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        <PersonNm>Frank Titus</PersonNm>
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        <PersonNm>Arthur Southam</PersonNm>
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        <PersonNm>Jalena Bingham</PersonNm>
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        <PersonNm>Mark Zemelman</PersonNm>
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        <PersonNm>Emily Holliman</PersonNm>
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        <PersonNm>Machelle Behzadi</PersonNm>
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        <PersonNm>Ryan Jenson</PersonNm>
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        <PersonNm>Caroline Masikonde</PersonNm>
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        <PersonNm>William Wiechmann</PersonNm>
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        <PersonNm>Kristin Bear</PersonNm>
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        <PersonNm>Angela Beaudry</PersonNm>
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        <PersonNm>Dana Forster</PersonNm>
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        <PersonNm>Gracelyn McDermott</PersonNm>
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        <PersonNm>Cynthia Cifuentes-Finkel</PersonNm>
        <TitleTxt>VP, Mktg Comm &amp; Cmty Relations</TitleTxt>
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        <PersonNm>Christina Lockwood</PersonNm>
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        <PersonNm>Jeanine Maier</PersonNm>
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        <PersonNm>Donald Orndoff</PersonNm>
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        <PersonNm>Jennifer Valentine</PersonNm>
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        <PersonNm>Judith A Johansen JD</PersonNm>
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        <PersonNm>Jeffrey E Epstein</PersonNm>
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        <PersonNm>A Eugene Washington MD</PersonNm>
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        <PersonNm>Hong-Sze Yu</PersonNm>
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        <PersonNm>Ramon F Baez</PersonNm>
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        <PersonNm>David F Hoffmeister</PersonNm>
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        <PersonNm>Leslie S Heisz</PersonNm>
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        <PersonNm>Regina M Benjamin MD MBA</PersonNm>
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        <PersonNm>Jenny J Ming</PersonNm>
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        <PersonNm>Richard P Shannon MD</PersonNm>
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        <PersonNm>Edward Y W Pei</PersonNm>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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      <OtherExemptPurposeExpendGrp />
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      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>31919</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1A THROUGH 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (KFHP MAS), IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP MAS HAS A POLICY PROHIBITING ANY OF KFHP MAS' RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP MAS ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP MAS' INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP MAS AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP MAS. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP MAS OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP MAS. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>209193189</OtherCostOrOtherBasisAmt>
        <BookValueAmt>209193189</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2093945696</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>826629712</DepreciationAmt>
        <BookValueAmt>1267315984</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>120160908</DepreciationAmt>
        <BookValueAmt>41772915</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>376796178</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>258030193</DepreciationAmt>
        <BookValueAmt>118765985</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>6259282</DepreciationAmt>
        <BookValueAmt>65988866</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1703036939</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>218054533</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
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        <BookValueAmt>107224175</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER LONG-TERM ASSETS</Desc>
        <BookValueAmt>6757161</BookValueAmt>
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        <BookValueAmt>4542989</BookValueAmt>
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        <Amt>1269212753</Amt>
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        <Desc>PROFESSIONAL &amp; OTHER INSURED LIAB.</Desc>
        <Amt>237580099</Amt>
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        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>101464639</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SUBORDINATED DEBT</Desc>
        <Amt>793000000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM DEBT</Desc>
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        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>348276876</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG-TERM LIABILITIES</Desc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ASC 740 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.</ExplanationTxt>
      </SupplementalInformationDetail>
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        </RecipientBusinessName>
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          <CityNm>Annapolis</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Belong, Grow, Succeed Through Staff Wellbeing</PurposeOfGrantTxt>
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        <USAddress>
          <AddressLine1Txt>Po Box 74</AddressLine1Txt>
          <CityNm>Dumfries</CityNm>
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        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>Wellness Through Housing Stability Program</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Achieving A Healthier Generation Through Thriving</PurposeOfGrantTxt>
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        <USAddress>
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          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22201</ZIPCd>
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        <PurposeOfGrantTxt>Continuum Of Care Consumer Advisory Council Member</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>610 N Chester St</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
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        <RecipientEIN>521694523</RecipientEIN>
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        <PurposeOfGrantTxt>Baltimore Healthy Start Annual Leaders In Black Ma</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5525 Eastern Ave St301</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        </USAddress>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Bms Maternal Health Navigation</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Baltimore Office Of Promotion &amp; The Arts</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7 Saint Paul St 100</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21202</ZIPCd>
        </USAddress>
        <RecipientEIN>900091850</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>Artscape 2024</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Black Wealth Summit Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9501 Sheridan St 200</AddressLine1Txt>
          <CityNm>Lanham</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20706</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Embracing The Power Of AI To Create Black Wealth</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Building Bridges Across The River</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 Mississippi SE</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20020</ZIPCd>
