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            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
          <TitleTxt>DIR. HEALTH POLICY</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>106559</CompensationAmt>
          <EmployeeBenefitsAmt>12315</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>MARY GENS</PersonNm>
          <USAddress>
            <AddressLine1Txt>1909 K STREET NW SUITE 730</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
          <TitleTxt>SENIOR RESEARCH ASSO</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>84391</CompensationAmt>
          <EmployeeBenefitsAmt>8635</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>CRISTINA BOCCUTI TERM 22024</PersonNm>
          <USAddress>
            <AddressLine1Txt>1909 K STREET NW SUITE 730</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
          <TitleTxt>DIR. HEALTH POLICY</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>85385</CompensationAmt>
          <EmployeeBenefitsAmt>7468</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>2</OtherEmployeePaidOver50kCnt>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ANNE TUMLINSON INNOVATIONS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 13TH ST NW FLOOR 12</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>681460</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GARY AND MARY WEST MANAGEMENT COMPANY INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4960 AVENIDA ENCINAS</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92008</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>MANAGEMENT SERVICES</ServiceTypeTxt>
          <CompensationAmt>607298</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WAXMAN CONSULTING INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1150 CONNECTICUT AVENUE NW SUITE</AddressLine1Txt>
            <AddressLine2Txt>800</AddressLine2Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>300000</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HART HEALTH STRATEGIES INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>611 PENNSLYVANIA AVENUE SE 393</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20003</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>260004</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GLOBAL STRATEGY GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>215 PARK AVE SOUTH 15TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10003</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>157000</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <ContractorPaidOver50kCnt>5</ContractorPaidOver50kCnt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>SEE STATEMENT 11</Description1Txt>
        <Expenses1Amt>9693613</Expenses1Amt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp>
        <TotalAmt>0</TotalAmt>
      </SumOfProgramRelatedInvstGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>4454410</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>4454410</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>4454410</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>66816</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>4387594</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>219380</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
      </DistributableAmountGrp>
      <PFQualifyingDistributionsGrp>
        <ExpensesAndContributionsAmt>9099346</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>119332</CharitableAssetsAcquisPaidAmt>
        <QualifyingDistributionsAmt>9218678</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <PrivateOperatingFoundationsGrp>
        <PrivateOperatingFndtnRulingDt>2012-01-09</PrivateOperatingFndtnRulingDt>
        <Section4942j3Ind>X</Section4942j3Ind>
        <LessorAdjNetIncmMinInvstRetGrp>
          <CurrentYearAmt>3502</CurrentYearAmt>
          <Year1Amt>8422</Year1Amt>
          <Year2Amt>3490</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>15414</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <Pct85LessorAdjIncmOrMinRetGrp>
          <CurrentYearAmt>2977</CurrentYearAmt>
          <Year1Amt>7159</Year1Amt>
          <Year2Amt>2967</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>13102</TotalAmt>
