2015-11-11T15:44:29-06:00 2014-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-01-01 520954463 KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC % SVP CC AND CAO KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 DEBORAH STOKES VP, TAX SERVICES 2673303000 2015-11-10 true ROBERT W FRIZ P00438748 2673303000 2014 2016-02-25 16:41:14Z KIMBERLY HORN ONE KAISER PLAZA 15L OAKLAND CA 94612 2860563723 false X www.kp.org X 1972 MD TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 15 13 6903 635 455644 22290 14500 2508202069 2716653495 3370136 3741925 159136 210424 2511753631 2720620344 3004612 15427948 0 0 605887498 608103015 0 0 0 1916589345 2100964584 2525481455 2724495547 -13727824 -3875203 1201017659 1396796362 1221895918 1538188471 -20878259 -141392109 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 2374268303 2695315065 member health care services and medical training for care improvement Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP of MAS) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of MAS educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. 39591332 20406009 Medicaid and Other Government Sponsored Programs Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP-MAS) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP-MAS members, but also within the communities we serve. At the end of 2014, more than 18,000 individuals were receiving benefits under KFHP-MAS's Medicaid managed care programs in Maryland and Virginia. In addition, KFHP-MAS provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP-MAS members. 36495080 932421 Charitable Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP-MAS) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFHP-MAS offers financial assistance through the MFA program to help families and individuals with a demonstrated financial need pay for all or part of the cost of emergency or medically necessary care provided in Kaiser Permanente facilities and/or by Kaiser Permanente providers. In 2014, this program assisted approximately 33,800 qualifying applicants. The CHC program offers regular Kaiser Foundation Health Plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage. More than 5,800 individuals were receiving comprehensive health care through this program at the end of 2014. 26270701 15427948 0 SEE COMMUNITY BENEFIT SUMMARY RPT IN SCH O 26270701 15427948 0 2476625416 true true false true false false false false false false true false false true true false true true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 3190 0 true 6903 true true true false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true false DC MD VA X X SVP CC AND CAO 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Christine K Cassel Director 2.0 12.0 X 0 173500 0 Thomas W Chapman Director 3.0 11.0 X 0 261807 17500 Jeffrey E Epstein Director 0.5 7.0 X 0 197467 0 Daniel P Garcia SVP, Chief Compliance Officer 2.0 48.0 X 0 1357344 175853 William R Graber Director 0.5 7.0 X 0 231434 0 J Eugene Grigsby III Director 1.0 7.0 X 0 207925 0 David Hoffmeister Director 0.25 7.0 X 0 31577 0 Judith Johansen Director 0.5 7.0 X 0 222508 0 Kim J Kaiser Director 0.5 7.0 X 0 212852 0 Philip Marineau Director 0.58 5.86 X 0 214967 0 Jenny J Ming Director 0.25 2.5 X 0 48477 0 Edward Y W Pei Director 0.25 6.75 X 0 217904 17500 Margaret E Porfido Director 1.0 5.5 X 0 232533 0 Richard Shannon MD Director 0.5 6.0 X 0 83501 0 Cynthia A Telles Director 0.5 7.0 X 0 222456 0 Bernard J Tyson Chairman & CEO 6.0 44.0 X X 0 4687312 624702 Gregory A Adams EVP,GP & Region President NCAL 0.0 50.0 X 0 1913278 752529 Maryann M Bodayle Board Governance Administrator 1.0 49.0 X 0 158433 17837 Kimberly K Horn Region President - MAS 50.0 0.0 X 0 1293151 513693 Kathryn Lancaster EVP & CFO 4.0 46.0 X 0 2244260 698565 Thomas R Meier SVP, Corporate Treasurer 2.0 48.0 X 0 864149 183340 Donald H Orndoff SVP, NFS 5.0 45.0 X 0 863698 167586 Rochelle M Roth Dir, Health Plan QCSO 4.0 46.0 X 0 228471 150768 Jacqueline Sellers Sr Counsel/Assistant Secretary 2.0 48.0 X 0 252345 191723 Arthur M Southam EVP, Health Plan Operations 5.0 45.0 X 0 2501640 595175 Susan Spurlark VP, Regional Counsel - MAS 50.0 0.0 X 0 419754 269983 