        </USAddress>
        <RecipientEIN>522013526</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12100</CashGrantAmt>
        <PurposeOfGrantTxt>Anacostia River Festival</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Capital Pride Alliance Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 14th St Nw</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20009</ZIPCd>
        </USAddress>
        <RecipientEIN>261763254</RecipientEIN>
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        <CashGrantAmt>58380</CashGrantAmt>
        <PurposeOfGrantTxt>Capital Pride Celebration</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Cci Health Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8665 Georgia Ave</AddressLine1Txt>
          <CityNm>Silver Spring</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Refugee Health Interpretation Program: Language Ac</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Cdc Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 Peachtree Ne St1000</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30308</ZIPCd>
        </USAddress>
        <RecipientEIN>582106707</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Advancing The Maryland Commission On Public Health</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Celebrate Annapolis Juneteenth</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Riva</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21140</ZIPCd>
        </USAddress>
        <RecipientEIN>921132568</RecipientEIN>
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        <PurposeOfGrantTxt>Celebrate Annapolis Juneteenth Parade</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2701 Saint Lo Dr</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21213</ZIPCd>
        </USAddress>
        <RecipientEIN>521925614</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Food Is Medicine Delivery From Civic Works Real Fo</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Coalition For Nonprofit Housing &amp; Economic Develop</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>521750323</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Dc Community Anchor Partnership - Enhanced Anchor</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Community College Of Baltimore County</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7200 Sollers Point Rd</AddressLine1Txt>
          <CityNm>Dundalk</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21222</ZIPCd>
        </USAddress>
        <RecipientEIN>203246676</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>50740</CashGrantAmt>
        <PurposeOfGrantTxt>Certified Peer Recovery Specialist In Mid-atlantic</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5809 Park Heights Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21215</ZIPCd>
        </USAddress>
        <RecipientEIN>237097000</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Addressing Social Determinants Of Health And Mitig</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Dreaming Out Loud Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>80 M St Se</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20003</ZIPCd>
        </USAddress>
        <RecipientEIN>261286043</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>97232</CashGrantAmt>
        <PurposeOfGrantTxt>Produce Prescription Pilot Program: Impacting The</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Education Foundation Of Baltimore</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>105 W Chesapeake Av B1</AddressLine1Txt>
          <CityNm>Towson</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21204</ZIPCd>
        </USAddress>
        <RecipientEIN>521819200</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Mind Over Matters | Here For It!</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Equity Project Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5504 Frankford Est Dr</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21206</ZIPCd>
        </USAddress>
        <RecipientEIN>994840631</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>Youth Equity Summit - Kickback</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Facets</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10700 Page Ave</AddressLine1Txt>
          <CityNm>Fairfax</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22030</ZIPCd>
        </USAddress>
        <RecipientEIN>541516266</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>Facets Cares Community Development Center</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Grassroots Health Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>740 15th St Nw St322</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>264594778</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Innovative, Sports-based Sexual Health Promotion P</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Baden Medical Services Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7450 Albert Rd</AddressLine1Txt>
          <CityNm>Brandywine</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20613</ZIPCd>
        </USAddress>
        <RecipientEIN>520961414</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>Addressing Workforce Needs To Provide Healthcare T</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Washington Partnership</BusinessNameLine1Txt>
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          <AddressLine1Txt>1330 Connecticut Nw</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
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        <RecipientEIN>463636802</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Expanding Opportunities For Diverse Businesses Acr</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Housing Association Of Nonprofit</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1330 New Hampshire Nw</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
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        <RecipientEIN>311604543</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6600</CashGrantAmt>
        <PurposeOfGrantTxt>Hand Housing Indicator Tool</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Junior Achievement Of Greater WA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>919 18th St Nw 901</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
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        <RecipientEIN>540788947</RecipientEIN>
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        <CashGrantAmt>14016</CashGrantAmt>
        <PurposeOfGrantTxt>Washington Business Hall Of Fame</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Latin American Youth Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1419 Columbia Rd Nw</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <RecipientEIN>521023074</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Layc 2024 Investing In Our Youth And Their Futures</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Latino Economic Development Corp</BusinessNameLine1Txt>
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          <AddressLine1Txt>1401 Columbia Nw C1</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <RecipientEIN>521749216</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Diverse Entrepreneurship Acceleration Program (Dea</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Legal Aid Bureau Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 E Lexington St</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <RecipientEIN>520591621</RecipientEIN>
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        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>Health, Housing And Justice</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Lifestyles Of Maryland Fdn Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>101 Catalpa Dr 103</AddressLine1Txt>
          <CityNm>La Plata</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <RecipientEIN>522183558</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>Southern Crossing Housing Is Healthcare</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Loudoun Education Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>21000 Education Ct</AddressLine1Txt>