        </Pct85LessorAdjIncmOrMinRetGrp>
        <QualifyingDistributionsGrp>
          <CurrentYearAmt>9218678</CurrentYearAmt>
          <Year1Amt>5229560</Year1Amt>
          <Year2Amt>6826674</Year2Amt>
          <Year3Amt>5780214</Year3Amt>
          <TotalAmt>27055126</TotalAmt>
        </QualifyingDistributionsGrp>
        <QualifyingDistriNotUsedDrtGrp>
          <CurrentYearAmt>4067258</CurrentYearAmt>
          <Year1Amt>1912004</Year1Amt>
          <Year2Amt>2343556</Year2Amt>
          <Year3Amt>1554638</Year3Amt>
          <TotalAmt>9877456</TotalAmt>
        </QualifyingDistriNotUsedDrtGrp>
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>5151420</CurrentYearAmt>
          <Year1Amt>3317556</Year1Amt>
          <Year2Amt>4483118</Year2Amt>
          <Year3Amt>4225576</Year3Amt>
          <TotalAmt>17177670</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TotalAssetsGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsGrp>
        <TotalAssetsSect4942j3BiGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsSect4942j3BiGrp>
        <TwoThirdsMinimumInvstRetGrp>
          <CurrentYearAmt>146253</CurrentYearAmt>
          <Year1Amt>62755</Year1Amt>
          <Year2Amt>70342</Year2Amt>
          <Year3Amt>63945</Year3Amt>
          <TotalAmt>343295</TotalAmt>
        </TwoThirdsMinimumInvstRetGrp>
        <TotalSupportGrp>
          <TotalAmt>0</TotalAmt>
        </TotalSupportGrp>
        <PublicSupportType>
          <TotalAmt>0</TotalAmt>
        </PublicSupportType>
        <LargestSupportFromEOGrp>
          <TotalAmt>0</TotalAmt>
        </LargestSupportFromEOGrp>
        <GrossInvestmentIncomeGrp>
          <TotalAmt>0</TotalAmt>
        </GrossInvestmentIncomeGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ACCOUNTABLE FOR HEALTH INSTITUTE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>14 RIDGE SQ NW SUITE 300</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200162994</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT BOTH SHORT-TERM GOALS OF INCREMENTAL MACRA REFORM AND LONG-TERM GOALS OF RESHAPING THE NARRATIVE AND ADVANCE POLICY OBJECTIVES RELATED TO BETTER PERFORMANCE OF THE HEALTH CARE DELIVERY SYSTEM.</GrantOrContributionPurposeTxt>
          <Amt>100000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ALLIANCE FOR HEALTH POLICY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 19TH ST NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200362454</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT SIGNATURE SERIES ON AGING IN AMERICA BY CONDUCTING A PRIMARY AND SECONDARY RESEARCH PROJECT THAT AIMS TO GENERATE NEW INSIGHTS INTO AGING IN HEALTH POLICY, ENGAGE KEY AUDIENCES FOR FEEDBACK, IDENTIFY BIPARTISAN INTERESTS, AND DRIVE PUBLIC INTEREST THROUGH THE RELEASE OF TOP INSIGHTS FROM THE POLICYMAKER COMMUNITY.</GrantOrContributionPurposeTxt>
          <Amt>126500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMERICAN SOCIETY ON AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>605 MARKET STREET STE 1111</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94105</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ASA WILL GENERATE SIX ARTICLES AND FOUR PODCAST EPISODES.</GrantOrContributionPurposeTxt>
          <Amt>33825</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>BIPARTISAN POLICY CENTER</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 EYE STREET NW SUITE 1000</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DEVELOP RECOMMENDATIONS TO POLICYMAKERS ON IMPLEMENTING POLICIES RELATED TO TELE-BEHAVIORAL HEALTH.</GrantOrContributionPurposeTxt>
          <Amt>70000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CENTER FOR HEALTH CARE STRATEGIES INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>300 AMERICAN METRO BLULEVARD SUITE</AddressLine1Txt>
            <AddressLine2Txt>125</AddressLine2Txt>
            <CityNm>HAMILTON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08619</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT A LEARNING COLLABORATIVE COHORT (UP TO 6 STATES TO SUPPORT MASTER PLANS FOR AGING). SUPPORT FOR MPA NATIONAL DASHBOARD, INCLUDING CONVENING OF STATE TECHNICAL ADVISORY GROUP AND ONGOING DISSEMINATION.</GrantOrContributionPurposeTxt>
