KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC (EIN 52-0954463)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349301998
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T11:33:34-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET STE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520954463EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KAISER FOUNDATION HEALTH PLAN OF THEBusinessNameLine1
Business Name Line2MID-ATLANTIC STATES INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% VP - NATIONAL TAX COMPLIANCEInCareOfName
Name ControlKAISNameControl
Phone5102716611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH STOKESName
TitleSVP, CC & CAOTitle
Phone5102716385Phone
Date Signed2012-11-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARILYN J KAWAMURANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2491136983GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVEActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees5964TotalNbrEmployees
Total Nbr Volunteers314TotalNbrVolunteers
Total Gross UBI153939TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year16275ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2167518178ProgramServiceRevenuePriorYear
Program Service Revenue CY2272514533ProgramServiceRevenueCY
Investment Income Prior Year14051735InvestmentIncomePriorYear
Investment Income Current Year7423339InvestmentIncomeCurrentYear
Other Revenue Prior Year844684OtherRevenuePriorYear
Other Revenue Current Year587969OtherRevenueCurrentYear
Total Revenue Prior Year2182414597TotalRevenuePriorYear
Total Revenue Current Year2280542116TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13959286GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6464946GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year484757781SalariesEtcPriorYear
Salaries Etc Current Year509803098SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1717688949OtherExpensePriorYear
Other Expenses Current Year1817965316OtherExpensesCurrentYear
Total Expenses Prior Year2216406016TotalExpensesPriorYear
Total Expenses Current Year2334233360TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-33991419RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-53691244RevenuesLessExpensesCY
Total Assets BOY770152177TotalAssetsBOY
Total Assets EOY985638340TotalAssetsEOY
Total Liabilities BOY671862797TotalLiabilitiesBOY
Total Liabilities EOY1007449179TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY98289380NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-21810839NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2109910460Expense
Grants6464946Grants
Revenue2269601372Revenue
Descriptionmember 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. Additional information about Mid-Atlantic States Health Plan's charitable activities can be found in Schedule O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense47070005Expense
Revenue2584007Revenue
DescriptionCharitable Care (Medical Financial Assistance and Charitable Coverage) Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - Health Plan offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2011, this program assisted 704 applicants, providing 2,842 prescriptions and 3,888 outpatient visits. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 10,629 patients received comprehensive care for up to four years through these programs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12421064Expense
Revenue175215Revenue
DescriptionParticipation in Government Sponsored Programs Mid-Atlantic Health Plan contributed $12.4 million to support the provision of medical care services to individuals in the state of Maryland. The Maryland Medical Assistance Program (MMA) provides funds to allow the state to increase rates that Medicaid pays to fee-for-service and managed care health care providers. The MMA program helps increase the number of practitioners willing to serve Medicaid patients, and without such practitioners, access to care could be seriously curtailed for vulnerable populations in Maryland.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5764127Expense
DescriptionSEE COMMUNITY BENEFIT REPORTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5764127TotalOfOtherProgramServiceExp
Total Program Service Expense2175165656TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965774NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5964NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonVP - NATIONAL TAX COMPLIANCENamePerson
Telephone Number5102716385TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From Related OrgsReportableCompFromRelatedOrgsReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CasselChristine
director0.5X184500
ChapmanThomas
director1.0X1806951100089109
GarciaDaniel P
SVP, Chief Compliance Officer2.0X122876573604
GraberWilliam
director0.5X208269
Grigsby III J Eugene
director1.0X19990011000
HalvorsonGeorge C
Chairman and CEO5.0X786191574595X
JohansenJudith
director0.5X200075
KaiserKim J
director0.5X124500
MarineauPhilip
director0.5X200769
MingJenny
director0.3X179269
PeiEdward
director0.5X17300016500
PorfidoMeg
director0.5X35013
PurcellJ Neal
director0.5X221858
TellesCynthia
director0.5X19561300
thompkins Sandra
director0.5X3903100
KawamuraMarilyn
Region President - Mid-Atlanti40.01042189213395X
LancasterKathryn
EVP & CFO4.02109102289626X
MeierThomas R
SVP, Corporate Treasurer3.0802247110802X
OrndoffDonald H
SVP, NFS5.0634274137999X
PetersenDeAnne
VP, CFO - MAS50.046298184221X
ROTHROCHELLE M
SENIOR DIRECTOR,QRM5.019698442093X
SouthamArthur M
EVP, HP Operations5.02649224348687X
SpurlarkSusan
VP, Regional Counsel50.0461856117953X
StokesDeborah
SVP, Controller & CAO4.0720302118018X
TysonBernard J
President & COO5.02800296482152X
Zatkin Victoria
VP. Off of Brd & corp gov svcs4.031476884531X
ZemelmanMark S
SVP, Gen Counsel & Secretary3.0778576191923X
adams gregory
grp president & regional pres30.020643330292548X
BurnettRuben J
VP, Mktg, Sales & Bus Developm30.0442038097164X
CollinsLinda M
COO - MAS30.031052793034X
Harris-MullerCarrie
VP, Chief Administrative Offic30.039985972507X
HunterKendall D
SVP, Health Ins Exchange Op30.0645704108133X
BradleyRussell K
VP, HP Services & Admin30.0027891858860X
BrittainJudith L
VP, Delivery Systems Op30.0025638169646X
JaegerMary Elizabeth
VP, HR - MAS30.032390482623X
LewisKay W
VP, UM, Risk Mgmt & Quality30.0380775132592X
MaghamiFerial G
Exec Dir, Provider Affairs30.050339867762X
ZatkinSteven R
consultant0.057412176925X
FieldValueIRS element (for citing)
Total Reportable Comp From Org557299TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs29850630TotalReportableCompFrmRltdOrgs
Total Other Compensation3627002TotalOtherCompensation
Number Individuals GT100 K800NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MID-ATLANTIC PERMANENTE MEDICAL GRO
2101 EAST JEFFERSON STREETROCKVILEEMD20852PHYSICIAN SERVICES449102546
INOVA GROUP OF HOSPITALS
PO BOX 37019BALTIMOREMD21297HOSPITAL SERVICES68176219
