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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>48719456</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>109100</TotalRevenueColumn>
        <ExclusionAmount>109100</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
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      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>2837921</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>2182542</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>655379</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>655379</TotalRevenueColumn>
        <ExclusionAmount>655379</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>52683</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>105365</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>67207</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-14524</TotalRevenueColumn>
        <ExclusionAmount>-14524</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>VENDING MACHINES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3017</TotalRevenueColumn>
        <ExclusionAmount>3017</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MEDICAL RECORDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1562</TotalRevenueColumn>
        <ExclusionAmount>1562</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>NET ASSETS RELEASED FOR OPERATING PURPOSES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>107751</TotalRevenueColumn>
        <ExclusionAmount>107751</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>316091</TotalRevenueColumn>
        <ExclusionAmount>316091</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>428421</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>50678223</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>48719456</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1178376</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>336914</Total>
        <ProgramServices>286377</ProgramServices>
        <ManagementAndGeneral>50537</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>24560972</Total>
        <ProgramServices>20876826</ProgramServices>
        <ManagementAndGeneral>3684146</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>450219</Total>
        <ProgramServices>382686</ProgramServices>
        <ManagementAndGeneral>67533</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4142707</Total>
        <ProgramServices>3521301</ProgramServices>
        <ManagementAndGeneral>621406</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1704357</Total>
        <ProgramServices>1448703</ProgramServices>
        <ManagementAndGeneral>255654</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>51461</Total>
        <ManagementAndGeneral>51461</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>21895</Total>
        <ProgramServices>18610</ProgramServices>
        <ManagementAndGeneral>3285</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>386840</Total>
        <ProgramServices>328814</ProgramServices>
        <ManagementAndGeneral>58026</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2114222</Total>
        <ProgramServices>1797089</ProgramServices>
        <ManagementAndGeneral>317133</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>11726</Total>
        <ProgramServices>9967</ProgramServices>
        <ManagementAndGeneral>1759</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>884850</Total>
        <ProgramServices>752123</ProgramServices>
        <ManagementAndGeneral>132727</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>326533</Total>
        <ProgramServices>277553</ProgramServices>
        <ManagementAndGeneral>48980</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>78828</Total>
        <ProgramServices>67004</ProgramServices>
        <ManagementAndGeneral>11824</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>16921</Total>
        <ProgramServices>14383</ProgramServices>
