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        <ManagementAndGeneral>52926</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>7668</Total>
        <ManagementAndGeneral>7668</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>80159</Total>
        <ManagementAndGeneral>80159</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1376117</Total>
        <ProgramServices>1361483</ProgramServices>
        <ManagementAndGeneral>14634</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>8525</Total>
        <ProgramServices>30</ProgramServices>
        <ManagementAndGeneral>8495</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1257861</Total>
        <ProgramServices>1117583</ProgramServices>
        <ManagementAndGeneral>140278</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>708935</Total>
        <ProgramServices>681393</ProgramServices>
        <ManagementAndGeneral>27542</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>10226</Total>
        <ProgramServices>9062</ProgramServices>
        <ManagementAndGeneral>1164</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>5016</Total>
        <ManagementAndGeneral>5016</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>367842</Total>
        <ProgramServices>367842</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>73894</Total>
        <ManagementAndGeneral>73894</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>402916</Total>
        <ProgramServices>402916</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>86375</Total>
        <ProgramServices>86375</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES &amp; FEES</Description>
        <Total>23347</Total>
        <ProgramServices>675</ProgramServices>
        <ManagementAndGeneral>22672</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>6853</Total>
        <ProgramServices>1461</ProgramServices>
        <ManagementAndGeneral>5392</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>13160145</Total>
        <ProgramServices>11813105</ProgramServices>
        <ManagementAndGeneral>1347040</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>1000</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>868163</BOY>
        <EOY>1415841</EOY>
      </SavingsAndTempCashInvestments>
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        <EOY>1291692</EOY>
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      <InventoriesForSaleOrUse>
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      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>159218</BOY>
        <EOY>107345</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>12857313</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2008719</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11015565</BOY>
        <EOY>10848594</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>120603</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>41441</BOY>
        <EOY>39783</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>13628095</BOY>
        <EOY>13895782</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1086815</BOY>
        <EOY>1033097</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>3569723</BOY>
        <EOY>3472220</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>450830</BOY>
        <EOY>430658</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>5107368</BOY>
        <EOY>4935975</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8509527</BOY>
        <EOY>8948607</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>11200</BOY>
        <EOY>11200</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>8520727</BOY>
        <EOY>8959807</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>13628095</BOY>
        <EOY>13895782</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>439080</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>159706</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>62402</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>19478</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6538229</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15498</CurrentTaxYear>
        <Total>6795313</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>14781991</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14246914</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13326009</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12733083</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13467278</CurrentTaxYear>
        <Total>68555275</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>14941697</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14309316</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13345487</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19271312</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13482776</CurrentTaxYear>
        <Total>75350588</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>9141648</CurrentTaxYearMinus4Years>
        <Total>9141648</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>9141648</CurrentTaxYearMinus4Years>
        <Total>9141648</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>66208940</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>64456</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36765</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5598</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4499</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>37969</CurrentTaxYear>
        <Total>149287</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>36765</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5598</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4499</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>37969</CurrentTaxYear>
