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            <AddressLine1Txt>1909 K STREET NW SUITE 730</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
          <TitleTxt>DIR. HEALTH POLICY</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>73089</CompensationAmt>
          <EmployeeBenefitsAmt>4469</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>0</OtherEmployeePaidOver50kCnt>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GARY AND MARY WEST MANAGEMENT COMPANY INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4960 AVENIDA ENCINAS</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92008</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>MANAGEMENT SERVICES</ServiceTypeTxt>
          <CompensationAmt>574511</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HART HEALTH STRATEGIES INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>611 PENNSLYVANIA AVENUE SE 393</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20003</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>281671</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WAXMAN CONSULTING INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1150 CONNECTICUT AVENUE NW SUITE</AddressLine1Txt>
            <AddressLine2Txt>800</AddressLine2Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>275000</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ATI ADVISORY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3505 ALBERMARLE STREET NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20008</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>135000</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WILLIAM SCANLON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3055 CROSEN COURT</AddressLine1Txt>
            <CityNm>OAK HILL</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>20171</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSULTANTS</ServiceTypeTxt>
          <CompensationAmt>112200</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <ContractorPaidOver50kCnt>2</ContractorPaidOver50kCnt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>SEE STATEMENT 11</Description1Txt>
        <Expenses1Amt>4967281</Expenses1Amt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp>
        <TotalAmt>0</TotalAmt>
      </SumOfProgramRelatedInvstGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>1911327</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>1911327</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>1911327</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>28670</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>1882657</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>94133</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
      </DistributableAmountGrp>
      <PFQualifyingDistributionsGrp>
        <ExpensesAndContributionsAmt>5229560</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>0</CharitableAssetsAcquisPaidAmt>
        <QualifyingDistributionsAmt>5229560</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <PrivateOperatingFoundationsGrp>
        <PrivateOperatingFndtnRulingDt>2012-01-09</PrivateOperatingFndtnRulingDt>
        <Section4942j3Ind>X</Section4942j3Ind>
        <LessorAdjNetIncmMinInvstRetGrp>
          <CurrentYearAmt>8422</CurrentYearAmt>
          <Year1Amt>3490</Year1Amt>
          <Year2Amt>0</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>11912</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <Pct85LessorAdjIncmOrMinRetGrp>
          <CurrentYearAmt>7159</CurrentYearAmt>
          <Year1Amt>2967</Year1Amt>
          <Year2Amt>0</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>10125</TotalAmt>
        </Pct85LessorAdjIncmOrMinRetGrp>
        <QualifyingDistributionsGrp>
          <CurrentYearAmt>5229560</CurrentYearAmt>
          <Year1Amt>6826674</Year1Amt>
          <Year2Amt>5780214</Year2Amt>
          <Year3Amt>5920223</Year3Amt>
          <TotalAmt>23756671</TotalAmt>
        </QualifyingDistributionsGrp>
        <QualifyingDistriNotUsedDrtGrp>