HOLY CROSS HOSPITAL
9805 DAMERON DRIVESILVER SPRINGMD20902HOSPITAL SERVICES62793104
WASHINGTON HOSPITAL CENTER
PO BOX 631290BALTIMOREMD21263HOSPITAL SERVICES62478118
VIRGINIA HOSPITAL CENTER
PO BOX 1494MERIFIELDMD22116HOSPITAL SERVICES43556956
FieldValueIRS element (for citing)
Number Of Contractors GT100 K497NumberOfContractorsGT100K
All Other Contributions16275AllOtherContributions
Total Contributions16275TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MBR HLTH CARE PREM62140019628656791962865679
SUPPL CHARGE/PHARM621400101164362101039526124836
NON-PLAN & IND REV62140032799233279923
OTHER PRGM SERVICE621400162216881619258529103
MEDICARE/MEDICAID621400188982881188982881
FieldValueIRS element (for citing)
Total Program Service Revenue2272514533TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5842449TotalRevenueColumn
Exclusion$5,842,449ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities212144567Securities
Other31190Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities210468620Securities
Other126247Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1675947Securities
Other-95057Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1580890TotalRevenueColumn
Exclusion$1,580,890ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPARKING LOTDescription
Total Revenue Column587969TotalRevenueColumn
Exclusion$587,969ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue587969TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2280542116TotalRevenueColumn
Related Or Exempt Function Income2272360594RelatedOrExemptFunctionIncome
Unrelated Business Revenue153939UnrelatedBusinessRevenue
Exclusion$8,011,308ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6464946Total
Program Services6464946ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total51500Total
Program Services50985ProgramServices
Management And General515ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total362360620Total
Program Services321157561ProgramServices
Management And General41203059ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total47397730Total
Program Services47397730ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total72689555Total
Program Services58478185ProgramServices
Management And General14211370ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total27303693Total
Program Services27303693ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1717917Total
Management And General1717917ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1451425Total
Management And General1451425ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total638558Total
Management And General638558ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total206628Total
Program Services206628ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total7274458Total
Program Services350886ProgramServices
Management And General6923572ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7688658Total
Program Services6781041ProgramServices
Management And General907617ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total137907029Total
Program Services137907029ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total53093694Total
Program Services53093694ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2602579Total
Program Services1955948ProgramServices
Management And General646631ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1036429Total
Program Services646009ProgramServices
Management And General390420ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1404796Total
Program Services1404796ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44178739Total
Program Services44178739ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total19345254Total
Program Services19302570ProgramServices
Management And General42684ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BASIC CONTRACTUAL PAYMENTS661642310661642310
PURCHASED MEDICAL SERVICES38496056935059794134362628
SUPPLIES31498287126369548351287388
PURCHASED NON-MEDICAL SVC7214362372142671952

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total105689779Total
Program Services100406811ProgramServices
Management And General5282968ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2334233360Total
Program Services2175165656ProgramServices
Management And General159067704ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7993398BOY
EOY8202358EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY66479635BOY
EOY70625433EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY22448940BOY
EOY22901293EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5359168BOY
EOY6011700EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis995078729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec413944169LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY433985492BOY
EOY581134560EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY230590819BOY
EOY292101623EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3294725BOY
EOY4661373EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY770152177BOY
EOY985638340EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY243566511BOY
EOY241645685EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4207108BOY
EOY17315489EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12939271BOY
EOY12913877EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY411149907BOY
EOY735574128EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY671862797BOY
EOY1007449179EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY6795610BOY
EOY6795610EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY91493770BOY
EOY-28606449EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY98289380BOY
EOY-21810839EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY770152177BOY
EOY985638340EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-53691244ReconcilationRevenueExpenses
Reconcilation Other Changes-66408975ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1000CurrentTaxYearMinus2Years
Current Tax Year16275CurrentTaxYear
Total17275Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1939546503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2001419294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2072423301CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2167352747CurrentTaxYearMinus1Year
Current Tax Year2272514533CurrentTaxYear
Total10453256378Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1939546503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2001419294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2072424301CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2167352747CurrentTaxYearMinus1Year
Current Tax Year2272530808CurrentTaxYear
Total10453273653Total
FieldValueIRS element (for citing)
Public Support Total50910453273653PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16063854CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16584560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13960781CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11014664CurrentTaxYearMinus1Year
