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      <TotalLiabilities>
        <BOY>1565518622</BOY>
        <EOY>1540119298</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>486179017</BOY>
        <EOY>669076636</EOY>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
        <BOY>412586</BOY>
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      <TotalNetAssetsFundBalances>
        <BOY>543334010</BOY>
        <EOY>740418390</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2108852632</BOY>
        <EOY>2280537688</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>142314814</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>54769566</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </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 />
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      <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>41086</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>41086</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Other Activities</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line 1i</ReturnReference>
        <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 lobbysing and advocating for their member hospitals. The MHA and AHA reported that 8.65% and 24.42% of member dues were used for lobbying purposes and as such, the Organization has reported this amount on Schedule C Part IV as lobbying activities.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>68335454</OtherCostOrOtherBasis>
        <BookValue>68335454</BookValue>
      </Land>
      <Buildings>
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        <OtherCostOrOtherBasis>777494707</OtherCostOrOtherBasis>
        <Depreciation>349786951</Depreciation>
        <BookValue>427707756</BookValue>
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        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>3253430</OtherCostOrOtherBasis>
        <Depreciation>2934596</Depreciation>
        <BookValue>318834</BookValue>
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      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>497961296</OtherCostOrOtherBasis>
        <Depreciation>364437750</Depreciation>
        <BookValue>133523546</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>98042869</OtherCostOrOtherBasis>
        <Depreciation>489140</Depreciation>
        <BookValue>97553729</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>727439319</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INTEREST IN ASSETS OF UMMS FDN</Description>
        <BookValue>56843442</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING COSTS</Description>
        <BookValue>7546894</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>264724432</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN SUBSIDIARIES</Description>
        <BookValue>204743219</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>34537461</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES - NOTES RE</Description>
        <BookValue>329451862</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>897847310</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ADVANCES FROM 3RD PARTY PAYORS</Description>
        <Amount>66843989</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>134431171</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INT RATE SWAPS MARK TO MARKET</Description>
        <Amount>105399608</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>306674768</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Schedule D, Part X</Identifier>
        <ReturnReference>FIN 48 FOOTNOTE PER AUDIT REPORT</ReturnReference>
        <Explanation>University of Maryland Medical System Corporation (The Corporation) adopted the provisions of ASC 740, Accounting for Uncertainty in the Income Taxes (FIN 48) on July 1, 2007. The footnote related to ASC 740 in the Corporation's audited financial statements is as follows: The Corporation follows a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintained>false</GrantRecordsMaintained>
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        <Region>Central America and the Caribbean</Region>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Medical Services</SpecificServicesProvided>
        <TotalExpenditures>31498</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>64961000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalAmountSpent>64992498</SubtotalAmountSpent>
      <TotalAmountSpent>64992498</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <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>37115929</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>37115929</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>37115929</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>1461984</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1461984</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>92562863</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>92562863</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07320</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>22293517</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10235718</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12057799</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00950</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>537577</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>537577</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>116855941</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10235718</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>106620223</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08430</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>153971870</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10235718</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>143736152</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11360</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>6529</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6529</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>75363</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>75363</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>24889</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24889</NetCommunityBuildingExpense>