          <CurrentYearAmt>1912004</CurrentYearAmt>
          <Year1Amt>2343556</Year1Amt>
          <Year2Amt>1554638</Year2Amt>
          <Year3Amt>1687938</Year3Amt>
          <TotalAmt>7498136</TotalAmt>
        </QualifyingDistriNotUsedDrtGrp>
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>3317556</CurrentYearAmt>
          <Year1Amt>4483118</Year1Amt>
          <Year2Amt>4225576</Year2Amt>
          <Year3Amt>4232285</Year3Amt>
          <TotalAmt>16258535</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TotalAssetsGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsGrp>
        <TotalAssetsSect4942j3BiGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsSect4942j3BiGrp>
        <TwoThirdsMinimumInvstRetGrp>
          <CurrentYearAmt>62755</CurrentYearAmt>
          <Year1Amt>70342</Year1Amt>
          <Year2Amt>63945</Year2Amt>
          <Year3Amt>68909</Year3Amt>
          <TotalAmt>265951</TotalAmt>
        </TwoThirdsMinimumInvstRetGrp>
        <TotalSupportGrp>
          <TotalAmt>0</TotalAmt>
        </TotalSupportGrp>
        <PublicSupportType>
          <TotalAmt>0</TotalAmt>
        </PublicSupportType>
        <LargestSupportFromEOGrp>
          <TotalAmt>0</TotalAmt>
        </LargestSupportFromEOGrp>
        <GrossInvestmentIncomeGrp>
          <TotalAmt>0</TotalAmt>
        </GrossInvestmentIncomeGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ALLIANCE FOR HEALTH POLICY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 19TH ST NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200362454</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DEVELOP AND EXECUTE EDUCATIONAL SERIES EXCLUSIVELY TO ADVANCE DIALOGUE ON HEALTH CARE COSTS AND AGING.</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMERICAN SOCIETY ON AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>605 MARKET STREET STE 1111</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94105</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE YEAR-ROUND EDUCATIONAL PROGRAMS THAT ADDRESS MASTER PLANS FOR AGING (MPA), AMPLIFY MPA-RELATED THOUGHT LEADERSHIP AND CONVENE AN MPA NATIONAL SYMPOSIUM AT ASA'S NATIONAL MEMBERSHIP CONFERENCE, ON AGING.</GrantOrContributionPurposeTxt>
          <Amt>29548</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CENTER FOR HEALTH CARE STRATEGIES INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>200 AMERICAN METRO BLVD SUITE 119</AddressLine1Txt>
            <CityNm>HAMILTON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08619</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT THE DEVELOPMENT OF LEARNING COLLABORATIVE (DEVELOP CURRICULUM AND RELATED ISSUE BRIEF, RECRUIT STATES) TO PROMOTE THE DEVELOPMENT OF MASTER PLANS FOR AGING IN OTHER STATES.</GrantOrContributionPurposeTxt>
          <Amt>321574</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>DUKE-MARGOLIS CENTER FOR HEALTH POLICY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 602651</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>282602651</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ENGAGE IN RESEARCHING WAYS TO LOWER HEALTHCARE COSTS THROUGH RESEARCH, ANALYSIS, AND SUPPORT FOR NEW MODELS OF VALUE-BASED PAYMENTS, SYSTEMS REFORMS, PATIENT ENGAGEMENT, AND COST-EFFECTIVE RESEARCH.</GrantOrContributionPurposeTxt>
          <Amt>313710</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMILIES USA FOUNDATION INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 NEW YORK AVE NW SUITE 800</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ANALYZE DATA ON CONSUMER UNDERSTANDING OF HOSPITAL OUTPATIENT DEPARTMENT FEES AND SITE-NEUTRAL PAYMENT POLICIES.</GrantOrContributionPurposeTxt>
          <Amt>150000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GRANTMAKERS IN AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>333 MAMARONECK AVENUE 238</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10605</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONVENE AND FACILITATE A NEW FUNDERS COMMUNITY FOR THOSE WHO ARE EXPLORING, INITIATING, OR IMPLEMENTING STATE, REGIONAL, OR LOCAL MASTER PLANS ON AGING (MPA).</GrantOrContributionPurposeTxt>
