﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-05-13T13:17:25-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>205991824</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SC&amp;H GROUP INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>910 RIDGEBROOK ROAD</AddressLine1Txt>
        <CityNm>SPARKS</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21152</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>520607971</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>KENNEDY KRIEGER CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>KENN</BusinessNameControlTxt>
      <PhoneNum>4439239200</PhoneNum>
      <USAddress>
        <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
        <CityNm>BALTIMORE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21205</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHAEL J NEUMAN</PersonNm>
      <PersonTitleTxt>SVP OF FINANCE</PersonTitleTxt>
      <PhoneNum>4439231810</PhoneNum>
      <SignatureDt>2025-05-12</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>LORI S BURGHAUSER</PreparerPersonNm>
      <PTIN>P00370694</PTIN>
      <PhoneNum>4104031500</PhoneNum>
      <PreparationDt>2025-05-12</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>BRAD L SCHLAGGAR MD PHD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
        <CityNm>BALTIMORE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21205</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>251596103</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.KENNEDYKRIEGER.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1937</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO IMPROVE THE LIVES OF CHILDREN AND ADOLESCENTS WITH PEDIATRIC DEVELOPMENTAL DISABILITIES AND OTHER NEUROLOGICAL ISSUES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>2325</TotalEmployeeCnt>
      <TotalVolunteersCnt>961</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>7681364</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4883081</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>219591909</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>246356651</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>184188</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>181673</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>198567</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>174698</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>227656028</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>251596103</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>360000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>360000</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>167251691</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>182677956</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>57183875</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>62077409</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>224795566</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>245115365</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2860462</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>6480738</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>110794168</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>128499010</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>41892637</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>48127087</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>68901531</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>80371923</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL (KKCH) OFFERS CLINICAL PROGRAMS TO MEET THE SPECIALIZED NEEDS OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES. MORE THAN 35 DIFFERENT OUTPATIENT PROGRAMS AND FOUR INPATIENT UNITS ADDRESS THE SPECIFIC CONDITIONS OF CHILDREN WITH A WIDE RANGE OF DISORDERS. KKCH IS RECOGNIZED FOR THE RANGE OF SERVICES IN AREAS INCLUDING AUTISM, CEREBRAL PALSY, SPINA BIFIDA, NEUROREHABILITATION, SPINAL CORD INJURY AND FEEDING DISORDERS. AS A PROVIDER OF SPECIALTY PEDIATRIC HEALTHCARE SERVICES, KKCH IS VIEWED AS A "NICHE" PROVIDER. MANY SERVICES PROVIDED AT KKCH ARE NOT DUPLICATED THROUGHOUT THE GENERAL HEALTHCARE SYSTEM IN THE CITY, REGION OR WORLD.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>162084181</ExpenseAmt>
      <GrantAmt>360000</GrantAmt>
      <RevenueAmt>189641559</RevenueAmt>
      <Desc>OUTPATIENT PROGRAMSPATIENTS ARE SEEN ON AN OUTPATIENT BASIS IN ONE OF MORE THAN 35 DIFFERENT CLINICS. A CHILD MAY BE SEEN BY A SINGLE PROFESSIONAL OR AN INTERDISCIPLINARY TEAM DEPENDING UPON THE NATURE OF THE CHILD'S NEEDS. CLINICS PROVIDE DIAGNOSTIC AND TREATMENT SERVICES IN THE FOLLOWING AREAS: ASSISTIVE TECHNOLOGY, ATAXIA TELAGIECTASIA, AUDIOLOGY, BEHAVIOR MANAGEMENT, BOTULINUM TOXIN TREATMENT, AUTISM AND RELATED DISORDERS, DEVELOPMENT AND LEARNING PROBLEMS, GENETIC MUSCLE DISORDERS, CEREBRAL PALSY, FEEDING DISORDERS, DEVELOPMENTAL COGNITIVE NEUROLOGY, DOWN SYNDROME, ENVIRONMENT HEALTH PROBLEMS, FRAGILE X, HOLOPROSENCEPHALY, SPINAL CORD INJURIES, MOVEMENT DISORDERS, NICU FOLLOW-UP, NEUROGENETICS, NEUROPHYSIOLOGY, NUTRITION, OCCUPATIONAL THERAPY, ORTHOPEDICS, OSTEOGENESIS IMPERFECT, CHILD PSYCHIATRY, REHABILITATION, PHYSICAL THERAPY, SOCIAL WORK AND SPEECH AND LANGUAGE.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>52913218</ExpenseAmt>
        <RevenueAmt>56715092</RevenueAmt>
        <Desc>INPATIENT PROGRAMS ARE MADE UP OF 3 UNITS:THE NEUROBEHAVIORAL UNIT (NBU) PROVIDES SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES WHO ARE SELF-INJURIOUS, AGGRESSIVE AND DISPLAY OTHER SEVERE BEHAVIORS.THE PEDIATRIC FEEDING DISORDERS UNIT (PFDU) SERVES CHILDREN WITH SEVERE FEEDING PROBLEMS. MEDICAL ASSESSMENTS, NUTRITIONAL MONITORING, ORAL MOTOR ASSESSMENTS AND INTENSE BEHAVIORAL INTERVENTIONS CAN BE CONDUCTED.THE PEDIATRIC REHABILITATION UNIT (PRU) OPERATES ONE OF THE MOST SUCCESSFUL NEUROREHABILITATION PROGRAMS IN THE WORLD AND INCLUDES THE BRAIN INJURY PROGRAM AND THE INTERNATIONAL SPINAL CORD INJURY PROGRAM.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4287056</ExpenseAmt>
        <RevenueAmt>174698</RevenueAmt>
        <Desc>PROFESSIONAL TRAINING PROGRAMSKENNEDY KRIEGER DEDICATES SUBSTANTIAL RESOURCES TO INCREASING THE NUMBER OF QUALIFIED SPECIALISTS IN THE FIELDS OF NEUROLOGICAL AND DEVELOPMENTAL DISABILITIES. WE ALSO TAKE SERIOUSLY OUR RESPONSIBILITY NOT ONLY TO IMPROVE CARE THROUGH RESEARCH, BUT TO SHARE THAT KNOWLEDGE WITH OTHERS. THAT IS WHY MORE THAN 400 INDIVIDUALS COME HERE TO TRAIN IN A WIDE VARIETY OF DISCIPLINES EACH YEAR. THE GOALS OF THE INSTITUTE'S CLINICAL TRAINING PROGRAMS ARE TWOFOLD: 1) TO TRAIN LEADERS IN THE FIELD OF NEURODEVELOPMENTAL DISABILITIES AND 2) TO HELP ENSURE THAT THERE IS A SUFFICIENT NUMBER OF QUALIFIED PROFESSIONALS TO MEET THE NEEDS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. BY TRAINING FUTURE GENERATIONS OF RESEARCHERS AND PROFESSIONALS FROM UNDERGRADUATE STUDENTS TO CURRENT STAFF WE ARE ENSURING THAT CHILDREN EVERYWHERE CAN RECEIVE THE BEST POSSIBLE CARE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>219284455</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">0</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>56</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>2325</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>MICHAEL J NEUMAN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4439231810</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1741 ASHLAND AVE 7TH FLOOR</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRADLEY L SCHLAGGAR MD PHD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>604728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>401392</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47954</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAY SALPEKAR</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>336555</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16328</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY S GRASMICK ED D</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>89628</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9859</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD PETERSON</PersonNm>