        <ManagementAndGeneral>2538</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>69561</Total>
        <ProgramServices>59127</ProgramServices>
        <ManagementAndGeneral>10434</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1706108</Total>
        <ProgramServices>1450192</ProgramServices>
        <ManagementAndGeneral>255916</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>859411</Total>
        <ProgramServices>730500</ProgramServices>
        <ManagementAndGeneral>128911</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>5891329</Total>
        <ProgramServices>5007630</ProgramServices>
        <ManagementAndGeneral>883699</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>1452814</Total>
        <ProgramServices>1452814</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TRANSPORTATION &amp; SECURITY</Description>
        <Total>292451</Total>
        <ProgramServices>248583</ProgramServices>
        <ManagementAndGeneral>43868</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CAFE CATERING</Description>
        <Total>249866</Total>
        <ProgramServices>212386</ProgramServices>
        <ManagementAndGeneral>37480</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CLINICAL</Description>
        <Total>585745</Total>
        <ProgramServices>497883</ProgramServices>
        <ManagementAndGeneral>87862</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>385830</Total>
        <ProgramServices>327955</ProgramServices>
        <ManagementAndGeneral>57875</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>46581560</Total>
        <ProgramServices>39768506</ProgramServices>
        <ManagementAndGeneral>6813054</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>12123075</BOY>
        <EOY>19179953</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>1749637</BOY>
        <EOY>1195741</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>2928675</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>125509</BOY>
        <EOY>123527</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>45115</BOY>
        <EOY>366867</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>40689189</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>24088362</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>16497792</BOY>
        <EOY>16600827</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>6527871</BOY>
        <EOY>6709020</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>13211807</BOY>
        <EOY>16097028</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>54585609</BOY>
        <EOY>63201638</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>7139358</BOY>
        <EOY>8261417</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>7320000</BOY>
        <EOY>7080000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>3441442</BOY>
        <EOY>3544251</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>17900800</BOY>
        <EOY>18885668</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>28972246</BOY>
        <EOY>34246863</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>6887392</BOY>
        <EOY>9243936</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>825171</BOY>
        <EOY>825171</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>36684809</BOY>
        <EOY>44315970</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>54585609</BOY>
        <EOY>63201638</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>3602</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>3602</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <Explanation>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 8.73% AND 23.76% OF MEMBER DUES WERE USED FOR LOBBYING PURPOSES AND AS SUCH, THE ORGANIZATION HAS REPORTED THIS AMOUNT ON SCHEDULE C, PART II-B, LINE I AS LOBBYING ACTIVITIES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>319370</OtherCostOrOtherBasis>
        <BookValue>319370</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>13752304</Depreciation>