Deborah Stokes SVP,Corporate Controller & CAO 4.0 46.0 X 0 762279 294052 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 5.0 45.0 X 0 347803 242808 Mark S Zemelman SVP,General Counsel &Secretary 2.0 48.0 X 0 1511815 433272 Russell K Bradley VP, HP Services & Admin 30.0 20.0 X 0 209341 44853 Linda M Collins COO - MAS 30.0 20.0 X 0 210264 51864 DeAnne Petersen VP, CFO - MAS 50.0 0.0 X 0 437333 205085 Mark Ruszczyk VP, MSBD - MAS 50.0 0.0 X 0 353134 95135 Frank Titus VP, Health Plan Svcs Admin-MAS 50.0 0.0 X 0 516838 156116 Karen Elizabeth Blair VP,PR/Communications/Brand Mgt 30.0 20.0 X 0 299118 125734 George F Buchness Jr VP, Strategic Business Develop 50.0 0.0 X 0 280698 58552 Kay W Lewis VP, Quality CA Behavioral Hlth 30.0 20.0 X 0 325170 160021 Michael Rovinsky Exec Dir, Strat Planning - MAS 50.0 0.0 X 0 455149 64218 Tamsen Lee Westmoreland Region Compliance Officer -MAS 30.0 20.0 X 0 291721 182788 George C Halvorson Chairman 0.0 0.0 X 0 10399970 46427 Marilyn Kawamura Region President - MAS 0.0 0.0 X 0 145309 0 Ruben J Burnett VP, Natl Consultant Relations 0.0 0.0 X 0 408477 160501 0 36297162 6698180 1081 true true false MID-ATLANTIC PERMANENTE MEDICAL GRO 2101 EAST JEFFERSON STREET ROCKVILLE MD 20852 PHYSICIAN SERVICES 515741261 VIRGINIA HOSPITAL CENTER PO BOX 1494 MERRIFIELD VA 22116 HOSPITAL SERVICES 61285123 CHILDREN'S HOSPITAL PO BOX 37215 BALTIMORE MD 21297 HOSPITAL SERVICES 56226390 HOLY CROSS HEALTH INC PO BOX 64099 BALTIMORE MD 21264 HOSPITAL SERVICES 55134675 WASHINGTON HOSPITAL CENTER PO BOX 631290 BALTIMORE MD 21263 HOSPITAL SERVICES 49307281 211 X 14500 14500 MBR HLTH CARE PREM 621400 2232977457 2232977457 MEDICARE/MEDICAID 621400 340479909 340479909 SUPPL CHARGE/PHARM 621400 114212239 114182352 29887 NON-PLAN & IND REV 621400 2036568 1640811 395757 OTHER PRGM SERVICE 621400 26947322 26947322 2716653495 3452408 3452408 0 0 180424 180424 0 180424 180424 140136698 96198 139587261 356118 549437 -259920 289517 289517 0 0 0 PARKING REVENUE 30000 30000 30000 2720620344 2716227851 455644 3922349 15427948 15427948 0 0 0 0 0 428772849 390900708 37872141 0 59711746 59711746 85901257 71299128 14602129 33717163 33468749 248414 0 1077187 1077187 1580289 1580289 0 0 164023 164023 0 11771740 386356 11385384 9949020 8682912 1266108 155048463 113311748 41736715 0 32758114 32758114 2220044 1748949 471095 0 1739975 1739975 9662509 9662509 0 70794509 70794509 22823531 22789384 34147 CONTRACTUAL PAYMENTS 830827489 830827489 PURCHASED MEDICAL SERVICES 250677284 250677284 SUPPLIES 393558522 351691478 41867044 INTER-REGIONAL CHARGES 105186887 95239545 9947342 201124998 117246860 83878138 2724495547 2476625416 247870131 0 X 0 0 7741713 106330686 0 0 118200294 119617458 0 0 0 0 0 0 28564152 33732240 4956742 5853157 1292638502 528385423 796012863 764253079 242251370 245841062 0 0 0 0 0 0 3290525 121168680 1201017659 1396796362 178462284 218901391 0 0 4423563 14105248 12863090 0 0 0 0 0 0 0 0 0 1026146981 1305181832 1221895918 1538188471 X 8301762 8301762 0 0 -29180021 -149693871 -20878259 -141392109 1201017659 1396796362 X -3875203 -654407 -115984240 X false true X true false X 0 16275 344247 22290 14500 397312 2167352747 2272514533 2388129639 2508061602 2716227851 12052286372 0 0 0 2167352747 2272530808 2388473886 2508083892 2716242351 12052683684 0 0 0 12052683684 11014664 6430418 6743020 3392544 3632832 31213478 0 11014664 6430418 6743020 3392544 3632832 31213478 0 0 2178367411 2278961226 2395216906 2511476436 2719875183 12083897162 0.99742 0.99637 0.00258 0.00363 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 20000 true 190000 false true 88554 298554 false SCHEDULE C, PART II-B, LINE 1A THROUGH 1I LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM 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), HEALTH PLAN HAS A POLICY PROHIBITING ANY OF HEALTH PLAN'S 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. HEALTH PLAN 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 TIME AND MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. HEALTH PLAN EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT HEALTH PLAN'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON HEALTH PLAN'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 HEALTH PLAN, 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 HEALTH PLAN 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 HEALTH PLAN. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF HEALTH PLAN OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF HEALTH PLAN. 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. 69500150 69500150 820525471 284270359 536255112 148523073 77747707 70775366 228752295 159548848 69203447 25337513 6818509 18519004 764253079 STATUTORY DEPOSITS 1987481 BROKER RECEIVABLE 2162146 LONG-TERM DUE FROM AFFILIATES 115746756 OTHER LONG-TERM ASSETS 1272297 121168680 0 DUE TO RELATED ENTITIES 405065422 BROKER PAYABLE 3161488 MEDICARE RESERVES 27905621 OTHER CURRENT LIABILITIES 25957201 SELF-INSURED RISKS 140962853 PENSION & POST-RETIREMENT BENE 403463698 SUBORDINATED DEBT 264247009 OTHER LONG-TERM LIABILITIES 34418540 1305181832 2710252869 -654407 152581 -501826 2710754695 164023 9701626 9865649 2720620344 2830766719 115941172 115941172 2714825547 164023 9505977 9670000 2724495547 SCHEDULE D, PART XI RECONCILIATION OF REVENUE PER AUDITED FIN. STMT. WITH REVENUE PER RETURN LINE 2D: Gain on sale of investments - book $ 648,660 OTTI (See Note 1) (496,079) TOTAL 152,581 LINE 4B: Bad Debt Reclass $ 9,505,977 Fixed assets loss - reclass (353,788) Gain on sale of investments - tax 549,437 TOTAL 9,701,626 Note 1: other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized. SCHEDULE D, PART XII RECONCILIATION OF EXPENSES PER AUDITED FIN. STMT. WITH EXPENSES PER RETURN LINE 2D: FIXED ASSET LOSS - RECLASS $ 353,788 CHANGE IN PENSION & OTHER COMPREHENSIVE INCOME 115,587,384 Total 115,941,172 LINE 4B: BAD DEBT EXPENSES - RECLASS $ 9,505,977 SCHEDULE D, PART X, Line 2 FIN 48 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER FIN 48. true American Heart Association Mid-Atlantic 4217 Park Place Court Glen Allen VA 23060 135613797 501(c)(3) 109550 Event Support American University 4400 Massachusetts Avenue NW NW Gray Hall Washington DC 20016 530196549 501(c)(3) 165524 Event Support Arlington County Virginia 3308 S Stafford St 1st Floor Arlington VA 22206 546001123 Government 17750 Event Support Arlington Pediatric Center Inc 1701 N George Mason Drive Arlington VA 22205 541998631 501(c)(3) 8800 Event Support Associated Black Charities 1114 Cathedral Street Baltimore MD 21201 521427774 501(c)(3) 6763 Conference Support Baltimore City Community College 2901 Liberty Heights Avenue Baltimore MD 21215 521361023 501(c)(3) 27000 Operating Support Special Health Care Needs Baltimore City Health Department 1001 E Fayette Street Baltimore MD 21202 526000769 Government 10000 Event Support Collaborative Baltimore Community Foundation Inc 2 East Read Street 9th Floor Baltimore MD 21202 237180620 501(c)(3) 115000 Operating Support Capitol Hill Village 725 8th Street SE Washington DC 20003 205150809 501(c)(3) 6400 Event Support Children's Hospital Foundation 111 Michigan Avenue NW Washington DC 20010 521640402 501(c)(3) 10000 Event Support College of Southern Maryland Foundation PO Box 910 La Plata MD 20646 237279944 501(c)(3) 27000 Event Support CommonHealth ACTION 1301 Connecticut Avenue NW Suite 2 Suite 404 Washington DC 20036 830398572 501(c)(3) 374988 Event Support Coppin State College 2500 West North Avenue Baltimore MD 21216 526002033 Government 27000 Operating Support County of Fairfax 10777 Main Street Ste 203 Fairfax VA 22030 540787833 Government 20394 Event Support Dc Public Education Fund 3407 14th Street NW Washington DC 20010 261607955 501(c)(3) 24830 Conference Support Everybody Wins DC 1213 K Street NW Washington DC 20005 521938281 501(c)(3) 80000 Event Support Food Research & Action Center Inc 1200 18th Street NW Suite 400 2nd Floor Washington DC 20036 237200739 501(c)(3) 62500 Event Support FoodCorps Inc 281 Park Avenue South New York NY 10010 273990987 501(c)(3) 35000 Operating Support Generation Hope 415 Michigan Avenue NE Suite 250 Washington DC 20017 273554088 501(c)(3) 84650 Event Support George Mason University Foundation Inc 4400 University Drive MS 1A3 Fairfax VA 22030 541603842 Government 7500 Conference Support Greater Baden Medical Services Inc 7450 Albert Rd 3rd Floor Brandywine