          <Amt>26375</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HEALTH CARE COST INSTITUTE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1100 G STREET NW SUITE 600</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>POF</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE ACCESS TO HCCI DATA ENCLAVE WHICH HOUSES DE-IDENTIFIED HEALTHCARE CLAIMS FOR INDIVIDUALS COVERED BY EMPLOYER-SPONSORED INSURANCE. COLLABORATION ON ISSUE BRIEFS DESCRIBING AND DOCUMENTING RISING HEALTH CARE PRICES IN THE U.S.</GrantOrContributionPurposeTxt>
          <Amt>150000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LONG-TERM QUALITY ALLIANCE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>601 MASSACHUSETTS AVENUE NW STE 520</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>LONG-TERM QUALITY ALLIANCE BUILDING MOMENTUM FOR A NATIONAL MULTISECTOR PLAN FOR AGING. ACTIVITIES INCLUDE STAKEHOLDER INTERVIEWS, SILO REVIEW, AND LANDSCAPE ANALYSIS.</GrantOrContributionPurposeTxt>
          <Amt>12500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MEDICARE RIGHTS CENTER INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>266 W 37TH STREET 3RD FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10018</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>OBTAIN TECHNICAL ASSISTANCE AND EDUCATION ON WAYS FOR STATES TO EXPAND ELIGIBILITY AND ENROLLMENT IN THE MEDICARE SAVINGS PROGRAMS TO LOWER PREMIUMS AND OUT-OF-POCKET COSTS FOR LOWER-INCOME MEDICARE BENEFICIARIES.</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL ACADEMY OF SOCIAL INSURANCE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1441 L ST NW SUITE 530</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>UPDATE PUBLICLY-USED WEB-BASED INFORMATION ON MEDICARE BENEFICIARY COST SHARING, MEDICARE SAVINGS PROGRAMS, MEDICALLY-NECESSARY DENTAL COVERAGE, AND PART D BENEFITS.</GrantOrContributionPurposeTxt>
          <Amt>27000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL PACE ASSOCIATION (NPA)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>675 N WASHINGTON ST STE 300</AddressLine1Txt>
            <CityNm>ALEXANDRIA</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22314</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>THE NATIONAL PACE ASSOCIATION (NPA) ADVANCES THE EFFORTS OF PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE PROGRAMS COORDINATE AND PROVIDE ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES FOR SENIORS.</GrantOrContributionPurposeTxt>
          <Amt>132628</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PATIENTS FOR AFFORDABLE DRUGS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1155 15TH ST NW STE 500</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DEVELOP AND IMPLEMENT A PILOT RECRUITMENT STRATEGY FOR IDENTIFYING AND ENGAGING PATIENTS FROM COMMUNITIES WHO ARE DISPROPORTIONATELY HARMED BY HIGH DRUG PRICES FOR USE TO EDUCATE AND AMPLIFY VOICES.</GrantOrContributionPurposeTxt>
          <Amt>40000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PURCHASER BUSINESS GROUP ON HEALTH</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>275 BATTERY STREET SUITE 480</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94111</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT POLICY-RELATED ANALYSIS AND ACTIVITIES ON PRESCRIPTION DRUG REIMBURSEMENT, COST, COVERAGE, SPENDING, AND ACCESS IN COLLABORATION WITH THE EMPLOYERS PRESCRIPTION FOR AFFORDABLE DRUGS (EMPLOYERSRX).</GrantOrContributionPurposeTxt>
          <Amt>135000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>RESEARCH FOUNDATION FOR MENTAL HYGIENE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>150 BROADWAY STE 301</AddressLine1Txt>
            <CityNm>MENANDS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12204</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE SUPPORT OF THE ANNUAL HEALTH AND AGING POLICY FELLOWS BY COORDINATING TARGETED WORKING SESSIONS RELATED TO EXPLORING AGING POLICY ISSUES.</GrantOrContributionPurposeTxt>
