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      <FeesForServicesOtherGrp>
        <TotalAmt>197711</TotalAmt>
        <ProgramServicesAmt>68935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128776</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>37386</TotalAmt>
        <ProgramServicesAmt>30978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6408</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>57594</TotalAmt>
        <ProgramServicesAmt>47723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9871</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>143765</TotalAmt>
        <ProgramServicesAmt>119124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24641</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>73260</TotalAmt>
        <ProgramServicesAmt>60703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12557</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>118791</TotalAmt>
        <ProgramServicesAmt>117873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>918</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>810</TotalAmt>
        <ProgramServicesAmt>671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2057</TotalAmt>
        <ProgramServicesAmt>1704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>353</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>42068</TotalAmt>
        <ProgramServicesAmt>34858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7210</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Program Supplies</Desc>
        <TotalAmt>100146</TotalAmt>
        <ProgramServicesAmt>100146</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>39742</TotalAmt>
        <ProgramServicesAmt>32057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7685</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Tax</Desc>
        <TotalAmt>523</TotalAmt>
        <ProgramServicesAmt>523</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5217208</TotalAmt>
        <ProgramServicesAmt>4358119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>859089</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>650</BOYAmt>
        <EOYAmt>650</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1892723</BOYAmt>
        <EOYAmt>2803591</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>943898</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>30131</BOYAmt>
        <EOYAmt>16562</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>293879</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>275496</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6241</BOYAmt>
        <EOYAmt>18383</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2335731</BOYAmt>
        <EOYAmt>2744234</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>10182</BOYAmt>
        <EOYAmt>63567</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>69259</BOYAmt>
        <EOYAmt>86930</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>5740871</BOYAmt>
        <EOYAmt>6677815</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>417373</BOYAmt>
        <EOYAmt>1194868</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>77857</BOYAmt>
        <EOYAmt>148831</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>495230</BOYAmt>
        <EOYAmt>1343699</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5245641</BOYAmt>
        <EOYAmt>5334116</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5245641</BOYAmt>
        <EOYAmt>5334116</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5740871</BOYAmt>
        <EOYAmt>6677815</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-221065</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>309540</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>303641</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>303641</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>6856135</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6897417</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5357968</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5736981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4829440</CurrentTaxYearAmt>
        <TotalAmt>29677941</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>7159776</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6897417</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5357968</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5736981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4829440</CurrentTaxYearAmt>
        <TotalAmt>29981582</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>29981582</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>143211</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88581</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>166703</CurrentTaxYearAmt>
        <TotalAmt>597001</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>57183</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143211</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88581</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>166703</CurrentTaxYearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>7040628</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5499291</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5825562</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>30578583</TotalAmt>
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      <PublicSupportCY509Pct>0.98050</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98410</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01950</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01590</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>228375</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>210869</DepreciationAmt>
        <BookValueAmt>17506</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>38119</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37404</DepreciationAmt>
        <BookValueAmt>715</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>27385</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27223</DepreciationAmt>
        <BookValueAmt>162</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18383</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>85264</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Obligation</Desc>
        <Amt>63567</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>148831</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5305683</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>309540</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>309540</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4996143</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4996143</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5217208</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5217208</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5217208</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income taxes. Management has evaluated the Agency's tax positions and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Mary's County Health Department</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 316</AddressLine1Txt>
          <CityNm>Leonardtown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <RecipientEIN>522046022</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>To Support Health Care</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Calverthealth Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Hospital Drive</AddressLine1Txt>
          <CityNm>Prince Frederick</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20678</ZIPCd>
        </USAddress>
        <RecipientEIN>520619000</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>To Support Health Care</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MedStar St Mary's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25500 Point Lookout Road</AddressLine1Txt>
          <CityNm>Leonardtown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <RecipientEIN>520619006</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>To Support Health Care</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Charles Regional Medical Center Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6 Garrett Avenue</AddressLine1Txt>
          <CityNm>La Plata</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20646</ZIPCd>
        </USAddress>
        <RecipientEIN>521414564</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>To Support Health Care</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>To help support their tax-exempt purposes, the Organization provided grants to its tax-exempt affiliates, including three tax-exempt community hospital affiliates, Calverthealth Medical Center, Medstar St. Mary's Hospital and University of Maryland Charles Regional Medical Center (via the Chesapeake Potomac Healthcare Alliance, LLC), and to the St. Mary's Health Department. Each of the tax-exempt affiliates provided with grants promotes the health of the community served by the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amanda R Forsee</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>219620</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29025</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21893</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20480</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296413</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chiedozie Nwajei</PersonNm>
        <TitleTxt>Physical Therapist</TitleTxt>
        <BaseCompensationFilingOrgAmt>161514</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3693</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6031</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5114</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179814</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Atoyebi</PersonNm>
        <TitleTxt>Physical Therapist</TitleTxt>
        <BaseCompensationFilingOrgAmt>143026</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1320</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5813</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4705</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4137</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159001</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual bonus based on goals set out beginning of the year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has two members: The Chesapeake-Potomac Health Care Alliance, LLC and the St. Mary's County Health Department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has two members: The Chesapeake-Potomac Health Care Alliance, LLC and the St. Mary's County Health Department. The members of the Corporation have the sole power to appoint and remove the board members of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The two members of the Corporation have the sole power to appoint and remove the board members of the Corporation. However, the by-laws may not be amended by any member. The affirmative vote by a quorum of the board of directors is required for the by-laws to be amended.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Joan Fan (Director of Finance) reviews the Form 990, and discusses any questions or concerns with the outside accountants who prepared the return. The accountants will make corrections/updates as needed. Joan Fan will again review the return and forward it to the executive committee for final review and comments. After that, the Form 990 will be reviewed by each member of the board and any comments or the answers to any questions will be incorporated into the Form 990. The final return will be presented to one of the CPHHA executive committee members for signature.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Chesapeake-Potomac Home Health Agency has a separate conflict of interest policy for its employees/managers and board of directors. The managers and employees are responsible for being sure that his or her conduct and activities are in compliance with CPHHA's conflict of interest policy. All CPHHA managers are to ensure that their employees are aware of provisions of the conflict of interest policy. When an apparent conflict of interest arises, the situation will be fully investigated by the immediate supervisor and the executive director. If it is determined that a willful or inexcusable breach of policy is involved, corrective action up to and including termination may result. Any director or principal officer who has a direct or indirect personal financial interest must disclose the existence of his or her financial interest and all material facts to the directors. The remaining board or committee members shall decide if a conflict of interest exists. If the board determines there is a conflict of interest, the board may take any appropriate actions to the circumstances under the conflict of interest policy, including banning the director from voting or being present during deliberation with respect to the conflict of interest issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CPHHA determines compensation for the executive director pursuant to a compensation survey/study and approval by independent members of the board or compensation committee. CPHHA determines compensation for other officers through the use of a compensation survey/study.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>This Organization makes their conflict of interest policy, organizational documents, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Chesapeake-Potomac Home Health Agency, Inc. 7627 Leonardtown Road Hughesville, MD 20637 EIN: 52-1951740 Chesapeake-Potomac Home Health Agency, Inc.is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary's County Health Department</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 316</AddressLine1Txt>
          <CityNm>Leonardtown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <EIN>522046022</EIN>
        <PrimaryActivitiesTxt>Health Program</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>GOVT</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Chesapeake Potomac Healthcare Alliance</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25500 Point Lookout Rd</AddressLine1Txt>
          <CityNm>Leonardtown</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20650</ZIPCd>
        </USAddress>
        <EIN>521906688</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>