        <TitleTxt>VICE CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD W CASS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE R JENKINS MD FAAP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN M KEELTY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYNARD MCALPIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE REEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW H SEGAL MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH SCHUBERTH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL THESIGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M ANDERS JR</PersonNm>
        <TitleTxt>COO/ADMINISTRATOR/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>602906</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>400182</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38274</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J NEUMAN</PersonNm>
        <TitleTxt>SVP-FINANCE/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>321237</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>213224</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEYED ALI FATEMI MD MBA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>300405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>300405</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL F CATALDO PHD</PersonNm>
        <TitleTxt>SVP/PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>555225</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31737</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND SHORT</PersonNm>
        <TitleTxt>SVP - HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>276156</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>183300</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE STONE</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>314431</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>156980</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37575</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE BONHAM</PersonNm>
        <TitleTxt>VP - GENERAL COUNSEL (PART YEAR)</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>217065</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>144077</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47951</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MELICOSTA</PersonNm>
        <TitleTxt>ASSOC CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>333600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53934</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA LANDA</PersonNm>
        <TitleTxt>VP/PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>396312</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26820</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIYA ASATO</PersonNm>
        <TitleTxt>VP/PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>362173</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA TROVATO</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>368790</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30948</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS HAGOPIAN PHD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>335109</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51150</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN LINDAUER</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>343578</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20676</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAROLYN BELCHER MD MHS</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/VP/PROG DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>296275</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37063</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL LIPKIN</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>291221</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36497</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN LOPEZ-ARVISU MD</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>305024</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRISTINA SADOWSKY</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>282199</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35429</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6842989</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1889188</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>699701</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>380</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3400 N CHARLES ST</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>13264199</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RESPITECH MEDICAL INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 RANCK AVE</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICE</ServicesDesc>
        <CompensationAmt>1618099</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1979 MILKY WAY</AddressLine1Txt>
            <CityNm>VERONA</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>31942</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICE</ServicesDesc>
        <CompensationAmt>1426625</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 NORTH WOLFE STREET</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21287</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE STAFFING</ServicesDesc>
        <CompensationAmt>276378</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASTON CARTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1966 GREENSPRING DRIVE STE 100</AddressLine1Txt>
            <CityNm>LUTHERVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT STAFFING</ServicesDesc>
        <CompensationAmt>247628</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1667132</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>3214777</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1172</AllOtherContributionsAmt>
      <TotalContributionsAmt>4883081</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>189641559</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>189641559</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INPATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>56715092</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56715092</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>246356651</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>181673</TotalRevenueColumnAmt>