Current Tax Year6430418CurrentTaxYear
Total64054277Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16063854CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16584560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13960781CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11014664CurrentTaxYearMinus1Year
Current Tax Year6430418CurrentTaxYear
Total64054277Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1955610357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2018003854CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2086385082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2178367411CurrentTaxYearMinus1Year
Current Tax Year2278961226CurrentTaxYear
Total10517327930Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99391PublicSupportPercentage509
Prior Year Support Percentage0.99325PriorYearSupportPercentage
Investment Income Percentage0.00609InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00675PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$18,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$383,182DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$237,376OtherActivitiesAmount
Total Lobbying Expenditures IIB638558TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1A THROUGH 1IReturnReference
ExplanationThe Organization is a member of the Kaiser Permanente Medical Care Program and participated and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in telephone conversations and/or written letters 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 has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of 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 Interest of Health Plan and its members 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 in a cost effective environment. - Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. - Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those 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 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis67793066OtherCostOrOtherBasis
Book Value67793066BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis339568221OtherCostOrOtherBasis
Depreciation200847593Depreciation
Book Value138720628BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis131572883OtherCostOrOtherBasis
Depreciation57925377Depreciation
Book Value73647506BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis183495913OtherCostOrOtherBasis
Depreciation135066988Depreciation
Book Value48428925BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis272648646OtherCostOrOtherBasis
Depreciation20104211Depreciation
Book Value252544435BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings581134560TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ENTITIES$153,497,472
SELF-INSURED RISK - PROF & PUB$135,030,853
MEDICARE COST REPORT RESERVE$58,115,091
PENSION & POST-RETIREMENT BENE$285,166,074
OTHER CURRENT LIABILITIES$13,760,472
LONG-TERM DEFERRED RENT LIABIL$34,807,441
OTHER LONG-TERM LIABILITIES$55,196,725
FieldValueIRS element (for citing)
Total Of Amounts735574128TotalOfAmounts
Total Revenue2280542116TotalRevenue
Total Expenses2334233360TotalExpenses
Excess Or Deficit For Year-53691244ExcessOrDeficitForYear
Net Unrealized GL On Investments-1225416NetUnrealizedGLOnInvestments
Other-$65,183,559OtherAmount
Total Adjustments-66408975TotalAdjustments
Excess Or Deficit Per FS-120100219ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2273916392TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1225416NetUnrealizedGainsInvestments
Other Revenues-3011856OtherRevenues
Revenue Not Rptd F990-4237272RevenueNotRptdF990
Revenue Subtotal2278153664RevenueSubtotal
Other Revenues Not Included2388452OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2388452RevenueNotRptdOnFinStmt
Total Revenue Per Form9902280542116TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2394016613TotExpensesEtcAuditedFinclStmt
Other Expenses Included64985152OtherExpensesIncluded
Expenses Not Rptd F99064985152ExpensesNotRptdF990
Expenses Subtotal2329031461ExpensesSubtotal
Investment Expenses Not Included2206628InvestmentExpensesNotIncluded2
Other Expenses Not Included4995271OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5201899ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902334233360TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUE PER AUDITED FIN. STMT. WITH REVENUE PER RETURNSCHEDULE D, PART XIILINE 2D: Gain on sale of investments per book $ 2,190,043 INTEREST EXPENSE - RECLASS <880,613> Bad Debt Reclass <4,114,658> INVESTMENT MANAGEMENT EXPENSES - RECLASS <206,628> TOTAL $ <3,011,856> LINE 4B: Gain on sale of investments per tax 1,675,947 SEE PART XI, LINE 8, NOTE 1 838,752 FIXED ASSET LOSS - RECLASS (126,247) TOTAL $ 2,388,452
RECONCILIATION OF EXPENSES PER AUDITED FIN. STMT. WITH EXPENSES PER RETURNSCHEDULE D, PART XIIILINE 2D: CHANGE IN OTHER COMPREHENSIVE INCOME $ 64,858,905 FIXED ASSET LOSS - RECLASS 126,247 TOTAL $ 64,985,152 LINE 4A: INVESTMENT MANAGEMENT EXPENSES - RECLASS 206,628 LINE 4B: BAD DEBT EXPENSES RECLASS $ 3,489,156 MISC EXPENSES RECLASS 625,502 INTEREST EXPENSE - RECLASS 880,613 TOTAL $ 4,995,271
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMTSCHEDULE D, PART XI, LINE 8CHANGE IN OTHER COMPREHENSIVE INCOME $ <64,858,903> SEE "NOTE 1" <838,752> Gain on sale of investments - book 2,190,043 Gain on sale of investments - tax <1,675,947> TOTAL $ <65,183,559> NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
FIN 48 FOOTNOTESCHEDULE D, PART X, QUESTION 2NOT REQUIRED

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (118 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
32nd Street Farmers Market Inc
221 Ridgemede Road 303BaltimoreMD21210521168151501(c)(3)10000EBT Independence Card Program Access Coordinator and Medication Coordinator
Active Minds Inc
2001 S Street NWWashingtonDC20009200587172501(c)(3)100008th annual Natl Mental Health Conference
Adventist HealthCare Inc
1801 Research BlvdRockvilleMD20850521532556501(c)(3)250002011 health reform Conference.200
Alexandria Neighborhood Health Services Inc
2 East Glebe RoadAlexandriaVA22305541849881501(c)(3)95000Chronic Illness Care Expansion
American Cancer Society
124 Park Street SEViennaVA22180580659875501(c)(3)100002011 Cure by Design1217
American University
4400 Massachusetts AveWashingtonDC20016530196549501(c)(3)20000DC Healthy Schools Act: Measuring its Impact
American University
4400 Massachusetts AveWashingtonDC20016530196549501(c)(3)94813Community Voices for Health: Teachers, Students &
Arlington Free Clinic
2921 11th StArlingtonVA22204541671883501(c)(3)95000Strengthening Capacity through Technology Infrastr Special Health Care Needs
Arlington Pediatric Center Inc
601 S Carlin Springs RdArlingtonVA22204541998631501(c)(3)75000Enhancing Quality and Strengthening Financial Mana table
Associated Catholic Charities Inc