        <BookValue>13886463</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>219776</Depreciation>
        <BookValue>6514</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12504762</OtherCostOrOtherBasis>
        <Depreciation>10116282</Depreciation>
        <BookValue>2388480</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>16600827</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS LIMITED AS TO USE</Description>
        <BookValue>2170229</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ECONOMIC INTEREST IN MWPF</Description>
        <BookValue>13541239</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER</Description>
        <BookValue>332792</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ACCOUNTS RECEIVABLE</Description>
        <BookValue>52768</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>16097028</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ADVANCES FROM 3RD PARTY PAY</Description>
        <Amount>3544251</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3544251</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE PER AUDIT REPORT</Identifier>
        <Explanation>THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) ON JULY 1, 2007. FIN 48 PRESCRIBES A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DE-RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FIN 48 ALSO RECOGNIZES RELATED GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. THE IMPLEMENTATION OF FIN 48 DID NOT HAVE A SIGNIFICANT IMPACT ON THE CORPORATION'S BALANCE SHEET OR STATEMENT OF OPERATIONS. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS THAT SHOULD BE RECOGNIZED.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>GOLF TOURNAMENT</NameOfEvent1>
        <GrossReceiptsEvent1>114423</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>76282</CharitableContributionsEvent1>
        <GrossRevenueEvent1>38141</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>51616</OtherDirectExpensesEvent1>
        <NameOfEvent2>SUMMER EVENING</NameOfEvent2>
        <GrossReceiptsEvent2>43625</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>29083</CharitableContributionsEvent2>
        <GrossRevenueEvent2>14542</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>15591</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>158048</GrossReceiptsTotal>
        <CharitableContributionsTotal>105365</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>52683</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>67207</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>67207</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-14524</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>232350</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>232350</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>232350</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>68683</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2651</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>66032</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>105948</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2651</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>103294</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00220</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>338298</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2651</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>335644</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00720</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>3340</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3340</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>4930</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4930</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>8270</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8270</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1246615</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>82167</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>82167</CostOfCareReimbursedByMedicare>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Mt