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      <Desc>DEDICATED TO HELPING INFANTS, YOUNG CHILDREN, AND THEIR FAMILIES ACHIEVE A HEALTHY EMOTIONAL START IN LIFE, THE REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN, INC. D/B/A LOURIE CENTER FOR CHILDREN'S SOCIAL AND EMOTIONAL WELLNESS, IS A NOT-FOR-PROFIT ORGANIZATION WHOSE MISSION IS TO IMPROVE THE SOCIAL AND EMOTIONAL HEALTH OF YOUNG CHILDREN AND FAMILIES THROUGH PREVENTION, EARLY INTERVENTION, EDUCATION, AND RESEARCH. THE LOURIE CENTER IS A NATIONALLY RECOGNIZED PIONEER AND LEADER IN THE FIELD OF EARLY CHILDHOOD MENTAL HEALTH AND INTERVENTION. SERVICES ARE DESIGNED TO STRENGTHEN FAMILIES AND HELP YOUNG CHILDREN ACQUIRE THE SOCIAL AND EMOTIONAL COMPETENCIES NEEDED FOR SUCCESS IN SCHOOL AND LIFE.CONTINUES ON SCHEDULE O.IN 1982, THE LOURIE CENTER WAS INCORPORATED AS A NON-PROFIT AGENCY, FOLLOWING A SUCCESSFUL SIX-YEAR CLINICAL RESEARCH PROJECT FUNDED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH. WITH DR. STANLEY I. GREENSPAN, DR. T. BERRY BRAZELTON AND DR. REGINALD S. LOURIE, THIS STUDY DEMONSTRATED THE VALUE OF EARLY IDENTIFICATION AND INTERVENTION TO ENABLE YOUNG CHILDREN TO REACH THEIR FULL POTENTIAL. SINCE ITS BEGINNINGS, THIS COMMUNITY-BASED CENTER HAS GROWN FROM A STAFF OF SEVEN TO A STAFF OF OVER 180 FULL-TIME, PART-TIME, AND CONTRACTED PROFESSIONALS WHO ARE CERTIFIED AND LICENSED SPECIALISTS IN THE FOLLOWING AREAS: CHILD PSYCHIATRY, CLINICAL PSYCHOLOGY, CLINICAL SOCIAL WORK, SPECIAL EDUCATION, EARLY CHILDHOOD EDUCATION, INFANT AND EARLY CHILDHOOD DEVELOPMENT. THE CENTER'S PREVENTION AND EARLY INTERVENTION WORK IS BASED ON THE KNOWLEDGE THAT THE EARLY YEARS OF LIFE ARE CRITICAL IN EVERY CHILD'S DEVELOPMENT, CAPTURED IN WORDS: "THE FIRST YEARS OF A CHILD'S LIFE LAST FOREVER!" IN 1990, THE CENTER WAS RE-NAMED TO PROVIDE A LIVING TRIBUTE TO ITS BELOVED CO-FOUNDER, THE LATE DR. REGINALD S. LOURIE. IN 2006, THE CENTER BECAME A MEMBER OF ADVENTIST HEALTHCARE, INC., A NOT-FOR-PROFIT, FAITH-BASED HEALTHCARE ORGANIZATION. THE MEMBERSHIP PROVIDES THE CENTER WITH VITAL ORGANIZATIONAL, FINANCIAL, AND OTHER BUSINESS RESOURCES THAT STRENGTHEN OUR ABILITY TO ACHIEVE OUR MISSION WHILE MAINTAINING OUR SEPARATE CORPORATE STATUS, MISSION, AND UNIQUE IDENTITY. THE LOURIE CENTER'S FOUR CORE PROGRAMS INCLUDE THE THERAPEUTIC NURSERY PROGRAM; THE HEAD START PROGRAM; THE PARENT-CHILD CLINICAL SERVICES PROGRAM; AND THE LOURIE CENTER SCHOOL. THE LOURIE CENTER PARTICIPATES IN SEVERAL PUBLIC-PRIVATE PARTNERSHIPS, INCLUDING THE MONTGOMERY COUNTY INFANTS AND TODDLERS PROGRAM AND CHILD WELFARE SERVICES. EACH PROGRAM HAS RETURNED PRIMARILY TO IN-PERSON EDUCATION AND CLINICAL CARE, WITH THE OUTPATIENT CLINICAL SERVICES PROGRAM STILL OFFERING A HYBRID MODEL TO PROVIDE EASIER ACCESS TO CARE FOR WORKING PARENTS. HEAD START PROGRAM (BIRTH TO FIVE) IS A FEDERALLY FUNDED PROGRAM WHICH OFFERS CHILD AND FAMILY DEVELOPMENT SERVICES FOR APPROXIMATELY 352 LOW-INCOME AND MINORITY FAMILIES WITH CHILDREN UP TO THREE YEARS OF AGE AND PREGNANT WOMEN, FROM MONTGOMERY AND PRINCE GEORGE'S COUNTIES, THROUGH PARENT-CHILD SOCIALIZATION GROUPS AND WEEKLY HOME VISITS. THIS KINDERGARTEN READINESS PROGRAM FOCUSES ON HELPING PARENTS EMBRACE THEIR ROLE OF THEIR CHILDREN'S "FIRST TEACHER." STAFF ALSO PROVIDES CRITICAL FAMILY SUPPORT SERVICES THROUGH EDUCATION AND LINKING FAMILIES TO COMMUNITY RESOURCES, SUCH AS HEALTH PRACTITIONERS, QUALITY CHILDCARE PROVIDERS, AND A HOST OF SOCIAL SERVICES. THIS PROGRAM ALSO HAS A MANDATED WAIT LIST AND THERE ARE MANY MORE FAMILIES THAT NEED THIS LIFE-CHANGING SERVICE. THIS PROGRAM ALSO SERVES A DIVERSE POPULATION WITH MANY NEW IMMIGRANTS TO THE COUNTRY. THE THERAPEUTIC NURSERY PROGRAM IS ONE OF THE ONLY SUCH PROGRAM LICENSED BY THE STATE OF MARYLAND TO PROVIDE A MENTAL HEALTH AND EARLY EDUCATIONAL PROGRAM FOR UP TO 36 PRE-SCHOOL CHILDREN FROM MONTGOMERY AND PRINCE GEORGE'S COUNTIES WITH SEVERE SOCIAL-EMOTIONAL AND BEHAVIORAL PROBLEMS, WHICH PUT THEM AT RISK FOR SCHOOL FAILURE. CHILDREN