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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>1</AccountantCompileOrReview>
      <AccountantCompileOrReviewBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </AccountantCompileOrReviewBasis>
      <FSAudited>0</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>198507</OtherCostOrOtherBasis>
        <Depreciation>157139</Depreciation>
        <BookValue>41368</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>173507</OtherCostOrOtherBasis>
        <Depreciation>111227</Depreciation>
        <BookValue>62280</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>103648</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO SHEPPARD PRATT</Description>
        <Amount>497607</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO WAY STATION</Description>
        <Amount>113332</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>610939</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>5019005</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>5019005</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5019005</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>5063394</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>5063394</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>5063394</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AT A BOARD MEETING PRIOR TO FILING THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO ALL TRUSTEES ANNUALLY. RESPONSES ARE REVIEWED BY THE BOARD PRESIDENT AND THE BOARD IS ADVISED OF CONFLICTS OF INTEREST AS APPROPRIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION DOES NOT PAY COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>CONTRACT CLEANING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,504. CLERICAL SERVICES: PROGRAM SERVICE EXPENSES 65,526. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,526. CLINICAL PROFESSIONAL/TECH FEES: PROGRAM SERVICE EXPENSES 1,817,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,817,685. NON-CLINICAL PROFESSIONAL/TECH FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,022. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,022. PROFESSIONAL/TECH FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 135,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,426. CLINICAL &amp; BILLING SERVICES: PROGRAM SERVICE EXPENSES 2,267,346. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,267,346.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>TRANSFER TO FREDERICK MEMORIAL HOSPITAL -150,000. TRANSFER TO SHEPPARD &amp; ENOCH PRATT FOUNDATION, INC &amp; SUBSIDIARIES -150,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>