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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT L SLOAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M ANDERS JR</PersonNm>
        <TitleTxt>COO/ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>521354</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>367799</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34166</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J NEUMAN</PersonNm>
        <TitleTxt>CFO/TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>273281</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>192791</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33566</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL F CATALDO PHD</PersonNm>
        <TitleTxt>SVP &amp; PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>550907</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEYED ALI FATEMI MD MBA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>258428</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18322</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND SHORT</PersonNm>
        <TitleTxt>SVP OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>156326</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48666</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE STONE</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>118548</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33566</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VALARIE BONHAM</PersonNm>
        <TitleTxt>VP GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>111127</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38589</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN LOPEZ-ARVISU MD</PersonNm>
        <TitleTxt>PRESIDENT OF MEDICAL STAFF</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>270799</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14052</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE RYBCZYNSKI MD</PersonNm>
        <TitleTxt>ASSOCIATE CHIEF MEDICAL OFFICER</TitleTxt>
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        <OtherCompensationAmt>45916</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY SALPEKAR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA TROVATO</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS HAGOPIAN PHD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA LANDA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRISTINA SADOWSKY MD</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROGRAM DIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37529</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL LIPKIN MD</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROGRAM DIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>253663</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37497</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HAROLYN BELCHER MD MHS</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROGRAM DIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16911</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1653223</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>557268</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3400 N CHARLES STREET</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEM</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1979 MILKY WAY</AddressLine1Txt>
            <CityNm>VERONA</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>31942</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1999937</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RESPITECH MEDICAL INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 RANCK AVE</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1709612</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RCM&amp;D INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>555 FAIRMOUNT AVE</AddressLine1Txt>
            <CityNm>TOWSON</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21286</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT CORPORATION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 MICROSOFT WAY</AddressLine1Txt>
            <CityNm>REDMOND</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98052</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>19</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>3451898</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>6634243</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>71634</AllOtherContributionsAmt>
      <TotalContributionsAmt>10157775</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>149170788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149170788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INTPATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>42163884</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>280052</TotalRevenueColumnAmt>
        <ExclusionAmt>280052</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSABLE COSTS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>713385</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>713385</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORD FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>29355</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29355</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13431</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13431</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>756171</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>202528670</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>192090843</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>360000</ProgramServicesAmt>