DISPLAY CHALLENGES THAT INCLUDE: UNSAFE BEHAVIORS, SELF-HARMING, AGGRESSION, ANXIETY, DEPRESSION, TRAUMA, ABUSE AND NEGLECT, AND SEVERE ATTENTION DEFICIT, SENSORY INTEGRATION DISORDER, AND ATTACHMENT DISORDERS. AS A KINDERGARTEN-READINESS PROGRAM, THE TNP CONSISTS OF A MULTIDISCIPLINARY TEAM OF TEACHERS, SOCIAL WORKERS, PSYCHOLOGIST, AND PSYCHIATRIST TO SUPPORT THE CHILDREN'S ABILITY TO ENTER MAINSTREAM KINDERGARTEN AND TO PROVIDE FAMILY SUPPORT TO THESE MOST VULNERABLE CHILDREN AND FAMILIES. THE TNP STAFF ALSO PROVIDES FAMILY SUPPORT SERVICES THAT INCLUDE MONTHLY PARENT GROUPS, CRISIS INTERVENTION, AND ONGOING THERAPEUTIC SUPPORTS THROUGHOUT THE YEAR. THE STAFF WORKS VERY CLOSELY WITH THE PARENT/GUARDIANS AND FAMILIES TO SUPPORT POSITIVE RELATIONSHIPS, SAFE HOMES, AND SUCCESS IN SCHOOL FOR THE CHILDREN. OUTCOME RESEARCH SHOWS A NEAR 80% SUCCESS RATE FOR ENTRY INTO TYPICAL KINDERGARTEN AND CONTINUED LEARNING AND SOCIAL-EMOTIONAL HEALTH THROUGH 2ND GRADE.THE LOURIE CENTER SCHOOL IS A CERTIFIED NON-PUBLIC DAY SCHOOL LICENSED BY THE MARYLAND STATE DEPARTMENT OF EDUCATION (MSDE). IT SERVES UP TO 50 CHILDREN WITH COMPLEX EMOTIONAL AND DEVELOPMENTAL PROBLEMS, FROM AGE FOUR THROUGH FIFTH GRADE. CHILDREN ARE PLACED AT THE LOURIE CENTER SCHOOL THROUGH THE INDIVIDUAL EDUCATION PLAN PROCESS FROM THE BOARD OF EDUCATION OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES, ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND THE DISTRICT OF COLUMBIA. CHILDREN OFTEN DISPLAY EXTREMES IN BEHAVIOR AND EMOTIONAL EXPRESSION THAT INCLUDES SUICIDAL/HOMICIDAL ACTIONS, MOOD DISORDERS, NEGATIVE PEER INTERACTIONS, AND TRAUMATIZED REACTIONS (FLIGHT, FIGHT, OR FREEZE RESPONSES). CHILDREN RECEIVE COMPREHENSIVE THERAPEUTIC INTERVENTION AND EDUCATIONAL INSTRUCTION THAT INCLUDES INDIVIDUAL THERAPY, GROUP THERAPY, AND FAMILY THERAPY TO HELP THE CHILDREN STABILIZE THEIR EMOTIONAL AND BEHAVIORAL EXPRESSION AND BECOME AVAILABLE FOR LEARNING IN A MAINSTREAM CLASSROOM.THE PARENT-CHILD CLINICAL SERVICES PROGRAM IS LICENSED OUTPATIENT MENTAL HEALTH CENTER THAT SERVES THE DC METROPOLITAN AREA AND PROVIDES OUTPATIENT ASSESSMENT AND TREATMENT FOR OVER 220 CHILDREN AND THEIR OVER 330 FAMILY MEMBERS EACH YEAR FROM BIRTH THROUGH AGE TWELVE WHO HAVE SOCIAL-EMOTIONAL, BEHAVIORAL PROBLEMS, AND/OR DEVELOPMENTAL DELAYS. THE LOURIE CENTER IN THE COMMUNITY: THE CENTER PARTICIPATES IN SEVERAL PUBLIC-PRIVATE PARTNERSHIPS THROUGHOUT THE NATIONAL CAPITOL AREA, INCLUDING CHILD WELFARE SERVICES IN THE DISTRICT AND SEVERAL COUNTIES IN MARYLAND; LOCAL AND NATIONAL COLLEGES AND UNIVERSITIES TO PROVIDE TRAINING PROGRAMS; AND WITH MONTGOMERY COUNTY'S INFANTS AND TODDLERS PROGRAM FOR WHOM WE PROVIDE THIRTY-FIVE MENTAL HEALTH AND FAMILY DEVELOPMENT SPECIALISTS AND REACH OVER 5,000 CHILDREN EACH YEAR. THE LOURIE CENTER AS PROFESSIONAL TRAINING SITE:EVERY YEAR, IN PARTNERSHIP WITH SEVERAL LOCAL AND NATIONAL COLLEGES AND UNIVERSITIES, THE LOURIE CENTER PROVIDES COMPREHENSIVE YEAR-LONG TRAINING PROGRAMS AND SUMMER INTERNSHIPS IN THE AREAS OF: PSYCHIATRY, PSYCHOLOGY, SOCIAL WORK, EDUCATION, AND EARLY CHILDHOOD DEVELOPMENT. TRAINEES FULFILL THEIR ACADEMIC REQUIREMENTS WHILE SIMULTANEOUSLY PROVIDING SERVICES UNDER SUPERVISION AT THE CENTER. THE LOURIE CENTER'S TRAINING PROGRAM SUPPORTS THE CENTER'S MISSION SO WELL AND ENSURES THAT THE NEXT GENERATION'S SPECIALISTS IN EARLY CHILDHOOD MENTAL HEALTH, EDUCATION, AND INTERVENTION WILL BE IN THE FOREFRONT OF MEETING THE NEEDS OF CHILDREN AND FAMILIES. THE LOURIE CENTER AS CONSULTANTS: NATIONAL AND INTERNATIONAL REACH:THE LOURIE CENTER IS A NATIONAL MODEL OF BEST PRACTICE IN INTEGRATING SOCIAL AND EMOTIONAL DEVELOPMENT AND EARLY CHILDHOOD EDUCATION OF CHILDREN AT HIGH-RISK FOR SCHOOL FAILURE AND THEIR FAMILIES. AS A RESULT, THE LOURIE CENTER IS OFTEN APPROACHED AND ASKED TO PROVIDE TECHNICAL ASSISTANCE AND TRAINING FOR PROGRAMS THROUGHOUT THE COUNTRY. THESE PROGRAMS INCLUDE TRAININGS SUCH AS: INCREASING POSITIVE PARENT-CHILD RELATIONSHIPS AND HEALTHY ADJUSTMENT THROUGH THE LIFESPAN, IDENTIFYING, AND INTERVENING TO REDUCE IMPACT OF ABUSE AND NEGLECT ON CHILDREN AND ADULTS, AND EVIDENCE-BASED MODELS OF INFANT AND EARLY CHILDHOOD MENTAL HEALTH. THE LOURIE CENTER IS PART OF THE NATIONAL CHILD TRAUMATIC STRESS NETWORK.</Desc>