          <Amt>300942</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CENTER FOR HEALTH POLICY DEVELOPMENT</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1233 20TH STREET NW SUITE 303</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>BUILD A TECHNICAL ASSISTANCE PROJECT TO IMPROVE THE QUALITY OF CARE AND COST ACCOUNTABILITY IN NURSING HOMES.</GrantOrContributionPurposeTxt>
          <Amt>150000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1025 CONNECTICUT AVENUE NW SUITE</AddressLine1Txt>
            <AddressLine2Txt>1100</AddressLine2Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CREATE AND DISSEMINATE TWO NEW OPTION PAPERS FOR HEALTH CARE POLICIES.</GrantOrContributionPurposeTxt>
          <Amt>320000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>DUKE-MARGOLIS CENTER FOR HEALTH POLICY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 602651</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>282602651</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ENGAGE IN RESEARCHING WAYS TO LOWER HEALTHCARE COSTS THROUGH RESEARCH, ANALYSIS, AND SUPPORT FOR NEW MODELS OF VALUE-BASED PAYMENTS, SYSTEMS REFORMS, PATIENT ENGAGEMENT, AND COST-EFFECTIVE RESEARCH.</GrantOrContributionPurposeTxt>
          <Amt>508764</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMILIES USA FOUNDATION INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 NEW YORK AVE NW SUITE 800</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>EXPAND COALITION ACTIVITIES ADDRESSING COST OF CARE.</GrantOrContributionPurposeTxt>
          <Amt>200000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GEORGETOWN UNIVERSITY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 825738</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191825738</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE TECHNICAL ASSISTANCE TO STATE POLICYMAKERS ON FACILITY FEE POLICIES AND CONDUCT RESEARCH ON HOSPITAL FINANCING. CREATE EDUCATIONAL MATERIALS ON MEDICARE ADVANTAGE POLICY CHANGES AND TO STUDY THE IMPACTS OF FACILITY FEE REFORMS.</GrantOrContributionPurposeTxt>
          <Amt>225000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GRANTMAKERS IN AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>333 MAMARONECK AVENUE 238</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10605</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONVENE AND FACILITATE A FUNDERS COMMUNITY FOR THOSE WHO ARE EXPLORING, INITIATING, OR IMPLEMENTING STATE, REGIONAL, OR LOCAL MASTER PLANS ON AGING (MPA).</GrantOrContributionPurposeTxt>
          <Amt>28500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HEALTH CARE COST INSTITUTE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1100 G STREET NW SUITE 600</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>POF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE ACCESS TO HCCI DATA ENCLAVE WHICH HOUSES DE-IDENTIFIED HEALTHCARE CLAIMS FOR INDIVIDUALS COVERED BY EMPLOYER-SPONSORED INSURANCE. COLLABORATION ON ISSUE BRIEFS DESCRIBING AND DOCUMENTING RISING HEALTH CARE PRICES IN THE U.S.</GrantOrContributionPurposeTxt>
          <Amt>175000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MEADOWS MENTAL HEALTH POLICY INSTITUTE OF TEXAS</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3003 SWISS AVE</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75204</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>EXPLORE AND DISSEMINATE LEARNINGS ON THE CURRENT LANDSCAPE OF OLDER ADULT BEHAVIORAL HEALTH (BH), PRIMARY CARE INTEGRATION OF BH, STRENGTHENING THE MENTAL HEALTH WORKFORCE, THE INTERGENERATIONAL IMPACTS OF TRAUMA AND GRIEF, PROMOTING EQUITY IN BH ACCESS ACROSS THE LIFESPAN, AND INNOVATION IN MENTAL HEALTH WORKFORCE.</GrantOrContributionPurposeTxt>
          <Amt>950000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MEDICAID MEDICARE CHIP SVCS DENTAL ASSOC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2 GROVE STREET</AddressLine1Txt>