320 Cathedral StreetBaltimoreMD21201520591538501(c)(3)246202011 Bridesmaid Bingo Collaborative
Baltimore Community Foundation Inc
2 East Read St 9th FlBaltimoreMD21202237180620501(c)(3)96500Baltimore Food Policy Initiative (BFPI)
Baltimore Medical System Inc
3501 Sinclair LaneBaltimoreMD21213521358241501(c)(3)94892Baltimore Med Sys Asthma Infrastructure Enhancemen
Baltimore Outreach Services
701 S Charles StreetBaltimoreMD20720562291915501(c)(3)150002011 Charitable Contribution
Bea Gaddy Family Centers
425 N Chester StBaltimoreMD21231521243628501(c)(3)200002011 Thanksgiving Day Dinner for the Homeless
Bread for the City Inc
1525 7th St NWWashingtonDC20001521138207501(c)(3)33302BFC Medical Clinic Strategic Planning Project
Calvary Women's Services
110 Maryland Ave NE StWashingtonDC20002521307706501(c)(3)150002011 Charitable Contribution
Capital Area Food Bank
645 Taylor Street NEWashingtonDC20017521167581501(c)(3)100000Healthy Food Access in Action Project
Carpenter's Shelter Inc
930 North Henry StreetAlexandriaVA22314541571849501(c)(3)150002011 Charitable Contribution9
CASA of Maryland
8151 15th AvenueLangley ParkMD20783521372972501(c)(3)95000Health Services Capacity Building Project
Catoctin Foundation Inc
224B Cornwall Street NWLeesburgVA20176541921059501(c)(3)200002011 Charitable Contribution100
Child Center and Adult Health Services Inc
16220 Frederick Rd Ste 502GaithersburgMD20877521120638501(c)(3)50550Integrating Behavioral Health and Primary Care: Bu
Children's Hospital Foundation
111 Michigan AveWashingtonDC200102970521640402501(c)(3)95000Strengthening Oral Health Care for Children Living
City of Takoma Park Maryland
7500 Maple AvenueTakoma ParkMD20912526000808City of tacoma122170Community Food Access in Action: the Crossroads Fa
CommnHealth ACTION
1301 Connecticut AveWashingtonDC20036830398572501(c)(3)23915IPHi TA for Prince George's County
CommnHealth ACTION
1301 Connecticut AveWashingtonDC20036830398572501(c)(3)25000Telehealth Conference
CommnHealth ACTION
1301 Connecticut AveWashingtonDC20036830398572501(c)(3)49853Port Towns Community Health Partnership
CommnHealth ACTION
1301 Connecticut AveWashingtonDC20036830398572501(c)(3)50000HEAL Cities Campaign of the Mid-Atlantic
Community Clinic Inc
15850 Crabbs Branch WyRockvilleMD20855520988386501(c)(3)42000Organizational Transformation of an FQHC
Community Clinic Inc
15850 Crabbs Branch WyRockvilleMD20855520988386501(c)(3)143949CCI ALL PHASE Program
Community Health Integrated Partnership Inc
802 Cromwell Park DrGlen BurnieMD21061522043180501(c)(3)95000Supporting Quality Improvement in Safety Net Healt
Community of Hope
1717 Massachusetts AveWashingtonDC20036521184749501(c)(3)95000Meaningful Use/ Medical Home Initiative Nation's Capital
Coppin State College
2500 W North AveBaltimoreMD212163698526002033state of MD95000Obesity, Unplanned Pregnancy and Community Care
Covenant House Washington
2001 MississippiWashingtonDC200206116133537709501(c)(3)150002011 Charitable Contribution
Damien Ministries Inc
2200 Rhode Island AveWashingtonDC20018521523098501(c)(3)1000025th Anniversary Fundraiser concert
DC Appleseed Center for Law and Justice
1111 14th Street NWWashingtonDC20005521891162501(c)(3)50000DC Children's Health Project
DC Central Kitchen Inc
425 2nd Street NWWashingtonDC20001521584936501(c)(3)24000Capital Food Fight school based healthcare
Everybody Wins DC
1213 K Street NWWashingtonDC20005521938281501(c)(3)40000Power Lunch Program at Ludlow-Taylor ES300
Fairfax-Falls Church Community Services Board
12011 Govt Center PkwayFairfaxVA220351100540787833City of fairfax94990CSB/Mason University Partnership: Promotion of Wel
Family Health and Birth Center
801 17th Street NEWashingtonDC20002522091131501(c)(3)93657Merger with FQHC and Implementation of EMR310
Family Services Inc
610 E Diamond AveGaithersburgMD20877520730225501(c)(3)50000Health Integration Project (HIP)
Food & Friends Inc
219 Riggs RoadWashingtonDC20011521648941501(c)(3)240002011 Donation
Food Research and Action Center
1875 Connecticut AveWashingtonDC20009237200739501(c)(3)212000Reducing Obesity by Connecting Low-Income Resident Gala
Frederick Union Rescue Mission Inc
419 West South StreetFrederickMD21701520813371501(c)(3)150002011 Charitable Contribution906
Generation Hope
801 N Fairfax StAlexandriaVA22314273554088501(c)(3)150002011 Charitable Contribution
Georgetown UniversityCapital Breast Care Center
650 Pennsylvania AveWashingtonDC20003530196603501(c)(3)52970Moving Forward: Organizational and Leadership Dev
Girls on the Run of Montgomery County Inc
12320 Parklawn DrRockvilleMD20852205531978501(c)(3)60002011-2012 Girls on the Run season Career Success Program graduates
Greater Baden Medical Services Inc
7450 Albert RoadBrandywineMD20613520961414501(c)(3)75000Prince George's County Coordinating Council
Greater Washington Urban League Inc
2901 14th St NWWashingtonDC20009530208981501(c)(3)680039th Annual Whitney M. Young Memorial Gala
Health Care for the Homeless
421 FallswayBaltimoreMD21202521576404501(c)(3)150002011 Charitable Contribution
Healthy Howard Inc
PO Box 2275ColumbiaMD21045611549388501(c)(3)82698Healthy Howard, Inc children to medical homes540
Holy Cross Hospital Foundation
11801 Tech RdSilver SpringMD20904208428450501(c)(3)229532011 Gala
Holy Cross Hospital
1500 Forest Glen RdSilver SpringMD20910520738041501(c)(3)167763Senior Fit
Howard Community Educational Foundation
10901 Little PatuxentColumbiaMD21044521272329501(c)(3)250002011 Nursing Scholarship Benefit
Inquiring Systems Inc
150 South ParkSan FranciscoCA94107942524840501(c)(3)50000The Future of Food Conference
Inquiring Systems Inc
150 South ParkSan FranciscoCA94107942524840501(c)(3)94650D.C. Schools on the Move
Jeanie Schmidt Free Clinic
PO Box 5143HerndonVA20172710877944501(c)(3)48625EMR Upgrade Project17B
Joint Center For Political And Economic Studies I
1090 Vermont Ave nwWashingtonDC20005521069070501(c)(3)25000Place, Race and Health Equity: Building Strong Com
Jubilee Foundation
10408 Montgomery AveKensingtonMD20895521698505501(c)(3)144802011 Roast of Valerie Ervin Sciences Students
Junior Achievement of the National Capital Area
1725 I St NW ste 200WashingtonDC20006540788947501(c)(3)25000Junior Achievement Finance Park Luncheon
Knock Out Abuse
1050 17th St NW 1200WashingtonDC20036541907723501(c)(3)878518th Annual Knock Out Abuse Gala Health Care Directory
Loudoun Community Health Center
224 Cornwall St NWLeesburgVA20176202379419501(c)(3)95000Loudoun Community Health Center Technology Improve450-A
Mary's Center for Maternal and Child Care Inc
2333 Ontario Road NWWashingtonDC20009521594116501(c)(3)93708Achieving 'Meaningful Use' Status: Enhancing Patie
Meals on Wheels of Central Maryland
515 South Haven StreetBaltimoreMD21224526074723501(c)(3)2430019th Annual Culinary Extravaganza Program
Mid-Atlantic Association of Community Health Cente
4483B Forbes Blvd BLanhamMD20706521344933501(c)(3)80000West Baltimore Primary Care Needs Assessment Share Program