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        <PersonNm>ROBERT WEHNER JR MBA</PersonNm>
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        <PersonNm>JAMES VENZA</PersonNm>
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        <PersonNm>JAMES COWAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STELLA AKELLO</PersonNm>
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        <PersonNm>CHRYSTAL-STARR BROWN</PersonNm>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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          <BusinessName>
            <BusinessNameLine1Txt>LEARNING WORLD CHILD DEVELOPMENT CENTER</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4905 QUINCY STREET</AddressLine1Txt>
            <CityNm>BLADENSBURG</CityNm>
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            <ZIPCd>20710</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST ANNS CENTER FOR CHILDREN YOUTH &amp;FAMIL</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4901 EASTERN AVE NE</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20782</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAMES F HERRERA MD</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12301 ACADEMY WAY A</AddressLine1Txt>
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        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>199496</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HAPPY FAMILY DAYCARE CENTER</BusinessNameLine1Txt>
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        </ContractorName>
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          <USAddress>
            <AddressLine1Txt>8915 RIGGS ROAD</AddressLine1Txt>
            <CityNm>ADELPHI</CityNm>
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        <ServicesDesc>CHILDCARE SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARYLAND CHILD SERVICES INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>13100 ARDENNES AVE</AddressLine1Txt>
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        </ContractorAddress>
        <ServicesDesc>CHILDCARE SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>13954537</GovernmentGrantsAmt>
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        <Desc>OUTPATIENT SERVICES</Desc>
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        <ManagementAndGeneralAmt>143505</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>22521</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>363589</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>338708</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>242753</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COLLECTION FEES/LICENSE</Desc>
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        <ProgramServicesAmt>40624</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>2386841</ManagementAndGeneralAmt>
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        <EOYAmt>55244</EOYAmt>
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        <EOYAmt>141383</EOYAmt>
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        <EOYAmt>2419263</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearAmt>-1887</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99950</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENTS AND GAIN ON SALE OF SECURITIES - 2019 AMOUNT: $ -770. 2020 AMOUNT: $ 7,679. 2021 AMOUNT: $ 3,256. 2022 AMOUNT: $ -15,119. 2023 AMOUNT: $ -1,887.</ExplanationTxt>
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        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>105609</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>57283</DepreciationAmt>