Washington Pediatric Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1708 W Rogers Avenue</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21209</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <AnnualCommunityBenefitExpln>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 31 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>SCHEDULE H, LINE 7A, COLUMN (D) 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE 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. SCHEDULE H, LINE 7B, COLUMNS (C) THROUGH (F) 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE 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 REVENUES 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. SCHEDULE H, LINE 7F COLUMN (C) 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE 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. SCHEDULE H, LINE 7F COLUMN (D) 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE 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.</CostingMethodUsed>
        <BadDebtFootnote>THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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. MEDICARE REIMBURSES MARYLAND HOSPITALS ACCORDING TO RATES ESTABLISHED BY THE HSCRC AS LONG AS THE STATE CONTINUES TO MEET A TWO-PART TEST. THIS TWO-PART WAIVER TEST ALLOWS MEDICARE TO PARTICIPATE IN THE MARYLAND SYSTEM AS LONG AS TWO CONDITIONS ARE MET. - ALL OTHER PAYERS PARTICIPATING IN THE SYSTEM PAY HSCRC SET RATES AND - THE RATE OF GROWTH IN MEDICARE PAYMENTS TO MARYLAND HOSPITALS FROM 1981 TO THE PRESENT IS NOT GREATER THAN THE RATE OF GROWTH IN MEDICARE PAYMENTS TO HOSPITALS NATIONALLY OVER THE SAME TIME FRAME.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS.</DebtCollectionPolicy>
        <NeedsAssessment>MWPH USES A VARIETY OF CREDIBLE SOURCES TO IDENTIFY ITS COMMUNITY NEEDS. LOCAL, STATE AND FEDERAL ASSESSMENTS/REPORTS ARE UTILIZED TO ADDRESS AND PRIORITIZE COMMUNITY NEEDS. THE PRIMARY SOURCE OF INFORMATION FOR IDENTIFYING THE NEEDS OF BALTIMORE CITY IS THE 2008 BALTIMORE CITY HEALTH STATUS REPORT WHICH IS PRODUCED BY THE BALTIMORE CITY HEALTH DEPARTMENT. THIS REPORT OUTLINES BALTIMORE'S STATUS ON EIGHT MAJOR HEALTH CATEGORIES, AS WELL AS, MORTALITY AND THERE ARE ALSO NUMEROUS COMPARISONS TO STATEWIDE AND NATIONAL PREVALENCE RATES AS WELL. OTHER RESOURCES INCLUDE OUR COMMUNITY PARTNERS SUCH AS THE MARYLAND HOSPITAL ASSOCIATION, SAFE KIDS MD, BALTIMORE CITY HEALTHY START, THE COALITION TO END CHILDHOOD LEAD POISONING AND THE BALTIMORE CITY HEALTH DEPARTMENT. MAJOR HEALTH NEEDS THAT WERE IDENTIFIED IN THE ASSESSMENT REPORT INCLUDED LOW-BIRTH WEIGHT, INFANT MORTALITY, DIABETES, CHILDHOOD OBESITY AND PREVENTABLE INJURY. IN 2008, THE MARYLAND HOSPITAL ASSOCIATION CONDUCTED A MARYLAND PUBLIC OPINION SURVEY ON ATTITUDES TOWARD HOSPITALS AND HEALTH CARE. THE PUBLIC RATED THEIR TOP HEALTH CARE CONCERNS AS QUALITY OF CARE, COST AND ACCESS, MORE NURSING STAFF AND THE REDUCTION OF INFECTIONS AS THEIR TOP PRIORITIES. THIS SURVEY PROVIDED US WITH THOSE CONCERNS THAT ARE FOREFRONT IN THE MINDS OF CONSUMERS, ALTHOUGH THEY DIFFER FROM THE IDENTIFIED HEALTH NEEDS. IN ADDITION, MWPH'S COLLABORATIVE EFFORTS WITH THE BALTIMORE CITY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS HAVE PROVEN TO BE A BEST-PRACTICE METHOD OF EFFECTIVE COMMUNICATION BETWEEN THE HOSPITAL AND THE CITY. PARTICIPATION BY STAFF IN SEVERAL COALITIONS SUCH AS THE B'MORE HEALTHY BABIES, LEAD POISONING COALITION, KIDS IN SAFETY SEATS (KISS), UNIVERSITY OF MARYLAND SCHOOL OF SOCIAL WORK AND SAFE KIDS MD ASSIST MWPH IN STAYING CONNECTED TO THE COMMUNITY'S NEEDS ON A GRASSROOTS LEVEL. WE ALSO HAVE A FULL-TIME COMMUNITY PHYSICIAN LIAISON TO PROVIDE US WITH UP-TO-DATE FEEDBACK FROM COMMUNITY PROVIDERS ON HOW WE CAN BEST SERVE OUR COMMUNITY FROM A PROVIDER'S PERSPECTIVE.</NeedsAssessment>
