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      <BenefitsToMembers>
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        <Total>111363</Total>
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      <CompDisqualPersons>
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        <ManagementAndGeneral>7867</ManagementAndGeneral>
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        <ManagementAndGeneral>79308</ManagementAndGeneral>
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        <ProgramServices>498724</ProgramServices>
        <ManagementAndGeneral>58955</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>3519</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>81119</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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      <FeesForServicesOther>
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      <Advertising>
        <Total>6674</Total>
        <ManagementAndGeneral>6674</ManagementAndGeneral>
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        <ManagementAndGeneral>50333</ManagementAndGeneral>
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      <InformationTechnology>
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        <ManagementAndGeneral>31609</ManagementAndGeneral>
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      <Royalties>
        <Total>0</Total>
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      <Occupancy>
        <Total>1166733</Total>
        <ProgramServices>1129105</ProgramServices>
        <ManagementAndGeneral>37628</ManagementAndGeneral>
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      <Travel>
        <Total>1917</Total>
        <ManagementAndGeneral>1917</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>3786</Total>
        <ManagementAndGeneral>3786</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>151958</Total>
        <ProgramServices>147057</ProgramServices>
        <ManagementAndGeneral>4901</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>94889</Total>
        <ManagementAndGeneral>94889</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>PROGRAM SUPPLIES</Description>
        <Total>531875</Total>
        <ProgramServices>531875</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PRESCRIPTION DRUGS</Description>
        <Total>459374</Total>
        <ProgramServices>459374</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>406729</Total>
        <ProgramServices>406729</ProgramServices>
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      <OtherExpenses>
        <Description>CONTRACTED SERVICES</Description>
        <Total>1056138</Total>
        <ProgramServices>1050260</ProgramServices>
        <ManagementAndGeneral>5878</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Bad Debt Expense</Description>
        <Total>148003</Total>
        <ProgramServices>148003</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>233108</Total>
        <ProgramServices>124492</ProgramServices>
        <ManagementAndGeneral>108616</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>13024330</Total>
        <ProgramServices>11676671</ProgramServices>
        <ManagementAndGeneral>1346235</ManagementAndGeneral>
        <Fundraising>1424</Fundraising>
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      <CashNonInterestBearing>
        <BOY>1167</BOY>
        <EOY>1167</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>849311</BOY>
        <EOY>868163</EOY>
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      <PledgesAndGrantsReceivable>
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      <AccountsReceivable>
        <BOY>1483112</BOY>
        <EOY>1542541</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
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      <PrepaidExpensesDeferredCharges>
        <BOY>449989</BOY>
        <EOY>159218</EOY>
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      <LandBuildingsEquipmentBasis>12692355</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1676790</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>941804</BOY>
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      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
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      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
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      <IntangibleAssets>
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        <EOY>41441</EOY>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>3569723</EOY>
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      <TotalLiabilities>
        <BOY>1499930</BOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2214253</BOY>
        <EOY>8509527</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>11200</BOY>
        <EOY>11200</EOY>
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        <BOY>2225453</BOY>
        <EOY>8520727</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>3725383</BOY>
        <EOY>13628095</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>159706</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>62402</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19478</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6538229</CurrentTaxYear>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>14781991</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14246914</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13326009</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12733083</CurrentTaxYear>
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      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
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      <ValueOfSvcsFcltsFurnishdByGovt>
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      <Total509>
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        <CurrentTaxYearMinus3Years>14941697</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14309316</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13345487</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19271312</CurrentTaxYear>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
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      <AmtsFromSubstContributors>
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        <CurrentTaxYearMinus3Years>9141648</CurrentTaxYearMinus3Years>
        <Total>18052659</Total>
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      <SupportFromDQPsEtc>
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        <CurrentTaxYearMinus3Years>9141648</CurrentTaxYearMinus3Years>
        <Total>18052659</Total>
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      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>5598</CurrentTaxYearMinus1Year>
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      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus1Year>5598</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4499</CurrentTaxYear>
        <Total>155197</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>68603</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>71425</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>143847</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>43793</CurrentTaxYear>
        <Total>391988</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <Total>76840359</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.75790</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.38500</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00200</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00300</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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      <Land>
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        <BookValue>1027000</BookValue>
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      <Buildings>
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      <LeaseholdImprovements>
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        <Depreciation>356796</Depreciation>
        <BookValue>554864</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>145286</Depreciation>
        <BookValue>60904</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1396760</OtherCostOrOtherBasis>
        <Depreciation>1174708</Depreciation>
        <BookValue>222052</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>11015565</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Working Capital Advance</Description>
        <Amount>95532</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYOR</Description>
        <Amount>355298</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>450830</TotalOfAmounts>
      <TotalRevenue>19319604</TotalRevenue>
      <TotalExpenses>13024330</TotalExpenses>
      <ExcessOrDeficitForYear>6295274</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>6295274</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>19319604</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>19319604</RevenueSubtotal>
      <TotalRevenuePerForm990>19319604</TotalRevenuePerForm990>
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      <ExpensesSubtotal>13024330</ExpensesSubtotal>
      <TotalExpensesPerForm990>13024330</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="09000047" softwareVersion="2009v1.7">
      <RealEstateCommercial>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>6527833</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </RealEstateCommercial>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Information is not made public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The Board Conflict of Interest policy states that the Board members must disclose possible conflicts at the time any contract or other items are considered. This includes businesses that provide services to the Organization or for anyone who receives services from the Organization. If any Board member declares a potential conflict of interest, the Board member abstains from any votes where they, their business or any other conflict would have been affected.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Form 990 is presented to the Board prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Two members of the Board are co-workers at Southern Maryland Electric Cooperative, a vendor through which the Facility purchases its electicity. Board members Edward Schauf and Judith Schauf are husband and wife.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <AddressUS>
          <AddressLine1>23115 Leonard Hall Dr</AddressLine1>
          <City>Leonardtown</City>
          <State>MD</State>
          <ZIPCode>20650</ZIPCode>
        </AddressUS>
        <PrimaryActivities>Leases the premises to St. Mary's Nursing Center</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
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          <City>Leonardtown</City>
          <State>MD</State>
          <ZIPCode>20650</ZIPCode>
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        <PrimaryActivities>Appoint Bd of Trustees of St. Mary's Nursing Center</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>true</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
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</Return>