      </CommunitySupport>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>184031</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>184031</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>290812</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>290812</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>75429792</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>308162578</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>257461775</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>50700803</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Univ of Maryland Medical System Corp</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>22 S Greene Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Univ of Maryland Medical System Corp</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>4</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>UniversityCare Shipley's Choice</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8601 Verterans Highway Ste 111</AddressLine1>
            <City>Millersville</City>
            <State>MD</State>
            <ZIPCode>21108</ZIPCode>
          </Address>
          <FacilityType>Healthcare Clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Univ Pediatric Specialists Bel Air</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>N Park Center Unit 423 4C North A</AddressLine1>
            <City>Bel Air</City>
            <State>MD</State>
            <ZIPCode>21014</ZIPCode>
          </Address>
          <FacilityType>Healthcare Clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>UniversityCare Edmondson Village</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4538 Edmondson Ave</AddressLine1>
            <City>Baltimore</City>
            <State>MD</State>
            <ZIPCode>21229</ZIPCode>
          </Address>
          <FacilityType>Healthcare Clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>UniversityCare Waxter Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1000 Cathedral Street</AddressLine1>
            <City>Baltimore</City>
            <State>MD</State>
            <ZIPCode>21201</ZIPCode>
          </Address>
          <FacilityType>Healthcare Clinic</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Related Organization Report</Identifier>
        <ReturnReference>Schedule H, Part I, Line 6a</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Bad Debt Expense</Identifier>
        <ReturnReference>Schedule H, Part III, Line 4</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Medicare Cost Report</Identifier>
        <ReturnReference>Schedule H, Part III, Line 8</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Collection Practices</Identifier>
        <ReturnReference>Schedule H, Part III, Line 9b</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>University of Maryland Medical System Corp</Identifier>
        <ReturnReference>Schedule H, Part V, Section B</ReturnReference>
        <Explanation>Line 19d - All patients are charged state regulated rates, regardless of their ability to pay. Line 21 - Due to state regulations, charges are not reduced for any payer, including commercial insurance, government payers, or uninsured oatients. All charges are gross charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Health Care Needs Assessment</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>UMMC uses a variety of credible sources to identify community needs. Annually, data from local, state, and federal assessments and reports are utilized to address and prioritize community needs. The primary source of information for identifying the health 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 prevalence on eight major health categories as well as mortality and leading causes of death. While the focus of this report is on city-wide indicators, there are also numerous comparisons to state-wide and national prevalence rates as well. The national leading health indicators from Healthy People 2020 were also incorporated as a framework into community health programming for this year. The Baltimore City's Health Disparities Report Card was released in May 2010 and was also included. Late in fiscal year 2011, the Baltimore City Health Department released its Healthy Baltimore 2015 plan, which was reviewed at the close of the fiscal year. This plan will play a more significant role in the FY12 community health needs assessment process. Additional reports, data, alerts, and public health trends are followed as well from the Centers for Disease Control, Maryland Department of Health and Mental Hygiene, US Dept of Health and Human Services, County Health Rankings, and locally with the Baltimore City Health Department's Neighborhood Profiles and B-more Healthy Babies to name a few. UMMC also conducted a telephone survey of Baltimore residents in 2005 to identify health needs from the consumer's perspective. The UMMC will be conducting a more comprehensive community health needs assessment currently which will be reported in next year's report. The formal Community Health Needs Assessment, as required by the Patient Protection and Affordable Care Act ("ACA"), is currently underway in FY12, with a community benefits strategic plan to follow. However, the UMMC has reviewed the aforementioned data sources annually for trends in community health and has been committed to responding to the needs of the community through its annual programming and services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Eligibility Education</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>University of Maryland Medical Center's Financial Clearance Program Policy is a clear, comprehensive policy established to assess the needs of particular patients that have indicated a possible financial hardship in obtaining aid when it is beyond their financial ability to pay for services rendered. UMMC makes every effort to make financial assistance information available to our patients including, but not limited to: - Signage in main admitting areas of the hospital - Patient Handbook distributed to all patients - Brochures explaining financial assistance are made available in all patient care areas -Appearing in print media through local newspapers</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Description of Community Served</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>The University of Maryland Medical Center (UMMC) serves Baltimore City and the greater metropolitan region, including patients with in-state and out-of-state referrals for tertiary and quaternary care. UMMC is a private, non-profit acute care hospital and is affiliated with the University of Maryland School of Medicine, as well as the surrounding professional schools on campus. It is the second leading provider of healthcare in Baltimore City and the state of Maryland, and has served the state's and city's populations since 1823. Despite the larger regional patient mix, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is Baltimore City. According to the 2011 population estimate from Pop-Facts: Demographic Snapshot 2011 Comparison Report; Baltimore City, African Americans or Blacks make up 63% of Baltimore City's population. Caucasians comprise 32% of the population followed by Hispanic or Latino representing 3%. The remaining racial makeup is comprised of Asian, American Indian, Native Hawaiian/Pacific Islanders and other races. 