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      <GeneralExplanation>
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        <ReturnReference>Part VI, Question 12c</ReturnReference>
        <Explanation>Appointment of Boards of Directors MedStar Health (and its subsidiaries) require all nominated Directors, prior to their appointment or election, to disclose the existence of (or potential existence of) any transaction with MedStar that would result in a conflict of interest. Such disclosures (if any) are reviewed by the Governance Committee of the MedStar Health Board of Directors which determines how the matter should be resolved. Annual Disclosures - All Officers, Directors, and Senior Managers All Officers, Directors and Senior Managers are required, not less than annually, to complete a survey of questions concerning any transactions or relationships which would or could represent a conflict of interest. Such disclosures (if any) are reviewed by the Governance Committee of the MedStar Health Board of Directors which determines how the matter should be resolved. In addition, Officers and Directors of Maryland Hospitals and Nursing Centers are required to annually disclose additional information relating to potential conflicts of interest and such disclosures are reported to the Maryland Health Services Cost Review Commission (HSCRC).</Explanation>
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        <Identifier>Compensation Footnotes</Identifier>
        <ReturnReference>Part VII, Section A</ReturnReference>
        <Explanation>Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. Michael Curran Michael Curran's Other reportable compensation in Part II, Column (B) (iii) includes $356,586 representing Mr. Curran's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 9 years of service. This amount was not actually paid to Mr. Curran, but was reported as compensation under FICA tax-reporting rules, and $119,836 was also reported on Form 990 in prior years. William Thomas William Thomas' Other reportable compensation in Part II, Column (B) (iii) includes $1,281,666 representing Dr. Thomas' accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 15 years of service. This amount was not actually paid to Dr. Thomas, but was reported as compensation under FICA tax-reporting rules, and $1,191,808 was also reported on Form 990 in prior years.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Financial Statement Availability</Identifier>
        <ReturnReference>Part VI, Section C, Question 19</ReturnReference>
        <Explanation>MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also mails its annual and quarterly disclosures to holders of the Company's publicly traded debt. The Company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Reviewing Form 990</Identifier>
        <ReturnReference>Part VI, Section B, Question 11A</ReturnReference>
        <Explanation>The process for reviewing the Form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed the revised Form 990 and accompanying instructions and provided education sessions on the revised Form to the organization's governing body and its senior officers. In addition, separate education sessions were provided to the following committees of organization's governing body: Finance, Audit, Governance, Strategic Planning, and Executive Compensation. This education process took place over several months. Following these education sessions, the governing body was provided a copy of the Form 990 in its final form and was encouraged to provide any input or comments relating to the Form 990 prior to its filing.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Church Home Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>237374724</EIN>
        <PrimaryActivities>Medical Fund</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>PF</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Franklin Square Hospital Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9000 Franklin Square Drive</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21237</ZIPCode>
        </AddressUS>
        <EIN>520608007</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Harbor Hospital Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 South Hanover Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21225</ZIPCode>
        </AddressUS>
        <EIN>520491660</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>522087445</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Montgomery General Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18101 Prince Philip Drive</AddressLine1>
          <City>Olney</City>
          <State>MD</State>
          <ZIPCode>20832</ZIPCode>
        </AddressUS>
        <EIN>520646893</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Good Samaritan Hospital of Maryland</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5601 Loch Raven Blvd</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21239</ZIPCode>
        </AddressUS>
        <EIN>520591607</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Union Memorial Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>201 East University Parkway</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>520591685</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar Research Institute</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>108 Irving Street NW</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20010</ZIPCode>
        </AddressUS>
        <EIN>526056274</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Medstar-Georgetown Medical Center I</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Hopsital Admin 1 Main Bldg</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20007</ZIPCode>
        </AddressUS>
        <EIN>522218584</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Washington Hospital Center Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 Irving Street NW</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20010</ZIPCode>
        </AddressUS>
        <EIN>521272129</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Bay Development Corp</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>521132992</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Bay Life Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>521496539</EIN>
        <PrimaryActivities>Mental Health</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MedStar Surgery Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4061 Powdermill Road Suite 210</AddressLine1>
