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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>1210</ProgramServices>
        <ManagementAndGeneral>283</ManagementAndGeneral>
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        <BaseCompensationFilingOrg>245123</BaseCompensationFilingOrg>
        <BonusFilingOrg>43919</BonusFilingOrg>
        <OtherCompensationFilingOrg>791</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>29426</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>319259</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Health or social club dues or initiation fees</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>UMMS executives receive a benefit package wihich may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Severence or Control Payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>A severance payment was paid to the following individual in Calendar Year 2012: Michelle L. Long received $29,552</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>During the fiscal year end June 30, 2013, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The individuals, listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J Part II Column (C), Retirement and Other Deferred Compensation: Trudy Hall Jonathan Gottlieb Erda T. Young During the fiscal year end June 30, 2013, certain officers and key employees participated in the University of Maryland Medical System (UMMS) supplemental nonqualified plan. The officers and key employees listed below have vested in the plan in a prior year, therefore the contribution to the plan for the fiscal year is reported as taxable compensation and reported on Schedule J, Part II, Column (Biii), Other Reportable Compensation: Lisa Rowan James Warner Alison Brown Keith Persinger Jeffrey Rivest During the Fiscal Year-ended June 30, 2013, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have vested in the plan in the reporting tax year, therefore the full value of the plan, including any contributions to the plan for the current fiscal year is reported as taxable compensation and reported on schedule J, Part II, Line B(III), Other Reportable Compensation. Prior year contributions to the plan were previously reported on Form 990 and are indicated on Schedule J, Part II, Column (F). Lisa C. Rowen</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Non-fixed Payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleN documentId="IRS990ScheduleN">
      <LiquidationTable />
      <DispositionTable>
        <DescriptionOfAsset>Land and land improvements</DescriptionOfAsset>
        <DateOfDistribution>2013-04-03</DateOfDistribution>
        <FMVOfAsset>916091</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>526036106</EIN>
        <NamePerson>South Charles Hodling LLC</NamePerson>
        <AddressUS>
          <AddressLine1>111 S Charles Street STE 2300</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21202</ZIPCode>
        </AddressUS>
        <IRCSection>C corporation</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Building</DescriptionOfAsset>
        <DateOfDistribution>2013-04-03</DateOfDistribution>
        <FMVOfAsset>1397914</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>526036106</EIN>
        <NamePerson>South Charles Hodling LLC</NamePerson>
        <AddressUS>
          <AddressLine1>111 S Charles Street STE 2300</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21202</ZIPCode>
        </AddressUS>
        <IRCSection>C corporation</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Building improvements</DescriptionOfAsset>
        <DateOfDistribution>2013-04-03</DateOfDistribution>
        <FMVOfAsset>908192</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>526036106</EIN>
        <NamePerson>South Charles Hodling LLC</NamePerson>
        <AddressUS>
          <AddressLine1>111 S Charles Street STE 2300</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21202</ZIPCode>
        </AddressUS>
        <IRCSection>C corporation</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Fixed equipment</DescriptionOfAsset>
        <DateOfDistribution>2013-04-03</DateOfDistribution>
        <FMVOfAsset>119882</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>526036106</EIN>
        <NamePerson>South Charles Hodling LLC</NamePerson>
        <AddressUS>
          <AddressLine1>111 S Charles Street Ste 2300</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21202</ZIPCode>
        </AddressUS>
        <IRCSection>C corporation</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Major movable equipment</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>329226</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <NamePerson>retirement of asset</NamePerson>
        <IRCSection>not applicable</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Computer equipment</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>407029</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>521362793</EIN>
        <NamePerson>University of Maryland Medical Cent</NamePerson>
        <AddressUS>
          <AddressLine1>22 South Greene Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
        <IRCSection>501(c)(3)</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Software</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>693144</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <EIN>521362793</EIN>