MD 20613 520961414 501(c)(3) 5170 Operating Support Health Care for the Homeless 421 Fallsway Baltimore MD 21202 521576404 501(c)(3) 18170 Conference Support school based healthcare Holy Cross Hospital Foundation Inc 11801 Tech Road Silver Spring MD 20904 208428450 501(c)(3) 23380 Event Support Holy Cross Hospital of Silver Spring Inc 1500 Forest Glen Road Suite 708 SilverSpring MD 20910 520738041 501(c)(3) 40000 Operating Support Howard Community Educational Foundation 10901 Little Patuxent Parkway Columbia MD 21044 521272329 501(c)(3) 27000 Operating Support Institute for Public Health Innovation 1301 Connecticut Ave NW Suite 200 Washington DC 20036 463039129 501(c)(3) 235000 Event Support Leukemia & Lymphoma Society Inc 5845 Richmond Highway Suite 800 SUITE 101 Alexandria VA 22303 135644916 501(c)(3) 43000 Event Support Living Classrooms Foundation 802 S Caroline Street Baltimore MD 21231 521369524 501(c)(3) 53900 Event Support Maryland Association of Nonprofit 1500 Union Avenue Suite 2500 Baltimore MD 21211 521749231 501(c)(3) 7000 Project Support Maryland Farmers Market Association PO Box 6355 Annapolis MD 21401 800874086 501(c)(3) 70000 Operating Support children to medical homes Maryland Food Bank Inc 2200 Halethorpe Farms Rd Baltimore MD 21227 521135690 501(c)(3) 15000 Operating Support Mary's Center for Maternal 2333 Ontario Road NW Washington DC 20009 521594116 501(c)(3) 75000 Event Support Medical Care For Children Partnership 1616 Anderson Road McLean VA 22102 261756738 501(c)(3) 13670 Conference Support Medical Education Cooperation with Cuba 1814 Franklin Street Suite 820 Oakland CA 94612 311603765 501(c)(3) 10000 Event Support Medical Society of Virginia Foundation 2924 Emerywood Parkway Richmond VA 23294 521394768 501(c)(3) 9280 Conference Support Mid-Atlantic Association of Community 4319 Forbes Blvd Lanham MD 20706 521344933 501(c)(3) 6000 Operating Support Montgomery College Foundation Inc 40 West Gude Drive Suite 220 Rockville MD 20850 521267008 501(c)(3) 27000 Operating Support Montgomery County Public Schools 850 Hungerford Drive Room 50 Rockville MD 20850 521804509 501(c)(3) 10000 Event Support Northern Virginia Community College 7630 Little River Turnpike Suite 8 Annandale VA 22003 510249730 501(c)(3) 27000 Operating Support Playworks Education Energized 2601 N Howard St Suite 310 Baltimore MD 21218 943251867 501(c)(3) 35000 Event Support Prevention Connections 701 E Franklin Street Suite 500 Richmond VA 23219 421609865 501(c)(3) 9250 Conference Support Prince George's Community College 301 Largo Road Accokeek Hall 312 Largo MD 20774 521429938 501(c)(3) 30500 Conference Support Prince George's County Board 14201 School Lane Upper Marlboro MD 20772 526000992 Government 24500 Conference Support Rappahannock RefugeInc 902 Lafayette Blvd Fredericksburg VA 22401 521419314 501(c)(3) 30000 Conference Support REAL School Gardens 5520 Connecticut Avenue NW Suite 2 Washington DC 20015 205946552 501(c)(3) 75000 Event Support Safe Routes to School National 2323 Broadway Suite 109B Oakland CA 94612 462694434 501(c)(3) 100000 Event Support Suburban Hospital Foundation Inc 8600 Old Georgetown Road Bethesda MD 20814 522019696 501(c)(3) 8000 Event Support The Community College of Baltimore 7200 Sollers Point Road Dundalk MD 21222 203246676 501(c)(3) 37000 Operating Support The Community Foundation 1201 15th Street NW Suite 420 Washington DC 20005 237343119 501(c)(3) 12825000 Operating Support The Family League of Baltimore 2305 N Charles Street Suite 200 Baltimore MD 21218 521734848 501(c)(3) 10000 Operating Support The Washington Center For Internships 1333 16th Street NW Washington DC 20036 521019820 501(c)(3) 20000 Operating Support University of Maryland College Park 2242 SPH Building 255 College Park MD 20742 522197313 501(c)(3) 29755 Conference Support University System of Maryland 9636 Gudelsky Dr Rockville MD 20850 521125663 501(c)(3) 27000 Operating Support Virginia Center for Health Innovation 919 East Main Street Suite 900 Richmond VA 23219 800796077 501(c)(3) 25000 Conference Support Virginia Hospital Center Foundation 1701 N George Mason Drive Arlington VA 22205 204129901 501(c)(3) 9400 Event Support Washington