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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>3080585</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>12597095</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-356688</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-36673</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="17005038" softwareVersionNum="2017v2.2">
      <MedicalResearchOrganizationInd>X</MedicalResearchOrganizationInd>
      <HospitalNameAndAddressGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Department of Veteran Affairs</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <CityNm>Baltimore</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <DepreciationAmt>404322</DepreciationAmt>
        <BookValueAmt>41288</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>438380</DepreciationAmt>
        <BookValueAmt>3346</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>44634</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2358036</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-36673</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>170650</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>133977</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2224059</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2224059</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2751397</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>170650</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>170650</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2580747</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2580747</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service has not examined (audited) any income tax returns of the Organization thus the previous three (3) years are subject to examination. The Organization has not taken any questionable tax positions with respect to unrelated business income tax or anything that would jeopardize its 501(c)(3) status.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adam Robinson Jr MD</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>297498</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>83300</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>380798</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Liberto MD</PersonNm>
        <TitleTxt>President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>240395</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>67311</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>307706</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kousick Biswas PhD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>139954</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39187</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>179141</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leslie Katzel MD PhD</PersonNm>
        <TitleTxt>Treasurer/Sec.</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>201054</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>56295</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>257349</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Marshall MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>308318</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>86329</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>394647</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Hornyak MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>232581</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>65123</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>297704</TotalCompensationRltdOrgsAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="17005038" softwareVersionNum="2017v2.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board Audit Committee reviews the 990, then presents it to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>An interested party is under a continuing obligation to disclose any potential conflict of interest as soon as it is known or reasonably should be known. An interested party shall complete a conflict of interest disclosure questionnaire upon his/her association with the Organization, and shall be updated annually thereafter. An additional discourse statement shall be filed whenever a potential conflict arises.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director Evaluation Committee of the Board of Directors suggest compensation of the Executive Director to the Board, using comparative data from similar positions in the region. The Board votes on the recommendation. The Executive Director is the only officer compensated by the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Available on site upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>Adam Robinson, Jr., M.D., is compensated as an employee through the VA Maryland Health Care System.Joseph Liberto, M.D., is compensated as an employee through the VA Maryland Health Care System.Leslie Katzel, M.D., Ph.D., is compensated as an employee through the VA Maryland Health Care System.Sandra Marshall, M.D., is compensated as an employee through the VA Maryland Health Care System.Thomas Hornyak, M.D., is compensated as an employee through the VA Maryland Health Care System.Kousick Biwas, M.D., is compensated as an employee through the VA Maryland Health Care System.</ExplanationTxt>
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</Return>