          <Amt>200000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>T1INTERNATIONAL USA</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 13344</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97213</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>RESEARCH THE CURRENT LANDSCAPE AT THE STATE AND FEDERAL LEVEL REGARDING POLICIES TO INCREASE INSULIN AFFORDABILITY AND ACCESS, INCLUDING THE IMPACT OF BIOSIMILAR INSULIN. DEVELOP MODEL POLICIES AND DISSEMINATE THOSE POLICY IDEAS.</GrantOrContributionPurposeTxt>
          <Amt>65000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>9500 GILMAN DRIVE</AddressLine1Txt>
            <CityNm>LA JOLLA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>920930967</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>STUDY TO ESTIMATE DRUG PRICING DYNAMICS AMONG COMPETING BRAND PRODUCTS, DRUGS ELIGIBLE FOR MEDICARE NEGOTIATION, AND ESTIMATE CHANGES IN BRAND DRUG PRICES THROUGHOUT THE LIFECYCLE.</GrantOrContributionPurposeTxt>
          <Amt>158669</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>TRADEOFFS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>424 SOUTH 47TH STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19143</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>COLLABORATION ON MEDIA PROJECT INVESTIGATING DRUG COSTS, HOSPITAL COSTS, AND LOW VALUE CARE.</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>1912004</TotalGrantOrContriPdDurYrAmt>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMERICAN SOCIETY ON AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>605 MARKET STREET STE 1111</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94105</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PROVIDE YEAR-ROUND EDUCATIONAL PROGRAMS THAT ADDRESS MASTER PLANS FOR AGING (MPA), AMPLIFY MPA-RELATED THOUGHT LEADERSHIP AND CONVENE AN MPA NATIONAL SYMPOSIUM AT ASA'S NATIONAL MEMBERSHIP CONFERENCE, ON AGING.</GrantOrContributionPurposeTxt>
          <Amt>8825</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CENTER FOR HEALTH CARE STRATEGIES INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>200 AMERICAN METRO BLVD SUITE 119</AddressLine1Txt>
            <CityNm>HAMILTON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08619</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SUPPORT THE DEVELOPMENT OF LEARNING COLLABORATIVE (DEVELOP CURRICULUM AND RELATED ISSUE BRIEF, RECRUIT STATES) TO PROMOTE THE DEVELOPMENT OF MASTER PLANS FOR AGING IN OTHER STATES.</GrantOrContributionPurposeTxt>
          <Amt>60000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1900 M STREET NW STE 850</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ANALYSIS OF POLICY OPTIONS TO LOWER HEALTH CARE SPENDING IN THE U.S. AS PART OF THE HEALTH SAVERS INITIATIVE.</GrantOrContributionPurposeTxt>
          <Amt>120000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>DUKE-MARGOLIS CENTER FOR HEALTH POLICY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 602651</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>282602651</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ENGAGE IN RESEARCHING WAYS TO LOWER HEALTHCARE COSTS THROUGH RESEARCH, ANALYSIS, AND SUPPORT FOR NEW MODELS OF VALUE-BASED PAYMENTS, SYSTEMS REFORMS, PATIENT ENGAGEMENT, AND COST-EFFECTIVE RESEARCH.</GrantOrContributionPurposeTxt>
          <Amt>80423</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMILIES USA FOUNDATION INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1225 NEW YORK AVE NW SUITE 800</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>ANALYZE DATA ON CONSUMER UNDERSTANDING OF HOSPITAL OUTPATIENT DEPARTMENT FEES AND SITE-NEUTRAL PAYMENT POLICIES.</GrantOrContributionPurposeTxt>