        <PatientEducationAssistance>MWPH PUBLISHES THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND POSTS NOTICES OF AVAILABILITY AT APPROPRIATE INTAKE LOCATIONS, INCLUDING THE OUTPATIENT REGISTRATION DESKS AND THE INPATIENT WELCOME CENTER. NOTICE OF AVAILABILITY IS SENT TO PATIENTS ON PATIENT BILLS. SIGNAGE IN KEY PATIENT ACCESS AREAS IS AVAILABLE AS WELL. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET IS PROVIDED TO PATIENTS/FAMILIES RECEIVING INPATIENT SERVICES WITH THEIR WELCOME PACKET AND MADE AVAILABLE TO ALL PATIENTS/FAMILIES UPON REQUEST.</PatientEducationAssistance>
        <CommunityInformation>MWPH SERVES BALTIMORE CITY, PRINCE GEORGES COUNTY AND THE GREATER METROPOLITAN REGION, INCLUDING PATIENTS WITH IN-STATE AND OUT OF STATE REFERRALS. MWPH IS A REGIONAL LEADER IN PEDIATRIC SPECIALTY CARE AND IS A JOINTLY OWNED CORPORATE AFFILIATE OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) AND JOHNS HOPKINS HEALTH SYSTEM (HOPKINS). THE MAJORITY OF MWPH PATIENTS ARE RESIDENTS OF BALTIMORE CITY. ACCORDING TO CLARITAS - NIELSEN COMPANY, AFRICAN AMERICANS OR BLACKS MAKE UP 63% OF BALTIMORE CITY'S POPULATION. RESPECTIVELY, WHITES ARE 32.6% OF THE POPULATION FOLLOWED BY HISPANICS/LATINOS WITH 2.8%. THE REMAINING 4% RACIAL MAKE-UP IS COMPRISED OF ASIAN, AMERICAN INDIAN, AND NATIVE HAWAIIAN/PACIFIC ISLANDERS. MWPH PATIENT RACE DEMOGRAPHICS REFLECT THOSE OF BALTIMORE CITY. LAST YEAR, 48% OF OUR PATIENTS WERE BLACK OR AFRICAN AMERICAN, 39% WERE CAUCASIAN, 4% OF PATIENTS WERE LATINO OR HISPANIC AND 4% WERE IDENTIFIED AS ASIAN. APPROXIMATELY 3% WERE IDENTIFIED AS OTHER/BIRACIAL, WITH A TOTAL OF 6,936 UNIQUE PATIENTS SERVED. FORTY-SIX PERCENT OF BALTIMORE CITY HOUSEHOLDS REPORTED AN INCOME OF LESS THAN $35,000 IN 2010 ACCORDING TO THE NIELSEN COMPANY. STATEWIDE, 20% OF HOUSEHOLDS REPORTED AN INCOME IN THIS RANGE. THE 2010 MEDIAN INCOME IN BALTIMORE CITY FOR ALL RACES WAS $39,366, APPROXIMATELY HALF OF THE STATEWIDE MEDIAN INCOME WHICH IS $70,825. THREE TIMES AS MANY FAMILIES LIVING IN BALTIMORE CITY HAD AN INCOME THAT WAS BELOW POVERTY LEVEL; HOWEVER, AFRICAN AMERICAN RESIDENTS OF BALTIMORE CITY WERE ALMOST TWO TIMES MORE LIKELY THAN WHITE RESIDENTS TO HAVE A MEDIAN INCOME BELOW POVERTY LEVEL. APPROXIMATELY 70% OF THE PATIENTS AT MT WASHINGTON PEDIATRIC HOSPITAL ARE MEDICAID RECIPIENTS.</CommunityInformation>
        <CommunityBuildingActivities>COALITION BUILDING: PREMATURE INFANT HEALTH NETWORK, BALTIMORE CITY INFANTS &amp; TODDLERS PROGRAM MWPH HAS TAKEN A PROACTIVE ROLE IN COMBATING LOW-BIRTH WEIGHT AND SUDDEN INFANT DEATH SYNDROME BY PARTIPATING AS MEMBERS OF THE PREMATURE INFANT HEALTH NETWORK. OUR PARTNERSHIP WITH BALTIMORE CITY HEALTH DEPARTMENTS "B'MORE HEALTHY BABIES" CAMPAIGN WAS DEVELOPED TO ADDRESS BALTIMORE CITY'S HIGH RATE OF INFANT DEATHS, AMONG THE WORST IN AMERICA. IN 2009 ALONE, MORE THAN 120 INFANTS IN BALTIMORE UNDER THE AGE OF ONE DIED, WITH MANY OF THE DEATHS BEING PREVENTABLE. THE CITY ALSO HAS A HIGH RATE OF BABIES BORN PRE-TERM AND UNDERWEIGHT - KEY FACTORS IN INFANT MORTALITY. STAFF ACTIVELY PARTICIPATES IN COMMUNITY MEETINGS AND ADVISORY GROUPS TO PROVIDE GUIDANCE IN THE DEVELOPMENT OF EDUCATIONAL MATERIALS AND OUTREACH INITIATIVES. DIABETES CAMP THE EXTREME WEEKEND FOR CHILDREN WITH DIABETES CAMP IS A CAMP DEVELOPED TO ASSIST FAMILY MEMBERS OF CHILDREN WITH DIABETES IN COPING WITH THE LIFESTYLE CHANGES THAT ACCOMPANY LIVING WITH SOMEONE WITH THE DISEASE. STAFF DEDICATED SEVERAL HOURS IN PREPARING AND PRESENTING WORKSHOPS TO CHILDREN WITH DIABETES AND THEIR FAMILIES. IN ADDITION, OUR STAFF PSYCHOLOGIST WAS ALSO AVAILABLE AS A RESOURCE FOR SUPPORT GROUPS FOR TYPE 1 DIABETES PEDIATRIC SUPPORT GROUP. COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY: NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI) OBESITY TASK FORCE, BRAIN INJURY ASSOCIATION OF MD PLANNING COMMITTEE NACHRI OBESITY TASK FORCE/WEIGH SMART AND WEIGH SMART JR. MWPH WERE ACTIVE PARTICIPANTS IN THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS OBESITY FOCUS GROUP. OUR CENTER WAS