        <BookValueAmt>48326</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1038567</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>487573</DepreciationAmt>
        <BookValueAmt>550994</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>476004</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>368719</DepreciationAmt>
        <BookValueAmt>107285</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>84280</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>69998</DepreciationAmt>
        <BookValueAmt>14282</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>720887</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>2731159</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2731159</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>2764462</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2764462</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 OR 2022. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AND PENALTIES IN INTEREST EXPENSE IN OPERATING EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN SACKETT</PersonNm>
        <TitleTxt>BOARD MEMBER; EVP &amp; COO, AHC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>593349</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>127698</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>292961</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>30000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>41597</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1085605</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL COCHRAN</PersonNm>
        <TitleTxt>BOARD MEMBER; PRESIDENT, SGMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>456048</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>76244</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>209797</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>170607</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17425</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>930121</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>139140</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTHA VELEZ</PersonNm>
        <TitleTxt>BOARD MEMBER; VP &amp; CFO, SGMC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>181091</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30220</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>99498</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>91989</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19938</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>422736</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD COHEN</PersonNm>
        <TitleTxt>BOARD MBR; AVP, FACILITIES &amp; RE, AHC</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>205888</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>27042</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>306</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16754</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30569</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>280559</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KANDY MCFARLAND</PersonNm>
        <TitleTxt>BOARD MBR; VP,BEHAV. HEALTH SVC LN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>160429</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>22653</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>29517</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>36924</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27086</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>276609</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES VENZA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>139042</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9233</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>965</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>168</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175408</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES COWAN</PersonNm>