Regional Association 1400 16th St NW Ste 740 Washington DC 20036 521756853 501(c)(3) 24000 Event Support Washington Urban League Inc 2901 14th Street NW Washington DC 20009 530208981 501(c)(3) 23600 Event Support 57 PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees are required to sign a memorandum of understanding with Health plan prior to grant funds dispersal. grantees are required to submit a final report which delineates accomplishments, relates to stated objectives, and describes the evaluation method used to assess accomplishments. false true false false false false false true true true Gregory A Adams EVP,GP & Region President NCAL 0 679096 0 977269 0 256913 0 731611 0 20918 0 2665807 0 0 Karen Elizabeth Blair VP,PR/Communications/Brand Mgt 0 194541 0 70776 0 33801 0 101158 0 24576 0 424852 0 0 Maryann M Bodayle Board Governance Administrator 0 142083 0 15000 0 1350 0 9356 0 8481 0 176270 0 0 Russell K Bradley VP, HP Services & Admin 0 64132 0 120046 0 25163 0 37435 0 7418 0 254194 0 0 George F Buchness Jr VP, Strategic Business Develop 0 195295 0 78214 0 7189 0 40953 0 17599 0 339250 0 0 Ruben J Burnett VP, Natl Consultant Relations 0 239492 0 149037 0 19948 0 147562 0 12939 0 568978 0 0 Christine K Cassel Director 0 173500 0 0 0 0 0 0 0 0 0 173500 0 0 Thomas W Chapman Director 0 243148 0 0 0 18659 0 17500 0 0 0 279307 0 53148 Linda M Collins COO - MAS 0 82172 0 102053 0 26039 0 46236 0 5628 0 262128 0 0 Jeffrey E Epstein Director 0 190000 0 0 0 7467 0 0 0 0 0 197467 0 0 Daniel P Garcia SVP, Chief Compliance Officer 0 575436 0 732710 0 49198 0 143894 0 31959 0 1533197 0 0 William R Graber Director 0 220000 0 0 0 11434 0 0 0 0 0 231434 0 0 J Eugene Grigsby III Director 0 207500 0 0 0 425 0 0 0 0 0 207925 0 0 George C Halvorson Chairman 0 0 0 10372909 0 27061 0 46427 0 0 0 10446397 0 0 Kimberly K Horn Region President - MAS 0 510413 0 309257 0 473481 0 494018 0 19675 0 1806844 0 151505 Judith Johansen Director 0 211000 0 0 0 11508 0 0 0 0 0 222508 0 0 Kim J Kaiser Director 0 207500 0 0 0 5352 0 0 0 0 0 212852 0 0 Marilyn Kawamura Region President - MAS 0 0 0 137547 0 7762 0 0 0 0 0 145309 0 2980 Kathryn Lancaster EVP & CFO 0 704458 0 1248561 0 291241 0 681278 0 17287 0 2942825 0 189 Kay W Lewis VP, Quality CA Behavioral Hlth 0 214039 0 90603 0 20528 0 137253 0 22768 0 485191 0 707 Philip Marineau Director 0 207500 0 0 0 7467 0 0 0 0 0 214967 0 0 Thomas R Meier SVP, Corporate Treasurer 0 326884 0 440788 0 96477 0 150921 0 32419 0 1047489 0 1478 Donald H Orndoff SVP, NFS 0 403330 0 437678 0 22690 0 139375 0 28211 0 1031284 0 0 Edward Y W Pei Director 0 205000 0 0 0 12904 0 17500 0 0 0 235404 0 0 DeAnne Petersen VP, CFO - MAS 0 240333 0 135906 0 61094 0 187164 0 17921 0 642418 0 34957 Margaret E Porfido Director 0 215000 0 0 0 17533 0 0 0 0 0 232533 0 0 Rochelle M Roth Dir, Health Plan QCSO 0 164534 0 41624 0 22313 0 132829 0 17939 0 379239 0 0 Michael Rovinsky Exec Dir, Strat Planning - MAS 0 220302 0 42334 0 192513 0 18648 0 45570 0 519367 0 0 Mark Ruszczyk VP, MSBD - MAS 0 259015 0 78758 0 15361 0 55419 0 39716 0 448269 0 0 Jacqueline Sellers Sr Counsel/Assistant Secretary 0 188039 0 58756 0 5550 0 179755 0 11968 0 444068 0 0 Arthur M Southam EVP, Health Plan Operations 0 780801 0 1384773 0 336066 0 571937 0 23238 0 3096815 0 7255 Susan Spurlark VP, Regional Counsel - MAS 0 239813 0 115252 0 64689 0 256727 0 13256 0 689737 0 35350 Deborah Stokes SVP,Corporate Controller & CAO 0 348937 0 336625 0 76717 0 272898 0 21154 0 1056331 0 0 Cynthia A Telles Director 0 215500 0 0 0 6956 0 0 0 0 0 222456 0 0 Frank Titus VP, Health Plan Svcs Admin-MAS 0 238204 0 144976 0 133658 0 132140 0 23976 0 672954 0 79221 Bernard J Tyson Chairman & CEO 0 1191890 0 2757589 0 737833 0 593465 0 31237 0 5312014 0 0 Tamsen Lee Westmoreland Region Compliance Officer -MAS 0 205221 0 72651 0 13849 0 160584 0 22204 0 474509 0 0 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 0 201172 0 108856 0 37775 0 237758 0 5050 0 590611 0 2368 Mark S Zemelman SVP,General Counsel &Secretary 0 505424 0 697669 0 308722 0 403607 0 29665 0 1945087 0 108241 SCHEDULE J, PART I, LINE 3 - METHODS USED TO ESTABLISH CONSIDERATION OF CEO/EXECUTIVE DIRECTOR - Kaiser Foundation Health Plan of the Mid-Atlantic States relied on Kaiser Foundation Health Plan, Inc. 