        <ExclusionAmt>181673</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSABLE COSTS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>133714</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>133714</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORD FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>30735</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30735</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10249</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10249</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>174698</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>251596103</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>246531349</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>181673</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>360000</TotalAmt>
        <ProgramServicesAmt>360000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3784229</TotalAmt>
        <ManagementAndGeneralAmt>3784229</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>1299661</TotalAmt>
        <ProgramServicesAmt>317628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>982033</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>139832142</TotalAmt>
        <ProgramServicesAmt>131628399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8203743</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>8867819</TotalAmt>
        <ProgramServicesAmt>8241909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625910</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>18935808</TotalAmt>
        <ProgramServicesAmt>17265614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1670194</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>9958297</TotalAmt>
        <ProgramServicesAmt>9088640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>869657</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>456871</TotalAmt>
        <ProgramServicesAmt>84838</ProgramServicesAmt>
        <ManagementAndGeneralAmt>372033</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>360354</TotalAmt>
        <ManagementAndGeneralAmt>360354</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>65449</TotalAmt>
        <ManagementAndGeneralAmt>65449</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>16081528</TotalAmt>
        <ProgramServicesAmt>13809182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2272346</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>431464</TotalAmt>
        <ProgramServicesAmt>148486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282978</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9582477</TotalAmt>
        <ProgramServicesAmt>7823903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1758574</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>934290</TotalAmt>
        <ProgramServicesAmt>649912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>284378</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>27841223</TotalAmt>
        <ProgramServicesAmt>25848205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1993018</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>793572</TotalAmt>
        <ProgramServicesAmt>699626</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93946</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>78647</TotalAmt>
        <ManagementAndGeneralAmt>78647</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>152376</TotalAmt>
        <ManagementAndGeneralAmt>152376</ManagementAndGeneralAmt>
      </InterestGrp>
      <InsuranceGrp>
        <TotalAmt>1049388</TotalAmt>
        <ManagementAndGeneralAmt>1049388</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PERMITS AND LICENSES</Desc>
        <TotalAmt>1290468</TotalAmt>
        <ProgramServicesAmt>576350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>714118</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NON-CAPITAL EQUIPMENT</Desc>
        <TotalAmt>507473</TotalAmt>
        <ProgramServicesAmt>464687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42786</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DVLPMT</Desc>
        <TotalAmt>472015</TotalAmt>
        <ProgramServicesAmt>472015</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>234105</TotalAmt>
        <ProgramServicesAmt>234105</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1745709</TotalAmt>
        <ProgramServicesAmt>1570956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174753</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>245115365</TotalAmt>
        <ProgramServicesAmt>219284455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25830910</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8849314</BOYAmt>
        <EOYAmt>1681491</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>457072</BOYAmt>
        <EOYAmt>290012</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>25135835</BOYAmt>
        <EOYAmt>31232274</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>4209032</BOYAmt>
        <EOYAmt>4628252</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>7890596</BOYAmt>
        <EOYAmt>9192654</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>64252319</BOYAmt>
        <EOYAmt>81474327</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>110794168</BOYAmt>
        <EOYAmt>128499010</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>38260842</BOYAmt>
        <EOYAmt>44327921</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3631795</BOYAmt>
        <EOYAmt>3799166</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>41892637</BOYAmt>
        <EOYAmt>48127087</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>61820145</BOYAmt>
        <EOYAmt>73554421</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7081386</BOYAmt>
        <EOYAmt>6817502</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>68901531</BOYAmt>
        <EOYAmt>80371923</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>110794168</BOYAmt>
        <EOYAmt>128499010</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6480738</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>612019</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>4377635</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>65449</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>59466</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>124915</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>KENNEDY KRIEGER INSTITUTE, INC. PAYS IT'S LOBBYIST THORN RUN PARTNERS TO DIRECTLY CONTACT LEGISLATORS ON MATTERS AFFECTING HEALTH CARE, EDUCATION, COMMUNITY SERVICES, AND RESEARCH PROGRAMS. A PORTION OF THIS EXPENSE ($60,000) 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 ($5,449) ARE USED FOR LOBBYING ACTIVITIES. EMILY ARNESON PERFORMS STATE LOBBYING ACTIVITIES AS AN EMPLOYEE. A PORTION OF HER COMPENSATION ($59,466) HAS BEEN ALLOCATED TO LOBBYING EXPENSES FOR HER LOBBYING RESPONSIBILITIES ON BEHALF OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>RESTRICTED ASSETS</Desc>
        <BookValueAmt>9192654</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>9192654</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>73617771</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PENSION ASSET</Desc>
        <BookValueAmt>7856556</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>81474327</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS COMPENSATION</Desc>
