On Monday, Kaiser Permanente and Associated Black Charities confirmed they paid Pugh a further $200,000 for copies of the books. Pugh had previously said that UMMS was the only organization that paid her for the books. Silverman said Monday that the payments by Kaiser Permanente and Associated Black Charities were for additional copies, not the roughly 60,000 books the medical system had already paid for. He has declined to provide documentation that additional books were published.