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. SCHEDULE J, PART I, LINE 4b - Supplemental Nonqualified Retirement Plan Payment - Gregory A Adams $ 232,137 Marilyn Kawamura 2,980 Kathryn Lancaster 248,666 Kay W Lewis 707 Thomas R Meier 59,750 DeAnne Petersen 44,056 Arthur M Southam 292,904 Susan Spurlark 44,722 Deborah Stokes 55,423 Frank Titus 100,986 Bernard J Tyson 568,604 Victoria B Zatkin 2,368 Mark S Zemelman 265,554 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. SCHEDULE J, PART I, LINE 7 - Non-Fixed Payments - The organization provided non-fixed payments to some of the persons listed. Payments were made under 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. SCHEDULE J, PART I, LINE 8 KIMBERLY K HORN PAID IN 2014 - RETENTION PAYMENT: $250,000 FUTURE RETENTION PAYMENT - JANUARY 2015 $150,000 FORM 990, PART VI, LINE 6 KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization. FORM 990, PART VI, LINE 7A - Appointment of Governing Body - KAISER FOUNDATION HEALTH PLAN, INC. appoints the directors (and fills vacancies and has authority to remove directors). The same 15 individuals who comprise the board of directors of KFHP also serve as the 15 directors of KFHP-CO, NW, and MAS. FORM 990, PART VI, LINE 7B - Approval of Certain Governance Decisions - The following actions of the corporation require approval of the sole member: a) removal of the chairman of the board or the regional president; b) amendments to the bylaws that pertain to the member, the board of directors, or procedures for amending the bylaws (articles c, d, and h of the bylaws); c) amendment of the articles of incorporation. Form 990, Part VI, Line 11B - 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 benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. The complete tax return is reviewed and signed by a PRICEWATERHOUSECOOPERS LLP tax advisor. 4. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 5. A copy of the return is provided to each board member prior to filing. Form 990, Part VI, Line 12C - Compliance Enforcement - A. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: A1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance office for review and appropriate action. Employees can report anonymously and without fear of retaliation. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. A2. The National Compliance Office and Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required. In addition, Conflicts of Interest Questionnaire Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually; and A3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. B. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy - To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: B1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B2. Kaiser Permanente notifies employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. B3. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem; - Written notice, with or without final warning; - Paid or unpaid suspension, with or without final warning; - Termination of employment. Form 990, Part VI, Line 15A/B - Compensation Determination - The executive compensation program 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 ANNUAL 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). 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, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization. Form 990, Part VI, Line 18 Forms 990 are available on www.guidestar.org. Form 990, Part VI, Line 19 - Public Inspection - Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. Conflict of Interest - is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements - are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: Vice President - TAX SERVICES Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612 Form 990, Part VII, Section A, Column B - 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. Form 990, Part XI, Line 9 - Other changes in net assets or fund balances - CHANGE IN OTHER COMPREHENSIVE INCOME $ (115,587,384) OTHER THAN TEMPORARY IMPAIRMENTS (496,079) GAIN ON SALE OF INVESTMENTS - TAX (549,437) GAIN