          <CityNm>Ashburn</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <RecipientEIN>541603768</RecipientEIN>
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        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Fueled Sponsorship</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Make A Wish Of The Mid Atlantic</BusinessNameLine1Txt>
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          <AddressLine1Txt>6555 Rock Spring 280</AddressLine1Txt>
          <CityNm>Bethesda</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <RecipientEIN>521306075</RecipientEIN>
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        <CashGrantAmt>11342</CashGrantAmt>
        <PurposeOfGrantTxt>Wish Ball 2025</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Maryland African American Museum</BusinessNameLine1Txt>
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          <AddressLine1Txt>830 E Pratt St</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21202</ZIPCd>
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        <RecipientEIN>522107879</RecipientEIN>
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        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>A Royal Affair: Return To Pennsylvania Avenue</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Maryland Association Of Non Profit</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 Union Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
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        <RecipientEIN>521749231</RecipientEIN>
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        <CashGrantAmt>7592</CashGrantAmt>
        <PurposeOfGrantTxt>Mlu People's Issue Priorities Series 2024</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Maryland Reentry Resource Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>77 West St 110</AddressLine1Txt>
          <CityNm>Annapolis</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21401</ZIPCd>
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        <RecipientEIN>475132127</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Driver's Education For Economic Mobility</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mosaic Theater Company Of Dc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1333 H St Ne</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20002</ZIPCd>
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        <RecipientEIN>472641919</RecipientEIN>
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        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Mosaic Theater Company's The Art Of Care</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Moveable Feast Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>901 N Milton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
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        <RecipientEIN>521663825</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Impacting Maternal And Family Health Through Medic</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>National Coalition For The Homeless</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2201 P St Nw</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
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        <RecipientEIN>521517415</RecipientEIN>
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        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Lived Experience Training Academy (Leta)</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Neighborhood Companions Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>Po Box 21962</AddressLine1Txt>
          <CityNm>Dundalk</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21222</ZIPCd>
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        <RecipientEIN>882985134</RecipientEIN>
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        <CashGrantAmt>24500</CashGrantAmt>
        <PurposeOfGrantTxt>Capacity Support For Volunteer Transportation And</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Neighborhood Health</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6677 Richmond Hwy</AddressLine1Txt>
          <CityNm>Alexandria</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22306</ZIPCd>
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        <RecipientEIN>541849891</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>Ensuring Refugees In Northern Virginia Are Linked</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>New Futures</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>609 H St Ne 500</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20002</ZIPCd>
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        <RecipientEIN>522180378</RecipientEIN>
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        <CashGrantAmt>53700</CashGrantAmt>
        <PurposeOfGrantTxt>New Futures Scholars Program: Health Sciences And</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northern VA Community Educational Fdn</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4001 Wakefield Chapel</AddressLine1Txt>
          <CityNm>Annandale</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22003</ZIPCd>
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        <RecipientEIN>510249730</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9600</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Education Campus (Mec) 20th Anniversary</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northern VA Family Service Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3110 Fairview Pk Dr</AddressLine1Txt>
          <CityNm>Falls Church</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22042</ZIPCd>
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        <RecipientEIN>540791977</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <PurposeOfGrantTxt>Promoting Diverse Procurement In Mid-atlantic</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Nova Scriptscentral</BusinessNameLine1Txt>
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          <AddressLine1Txt>6400 Arlington B</AddressLine1Txt>
          <CityNm>Falls Church</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22042</ZIPCd>
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        <RecipientEIN>651275162</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Expansion Of Culturally Competent Health Care Reso</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Pathforward Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>Po Box 100731</AddressLine1Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22210</ZIPCd>
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        <RecipientEIN>541615993</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>99853</CashGrantAmt>
        <PurposeOfGrantTxt>Mobile Medical Program: Expansion</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Prince Georges County Fire Ems</BusinessNameLine1Txt>
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          <AddressLine1Txt>9201 Basil Ct 452</AddressLine1Txt>
          <CityNm>Largo</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20774</ZIPCd>
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        <RecipientEIN>526000998</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>2024 Mobile Integrated Health Program Enhancement</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Rmc Health</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 W Van Buren 720</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60607</ZIPCd>
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        <RecipientEIN>742357255</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>Staff Well-being Spaces Pilot</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Robertas House Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>928 E North Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21202</ZIPCd>
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        <RecipientEIN>260517415</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9540</CashGrantAmt>