          <Amt>175000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GRANTMAKERS IN AGING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>333 MAMARONECK AVENUE 238</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10605</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONVENE AND FACILITATE A NEW FUNDERS COMMUNITY FOR THOSE WHO ARE EXPLORING, INITIATING, OR IMPLEMENTING STATE, REGIONAL, OR LOCAL MASTER PLANS ON AGING (MPA).</GrantOrContributionPurposeTxt>
          <Amt>8500</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LONG-TERM QUALITY ALLIANCE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>601 MASSACHUSETTS AVENUE NW STE 520</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>LONG-TERM QUALITY ALLIANCE BUILDING MOMENTUM FOR A NATIONAL MULTISECTOR PLAN FOR AGING. ACTIVITIES INCLUDE STAKEHOLDER INTERVIEWS, SILO REVIEW, AND LANDSCAPE ANALYSIS.</GrantOrContributionPurposeTxt>
          <Amt>12500</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MEDICARE RIGHTS CENTER INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>266 W 37TH STREET 3RD FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10018</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>OBTAIN TECHNICAL ASSISTANCE AND EDUCATION ON WAYS FOR STATES TO EXPAND ELIGIBILITY AND ENROLLMENT IN THE MEDICARE SAVINGS PROGRAMS TO LOWER PREMIUMS AND OUT-OF-POCKET COSTS FOR LOWER-INCOME MEDICARE BENEFICIARIES.</GrantOrContributionPurposeTxt>
          <Amt>80000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL ALLIANCE FOR CAREGIVING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1730 RHODE ISLAND AVE NW SUITE 812</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>PREPARE A PLAYBOOK ABOUT HOW THE RAISE NATIONAL STRATEGY WAS DEVELOPED, IMPLEMENTED TO INFORM TACTICS AND FOUNDATIONAL ELEMENTS THAT CAN TAKE PLACE TO ADVANCE THE DEVELOPMENT AND ADOPTION OF MULTI-SECTOR PLANS ON AGING.</GrantOrContributionPurposeTxt>
          <Amt>18000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NATIONAL PACE ASSOCIATION (NPA)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>675 N WASHINGTON ST STE 300</AddressLine1Txt>
            <CityNm>ALEXANDRIA</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22314</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>THE NATIONAL PACE ASSOCIATION (NPA) ADVANCES THE EFFORTS OF PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE PROGRAMS COORDINATE AND PROVIDE ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES FOR SENIORS.</GrantOrContributionPurposeTxt>
          <Amt>68464</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PATIENTS FOR AFFORDABLE DRUGS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1155 15TH ST NW STE 500</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>DEVELOP AND IMPLEMENT A PILOT RECRUITMENT STRATEGY FOR IDENTIFYING AND ENGAGING PATIENTS FROM COMMUNITIES WHO ARE DISPROPORTIONATELY HARMED BY HIGH DRUG PRICES FOR USE TO EDUCATE AND AMPLIFY VOICES.</GrantOrContributionPurposeTxt>
          <Amt>30000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PURCHASER BUSINESS GROUP ON HEALTH</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>275 BATTERY STREET SUITE 480</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94111</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>CONDUCT POLICY-RELATED ANALYSIS AND ACTIVITIES ON PRESCRIPTION DRUG REIMBURSEMENT, COST, COVERAGE, SPENDING, AND ACCESS IN COLLABORATION WITH THE EMPLOYERS PRESCRIPTION FOR AFFORDABLE DRUGS (EMPLOYERSRX).</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>TRADEOFFS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>424 SOUTH 47TH STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19143</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>COLLABORATION ON MEDIA PROJECT INVESTIGATING HEALTHCARE COSTS AND SUPPLEMENTAL RESOURCES ON GENERIC DRUG MARKET POLICY ISSUES.</GrantOrContributionPurposeTxt>
          <Amt>90000</Amt>
        </GrantOrContriApprvForFutGrp>
        <TotalGrantOrContriApprvFutAmt>771712</TotalGrantOrContriApprvFutAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <OtherRevenueDescribedGrp>
          <Desc>MISCELLANEOUS INCOME</Desc>