2011 Estimated Population by Single Race Class Caucasian - 204,463 31.84% African America or Black - 403,115 62.77% American Indian and Alaskan Native - 2,252 .35% Asian - 12,568 1.96% Native Hawaiian &amp; Other Pacific Island - 316 0.05% Some Other Race - 7,016 1.09% Two or more races - 12,468 1.94% 2011 Estimated Population Hispanic or Latino by Origin Not Hispanic or Latino - 621,912 96.84% Hispanic or Latino - 20,286 3.16% Source: 2011 estimate = Pop-Facts: Demographic Snapshot 2011 Comparison Report; Baltimore City Forty-eight percent of Baltimore City households reported an income of less than $35,000 in 2011 according to the Pop-Facts: Demographic Snapshot 2011 Comparison Report; Baltimore City. Statewide, 16% of households reported an income in this range. The 2011 median household income in Baltimore City for all races was $37,132; approximately half of the statewide median income which is $70,647. 2011 Estimated Households by Household Income Income less than $15,000 56,984 22.44% Income $15,000 - $24,999 33,610 13.24% Income $25,000 - $34,999 30,720 12.10% Income $35,000 - $49,999 39,761 15.66% Income $50,000 - $74,999 42,096 16.58% Income $75,000 - $99,999 22,297 8.78% Income $100,000 - $124,999 12,851 5.06% Income $125,000 - $149,999 5,572 2.19% Income $150,000 - $199,999 4,519 1.78% Income $200,000 - $499,999 4,446 1.75% Income $500,000 and more 1,077 0.42% 2011 Estimated Average Household Income - $51,752 2011 Estimated Median Household Income - $37,132 2011 Estimated Per Capita Income - $20,777 Source: 2011 estimate = Pop-Facts: Demographic Snapshot 2011 Comparison Report; Baltimore City</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>Promoting the Health of the Community</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>Major identified health needs in Baltimore (as identified in the 2008 Baltimore City Health Status Report, Baltimore City's Health Disparities Report Card, Healthy People 2020, and other data sources) include the following leading causes of death (in ranked order): 1) Heart disease, 2) Cancer, 3) Cerebrovascular disease, 4) HIV/AIDS, 5) Homicide, 6) Chronic lower respiratory disease, and 7) Diabetes. Maryland's health needs are similar with less emphasis on violence, HIV infection, and substance abuse. Childhood and adult obesity and smoking contribute substantially to the prevalence of chronic diseases such as diabetes, cardiovascular disease, cancer, and asthma and are significant modifiable disease risk factors. Therefore, much current UMMC community outreach programming is targeted to obesity and tobacco prevention within disease-specific programming in addition to outreach targeting disease-specific conditions. An additional community health need identified by the Baltimore City Health Department is infant mortality. In the aforementioned survey commissioned with the Jackson Organization in 2005, the issues identified that correlated most highly to consumers' health status were stroke, diabetes, high blood pressure and incontinence. These are mostly consistent with the health needs identified by the Baltimore City Health Department mentioned above and were considered services of importance to UMMC in terms of increasing community awareness and access to care. Social Determinants of Health (SDoH) Needs - SDoH as defined by the World Health Organization (WHO) are the circumstances in which people live, grow, and work, which greatly determine an individual's health status (World Health Organization, 2008). At all levels of income, health and illness follow a social gradient: the lower the socioeconomic status, the lower the health status. Contributing to the major health needs of the CBSA, there are many significant SDoH which were identified (in no particular order), lack of fresh produce available (food deserts), limited transportation, unsafe housing, economic development, and literacy. Of the above identified seven top health needs and the five SDoH, all are addressed with UMMC initiatives with the exception of two of the SDoH, transportation and housing. Literacy and health literacy initiatives are in the planning stages in FY12 and will be addressed in FY12.</Explanation>
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        <Explanation>University of Maryland Medical Center (UMMC) is part of the larger University of Maryland Medical System (UMMS), which includes ten hospitals around the central Maryland region. UMMS created the University of Maryland Community Outreach and Advocacy Team which meets monthly to address the health care needs of the Baltimore community. The group is comprised of community outreach management and staff, clinicians, executive leadership from UMMS system hospitals, which includes the Medical Center. UMMC participates in this Advocacy Team and representatives communicate priorities to the Medical Center. In addition to the UMMS' priorities, UMMC determines annual community outreach goals and objectives. For FY11, UMMC was a major participant and sponsor in two annual UMMS outreach health fairs, Take a Loved One to the Doctor Day and Spring into Good Health.</Explanation>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HERBERT C BUCHANAN</NamePerson>
        <BaseCompensationFilingOrg>292933</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>114342</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9046</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>41868</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>28553</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>486742</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JON P BURNS</NamePerson>