        <Amt>736547</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREMENT LIABILTY 457(B)</Desc>
        <Amt>3005924</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
        <Amt>56695</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3799166</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>4682335</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4682335</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01910</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>100095801</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>95012597</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5083204</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02070</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>6983144</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4229890</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2753254</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01120</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>111761280</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>99242487</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12518793</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05100</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2154459</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>76243</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2078216</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00850</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>5054727</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3059090</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1995637</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00810</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>252500</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>252500</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>7461686</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3135333</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4326353</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01760</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>119222966</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>102377820</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>16845146</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06860</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>2486759</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1437654</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1049105</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00430</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>338518</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>338258</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>260</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>81872</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>81872</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>2907149</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1775912</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1131237</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00460</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>9875828</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>200000</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>8934862</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>8514923</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>419939</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.KENNEDYKRIEGER.ORG</WebsiteAddressTxt>
        <StateLicenseNum>30-036</StateLicenseNum>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>KENNEDYKRIEGER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>KENNEDYKRIEGER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>0</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: THE CHNA REPORT PROVIDED INFORMATION ON HEALTH NEEDS SPECIFIC TO THE POPULATION SERVED. FOR THE POPULATION SERVED BY KKCH, THE APPROACH TO OPTIMAL HEALTH OUTCOMES INCLUDES HEALTH CARE SERVICES, RESOURCES TO SUPPORT COMMUNITY NEEDS (SOCIAL DETERMINATES OF HEALTH), EDUCATION, KNOWLEDGE TO SUPPORT SELF-ADVOCACY APPROACHES, EVIDENCED-INFORMED/BASED INTERVENTIONS THROUGH RESEARCH ACTIVITIES, AND TRAINING TO BUILD CAPACITY ACROSS THE MARYLAND COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <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 MET QUARTERLY AND INCLUDED REPRESENTATIVES FROM MANY MARYLAND AGENCIES SUCH AS MARYLAND DEPARTMENT OF HEALTH - DEVELOPMENTAL ABILITIES ADMINISTRATION, THE DEPARTMENT OF AGING, BEHAVIORAL HEALTH ADMINISTRATION, AND THE MATERNAL AND CHILD HEALTH BUREAU; MARYLAND STATE DEPARTMENT OF EDUCATION; THE MARYLAND DISABILITY NETWORK - DISABILITY RIGHTS MARYLAND, THE DEVELOPMENTAL DISABILITIES COUNCIL, AND THE MCDD; COMMUNITY ORGANIZATIONS ACROSS THE STATE - PARENTS PLACE OF MARYLAND, ANNIE E. CASEY FOUNDATION - KIDS COUNT DATA BOOK, SPECIAL OLYMPICS OF MARYLAND, THE CONSORTIUM OF CARE-EASTERN SHORE FOR CHILDREN/YOUTH WITH SPECIAL HEALTH CARE, AND INPUT FROM A VARIETY OF STAFF, COMMUNITY GROUPS, 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. 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>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER INSTITUTE SERVES AS MARYLAND'S UNIVERSITY CENTER FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES EDUCATION, RESEARCH, AND SERVICE (UCEDD). THE MCDD IS ONE OF THE OLDEST UCEDDS IN THE NATION AND IS PART OF THE AUCD NETWORK. THE MCDD AIMS TO IMPROVE THE LIVES OF PEOPLE WITH DISABILITIES THROUGH FOUR CORE FUNCTIONS: INTERDISCIPLINARY PRE-SERVICE PREPARATION, CONTINUING EDUCATION AND TRAINING; COMMUNITY SERVICES AND TECHNICAL ASSISTANCE; RESEARCH AND EVALUATION; AND PRODUCT DEVELOPMENT AND INFORMATION DISSEMINATION. THE MCDD IS FUNDED BY THE U.S. ADMINISTRATION ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <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 CHNA IS USED FOR REPORTS, PRESENTATIONS AND DATA ELEMENTS REQUESTED BY OUTSIDE ORGANIZATIONS FOR LEGISLATION, GRANT APPLICATIONS AND OTHER EXTERNAL USES. THE REPORT WAS ALSO SHARED VIA KENNEDY KRIEGER INSTITUTE'S POTENTIAL MAGAZINE AND WITH THE COMMUNITY ADVISORY COUNCIL AT THE MCDD.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <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. ADDITIONALLY, SINCE THE FY 2022 CHNA AND DEVELOPMENT OF THE IMPLEMENTATION ACTION PLAN TO ADDRESS THE IDENTIFIED PRIORITY AREAS, THE ORGANIZATION HAS FURTHER DISSECTED AND EXPLORED MULTIPLE ASPECTS OF ACCESS TO INCLUDE: SERVICES, OPERATIONS, LANGUAGE, AND HOW TO PROVIDE FEEDBACK AND RESOURCES DURING ANY WAIT PERIOD. THE INSTITUTE HAS EXPLORED TECHNOLOGY ENABLEMENT, CAPACITY, INTAKE, TRIAGE, AND SCHEDULING, BENEFIT CLEARANCE &amp; AUTHORIZATION, EXTERNAL CONSTITUENT EXPERIENCE, REFERRALS - INTERNAL &amp; EXTERNAL, AND, MOST IMPORTANTLY IN TODAY'S ENVIRONMENT, OUR WORKFORCE. WE HAVE EXPANDED OUR ABILITY TO MULTIPLY PROFESSIONAL CAPACITY BY EXPANDING OUR ECHO TELEHEALTH PROJECT. CURRENT ECHO PROGRAM SERIES ACROSS MARYLAND, NATIONALLY, AND INTERNATIONALLY INCLUDE: (1) MARYLAND EARLY CHILDHOOD DEVELOPMENT AND MENTAL HEALTH ECHO; (2) MILITARY CHILD DEMYSTIFYING CHALLENGING BEHAVIOR IN EARLY CHILDHOOD ECHO; AND (3) PEDIATRIC LONG COVID ECHO. 