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        <ProgramServicesAmt>305449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3765318</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>110127291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6297354</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8341813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>621449</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>11770070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1122327</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>87490</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>169395</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>52346</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>23788</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>180377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>325550</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6765952</ProgramServicesAmt>
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        <ProgramServicesAmt>402822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217186</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>22987122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2028762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>348992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47307</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>743066</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DVLPMT</Desc>
        <TotalAmt>398267</TotalAmt>
        <ProgramServicesAmt>352075</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46192</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>330922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2522</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NON-CAPITAL EQUIPMENT</Desc>
        <TotalAmt>235548</TotalAmt>
        <ProgramServicesAmt>213985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21563</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>201511121</TotalAmt>
        <ProgramServicesAmt>181422286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20088835</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>18985934</BOYAmt>
        <EOYAmt>14331288</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>18785009</EOYAmt>
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        <BOYAmt>2667666</BOYAmt>
        <EOYAmt>3296379</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>8591405</BOYAmt>
        <EOYAmt>7008407</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>64364219</BOYAmt>
        <EOYAmt>64986150</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>114821900</BOYAmt>
        <EOYAmt>108407233</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>41893537</BOYAmt>
        <EOYAmt>41700509</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>2147223</BOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>15251672</BOYAmt>
        <EOYAmt>7350821</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>59292432</BOYAmt>
        <EOYAmt>49051330</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>52076575</BOYAmt>
        <EOYAmt>54103932</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3452893</BOYAmt>
        <EOYAmt>5251971</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>55529468</BOYAmt>
        <EOYAmt>59355903</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>114821900</BOYAmt>
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        <ExplanationTxt>KENNEDY KRIEGER INSTITUTE, INC. PAYS IT'S LOBBYISTS MCALLISTER &amp; QUINN AND THORN RUN PARTNERS TO DIRECTLY CONTACT LEGISLATORS ON MATTERS AFFECTING HEALTH CARE, EDUCATION, COMMUNITY SERVICES, AND RESEARCH PROGRAMS. A PORTION OF THIS EXPENSE ($48,440) HAS BEEN ALLOCATED TO THIS ENTITY. THE ORGANIZATION PAYS DUES TO MARYLAND HOSPITAL ASSOCIATION AND NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS. A PORTION OF THESE DUES ($3,906) ARE USED FOR LOBBYING ACTIVITIES. EMILY ARNESON PERFORMS STATE LOBBYING ACTIVITIES AS AN EMPLOYEE. A PORTION OF HER COMPENSATION ($43,339) HAS BEEN ALLOCATED TO LOBBYING EXPENSES FOR HER LOBBYING RESPONSIBILITIES ON BEHALF OF THE ORGANIZATION.</ExplanationTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: THE CHNA REPORT PROVIDED INFORMATION ON HEALTH DISPARITIES SPECIFIC TO THE POPULATION SERVED.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: INPUT FOR THIS CHNA WAS WIDESPREAD AND DIVERSE. THROUGH THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD), MULTIPLE PROJECTS WERE ACCESSED. KENNEDY KRIEGER CHILDREN'S HOSPITAL CONDUCTED A VOICE OF THE CAREGIVER SURVEY LEAD BY THE MCDD, DIRECTOR OF TRAINING. THIS SURVEY TARGETED INPUT FROM FAMILIES CARING FOR PERSONS WITH DISABILITIES ACROSS MARYLAND; 209 VALID RESPONSES WERE OBTAINED IN THE LAST QUARTER OF CALENDAR YEAR 2021 AND THE FIRST QUARTER OF 2022. PEOPLE ON THE GO MARYLAND (POG) CONDUCTED MULTIPLE LEADERSHIP GROUP MEETINGS AND TRAINING WHERE INPUT WAS RECEIVED DIRECTLY FROM SELF-ADVOCATES ACROSS MARYLAND. THE MCDD'S COMMUNITY ADVISORY COUNCIL MEETS QUARTERLY AND INCLUDES REPRESENTATIVES FROM MANY MARYLAND AGENCIES SUCH AS MARYLAND DEPARTMENT OF HEALTH - DEVELOPMENTAL ABILITIES ADMINISTRATION AND THE DEPARTMENT OF AGING, MARYLAND STATE DEPARTMENT OF EDUCATION, THE DISABILITY NETWORK - DISABILITY RIGHTS MARYLAND, THE DEVELOPMENTAL DISABILITIES COUNCIL, THE MCDD, COMMUNITY ORGANIZATIONS ACROSS THE STATE, SELF-ADVOCATES, AND CAREGIVERS. INPUT INTO THE CHNA WAS RECEIVED THROUGH EXCHANGE OF INFORMATION AT MEETINGS AND A SUMMARY OF THE FINDINGS PRIOR TO PUBLICATION WAS PROVIDED AT THE MCDD/CAC MEETING IN JUNE 2022. THE CONSORTIUM OF CARE-EASTERN SHORE FOR CHILDREN/YOUTH WITH SPECIAL HEALTH CARE NEEDS MEETS QUARTERLY. KENNEDY KRIEGER HAS MULTIPLE REPRESENTATIVES THAT ATTEND THE MEETINGS REGULARLY. IN ADDITION, COORDINATION IS PROVIDED WHEN SPEAKERS ARE SOUGHT BY THE ENTITY FROM OUR PROVIDER BASE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD)</ExplanationTxt>