          <City>Calverton</City>
          <State>MD</State>
          <ZIPCode>20705</ZIPCode>
        </AddressUS>
        <EIN>521061679</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Church Home and Hospital of the City of</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5565 Sterrett Place 5th Floor</AddressLine1>
          <City>Columbia</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>520591600</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Foundation for Georgetown University Hos</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Hopsital Admin 1 Main Bldg</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20007</ZIPCode>
        </AddressUS>
        <EIN>522339873</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Franklin Square Hospital Center Foundati</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9000 Franklin Square Drive</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21237</ZIPCode>
        </AddressUS>
        <EIN>522329546</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Good Samaritan Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5601 Loch Raven Blvd</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21239</ZIPCode>
        </AddressUS>
        <EIN>522307122</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Good Samaritan Nursing Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5601 Loch Raven Blvd</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21239</ZIPCode>
        </AddressUS>
        <EIN>521672866</EIN>
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        <LegalDomicileState>MD</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GS Housing Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5601 Loch Raven Blvd</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21239</ZIPCode>
        </AddressUS>
        <EIN>521481656</EIN>
        <PrimaryActivities>Elder Housing</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GS Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5601 Loch Raven Blvd</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21239</ZIPCode>
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        <PrimaryActivities>Admin Svcs</PrimaryActivities>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Harbor Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 South Hanover Street</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21225</ZIPCode>
        </AddressUS>
        <EIN>521284532</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar Health Infusion Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4061 Powdermill Road Suite 210</AddressLine1>
          <City>Calverton</City>
          <State>MD</State>
          <ZIPCode>20705</ZIPCode>
        </AddressUS>
        <EIN>521980510</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar Health Visiting Nurses Associati</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4061 Powdermill Road</AddressLine1>
          <City>Calverton</City>
          <State>MD</State>
          <ZIPCode>20705</ZIPCode>
        </AddressUS>
        <EIN>530196597</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar Long Term Care Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4061 Powdermill Road Suite 210</AddressLine1>
          <City>Calverton</City>
          <State>MD</State>
          <ZIPCode>20705</ZIPCode>
        </AddressUS>
        <EIN>521489097</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medstar VNA Healthcare</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4061 Powdermill Road Suite 210</AddressLine1>
          <City>Calverton</City>
          <State>MD</State>
          <ZIPCode>20705</ZIPCode>
        </AddressUS>
        <EIN>521458516</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MGH Community Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18101 Prince Philip Drive</AddressLine1>
          <City>Olney</City>
          <State>MD</State>
          <ZIPCode>20832</ZIPCode>
        </AddressUS>
        <EIN>521372467</EIN>
        <PrimaryActivities>Medical Svcs</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MGH Health Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18101 Prince Philip Drive</AddressLine1>
          <City>Olney</City>
          <State>MD</State>
          <ZIPCode>20832</ZIPCode>
        </AddressUS>
        <EIN>521129959</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MGH Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18101 Prince Philip Drive</AddressLine1>
          <City>Olney</City>
          <State>MD</State>
          <ZIPCode>20832</ZIPCode>
        </AddressUS>
        <EIN>521366812</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MGH Women's Board</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18101 Prince Philip Drive</AddressLine1>
          <City>Olney</City>
          <State>MD</State>
          <ZIPCode>20832</ZIPCode>
        </AddressUS>
        <EIN>526039600</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>National Rehabilitation Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>102 Irving Street NW</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
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          <AddressLine1>110 Irving Street NW</AddressLine1>
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          <State>MD</State>
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        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Mary's Health Alliance Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>25500 Point Lookout Road</AddressLine1>
          <City>Leonardtown</City>
          <State>MD</State>
          <ZIPCode>20650</ZIPCode>
        </AddressUS>
        <EIN>521930331</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Greenspring Financial Insurance Limited</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>980188617</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GREENSPRING FINANCIAL INSURANCE LIMITED INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>23137253</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NASCOTT INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>11540893</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WHC PHYSICIAN HOSPITAL ORGANIZATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3076320</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SURGICENTER AT PASADENA LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>819871</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>