            <CityNm>SANDWICH</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02563</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT A STUDY EXPLORING THE IMPACT OF DENTAL PROVIDER REIMBURSEMENT RATES ON PROVIDER PARTICIPATION IN MEDICAID FEE-FOR-SERVICE AND MANAGED CARE DENTAL PROGRAMS.</GrantOrContributionPurposeTxt>
          <Amt>15000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MEDICARE RIGHTS CENTER INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>266 W 37TH STREET 3RD FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10018</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CREATE A REPORT ABOUT THE EVOLUTION OF THE MEDICARE SAVINGS PROGRAM AND PROVIDE TECHNICAL ASSISTANCE TO ENROLLEES AND POLICYMAKERS ON COST SAVINGS FOR MEDICARE-ELIGIBLE OLDER ADULTS.</GrantOrContributionPurposeTxt>
          <Amt>85000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL ALLIANCE FOR CAREGIVING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1730 RHODE ISLAND AVE NW SUITE 812</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PLAYBOOK TO INFORM TACTICS AND FOUNDATIONAL ELEMENTS THAT CAN TAKE PLACE TO ADVANCE THE DEVELOPMENT AND ADOPTION OF MULTI-SECTOR PLANS ON AGING.</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL PACE ASSOCIATION (NPA)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>675 N WASHINGTON ST STE 300</AddressLine1Txt>
            <CityNm>ALEXANDRIA</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22314</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ADVANCES THE EFFORTS OF PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE PROGRAMS COORDINATE AND PROVIDE ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES FOR SENIORS.</GrantOrContributionPurposeTxt>
          <Amt>68464</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PURCHASER BUSINESS GROUP ON HEALTH</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2041 EAST ST SUITE 1128</AddressLine1Txt>
            <CityNm>CONCORD</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94520</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT POLICY-RELATED ANALYSIS AND ACTIVITIES ON PRESCRIPTION DRUG REIMBURSEMENT, COST, COVERAGE, SPENDING, AND ACCESS IN COLLABORATION WITH THE EMPLOYERS PRESCRIPTION FOR AFFORDABLE DRUGS (EMPLOYERSRX).</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>RESEARCH FOUNDATION FOR MENTAL HYGIENE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>150 BROADWAY STE 301</AddressLine1Txt>
            <CityNm>MENANDS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12204</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE SUPPORT OF THE ANNUAL HEALTH AND AGING POLICY FELLOWS BY COORDINATING TARGETED WORKING SESSIONS RELATED TO EXPLORING AGING POLICY ISSUES, IN ADDITION TO A BEHAVIORAL HEALTH TRACK FOR HEALTH AND AGING POLICY FELLOWS.</GrantOrContributionPurposeTxt>
          <Amt>285000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>9500 GILMAN DRIVE</AddressLine1Txt>
            <CityNm>LA JOLLA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>920930967</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>RESEARCH AND EVALUATE PREFERRED COST-SHARING PHARMACY NETWORKS IN MEDICARE AND THEIR IMPLICATIONS ON OUT-OF-POCKET SPENDING AND GENERIC REIMBURSEMENT PRACTICES IN PART D.</GrantOrContributionPurposeTxt>
          <Amt>115263</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>TRADEOFFS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 31865</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19104</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PRODUCE INFORMATIONAL BACKGROUND MATERIALS AND PODCASTS ADDRESSING THE POLICY ISSUES OF HIGH HEALTH CARE COSTS.</GrantOrContributionPurposeTxt>
          <Amt>120000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>UNITED STATES OF CARE CAMPAIGN</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>2776 S ARLINGTON MILL DRIVE SUITE</AddressLine1Txt>
            <AddressLine2Txt>504</AddressLine2Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22206</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CREATE A REPORT ON STATE TRENDS FOR LOWERING HOSPITAL PRICES, INCLUDING ACTUARIAL ANALYSIS OF POLICY STRATEGIES AND TO CREATE A COUNTER NARRATIVE AGAINST COMMON HOSPITAL TALKING POINTS.</GrantOrContributionPurposeTxt>