Mission Life Center
10721 Main St Suite 1200FairfaxVA22030752999280501(c)(3)150002011 Charitable Contribution200E
Mobile Medical Care Inc
9309 Old Georgetown RdBethesdaMD20814237022588501(c)(3)79000Health Care Capacity Building
Montgomery County Business Roundtable for Educatio
12900 Middlebrook RdGermantownMD20874412047342501(c)(3)25000114th Partnership - Mid-Atlantic County
Montgomery County Department of Health
101 Monroe SRockvilleMD20850526000980county95000The Montgomery County Medicaid Expansion Project
Montgomery County Public Schools Educational Found
850 Hungerford DrRockvilleMD20850521804509501(c)(3)215002011 Back to School Fair
Mosaica Inc
1522 K St NW Ste 1130WashingtonDC20005521872115501(c)(3)99988Protecting the Safety Net: Preparing for Health Ca
Muslim Community Center Medical Clinic
15200 New HampshireSilver SpringMD20905521072792501(c)(3)57800MCC Medical Clinic Infrastructure Enhancement Proj
Network 2000 Inc
2400 Boston St Ste 102BaltimoreMD21224521814260501(c)(3)561018th Annual Women of Excellence Luncheon
New Pathways Inc
540 East Belvedere AveBaltimoreMD21212521078513501(c)(3)150002011 Charitable Contribution
Northern Virginia Community Foundation
8283 Greensboro DrMcLeanVA22102510232459501(c)(3)75002011 Home Sweet Home Gala
Northern Virginia Community Foundation
8283 Greensboro DrMcLeanVA22102510232459501(c)(3)245002011 Mission of Mercy
Northern Virginia Family Service
10455 White Granite DrOaktonVA22124540791977501(c)(3)120002011 Road to Independence Gala
NOVA Scripts Central Inc
6400 Arlington BlvdFalls ChurchVA22042651275162501(c)(3)38968Pharmacy Technology Improvement:Streamlining Acces
Paul's Place Inc
1118 Ward StreetBaltimoreMD21230521372359501(c)(3)150002011 Charitable Contribution and Festival
People's Community Health Centers Inc
2524 Kirk AvenueBaltimoreMD212184826520905681501(c)(3)149779A-L-L/P-H-A-S-E for People's Patients220
Playworks Education Energized
2601 N Howard StBaltimoreMD21218943251867501(c)(3)95000Playworks Baltimore and Playworks Washington, D.C.
Pregnancy Aid Centers Inc
4809 Greenbelt RdCollege ParkMD207402001237418649501(c)(3)52257Upgrading technology to implement EHR/ Meaningful
Primary Care Coalition of Montgomery County Inc
8757 Georgia AveSilver SpringMD20910521847976501(c)(3)120002011 Annual Meeting
Prince George's County Fair Association
PO Box 1010Upper MarlboroMD20773521304397501(c)(3)150002011 County Fair sponsorship
Prince William Area Free Clinic Inc
4001 Prince William PkwyWoodbridgeVA22192541619202501(c)(3)31950PWAFC Clinical and Technology Expansion
Rails-toTrails Conservancy
2121 Ward Ct NW 5th FlWashingtonDC20037521437006501(c)(3)135000Urban Pathways to Healthy Neighborhoods STI/HIV/AIDS Transmission in At-Risk Youth
Sarah's Circle
2551 17th St NWWashingtonDC200092850521338101501(c)(3)150002011 Charitable Contribution
Sasha Bruce Youthwork Inc
741 Eighth Street SEWashingtonDC20003521006486501(c)(3)150002011 Charitable Contribution300
Share Our Strength
1730 M St NW Ste 700WashingtonDC20036521367538501(c)(3)95000No Kid Hungry Virginia
Shepherd's Clinic Inc
1901 St Paul StreetBaltimoreMD21218521739001501(c)(3)85000Shepherd's Clinic Technology Infrastructure Upgrad1200
SOME Inc
71 O Street NWWashingtonDC20001237098123501(c)(3)52250Enhancing Infrastructure to Achieve Meaningful Use6D
Spanish Catholic Center of Catholic Charities
1618 Monroe Street NWWashingtonDC20010520980905501(c)(3)95000Electronic Health Record System and Medicaid Reimb200
Summit Health Institute for Research and Education
1313 L St NWWashingtonDC20005521936403501(c)(3)15000Building Community Engagement in Underserved Neigh
Summit Health Institute for Research and Education
1313 L St NWWashingtonDC20005521936403501(c)(3)94990Early Childhood Healthy Living Advocacy Initiative
Summit Health Institute for Research and Education
1313 L Street NWWashingtonDC20005521936403501(c)(3)141873East of the River Urban Neighborhood Gardening Ini
TERRIFIC Inc
1222 T Street NWWashingtonDC20009521177254501(c)(3)150002011 Charitable Contribution100
The City of Frederick
100 South Market StreetFrederickMD21701526000789city of frederi20000Funding to support the transition of the MCCP Fred1130
The Community Foundation for the National Capital
1201 15th Street NWWashingtonDC20005237343119501(c)(3)40000Celebration of Civic Spirit
The Community Foundation for the National Capital
1201 15th Street NWWashingtonDC20005237343119501(c)(3)350000Donor Advised Fund Contribution 2011
The District of Columbia Primary Care Association
1411 K St NW Ste 1200WashingtonDC20005521999196501(c)(3)95000Primary Care Infrastructure Enhancement
The Executive Leadership Foundation
1001 N Fairfax StAlexandriaVA22314521631358501(c)(3)141002011 Annual Recognition Dinner
The Family League of Baltimore City Inc
2700 N Charles StBaltimoreMD21218521734848501(c)(3)95000FLBC Nutrition Program
The Links Foundation
1200 Massachusetts AveWashingtonDC20005521167430501(c)(3)2225065th Anniversary and National Headquarters Rededic
The Nonprofit Roundation of Greater Washington
1201 15th St NWWashingtonDC20005161626729501(c)(3)95000DC Government/Nonprofit Partnership Initiative for Healthy Eating and Active Living (PG HEAL)
The Partnership for a Healthier Carroll County In
535 Old Westminster PkWestminsterMD211576269522156892501(c)(3)92445L.E.A.N. Carroll-Healthy Eating II
The Religious Coalition for Emergency Human Needs
27 DeGrange StreetFrederickMD21701521449375501(c)(3)150002011 Charitable ContributionE
The Skillsource Group Inc
8300 Boone Blvd ste 450ViennaVA22182300129320501(c)(3)28655NoVA HealthFORCE nurses project
The Susan G Komen Breast Cancer Foundation
200 E Joppa Rd Ste 407TowsonMD21286522053491501(c)(3)147902011 Race for the Cure (Baltimore)
The Training Source Inc
59 Yost PlaceSeat PleasantMD20743521843341501(c)(3)150002011 Charitable Contribution
Towson University Foundation
8000 York RoadTowsonMD212520001520939453501(c)(3)150002011 Charitable Contribution and supplies405
Ulman Cancer Fund for Young Adults
921 E Fort Ave Ste 325BaltimoreMD21230522057636501(c)(3)300002011 Half-Full Triathlon Program opening
