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        <CurrentTaxYearMinus4Years>7743000</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7928701</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1100449</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1006021</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1122754</CurrentTaxYear>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
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        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
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      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>412000</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>693000</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus1Year>1285</CurrentTaxYearMinus1Year>
        <Total>1106285</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>412000</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>693000</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus1Year>1285</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus3Years>8621701</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>1007306</CurrentTaxYearMinus1Year>
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        <BookValue>326662242</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <TotalOfBookValueSecurities>326662242</TotalOfBookValueSecurities>
      <TotalRevenue>1122754</TotalRevenue>
      <TotalExpenses>1154246</TotalExpenses>
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      <TotalAdjustments>25873784</TotalAdjustments>
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        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>ANNE ARUNDEL HEALTH SYSTEM, INC. IS THE PARENT OF THE CONSOLIDATED GROUP KNOWN AS ANNE ARUNDEL HEALTH SYSTEM, INC. ("GROUP"). AN AUDIT WAS PERFORMED AND AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR ANNE ARUNDEL HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ON A CONSOLIDATED BASIS. IN THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR ANNE ARUNDEL HEALTH SYSTEM, INC., IT IS NOTED THAT THE GROUP ADOPTED ASC 740 ON JULY 1, 2007 AND THAT THE GROUP HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THROUGH JUNE 30, 2010.</Explanation>
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        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>NET ACTIVITY FROM SUBSIDIARIES RECORDED ON THE EQUITY METHOD: 25873784.</Explanation>
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2001 MEDICAL PARKWAY</AddressLine1>
          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521331298</EINOfRecipient>
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        <AmountOfCashGrant>400000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>CASH</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: THE PURPOSE OF ANNE ARUNDEL HEALTH SYSTEM, INC. (AAHS) IS TO BE THE PARENT ORGANIZATION TO ALL OF ITS RELATED ENTITIES AND SUPPORT MEDICAL AND HEALTHCARE SERVICES. ALL FUNDS RAISED BY AAHS ARE TRANSFERRED TO ITS RELATED ORGANIZATIONS IN ORDER TO FURTHER THE EXEMPT PURPOSE OF ALL OF THE ENTITIES. AAHS MONITORS THE USE OF THESE FUNDS THROUGH BOARD MEETINGS AND REVIEW OF THE ENTITIES' FINANCIAL INFORMATION.</Explanation>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <Explanation>the following participateD in the organization's 457(f) plan: Victoria Bayless $21,451 Martin L. Doordan $181,188</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>DR. PAUL ELDER AND DOROTHY ELDER, WHO ARE HUSBAND AND WIFE, ARE BOTH BOARD MEMBERS OF ANNE ARUNDEL HEALTH SYSTEM, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>RESPONSIBILITY FOR THE DETAILED REVIEW OF THE FORM 990 HAS BEEN ASSIGNED TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD. THE FINANCE AND AUDIT COMMITTEE REVIEWS THE FORM 990 AND PROVIDES SUMMARY INFORMATION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD FOR REVIEW PRIOR TO ITS FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE ORGANIZATION REQUIRES THAT EACH MEMBER OF THE BOARD REVIEW THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY ON AN ANNUAL BASIS AND RETURN AN ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. The Board, Management and the accounts payable function monitor transactions for potential excess benefit transactions/private inurement.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>Anne Arundel Medical Center's executive compensation committee determines the President and Chief Executive Officer's compensation following the IRC Section 4958 rebuttable presumption test. All other compensation is determined through consultation with an independent outside compensation consulting firm.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The Organization's governing documents, conflict of interest policy and financial statements are retained in the Finance office and are available for public inspection upon request. FORM 990 IS AVAILABLE BY REQUEST TO THE FINANCIAL SERVICES OFFICE OR CAN BE OBTAINED ONLINE AT GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PAGE 12, PART XI, LINE 2C:</Identifier>
        <Explanation>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>ANNE ARUNDEL GENERAL TREATMENT SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2001 MEDICAL PARKWAY</AddressLine1>
          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>521722088</EIN>
        <PrimaryActivities>ALCOHOL AND DRUG ABUSE TREATMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL MEDICAL CENTER INC</BusinessNameLine1>
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          <BusinessNameLine1>ANNE ARUNDEL HEALTH CARE SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
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          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>521467734</EIN>
        <PrimaryActivities>OUTPATIENT DIAGNOSTIC AND IMAGING SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ANNE ARUNDEL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2001 MEDICAL PARKWAY</AddressLine1>
          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>521169362</EIN>
        <PrimaryActivities>MEDICAL/HOSPITAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ANNE ARUNDEL MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>521331298</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION OF AAHS, INC AND SUBSIDIARIES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ANNE ARUNDEL REAL ESTATE HOLDING COMPANY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>521622251</EIN>
        <PrimaryActivities>REAL ESTATE HOLDING COMPANY</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>ANNE ARUNDEL HEALTH SYSTEM RESEARCH INSTITUTE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>2001 MEDICAL PARKWAY</AddressLine1>
          <City>ANNAPOLIS</City>
          <State>MD</State>
          <ZIPCode>21401</ZIPCode>
        </AddressUS>
        <EIN>263038406</EIN>
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        <LegalDomicileState>MD</LegalDomicileState>
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        <PublicCharityStatus>4</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANNE ARUNDEL HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        </NameOfDisregardedEntity>
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          <City>ANNAPOLIS</City>
          <State>MD</State>
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        </AddressUS>
        <EIN>270263214</EIN>
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        <LegalDomicileState>MD</LegalDomicileState>
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        <DirectControllingEntityName>
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      </Form990ScheduleRPartII>
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          <BusinessNameLine1>ANNAPOLIS EXCHANGE LOT IV LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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