        <PurposeOfGrantTxt>Elijah Cummings Leadership Awards And Dinner</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Shepherds Center Of Northern VA</BusinessNameLine1Txt>
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          <AddressLine1Txt>541 Marshall Rd Sw</AddressLine1Txt>
          <CityNm>Vienna</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22180</ZIPCd>
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        <RecipientEIN>541882048</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>"Driving" Older Adults To Better Health</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>St Ambrose Housing Aid Center Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>321 E 25th St</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21218</ZIPCd>
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        <RecipientEIN>521729460</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>24500</CashGrantAmt>
        <PurposeOfGrantTxt>Capacity Support For Safe And Healthy Aging In Pla</PurposeOfGrantTxt>
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          <AddressLine1Txt>5301 Tuckerman Ln</AddressLine1Txt>
          <CityNm>North Bethesda</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
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        <RecipientEIN>521233092</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Live From The Lawn</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Trigger Project</BusinessNameLine1Txt>
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          <AddressLine1Txt>252 37th St Se</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20019</ZIPCd>
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        <RecipientEIN>611976144</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>Trigger University</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Way Of The Nat'l Capital Area</BusinessNameLine1Txt>
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          <AddressLine1Txt>8614 Westwood Ctr Dr St300</AddressLine1Txt>
          <CityNm>Vienna</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22182</ZIPCd>
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        <RecipientEIN>530234290</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Alice Report For The Washington, Dc Region And The</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Uplift Alliance Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>220 Arch St 14th Fl</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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        <RecipientEIN>932244713</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Diversifying Mid-atlantic Procurement: Black And L</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Venetoulis Inst For Local Journalism</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>621 E Pratt St 401</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21202</ZIPCd>
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        <RecipientEIN>861715499</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>43000</CashGrantAmt>
        <PurposeOfGrantTxt>The Baltimore Banner's Impact Maryland</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Virginia Primary Care Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>3831 Westerre Pkwy 2</AddressLine1Txt>
          <CityNm>Henrico</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23233</ZIPCd>
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        <RecipientEIN>541230284</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>KP Mental Health Scholarship Fund</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Volunteers Of America Chesapeake Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4601 Presidents Dr 300</AddressLine1Txt>
          <CityNm>Lanham</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20706</ZIPCd>
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        <RecipientEIN>520610547</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <PurposeOfGrantTxt>Medical Respite Program For Prince Georges County</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Womens Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>133 Park St Ne</AddressLine1Txt>
          <CityNm>Vienna</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22180</ZIPCd>
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        <RecipientEIN>237423496</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>The Women's Center Fall Gala</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Young Mens Christian Association</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1325 W St Nw A</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20009</ZIPCd>
        </USAddress>
        <RecipientEIN>530207403</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees submit reports using Kaiser Permanente's online grants management system. Grantees are required to report on grant outcomes and performance metrics bi-annually or annually based on the grant term and grant amount. Grantees may be requested to participate in interviews or focus groups as part of KP's evaluation activities.</ExplanationTxt>
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        <PersonNm>Ryan Jenson</PersonNm>
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        <PersonNm>Caroline Masikonde</PersonNm>
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        <PersonNm>William Wiechmann</PersonNm>
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        <PersonNm>Kristin Bear</PersonNm>
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        <PersonNm>Angela Beaudry</PersonNm>
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        <PersonNm>Dana Forster</PersonNm>
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        <PersonNm>Gracelyn McDermott</PersonNm>
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        <PersonNm>Cynthia Cifuentes-Finkel</PersonNm>
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        <PersonNm>Christina Lockwood</PersonNm>
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        <PersonNm>Jeanine Maier</PersonNm>
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        <PersonNm>Donald Orndoff</PersonNm>
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        <PersonNm>Jennifer Valentine</PersonNm>
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        <PersonNm>Judith A Johansen JD</PersonNm>
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        <PersonNm>Hong-Sze Yu</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17143</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>28915</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>308558</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leslie S Heisz</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>242500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>23674</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37083</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>303257</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Regina M Benjamin MD MBA</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>8000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>209500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11310</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>73305</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>8000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>294115</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jenny J Ming</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>225000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>24324</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>34377</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>283701</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard P Shannon MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>225500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>867</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>57283</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>283650</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David J Barger</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>237500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>867</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37625</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>275992</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vivek