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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4069732</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>167685</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNDERWOOD CONTRACTING AND SOLAR SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>30087 DEER HARBOUR</AddressLine1Txt>
            <CityNm>SALISBURY</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>1870108</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALITY STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3410</AddressLine1Txt>
            <CityNm>SALISBURY</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>265497</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>A HELPING HAND CLEANING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7990 FARM HOUSE DRIVE</AddressLine1Txt>
            <CityNm>HEBRON</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21830</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>250130</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BOOSTLINGO LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>98 SAN JACINTO BLVD SUITE 400</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>244270</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MALONE SHANNON DBA LACLEAN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>27366 PATRIOT DRIVE</AddressLine1Txt>
            <CityNm>SALISBURY</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>180713</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6568367</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>7420</AllOtherContributionsAmt>
      <TotalContributionsAmt>6575787</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>54926549</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54926549</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>41972411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41972411</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>12196480</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12196480</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>4709891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4709891</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>2275892</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2275892</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>116081223</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>799965</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>799965</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>2773621</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2773621</RelatedOrExemptFuncIncomeAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>14000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>233019</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-219019</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-219019</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-219019</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>73787</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>39052</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>34735</TotalRevenueColumnAmt>
        <ExclusionAmt>34735</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>PAY FOR PERFORMANCE - MEDICARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>2032429</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2032429</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE PAYMENTS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>823259</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>823259</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>361959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>361959</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>3217647</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>129263959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>122653437</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>34735</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4490885</TotalAmt>
        <ProgramServicesAmt>2924259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1566626</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>44579664</TotalAmt>
        <ProgramServicesAmt>39966159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4613505</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1134606</TotalAmt>
        <ProgramServicesAmt>962324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172282</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6266512</TotalAmt>
        <ProgramServicesAmt>5314987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>951525</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>3248549</TotalAmt>
        <ProgramServicesAmt>2755280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>493269</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>45425</TotalAmt>
        <ManagementAndGeneralAmt>45425</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>578424</TotalAmt>
        <ProgramServicesAmt>17833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>560591</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1164782</TotalAmt>
        <ProgramServicesAmt>591155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>573627</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1898757</TotalAmt>
        <ProgramServicesAmt>1081391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>817366</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>686496</TotalAmt>
        <ProgramServicesAmt>601818</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84678</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>19331</TotalAmt>
        <ProgramServicesAmt>9525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9806</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>105262</TotalAmt>
        <ProgramServicesAmt>92857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12405</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1841950</TotalAmt>
        <ProgramServicesAmt>1512385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>329565</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>463486</TotalAmt>
        <ManagementAndGeneralAmt>463486</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>36569010</TotalAmt>
        <ProgramServicesAmt>33927548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2641462</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BILLING &amp; COLLECTIONS</Desc>
        <TotalAmt>3521718</TotalAmt>
        <ProgramServicesAmt>1448776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2072942</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIRECT PATIENT COSTS</Desc>
        <TotalAmt>1710620</TotalAmt>
        <ProgramServicesAmt>1652873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57747</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1540412</TotalAmt>
        <ProgramServicesAmt>1382196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158216</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>997518</TotalAmt>
        <ProgramServicesAmt>857003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>140515</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>110863407</TotalAmt>
        <ProgramServicesAmt>95098369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15765038</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>33364685</BOYAmt>
        <EOYAmt>46633296</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10396411</BOYAmt>
        <EOYAmt>12265062</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1177072</BOYAmt>
        <EOYAmt>1366280</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>129077</BOYAmt>
        <EOYAmt>212843</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>43945327</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13600938</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>29340584</BOYAmt>
        <EOYAmt>30344389</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>55368</BOYAmt>
        <EOYAmt>55368</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>471142</BOYAmt>
        <EOYAmt>463456</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>74934339</BOYAmt>
        <EOYAmt>91340694</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5466949</BOYAmt>
        <EOYAmt>5797952</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2447412</BOYAmt>
        <EOYAmt>21001</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>327305</BOYAmt>
        <EOYAmt>428516</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8241666</BOYAmt>
        <EOYAmt>6247469</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>66692673</BOYAmt>
        <EOYAmt>85093225</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>66692673</BOYAmt>
        <EOYAmt>85093225</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>74934339</BOYAmt>
        <EOYAmt>91340694</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>18400552</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>12404974</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9086998</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8476535</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8309850</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6575787</CurrentTaxYearAmt>
        <TotalAmt>44854144</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>12404974</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9086998</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8476535</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8309850</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6575787</CurrentTaxYearAmt>
        <TotalAmt>44854144</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>44854144</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2396371</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2651104</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3302944</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4066131</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3573585</CurrentTaxYearAmt>
        <TotalAmt>15990135</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>60844279</TotalSupportAmt>
      <PublicSupportCY170Pct>0.73720</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.74500</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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        <OtherCostOrOtherBasisAmt>4673065</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4673065</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>34285889</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10608572</DepreciationAmt>
        <BookValueAmt>23677317</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2870987</DepreciationAmt>
        <BookValueAmt>1870733</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>244653</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>121379</DepreciationAmt>
        <BookValueAmt>123274</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>30344389</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>428516</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>428516</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>129536030</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>272071</OtherRevenueAmt>
      <RevenueNotReportedAmt>272071</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>129263959</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>129263959</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>111135478</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>272071</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>272071</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>110863407</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>110863407</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MARYLAND AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CODIFIED IN FASB ASC 740, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING REVENUE 39,052. LOSS ON DISPOSAL OF CAPITAL ASSETS 165,205. LOSS ON BUYOUT OF RIGHT-OF-USE ASSETS 67,814.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 39,052. LOSS ON DISPOSAL OF CAPITAL ASSETS 165,205. LOSS ON BUYOUT OF RIGHT-OF-USE ASSETS 67,814.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
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        <GrossRevenueEvent1Amt>73787</GrossRevenueEvent1Amt>
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        <OthDirectExpnssTotalEventsAmt>2643</OthDirectExpnssTotalEventsAmt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR BYRON JENNINGS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JASON EVANS</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR MICHAEL LANTZ</PersonNm>
        <TitleTxt>MATERNAL FETAL MEDICINE SP</TitleTxt>
        <BaseCompensationFilingOrgAmt>483752</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN HOLLAND</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>454628</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>464120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSH BOSTON</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>220394</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>248164</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER SWANTON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY BAKER</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21885</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>208371</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE FILING THE FORM 990 WITH THE IRS, THE CFO AND CEO REVIEW THE RETURN. THEY THEN PRESENT THE FORM 990 TO MANAGEMENT AND THE BOARD OF DIRECTORS. THE FORM 990 WILL THEN BE FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH EMPLOYEE IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY AT TIME OF HIRING AND IT IS REVIEWED WITH THEM. AT LEAST ANNUALLY, THE VENDOR LIST IS REVIEWED BY MANAGEMENT FOR ANY KNOWN CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONSULTANT WAS ENGAGED TO DEVELOP A COMPENSATION PLAN FOR SALARY SCALE FOR ALL OFFICERS AND KEY EMPLOYEES. THE PLANS WERE PRESENTED TO THE BOARD FOR APPROVAL. THE BOARD REVIEWED AND APPROVED THE COMPENSATION PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>