          <Amt>150000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>4067258</TotalGrantOrContriPdDurYrAmt>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>BROOKINGS INSTITUTION</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1775 MASSACHUSETTS AVE NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>RESEARCH, CREATE MEMOS AND PAPERS RELATED TO DIFFERENT FACETS OF GENERIC DRUGS.</GrantOrContributionPurposeTxt>
          <Amt>145000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CENTER FOR HEALTH CARE STRATEGIES INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>300 AMERICAN METRO BOULEVARD SUITE</AddressLine1Txt>
            <AddressLine2Txt>125</AddressLine2Txt>
            <CityNm>HAMILTON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08619</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT A LEARNING COLLABORATIVE COHORT (UP TO 6 STATES TO SUPPORT MASTER PLANS FOR AGING). SUPPORT FOR MPA NATIONAL DASHBOARD, INCLUDING CONVENING OF STATE TECHNICAL ADVISORY GROUP AND ONGOING DISSEMINATION.</GrantOrContributionPurposeTxt>
          <Amt>74459</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GEORGETOWN UNIVERSITY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 825738</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191825738</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE TECHNICAL ASSISTANCE TO STATE POLICYMAKERS ON FACILITY FEE POLICIES AND CONDUCT RESEARCH ON HOSPITAL FINANCING. CREATE EDUCATIONAL MATERIALS ON MEDICARE ADVANTAGE POLICY CHANGES AND TO STUDY THE IMPACTS OF FACILITY FEE REFORMS.</GrantOrContributionPurposeTxt>
          <Amt>95000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GRANTMAKERS IN AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>333 MAMARONECK AVENUE 238</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10605</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONVENE AND FACILITATE A FUNDERS COMMUNITY FOR THOSE WHO ARE EXPLORING, INITIATING, OR IMPLEMENTING STATE, REGIONAL, OR LOCAL MASTER PLANS ON AGING (MPA).</GrantOrContributionPurposeTxt>
          <Amt>16500</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL PACE ASSOCIATION (NPA)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>675 N WASHINGTON ST STE 300</AddressLine1Txt>
            <CityNm>ALEXANDRIA</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22314</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ADVANCES THE EFFORTS OF PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE PROGRAMS COORDINATE AND PROVIDE ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES FOR SENIORS.</GrantOrContributionPurposeTxt>
          <Amt>137386</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>RESEARCH FOUNDATION FOR MENTAL HYGIENE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>150 BROADWAY STE 301</AddressLine1Txt>
            <CityNm>MENANDS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12204</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE SUPPORT OF THE ANNUAL HEALTH AND AGING POLICY FELLOWS BY COORDINATING TARGETED WORKING SESSIONS RELATED TO EXPLORING AGING POLICY ISSUES, IN ADDITION TO A BEHAVIORAL HEALTH TRACK FOR HEALTH AND AGING POLICY FELLOWS.</GrantOrContributionPurposeTxt>
          <Amt>60346</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>TRADEOFFS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 31865</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19104</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PRODUCE INFORMATIONAL BACKGROUND MATERIALS AND PODCASTS ADDRESSING THE POLICY ISSUES OF HIGH HEALTH CARE COSTS.</GrantOrContributionPurposeTxt>
          <Amt>98000</Amt>
        </GrantOrContriApprvForFutGrp>
        <TotalGrantOrContriApprvFutAmt>626691</TotalGrantOrContriApprvFutAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <OtherRevenueDescribedGrp>
          <Desc>PROPERTY TAX REFUND</Desc>
          <RelatedOrExemptFunctionIncmAmt>3502</RelatedOrExemptFunctionIncmAmt>
        </OtherRevenueDescribedGrp>
        <SubtotalsIncmProducingActyGrp>
          <UnrelatedBusinessTaxblIncmAmt>0</UnrelatedBusinessTaxblIncmAmt>
          <ExclusionAmt>0</ExclusionAmt>