Sharma</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>237500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>24143</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>261643</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maryann Bodayle</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>185512</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>17770</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2348</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38740</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12620</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>256990</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew T Ryan</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>232500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17215</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>249715</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward Y W Pei</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>62658</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>62658</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>52001</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Kimberly Horn $1,757,734 Mark Zemelman $ 244,000 Caroline Masikonde $ 183,486 Donald Orndoff $ 313,141 LISTED PERSONS PARTICIPATED IN SEPARATION ARRANGEMENTS. DEPENDING ON POSITION LEVEL, TENURE, AND SEPARATION REASON, BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT Gregory Adams $1,053,099 Kimberly Horn $ 402,922 Janet Liang $ 468,410 Kathryn Lancaster $ 476,638 Vanessa Benavides $ 269,030 Thomas Meier $ 87,285 Ruth Williams-Brinkley $ 275,912 Jalena Bingham $ 76,315 Machelle Behzadi $ 203,539 Ryan Jenson $ 62,699 Caroline Masikonde $ 86,465 William Wiechmann $ 41,960 Hong-Sze Yu $ 56,362 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II, COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTUARIAL VALUES FOR THE DEFINED BENEFIT PLAN REFLECT A REFINEMENT TO THE VALUATION APPROACH TO INCORPORATE LIABILITIES FOR SUPPLEMENTAL BENEFITS PROVIDED BY PRIOR PLANS THAT HAD PREVIOUSLY BEEN MERGED INTO THE CURRENT PLAN. ACTUAL DISTRIBUTIONS FROM THE DEFINED BENEFIT PLAN UPON RETIREMENT REMAIN UNCHANGED AS THE SUPPLEMENTAL BENEFITS HAVE PREVIOUSLY BEEN REFLECTED FOR OTHER FINANCIAL REPORTING AND BENEFIT ADMINISTRATION PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II, COLUMN B(iii)</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE SEVERANCE PAYMENTS INCLUDED AS REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(iii) WAS NOT PREVIOUSLY DISCLOSED IN SCHEDULE J, PART II, COLUMN C IN THE YEAR OF SEPARATION. All related severance amounts previously paid were properly reported in prior year's Schedule J and Form 990, Part VII.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4A-D</FormAndLineReferenceDesc>
        <ExplanationTxt>EXEMPT PURPOSE ACHIEVEMENTS I. Introduction A. About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.4 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanente's Approach to Community Health At Kaiser Permanente, we recognize that where we live, work, learn, and play has a big impact on our health and well-being. We are driven by our mission to improve the health of our members and the communities we serve. We invest in our communities to help improve health, health equity, and well-being. This means addressing all the factors that affect health, such as having a safe place to live, enough money to pay the bills, and access to healthy meals. Kaiser Permanente community investments and partnerships address the factors that impact health and well-being. Addressing these challenges requires prioritization of interventions that measurably reduce health disparities focused on changes at the individual, community, and systems levels. C. Kaiser Permanente's Total Contribution Kaiser Permanente provided $4 billion in 2024 to improve the health of our communities. The amount attributable to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is $343.3 million as follows: - Financial Assistance at cost - $109M - Medicaid - $192.2M - Costs of other means-tested government programs - $29M - Community health improvement services and community benefit operations - $2.8M - Health Professions Education - $4.3M - Research - $3.7M - Cash and in-kind contributions from community benefit - $2.4M In addition to our direct spend, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II.Health Access for Individuals</FormAndLineReferenceDesc>
        <ExplanationTxt>Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. For many low-income people without access to health care coverage, or for those who lose their jobs and can't maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, we are working to change that with programs that lower financial barriers by providing subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low-income populations through our participation in government programs like Medicaid and the Children's Health Insurance Programs (CHIP) and via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through our treatment of Medicaid and CHIP enrollees, and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanente's traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. A. Medicaid, CHIP and other government programs Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. KP is committed to removing disparities in access to coverage and health outcomes. Kaiser Permanente's organizational strategies enable individuals with low incomes to obtain and/or retain health coverage through Medicaid, CHIP or other government programs. At the end of 2024, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 145,000 people through these government programs. Kaiser Permanente also provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2024 due to Kaiser Permanente's participation in these government programs, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. B. Charitable Health Coverage (CHC) Kaiser Permanente's CHC programs provide health care coverage to low-income individuals and families who don't have access to other public or private health coverage. CHC programs work by enrolling qualifying individuals in a Kaiser Permanente Individual and Family Health Plan. Through CHC, members' monthly premiums are subsidized, and members do not have to pay copays or out-of-pocket costs for most care at Kaiser Permanente facilities. Through CHC, members have a medical home that includes comprehensive coverage, preventive services and consistent access through the "front door" of the health delivery system. At the end of 2024, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 11,000 people through the CHC program. C. Medical Financial Assistance (MFA) KP's Medical Financial Assistance program (MFA) improves health care access for people with limited incomes and resources and is fundamental to Kaiser Permanente's mission. Our MFA program helps low-income, uninsured, and underinsured patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. Eligibility for financial assistance is based on financial need. In general, patients whose household income is at or below 300%, and in some regions up to 400%, of the federal poverty limit are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (such as hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2024, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. subsidized care for over 92,000 people through the MFA program. D. Safety-Net Partnerships Kaiser Permanente improves quality and expands access, particularly through collective capacity building, by establishing safety net partnerships. Safety net providers are a mix of public hospitals, community-based organizations such as federally qualified health centers, and other health care organizations. Safety-net health care providers provide care for patients who have low incomes and/or are uninsured regardless of their ability to pay. In Kaiser Permanente service areas, federally qualified health centers serve the uninsured, Medicaid, and other vulnerable populations. Strengthening the safety net advances our mission to improve the conditions for health in the community. Our communities' most vulnerable populations rely on the safety net for their health care needs. Our support ensures that communities have access to a strong safety net that can equitably meet patients' needs and improve health outcomes for low-income patients including people experiencing homelessness. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is part of the Safety Net Partnership Initiative Clinic Consortia Cohort which addresses health care disparities across Northern Virginia, DC, and Maryland by supporting health care workforce, value-based care, and technology efforts leading to safety net care delivery improvements. The initiative targets underserved communities, ensuring that these populations receive better access to high-quality care. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s partnership with Greater Baden Medical Services, Inc. and CCI Health Services supported vulnerable refugee patients through procurement and distribution of health services. These partnerships allow community health centers to strengthen clinical, financial, and operating capacity to meet the evolving needs of their members and member patients. Additionally, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with NOVA ScriptsCentral and Neighborhood Health to support their mobile health and dental clinics. This partnership will provide culturally and linguistically specific outreach and services including linkage to resources for free/low-cost ongoing prenatal care, and complex procedures, diabetes and hypertension screening/referrals, and mental health screening/referrals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>III.Community Conditions for Health</FormAndLineReferenceDesc>
        <ExplanationTxt>At Kaiser Permanente, we are working to improve the conditions for health in communities by addressing the root causes of health, such as affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that make a positive impact. A. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their circumstances overtime directly impacting their health outcomes. Kaiser Permanente recognizes that we can support economic opportunity in local communities through how we hire, purchase, build our facilities and provide grant support to partner organizations. Some ways that we are helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy that provides capital to support inclusive economic development and affordable housing projects. - Purchasing goods and services from local small businesses. - Building new facilities with an emphasis on positive local community impact, including neighborhood revitalization, and deep community engagement. - Partnering with community organizations to build capacity of local small businesses. In addition, Kaiser Permanente is working to expand access to career pathways in health care, especially for people who have historically faced gaps in income and earning potential. We support programs and initiatives that provide exposure, education, experience and employment opportunities in health care careers, with an emphasis on mental health. This includes helping professionals graduate into allied health careers, public health fellowship opportunities, and support for higher education and job training programs. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with community-based organizations across Northern Virginia, DC, and Maryland as part of its continuous effort to support Small Business Growth, which includes supporting organizations that understand the structural barriers experienced by low-income entrepreneurs. These organizations are working to address these challenges through direct individual interventions and/or systems-level interventions by supporting entrepreneurs to launch, sustain, and grow small businesses. Programming will also include linguistically and culturally relevant small business capacity-building training and technical assistance, and connections to resources. By doing so, these entrepreneurs will be better equipped to launch, stabilize, and/or grow their businesses, leading to increased procurement and contracting opportunities within the region. B. Housing Without a safe place to call home, it's nearly impossible to focus on basic health and medical needs. For years, Kaiser Permanente has led efforts to end homelessness and preserve affordable housing. We do this by investing in solutions, helping shape public policy, and forming innovative partnerships. Inadequate housing contributes to several health problems, including chronic diseases, injuries, and poor mental health. Housing security is a crucial health issue for disadvantaged populations, such as low-income communities. Kaiser Permanente is working to bridge the unique strengths of the health and housing sectors to solve housing insecurity and thereby improve equitable conditions for health in communities where Kaiser Permanente provides care. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. continued its partnership with organizations across Northern Virginia, DC, and Maryland as part of the Medical Respite initiative which aims to strengthen the ecosystem of medical respite providers to better align with the Standards for Medical Respite Programs, advance best practices, and enhance state-of-the-field knowledge in medical respite. Medical respite programs provide post-acute care for people experiencing homelessness who are too ill or frail to recover from an illness or injury on the street or in shelter, but who do not require hospital level care. The programs also offer short-term residential care for people experiencing homelessness to recover and heal in a safe environment while also accessing clinical care and support services, including transition into a stable living environment. While there is growing demand for medical respite care and safe discharge facilities across the country, medical respite continues to be an emerging field with programs varying widely by facility types, staffing, services, and standards of care.</ExplanationTxt>
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        <FormAndLineReferenceDesc>C.Thriving Schools</FormAndLineReferenceDesc>
        <ExplanationTxt>At Kaiser Permanente, we are committed to not only delivering great health care but also creating communities where people can be healthy in all the places they live, learn, work, and play. Thriving Schools brings together Kaiser Permanente's extensive health care expertise and our partnerships with nationally recognized and trusted organizations working to support K-12 school systems to be a beacon of health in their community. Thriving Schools takes an integrated approach to school health, curating the best thinking and guidance on how to keep students, staff, teachers, and families healthy across four dimensions of health: physical health, mental health, and social health. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with community organizations to support school districts in under-resourced communities with implementing policy, systems, and environmental changes that will improve the health and well-being of students, staff, teachers, and families. The partnerships also address the prevalence of adult mental health issues among teachers and staff by providing Mental Health First Aid training and certification through the National Foundation for Mental Health Well-Being for principals, assistant principals, and supervisors. D. Food and Nutrition Security Kaiser Permanente's comprehensive approach to food and nutrition security includes transforming the economic, social, and policy environments connected to food so that people across the nation can access and afford healthy food. To help address the food needs of its communities, Kaiser Permanente has invested in the improvement of food and nutrition security and helped with applications for federal nutrition programs like Supplemental Nutrition Assistance Program (SNAP) and Women, Infants, and Children (WIC). Kaiser Permanente continues to work with community partners to provide free, nutritious meals in low-income communities. We also joined health and nutrition experts from around the country to share results and best practices about Food is Medicine programs to advance the evidence base for food and nutrition programs in health care and establish food-based interventions as standard health care practices. We launched the Kaiser Permanente Food Is Medicine Center of Excellence in 2024 to further integrate our evidence-based food and nutrition interventions into our care model. Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. partnered with organizations to support the Food Is Medicine Initiative, a national initiative implementing the Food Is Medicine strategies tackling disease management, through food and nutrition security. The initiative intends to accelerate the efforts supporting Food Is Medicine programs, including community healthcare professionals and practitioners knowing how to target and use the programs to help prevent and manage disease. In 2024, Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. worked with community organizations to ensure the success of produce prescription programs in economically marginalized communities and improve health outcomes for mothers with high-risk pregnancies. E. Healthcare Workforce Development Our health professions education programs include both physician training programs like Graduate Medical Education (GME) and non-physician training programs (i.e., residency programs). Our GME program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. Residents are offered the opportunity to serve a large, culturally diverse member and patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>IV.Advancing Public Health Systems</FormAndLineReferenceDesc>
        <ExplanationTxt>Through Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health. Since 2018, we have partnered with the de Beaumont Foundation, a leader in public health philanthropy, to help U.S. cities thrive through the CityHealth initiative. CityHealth tracks and reports on proven policy solutions and works with cities to advance policies that achieve community health priorities. Through this relationship, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. leverages its deep expertise in health policy, government relations, and community-based prevention to accelerate cities' efforts to improve people's health and quality of life. The policy menu includes affordable housing trusts, complete streets, earned sick leave, eco-friendly purchasing, flavored tobacco restrictions, greenspace, healthy food purchasing, healthy rental housing, high-quality and accessible pre-K, legal support for renters, safer alcohol sales, and smoke free indoor air. For Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., this partnership complements the organization's established approach to community health - bringing together health leaders, clinicians and community partners to help solve the social, economic and environmental health challenges facing the residents who live in the communities it serves. Kaiser Permanente established the Kaiser Permanente Center for Gun Violence Research and Education in 2022, in recognition of increasing gun violence and its devastating effects on the health of communities across the U.S. As part of the launch, the center awarded a series of grants to organizations focused on reducing the incidence and impact of gun violence in the U.S., laying the groundwork for the center's future collaborative work. The center supports subsequent expansion of the center is part of Kaiser Permanente's longstanding commitment to addressing violence as a public health issue. Through the center, we will continue to support research into the causes of and interventions for firearm injuries with the same rigor and clinical expertise that we use to study and prevent strokes, cancer, heart disease, and other leading causes of death. Kaiser Permanente is also committed to strengthening our public health system and ensuring the U.S. health system is well-equipped to respond to future public health emergencies. In collaboration with key partners, Kaiser Permanente is striving to build a more resilient public health system by improving the connections between public health, health care, and community-based organizations, and by establishing a public health research agenda. Creating a strong healthcare ecosystem that works effectively with the nation's public health system is a key mechanism for improving community health. Everyone has a role to play in supporting and enhancing public health in the U.S. Kaiser Permanente is proud to rally for public health with partners across industries through investments, engagement, and coalition building. A. Climate and Health At Kaiser Permanente, we believe it is our responsibility to improve the health of the people who live in the communities we serve, protect the environment, and to minimize our environmental impact. This includes how we operate our facilities, support the health of communities, and invest in our communities. We have set ambitious goals to drive both internal and private sector action. Through innovations in energy use, construction and building strategies, supply chain, food systems, finance, and clinical practice that promote community health, we are leading the health care sector in reducing environmental contributors to disease and illness. We prioritize reducing greenhouse gas emissions to lower our carbon footprint and lower the environmental impact on the health of the communities Kaiser Permanente serves. In 2024, we dedicated 44.48% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and ensured 100% of our overall operations were powered by onsite and offsite renewable electricity. B. Research Kaiser Permanente's research efforts are core to the organization's mission to improve population health, and its commitment to continued learning. Kaiser Permanente researchers study critical health issues such as cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente's research is broadly focused on three themes: understanding health risks; addressing patients' needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to conduct research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data across inpatient, outpatient, and emergency department settings. In 2024, Kaiser Permanente's research programs engaged in almost 110 active studies (including 32 clinical trials) and published 73 journal articles. Our Community Benefit investments supported the following research: The Mid-Atlantic Permanente Research Institute (MAPRI) was established in 2000 to advance medical knowledge and improve the quality of care and health of our patients and communities we serve by conducting innovative scientific and clinical research. The institute's primary research continues to be patient-focused, with major areas of study in infectious diseases, cardiovascular and metabolic research, maternal-child and behavioral health, oncology, and health informatics. In 2024, the Mid-Atlantic Permanente Research Institute published several research studies, a summary of one publication includes: Anxiety and depressive disorders are the most common mental health conditions in the United States. Digital mental health applications (DMHAs) can help alleviate barriers to care and often incorporate mindfulness, meditation, and cognitive behavioral therapy as evidence-based approaches for managing anxiety and depression. In a study published in Psychiatric Services, researchers described trends associated with DHMA referrals. This study published in Psychiatric Services, demonstrated readiness to integrate digital mental health applications into clinical workflows, however, variations in referrals support the need to further investigate provider decision making and whether referral patterns are optimal and sustainable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>- Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>KAISER FOUNDATION HEALTH PLAN, INC. ("KFHP, INC.") IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>- APPOINTMENT OF GOVERNING BODY - KFHP, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP, INC. ALSO SERVE AS THE DIRECTORS OF KFH, KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>- APPROVAL OF CERTAIN GOVERNANCE DECISIONS - THE FOLLOWING ACTIONS OF THE CORPORATION ARE RESERVED TO OR REQUIRE APPROVAL OF THE SOLE MEMBER: A) CHANGE IN