Us Helping Us-People Into Living INC
3636 Georgia Ave NWWashingtonDC20010521628279501(c)(3)100002011 Black Pride Picnic in the Park
Vida Senior Centers
1842 Calvert St NWWashingtonDC20009237161573501(c)(3)5520New Eyes for the New Year
Virginia Hospital Center Foundation
1701 N George Mason DrArlingtonVA22205204129901501(c)(3)92502011 Signature Evening
Washington Area Consortium on HIV Infection in You
651 Pennsylvania AveWashingtonDC20003521610088501(c)(3)52700Enhancing Infrastructure and ability to serve low
Washington Regional Association of Grantmakers
1400 16th St NW Ste740WashingtonDC20036521756853501(c)(3)100002011 Health Working Group sponsorship
Washington Regional Association of Grantmakers
1400 16th St nwWashingtonDC20036521756853501(c)(3)137002011 Annual Meeting
Washington Regional Association of Grantmakers
1400 16th St NWWashingtonDC20036521756853501(c)(3)100000Positive Pathways
Whitman-Walker Clinic
1701 14th Street NWWashingtonDC20009521122122501(c)(3)45000Strategic Analysis of Health Care Reform's Impact
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants108TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationGrantees 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (35 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BradleyRussell K
183183079893015842046220012640033777800
BrittainJudith L
11822701079160302380571650124810326027000
BurnettRuben J
02337440188380019914084524012640053920200
CasselChristine
184500184500
ChapmanThomas
110001806958910911000269804
CollinsLinda M
22234150403377838004012994403561
GarciaDaniel P
5625516400002621461308122961302369
GraberWilliam
208269208269
Grigsby III J Eugene
1100019990011000199900
HalvorsonGeorge C
121561350395061606796613081328779365100
Harris-MullerCarrie
1279931810269084065937657047236682819
HunterKendall D
293460236225116019954931264075383795449
JaegerMary Elizabeth
193257107805228426998312640406527
JohansenJudith
200075200075
KawamuraMarilyn
391430475000175759200305130901255584132168
LancasterKathryn
630520907953570629276632129942398728529003
LewisKay W
193335100618868221214131117951336766648
MaghamiFerial G
2053791349291630905519512567571160
MarineauPhilip
200769200769
MeierThomas R
3144713391881485889780812994913049113944
MingJenny
179269179269
OrndoffDonald H
3762972353282264912448213517772273
PeiEdward
17300016500189500
PetersenDeAnne
22270915431285960715811264054720270228
PurcellJ Neal
221858221858
ROTHROCHELLE M
1672062693428442950812585239077
SouthamArthur M
7413741175000732850336623120642997911688121
SpurlarkSusan
228779143438896391048631309057980969830
StokesDeborah
315132337575675951050241299483832048521
TellesCynthia
01956130000019561300
TysonBernard J
8926051290000617691469158129943282448587707
ZatkinSteven R
4500542685269366639310532651046
Zatkin Victoria
1926758569236401825701961399299
ZemelmanMark S
3985022595001205741793381258597049980051
adams gregory
063262107443990687313027955401299402356881662623

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART IITop Management Officials' CompensationSteven Zatkin- general counsel to 06/30/10; consultant 3/4/11 to present. Sandra Thompkins - Board of directors to 4/1/11. Schedule J, Part I, line 3 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 4bSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTSGeorge Halvorson $ 1,500,000 Mark Zemelman 81,113 Marilyn Kawamura 134,185 Kay Lewis 66,648 Deborah Stokes 48,521 Steven Zatkin 4,891 Thomas Meier 114,428 ferial maghami 95,772 bernard tyson 587,707 arthur southam 688,121 gregory adams 662,623 deanne peterson 70,228 susan spurlark 69,830 carrie harris-mueller 82,819 kendall hunter 95,902 anthony barrueta 107,821 Kathryn Lancaster 529,350 Total $ 4,939,980 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.
SCHEDULE J, PART I, LINE 7The 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 O IRS990ScheduleO

General Explanation GeneralExplanation (51 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
form 990, PART I, LINE 7BTOTAL UBI (FORM 990-T, LINE 30) $ 9,943 NET OPERATING LOSS (NOL) APPLIED (9,943) UBTI WITH NOL (FORM 990-T, LINE 34) NONE
form 990, PART III, LINE 4A-D2011 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. or "Mid-Atlantic Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Mid Atlantic Health Plan as well as Kaiser Foundation Hospitals (KFH) are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." In 2011, the Mid-Atlantic Health Plan served more than 488,492 members, and had 5,237 full-time administrative, clerical and technical employees. Mid-Atlantic Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH and a Permanente Medical Group to provide the required health care services. Membership in KFHP and its health plan subsidiaries is available without regard to sex, race, religion, ethnic background, sexual orientation, and occupational status, or income level. Health Plan members are broadly representative of the various ages, social, and income groups within the areas it serves. Once enrolled, a member is free to maintain membership regardless of age, health status or employment. KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Kaiser Permanente believes its Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre Programs, Safety Net Partnerships, Community Health Initiatives and Charitable Health Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization's Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the under- and uninsured. - Community Health Initiatives - Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. - 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. - Developing and Disseminating Knowledge - Improves health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The Board elaborated that at least 75% of total community benefit funding will be directed to program priorities within the four streams of work and the remaining 25% of funding will be directed by local regions to respond to local community benefit needs and opportunities that may or may not be within the four key focus areas.