        <TitleTxt>EDUCATIONAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>130666</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11635</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>233</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2773</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24412</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169719</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC. RELATED ENTITIES' RETURNS. INDEPENDENT GUIDELINES: WHEN SETTING COMPENSATION FOR THE OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE OFFICERS, DIRECTORS, TRUSTEES, AND SENIOR EXECUTIVES IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THIS COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE ADVENTIST HEALTHCARE REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN EMPLOYEES RECEIVED COMPENSATION FROM A DISTRIBUTION UNDER AN EXECUTIVE RETENTION 457F PLAN, WHICH BECAME EFFECTIVE ON JANUARY 1, 2015. PRE-TAX CONTRIBUTIONS ARE ACCUMULATED ANNUALLY AND ARE DISTRIBUTED ON JANUARY 1ST OF THE 2ND YEAR, IF STILL EMPLOYED, OR SOONER BASED ON CERTAIN EXCEPTIONS. THERE IS TYPICALLY A 2-YEAR DEFERRAL PERIOD BEFORE PAYMENTS ARE RELEASED. CONTRIBUTIONS ACCUMULATED IN 2021 WERE GENERALLY DISTRIBUTED ON JANUARY 1, 2023 IF THE EXECUTIVE IS THEN EMPLOYED AND CONTRIBUTIONS ACCUMULATED IN 2022 WILL GENERALLY BE DISTRIBUTED ON JANUARY 1, 2024 IF THE EXECUTIVE IS THEN EMPLOYED. AMOUNTS LISTED UNDER PART II, COLUMN F INCLUDE PAYOUT AMOUNTS WHICH WERE CONSIDERED DEFERRED COMPENSATION FROM THE 457F PLAN IN OUR PRIOR YEAR RETURNS AND THESE AMOUNTS ARE NOW BEING SHOWN UNDER THE OTHER REPORTABLE INCOME, COLUMN B (III). THE ADVENTIST HEALTHCARE EXECUTIVE RETENTION PLAN PAYS CERTAIN PARTICIPANTS THEIR RETIREMENT PAYMENTS IN DIRECT CASH, RATHER THAN RETENTION BENEFITS OF DEFERRED CASH, AFTER ATTAINING THE PLAN'S RETIREMENT AGE. THE FOLLOWING EXECUTIVE RECEIVED A SUPPLEMENTAL RETIREMENT PAYMENT UNDER THIS PLAN FEATURE: JOHN SACKETT: $168,637 RETIREMENT AGE PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND PATIENT ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. THE ANNUAL INCENTIVE COMPENSATION APPLIES TO DIRECTORS AND ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REPORTABLE COMPENSATION INCLUDES RETENTION PAYMENTS AND LUMP-SUM ADJUSTMENTS IN LIEU OF THE ACROSS-THE-BOARD INCREASE (FOR EMPLOYEES WHO ARE AT OR REACH THE RANGE MAXIMUM FOR THEIR POSITION). OTHER REPORTABLE COMPENSATION ALSO INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE COVERAGE, AND SEVERANCE, AS APPLICABLE. CERTAIN EXECUTIVES CAN ALSO RECEIVE REPORTABLE COMPENSATION THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ONCE THEY HAVE VESTED IN THE PLAN. IN 2023, THERE WERE NO SERP PAYOUTS MADE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUMS), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, AND LIFE INSURANCE, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS, CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LOURIE CENTER AS PROGRAM EVALUATION AND PRACTICE-RESEARCH SITE: THE LOURIE CENTER REPRESENTS A PLACE WHERE THE COMMUNITY COMES FOR AID AND HELP AND RECEIVES SERVICES THAT ARE CONTINUOUSLY BEING EVALUATED FOR EFFICACY. THE PAST DECADE OF RESEARCH HIGHLIGHTS THE POSSIBILITY OF BRINGING CONTEMPORARY KNOWLEDGE FROM DEVELOPMENTAL SCIENCE INTO COMMUNITY-BASED INTERVENTIONS, DESPITE THE MULTIPLE CHALLENGES AND OBSTACLES THAT COME WITH THE TERRITORY OF CONDUCTING THEORETICALLY INFORMED PRACTICE AND RESEARCH IN THE REAL WORLD. THIS DECADE OF RESEARCH IS A DIRECT RESPONSE TO THE NATIONAL INSTITUTE OF MENTAL HEALTH'S STRATEGIC PLAN TO EXAMINE INTERVENTIONS "IN THE CARE SETTING IN WHICH THEY ARE DELIVERED." IT DEMONSTRATES THAT A COLLABORATIVE MODEL BETWEEN RESEARCH AND PRACTICE IN AN ECOLOGICALLY VALID SETTING IS VIABLE AND PRODUCES RESULTS. THE RESULTS OF THE COMPLETED STUDIES PROVIDE EVIDENCE THAT ATTACHMENT-BASED INTERVENTIONS IN THE COMMUNITY ARE SUCCESSFUL AND TRANSFORMATIVE FOR CHILDREN AND THEIR CAREGIVERS AND THAT ENHANCED RELATIONSHIP QUALITY LEADS TO BETTER DEVELOPMENTAL