This government document is issued by Health Services Cost Review Commission for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=007821330218074952993:rpx-aozo-l4&q=https://hscrc.maryland.gov/Documents/public-interest/irs-990-2016/MSFSH-TxYEJune17-IRS990.pdf&sa=U&ved=2ahUKEwjF4Pmks-eGAxVvgf0HHUp3Brg4WhAWegQIBxAB&usg=AOvVaw366kwcZ1nVFXsiCIGJj01F&arm=e&fexp=72519171,72519168