THE COMMUNITY BENEFIT PROGRAMS IN THE MID-ATLANTIC REGIONThe Mid-Atlantic Health Plan expended approximately $69.6 million to support community benefit activities. A breakdown of the 2011 Community Benefit dollars attributable to the Mid-Atlantic Health Plan is included in Attachment A. The following identifies many of the signature community benefit programs and services grouped according to the national streams of work funded by the Mid-Atlantic Health Plan. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 49 million people in America without health care coverage. Uninsured, low-income individuals and families who are not eligible for public programs often have to rely on traditional charity care. Frequently, individuals in this situation may wait to seek medical care until their conditions become critical, and end up in hospital emergency rooms for treatment of conditions that are preventable or easily treated in earlier stages. In 2011, the Mid-Atlantic Health Plan expended $56.7 million 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. Charitable Care (Medical Financial Assistance and Charitable Health Coverage Programs) In the Mid-Atlantic States, Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance and Charitable Health Coverage Programs. In 2011, the Mid-Atlantic States Health Plan spent $44.5 million on under- and uninsured residents in Maryland, Virginia and the District of Columbia to serve more than 10,629 children and adults. Medical Financial Assistance- The Medical Financial Assistance (MFA) Program provides temporary financial assistance to individuals who are in both medical and financial need and ensures that collection practices do not further burden an individual or family in financial distress. The program is available to assist Health Plan members in reducing out-of-pocket costs such as co-payments, co-insurance, medical services and/or pharmacy. Nonmembers are offered assistance for specified medically necessary services related to an episode of care. In order to receive financial assistance, members and nonmembers must not be eligible to receive assistance under any other public or private program. MFA awards are only for services provided in Health Plan facilities. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% of the federal poverty guidelines. Charitable Health Coverage- Charitable Health Coverage CHC) is a unique approach to caring for low-income uninsured persons in the community. Participants receive a regular Kaiser Permanente membership card and access to the full range of service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows the Mid-Atlantic Health Plan to invest in the longer term health of patients and the communities. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The following describes two CHC programs in the Mid-Atlantic region. Bridge Program - This program enables participants to have comprehensive health care coverage at significantly reduced costs at a time when they are experiencing financial difficulties due to job loss, involuntary reduction in work hours, death, divorce, or legal separation from a spouse. Typically, these individuals are not eligible for any other public or private health care coverage and whose income is less than 300% of the federal poverty guidelines. Health Plan subsidizes either 90% or 95% of their monthly health care premium relative to the member's income. At the end of 2011, nearly 7,507 individuals were enrolled through community partners located in 12 local jurisdictions. Medical Care for Children Programs - In 2011, more than 3,100 children were enrolled in the program in five jurisdictions throughout the Mid-Atlantic Health Plan region. Children in these programs may not be eligible for public or private health care programs and must have family incomes of below 300% of the federal poverty guidelines. The program operated in partnership with local governments, hospitals and/or nonprofit community groups. Referrals to specialists not available from the Permanente Medical Group and inpatient hospitalizations are covered by the program's partners. This program targets children of "working poor" families.
Participation in Government-Sponsored ProgramsIn 2011, Mid-Atlantic Health Plan contributed $12.2 million to support the provision of medical care services to individuals in the following government-sponsored program: - The Maryland Medical Assistance Program provides funds to allow the state to increase rates that Medicaid pays to fee-for-service health care providers and managed care health care providers. The program helps increase the number of practitioners willing to serve Medicaid patients, and without such practitioners, access to care could be seriously curtailed for vulnerable populations in Maryland. - Medicaid - Kaiser Permanente served over 700 non-member medicaid pediatric patients as a primary care provider through priority partners at 8 medical offices in 2011. the mas health plan also invested in start up costs associated with becoming a medicaid managed care organization in the commonwealth of virgina. In 2011 CB funded the cost-based losses of $429,341 and medicaid start up costs of $1,158,035. COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods, workplaces, and schools to support good health, particularly Healthy Eating, Active Living (HEAL). The Mid-Atlantic Health Plan spent $2.5 million on community health initiatives during 2011. Health Eating Active Living Programs The Mid-Atlantic HEAL program provides a variety of community outreach activities and services to address the environmental factors that effect childhood and adult obesity. The focus is on increasing access to healthy foods, fun and safe places for children and adults to engage in physical activity as well as raise awareness and educate the consumer about ways to lead a healthier lifestyle through healthy eating and active living. Healthy Eating Activities include hosting a farmers market at the Baltimore City Plaza Medical Center, a farm stand at Camp Springs Medical Center, and a community garden at the White Marsh Medical Center. KP also continues to support Healthy Eating in Hard Times efforts to ensure food banks in the region include fresh, healthy foods. Mid-Atlantic Health Plan supports active living by helping to build healthy communities and sustain community-based organizations to address health where people live, work, learn, and play by targeting neighborhood environmental conditions, organizational practices, and public policies. Key HEAL partnerships include: The Port towns Community Health Partnership, Summit Health Institute for Research and Education (SHIRE), Alexandria Health Partnership, and DC promise Neighborhood. Safe Routes to School National Partnership was funded to design and implement programs with Washington Region elementary schools to create safe, convenient, and fun opportunities for children to bike and walk to and from school. Grants and Donations for Community Health Initiatives The Mid-Atlantic Health Plan donated $2.2 million to 34 nonprofit community organizations to support a variety of community health initiatives. The following are examples of programs and services funded in 2011: - american university was granted $95,000 to evaluate the progress of the implementation of the DC Healthy Schools act. - playworks education energized was provided a $95,000 grant to implement playworks unique model of physical activity and the play program in 45 low -income elementary schools in baltimore and Washington dc impacting 16,000 children daily SAFETY NET PARTNERSHIPS Through funding, technical assistance, public policy advocacy, training and volunteering, dissemination of care-management and quality improvement technologies, Kaiser Permanente helps these vital health care providers improve care and expand treatment capacity for the communities and vulnerable people they serve. In 2011, the Mid-Atlantic Health Plan spent $5.6 million to support 56 organizations that assist clinics, providers and the institutions on the front lines of healthcare to expand access to primary, specialty, and preventative care to low- income and unisured adults and children in the district of columbia, maryland, and virgina. Following are highlights from two of our signature partnerships: - in 2011, the community ambassador program grew from 2 nurse practitioners (NPs) to a total of 37 NPS and physician assistants placed in 16 safety net clinics in washington dc, suburban maryland and northern virginia. the purpose of the program is to expand the capacity of local safety net clinics to expand the healthcare access to the under/uninsured. - hypertension initiative- this is a new pilot partnership between kaiser permanente and 3 federally qualified health centers, one in washington dc, and two in maryland. the program is intended to build a bridge between KP and community clinics by providing specialty care for refractory hypertensive patients. Grants and donation for safety net partnerships- The mid-atlantic health plan invested $3.6 million and supported 56 communities agencies to enhance their ability to provide high quality care in a variety of settings. Active participation was continued in the Washington AIDS Collaborative and The Neighbors in Need Collaborative of The Community Foundation for the National Capital Region. The following are examples of programs and services funded: - IHI Scholarships to Safety NET Providers - Mid-Atlantic Health Plan provided training and education scholarships to 14 Safety NET clinicians from 8 Safety NET clinics to attend Institute for Health Improvement seminars and their annual meeting. Seven individuals attended the 23rd Annual Conference of Quality Improvement and one Medical Director was selected to participate on a KP sponsored panel discussion of Patient Medical Homes at the 23rd Annual IHI Conference. - IHI Scholarships were provided to 2 staff members of the People's Community Health Center in Baltimore Maryland to attend the Annual IHI Conference in Orlando. - IHI Scholarships were provided to 2 staff members of Greater Baden in Prince George's county Maryland to attend the Annual IHI Conference in Orlando. DEVELOPING AND DISSEMINATING KNOWLEDGE Kaiser Permanente aims to improve health care by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Mid-Atlantic Health Plan spent $1.9 million to support programs and services for the development and dissemination of knowledge and provided grants and donations to nonprofit organizations.