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. ADDRESSING NEEDS NOT IDENTIFIED IN THE CHNA HAS BEEN ADDRESSED BY PARTNERING WITH COMMUNITY ENTITIES HAVING COMMON VALUES RELATED TO HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <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. KENNEDY KRIEGER IS WORKING TO INCREASE DISSEMINATION OF INFORMATION TO REACH MORE PATIENTS AND FAMILIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <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>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHOSE FAMILY INCOME EXCEEDS THE THRESHOLDS FOR MEDICAL INDIGENCY ARE ELIGIBLE FOR CATASTROPHIC ASSISTANCE IF MEDICAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEED 60% OF THE INDIVIDUAL OR FAMILY ANNUAL GROSS INCOME; OR PATIENTS WHOSE MEDICAL BILLS EXCEED 60% OF THE INDIVIDUAL OR FAMILY ANNUAL GROSS INCOME AND THAT INCOME EXCEEDS 400% OF THE FEDERAL POVERY GUIDELINES AND ARE UNABLE TO PAY THE REMAINING BALANCE ON THE BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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 2024 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. IN FY24, PROGRAMS SUCH AS THE CENTER FOR CHILD AND FAMILY TRAUMATIC STRESS (CCFTS), CHILD ANF FAMILY CUPPORT CENTER (CFSC) AND THE DEPARTMENT OF BEHAVIORAL HEALTH PROVIDED OVER 550 RIDES FOR PATIENTS AND FAMILIES TO ACCESS SERVICES.KENNEDY KRIEGER INSTITUTE CONDUCTED MANY COMMUNITY HEALTH IMPROVEMENT SERVICES DURING THE FISCAL YEAR 2024. THE HOSPITAL PROVIDES VIRTUAL AND FAMILY GROUP PSYCHOTHERAPY. IN 2024, THE INSTITUTE, SPECIFICALLY OUR BEHAVIOR PSYCHOLOGY AND FAMILY COMMUNITY INTERVENTION PROGRAMS, OFFERED THE COMMUNITY AN ARRAY OF EDUCATION AND TRAINING OPPORTUNITIES TO SUPPORT PATIENTS, FAMILIES AND PROVIDERS. SESSIONS INCLUDED, NAVIGATING CHILDHOOD: INSIGHTS INTO CHALLENGING BEHAVIORS AND FAMILY DYNAMIC, UNDERSTANDING THE WHY: VIEWING CHALLENGING BEHAVIOR AS COMMUNICATION IN CHILDREN, COGNITIVE BEHAVIORAL THERAPY PLUS PARTNERING FOR SUCCESS AND TRAUMA INFORMED SYSTEMS OF CARE.THE MCDD'S RESOURCE FINDER PROVIDES DIRECT ACCESS TO CONNECT COMMUNITY MEMBERS WITH RESOURCES. RESOURCE FINDER INFORMS INDIVIDUALS, FAMILIES, TRAINEES AND PROFESSIONALS ABOUT COMMUNITY SERVICES, SERVICE PROVIDERS AND OTHER INFORMATION ON INTELLECTUAL, DEVELOPMENTAL AND OTHER DISABILITIES ACROSS THE LIFESPAN. INPUT FROM INQUIRIES AND VOLUMES ARE USED TO DRIVE IDENTIFYING NEEDS IN THE TARGET AREA. THE RESOURCE FINDER RESPONDED TO 1,339 INQUIRIES, HELPING INDIVIDUALS FROM 32 STATES AND WASHINGTON, D.C., AND ONE COUNTRY OUTSIDE THE UNITED STATES. OF THOSE SEEKING INFORMATION FROM THE RESOURCE FINDER, 93% REPORTED SATISFACTION WITH THE INFORMATION THEY RECEIVED.FOR FY24, THE TOP NEEDS IDENTIFIED THROUGH RESOURCE FINDER INQUIRIES: - REQUEST FOR SPECIALTY SERVICES (INCLUDING KENNEDY KREIGER) - REQUEST TO FURTHER UNDERSTAND DIAGNOSIS - INCREASE ACCESS TO RECREATIONAL RESOURCES - INCREASE ACCESS TO APPROPRIATE EDUCATION RESOURCES ACROSS THE AGE CONTINUUMPROJECT HEAL (HEALTH, EDUCATION, ADVOCACY, AND LAW) AT KENNEDY KRIEGER IS MARYLAND'S ONLY MEDICAL-LEGAL PARTNERSHIP AND A COMMUNITY-BASED PROGRAM OF THE MCDD. PROJECT HEAL PROVIDES ADVOCACY AND CIVIL LEGAL SERVICES FOR CHILDREN WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES. PROJECT HEAL SIGNED ON TO 35 LEGISLATIVE TESTIMONIES DURING THE 2024 LEGISLATIVE SESSION. THE TESTIMONIES REFLECT THE INPUT FROM FAMILIES SERVED THROUGH REPRESENTATION AND LIMITED REPRESENTATION RELATED TO SPECIAL EDUCATION MATTERS; CASE CONSULTATION WITH KENNEDY KRIEGER PROVIDERS RELATED TO ADVICE THAT SUPPORTS ENGAGEMENT, ADVOCACY, AND SERVICE FOR PATIENTS AND FAMILIES; AND PROFESSIONAL AND COMMUNITY TRAINING FROM WHICH EVALUATION FEEDBACK IS RECEIVED THAT SUPPORTS AREAS OF NEED SPECIFIC TO THE POPULATION SERVED. PROJECT HEAL IS COMPRISED OF ATTORNEYS WHO PROVIDE FREE OR INCOME-ADJUSTED SERVICES TO PATIENTS AND FAMILIES ASSOCIATED WITH KENNEDY KRIEGER. PROJECT HEAL OFFERED 29 PROFESSIONAL AND COMMUNITY TRAININGS/PRESENTATIONS IN THE COMMUNITY DURING THE FISCAL YEAR. THE PRESENTATIONS DISSEMINATED INFORMATION SPECIFIC TO PROGRAM SERVICES AVAILABLE TO THE COMMUNITY AND A TRAINING ON GUARDIANSHIP AND ADDRESSING NEEDS OF VULNERABLE POPULATIONS. KENNEDY KRIEGER HAS IMPLEMENTED A ROBUST ACCESSIBILITY INITIATIVE TO CREATE OPPORTUNITIES THAT REDUCE BARRIERS TO ACCESS, WORKING TO IMPROVE UNIVERSAL DESIGN FOR FACULTY, STAFF, AND OUR PATIENTS AND THEIR FAMILIES. THE TEAM HAS DEVELOPED AN ONLINE PORTAL ENTRY SYSTEM TO CAPTURE ACCESSIBILITY NEEDS AND OPPORTUNITIES ACROSS THE INSTITUTE AND THE COMMMUNITY WE SERVE. THE TEAM HAS WORKED ON OVER 100 REQUESTS IN FY24. THE LEADERSHIP GROUP MEETS WEEKLY WITH SUBGROUPS MEETING QUARTERLY. FROM THIS INITIATIVE, THE INSTITUTE HAS ALSO BEGUN TO LAUNCH A PROGRAM, YOU BELONG, AIMED AT PROVIDING THE MARYLAND COMMUNITY WITH A PLACE TO SEEK INFORMATION REGARDING HOW ACCESSIBLE A PLACE OF BUSINESS IS. THIS LEADERSHIP GROUP MEETS EVERY OTHER WEEK WITH FUTURE GOALS OF PARTNERSHIPS AND EXPANSION.KENNEDY KRIEGER CONDUCTS AN ANNUAL NATIONAL CONFERENCE, ROOM TO GROW: JOURNEY TO CULTURAL AND LINGUISTIC COMPETENCY TO SUPPORT CAPACITY BUILDING AND FURTHER RECRUIT SPECIALTY PROVIDERS. FOR FY24, THE CONFERENCE WAS HELD ON SEPTEMBER 19, 2023 WITH 298 PARTICIPANTS.LINE F - KKCH PROVIDED EXTENSIVE EDUCATION FOR HEALTH PROFESSIONALS THROUGH MULTIPLE PROGRAMMING ACROSS THE INSTITUTE, WHICH ACCOUNT FOR ALMOST 50% OF ALL EDUCATION PROVIDED. THE DISTRIBUTION OF PARTICIPANT TYPES WHO HAVE ENGAGED IN HEALTH PROFESSIONS EDUCATION IS DIVERSE AND SIGNIFICANT. OVER 15 YEARS AGO, WE OPENED MANY OF OUR HEALTH PROFESSION TRAININGS TO PATIENTS, FAMILIES, AND THE COMMUNITY, IN ADDITION TO HEALTH PROFESSIONALS. THE INTEGRATED AUDIENCE HAS ALLOWED GREATER PERSPECTIVES IN LEARNING AND ROBUST DISCUSSIONS AND LEARNING. WHILE SEVERAL EDUCATIONAL EVENTS WERE REPEATED TO ALLOW GREATER ACCESS, WE OFFERED OVER 600 UNIQUE EVENTS. DURING FISCAL YEAR 2024, THE ORGANIZATION OFFERED TRAINING TO APPROXIMATELY 1,000 TRAINEES AT VARIOUS LEVELS - UNDERGRADUATE, GRADUATE, PRE- &amp; POST-DOCTORAL, AND FELLOWSHIP RESIDENCIES. LINE I - CASH AND IN-KIND CONTRIBUTIONS FROM THE HOSPITAL PROVIDE FUNDING FOR ACTIVITIES TO ACHIEVE THE MISSION OF THE HOSPITAL.</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 BUILDING ACTIVITIES CONDUCTED DURING FY 2024 INCLUDE THE FOLLOWING:LEADERSHIP DEVELOPMENT: PEOPLE ON THE GO (POG) IS A STATEWIDE SELF-ADVOCACY GROUP THAT FUNCTIONS AS A PARTNERSHIP BETWEEN THE MARYLAND DEVELOPMENTAL DISABILITIES COUNCIL AND THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER INSTITUTE. POG CONTRIBUTES TO THE MCDD CORE FUNCTION OF COMMUNITY SERVICE AND TECHNICAL ASSISTANCE AND INFORMATION DISSEMINATION. IT IS A GROUP RUN FOR AND BY THOSE WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES. POG REPRESENTS THE VOICE OF THE MARYLAND POPULATION SERVED BY KENNEDY KRIEGER. POG DRIVES LEGISLATIVE CHANGES IN MARYLAND THAT ENHANCE THE HEALTH AND WELLNESS OF PEOPLE WITH DISABILITIES. POG HAS WORKED TO INFORM ELECTED OFFICIALS OF COMMUNITY AND WORKFORCE NEEDS THROUGH THEIR ACTIVE PARTICIPATION IN MARYLAND LEGISLATIVE SESSIONS (TYPICALLY FROM JANUARY INTO APRIL) ANNUALLY. MEETINGS ALSO ADVISED AND TRAINED SELF- ADVOCATES TO SPEAK TO THEIR LEGISLATORS. TIP SHEETS AND OTHER RESOURCES WERE DEVELOPED FOR COMMUNITY MEMBERS TO ASSIST IN LEGISLATIVE INVOLVEMENT. IN 2024, POG HELD 10 LEGISLATIVE