          <RelatedOrExemptFunctionIncmAmt>3502</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>3502</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>7</LineNumberTxt>
          <RelationshipStatementTxt>NOT APPLICABLE</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>0</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>0</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>0</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>0</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>0</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>0</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>0</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>0</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>0</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>0</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1Txt>GARY AND MARY WEST CHARITABLE TRUST</BusinessNameLine1Txt>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1Txt>10350 N TORREY PINES RD</AddressLine1Txt>
          <CityNm>LA JOLLA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92037</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>11334173</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="RetDoc2002200001">
      <AccountingFeesDetail>
        <CategoryTxt>ACCOUNTING FEES</CategoryTxt>
        <Amt>32146</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>29538</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <ExpenditureResponsibilityStmt documentId="RetDoc2118100001">
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>HEALTH CARE COST INSTITUTE INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1100 G STREET NW SUITE 600</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <GrantDt>2024-01-01</GrantDt>
        <GrantAmt>175000</GrantAmt>
        <PurposeOfGrantTxt>PROVIDE ACCESS TO HCCI DATA ENCLAVE WHICH HOUSES DE-IDENTIFIED HEALTHCARE CLAIMS FOR INDIVIDUALS COVERED BY EMPLOYER-SPONSORED INSURANCE. COLLABORATE ON ISSUE BRIEFS DESCRIBING AND DOCUMENTING RISING HEALTH CARE PRICES IN THE U.S.</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>175000</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NONE</AnyDiversionByGranteeTxt>
        <DatesOfReportsByGranteeTxt>6/8/2025</DatesOfReportsByGranteeTxt>
        <ResultsOfVerificationTxt>THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE INFORMATION FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE.</ResultsOfVerificationTxt>
      </ExpenditureResponsibilityGrp>
    </ExpenditureResponsibilityStmt>
    <GeneralExplanationAttachment documentId="RetDoc1175200001">
      <GeneralExplanationGrp>
        <IdentifierTxt>SUMMARY OF DIRECT CHARITABLE ACTIVITIES</IdentifierTxt>
        <FormAndLineReferenceDesc>FORM 990-PF, PART IX-A</FormAndLineReferenceDesc>
        <MediumExplanationTxt>IN 2024, THE GARY AND MARY WEST HEALTH POLICY CENTER, INC. ("WHPC OR "POLICY CENTER") CONTINUED TO MAKE PROGRESS ON ADVANCING THE MISSION OF LOWERING THE COST OF HEALTHCARE TO ENABLE SENIORS TO SUCCESSFULLY AGE IN PLACE WITH ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH AND SUPPORT SERVICES THAT PRESERVE AND PROTECT THEIR DIGNITY, QUALITY OF LIFE AND INDEPENDENCE. THE POLICY CENTER'S EFFORTS ARE NONPARTISAN AND STRATEGICALLY ALIGNED TO THE GARY AND MARY WEST HEALTH INSTITUTE ("INSTITUTE OR "WHI"). THROUGHOUT 2024, WHPC ENGAGED IN SUPPORTIVE RESEARCH AND ANALYSIS OF POLICY SCENARIOS TO LOWER HEALTHCARE SPENDING AND IMPLEMENT ALTERNATIVE, VALUE-BASED HEALTHCARE DELIVERY AND PAYMENT MODELS AIMED AT IMPROVING THE QUALITY AND AFFORDABILITY OF CARE, PARTICULARLY FOR OUR FAST-GROWING AND DIVERSE POPULATION OF SENIORS. THE POLICY CENTER'S MAIN PRIORITIES FOR 2024 WERE TO SUPPORT WORK IN SERVICE OF: 1) LOWERING HEALTHCARE COSTS/SPENDING, 2) PROMOTING INTEGRATION OF BRAIN HEALTH INTO PRIMARY CARE SETTINGS, 3) IMPROVING GERIATRIC CARE AND SUCCESSFUL AGING, AND 4) SEEKING OUT AND LEVERAGING OPPORTUNITIES TO FURTHER PRIORITIES INTERNALLY AND EXTERNALLY.ACTIVITIES:LOWER HEALTHCARE COSTSGIVEN THE SERIOUS AND URGENT NATURE OF RISING HEALTHCARE COSTS, WHPC FOCUSED INTENSELY ON THIS ISSUE IN 2024. THE RISING COST OF HEALTHCARE IS A GROWING ECONOMIC AND PUBLIC HEALTH CRISIS