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        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: IN ADDITION TO DISSEMINATION OF THE CHNA ON THE HOSPITAL'S WEBSITE, THE REPORT WAS SHARED THROUGH MULTIPLE PRESENTATIONS INTERNALLY AT THE HOSPITAL TO INCLUDE A SUMMARY AND A LINK TO THE FULL REPORT FOR EXTERNAL DISSEMINATION. THE REPORT WAS SHARED INTERNALLY VIA BOARD MEETINGS, THE WEEKLY DIRECTORS' MEETING, INSTITUTE-WIDE MEETINGS, THE EMPLOYEE NEWSLETTER, AND THROUGH PAPER AND DIGITAL COPIES IN THE RESOURCE FINDER. THE REPORT WAS ALSO SHARED VIA KENNEDY KRIEGER INSTITUTE'S POTENTIAL MAGAZINE AND WITH THE COMMUNITY ADVISORY COUNCIL AT THE MCDD.</ExplanationTxt>
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        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN OUTLINES THE ACTIONS THE INSTITUTE WILL TAKE TO ADDRESS THE NEEDS THAT WERE IDENTIFIED IN PARTNERSHIP WITH OTHERS ACROSS MARYLAND. SOME OF THE AREAS ARE ABLE TO BE ADDRESSED SOLELY BY KENNEDY KRIEGER WHILE OTHERS WILL REQUIRE PARTNERSHIP AND ALL WILL REQUIRE INPUT TO DETERMINE ACHIEVEMENTS FROM PATIENTS AND FAMILIES SERVED. FOR THE POPULATION SERVED IN MARYLAND AND BEYOND, ACCESS TO CARE AND ENSURING WE HAVE AN ADEQUATE NUMBER OF PROVIDERS IS A SIGNIFICANT NEED. KENNEDY KRIEGER CHILDREN'S HOSPITAL IS ADDRESSING THESE NEEDS BY IDENTIFYING EQUITY ACCESS TO SERVICES PROVIDED AS A HOSPITAL AND DEVELOPING SOLUTIONS FOR AREAS WHERE NEEDED. BUILDING THE CAPACITY OF SPECIALTY PROVIDERS IN ALL DISCIPLINE AREAS IS IMPORTANT. PROVIDERS ARE NOT BEING FULLY DEVELOPED THROUGH ACADEMIC PROGRAMS. EXPERIENTIAL TRAINING IS ESSENTIAL TO ENSURE HIGHLY KNOWLEDGEABLE AND TRAINED PROVIDERS ARE DEVELOPED. TO SUPPORT THE ESSENTIAL AREAS OF THE SOCIAL DETERMINANTS OF HEALTH, ADVOCACY SERVES TO HELP PATIENTS BETTER UNDERSTAND THEIR HEALTH, HOW TO IMPROVE THEIR HEALTH AND HEALTH OUTCOMES, AND THE SYSTEMS IN WHICH THEY MUST NAVIGATE TO ACCESS ALL SERVICES. FINALLY, THE PLAN INCLUDES STRATEGIES NECESSARY TO PROGRESS INTO ADULTHOOD. BY SUPPORTING AND ADVOCATING FOR IMPROVED HEALTH WE WANT TO SEE OUR PATIENTS REACH THE NEXT LEVEL AND THAT BEING ADULTHOOD AND INDEPENDENCE. AREAS NOT ADDRESSED FROM THE ASSESSMENT BUT CLEARLY NOTED AS NEEDS BY FAMILIES AND PROVIDERS ACROSS MARYLAND INCLUDE THE FRAGMENTATION OF BEHAVIORAL HEALTH AND MEDICAL SERVICES FOR CHILDREN AND YOUTH WITH MEDICAL AND BEHAVIORAL/MENTAL HEALTH NEEDS. THE ABILITY TO FULLY ADDRESS THESE ADDITIONAL NEEDS REQUIRES SERVICES AND PROFESSIONAL EXPERTISE OUTSIDE THE SCOPE OF THE MEDICAL AND BEHAVIORAL HEALTH PROFESSIONALS AT KENNEDY KRIEGER. WE ACCESS COMMUNITY SERVICES WHEN PATIENTS OR FAMILIES OF OUR PATIENTS ARE IN NEED OF SERVICES BEYOND OUR PROFESSIONAL SCOPE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: DURING INTAKE, ALL SELF-PAY PATIENTS ARE INFORMED THAT KENNEDY KRIEGER HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, PATIENTS ARE INFORMED OF THE POLICY AT THE APPOINTMENT, REGISTRATION AND DURING THE BILLING PROCESS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 15E: THE RESOURCE FINDER: HTTPS://WWW.KENNEDYKRIEGER.ORG/COMMUNITY/INITIATIVES/RESOURCE-FINDER</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 16B, FAP APPLICATION WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.KENNEDYKRIEGER.ORG/SITES/DEFAULT/FILES/LIBRARY/DOCUMENTS/ABOUT-US/FINANCIAL%20DOCS/FINANCIAL%20APP%20DOCS%202023/FINANCIAL%20ASSISTANCE%20APPLICATION%202023.PDF</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.KENNEDYKRIEGER.ORG/SITES/DEFAULT/FILES/LIBRARY/DOCUMENTS/ABOUT-US/FINANCIAL%20DOCS/FINANCIAL%20APP%20DOCS%202023/FINANCIAL%20ASSISTANCE%20PROGRAM%20PLAIN%20LANGUAGE%20SUMMARY%202023.PDF</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE A - CHARITY CARE AND UNREIMBURSED MEDICAID WERE DETERMINED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DETERMINED BASED UPON THE HOSPITAL'S COSTS AND CHARGES FROM ITS MEDICAID COST REPORT AND FURTHER DOCUMENTED THROUGH THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AGREEMENT WITH THE ORGANIZATION. ALL OF THE OTHER AMOUNTS WERE REPORTED AT COST UTILIZING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. CHARITY CARE IS DETERMINED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND IS BASED UPON COST. THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES (AS UPDATED ANNUALLY) IN DETERMINING FREE AND DISCOUNTED CARE. IN ADDITION, THE HOSPITAL CONSIDERS FREE OR DISCOUNTED CARE FOR THE MEDICALLY INDIGENT.LINE B - THE NET COMMUNITY BENEFIT FOR MEDICAID IS BASED UPON MEDICAID COSTS NET OF MEDICAID REIMBURSEMENT AND DISPROPORTIONATE SHARE REVENUE.LINE C - THE NET COMMUNITY BENEFIT FOR OTHER MEANS-TESTED PROGRAMS IS BASED UPON MEDICARE COSTS NET OF MEDICARE REIMBURSEMENT FROM THE FY 2022 MEDICARE COST REPORT.LINE E - COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDE GRANTS, THE COST OF PATIENT TRANSPORTATION, AND THE COSTS OF PROVIDING GUEST RELATIONS AND TRAINING SERVICES.PATIENT TRANSPORTATION: A PRIORITY AREA IDENTIFIED ON THE KKCH CHNA IS ACCESS TO SERVICES. TRANSPORTATION IS AN ITEM THAT PRESENTS BARRIERS TO ACCESS TO CARE, EDUCATION AND EMPLOYMENT, ESPECIALLY FOR THOSE WITH DISABILITIES AND UNDERREPRESENTED GROUPS. KKCH CLINICAL PROGRAMS PROVIDE TRANSPORTATION FOR THOSE WHO HAVE NO OTHER RESOURCES TO GET TO AND FROM THEIR HEALTHCARE APPOINTMENTS AT THE FACILITY.KENNEDY KRIEGER INSTITUTE CONDUCTED MANY COMMUNITY HEALTH IMPROVEMENT SERVICES DURING THE FISCAL YEAR 2022. ONE OF WHICH IS DIALECTICAL BEHAVIOR THERAPY (DBT) PARENT GROUPS. WITH THE INCREASING STRESSORS IN OUR COMMUNITY AND THOSE FACED BY OUR FAMILIES WHO CARE FOR CHILDREN WITH SPECIAL NEEDS, THIS APPROACH HAS PROVEN TO BE AN EFFECTIVE EVIDENCE-BASE INTERVENTION. NOT ONLY IS IT USED FOR TREATMENT, BUT OFFERING PARENT GROUPS AS A SUPPLEMENT HAS BEEN OF VALUE TO THE MARYLAND COMMUNITY. DBT IS A TYPE OF COGNITIVE BEHAVIORAL THERAPY. ITS MAIN GOALS ARE TO TEACH PEOPLE HOW TO LIVE IN THE MOMENT, COPE HEALTHILY WITH STRESS, REGULATE EMOTIONS, AND IMPROVE RELATIONSHIPS WITH OTHERS. PARTICIPATION IN SOCIAL AND RECREATIONAL ACTIVITIES IS OFTEN LACKING FOR CHILDREN AND ADULTS WITH DISABILITIES. OUR PROGRAMS