ON SALE OF INVESTMENTS - BOOK 648,660 TOTAL $ (115,984,240) Form 990, Part III, Line 4A-4D 2014 Community Benefit Report Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s Commitment to the Community Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Mid-Atlantic Health Plan or KFHP-MAS) provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Its contractual obligations to group and individual members are fulfilled by contracting with local hospitals and Permanente Medical Group physicians to provide health care services for its members. KFHP-MAS strives for excellence in serving its members through market-leading performance in quality and service. As a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP, Inc.), membership is available without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. Mid-Atlantic Health Plan members are broadly representative of the communities served. Once enrolled, a member may maintain membership regardless of health or employment status. Mid-Atlantic Health Plan provides and coordinates complete health care services with 31 medical offices, serving communities in Maryland, Virginia, and Washington, D.C. As related nonprofit organizations, Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. are committed to improving the health of communities beyond enrolled membership. Annual investments in a range of Community Benefit programs are a fundamental embodiment of the organizations' ongoing commitment to improve general wellbeing within the broader community. These investments result in intentional, planned, measurable, and accountable benefits intended to address many of the health challenges faced at the individual, local, state, and national levels. In 2007, Kaiser Foundation Health Plan, Inc.'s board of directors refined the focus of the organizations' Community Benefit program and established the following four priority areas which have come to be known as "Streams of Work": A. Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. B. Community Health Initiatives (CHI) - Seeks to measurably improve the health of the communities we serve. Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. C. Safety Net Partnerships - Builds partnerships with community clinics, local health departments, and public hospitals. Provides funding, technical assistance, dissemination of care management, and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. D. Developing and Disseminating Knowledge - Improves health care by sharing our knowledge - educating practitioners, advancing research, empowering consumers, and informing policymakers about evidence-based care and health. The following are details of the Community Benefit activities provided by Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.: In 2014, Mid-Atlantic Health Plan served over 530,000 members and expended approximately $81.0 million (at cost, net of $21.3 million of related revenues) to support Community Benefit activities. The following summarizes many of the signature Community Benefit programs and services grouped according to the national Streams of Work. A. Care and Coverage for Low-Income People Improving health care access for those with limited incomes and resources is fundamental to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s mission. In 2014, Mid-Atlantic Health Plan expended approximately $54.7 million (at cost, net of $21.3 million of related revenues) to address the financing and delivery of health care for populations vulnerable due to socio-economic status, illness, ethnicity, age, or other factors. Program beneficiaries (under- and uninsured) received free or discounted care in a Kaiser Permanente facility or by a Permanente provider. A.1. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) KFHP-MAS provides charity care to low-income vulnerable populations through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. In 2014, Mid-Atlantic Health Plan spent approximately $35.6 million (at cost, net of $932 thousand of related revenues) to support under- and uninsured patients. A.1.1. Medical Financial Assistance (MFA) Program Mid-Atlantic Health Plan's Medical Financial Assistance program provides financial assistance for emergency and medically necessary services, medications, and supplies to patients with a demonstrated financial need. Patients must receive health care services at facilities operated by Kaiser Permanente and/or from a Kaiser Permanente provider. Eligibility is based upon prescribed levels of income to patients who have exhausted other private and public sources of support. In 2014, KFHP-MAS provided $19.7 million (at cost, net of related revenues of $0) of services under this program. At KFHP-MAS, uninsured patients receive a discount on hospital and professional charges for emergency or other medically necessary care without application and regardless of income level. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary services than the amounts generally billed to insured individuals receiving equivalent care. Contracted collection agency practices are already aligned with the organization's social values and IRC section 501(r). This legislation was finalized in December 2014 and is fully effective for the 2016 tax year. Additionally, any patient experiencing financial hardship due to high medical expenses relative to their income level may qualify for the program under special circumstances. In Maryland, Virginia, and Washington D.C., the MFA program's eligibility criteria allows patients falling below 350% of the Federal Poverty Guidelines (FPG) to receive full write off of patient out-of-pocket costs. In 2014, the MFA program assisted almost 34,000 qualifying applicants in Maryland, Virginia, and the District of Columbia. This population received full or partial forgiveness for nearly 333,000 outpatient visits and approximately 65,000 prescriptions. A.1.2. Charitable Health Coverage (CHC) Program Charitable Health Coverage is a unique approach to caring for low-income uninsured persons in the community. Eligible participants receive a regular Kaiser Permanente Health Plan membership card and access to the full range of services and providers - a much better alternative to potentially costly emergency room visits or hospitalization. This allows Mid-Atlantic Health Plan to invest in the longer term health of patients and the community. KFHP-MAS's CHC programs have a long history of making a real difference in the lives of persons who might otherwise have no permanent medical home. During 2014, KFHP-MAS invested approximately $15.9 million (at cost, net of $932 thousand of related revenues) to support the CHC program. In order to meet the requirements of the Affordable Care Act, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.'s CHC program was redesigned in 2014. The new CHC program includes a separately administered premium subsidy that CHC members use for the purchase of a standard off-exchange Kaiser Permanente Individual/Family (KPIF) gold level plan. To ensure that patient cost share obligations do not become a barrier to care, a Medical Financial Assistance award is provided to CHC members at the time of enrollment in the CHC program. Recertification takes place about every two years to confirm that members remain eligible to participate. Prospective members are invited to apply during limited annual enrollment periods and after experiencing triggering events. A.1.2.1. Community Health Access Program (CHAP) CHAP is a Charitable Health Coverage program that provides low-income individuals and families with access to health coverage. Participants must meet certain eligibility requirements. Total household income must be at or below 300% of the Federal Poverty Level (FPL) and applicants must not have access to other forms of health care coverage. Once eligibility requirements are met, CHAP members receive a KP monthly payment amount subsidy that helps pay for enrollment in a standard off-exchange KP individual and family product (gold level). These members are also provided with medical financial assistance that covers the cost sharing for most services if provided at KP facilities. More than 2,000 members who did not have access to other publicly or privately offered forms of health coverage were enrolled in this program at the end of 2014. A.1.2.2. 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