POLICY COMMITTEE MEETINGS THAT INCLUDED ON AVERAGE 9 MEMBERS IN ATTENDANCE FOR EACH MEETING. DURING THE COMMITTEE MEETINGS SELF-ADVOCATES DISCUSSED LEGISLATION THAT WOULD IMPACT THE MARYLAND COMMUNITY. POG HELD LEGISLATIVE POLICY COMMITTEE MEETINGS. MEMBERS MET AND DISCUSS THE LEGISLATIVE SESSION TO ACTIVELY WORK ON MARYLAND'S LEGISLATIVE POLICIES TO ADVOCATE FOR CHANGES OR NEW POLICIES TO BETTER THE CONSTITUENTS. POG'S PUBLIC POLICY ASSISTANT FACILITATES THE LEGISLATIVE PUBLIC POLICY COMMITTEE. THESE COMMITTEE MEETINGS AVERAGE 10 ATTENDEES PER WEEK AND TESTIFIED ON MANY PIECES OF LEGISLATION: - 17 TESTIMONIES--3 ORAL AND 14 WRITTEN PEOPLE ON THE GO MARYLAND (POG) CONDUCTED MULTIPLE, SOME WEEKLY, LEADERSHIP GROUP MEETINGS AND TRAININGS WHERE INPUT WAS RECEIVED DIRECTLY FROM SELF-ADVOCATES ACROSS MARYLAND. SELF-ADVOCATES LAUNCHED A POLLING SYSTEM TO GATHER DATA. THE POLL DATA GATHERED REVEALED THE FOLLOWING: - AFTER PARTICIPATION IN MARYLAND DEVELOPMENTAL DISABILITIES COUNCIL SUPPORTED ACTIVITIES, THE NUMBER OF PEOPLE WITH DEVELOPMENTAL DISABILITIES WHO REPORT INCREASING THEIR ADVOCACY AS A RESULT OF COUNCIL WORK= 291 - THE NUMBER OF PWDD WHO RESPONDED THAT THEY ARE 'BETTER ABLE TO SAY WHAT THEY WANT, ETC= 283 - THE NUMBER OF PWDD WHO RESPONDED THAT THEY ARE 'PARTICIPATING NOW IN ADVOCACY ACTIVITIES= 317 - THE NUMBER OF PEOPLE WITH DEVELOPMENTAL DISABILITIES SATISFIED WITH A PROJECT ACTIVITY= 294 - THE PERCENT OF PEOPLE WITH DEVELOPMENTAL DISABILITIES SATISFIED WITH A PROJECT ACTIVITY= 92%COMMUNITY HEALTH ADVOCACY: THE MARYLAND DEPARTMENT OF DEVELOPMENTAL DISABILITIES (MCDD) IS MARYLAND'S UNIVERSITY CENTERS FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES, PART OF A NATIONAL NETWORK, FUNDED BY THE ADMINISTRATION ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE MCDD'S MISSION IS TO PROVIDE LEADERSHIP THAT ADVANCES THE INCLUSION OF PEOPLE WITH INTELLECTUAL, DEVELOPMENTAL, AND OTHER DISABILITIES. UCEDDS WORK TO IMPROVE THE LIVES OF PERSONS WITH DISABILITIES THROUGH FOUR CORE FUNCTIONS: INTERDISCIPLINARY PRE-SERVICE TRAINING AND CONTINUING EDUCATION, COMMUNITY SERVICE AND TECHNICAL ASSISTANCE, RESEARCH AND EVALUATION, AND INFORMATION SHARING/DISSEMINATION. THE MCDD INCLUDES VARIOUS PROGRAMS, PROJECTS, AND INITIATIVES THAT ADVOCATE FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN SOCIETY. THE PROGRAMS OF THE MCDD ADD VALUE AND INPUT FROM THE COMMUNITY SERVED BY KENNEDY KRIEGER. THE MCDD'S COMMUNITY ADVISORY COUNCIL (CAC) MEETS QUARTERLY AND INCLUDES REPRESENTATIVES FROM MANY MARYLAND AGENCIES - 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, AND 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 2023.</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 $200,000 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 10 THROUGH 12 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE COSTS OF CARE AMOUNTS WERE OBTAINED FROM THE FISCAL YEAR 2024 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. DURING FY 2024, THE TEAM INCLUDED: A MANAGER OF POPULATION HEALTH, A RESEARCH COORDINATOR, AND A CLINICAL LEADER/ADMINISTRATOR. OTHER CORE MEMBERS THAT CONTRIBUTE TO THE COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES IN ADDITION TO THE CHNA INCLUDE: (1) ASSISTANT VICE PRESIDENT ENGAGEMENT, (2) DIRECTOR PATIENT-FAMILY EXPERIENCE AND EMPLOYEE ACTIVITIES, AND (3) DISSEMINATION PROGRAM COORDINATOR. THE TEAM SUPPORTS ENGAGEMENT WITH PARTNERS ACROSS AND BEYOND THE ORGANIZATION IN ASSESSING HEALTH NEEDS OF THE COMMUNITY SPECIFIC TO THE POPULATION SERVED. THE ORGANIZATION ATTENDED MANY MEETINGS AND CONFERENCES VIRTUALLY AND NOW IN PERSON. 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 AND FOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 ASSISTANCE 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 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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xplanationTxt>
      </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:- MARYLAND FOOD BANK WHO SUPPORT OUR FOOD PANTRY PROJECT- BUILDING LEADERS INSIDE AND OUT (BLIO) AN ORGANIZATION EMPLOYEE RESOURCE GROUP- PARENTS PLACE OF MARYLAND- EASTERN SHORE CENTER FOR INDEPENDENT LIVING- GREATER SALISBURY COMMITTEE- BALTIMORE CITY INFANTS AND TODDLERS PROGRAM- UMMS DENTAL SCHOOL - RELATIONSHIP TO REFER PATIENTS FOR DENTAL CARE- CENTRO SOL- JOHNSTON SQUARE ELEMENTARY SCHOOL- SPECIAL OLYMPICS OF MARYLAND - THREAD - JOHNS HOPKINS MEDICAL INSTITUTIONS - LIVING CLASSROOMS - MARYLAND FAMILY NETWORK - GRANTEE OF SEEHS. PROVIDING ONGOING SUPPORT OF PROGRAM STAFF AND PROGRAM ADMINISTRATION. -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. -MARYLAND DEPARTMENT OF HEALTH: DEVELOPMENTAL DISABILITIES ADMINISTRATION, MATERNAL AND CHILD HEALTH BUREAU, TITLE V, BEHAVIORAL HEALTH ADMINISTRATIONKENNEDY KRIEGER PROVIDES TRAINING TO HEALTH PROVIDERS, FAMILIES, AND INDIVIDUALS WITH DISABILITIES ACROSS THE STATE. WE OFFERED IN PERSON AND VIRTUAL OPPORTUNITIES. KENNEDY KRIEGER IS INVOLVED IN THE COMMUNITY THROUGH EXHIBITING AT LOCAL HEALTH FAIRS, EXPOS, COMMUNITY PARTNERSHIPS, PROVIDING TRAININGS, AND OTHER SELECTED COMMUNITY EVENTS, ACTIVITIES, AND PROGRAMS SUCH AS WHAT ARE LISTED BELOW:1. THE ORGANIZATION PROVIDES IMMUNIZATION EVENTS OPEN TO THE COMMUNITY, INCLUDING COVID-19 AND INFLUENZA VACCINATIONS2. EARLY VOTING AND VOTING COMMUNICATIONS AND TRAINING TO ENSURE ACCESSIBILITY 3. BACK TO SCHOOL DRIVE INCLUDING BACKPACKS (OVER $5,000 IN DONATION)4. THE PATIENT FOOD PANTRY FUNDED 52 THANKSGIVING MEALS (TURKEY AND ALL THE SIDES) THROUGH THE MARYLAND FOOD BANK. THE MEALS WERE PICKED UP FROM THE FOOD BANK AND WERE DISTRIBUTED TO FAMILIES IN THE COMMUNITY REHAB PROGRAMS. EACH MEAL WAS $15 FOR A TOTAL OF $780 PAID THROUGH THE PANTRY FUNDS.5. MCDD SUMMER LEARNING SERIES 6. MCDD PROJECT HEAL TRAININGS 7. OTHER MCDD TRAININGS 8. PROJECT ECHO STATEWIDE 9. UPDATED COUNTY RANKINGS 10. 2024 KIDS COUNT DATA BOOK 11. LEGISLATIVE MEETINGS AND TESTIMONIES 12. MARYLAND COALITIONS AND COMMISSION MEMBERSHIPS 13. SUICIDE PREVENTION AND AWARENESS IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITY COMMUNITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BENEFIT ACTIVITIES NOTED IN THIS REPORT ARE EXCLUSIVELY RELATED TO KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IMPORTANT TO NOTE IS THAT KENNEDY KRIEGER INSTITUTE IS COMPRISED OF OTHER NON-PROFIT ENTITIES THAT CONTRIBUTE SIGNIFICANTLY TO THE HEALTH, WELLNESS, OUTCOMES OF THE PATIENTS SERVED BY KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IT IS DIFFICULT TO SEPARATE THE ENTITIES, AS THEY ALL CONTRIBUTE TO THE OUTCOMES OF PATIENTS AND FAMILIES SERVED BY THE HOSPITAL. AS WE CONSIDER HEALTH FACTORS AND OUTCOMES, WE KNOW THAT EVIDENCED-INFORMED/BASED INFORMATION USED TO PROVIDE THE CLINICAL CARE PROVIDED AT THE HOSPITAL, ARE DERIVED FROM RESEARCH ACTIVITIES GENERATED BY ACTIVITIES FROM THE HUGO W. MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER, INC. OUR PATIENTS LIVE IN COMMUNITIES WITH THEIR CAREGIVER(S). IN THE COMMUNITY ARE SCHOOLS, EARLY CHILDHOOD CENTERS, AND ADVOCACY. THESE SIT UNDER KENNEDY KRIEGER EDUCATION &amp; COMMUNITY SERVICES, INC. AND THE EARLY CHILDHOOD DEVELOPMENT &amp; EDUCATION CENTER, FORMERLY PACT, HELPING CHILDREN WITH SPECIAL NEEDS, INC.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 DISABILITIES; COMMUNITY OUTREACH PROGRAMS AND TRAINING; ADVOCACY PROGRAMS FOR SELF-ADVOCATES; AND POST SECONDARY PROGRAMS RELATED TO EMPLOYMENT, AND COMMUNITY INDEPENDENCE.PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC. DBA EARLY CHILDHOOD DEVELOPMENT AND EDUCATION CENTER - PROMOTES THE DEVELOPMENT OF TYPICALLY DEVELOPING AND CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH COMPREHENSIVE ASSESSMENTS, EARLY INTERVENTION SERVICES, FAMILY SUPPORT SERVICES, PARENT EDUCATION, COUNSELING, QUALITY EARLY LEARNING, AND PROFESSIONAL TRAINING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MD</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PACT HELPING CHILDREN WITH SPECIAL NEEDS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7000 TUDSBURY ROAD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21244</ZIPCd>