CHOSEN AS ONE OF 16 PROGRAMS NATIONWIDE TO PARTICIPATE IN THIS IMPORTANT ENDEAVOR. FINDINGS FROM THE WORK GROUP WILL BE PUBLISHED IN LARGE NATIONAL SCIENTIFIC JOURNALS THIS YEAR WITH PROGRAM STAFF BEING RECOGNIZED AS AUTHORS ON THESE IMPORTANT DOCUMENTS. OUR PRESIDENT AND CEO, SHELDON STEIN AND OUR MEDICAL DIRECTOR, DR. RICHARD KATZ, SERVE AS MEMBERS OF THE BOARD AND ADVOCACY AND LEADERSHIP COUNCILS FOR NATIONAL ASSOCIATION CHILDREN'S HOSPITALS RELATED INSTITUTIONS. THE MT WASHINGTON PEDIATRIC HOSPITAL (MWPH) CENTER FOR PEDIATRIC WEIGHT MANAGEMENT AND HEALTHY LIVING (CENTER) EXPANDED THIS PAST FISCAL YEAR AND OFFERS SEVERAL COMPREHENSIVE, MULTI-DISCIPLINARY PROGRAMS FOR PEDIATRIC WEIGHT MANAGEMENT. THE CENTER NOW INCLUDES MEDICAL MANAGEMENT OF BOTH MEDICAL AND SURGICAL WEIGHT MANAGEMENT OPTIONS FOR CHILDREN AND ADOLESCENTS AND SERVES PATIENTS AGES TWO TO 18. MEDICALLY SUPERVISED WEIGHT MANAGEMENT PROGRAMS INCLUDE WEIGH SMART, AS WELL AS, THE NEWLY CREATED WEIGH SMART JR. PROGRAM. THE WEIGHT SMART JR. PROGRAM WAS A DIRECT REFLECTION OF THE INPUT FROM OUR COMMUNITY PHYSICIANS IN THE COMMUNITY NEEDS ASSESSMENT. MANY PHYSICIANS INDICATED "8 (YEARS OF AGE) IS TOO LATE" IN REGARDS TO THE BEST AGE FOR INTERVENTION WHEN DEALING WITH OBESITY. THIS PROGRAM WAS ADDED TO AUGMENT THE WEIGH SMART PROGRAM AND PROVIDE CONTINUITY OF CARE FOR CHILDREN OR ALL AGES. DURING FY10, THE CENTER EVALUATED OVER 200 NEW PATIENTS AND COMPLETED MORE THAN 80 FOLLOW-UP APPOINTMENTS. TOTAL PROGRAM VISITS INCREASED BY FORTY-THREE PERCENT OVER FISCAL YEAR 2009 FROM 2,424 TO 2,642 TOTAL PROGRAM VISITS. THE STAFF HAS PRESENTED FINDINGS AT SEVERAL NATIONAL AND REGIONAL CONFERENCES. THE STAFF WAS INVITED TO PROVIDE ADDITIONAL PRESENTATIONS TO SCHOOL GROUPS IN THE FALL OF 2010. BRAIN INJURY ASSOCIATION OF MD PLANNING COMMITTEE MWPH PARTICIPATION IN THE BRAIN INJURY ASSOCIATION OF MARYLAND'S PLANNING COMMITTEE INCLUDED PROVIDING A PRESENTATION AT ITS ANNUAL CONFERENCE, AS WELL AS, ACCESS TO SEVERAL MEMBERS OF OUR STAFF AS CLINICAL RESOURCES. THIS INCLUDED, BUT WAS NOT LIMITED TO, A NEUROPSYCHOLOGIST , A SPEECH THERAPIST, AN OCCUPATIONAL THERAPIST AND A POST-DOCTORAL FELLOW IN CLINICAL NEUROPSYCHOLOGY. THERE WERE ALSO PRESENTATIONS AND OUTREACH TO LOCAL SCHOOLS AND PROFESSIONAL GROUPS ON TRAUMATIC BRAIN INJURY AND CONCUSSION MANAGEMENT, AS WELL AS, A SUPPORT GROUP WHERE A PSYCHOLOGIST WAS PROVIDED AS A RESOURCE FOR FAMILIES AND PATIENTS WHO ARE COPING WITH TRAUMATIC BRAIN INJURY (TBI).</CommunityBuildingActivities>
        <OtherInformation>HEALTH FAIRS PROMOTING HEALTHY LIFESTYLE CHOICES IS THE CORNERSTONE OF HOW WE PROVIDE CARE AT MWPH. THROUGHOUT THE YEAR, OUR CLINICAL PROFESSIONALS TAKE PART IN CONFERENCES AND HEALTH FAIRS AND SPEAK TO STUDENTS IN AREA SCHOOLS IN ORDER TO PROVIDE FAMILIES WITH ESSENTIAL INFORMATION ON MAKING HEALTHY CHOICES IN THEIR LIVES. MATERIALS ARE PROVIDED ON SUCH TOPICS AS LEAD POISONING PREVENTION, PROPER NUTRITION, INFANT CARE AND PARENTING SKILLS. IN COLLABORATION WITH UMMS, MWPH PARTICIPATED IN SUCH EVENTS AS TAKE A LOVED ONE TO THE DOCTOR, SPRING INTO GOOD HEALTH AND FALL BACK INTO HEALTH. CAMP NOAH TO ADDRESS THE COMMUNITY NEED IDENTIFIED BY THE MARYLAND HOSPITAL ASSOCIATION OF HAVING MORE NURSES AVAILABLE IN HOSPITALS, THE MWPH HAS DEVELOPED THE CAMP N.O.A.H. (NURSING AND OTHER ALLIED HEALTH) PROGRAM TO SPARK INTEREST IN NURSING AND ALLIED HEALTH IN THE HIGH SCHOOL STUDENTS OF BALTIMORE CITY. THIS PROGRAM WAS ONE WEEK LONG AND ITS TARGETED POPULATION IS HIGH SCHOOL STUDENTS, AGED 15-18, WHO ARE INTERESTED IN A HEALTH CAREER. THIS PROGRAM PROVIDES PARTICIPANTS WITH EXPERIENCE AND THE OPPORTUNITY TO OBSERVE CARE PRACTICES WORKING DIRECTLY WITH PREMATURE INFANTS, TODDLERS &amp; ADOLESCENTS, RESPIRATORY THERAPISTS AND CHILD LIFE SPECIALISTS. THIS PROGRAM IS AN EXCITING WAY FOR HIGH SCHOOL STUDENTS TO INTERACT WITH HEALTH CARE PROFESSIONALS WHILE GAINING REAL WORLD EXPERIENCES. ALL STUDENTS RECEIVE EDUCATION IN FIRST AID &amp; CPR, AS WELL