        <NamePerson>University of Maryland Medical Cent</NamePerson>
        <AddressUS>
          <AddressLine1>22 South Greene Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
        <IRCSection>501(c)(3)</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Construction in Process</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>26564</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <NamePerson>RETIREMENT OF ASSET</NamePerson>
        <IRCSection>not applicable</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Computer Equipment</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>191650</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <NamePerson>Retirement of Asset</NamePerson>
        <IRCSection>not applicable</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>Software</DescriptionOfAsset>
        <DateOfDistribution>2012-07-15</DateOfDistribution>
        <FMVOfAsset>203906</FMVOfAsset>
        <MethodOfFMVDetermination>appraisal</MethodOfFMVDetermination>
        <NamePerson>retirement of asset</NamePerson>
        <IRCSection>not applicable</IRCSection>
      </DispositionTable>
      <DirectorOfSuccessor2>false</DirectorOfSuccessor2>
      <EmployeeOfSuccessor2>false</EmployeeOfSuccessor2>
      <OwnerOfSuccessor2>false</OwnerOfSuccessor2>
      <ReceiveCompensation2>false</ReceiveCompensation2>
      <Form990ScheduleNPartIII>
        <Identifier>Schedule N, Part II</Identifier>
        <Explanation>DURING THE LAST 8 YEARS, THE STATE OF MARYLAND THROUGH THE DEPARTMENT OF HEALTH &amp; MENTAL HYGIENCE HAS ENCOURAGED NURSING HOME OPERATORS TO INCREASE THEIR SERVICE OFFERINGS TO PROVIDE MORE COMPHREHENSIVE VENTILATOR AND CERTAIN CHRONIC CARE IN NURSING HOMES - WHICH ARE GENERALLY LESS EXPENSIVE CARE DELIVERY SITES. CHRONIC HOSPITAL ADMISSION CRITERIA WAS ALSO AMENDED. USH SAW ITS OVERALL BUSINESS DECLINE WITHOUT PREDICTED REPLACEMENT VOLUMES FOR THOSE PATIENTS MOVING TO THE NURSING HOME ENVIRONMENT. THE TYPE OF PATIENT CARE THAT REMAINED WAS VERY COMPLICATED CARE CASES. HAVING LOST THE FULL CAPCITY OF WHAT SERVICES WERE OFFERED AT USH, UMMS DECIDED TO RELOCATE THE UNIVERSITY SPECIALTY HOSPITAL PROGRAMS TO ITS MARYLAND GENERAL HOSPITAL CAMPUS IN THE SUMMER OF 2012. During the fiscal ending June 30, 2013, USH transitioned its specialty hospital programs to UMMS' Maryland General Hospital Campus. USH has dual IRS non-private foundation status as a hospital under IRC Section 509(a)(1) via IRC Section 170(b)(1)(a)(iii) and as a public charity under IRC Section 509(a)(2). Currently, UMMS is re-tooling UHS' tax exempt mission in order for it to continue its charitable mission under IRC section 501(c)(3) and using its non-private foundation status under IRC section 509(a)(2) in support of UMMS and its tax-exempt affiliates mission.</Explanation>
      </Form990ScheduleNPartIII>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Ceased Operations</Identifier>
        <ReturnReference>Form 990, Part III, Line 3</ReturnReference>
        <Explanation>DURING THE LAST 8 YEARS, THE STATE OF MARYLAND THROUGH THE DEPARTMENT OF HEALTH &amp; MENTAL HYGIENCE HAS ENCOURAGED NURSING HOME OPERATORS TO INCREASE THEIR SERVICE OFFERINGS TO PROVIDE MORE COMPHREHENSIVE VENTILATOR AND CERTAIN CHRONIC CARE IN NURSING HOMES - WHICH ARE GENERALLY LESS EXPENSIVE CARE DELIVERY SITES. CHRONIC HOSPITAL ADMISSION CRITERIA WAS ALSO AMENDED. USH SAW ITS OVERALL BUSINESS DECLINE WITHOUT PREDICTED REPLACEMENT VOLUMES FOR THOSE PATIENTS MOVING TO THE NURSING HOME ENVIRONMENT. THE TYPE OF PATIENT CARE THAT REMAINED WAS VERY COMPLICATED CARE CASES. HAVING LOST THE FULL CAPCITY OF WHAT SERVICES WERE OFFERED AT USH, UMMS DECIDED TO RELOCATE THE UNIVERSITY SPECIALTY HOSPITAL PROGRAMS TO ITS MARYLAND GENERAL HOSPITAL CAMPUS IN THE SUMMER OF 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or Stockholders Who May Elect</Identifier>
        <ReturnReference>Form 990, Part VI, Lines 6, 7a &amp; 7b</ReturnReference>
        <Explanation>UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) IS THE SOLE MEMBER OF UNIVERSITY SPECIALITY HOSPITAL (USH). UMMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY AND ALL DECISIONS OF THE GOVERNING BODY MUST BE APPROVED BY UMMS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Review Process</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b</ReturnReference>
        <Explanation>THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. 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 TAX ORGANIZER. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON 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, GRANT THORNTON 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 Monitoring &amp; Enforcement</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c</ReturnReference>
        <Explanation>The I.R.S Form 990 is prepared and reviewed by the accounting firm of Grant Thornton. 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 Grant Thornton tax organizer. When all data has been entered, the information is submitted to Grant Thornton for importation into their tax software. At this point, Grant Thornton staff members review the data, ask for additional information if needed and prepare the tax return. Each return is reviewed at several levels at Grant Thornton 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, Grant Thornton 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 I.R.S. 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 I.R.S. form 990. At the discretion of the reviewing board member, such member will bring any issues or questions related to the completed I.R.S. form 990 to the attention of the board. Notwithstanding the above, a board resolution is not required for the filing of the organization's I.R.S. form 990. Each board member is provided with a copy of the final I.R.S. form 990 before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Determining Compensation</Identifier>