        <BaseCompensationFilingOrg>350090</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>124215</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9808</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>49382</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>28663</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>562158</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GLENN F ROBBINS</NamePerson>
        <BaseCompensationFilingOrg>478282</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>140773</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>68773</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8607</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19735</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>716170</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JONATHAN E GOTTLIEB</NamePerson>
        <BaseCompensationFilingOrg>477942</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>219880</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5176</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>66510</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16114</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>785622</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEITH D PERSINGER</NamePerson>
        <BaseCompensationFilingOrg>362889</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>161000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>46146</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8925</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8137</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>587097</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICK E DUNNING</NamePerson>
        <BaseCompensationFilingOrg>220890</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>74634</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>117326</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8459</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19153</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>440462</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>93194</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN SPEARMAN</NamePerson>
        <BaseCompensationFilingOrg>220138</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>73651</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>91295</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8474</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15709</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>409267</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>56700</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </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 which 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>Severance payment or change of control payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>TRENT SMITH $194,484</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, 2011, 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. ROBERT ALLEN MEGAN ARTHUR JOHN ASHWORTH ALISON BROWN HERBERT BUCHANEN JON BURNS ROBERT CHRENCIK JOHN SPEARMAN RICK DUNNING HENRY FRANEY MARK KELEMAN KEITH PERSINGER JEFFREY RIVEST GLENN ROBBINS MARK WASSERMAN LISA ROWEN JONATHAN GOTTLIEB GERALD WOLLMAN During the fiscal year end June 30, 2011, 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 the reporting tax year, therefore the full value of the plan, including any contribution to the plan for the current fiscal year, is reported as taxable compensation and reported on Schedule J, Part II, Column (Biii), 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). ROBERT ALLEN MEGAN ARTHUR JOHN ASHWORTH ALISON BROWN JOHN SPEARMAN RICK DUNNING HENRY FRANEY KEITH PERSINGER JEFFREY RIVEST GLENN ROBBINS MARK WASSERMAN</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MHHEFA (series 2004B)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217LP8</CUSIPNumber>
        <DateIssued>2003-12-17</DateIssued>
        <IssuePrice>37590847</IssuePrice>
        <DescriptionOfPurpose>ADVANCE REFUNDING</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MHHEFA (series 2005)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217W92</CUSIPNumber>
        <DateIssued>2008-06-25</DateIssued>
        <IssuePrice>144317619</IssuePrice>
        <DescriptionOfPurpose>CURRENT REFUNDING</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MHHEFA (Series 2006A)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217YG4</CUSIPNumber>
        <DateIssued>2006-10-24</DateIssued>
        <IssuePrice>46070791</IssuePrice>
        <DescriptionOfPurpose>NEW MONEY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MHHEFA (series 2007A)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217G74</CUSIPNumber>
        <DateIssued>2007-09-12</DateIssued>
        <IssuePrice>96445000</IssuePrice>
        <DescriptionOfPurpose>ADVANCE REFUNDING</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>8010000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>37590847</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>444968</IssuanceCostsFromProceeds>
        <CreditEnhancement>1056738</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>36089142</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>4125000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>144317619</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1167619</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>143150000</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>46907010</TotalProceeds>
        <AmountInReserveFund>2183085</AmountInReserveFund>
        <CapitalizedInterest>3498365</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>350032</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>40875528</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>300000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>96445000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>93784600</RefundingEscrow>
        <IssuanceCostsFromProceeds>784512</IssuanceCostsFromProceeds>
        <CreditEnhancement>13877</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>1862011</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN BANK AMER</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>27.</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Master Loan Agreement</Identifier>