MEMBERSHIP; B) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; C) AMENDMENTS TO ARTICLES C (MEMBER), D (DIRECTORS) AND H (AMENDMENT AND EFFECT OF BYLAWS) OF THE BYLAWS MAY BE AMENDED ONLY BY THE MEMBER; D) AMENDMENT OF THE ARTICLES OF INCORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>- FORM 990 REVIEW PROCESS - 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY HEALTH DEPARTMENT, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA RE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>Ethics and Compliance Ongoing Monitoring and Enforcement Activities Kaiser Permanente regularly and consistently monitors and enforces compliance with the Conflicts of Interest policy in the following ways: Reporting Conflicts of Interest Concerns - The Ethics and Compliance Hotline or Webline is available to all employees, vendors, contractors, and agents to anonymously report actual or perceived conflicts of interest. The Hotline is managed by a third party; however, reported conflicts of interest allegations are provided to Ethics and Compliance for investigation, and if required, corrective actions are taken to address the conflict of interest. Employees are prohibited from retaliating against or intimidating anyone who reports concerns in good faith or refuse to participate in wrongdoing. Executive Disclosure Process - Executives are required to fill out a disclosure form upon their hiring or promotion to this level. Any necessary actions, such as requesting additional information from the Executive, are handled in compliance with established policies and written standards. Responses and actions regarding conflicts of interest are documented within our record-keeping system for tracking and reporting purposes. Annual Disclosure Process - Annually, Directors, Officers, Key Employees, Executives, and other employees in roles with elevated risk (e.g., research investigator, managers and supervisors with funds disbursement authority, or sales consultants) are required to complete a Conflicts of Interest Disclosure form. Responses are reviewed by Ethics and Compliance, Board Services, and / or the Governance, Accountability and Nominating Committee of the Kaiser Foundation Health Plan/Hospital Board of Directors. When actions are required, they are addressed in accordance with policies and written standards. Conflicts of interest responses and actions are maintained in our system of record for tracking and reporting purposes. Ongoing Disclosure Process - In addition to the annual disclosure process and in accordance with the Conflicts of Interest policy, on an ongoing basis Ethics and Compliance receives, consults, and reports on conflicts of interest matters. External Audit Review of Disclosures - Annually, as a part of the Kaiser Permanente external audit, an outside certified public accounting firm reviews the conflicts of interest disclosure process and actions taken for Directors, Officers, Key Employees, and Executives. The results, inclusive of any findings, are presented to the Kaiser Foundation Health Plan/ Hospital Audit and Compliance Committee of the Board of Directors. Awareness and Enforcement - The following general awareness and enforcement guidelines are followed: - Interactive conflicts of interest scenarios, and the Conflicts of Interest and Corrective or Disciplinary Action policies are provided and reviewed as part of the general annual ethics and compliance training, and compliance training for new employees. - Employees who complete the training are provided learning boosters which occur 2 days, 2 weeks, and 2 months after the course to help retain and apply learning. - The Conflicts of Interest Policy is reviewed and attested to by those selected to complete the annual disclosure form. - Conflict of interest topics (e.g., how to disclose conflict of interest situations, examples of conflicts of interest, etc.) are included in annual Ethics and Compliance week's activities. - Road shows are conducted throughout the year to educate employees in elevated risk departments, such as Community Health, on conflicts of interest situations. - Represented employees are subject to corrective or disciplinary action provisions outlined in the regional or national collective bargaining agreements and applicable policies. In the event disciplinary action is required due to failure to comply with applicable legal and regulatory requirements, policies and procedures, the Code of Ethical Conduct (Principles of Responsibility), unsatisfactory performance, or misconduct disciplinary action includes, but is not limited to: * verbal discussion, coaching, and/or warning by the employee's immediate supervisor or higher-level manager to correct the problem; * written notice, with or without final warning; * suspension, with or without final warning; or * termination of employment.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15A/B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFORMANCE GOALS AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFITS &amp; HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>TO REQUEST COPIES CONTACT: NATIONAL COMMUNICATIONS - RM OPERATIONS KAISER FOUNDATION HEALTH PLAN AND HOSPITALS ONE KAISER PLAZA, 22ND FLOOR OAKLAND, CA 94612</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are made available when regulatorily required.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Column B</FormAndLineReferenceDesc>
        <ExplanationTxt>HOURS FOR RELATED ORGANIZATIONS INDIVIDUALS WHO ARE BOTH OFFICERS AND MEMBERS OF BOARDS OF DIRECTORS WORK FULL TIME AS EMPLOYEES AS WELL AS FULFILL THEIR BOARD ASSIGNMENT. ALL OFFICERS WORK FULL TIME IN THEIR EMPLOYEE CAPACITY. FULL TIME WORK MAY REQUIRE IN EXCESS OF THE TRADITIONAL 40 HOUR WEEK. GIVEN THE INTEGRATED NATURE OF OUR ORGANIZATION, EMPLOYEES MAY PROVIDE SUPPORT FOR VARIOUS KAISER PERMANENTE COMPANIES. THE AVERAGE HOURS PER WEEK REPORTED FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS WAS ESTIMATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>- Other changes in net assets or fund balances - CHANGE IN PENSION AND OTHER RETIREMENT LIABILITIES $ 72,942,735 OTHER THAN TEMPORARY IMPAIRMENTS (3,038,136) GAIN/LOSS ON SALE OF INVESTMENTS - BOOK 2,954,986 GAIN/LOSS ON SALE OF INVESTMENTS - TAX 6,173,662 --------------- TOTAL $ 79,033,247</ExplanationTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Geisinger Medical Center</BusinessNameLine1Txt>
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        <USAddress>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GHMJV</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Geisinger System Services</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>Support Svcs</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Geisinger Wyoming Valley Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 N Academy Ave MC 49-70</AddressLine1Txt>
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        <EIN>231996150</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Keystone Health Information ExchangeInc</BusinessNameLine1Txt>
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        <USAddress>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Marworth</BusinessNameLine1Txt>
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        </USAddress>
        <EIN>232171417</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Shore Advanced Life Support Svcs</BusinessNameLine1Txt>
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        <USAddress>
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        </USAddress>
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        <DirectControllingEntityName>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GNJ Physicians Group PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 N Academy Ave MC 49-70</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Moses H Cone Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>1200 North Elm St</AddressLine1Txt>
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          <BusinessNameLine1Txt>Risant Hlth</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Moses H Cone Memorial Hops Oper Corp</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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