          <RelatedOrExemptFunctionIncmAmt>1883</RelatedOrExemptFunctionIncmAmt>
        </OtherRevenueDescribedGrp>
        <OtherRevenueDescribedGrp>
          <Desc>COMMON AREA MAINTENANCE REFUND</Desc>
          <RelatedOrExemptFunctionIncmAmt>6539</RelatedOrExemptFunctionIncmAmt>
        </OtherRevenueDescribedGrp>
        <SubtotalsIncmProducingActyGrp>
          <UnrelatedBusinessTaxblIncmAmt>0</UnrelatedBusinessTaxblIncmAmt>
          <ExclusionAmt>0</ExclusionAmt>
          <RelatedOrExemptFunctionIncmAmt>8422</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>8422</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>7</LineNumberTxt>
          <RelationshipStatementTxt>NOT APPLICABLE</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>0</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>0</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>0</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>0</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>0</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>0</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>0</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>0</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>0</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>0</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1Txt>GARY AND MARY WEST CHARITABLE TRUST</BusinessNameLine1Txt>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1Txt>10350 N TORREY PINES RD</AddressLine1Txt>
          <CityNm>LA JOLLA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92037</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>5774379</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="RetDoc2002200001">
      <AccountingFeesDetail>
        <CategoryTxt>ACCOUNTING FEES</CategoryTxt>
        <Amt>29330</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>29330</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <ExpenditureResponsibilityStmt documentId="RetDoc2118100001">
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>HEALTH CARE COST INSTITUTE INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1100 G STREET NW SUITE 600</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <GrantDt>2023-01-01</GrantDt>
        <GrantAmt>150000</GrantAmt>
        <PurposeOfGrantTxt>PROVIDE ACCESS TO HCCI DATA ENCLAVE WHICH HOUSES DE-IDENTIFIED HEALTHCARE CLAIMS FOR INDIVIDUALS COVERED BY EMPLOYER-SPONSORED INSURANCE. COLLABORATE ON ISSUE BRIEFS DESCRIBING AND DOCUMENTING RISING HEALTH CARE PRICES IN THE U.S.</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>150000</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NONE</AnyDiversionByGranteeTxt>
        <DatesOfReportsByGranteeTxt>5/24/24</DatesOfReportsByGranteeTxt>
        <ResultsOfVerificationTxt>THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE INFORMATION FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WAS MADE.</ResultsOfVerificationTxt>
      </ExpenditureResponsibilityGrp>
    </ExpenditureResponsibilityStmt>
    <GeneralExplanationAttachment documentId="RetDoc2258700001">
      <GeneralExplanationGrp>
        <IdentifierTxt>SUMMARY OF DIRECT CHARITABLE ACTIVITIES</IdentifierTxt>
        <FormAndLineReferenceDesc>FORM 990-PF, PART IX-A</FormAndLineReferenceDesc>
        <MediumExplanationTxt>IN 2023, THE GARY AND MARY WEST HEALTH POLICY CENTER, INC. ("WHPC OR "POLICY CENTER") CONTINUED TO MAKE PROGRESS ON ADVANCING THE MISSION OF LOWERING THE COST OF HEALTHCARE TO ENABLE SENIORS TO SUCCESSFULLY AGE IN PLACE WITH ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH AND SUPPORT SERVICES THAT PRESERVE AND PROTECT THEIR DIGNITY, QUALITY OF LIFE AND INDEPENDENCE. THE POLICY CENTER'S EFFORTS ARE NONPARTISAN AND STRATEGICALLY ALIGNED TO THE GARY AND MARY WEST HEALTH INSTITUTE ("WHI"). THROUGHOUT 2023, WHPC ENGAGED IN SUPPORTIVE RESEARCH AND ANALYSIS OF POLICY PROPOSALS TO LOWER HEALTHCARE SPENDING AND IMPLEMENT ALTERNATIVE, VALUE-BASED HEALTHCARE DELIVERY AND PAYMENT MODELS AIMED AT IMPROVING THE QUALITY AND AFFORDABILITY OF CARE, PARTICULARLY