AS, NURSING OBSERVATION EXPERIENCES, NECESSARY EQUIPMENT SUCH AS STETHOSCOPES, SCRUBS, AND BREAKFAST AND LUNCH PROVIDED BY THE HOSPITAL. HEALTH PROFESSIONALS EDUCATION MWPH IS DEDICATED TO HELPING PREPARE FUTURE HEALTH CARE PROFESSIONALS. THE HOSPITAL COMMITTED OVER 3000 HOURS OF SPECIALIZED TRAINING AND EDUCATION TO NURSES, OCCUPATIONAL THERAPIST, SPEECH AND LANGUAGE THERAPIST, PRECEPT SENIOR PRACTICUM STUDENTS, SOCIAL WORKERS AND PHYSICAL THERAPISTS. THESE TRAININGS INCLUDED REHABILITATION THERAPY, NURSING CLINICAL ROTATIONS, AS WELL AS, FREE FIRST AID &amp; CPR TRAINING TO THE PARENTS OF PATIENTS AT THE HOSPITAL. CHILD PASSENGER SAFETY/SEAT CHECKS AND TRANSPORTING CHILDREN WITH SPECIAL NEEDS EDUCATION &amp; TRAINING (CHILD PASSENGER SAFETY TECHNICIANS) AT MWPH, WE BELIEVE IT IS VITAL TO MAKE SURE ALL CHILDREN ARE SECURED PROPERLY IN APPROPRIATE SEATS - EVERY TRIP, EVERY TIME. TO HELP PREVENT THESE TYPES OF INJURIES, MWPH PROVIDES PARENTS AND CAREGIVERS WITH THE PROPER KNOWLEDGE AND MATERIALS TO ENSURE THAT THEIR LITTLE ONES ARE PROTECTED ON THE WAY TO THEIR DESTINATION. IN MAY AND OCTOBER WE HOSTED CHILD SAFETY SEAT CHECKS IN COLLABORATION WITH SAFE KIDS BALTIMORE, KIDS IN SAFETY SEATS AND THE BALTIMORE CITY FIRE DEPARTMENT. OUR STAFF AND VOLUNTEERS INSPECTED SEATS IN DOZENS OF VEHICLES. PARENTS AND CAREGIVERS WERE URGED TO MAKE SURE THEIR CHILD SAFETY SEATS AND BOOSTER SEATS ARE PROPERLY INSTALLED AND USED IN THEIR VEHICLES. MWPH HAS CERTIFIED ENGLISH- AND SPANISH-SPEAKING TECHNICIANS (16 VOLUNTEERS IN TOTAL) WHO WERE AVAILABLE TO PROVIDE FREE HANDS-ON CHILD SAFETY SEAT INSPECTIONS AND OFFER ADVICE AND INSTRUCTION. BEING A PEDIATRIC SPECIALTY HOSPITAL, IT IS ESSENTIAL THAT STAFF BE AVAILABLE TO PROVIDE INSTRUCTION IN TRANSPORTING CHILDREN WITH SPECIAL NEEDS. THE HOSPITAL DEDICATED OVER 21 HOURS TO ENSURE THAT STAFF AT THE FACILITY WOULD HAVE THE ABILITY TO PROVIDE TRAINING ON TRANSPORTING CHILDREN WITH SPECIAL HEALTH CARE NEEDS. SIBSHOPS OF MARYLAND MWPH IS PROUD TO BE THE LEAD AGENCY FOR SIBSHOPS OF MARYLAND, AN INTERAGENCY EFFORT THAT INCLUDES LOCATIONS IN BALTIMORE CITY, BALTIMORE, HARFORD, MONTGOMERY, HOWARD AND ANNE ARUNDEL COUNTIES. THE PROGRAM IS FOR BROTHERS AND SISTERS OF CHILDREN WITH SPECIAL NEEDS. EACH SESSION INCLUDES HIGH-ENERGY GAMES AND A CHANCE TO CONNECT WITH OTHER CHILDREN IN SIMILAR FAMILY SITUATIONS. COMMUNITY HEALTH EDUCATION AND SERVICES MWPH DEDICATED SEVERAL HOURS TO COMMUNITY HEALTH EDUCATION BY PROVIDING OUR STAFF AS SUBJECT MATTER EXPERTS FOR TELEVISION INTERVIEWS ON TOPICS SUCH AS BULLYING AND ANXIETY, AS WELL AS, PUBLICATIONS SUCH AS THE BALTIMORE CHILD ON PEDIATRIC PSYCHIATRIC TESTING AND EVALUATION. OUR STAFF PSYCHOLOGIST PRESENTED (4) FOUR TALKS TO THE MARYLAND CHAPTER OF AMERICAN ACADEMY OF PEDIATRICS ON EMOTIONAL HEALTH. MANY OF OUR PSYCHOLOGISTS PARTICIPATED IN COMMUNITY OPEN FORUMS AND/OR FOR DIABETES, SUPPORT GROUPS FOR TBI, OBESITY, AND SIB SHOPS. MWPH ALSO HOSTED ITS FIRST DIABETES NIGHT, WHICH WAS OPEN TO ANYONE IN THE COMMUNITY WHO DESIRED MORE INFORMATION ON PEDIATRIC DIABETES. SOME ADDITIONAL COMMUNITY SERVICES PROVIDED INCLUDED FREE CPR CLASSES FOR ANY PARENT WITH INTEREST. PART III, LINE 3 THE ORGANIZATION DOES NOT CODE CHARITY CARE AND BAD DEBT EXPENSE INTO THE SAME GENERAL LEDGER ACCOUNT. CHARITY CARE IS BOOKED TO A SEPARATE ACCOUNT AND IS CLASSIFIED AS A "DEDUCTION FROM REVENUE." AS SUCH IT IS NETTED AGAINST TOTAL PATIENT REVENUE IN ARRIVING AT NET PATIENT REVENUE ON THE ENTITY'S INCOME STATEMENTS. BAD DEBT EXPENSE IS BOOKED TO A SEPARATE ACCOUNT ON THE GENERAL LEDGER AND DOES NOT INCLUDE ANY OTHER UNCOMPENSATED CARE AMOUNTS.</OtherInformation>