COLLABORATE WITH COMMUNITY ENTITIES TO OFFER ACTIVITIES SUCH AS SAILING, BASKETBALL SOCCER AND ORGANIZED TEAM SPORTS TO CHILDREN AND ADULTS WITH DISABILITIES THAT OTHERWISE MAY NOT BE ABLE TO ENGAGE IN SUCH ACTIVITIES. SEVERAL COLLABORATIVE RELATIONSHIPS INCLUDE A COMMUNITY FITNESS CENTER FOR ADULTS, BALTIMORE SAILING CLUB, AND BASKETBALL TEAMS. KENNEDY KRIEGER RUNS THE BENNETT CENTER, WHICH PROVIDES OPPORTUNITIES FOR CHILDREN AND YOUNG ADULTS AGES 5-18. THE BENNETT INSTITUTE PHYSICALLY CHALLENGED SPORTS AND RECREATION PROGRAM OFFERS DISABLED INDIVIDUALS THE CHANCE TO BE A PART OF THE BENNETT BLAZERS. ACTIVITIES OFFERED INCLUDE: AMBULATORY SPORTS, BOCCIA, HANDCYCLING, I-SKATE: DOROTHY HAMILL'S ADAPTIVE ICE SKATING PROGRAM, JUNIOR BASEBALL, MOTOR DEVELOPMENT, POWER SOCCER, RUNNING (FOR BALTIMORE RUNNING FESTIVAL PARTICIPANTS), SAILING, SITTING VOLLEYBALL, SLED HOCKEY, SWIMMING, TABLE TENNIS/POLYBAT, TENNIS, TRACK AND FIELD, WHEELCHAIR BASKETBALL, WHEELCHAIR FLOOR HOCKEY, WHEELCHAIR FOOTBALL, WHEELCHAIR LACROSSE, WHEELCHAIR RUGBY, AND WHEELCHAIR SOFTBALL. LINE F - HEALTH PROFESSIONS EDUCATION INCLUDES THE COSTS (BOTH DIRECT AND INDIRECT) OF INTERNS, RESIDENTS ALONG WITH OTHER ALLIED HEALTH PROFESSIONALS. THE ORGANIZATION CURRENTLY TRAINS OVER 400 PEOPLE IN A WIDE VARIETY OF DISCIPLINES FROM ALL ACADEMIC LEVELS. LINE I - CASH AND IN-KIND CONTRIBUTIONS FROM THE HOSPITAL PROVIDE FUNDING FOR ACTIVITIES TO ACHIEVE THE MISSION OF THE HOSPITAL. RONALD MCDONALD HOUSE (RMH): THE RMH PROVIDES AFFORDABLE AND SAFE LODGING TO FAMILIES AWAY FROM THEIR HOMES TO ALLOW THEM TO BE PRESENT DURING HOSPITALIZATIONS (INPATIENT AND OUTPATIENT) FOR HOSPITALS IN THE BALTIMORE METROPOLITEAN REGION. KENNEDY KRIEGER HAS A REPRESENTATIVE WHO SERVES ON THE BOARD OF DIRECTORS. INDIRECTLY THIS ACTIVITY SUPPORTS THE COMMUNITY NEED OF ACCESS TO CARE. IN ADDITION, KENNEDY KRIEGER SPONSORS DINNERS FOR THE FAMILIES THROUGHOUT THE YEAR.THE ORGANIZATION'S GUEST RELATIONS DEPARTMENT ANNUALLY SUPPORTS THE NEEDS OF FAMILIES WE SERVE THROUGH BACKPACK "BACK TO SCHOOL DRIVES; THANKSGIVING BASKETS; HOLIDAY GIFT SHARING EVENTS. THESE EVENTS ARE SUPPORTED IN-PART BY THE STAFF FROM KENNEDY KRIEGER INSTITUTE, THE ORGANIZATION AND SUPPORT FROM PRIVATE BUSINESS ORGANIZATIONS ACROSS THE STATE. RED SHOE CREW: THE RED SHOE CREW IS A GROUP OF YOUNG PROFESSIONALS AND STUDENTS IN THE BALTIMORE, MD AND SURROUNDING AREA ASSOCIATED WITH THE RONALD MCDONALD HOUSE OF BALTIMORE. THE GROUP VOLUNTEERS AT THE HOUSE, HOSTS NETWORKING AND SOCIAL EVENTS FOR ITS MEMBERS, AND RAISES MONEY FOR THE HOUSE. KENNEDY KRIEGER HOSTED 40 VISITORS OF EMERGING YOUNG LEADERS (&lt; 40 YEARS OF AGE) TO COMPLETE DISABILITY AWARENESS TRAINING, A TOUR OF OUR FACILITY THAT PROVIDES SERVICES FOR PERSONS WITH DISABILITIES, AND ENGAGED IN A QUESTION AND ANSWER PERIOD RELATED TO DISABILITY ISSUES. THE HOSPITAL PROVIDED DINNER AND PARKING FOR THE GROUP EVENT. SEE ADDITIONAL INFORMATION REGARDING THESE BENEFITS PROVIDED TO THE COMMUNITY UNDER PART VI, LINE 5.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS NARRATIVE CORRESPONDS TO PARTS I AND II. SEE ADDITIONAL NARRATIVE FOR COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATION IN PART VI, LINE 5.COMMUNITY ORGANIZING IS A KEY INSTRUMENT FOR ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. KENNEDY KRIEGER WORKS IN CONCERT WITH OUR COMMUNITIES TO DISSEMINATE AND INTEGRATE OUR KNOWLEDGE THROUGH COMMUNITY-BENEFIT ACTIVITIES SO THAT WE MEET THE NEEDS OF THE COMMUNITY AND LEVERAGE THE WORK WE DO OUTSIDE OF OUR ORGANIZATION. THIS IS ACCOMPLISHED THROUGH TRAINING, I.E., HELPING TO EDUCATE PROVIDERS OF VARIOUS DISCIPLINES ACROSS MARYLAND. THROUGH OUR UNIVERSITY CENTERS FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES EDUCATION, RESEARCH, AND SERVICE (UCEDD), THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD), WE OFFER EXTENSIVE COMMUNITY TRAININGS FOR CAREGIVERS, SELF-ADVOCATES, AND PROFESSIONALS ACROSS THE STATE IN PARTNERSHIP WITH OTHER ORGANIZATIONS. PEOPLE ON THE GO IS THE MCDD'S SELF-ADVOCACY GROUP WHICH FOCUSES ON NOT ONLY TRAININGS FOR ADULTS WITH DISABILITIES BUT PARTNERS WITH STATE AND LOCAL AGENCIES TO ENSURE TRAINING OF LAW ENFORCEMENT, EDCUATORS, HEALTH PROFESSIONALS, AND LEGISLATIVE REPRESENTATIVES IS DONE IN AN INTENTIONAL AND INCLUSIVE MANNER. THE MCDD HAS CONDUCTED OVER 600 COMMUNITY TRAININGS AND TECHNICAL ASSISTANCE ENCOUNTERS. ON DIFFERENT ASPECTS OF DEVELOPMENTAL DISABILITIES AND COLLABORATING WITH THE EDUCATIONAL SECTOR TO BUILD THE NEXT GENERATION OF TEACHERS. COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING: 1. GO-GREEN: THE HOSPITAL PROMOTES AND MAINTAINS A GO-GREEN CAMPAIGN THROUGH THE DISSEMINATION OF INFORMATION AND PRODUCTS TO REDUCE WASTE. THE HOSPITAL PROVIDES VOLUNTEERS DURING THE WORK WEEK TO STAFF NEIGHBORHOOD FARMER'S MARKET. 2. MARYLAND CONSORTIUM FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS:THE MARYLAND COMMUNITY OF CARE CONSORTIUM FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS (COC) IS DEDICATED TO IMPROVING SYSTEMS OF CARE FOR CHILDREN AND THEIR FAMILIES IN THE STATE. THE COC IS A WORKING GROUP OF DIVERSE STAKEHOLDERS, INCLUDING FAMILIES, PROVIDERS, ADVOCATES, CONSUMERS, ADMINISTRATORS, AND PROFESSIONALS FROM THE PUBLIC AND PRIVATE SERVICE SYSTEMS. AT LEAST ONE TO THREE KENNEDY KRIEGER REPRESENTATIVES PARTICIPATE IN ALL MEETINGS. MEETINGS ARE HELD 3 TIMES PER YEAR 2.5 HOURS EACH MEETING AND ONCE PER YEAR FOR 8 HOURS. 3. PATHFINDERS FOR AUTISM: THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER PARTNERS WITH PATHFINDERS FOR AUTISM ON MULTIPLE COMMUNITY HEALTH PROJECTS. PATHFINDERS FOR AUTISM ASSISTED IN THE COMMUNITY NEEDS ASSESSMENT FOR THE MCDD AND THE DATA WAS USED FOR THE HOSPITAL CHNA. 4. PEOPLE ON THE GO: A PROJECT OF THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER PROVIDES ADVOCACY TO SELF-ADVOCATES ACROSS THE MARYLAND COMMUNITY TO IMPROVE KNOWLEDGE AND ACCESS TO INFORMATION AND SERVICES, E.G., EDUCATION, HEALTH, HOUSING, TRANSPORTATION, AND OTHER SOCIALLY DETERMINED FACTORS THAT IMPACT QUALITY OF LIFE FOR ALL PERSONS, BUT FOCUSED ON PERSONS WITH DISABILITIES. 5. CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING: THE MISSION OF THE CENTER IS TO REDUCE SOCIALLY DETERMINED CHILDHOOD BRAIN DISORDERS THROUGH LEADERSHIP DEVELOPMENT OF DIVERSE SCHOLARS WHO USE CULTURALLY RELEVANT, AND EVIDENCE-BASED, APPROACHES TO INFORM RESEARCH, PRACTICE, ADVOCACY, AND POLICY. EACH PROGRAM HAS UNIQUE CRITERIA:MATERNAL CHILD HEALTH CAREERS/RESEARCH INITIATIVES FOR STUDENT ENHANCEMENT (MCHC/RISE-UP) PROGRAM IS A 10-WEEK SUMMER PROGRAM DESIGNED FOR UNDERGRADUATE JUNIORS AND SENIORS, AND RECENT BACCALAUREATE DEGREE STUDENTS, WITH A GRADE POINT AVERAGE (GPA) OF AT LEAST 3.0 ON A 4-POINT SCALE WHO ARE INTERESTED IN LEARNING MORE ABOUT PUBLIC HEALTH AND PREVENTING HEALTH DISPARITIES. THROUGH THIS PROGRAM, WITH UNIVERSITY PARTNERS FROM ACROSS THE NATION, MCHC/RISE-UP OFFERS PUBLIC HEALTH LEADERSHIP LEARNING EXPERIENCES IN CLINICAL, RESEARCH, AND COMMUNITY ENGAGEMENT AND ADVOCACY AREAS. DR. JAMES A. FERGUSON EMERGING INFECTIOUS DISEASES FELLOWSHIP IS A 9-WEEK SUMMER PROGRAM FOR STUDENTS CURRENTLY ENROLLED FULL-TIME IN A MEDICAL, DENTAL, PHARMACY, VETERINARY, OR PUBLIC HEALTH GRADUATE PROGRAM WHO ARE INTERESTED IN CONDUCTING RESEARCH IN THE AREAS OF INFECTIOUS DISEASES AND HEALTH DISPARITIES. FELLOWS INCREASE PROFESSIONAL LEADERSHIP SKILLS AND ARE SUPPORTED TO PRESENT THEIR RESEARCH AT NATIONAL MEETINGS. MATERNAL AND CHILD HEALTH-LEADERSHIP EDUCATION, ADVOCACY, AND RESEARCH NETWORK (MCH-LEARN) PROVIDES UNDERGRADUATE FRESHMAN AND SOPHOMORE STUDENTS FROM UNDERREPRESENTED POPULATIONS WHO ARE INTERESTED IN THE MATERNAL AND CHILD HEALTHCARE (MCH) FIELD, A COMPREHENSIVE, INTEGRATED LEARNING EXPERIENCE. PROGRAMS RUN 9-10 WEEKS OVER THE SUMMER MONTHS. MCH-LEARN TARGETS LOCAL STUDENTS FROM MARYLAND AND NEIGHBORING REGIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE NARRATIVE FOR PART III, LINE 4</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE NARRATIVE FOR PART III, LINE 4</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED UPON THE HOSPITAL'S BILLING AND COLLECTION POLICY, BAD DEBT EXPENSE IS RECORDED AT COST. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR RECEIVABLES WHICH ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE $650,000 OF BAD DEBT EXPENSE, VALUED AT COST, REPRESENTS THOSE ACCOUNTS WRITTEN OFF IN WHICH THE PATIENT WOULD HAVE QUALIFIED FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY DUE TO THEIR INCOME LEVEL. PLEASE SEE PAGES 11 THROUGH 13 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE COSTS OF CARE AMOUNTS WERE OBTAINED FROM THE FISCAL YEAR 2022 MEDICARE COST REPORT AND PROVIDER STATISTICAL REPORTS PROVIDED BY MEDICARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S DEBT COLLECTION POLICY SPECIFICALLY ADDRESSES PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR FINANCIAL NEED, THEIR FINANCIAL OBLIGATION IS REDUCED OR WRITTEN OFF BASED UPON THE FINANCIAL ASSISTANCE POLICY GUIDELINES. A SEPARATE FINANCIAL CLASS IS UTILIZED IN WHICH BILLS ARE NOT GENERATED. THESE ACCOUNTS ARE NOT PLACED WITH COLLECTION AND NO FURTHER DEBT COLLECTION EFFORTS ARE PURSUED. ADDITIONALLY, THE HOSPITAL DOES NOT CHARGE INTEREST, LATE FEES OR PENALTIES. FOR FAMILIES THAT MAY NOT HAVE SUFFICIENT COVERAGE TO ACCESS SERVICES AT KENNEDY KRIEGER, THEY ARE OFFERED ELIGIBILITY INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNEDY KRIEGER CREATED A CHNA TEAM IN 2020. THE TEAM INCLUDED A POPULATION HEALTH LEADER, TWO PROJECT MANAGERS, AND A RESEARCH COORDINATOR. THE ORGANIZATION ATTENDED MANY MEETINGS AND CONFERENCES VIRTUALLY DURING THE PANDEMIC. THE ENGAGEMENTS WITH COMMUNITY PARTNERS AND THROUGH THE COLLECTION AND ANALYSIS OF STATE, NATIONAL, AND PRIVATE DATA SOURCES RESULTED IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN. THE ORGANIZATION CONTINUES TO RELY ON PARTNERSHIPS THAT ALLOW US TO ACCESS AND SHARE DATA METRICS OVER THE YEARS THAT ASSIST ALL CORPORATE ENTITIES IN IDENTIFYING COMMUNITY NEEDS. PARTNERSHIPS HAVE ALLOWED INTERNAL AND EXTERNAL LEVERAGING OF RESOURCES TO PROVIDE AND ADVOCATE WITH THE SAME POPULATION: CHILDREN, ADOLESCENTS AND ADULTS WITH DISABILITIES AND THEIR FAMILIES. KEY ORGANIZATIONS THAT SHARED DATA INCLUDED: (1) KENNEDY KRIEGER'S MCDD; (2) DEVELOPMENTAL DISABILITIES COUNCIL; (3) DISABILITY RIGHTS MARYLAND; (4) MARYLAND EASTERN SHORE CONSORTIUM OF CARE; AND (5) MARYLAND LEGISLATIVE COMMUNITY, AMONG OTHERS.SIMULTANEOUSLY, THE INSTITUTE LAUNCHED A STRATEGIC PLANNING PROCESS IN WHICH THE WORK AND DATA FROM THE CHNA WAS USED TO ASSESS NEEDS, PRIORITIZE NEEDS, AND DEVELOP PLANS TO PROVIDE SERVICES TO THE POPULATION SERVED. THIS ALLOWED THE ORGANIZATION TO COLLECT AND ANALYZE DATA WITH INPUT FROM PERSONS SERVED AND CONSIDER DEVELOPMENT OF FUTURE PROGRAMS THAT WILL RESPOND TO THE NEEDS OF THE COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE INFORMED OF THEIR FINANCIAL RESPONSIBILITY PRIOR TO THEIR APPOINTMENT OR ADMISSION. IF THEY CANNOT MEET THIS RESPONSIBILITY, THEY ARE INFORMED OF THE FINANCIAL ASSISTANACE POLICY DURING PRE-ADMISSION, AT THE TIME OF THE APPOINTMENT, AT REGISTRATION AND BY PATIENT ACCOUNTING DURING THE BILLING AND COLLECTION PROCESS. THE FINANCIAL ASSISTANCE POLICY AND BILLING AND COLLECTION POLICIES ARE POSTED ON THE HOSPITAL'S WEBSITE AND AT INTERNAL CARE CENTERS ACROSS THE ORGANIZATION. THE HOSPITAL ALSO WORKS WITH FAMILIES TO EXPLORE QUALIFICATION FOR GOVERNMENT PROGRAMS OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS DEDICATED PATIENT FINANCIAL ASSISTANCE STAFF WHO WORK WITH PATIENTS AND THEIR FAMILIES WHO REQUIRE FINANCIAL ASSISTANCE. THE HOSPITAL HAS COMPLIED WITH THE NEW REQUIREMENTS UNDER SECTION 501(R) FOR HOSPITALS UNDER THE AFFORDABLE CARE ACT. WRITTEN FINANCIAL ASSISTANCE POLICIES HAVE BEEN ESTABLISHED, REASONABLE