FOR OUR FASTGROWING AND DIVERSE POPULATION OF SENIORS. THE POLICY CENTER'S MAIN PRIORITIES FOR 2023 WERE TO SUPPORT WORK IN SERVICE OF:1) LOWERING HEALTHCARE COSTS/SPENDING, 2) IMPROVING GERIATRIC CARE AND SUCCESSFUL AGING, AND 3) SEEKING OUT AND LEVERAGING OPPORTUNITIES TO FURTHER WEST HEALTH PRIORITIES INTERNALLY AND EXTERNALLY.ACTIVITIES:LOWER HEALTHCARE COSTSGIVEN THE SERIOUS AND URGENT NATURE OF RISING HEALTHCARE COSTS, WHPC FOCUSED INTENSELY ON THIS ISSUE IN 2023. THE RISING COST OF HEALTHCARE IS A GROWING ECONOMIC AND PUBLIC HEALTH CRISIS THAT HURTS THE U.S. ECONOMY, THREATENS INDIVIDUAL FINANCIAL SECURITY, COMPROMISES CARE, AND REDUCES PATIENT ACCESS. EXCESSIVE SPENDING ON HEALTHCARE PLACES SIGNIFICANT BURDENS ON AMERICAN BUSINESSES AND FAMILY BUDGETS AND ENDANGERS THE FUNDING OF VITAL PROGRAMS SUCH AS MEDICARE AND MEDICAID. RISING COSTS FOR MEDICAL TESTS AND PROCEDURES, PHYSICIAN VISITS, AND HOSPITAL SERVICES DUE TO AN OUTDATED FEE-FOR-SERVICE PAYMENT MODEL THAT REWARDS VOLUME OVER VALUE AND MARKET FAILURES THAT ALLOW EXORBITANT PRICES FOR SERVICES AND PRODUCTS, HAVE MADE HEALTHCARE EXTREMELY EXPENSIVE LEAVING PATIENTS WITH LESS COVERAGE, MORE OUT-OF-POCKET COSTS, AND RISING PREMIUMS.RAISE AWARENESS OF SPENDING CRISIS AND URGENCYTO FOCUS THE ATTENTION OF POLICYMAKERS, ADMINISTRATORS, THE BUSINESS COMMUNITY, AND THE GENERAL PUBLIC ON THE HEALTHCARE CRISIS, WHPC CONTINUED TO UNDERTAKE A VARIETY OF KEY PUBLIC AND POLICYMAKER AWARENESS STRATEGIES IN 2023. THESE STRATEGIES INCLUDED CONTINUING OUR HIGHLY SUCCESSFUL POLLING ACTIVITIES WITH GALLUP AND OTHERS (IN CONJUNCTION WITH WEST HEALTH INSTITUTE) WHICH HAS REVEALED THE FAILING GRADES GIVEN TO THE US HEALTHCARE SYSTEM BY THE PUBLIC AND THE UNACCEPTABLE RESULTS (INCLUDING ECONOMIC HARDSHIP, WORSENING MEDICAL CONDITIONS, AND DEATH) OF HIGH HEALTHCARE COSTS. IN 2023, WE RELEASED ALARMING SURVEY RESULTS SHOWING CONSUMER FEARS ABOUT THE SAFETY AND QUALITY OF CARE IN NURSING HOMES. WE ALSO RELEASED THE WEST HEALTH-GALLUP DATA DASHBOARD, WHICH SERVES AS A TOOL FOR ELECTED OFFICIALS, POLICYMAKERS, AND THE PUBLIC TO BETTER UNDERSTAND THE CHANGING ATTITUDES AND BEHAVIORS TOWARD HEALTHCARE, AND WHAT NEEDS TO BE DONE TO AVOID PUTTING THE HEALTH OF MILLIONS OF AMERICANS AT RISK. WE ALSO CONTINUED WITH OUR PROVEN EFFORTS TO PREPARE WELL-CRAFTED, INCISIVE WHPC ISSUE BRIEFS, USED PUBLIC-FACING MEDIA AND COMMUNICATIONS PLATFORMS, AND DISSEMINATED WHPC'S HEALTHCARE SPENDING EXPERTISE THROUGH NATIONWIDE SPEAKING ENGAGEMENTS. OUR ONGOING COLLABORATION WITH FAMILIES USA BROUGHT ATTENTION TO STORIES OF PEOPLE DIRECTLY AFFECTED BY THE HIGH BURDEN OF DRUG COSTS AND HOSPITAL BILLS AND PLACES A HUMAN FACE ON HEALTH COST TOXICITY. THROUGHOUT THIS WORK, WE HAVE CONTINUED TO ENSURE WE ANALYZE DATA AND PRESENT INFORMATION THROUGH THE LENS OF DIVERSITY, EQUITY, &amp; INCLUSION.DEVELOP RESEARCH THAT SUPPORTS ACTIONABLE POLICIES TO SPENDING ON MEDICAL SERVICES AND PRESCRIPTION DRUGSSTRATEGIES TO REDUCE THE RISING COST OF HEALTH CARE, INCLUDING PHARMACEUTICALS, WERE A KEY COMPONENT OF OUR POLICY WORK IN 2023. MAJOR POLICY INITIATIVES OF FOCUS INCLUDED EXPOSING THE ARBITRAGE NATURE OF HOSPITAL FACILITY FEES BEING CHARGED FOR SIMPLE PHYSICIAN SERVICES. WHPC PARTNERED WITH THE GEORGETOWN CENTER FOR HEALTH INSURANCE REFORM (CHIR) TO CREATE A REPORT DETAILING CURRENT STATE ACTIONS TO PROTECT CONSUMERS FROM UNNECESSARY FACILITY FEES. ALONG WITH THE REPORT, WHPC AND CHIR ALSO DEVELOPED ADDITIONAL RESOURCES FOR STATE AND FEDERAL POLICYMAKERS TO QUICKLY UNDERSTAND THE PROS AND CONS OF DIFFERENT POLICY APPROACHES TO FACILITY FEE PROTECTIONS. WHPC ALSO PARTNERED WITH FAMILIES USA TO DEVELOP A MESSAGING GUIDE FOR FEDERAL POLICYMAKERS ON HOW THE AFFORDABILITY ISSUE HARMS CONSUMERS. ADDITIONAL WORK WITH THE COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET (CRFB) AND ARNOLD VENTURES (AV) PROMOTED FINDINGS AND POLICY RECOMMENDATIONS IN OUR HEALTH SAVERS INITIATIVE, INCLUDING WORK THAT REVEALED THE MONOPOLISTIC PROVIDER PRACTICES THAT RESULT IN