        <Total>149287</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>71425</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>64320</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>143847</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>43793</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>76872</CurrentTaxYear>
        <Total>400257</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>15077578</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14410401</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13494932</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19319604</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13597617</CurrentTaxYear>
        <Total>75900132</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.87230</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.75800</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00200</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00200</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA SALES CABLE/TV SERVICE TV RENTAL MISCELLANEOUS BEAUTY/BARBERSHOP INCOME</GeneralExplanation>
    </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">
      <Land>
        <OtherCostOrOtherBasis>1027000</OtherCostOrOtherBasis>
        <BookValue>1027000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>9231376</OtherCostOrOtherBasis>
        <Depreciation>230784</Depreciation>
        <BookValue>9000592</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>913542</OtherCostOrOtherBasis>
        <Depreciation>391090</Depreciation>
        <BookValue>522452</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1685395</OtherCostOrOtherBasis>
        <Depreciation>1386845</Depreciation>
        <BookValue>298550</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>10848594</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>WORKING CAPITAL LOAN</Description>
        <Amount>75901</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD-PARTY PAYOR</Description>
        <Amount>354757</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>430658</TotalOfAmounts>
      <TotalRevenue>13599225</TotalRevenue>
      <TotalExpenses>13160145</TotalExpenses>
      <ExcessOrDeficitForYear>439080</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>439080</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>13599225</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>13599225</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>13599225</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>13160145</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>13160145</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>13160145</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE PROVISION ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURES. MANAGEMENT HAS DETERMINED THAT THESE PROVISIONS DO NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>BOARD MEMBERS EDWARD SCHAUF AND JUDITH SCHAUF ARE HUSBAND AND WIFE. TWO MEMBERS OF THE BOARD ARE EMPLOYED AT THE SOUTHERN MARYLAND ELECTRIC COOPERATIVE, A VENDOR THROUGH WHICH THE FACILITY PURCHASES ITS ELECTRICITY. ONE OF THE BOARD MEMBERS SERVES AS A KEY EMPLOYEE OF THE COOPERATIVE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 8B</Identifier>
        <Explanation>COMMITTEES ARE NOT AUTHORIZED TO ACT ON BEHALF OF THE FULL BOARD. ANY DECISIONS BROUGHT FORTH FROM COMMITTEES ARE ONLY RECOMMENDATIONS THAT REQUIRE ACTION BY THE FULL BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS FIRST REVIEWED BY THE CFO WHO NOTES ANY CHANGES FROM THE PRIOR YEAR. THE CFO THEN GOES OVER THE FORM WITH THE ADMINISTRATOR. BEFORE THE FORM IS FILED IT IS GIVEN TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE BOARD CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS MUST DISCLOSE POSSIBLE CONFLICTS AT THE TIME ANY CONTRACT OR OTHER ITEMS ARE CONSIDERED. BOARD MEMBERS ARE REQUIRED TO SIGN AN ANNUAL STATEMENT REGARDING ANY POSSIBLE CONFLICTS. POTENTIAL CONFLICTS WOULD INCLUDE BUSINESSES THAT PROVIDE SERVICES TO THE ORGANIZATION OR FOR ANYONE WHO RECEIVES SERVICES FROM THE ORGANIZATION. IF ANY BOARD MEMBER DECLARES A POTENTIAL CONFLICT OF INTEREST, THE BOARD MEMBER ABSTAINS FROM ANY VOTES WHERE THEY, THEIR BUSINESS, OR ANY CONFLICT WOULD HAVE BEEN AFFECTED. THE FULL BOARD MONITORS THE CONFLICT OF INTEREST POLICY. OFFICERS AND KEY EMPLOYEES ARE EXPECTED TO FOLLOW THE CONFLICT OF INTEREST POLICY AS STATED AS PART OF THE EMPLOYEE CONFLICT OF INTEREST POLICY. ALL POTENTIAL CONFLICTS ARE EXPECTED TO BE REPORTED AND ANY RESOLUTIONS WILL BE DECIDED BY SUPERIORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE REVIEWS BROAD COMPARATIVE SALARY DATA IN SETTING THE ADMINISTRATOR'S SALARY. IN ADDITION,CONSIDERATION IS GIVEN TO THE ADMINISTRATOR'S HISTORICAL COMPENSATION AND THE RELATIVE COMPENSATION OF THE ADMINISTRATOR'S SUBORDINATES. SALARY DISCUSSIONS BY THE FULL BOARD OCCUR IN EXECUTIVE SESSIONS AFTER STAFF HAVE BEEN EXCUSED FROM THE BOARD MEETING. THE BOARD MAINTAINS THEIR OWN MINUTES FOR EXECUTIVE SESSIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>INFORMATION IS NOT MADE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT OVERSIGHT:</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES OVERSEES THE AUDIT THROUGH THE FINANCE COMMITTEE. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S NURSING CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 904</AddressLine1>
          <City>LEONARDTOWN</City>
          <State>MD</State>
          <ZIPCode>20650</ZIPCode>
        </AddressUS>
        <EIN>521648341</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>