        </USAddress>
        <RecipientEIN>521230183</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>360000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO HELP AID IN THE OPERATIONS OF PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE ONLY MADE TO RELATED ENTITIES TO SUPPORT CHARITABLE PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRADLEY L SCHLAGGAR MD PHD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>359950</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>238919</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>109992</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>73008</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>134786</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>89465</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8926</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5924</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19898</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13206</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>633552</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>420522</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES M ANDERS JR</PersonNm>
        <TitleTxt>COO/ADMINISTRATOR/SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>363250</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>241109</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>109992</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>73008</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>129664</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>86065</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11901</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7899</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11104</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7370</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>625911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>415451</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEYED ALI FATEMI MD MBA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>230807</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>230807</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>53000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16598</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16598</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2179</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2179</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312484</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>312484</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL F CATALDO PHD</PersonNm>
        <TitleTxt>SVP/PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>344401</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>115000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>95824</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11937</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>586962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL J NEUMAN</PersonNm>
        <TitleTxt>SVP-FINANCE/TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>249355</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>165511</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39068</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25932</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32814</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>21781</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11901</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7899</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10683</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7091</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>343821</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>228214</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND SHORT</PersonNm>
        <TitleTxt>SVP - HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>203330</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>134961</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30052</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>19948</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>42774</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>28391</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11901</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7899</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20529</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13626</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308586</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>204825</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELINE STONE</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>254553</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>127086</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40020</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>19980</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19858</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>9914</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13207</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6593</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11856</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5919</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339494</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>169492</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA LANDA</PersonNm>
        <TitleTxt>VP/PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>313230</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>28082</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7020</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>423132</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALERIE BONHAM</PersonNm>
        <TitleTxt>VP - GENERAL COUNSEL (PART YEAR)</TitleTxt>
        <BaseCompensationFilingOrgAmt>182824</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>121350</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21037</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13963</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13204</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8764</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8674</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5758</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20147</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13372</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>163207</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIYA ASATO</PersonNm>