THAT HURTS THE U.S. ECONOMY, THREATENS INDIVIDUAL FINANCIAL SECURITY, COMPROMISES CARE, AND REDUCES PATIENT ACCESS. EXCESSIVE SPENDING ON HEALTHCARE PLACES SIGNIFICANT BURDENS ON AMERICAN BUSINESSES AND FAMILY BUDGETS AND ENDANGERS THE FUNDING OF VITAL PROGRAMS SUCH AS MEDICARE AND MEDICAID. RISING COSTS FOR MEDICAL TESTS AND PROCEDURES, PHYSICIAN VISITS, AND HOSPITAL SERVICES DUE TO AN OUTDATED FEE-FOR-SERVICE PAYMENT MODEL THAT REWARDS VOLUME OVER VALUE AND MARKET FAILURES THAT ALLOW EXORBITANT PRICES FOR SERVICES AND PRODUCTS, HAVE MADE HEALTHCARE EXTREMELY EXPENSIVE LEAVING PATIENTS WITH LESS COVERAGE, MORE OUT-OF-POCKET COSTS, AND RISING PREMIUMS.RAISE AWARENESS OF SPENDING CRISIS AND URGENCYTO FOCUS THE ATTENTION OF POLICYMAKERS, ADMINISTRATORS, THE BUSINESS COMMUNITY, AND THE GENERAL PUBLIC ON THE HEALTHCARE CRISIS, WHPC CONTINUED TO UNDERTAKE A VARIETY OF KEY PUBLIC AND POLICYMAKER AWARENESS STRATEGIES IN 2024. THESE STRATEGIES INCLUDE CONTINUING OUR HIGHLY SUCCESSFUL POLLING ACTIVITIES WITH GALLUP AND OTHERS (IN CONJUNCTION WITH WEST HEALTH INSTITUTE) WHICH HAS REVEALED THE FAILING GRADES GIVEN TO THE US HEALTHCARE SYSTEM BY THE PUBLIC AND THE UNACCEPTABLE RESULTS (INCLUDING ECONOMIC HARDSHIP, WORSENING MEDICAL CONDITIONS, AND DEATH) OF HIGH HEALTHCARE COSTS. IN 2024, WE HAD FOUR HIGHLY SUCCESSFUL RELEASES: TWO RELATED TO PERCEIVED DEFICIENCIES IN ADDRESSING MENTAL HEALTH CONDITIONS, ONE RELATED TO PERCEPTIONS OF THE PRESIDENTIAL CANDIDATES, AND OUR LARGE WEST HEALTH-GALLUP 2024 SURVEY ON AGING IN AMERICA. WE ALSO RELEASED VERSION 2.0 OF OUR INTERACTIVE WEST HEALTH-GALLUP DATA DASHBOARD, WHICH SERVES AS A TOOL FOR ELECTED OFFICIALS, POLICYMAKERS, AND THE PUBLIC TO BETTER UNDERSTAND THE CHANGING ATTITUDES AND BEHAVIORS TOWARD HEALTHCARE, AND WHAT NEEDS TO BE DONE TO AVOID PUTTING THE HEALTH OF MILLIONS OF AMERICANS AT RISK.WE ALSO CONTINUED WITH OUR PROVEN EFFORTS TO PREPARE WELL-CRAFTED, INCISIVE WHPC ISSUE BRIEFS, USED PUBLIC-FACING MEDIA AND COMMUNICATIONS PLATFORMS, AND DISSEMINATED WHPC'S HEALTHCARE SPENDING EXPERTISE THROUGH NATIONWIDE SPEAKING ENGAGEMENTS. OUR ONGOING COLLABORATION WITH FAMILIES USA HAS BROUGHT ATTENTION TO STORIES OF PEOPLE DIRECTLY AFFECTED BY THE HIGH BURDEN OF DRUG COSTS AND HOSPITAL BILLS AND PLACES A HUMAN FACE ON HEALTH COST TOXICITY AND HAS INFORMED ADVOCATES ON STRATEGIES FOR COMMUNICATING WITH POLICYMAKERS AND THE PUBLIC ON THESE ISSUES.DEVELOP ACTIONABLE POLICIES TO LOWER DRUG COSTS AND SPENDING ON MEDICAL SERVICESWHPC PARTNERED WITH GEORGETOWN'S CENTER FOR HEALTH INSURANCE REFORM TO ENGAGE WITH STAKEHOLDERS ON STATE-SPECIFIC ACTIVITIES AND RESOURCES TO HELP STATE AND FEDERAL POLICYMAKERS PROTECT CONSUMERS FROM UNNECESSARY FACILITY FEES. THIS WORK WAS FURTHER ENHANCED THROUGH OUR ENGAGEMENTS WITH US OF CARE, WHICH CONDUCTED TARGETED SURVEY RESEARCH ON THIS ISSUE, AND FAMILIES USA, WHICH PROVIDED MESSAGING TO FEDERAL POLICYMAKERS ON HOW THE AFFORDABILITY ISSUE HARMS CONSUMERS. WORK WITH THE COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET AND ARNOLD VENTURES BUILT ON PRIOR WORK IN OUR HEALTH SAVERS INITIATIVE. IN 2024, HEALTH SAVERS INITIATIVE BRIEFS HAVE AN ANALYSIS OF MEDICARE ADVANTAGE POLICIES THAT COULD LOWER TOTAL SPENDING IN MEDICARE WITHOUT HARMING ACCESS TO CARE AND AN ANALYSIS OF THE FEDERAL BUDGET DEFICIT ASSOCIATED WITH HOSPITAL NON-PROFIT STATUS. GIVEN OUR SUCCESS IN DRIVING PUBLIC AND POLITICAL SUPPORT THAT RESULTED IN THE ENACTMENT OF MEDICARE NEGOTIATION AND LIMITS ON DRUG PRICE INCREASES (VIA PASSAGE OF THE INFLATION REDUCTION ACT), WE CONTINUED TO FOCUS OUR WORK ON SUPPORTING THE DEVELOPMENT OF REGULATIONS TO IMPLEMENT THESE POLICIES. WHILE THESE POLICIES ARE ONLY DIRECTLY APPLICABLE TO THE MEDICARE PROGRAM, STATES HAVE SIGNALED STRONG INTEREST IN EXTENDING INFLATION PENALTIES TO THE COMMERCIAL INSURANCE MARKET, AND WE INTEND TO SUPPORT STATE EFFORTS IN DEVELOPING AND IMPLEMENTING THESE POLICIES. IN RESPONSE TO CONGRESS' RECENT BIPARTISAN INTEREST IN PHARMACY BENEFIT MANAGER (PBM) REFORM, WE PUBLISHED A WHITE PAPER REVIEWING PBM REFORMS PROPOSED BY THE CURRENT CONGRESS AND RECOMMENDATIONS AND MET WITH SEVERAL PARTNERS AND LAWMAKERS ABOUT THE FINDINGS. LATER