY INCORPORATES SEVERAL TRENDS THAT REFLECT HOW HEALTH CARE IS CHANGING, INCLUDING REORIENTATION TOWARDS OUTPATIENT CARE, MORE ACUTELY ILL PATIENTS IN THE HOSPITAL AND FLEXIBILITY FOR GROWTH AND CHANGE TO MEET OUR COMMUNITY'S FUTURE HEALTH CARE NEEDS. LOCATED ON THE MEDICAL CAMPUS IS THE UPPER CHESAPEAKE MEDICAL CENTER WITH 194 ACUTE CARE BEDS. ADJACENT TO THE MEDICAL CENTER IS THE AMBULATORY CARE CENTER OF HARFORD COUNTY, CONTAINING PHYSICIAN OFFICES, OUTPATIENT IMAGING AND LABORATORY PROCEDURES, OUTPATIENT PRE-ASSESSMENT TESTING AND ASSESSMENT, UPPER CHESAPEAKE CARDIOVASCULAR INSTITUTE, AND THE ADMINISTRATIVE OFFICES OF THE UNIVERSITY OF MARYLAND UPPER CHESAPEAKE HEALTH SYSTEM. ALSO LOCATED NEXT TO THE MEDICAL CENTER, IS A PRE-EXISTING MEDICAL OFFICE BUILDING WITH PHYSICIAN OFFICES AND OTHER HEALTHCARE RELATED SERVICES, A PARKING GARAGE AND A SECOND MEDICAL OFFICE BUILDING WHICH INCLUDES OUTPATIENT SERVICES AND PHYSICIAN OFFICES. HARFORD MEMORIAL HOSPITAL AND UPPER CHESAPEAKE MEDICAL CENTER MAINTAIN CHARITY CARE PROGRAMS AND, IN ADDITION, CONDUCT MANY COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES INCLUDING: - COMMUNITY HEALTH EDUCATION PROGRAMS WHICH INCLUDE NEWBORN BABY CARE, SITTER SAFETY PROGRAM, INFANT CPR, INFANT SAFETY, STOP SMOKING CLASS, KIDS SAFETY CLASS, AND PRENATAL BREAST FEEDING CLASS - SUPPORT GROUPS INCLUDING BREAST FEEDING SUPPORT, BREAST CANCER AWARENESS GROUPS, PERINATAL BEREAVEMENT, ASTHMA SUPPORT GROUP, WIDOW AND WIDOWERS SUPPORT GROUP, GRIEF SUPPORT GROUP, PROSTATE CANCER SUPPORT GROUP, AMPUTEE NETWORK, BRAIN INJURY SUPPORT GROUP, STROKE CLUB, LUPUS SUPPORT GROUP, AND OTHERS - HEALTH SCREENINGS INCLUDING SCREENINGS FOR OSTEOPOROSIS, CARDIAC PROBLEMS, BLOOD PRESSURE, AND OTHER ISSUES - FREE AND MOBILE CLINIC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Baltimore Washington Emergency Phys Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Baltimore Washington Medical Center Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UM Baltimore Washington Medical SYSTEM</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>BW Medical Center Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>bwmc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>North Arundel Development Corporation</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>NCC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>North County Corporation</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMBWMS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Chester River Health Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Brown Street</AddressLine1Txt>
          <CityNm>Chestertown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21620</ZIPCd>
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        <EIN>521338861</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UMSRH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Univ of MD Shore Regional HealthInc</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Brown Street</AddressLine1Txt>
          <CityNm>Chestertown</CityNm>
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          <ZIPCd>21620</ZIPCd>
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        <EIN>522046500</EIN>
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          <BusinessNameLine1Txt>Chester River Hospital Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Brown Street</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Chester River Manor Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>200 Morgnec Road</AddressLine1Txt>
          <CityNm>Chestertown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21620</ZIPCd>
        </USAddress>
        <EIN>526070333</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMSRH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maryland General Clinical Practice Group</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>827 Linden Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521566211</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University of Maryland Midtown Health I</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>827 Linden Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521175337</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maryland General Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>827 Linden Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>520591667</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Care Health Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>219 South Washington Street</AddressLine1Txt>
          <CityNm>Easton</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21601</ZIPCd>
        </USAddress>
        <EIN>521510269</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>shs</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Dorchester General Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>219 South Washington Street</AddressLine1Txt>
          <CityNm>Easton</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21601</ZIPCd>
        </USAddress>
        <EIN>521703242</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12D</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMSRH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Memorial Hospital Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>219 South Washington Street</AddressLine1Txt>
          <CityNm>Easton</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21601</ZIPCd>
        </USAddress>
        <EIN>521282080</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>shs</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UM Community Medical Group Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>920 Elkridge Landing Road</AddressLine1Txt>
          <CityNm>Linthicum</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21090</ZIPCd>
        </USAddress>
        <EIN>521874111</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shore Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>219 South Washington Street</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21601</ZIPCd>
        </USAddress>
        <EIN>520610538</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>umsrh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>James Lawrence Kernan Hosp Endow Fd</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 Kernan Drive</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21207</ZIPCd>
        </USAddress>
        <EIN>237360743</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>jlkh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>James Lawrence Kernan Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 Kernan Drive</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21207</ZIPCd>
        </USAddress>
        <EIN>520591639</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University of Maryland Medical System</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521362793</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UMMS Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University of Maryland Charles Regional</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 1070</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <EIN>522155576</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12C</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Civista Medical Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 1070</AddressLine1Txt>