        <AffiliatedHealthCareSystem>IN 2006, IN AN UNPRECEDENTED COLLABORATION, MARYLAND'S LEADING ACADEMIC MEDICAL SYSTEMS - THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) AND JOHNS HOPKINS HEALTH SYSTEM (HOPKINS) - AGREED TO SHARE EQUAL INTERESTS IN MWPH. WHILE MWPH REMAINS FINANCIALLY SELF-SUFFICIENT, THE PRESENCE OF UMMS AND HOPKINS MEDICAL EXPERTS AND OTHER RESOURCES AT MWPH HAS CREATED A SYNERGY THAT HAS ENABLED THE HOSPITAL TO STRENGTHEN ITS POSITION AS A LEADER IN PEDIATRIC SPECIALTY CARE AND SERVE MANY OF THE YOUNGEST, MOST VULNERABLE MEMBERS OF OUR COMMUNITY. A PHYSICIANS LEADERSHIP GROUP MEETS REGULARLY WITH THE MEDICAL DIRECTOR OF MWPH, AS WELL AS, THE CEO. REPORTS ARE PRESENTED FROM THIS LEADERSHIP GROUP TO THE BOARD OF TRUSTEES AND ARE FUNDAMENTAL IN DETERMINING THE NEEDS OF OUR COMMUNITY ON A REGIONAL AND NATIONAL LEVEL. WITH A STAFF OF NEARLY 500, MWPH IS FIRMLY COMMITTED TO ITS MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF OUR REGIONS CHILDREN.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>MD</ReportsFiledWithStates>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Katherine Alter MD</NamePerson>
        <BaseCompensationFilingOrg>220207</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nada Stefanovic MD</NamePerson>
        <BaseCompensationFilingOrg>143498</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Patricia Quigley MD</NamePerson>
        <BaseCompensationFilingOrg>175760</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>341</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8749</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14005</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>198855</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen Nichols MD</NamePerson>
        <BaseCompensationFilingOrg>152115</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>121</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6140</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20441</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas Ellis</NamePerson>
        <BaseCompensationFilingOrg>142345</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17914</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5618</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6337</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20398</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>192612</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MARYLAND HEALTH &amp; HIGHER EDUCATIONAL FACILITIES</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>500936091</IssuerEIN>
        <CUSIPNumber>574216LR6</CUSIPNumber>
        <DateIssued>2007-11-01</DateIssued>
        <IssuePrice>7585000</IssuePrice>
        <DescriptionOfPurpose>construction</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>7585000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <YearOfSubstCompletion>1985</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>PART VI, SECTION A, QUESTION 6</ReturnReference>
        <Explanation>JOHNS HOPKINS HEALTH SYSTEM (JHHS) AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) ARE EQUAL MEMBERS OF MT. WASHINGTON PEDIATRIC HOSPITAL (MWPH). JHHS AND UMMS EACH ELECT AN EQUAL NUMBER OF MEMBERS TO THE BOARD OF MWPH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 REVIEW PROCESS</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF KPMG. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE KPMG TAX ORGANIZER, WHICH IS A WEB-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO KPMG FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, KPMG STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT KPMG INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, KPMG IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC, UNIVERSITY SPECIALTY HOSPITAL AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, UNIVERSITY SPECIALTY HOSPITAL AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMPENSATION</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PUBLIC DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT WASHINGTON PEDIATRIC FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1708 WEST ROGERS AVENUE</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21209</ZIPCode>
        </AddressUS>
        <EIN>521736672</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>