IN THE YEAR AS PBM PROVISIONS WERE BEING CONSIDERED IN AN END-OF-YEAR PACKAGE, WE HELD A WELL-ATTENDED WEBINAR ON PBM REFORM OPTIONS FOR CONGRESSIONAL STAFF. DRIVE TRANSPARENCY IN THE HEALTH CARE SYSTEMTRANSPARENCY, IN A VARIETY OF CONTEXTS, IS A VITAL COMPONENT OF ADDRESSING EXORBITANT HEALTHCARE COSTS. OUR WORK ON HIGH PRICES IN CALIFORNIA HOSPITALS CONTINUES TO GENERATE IMPACT, AND WHPC WILL EXPLORE FURTHER WORK TO MAKE THIS INFORMATION ACCESSIBLE TO OTHER RESEARCHERS AND THE MEDIA LOOKING TO COMPARE PRICES IN THEIR COUNTY. IN COLLABORATION WITH THE HEALTHCARE COST INSTITUTE, WHPC ANALYZED LARGE AMOUNTS OF COMMERCIAL INSURER DATA TO EXPOSE THE UNACCEPTABLY HIGH PRICES THAT MANY PROVIDERS CHARGE, EXPLOITING THE MARKET FAILURES THAT EXIST IN THE U.S. HEALTHCARE SYSTEM. THE TEAM ALSO RELEASED AN UPDATE OF A FREQUENTLY REFERENCED ISSUE BRIEF ON PRICE MARKUPS FORCLINICAL LABS. ADDITIONALLY, IN CONJUNCTION WITH WHI AND THE EMPLOYERS' FORUM OF INDIANA, A DATA DASHBOARD ON NATIONAL HOSPITAL PRICE TRANSPARENCY INTENDED FOR LARGE EMPLOYERS AND STATE AND FEDERAL POLICYMAKERS WAS CREATED. THIS TOOL IS AN EFFECTIVE RESEARCH TOOL FOR WHI, WHPC, AND EXTERNAL PARTNERS AND SERVES AS AN EVIDENCE BASE FOR POLICIES DESIGNED TO LOWER THE COST OF HEALTHCARE.THE POLICY CENTER CONTINUED TO BUILD RESOURCES FOR POLICYMAKERS THAT ENUMERATED DIFFERENT POLICY OPTIONS THAT WOULD LOWER SPENDING ON SERVICES, PARTICULARLY THOSE PROVIDED IN HOSPITAL-BASED OR HOSPITAL-OWNED SETTINGS. THESE POLICY OPTIONS INCLUDED ADOPTING SITE-NEUTRAL PAYMENT POLICIES, PROHIBITING HOSPITAL OUTPATIENT FACILITY FEES, LIMITING ANTI-COMPETITIVE CONTRACT LANGUAGE, ADDRESSING CONSOLIDATED HEALTHCARE MARKETS, AND REGULATING HOSPITAL COMMUNITY BENEFIT STANDARDS.FINALLY, THE POLICY CENTER ALSO ENGAGED WITH POLICY MESSAGING AND COMMUNICATIONS FIRMS TO FURTHER EXPLORE POLICY OPPORTUNITIES RELATED TO THE REGULATION OF MEDICARE ADVANTAGE PLANS.PROMOTE INTEGRATION OF BRAIN HEALTH INTO PRIMARY CARE SETTINGSIN 2024, THE POLICY CENTER BEGAN SUBSTANTIAL WORK IN A NEW AREA OF FOCUS, IMPROVING MENTAL HEALTH ACROSS THE LIFE COURSE. THE POLICY CENTER WORKED COLLABORATIVELY WITH THE WEST HEALTH INSTITUTE TO IDENTIFY POLICIES THAT SUPPORT THE IMPLEMENTATION OF MENTAL HEALTH SCREENING AND TREATMENT INTO PRIMARY CARE SETTINGS AT NATIONAL SCALE (INCLUDING BUSINESS AND POLICY SUPPORT).PROMOTE THE INTEGRATION OF MENTAL HEALTH SERVICES INTO PRIMARY CARE SETTINGSTHE POLICY CENTER COLLABORATED WITH THE INSTITUTE TO LAUNCH A COORDINATED, COMPREHENSIVE APPROACH TO IMPROVING ACCESS TO COST-EFFECTIVE BEHAVIORAL HEALTH SERVICES, PARTICULARLY THOSE INTEGRATED WITH PRIMARY CARE, SUCH AS THE COLLABORATIVE CARE MODEL (COCM). A KEY GOAL IS TO LEVERAGE CURRENT PUBLIC INTEREST IN YOUTH BEHAVIORAL HEALTH IMPROVEMENT TO INCREASE AWARENESS OF SENIOR BEHAVIORAL HEALTH NEEDS, AS WELL. ALSO, AS PART OF THESE EFFORTS, WHPC PARTNERED WITH THE BIPARTISAN POLICY CENTER TO CREATE RECOMMENDATIONS FOR CONGRESS AND THE ADMINISTRATION ON THE FUTURE OF TELEHEALTH POLICY AND PARTICULARLY ITS IMPACT ON THE DELIVERY OF BEHAVIORAL HEALTH SERVICES.THE POLICY CENTER ALSO PARTNERED WITH THE MEADOWS MENTAL HEALTH POLICY INSTITUTE TO EXPLORE OPTIONS FOR INCREASING UPTAKE OF INTEGRATED CARE MODELS LIKE COCM. AS PART OF THIS PARTNERSHIP, THE POLICY CENTER AND THE MEADOWS INSTITUTE SEEK TO INCREASE THE USE OF MEASUREMENT-INFORMED CARE BY PHYSICIANS FOR TREATING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE POLICY CENTER ALSO WORKED WITH THE KENNEDY FORUM, A NATIONALLY RENOWNED POLICY ORGANIZATION, TO INCORPORATE A LIFE COURSE APPROACH (INCLUDING OLDER ADULTS) INTO THE KENNEDY FORUM'S EFFORTS TO IMPROVE THE PARITY BETWEEN COVERAGE OF MENTAL AND PHYSICAL SERVICES IN COMMERCIAL INSURANCE AS WELL AS IN DISCUSSIONS AROUND REIMBURSEMENT FOR MENTAL HEALTH SERVICES.ADVANCE EARLY CLINICAL INTERVENTION THAT EMPOWERS PRIMARY CARE PROVIDERS TO ADDRESS HOLISTIC BRAIN HEALTHTHE POLICY CENTER SET THE GROUNDWORK FOR EXPANDED WORK IN THE ALZHEIMER'S AND DEMENTIA SPACE. WE CONDUCTED A SERIES OF STAKEHOLDER INTERVIEWS WITH PARTICIPANTS OF THE NEW CMS GUIDING AN IMPROVED DEMENT</MediumExplanationTxt>
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