EFFORTS ARE MADE TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND THE HOSPITAL DOES NOT EMPLOY EXTRAORDINARY COLLECTION EFFORTS.THE HOSPITAL HAS ON STAFF FINANCIAL COUNSELORS WHO CONSULT WITH FAMILIES REGARDING THEIR INSURANCE AUTHORIZATION, COVERAGE, RESPONSIBLE PORTION, AND A BENEFIT AND FINANCIAL SERVICE FOR FAMILIES AND PATIENTS. THE FINANCIAL COUNSELORS INFORM AND ASSIST FAMILIES IN UNDERSTANDING THEIR INSURANCE POLICY, FINANCIAL ASSISTANCE OPTIONS THROUGH THE HOSPITAL AND OTHER COMMUNITY RESOURCES THAT MAY BE AVAILABLE. IN ADDITION, THE RESOURCE FINDER IS AVAILABLE TO AID FAMILIES IN FINDING RESOURCES FOR NEEDED SERVICES OR EQUIPMENT NOT COVERED BY INSURANCE. SOME DEPARTMENTS ACROSS THE ORGANIZATION HAVE SECURED GRANTS OR BEEN THE RECIPIENT OF PHILANTROPIC FUNDS THAT ARE USED TO FILL IN THE GAP WHEN NEEDED SERVICES ARE NOT PARTIALLY OR FULLY COVERED BY INSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNEDY KRIEGER INSTITUTE SERVES CHILDREN, ADOLESCENTS, AND ADULTS FROM MARYLAND, ACROSS THE UNITED STATES, AND INTERNATIONALLY. DATA FROM THE LAST THREE FISCAL YEARS (2019, 2020, 2021) INDICATE THAT 60 PERCENT OF ALL INPATIENT AND 87 PERCENT OF OUPATIENTS SERVED BY KENNEDY KRIEGER ARE MARYLAND RESIDENTS, ALTHOUGH GEOGRAPHIC DEMOGRAPHICS VARY SIGNIFICANTLY BY PROGRAM. THE HOSPITAL VIEWS THE STATE OF MARYLAND AS THE COMMUNITY IT SERVES. MARYLAND'S POPULATION IS ESTIMATED AT 6,037,624 AND RANKED AS THE 19TH LARGEST STATE POPULATION IN THE NATION. THE STATE COVERS 9,774 SQUARE MILES AND IS THE 5TH MOST DENSELY POPULATED STATE IN THE NATION WITH 595 PERSONS PER SQUARE MILE, YET THE STATE HAS RURAL, LESS DENSELY POPULATED AREAS IN THE SOUTHERN, WESTERN AND EASTERN SHORES. MARYLAND HAS 24 COUNTIES/COUNTY-EQUIVALENTS DIVIDED INTO FIVE REGIONS. EACH REGION IS DISTINCT AND COMPRISES POPULATIONS THAT HAVE FOCUSED NEEDS AND RESOURCES. KKCH IS LOCATED IN THE CENTRAL REGION, THUS ACCESS FROM PARTICULARLY SOUTHERN, WESTERN, AND EASTERN SHORE REGIONS PRESENTS AS A BARRIER.WITHIN MARYLAND COMMUNITIES, OVER 634,300 RESIDENTS HAVE A REPORTED DISABILITY (2015, CENSUS BUREAU). KKCH HELPS THE DEVELOPMENTALLY DISABLED POPULATION AND OTHERS WITH RELATED DISABILITIES SUCH AS SPINAL CORD INJURY, PERSONS WITH DEVELOPMENTAL DISABILITIES USE INDIVIDUALLY PLANNED AND COORDINATED SERVICES AND SUPPORTS OF THEIR CHOOSING (E.G., HOUSING, EMPLOYMENT, EDUCATION, CIVIL AND HUMAN RIGHTS PROTECTION, HEALTH CARE) TO LIVE IN AND TO PARTICIPATE IN ACTIVITIES IN THE COMMUNITY. KKCH IS LOCATED IN THE EAST BALTIMORE COMMUNITY. THE DISABILITY RATE OF SCHOOL-AGED CHILDREN ENROLLED IN PUBLIC SCHOOLS (US CENSUS, 2010) THAT HAVE A COGNITIVE DISABILITY (I.E., LEARNING DISABILITY, ADHD, ETC.) FOR THE BALTIMORE METROPOLITAN AREA IS 4.0% AND WITH A GENERAL DISABILITY RATE OF 5.3%. OUR CONTRIBUTIONS TO THE COMMUNITY TARGET A WIDE GEOGRAPHIC REACH MIRRORING OUR MARYLAND PATIENT POPULATION. KKCH SERVED PERSONS RANGING FROM LESS THAN ONE YEAR TO OVER 75 YEARS OF AGE. APPROXIMATELY 48% OF THE POPULATION SERVED ARE 11 YEARS AND OLDER. GENERALLY, KKCH SERVES ALMOST TWICE AS MANY MALES AS FEMALES. OUR TARGET POPULATION INCLUDES CHILDREN, ADOLESCENTS AND ADULTS WITH DISABILITIES AND THOSE AT THE HIGHEST RISK FOR DISORDERS OF THE NERVOUS SYSTEM. IN MARYLAND, 23.2% OF CHILDREN 0 TO 17 YEARS OF AGE HAVE A SPECIAL HEALTHCARE NEED, AS ADOPTED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. THESE INCLUDE CHILDREN AND YOUTH WHO, ALONG WITH THEIR FAMILIES, OFTEN NEED SERVICES FROM MULTIPLE SYSTEMS HEALTHCARE, PUBLIC HEALTH, EDUCATION, MENTAL HEALTH AND SOCIAL SERVICES. NARROWING THE FOCUS, WE KNOW THAT APPROXIMATELY 17% OF U.S. CHILDREN EXPERIENCE DEVELOPMENTAL DELAYS OR DISABILITIES, WHICH RANGE IN SEVERITY AND SCOPE FROM ISOLATED DELAYS IN ACHIEVING CERTAIN DEVELOPMENTAL MILESTONES TO FUNCTIONAL IMPAIRMENTS IN HEARING OR VISION, AS WELL AS DIAGNOSABLE LEARNING, EMOTIONAL AND BEHAVIORAL DISORDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNEDY KRIEGER INSTITUTE PARTNERS WITH MULTIPLE AGENCIES ACROSS THE MARYLAND COMMUNITIES. SOME EXAMPLES OF OUR PARTNERSHIPS ARE:-BALTIMORE CITY COMMUNITY COLLEGE PROVIDING FREE ESL/GED TO OUR PARENTS.-BALTIMORE CITY HEALTH DEPARTMENT PROVING DENTAL SCREENING, FLUORIDE TREATMENT, AND REFERRALS TO OUR STUDENTS EVERY 3 MONTHS. -BMORE FOR HEALTHY BABIES - CITY WIDE INITIATIVE VIA THE FAMILY LEAGUE AND THE HEALTH DEPARTMENT ON THE EAST SIDE. BHB BRINGS TOGETHER COMMUNITIES, ORGANIZATIONS, AND RESOURCES SO THAT EVERY BABY MIGHT HAVE THE BEST START POSSIBLE. -COMMODORE JOHN ROGERS ELEMENTARY SCHOOL - PROVIDING CONTINUITY OF EDUCATIONAL SERVICES AS STUDENTS TRANSITION FROM EARLY HEAD START AND HEAD START. THEY ALSO TAKE CARE OF OUR FACILITIES/ MECHANICAL MAINTENANCE NEEDS.-JOHNS HOPKINS UNIVERSITY STUDENT OUTREACH RESOURCE CENTER (SOURCE) - COMMUNITY ENGAGEMENT AND SERVICE LEARNING CENTER FOR JHU STUDENTS, WHO WORK WITH COMMUNITY BASED ORGANIZATIONS THROUGH ACTIVITIES THAT PROMOTE HEALTH AND SOCIAL JUSTICE.-JUDY CENTER - TO PROVIDE A CENTRAL LOCATION FOR EARLY CHILDHOOD EDUCATION AND FAMILY SUPPORT SERVICES FOR CHILDREN FROM BIRTH TO KINDERGARTEN.-LIVING CLASSROOMS - COLLABORATING WITH HEAD START, JUDY CENTER, AND SEEHS TO ESTABLISH YEARLY GOALS OF PROMOTING STUDENT SCHOOL READINESS AND TRACKING CONTINUUM OF EARLY CHILDHOOD EDUCATION FROM BIRTH TO ELEMENTARY LEVEL.-MARYLAND FAMILY NETWORK - GRANTEE OF SEEHS. PROVIDING ONGOING SUPPORT OF PROGRAM STAFF AND PROGRAM ADMINISTRATION. -ST. VINCENT DE PAUL EARLY HEAD START/HEAD START - TO CREATE REFERRAL PARTNERSHIP, SOURCE OF RECRUITMENT FOR ESL AND GED PROGRAM, AND NETWORKING ACTIVITIES.-TURNAROUND TUESDAY - TO PREPARE "RETURNING" CITIZENS AND UNEMPLOYED CITIZENS TO REENTER THE WORKFORCE AND TO LEAD IN CREATING JOB OPPORTUNITIES IN BALTIMORE.-WOMEN, INFANTS, AND CHILDREN (WIC) - SUPPLEMENTAL FOODS, HEALTH CARE REFERRALS, AND NUTRITION EDUCATION FOR LOW-INCOME PREGNANT, BREASTFEEDING, AND NON-BREASTFEEDING POSTPARTUM WOMEN, AND TO INFANTS AND CHILDREN UP TO AGE FIVE.