        <Explanation>Pursuant to a Master Loan Agreement dated June 20, 1991 (The "Master Loan Agreement"), as Amended, The University Of Maryland Medical System Corporation (The "Corporation") and several of its subsidiaries have issued debt through the Maryland Health and Higher Education Facility Authority (the "Authority"). As Security for the performance of the bond obligation under the Master Loan Agreement, The Authority maintains a security interest in the revenue of the obligors. The Master Loan Agreement contains certain restrictive covenants. These covenants require that rates and charges be set at certain levels, limit incurrence of additional debt, require compliance with certain operating ratios and restrict the disposition of assets.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MT Bank Atwood Collins</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Member</Relationship>
        <AmountOfTransaction>287364</AmountOfTransaction>
        <DescriptionOfTransaction>See Schedule L, Part V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Kelly and Associates Francis Kelly</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Member</Relationship>
        <AmountOfTransaction>104456</AmountOfTransaction>
        <DescriptionOfTransaction>See Schedule L, Part V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Business Transactions Involving Interested Persons</Identifier>
        <ReturnReference>Part IV</ReturnReference>
        <Explanation>THE ORGANIZATION USES M&amp;T BANK FOR MANY OF ITS BANKING SERVICES, INCLUDING TREASURY MANAGEMENT, DEPOSIT SERVICES, LINES OF CREDIT AND CORPORATE TRUST AND CUSTODY SERVICES. ATWOOD COLLINS IS EXECUTIVE VICE PRESIDENT OF M&amp;T BANK AS WELL AS A BOARD MEMEBE OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM. SERVICES PROVIDED BY THE BANK ARE CHARGED AT OR BELOW FAIR MARKET VALUE. FRANCIS KELLY IS A BOARD MEMBER OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM AS WELL AS THE CHAIRMAN AND CHIEF EXECUTIVE OFFICER OF KELLY &amp; ASSOCIATES INSURANCE GROUP, INC. THE MEDICAL SYSTEM USES KELLY &amp; ASSOCIATES TO PURCHASE HEALTH, VISION, DENTAL AND LIFE INSURANCE POLICIES FOR THE EMPLOYEES OF THE SYSTEM.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <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 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 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 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>Process for Determining Compensation</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a</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>Hours on Related Entity</Identifier>
        <Explanation>The University of Maryland Medical System (UMMS) is a multi-entity health care system including 8 acute care hospitals, 3 specialty hospitals 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>Reconciliation of New Assets</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Change in Net Assets of Foundation 4,685,000.00 Support from Foundation 3,803,000.00 Net assets released from restrictions for purchases of property &amp; equipment 20,816,000.00 Queen Anne's Land Donation 14,837,000.00 Change fair value- Designated interest rate swaps 4,488,000.00 Change ownership int- nonconsolidated subsidiaries 5,437,000.00 Change in ownership interest of joint ventures 1,126,000.00 Other (422,434.00) -------------- Total 54,769,566.00</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT A CHRENCIK TITLE:PRESIDENT AND CEO HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LISA C ROWEN TITLE:SVP &amp; CNO - UMMC HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JEFFERY A RIVEST TITLE:PRESIDENT &amp; CEO - UMMC HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GLENN F ROBBINS TITLE:SVP &amp; CMO HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JONATHAN E GOTTLIEB TITLE:SVP &amp; CMO HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KEITH D PERSINGER TITLE:SVP &amp; CFO UMMC HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN W ASHWORTH III TITLE:SVP NETWORK DEVELOPMENT HOURS:5</Explanation>
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          <City>BALTIMORE</City>
          <State>MD</State>
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          <AddressLine1>22 South Greene Street</AddressLine1>
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          <AddressLine1>29165 Canvasback Drive Suite 100</AddressLine1>
          <City>EASTON</City>
          <State>MD</State>
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          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
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          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
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          <ZIPCode>21061</ZIPCode>
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          <AddressLine1>301 Hospital Drive</AddressLine1>
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          <State>MD</State>
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          <AddressLine1>22 South Greene Street</AddressLine1>
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          <ZIPCode>21201</ZIPCode>
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          <BusinessNameLine1>CENTRAL MARYLAND RADIOLOGY ONCOLOGY</BusinessNameLine1>
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          <AddressLine1>10710 CHARTER DRIVE</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
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          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
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        <EIN>521992649</EIN>
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          <AddressLine1>301 Hospital Drive</AddressLine1>
          <City>GLEN BURNIE</City>
          <State>MD</State>
          <ZIPCode>21061</ZIPCode>
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          <City>GLEN BURNIE</City>
          <State>MD</State>
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          <BusinessNameLine1>Council of Unit Owners of MD Gen PC</BusinessNameLine1>
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          <AddressLine1>827 Linden Avenue</AddressLine1>
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          <State>MD</State>
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