OUTCOMES. IN 2023, THE LOURIE CENTER LAUNCH ITS TRAUMA INFORMED PRESCHOOL SUPPORT (TIPS) ECHO PROJECT PROVIDING TELE-CONSULTATION TO EARLY CHILDHOOD EDUCATORS IN FOUR STATES ACROSS THE COUNTRY AND EVALUATING THE IMPACT IN COLLABORATION WITH THE UNIVERSITY OF NEW MEXICO ECHO TEAM. THE LOURIE CENTER CONTINUES TO HELP SHAPE THE LOCAL, STATE, AND NATIONAL LANDSCAPE FOR INFANT AND EARLY CHILDHOOD MENTAL HEALTH AND EDUCATION SERVICES THROUGH PROFESSIONAL PRESENTATIONS AND TRAININGS AS PART OF WORKFORCE DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVENTIST HEALTHCARE, INC. IS THE SOLE CORPORATE MEMBER OF REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN, INC. WITH THE AUTHORITY TO APPROVE ITS BOARD MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF ADVENTIST HEALTHCARE, INC. APPOINTS THE MEMBERS OF REGINALD S. LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN, INC.'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES APPROVES ALL ACTIONS OF MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE FORM 990 WITH THE IRS, THE RETURN WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND EXECUTIVE MANAGEMENT TEAM. ALSO, PRIOR TO FILING THE FORM 990 WITH THE IRS, ALL MEMBERS OF THE BOARD ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EACH FACILITY BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIES, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THE PERCEPTION OR APPEARANCE OF A CONFLICT OF INTEREST, OCCURS WHEN A COVERED PERSON IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, A RELATIVE, OR OTHER PERSON LIVING IN THE SAME HOUSEHOLD, AS A RESULT OF ADVENTIST HEALTHCARE'S BUSINESS ACTIVITIES. A RELATIVE IS DEFINED AS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE COVERED PERSON IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP BETWEEN AN ADVENTIST HEALTHCARE EMPLOYEE AND AN OUTSIDE FIRM OR BUSINESS ENDEAVOR, OR OTHER POTENTIAL CONFLICT OF INTEREST. HOWEVER, IF A COVERED PERSON HAS ANY BUSINESS, FINANCIAL, OR OTHER RELATIONSHIP WITH ANY ORGANIZATION WHEREBY THE EXISTENCE OF THAT RELATIONSHIP EITHER CREATES A CONFLICT OF INTEREST OR IS PERCEIVED TO CREATE A CONFLICT OF INTEREST, THE COVERED PERSON MUST DISCLOSE THIS RELATIONSHIP TO THE DESIGNATED SENIOR MANAGER, OR GOVERNING BOARD, AS THE CASE MAY BE, AT THE LOCATION WHERE THE EMPLOYEE IS ASSIGNED. THE SENIOR MANAGER WILL REVIEW THE RELATIONSHIP, MAKE COMMENTS AND RECOMMENDATIONS, AND FORWARD ALL DOCUMENTATION TO THE ORGANIZATIONAL INTEGRITY COMMITTEE FOR A FINAL DECISION. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, ORGANIZATIONAL INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN SETTING COMPENSATION FOR EXECUTIVES, OFFICERS, KEY EMPLOYEES, AND ALL EMPLOYEES, THE ORGANIZATION FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION IS ENTIRELY SET BY A COMMITTEE OF THE BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT. TO ENSURE REASONABLENESS, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE OF THE NATURAL MARKET. GENERAL EXPLANATION: EMPLOYEES OF ANY OF THE ADVENTIST HEALTHCARE INC. AND AFFILIATED TAX EXEMPT ENTITIES IN THE STATE OF MARYLAND (INCLUDING REGINALD S. LOURIE CENTER FOR INFANTS &amp; YOUNG CHILDREN, INC.) ARE PAID THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC. AND ARE REPORTED ON ITS FORM 941. SALARY AND BENEFIT EXPENSES REPORTED ON THEIR RESPECTIVE RETURNS ARE ACTUAL CHARGES RELATED TO THE EMPLOYEES WORKING ON THE SPECIFIC TAX EXEMPT ENTITY. COMPENSATION INCLUDED REGULAR BASE SALARY, BONUS, PAID TIME OFF CASH OUT (ONLY FOR EMPLOYEES WHO LEAVE OUR ORGANIZATION), TAXABLE RELOCATION ALLOWANCE, HOLIDAY GIFT, RETROACTIVE COMPENSATION ADJUSTMENT, BEREAVEMENT LEAVE, EDUCATION, AND WITHDRAWAL OF DEFERRED COMPENSATION, AS APPLICABLE. THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. VENDOR PAYMENTS FOR ANY OF THE ADVENTIST HEALTHCARE, INC. AND RELATED ENTITIES IN THE STATE OF MARYLAND ARE MADE THROUGH A COMMON PAYMASTER, ADVENTIST HEALTHCARE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR AND PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 2,325,383. MANAGEMENT AND GENERAL EXPENSES 359,721. FUNDRAISING EXPENSES 221,191. TOTAL EXPENSES 2,906,295.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ORGANIZATION TRANSFER 8,366.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>521532556</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE URGENT CARE CENTERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>461577511</EIN>