-YMCA - PROVIDING CONTINUITY OF EDUCATIONAL SERVICES AS STUDENTS TRANSITION FROM EARLY HEAD START AND HEAD START. THEY ALSO TAKE CARE OF OUR FACILITIES/ MECHANICAL MAINTENANCE NEEDS.KENNEDY KRIEGER PROVIDES TRAINING TO HEALTH PROVIDERS, FAMILIES, AND INDIVIDUALS WITH DISABILITIES ACROSS THE STATE. SINCE THE PANDEMIC, MOST TRAININGS HAVE OCCURRED VIRTUALLY, WHICH HAS OFFERED GREATER ACCESS TO MORE PEOPLE. THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) TRAININGS INCLUDED:1. LUNCH &amp; LEARN SERIES AND SUMMER LEARNING SERIES - OPEN TO ALL AND COVERED A VARIETY OF TOPICS, SOME TO INCLUDE: - DIVERSE PATHWAYS TO INCLUSION AND SUPPORT FOR COLLEGE STUDENTS WITH AUTISM AND INTELLECTUAL DISABILITIES - PARENT WORKSHOP: BEING THE BEST ADVOCATE FOR YOUR CHILD AT SCHOOL AND IN THE COMMUNITY - ADDRESSING DISABILITY BIAS AND PROVIDING REASONABLE ACCOMMODATIONS FOR PEOPLE WITH DISABILITIES IN HEALTH CARE SETTINGS - AFFORDABLE HOUSING FOR PEOPLE WITH DISABILITIES: MOVING FROM DISCRIMINATION TO INNOVATION AND EQUITY - RACE AND THE AUTISM SERVICE PATHWAY: HOW RACE AND RACISM IMPACT AUTISM ASSESSMENT, DIAGNOSIS, AND TREATMENT - UNDERSTANDING THE INTERSECTION OF RACISM AND SUICIDE RISK: A CONTEXT FOR SUICIDE PREVENTION EFFORTS - UNDERSTANDING YOUR CHILD'S IEP AND DISCIPLINE OF STUDENTS WITH DISABILITIES - EPIDEMIOLOGY OF PSYCHIATRIC DISORDERS AND MENTAL HEALTH CRISES IN YOUTH WITH AUTISM SPECTRUM DISORDERS AND MENTAL HEALTH INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDER2. GENERAL CONTINUING EDUCATION - TRAINING SESSIONS TO FURTHER INFORM HEALTH PROVIDERS ABOUT PERSONS WITH DEVELOPMENTAL DISABILITIES - FIFTH ANNUAL AUTISM AWARENESS CONFERENCE - DEFINING EQUITY TOWARD PEOPLE WITH DISABILITIES AMIDST THE COVID-19 PANDEMIC: ALLOCATION OF SCARCE RESOURCES, HEALTH ACCOMMODATIONS, VACCINE PRIORITIZATION, ACCESSIBLE EDUCATION RESOURCES, AND STAKEHOLDERS - ASBH 2021 ANNUAL CONFERENCE: DEFINING EQUITY TOWARD PEOPLE WITH DISABILITIES AMIDST THE COVID-19 PANDEMIC: ALLOCATION OF SCARCE RESOURCES, HEALTH ACCOMMODATIONS, VACCINE PRIORITIZATION, ACCESSIBLE EDUCATION - MAKING THE INCLUSION PEOPLE WITH DISABILITIES A HEALTH EQUITY PRIORITY: ADDRESSING CURRENT GAPS IN HEALTHCARE ACCESS ACROSS THE LIFESPAN [CONFERENCE ROUNDTABLE PRESENTATION - SPECIAL EDUCATION LAW AND COVID-19 - MCFY 2022 UPDATE: DD EDUCATION &amp; COMMUNITY SERVICES - KFA: IMPLICATIONS OF COVID-19 PANDEMIC ON INDIVIDUALS WITH DISABILITIES - SPARC TANK: SIMPLIFYING THE IEP PROCESS: WHAT PARENTS AND GUARDIANS NEED TO KNOW TO OBTAIN A FREE APPROPRIATE PUBLIC EDUCATION IN THE LEAST RESTRICTIVE ENVIRONMENT FOR THEIR STUDENT WITH A DISABILITY - IMPLICATIONS OF THE COVID-19 PANDEMIC ON INDIVIDUALS WITH DISABILITIES - IMPLICATIONS OF THE COVID-19 PANDEMIC ON INDIVIDUALS WITH DISABILITIES - EVIDENCE AND OPPORTUNITIES TO MITIGATE CHILDHOOD - DISCUSS AUTISM AWARENESS PANEL PRESENTATION - TRANSITION AND ADULTS - RECOGNIZING EMPLOYEE DIVERSITY AND CAPITALIZING ON PERFORMANCE - COMPREHENSIVE ACCESS TO RESOURCES AND EDUCATION (CARE) FOR LONG COVID ACT - MCDD OVERVIEW: TOWSON UNIVERSITY GUEST LECTURE3. CENTER FOR DIGNITY TRAININGS - CENTER FOR DIGNITY TRAININGS FOCUSED ON INFORMATION TO THE COMMUNITY RELATED TO COVID VACCINES IN MARYLANDUNDERSTANDING AND ACCESS. 4. PROJECT STIR TRAININGS - PROJECT STIR: COMMUNICATION - EMOTIONS AND BODY LANGUAGE ARE KEY ELEMENTS OF HOW WE COMMUNICATE WITH OTHERS. DURING THIS PROJECT STIR MODULE, YOU WILL LEARN EFFECTIVE WAYS OF COMMUNICATION FOR BOTH THE IN-PERSON AND THE VIRTUAL SETTING. THE TRAINERS WILL SHARE WAYS OF BEING ASSERTIVE DURING COMMUNICATION SO THAT OTHERS CAN SEE YOU AS INDEPENDENT AND CAPABLE OF MAKING DECISIONS ABOUT YOUR LIFE. LISTENING SKILLS WILL ALSO BE DISCUSSED. - PROJECT STIR: PROBLEM SOLVING - PROBLEM SOLVING IS AN IMPORTANT SKILL TO HAVE SO THAT WE CAN MAKE OUR OWN DECISIONS. WHEN WE MAKE A DECISION, WE HAVE TO THINK ABOUT ALL THE OPTIONS AND THE CONSEQUENCES OF THOSE OPTIONS. PROBLEM SOLVING SKILLS HELP US TO WORK THROUGH DIFFICULT SITUATIONS. IN THIS PROJECT STIR MODULE, YOU WILL LEARN HOW TO RECOGNIZE YOUR EMOTIONS, AND THE INFLUENCE THEY HAVE ON DECISION-MAKING. OUR TRAINERS WILL SHARE PROBLEM-SOLVING STEPS THAT CAN HELP GUIDE DECISION-MAKING IN DIFFICULT SITUATIONS. - PROJECT STIR: RIGHTS AND RESPONSIBILITIES - WHAT IS THE DIFFERENCE BETWEEN A RIGHT AND RESPONSIBILITY? YOU HAVE CERTAIN RIGHTS ABOUT WHERE YOU CHOSE TO LIVE, WHAT ACCOMMODATIONS YOU RECEIVE AT WORK, AND HOW YOU CHOSE TO SPEND TIME WITH OTHERS. DURING THIS PROJECT STIR MODULE, OUR TRAINERS WILL HELP YOU IDENTIFY YOUR RIGHTS AND THE RESPONSIBILITIES THAT COME WITH THEM. THE TRAINERS WILL ALSO COVER THE TOPIC OF SELF-DETERMINATION.AS AN ORGANIZATION, WE ALSO PROVIDED THE FOLLOWING CONTRIBUTIONS TO OUR COMMUNITIES: - MONETARY DONATIONS: $11,099.50 - APPROXIMATE VALUE OF IN-KIND DONATIONS: $213,464 MONETARY DONATIONS INCLUDED TOYS, CLOTHING, SHOES, SOCKS, COATS, DIAPERS, BOOKS, COVID-19 RAPID TEST KITS, AND BLANKETS. IN ADDITION, WE PROVIDED MONETARY DONATIONS TO FAMILIES FOR SUPPORT OF PATIENTS AND FAMILY ACTIVITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNEDY KRIEGER INSTITUTE IS AN INTERNATIONALLY RECOGNIZED INSTITUTION LOCATED IN BALTIMORE, MARYLAND DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES THROUGH PATIENT CARE, SPECIAL EDUCATION, RESEARCH, AND PROFESSIONAL TRAINING. OUR CLINICAL PROGRAMS OFFER AN INTERDISCIPLINARY APPROACH IN TREATMENT TAILORED TO THE INDIVIDUAL NEEDS OF EACH CHILD. SERVICES INCLUDE OVER 40 OUTPATIENT CLINICS; NEUROBEHAVIORAL, REHABILITATION, AND PEDIATRIC FEEDING DISORDERS INPATIENT UNITS; PLUS SEVERAL HOME AND COMMUNITY PROGRAMS PROVIDING SERVICES TO ASSIST FAMILIES. IN ADDITION TO PROVIDING EVALUATION, REHABILITATION, EDUCATIONAL SERVICES AND CUTTING EDGE RESEARCH ON BEHALF OF CHILDREN WITH BRAIN, SPINAL CORD AND MUSCULOSKELETAL RELATED DISORDERS, THE HOSPITAL