        <ReturnReference>Form 990, Part VI, Lines 15a &amp; 15b</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>How Documents are Made Available to the Public</Identifier>
        <ReturnReference>Form 990, Part VI, 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>
      <GeneralExplanation>
        <Identifier>Other changes in net assets</Identifier>
        <ReturnReference>Form 990, Part XI, Line 9</ReturnReference>
        <Explanation>Total $(521,893)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Hours on Related Entities</Identifier>
        <ReturnReference>PART VII, SECTION A, COLUMN (B)</ReturnReference>
        <Explanation>THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 10 ACUTE CARE HOSPITALS, 3 ACUTE CARE HOSPITALS OWNED IN JOINT VENTURE ARRANGEMENTS AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>PART XI, LINE 9</ReturnReference>
        <Explanation>DEREASE IN ECONOMIC INTEREST OF THE FOUNDATION $(416,829)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baltimore Washington Emergency Phys Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521756326</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BWMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baltimore Washington Healthcare Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521830243</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BWMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baltimore Washington Medical Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>520689917</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>03</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BWMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baltimore Washington Medical System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521830242</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UMMSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BW Medical Center Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521813656</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11c</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BWMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>North Arundel Development Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521318404</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>North County Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 HOSPITAL DRIVE</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521591355</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>BWMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Chester River Health Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 BROWN STREET</AddressLine1>
          <City>CHESTERTOWN</City>
          <State>MD</State>
          <ZIPCode>21620</ZIPCode>
        </AddressUS>
        <EIN>521338861</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>07</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CRHS</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Arundel Physicians Associates Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521992649</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Baltimore Washington Health Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521936656</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BW Professional Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <EIN>521655640</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>UNIV MIDTOWN PROF CENTER A CONDOMINIUM</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>827 Linden Avenue</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
        <EIN>521891126</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Shore Health Enterprises Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>219 South Washington Street</AddressLine1>
          <City>EASTON</City>
          <State>MD</State>
          <ZIPCode>21601</ZIPCode>
        </AddressUS>
        <EIN>521363201</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>UMMS Self Insurance Trust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>22 South Greene Street</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
        <EIN>526315433</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Terrapin Insurance Company</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1109</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
        </AddressForeign>
        <EIN>980129232</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NA Executive Building Condo Assn Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
        </AddressUS>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Civista Care Partners Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>701 E Charles Street</AddressLine1>
          <City>La Plata</City>
          <State>MD</State>
          <ZIPCode>20646</ZIPCode>
        </AddressUS>
        <EIN>522176314</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <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>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>