OVERPAYMENTS, SUCH AS HIGH HOSPITAL OUTPATIENT DEPARTMENT CHARGES FOR LOW-RESOURCE SERVICES AND SERVICES THAT ARE PERFORMED IN OFFICE BUILDINGS RELABELED AS HOSPITAL OUTPATIENT DEPARTMENTS BY OWNERSHIP. WE CONTINUED OUR FOCUS ON REDUCING THE RISING COST OF PRESCRIPTION DRUGS. GIVEN OUR SUCCESS PROVIDING RESEARCH INFORMATION THAT WAS LEVERAGED BY OTHERS IN ENABLING THE ENACTMENT OF MEDICARE NEGOTIATION AND LIMITS ON DRUG PRICE INCREASES (VIA PASSAGE OF THE INFLATION REDUCTION ACT), WE CONTINUED TO FOCUS OUR WORK ON PRODUCING TIMELY, ACTIONABLE INFORMATION. WE ALSO ENGAGED ANALYSIS AND CONVENED ROUNDTABLE DISCUSSIONS AROUND REFORMS TO THE PHARMACY BENEFIT MANAGER (PBM) SYSTEM TO FIND POLICIES THAT BOTH PROTECT THEIR ABILITY TO NEGOTIATE DISCOUNTS WHILE ENSURING THAT THOSE DISCOUNTS ARE PASSED TO PAYERS AND PATIENTS. ALSO IN 2023, WE UPDATED OUR PUBLIC-FACING MATERIALS TO HIGHLIGHT MODELS OF REFORMS IN THE FOOD AND DRUG ADMINISTRATION'S (FDA'S) APPROVAL PROCESSES TO SPEED GENERIC AND BIOSIMILAR MARKET ENTRY, ADDRESSING THE ROLE OF INTELLECTUAL PROPERTY IN DELAYING ENTRY OF LOWER-COST PRODUCTS. ADDITIONALLY, CO-AUTHORED WORK WITH THE UNIVERSITY OF CALIFORNIA SAN DIEGO SKAGGS SCHOOL OF PHARMACY RAISED CONCERNS ABOUT PRICING PRACTICES FOR VERTICALLY INTEGRATED PBMS AND PHARMACIES, AND CAUGHT THE ATTENTION OF THE SENATE FINANCE COMMITTEE, RESULTING IN OUR RESEARCH BEING DISCUSSED AT A CONGRESSIONAL HEARING IN 2023.DEVELOP ACTIONABLE POLICIES TO REDUCE VOLUME INCENTIVES IN FEE-FOR-SERVICETHE POLICY CENTER REMAINS COMMITTED TO ADVANCING VALUE-BASED CARE (VBC), WHICH INCORPORATES RISK FOR BOTH HEALTH AND SPENDING OUTCOMES INTO PAYMENT RATES AND HAS THE POTENTIAL TO REDUCE MANY OF THE VOLUME-BASED, FEE-FOR-SERVICE, FINANCIAL INCENTIVES THAT ARE DRIVING UP PER-CAPITA HEALTHCARE COSTS. BUILDING FROM LEARNINGS IN PREVIOUS YEARS, WHPC AND THE WEST HEALTH INSTITUTE (WHI) CONTINUED PARTNERING WITH THE DUKE-MARGOLIS CENTER FOR HEALTH POLICY IN 2023 TO PURSUE ACTIONABLE STRATEGIES TO SPREAD AND SCALE VALUE-BASED CARE ACROSS THE COUNTRY. THIS COLLABORATION IDENTIFIED OPPORTUNITIES TO EXPAND HOME-BASED CARE IN MEDICARE AND THROUGH CENTERS FOR MEDICARE AND MEDICAID INNOVATION (CMMI) MODELS. THE IMPORTANCE OF THIS WORK WAS HIGHLIGHTED IN A PUBLIC CONVENING, JOINTLY HOSTED BY WEST HEALTH AND DUKE-MARGOLIS: THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES (CMS) HAS SET A BOLD VISION TO TRANSITION ALL TRADITIONAL MEDICARE AND MEDICARE ADVANTAGE BENEFICIARIES INTO ACCOUNTABLE CARE RELATIONSHIPS BY 2030. IN CONJUNCTION WITH THIS DIRECTIVE, THE DUKE-MARGOLIS TEAM, IN PARTNERSHIP WITH WEST HEALTH, PROVIDED INSIGHTFUL TECHNICAL ASSISTANCE TO CMS IN 2023 AS THEY DESIGNED NEW VALUE-BASED MODELS OF CARE.ADDITIONALLY, WHPC'S COLLABORATION WITH THE PURCHASER BUSINESS GROUP ON HEALTH (PBGH) IN 2023 YIELDED VALUABLE LEARNINGS FROM REGIONAL PILOTS THAT ARE WORKING WITH MAJOR HEALTHCARE PURCHASERS (SPECIFICALLY, LARGE EMPLOYERS) TO ALIGN THEIR PRIMARY CARE CONTRACTS ON BENEFIT DESIGN, QUALITY MEASUREMENT, AND PAYMENT METHODOLOGY. HIGHLIGHT THE NEED FOR TRANSPARENCY IN THE HEALTH CARE SYSTEMTRANSPARENCY, IN A VARIETY OF CONTEXTS, IS A VITAL COMPONENT OF ADDRESSING EXORBITANT HEALTHCARE COSTS. OUR WORK ASSESSING HIGH PRICES IN CALIFORNIA HOSPITALS CONTINUES TO GENERATE IMPACT, AND WHPC IS EXPLORING FURTHER WORK TO MAKE THIS INFORMATION ACCESSIBLE TO OTHER RESEARCHERS AND THE MEDIA LOOKING TO COMPARE PRICES IN THEIR COUNTY. IN COLLABORATION WITH THE HEALTH CARE COST INSTITUTE (HCCI), WHPC HAS CONTINUED ANALYZING LARGE AMOUNTS OF COMMERCIAL CLAIMS DATA TO ANALYZE AND EXPOSE THE EXCESSIVE PRICES THAT MANY PROVIDERS CHARGE, EXPLOITING THE MARKET FAILURES THAT EXIST IN THE U.S. HEALTHCARE SYSTEM. IN 2023, HCCI AND WEST HEALTH CO-AUTHORED AN ISSUE BRIEF THAT PROVIDED 10 FAQS ON HOW SELF-INSURED EMPLOYERS FACE HIGHER PRICES FOR COMMON MEDICAL SERVICES THAN FULLY-INSURED EMPLOYERS, DESPITE THE INCENTIVES FOR SELF-INSURED EMPLOYERS TO NEGOTIATE LOWER PRICES. 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