ALSO PROVIDES PROFESSIONAL TRAINING INCREASING THE NUMBER OF QUALIFIED SPECIALISTS IN THE UNITED STATES AND ABROAD. THE FOLLOWING ARE SOME OF THE AFFILIATES OF KENNEDY KRIEGER AND A SUMMARY OF THEIR RESPECTIVE ROLES:KENNEDY KRIEGER FOUNDATION, INC. - THE ORGANIZATION SUPPORTS THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE KENNEDY KRIEGER GROUP BY CONDUCTING FUNDRAISING, MANAGING ENDOWMENT FUNDS, AND DISTRIBUTING THE FUNDS RAISED TO KENNEDY KRIEGER INSTITUTE AFFILIATES.HUGO W. MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER, INC. - THE RESEARCH INSTITUTE IS AN INTERNATIONALLY RECOGNIZED RESEARCH FACILITY FINDING ANSWERS TO PROBLEMS AND INJURIES THAT AFFECT A CHILD'S DEVELOPING BRAIN. RESEARCHERS HAVE MADE MEDICAL DISCOVERIES ABOUT THE HUMAN BRAIN AND HAVE INFLUENCED TREATMENT PROGRAMS FOR THOUSANDS OF INDIVIDUALS WITH DISABILITIES. THE MANY STUDIES CURRENTLY BEING CONDUCTED IN AREAS SUCH AS LEARNING DISABILITIES, DOWN SYNDROME, ADRENOLEUKODYSTROPHY, CEREBRAL PALSY AND AUTISM WILL AFFECT AN ENTIRELY NEW GENERATION.KENNEDY KRIEGER EDUCATION &amp; COMMUNITY SERVICES, INC. - THIS AFFILIATE OPERATES SPECIAL EDUCATION SCHOOLS FOR CHILDREN WITH SPECIAL EDUCATION NEEDS, AS WELL AS PROVIDES COMMUNITY OUTREACH PROGRAMS FOR FAMILIES WITH CHILDREN WITH SPECIAL NEEDS.PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC. - PACT PROMOTES THE DEVELOPMENT OF CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH COMPREHENSIVE ASSESSMENTS, EARLY INTERVENTION SERVICES, FAMILY SUPPORT SERVICES, PARENT EDUCATION, COUNSELING, SPECIALIZED CHILD CARE AND PROFESSIONAL TRAINING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MD</ExplanationTxt>
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        <PersonNm>REBECCA LANDA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALARIE BONHAM</PersonNm>
        <TitleTxt>VP GENERAL COUNSEL</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRISTINA SADOWSKY MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL LIPKIN MD</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROGRAM DIR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMEN LOPEZ-ARVISU MD</PersonNm>
        <TitleTxt>PRESIDENT OF MEDICAL STAFF</TitleTxt>
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        <PersonNm>HAROLYN BELCHER MD MHS</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND KEY EMPLOYEES WERE PROVIDED ADDITIONAL COMPENSATION TO OFFSET THE TAX IMPACT OF EXECUTIVE LIFE INSURANCE AND LONG TERM DISABILITY PREMIUMS MADE ON THEIR BEHALF. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION. THE INSTITUTE HAS THE POWER TO ELECT AND REMOVE BOARD MEMBERS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. THE KENNEDY KRIEGER INSTITUTE, INC. HAS THE POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 WAS DIRECTLY REVIEWED BY THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE FORM 990 WAS ALSO MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO ITS FILING THROUGH A WEB PORTAL AND EMAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DECLARATION OF OUTSIDE EMPLOYMENT UPON HIRE, ANNUALLY THEREAFTER, OR AT SUCH TIME DURING THE COURSE OF EMPLOYMENT WHEN THE EMPLOYEE ENTERS A BUSINESS, CLINICAL, OR PERSONAL RELATIONSHIP THAT MAY APPEAR TO BE A CONFLICT OR IS IN FACT A CONFLICT OF INTEREST. SENIOR MANAGEMENT WILL REVIEW EACH CONFLICT OF INTEREST DISCLOSURE FORM TO DETERMINE WHETHER A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF THE DETERMINATION IS MADE THAT A CONFLICT OF INTEREST DOES EXIST, THEN APPROPRIATE MEASURES ARE TAKEN TO RECTIFY THE CONFLICT. BOARD MEMBERS AND SENIOR MANAGEMENT SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS THAT MAY RELATE TO FUTURE DECISION MAKING. WHEN AN ACTUAL CONFLICT INVOLVING A BOARD MEMBER IS IDENTIFIED, THE DIRECTOR WILL ABSTAIN FROM VOTING AND NOT USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. SITUATIONS INVOLVING SENIOR MANAGEMENT MAY BE HANDLED THROUGH THE HUMAN RESOURCES PROCESS OR CONSIDERED BY THE BOARD OF DIRECTORS. RELATIONSHIPS WITH OTHER PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS ARE REVIEWED TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST. ANY CONFLICTS ARE ADDRESSED WHEN THEY ARISE. POLICIES DESIGNED TO IDENTIFY AND PREVENT POTENTIAL CONFLICTS OF INTEREST PERTAINING TO CONTRACTUAL BUSINESS RELATIONSHIPS ARE ADDRESSED THROUGH THE POLICY ON FAIR BUSINESS PRACTICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO AND OTHER SENIOR EXECUTIVES COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. INDEPENDENTLY DEVELOPED EXECUTIVE COMPENSATION SURVEYS ARE USED TO DETERMINE REASONABLENESS OF COMPENSATION LEVELS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>KKCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN FINANCIAL DOCUMENTS ARE AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. ALSO, A COPY OF THE FORM 990 IS AVAILABLE VIA WWW.GUIDESTAR.ORG.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 3,736,335.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - INFORMATION REGARDING TAX-EXEMPT BOND ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS PART OF AN OBLIGATED GROUP UNDER CERTAIN TAX-EXEMPT BOND ISSUES. SCHEDULE K HAS BEEN COMPLETED IN ITS ENTIRETY FOR MADISON STREET PROPERTIES, INC.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MADISON GROUP VENTURES</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (3)</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PACT HELPING CHILDREN WITH SPECIAL NEEDS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>360000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2154670</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MADISON STREET PROPERTIES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>937228</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MADISON STREET PROPERTIES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>24322512</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