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        <EIN>520445374</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMCRH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Charles Regional Medical Center Foundati</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 1070</AddressLine1Txt>
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          <BusinessNameLine1Txt>Charles Regional Medical Center Auxiliar</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
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          <BusinessNameLine1Txt>Univ of MD Upper Chesapeake Health Sys</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Upper Chesapeake Health Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
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          <ZIPCd>21014</ZIPCd>
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        <EIN>521398507</EIN>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Upper Chesapeake Medical Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521501734</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Upper Chesapeake Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521907237</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Upper Ches Residential Hospice House In</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>260737028</EIN>
        <PrimaryActivitiesTxt>Hospice</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Upper ChesapeakeSt Joe's Home CareInc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>home care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UMSJ Health System LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>7601 Osler Drive</AddressLine1Txt>
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          <ZIPCd>21204</ZIPCd>
        </USAddress>
        <EIN>460797956</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMMSC</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Arundel Physicians Associates LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20161</ZIPCd>
        </USAddress>
        <EIN>522000762</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Baltimore Washington Imaging LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20161</ZIPCd>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Universitycare LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>O'Dea Medical Arts Limited Partnership</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7601 Osler Drive</AddressLine1Txt>
          <CityNm>Towson</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>sjmc prop</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Advanced Imaging at St Joseph Medical C</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7601 Osler Drive</AddressLine1Txt>
          <CityNm>Towson</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21204</ZIPCd>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UM Charles Regional Imaging</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>po box 1070</AddressLine1Txt>
          <CityNm>laplata</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20646</ZIPCd>
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        <PrimaryActivitiesTxt>healthcaare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>umcrcp</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Arundel Physicians Associates Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Baltimore Washington Health Enterprises</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BW Professional Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21061</ZIPCd>
        </USAddress>
        <EIN>521655640</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>umbwms</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UM Charles Regional Care Partners</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 1070</AddressLine1Txt>
          <CityNm>La Plata</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20646</ZIPCd>
        </USAddress>
        <EIN>522176314</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>umcrh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>University Midtown Prof Center A Condo</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>827 Linden Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>521891126</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ummh</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NA Executive Building Condo Assn Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 Hospital Drive</AddressLine1Txt>
          <CityNm>Glen Burnie</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21061</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>nadc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Terrapin Insurance Company</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>po box 1109</AddressLine1Txt>
          <CityNm>grand cayman</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>ky1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>980129232</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMMS</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>md medicine comp insurance program</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <EIN>526315433</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
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        <EntityTypeTxt>Trust</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Upper Chesapeake Insurance Company</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>po box 1109</AddressLine1Txt>
          <CityNm>grand cayman</CityNm>
          <CountryCd>CJ</CountryCd>
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        <EIN>980468438</EIN>
        <PrimaryActivitiesTxt>insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMUCHS</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Upper Chesapeake Health Ventures Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Upper Chesapeake Medical Center Land Con</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 Upper Chesapeake Dr</AddressLine1Txt>
          <CityNm>Bel Air</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21014</ZIPCd>
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        <EIN>770674478</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UC Med Crt</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Upper Chesapeake Medical Office Building</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>520 upper chesapeake drive</AddressLine1Txt>
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          <ZIPCd>21014</ZIPCd>
        </USAddress>
        <EIN>521946829</EIN>
        <PrimaryActivitiesTxt>real estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>uc hlth vent</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>University of Maryland Health Advantage</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
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        <EIN>461411902</EIN>
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        <RelatedOrganizationName>
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          <BusinessNameLine1Txt>University of Maryland Medical System He</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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</Return>