        <PrimaryActivitiesTxt>CLINIC - EMERGENCY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST HOME HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>520986808</EIN>
        <PrimaryActivitiesTxt>HOME CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>204600646</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>201486678</EIN>
        <PrimaryActivitiesTxt>REHABILITATION HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST REHABILITATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>300780513</EIN>
        <PrimaryActivitiesTxt>REHABILITATION SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>521884153</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>521216429</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>521692158</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>842670875</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE HOWARD UNIVERSITY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>820 W DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>208781419</ZIPCd>
        </USAddress>
        <EIN>922770959</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHADY GROVE MEDICAL BUILDING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1650 TYSONS BOULEVARD STE 820</AddressLine1Txt>
          <CityNm>MCLEAN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22102</ZIPCd>
        </USAddress>
        <EIN>274599411</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NEXUS MONTGOMERY REGIONAL PARTNERSHIP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>820 WEST DIAMOND AVE SUITE 600</AddressLine1Txt>
          <CityNm>GAITHERSBURG</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20878</ZIPCd>
        </USAddress>
        <EIN>815410250</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE &amp; COMMUNITY SERVICE FOR IMPROVED HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CORELIFE ADVENTIST LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>821 WEST BENFIELD ROAD SUITE 5</AddressLine1Txt>
          <CityNm>SEVERNA PARK</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21146</ZIPCd>
        </USAddress>
        <EIN>841813204</EIN>
        <PrimaryActivitiesTxt>PROVIDES WELLNESS AND WEIGHT MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVENTIST HEALTHCARE SURGERY CENTER AT NATIONAL HARBOR LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>251 NATIONAL HARBOR BOULEVARD SUITE</AddressLine1Txt>
          <CityNm>OXEN HILL</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20745</ZIPCd>
        </USAddress>
        <EIN>852814304</EIN>
        <PrimaryActivitiesTxt>AMBULATORY SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MID-ATLANTIC RADIATION ONCOLOGY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10101 WOODLOCH FOREST DR</AddressLine1Txt>
          <CityNm>THE WOODLANDS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77380</ZIPCd>
        </USAddress>
        <EIN>844560643</EIN>
        <PrimaryActivitiesTxt>RADIATION ONCOLOGY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ROCKVILLE MID-ATLANTIC RADIATION ONCOLOGY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10101 WOODLOCH FOREST DR</AddressLine1Txt>
          <CityNm>THE WOODLANDS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77380</ZIPCd>
        </USAddress>
        <EIN>932337860</EIN>
        <PrimaryActivitiesTxt>RADIATION ONCOLOGY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</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>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>