        <TitleTxt>VP/PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>269555</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43763</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>48855</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15012</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30854</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>408039</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA TROVATO</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>282183</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41234</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>45373</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11148</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>399738</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MELICOSTA</PersonNm>
        <TitleTxt>ASSOC CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>253762</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19115</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>60723</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19779</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34155</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>387534</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS HAGOPIAN PHD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>259215</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>50894</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18545</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32605</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>386259</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN LINDAUER</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>176730</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>138803</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>28045</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>876</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>364254</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAY SALPEKAR</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>249310</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>70000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17245</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16038</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>290</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>352883</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HAROLYN BELCHER MD MHS</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/VP/PROG DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>263268</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18007</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17289</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19774</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>333338</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL LIPKIN</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>272719</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>689</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17813</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15673</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20824</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>327718</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMEN LOPEZ-ARVISU MD</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>233808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23547</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>47669</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15277</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>676</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>320977</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRISTINA SADOWSKY</PersonNm>
        <TitleTxt>FORMER PRES MED STAFF/PROG DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>268418</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13781</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15694</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19735</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>317628</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <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>
      </SupplementalInformationDetail>
    </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 PREPARED FROM THE AUDITED FINANCIAL STATEMENTS FOR KENNEDY KRIEGER INSTITUTE, INC. AND AFFILIATES WHICH WAS APPROVED BY THE AUDIT AND FINANCE COMMITTEE OF THE BOARD AND THE BOARD OF DIRECTORS. A FINAL VERSION OF FORM 990 HAS BEEN MADE AVAILABLE TO THE AUDIT AND FINANCE COMMITTEE AND THE BOARD OF DIRECTORS THROUGH A WEB PORTAL OR EMAIL ATTACHMENT PRIOR TO ITS FILING.</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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 4,377,635.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521524965</EIN>
        <PrimaryActivitiesTxt>PARENT ORGANIZATION TO RELATED ENTITIES; SUPPORTS HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUGO W MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521524967</EIN>
        <PrimaryActivitiesTxt>BIO-MEDICAL RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER EDUCATION &amp; COMMUNITY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521753040</EIN>
        <PrimaryActivitiesTxt>SPECIAL EDUCATION SCHOOLS AND COMMUNITY SUPPORT PROGRAMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER ASSOCIATES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521633229</EIN>
        <PrimaryActivitiesTxt>SUPPORTS KENNEDY KRIEGER INSTITUTE AND ITS AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MADISON STREET PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521949813</EIN>
        <PrimaryActivitiesTxt>PROPERTY HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PACT HELPING CHILDREN WITH SPECIAL NEEDS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7000 TUDSBURY ROAD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21244</ZIPCd>
        </USAddress>
        <EIN>521230183</EIN>
        <PrimaryActivitiesTxt>MEDICAL DAY CARE &amp; OTHER SERVICES FOR CHILDREN WITH SPECIAL NEEDS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>521734695</EIN>
        <PrimaryActivitiesTxt>RAISES FUNDS TO SUPPORT KENNEDY KRIEGER INSTITUTE AND ITS AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KENNEDY KRIEGER INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MADISON GROUP VENTURES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>707 N BROADWAY</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <EIN>900743111</EIN>
        <PrimaryActivitiesTxt>RESEARCH &amp; DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (3)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>CHARITABLE REMAINDER TRUSTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <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>1</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 INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1667132</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MADISON STREET PROPERTIES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>27841223</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>