CLINICAL AND HEALTH SERVICES RESEARCHIn 2011, the Mid-Atlantic Health Plan spent approximately $641 thousand to support Community Benefit focused clinical and health services research. Many of the research studies address current health issues and improve care for common conditions where treatment often is linked to community-based efforts, and are broadly disseminated through articles and professional presentations. The Mid-Atlantic Permanente Research Institute (MAPRI) publishes and disseminates epidemiologic and health services research to improve the health and medical care of Kaiser Permanente members and the communities we serve. MAPRI has a specific focus on conducting research that can be translated into clinical practice and health promotion to influence the health of individuals and populations. MRI investigators collaborate on major research projects with national partners including the NIH, via National Institutes of Mental Health, National Institute of Allergy and Infectious Diseases, and AHRQ. These studies cover a broad range of topics, including HIV/AIDS, adherence to medical treatment, and asthma and other chronic conditions. Additionally, MAPRI researchers collaborate with other major non-profit healthcare institutions, including Johns Hopkins University, University of California, and Harvard University. The community benefit budget supports studies led by Mid-Atlantic Permanente Medical Group physicians, health plan investigators or MAPRI staff. In 2011, MAPRI published approximately 20 studies in peer-reviewed journals. Following are a few examples of those studies: The International Journal for Quality Health Care published a study that showed that doctors who communicate with their at risk diabetic patients more frequently using secure email tend to see better diabetes outcome measures across the patient panel. The association is particularly strong for panels with a high proportion of racial and ethnic minority patients who are at risk for worse disease outcomes. The authors postulate that making doctor-patient communication more accessible enables physicians and their patients to make more frequent adjustments to treatment regimens, ultimately improving patients' diabetes health. The American Journal for Managed Care published a paper which explored the data available for researchers and approaches that could be used to enhance the value of Medicare data for comparative effectiveness research (CER). The authors concluded that leveraging existing Medicare program elements combined with some administrative changes in data availability could create large datasets for evaluating treatment patterns, spending, and coverage decisions. - In 2011 Health Plan funded additional research efforts related to Oncology trials and epidemiology, HIV/AIDs, hepatitis and liver disease, cardiovascular disease, and Parkinson's disease. Kaiser Permanente aims to improve health care by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Educational Theatre Programs is a potent strategy for disseminating clinically-honed prevention messages to students, families, and their broader communities. Educational Theatre Programs (ETP) The Educational Theatre Program (ETP) has provided professional, award-winning health education for PK-12 for 25 years in Maryland, Virginia, and the District of Columbia. In 2011 ETP performed 273 shows, for ~ 51,000 children and adults at schools and other locations. The ETP shows include supplemental resource materials for students, teachers, and parents that reinforce the presentation. In 2011, ETP's repertoire included 4 shows: Professor Bodywise's Traveling Menagerie, The R-Files, The Amazing Food Detective, and Secrets. Additionally, ETP produced 5 videos describing its programs and 1 video entitled "Smart Eats" that delivers a nutritional message to elementary students. Grants and Donations for Knowledge Dissemination KP also supported a number of community groups with proceeds from a Donar Advised Fund (DAF) established with the Community Foundation for the National Capital Region. The DAF provided $1,600,000 in scholarships and capacity building grants to train allied health professionals at eight public institutions. The recipients were Baltimore City Community college, The Community College of the District of Columbia, Montgomery College, Prince George's Community College, Northern Virginia Community College, Howard County Community College, the Community College of Baltimore County, and the Universities at Shady Grove. These scholarships were targeted for low-income populations. KP also supported the work of Greater Washington DC Workforce Development Coalition through membership in its Steering Committee and Health care Working Group and a $100,000 grant to fund its efforts. OTHER COMMUNITY BENEFITS The Mid-Atlantic Health Plan spent approximately $3.0 million on other community benefits beyond the national streams of work. Martin Luther King Day - In 2011 Kaiser Foundation Health Plan expanded its use of KPCare.org using it not only for Martin Luther King Day registration but throughout the year for multiple volunteer events. For 2011 there were 46 volunteer opportunities posted with over 600 volunteers registered. For Martin Luther King Day Kaiser Foundation Health Plan facilitated 15 volunteer activities for employees and their families including working at soup kitchens, meal deliveries for home-bound individuals, filling care packages for shelters and even promoting the value of fresh fruits and veggies in the Annual Martin Luther King Day Parade in Baltimore City. Health Fairs - Kaiser Foundation Health Plan partnered with the United Way of the National Capital Area to present the 1st Annual Real Men Get Checked health fair during the summer. The event took place on the grounds of the DC Armory where Kaiser-Permanente volunteers and various partner organizations provided critical screenings to over 2,000 participants. Kaiser-Permanente also participated in ~30+ community health events as a result of Kaiser Foundation Health Plan's support through our Health Fair Program where we provide screening services for free to local non-profits. Employee Giving Campaign - In 2011 the campaign continued with dollar-for-dollar gift matching for employees contributing to specified non-profits. Regional Community Benefit Operations The Mid-Atlantic Health Plan has a dedicated Community Benefit Department with 15 full time employees to support regional community benefit programs and services and coordinate CB initiatives. With 2 FTEs dedicated to Medicaid Initiatives and 3 FTEs to directly support the Medical Financial Assistance Program via Patient Financial Services 2011 COMMUNITY BENEFIT INVESTMENT - MID-ATLANTIC STATES (attachment A) The following chart summarizes the 2011 Community Benefit investments in Maryland, Virginia and Washington, DC. The investments in the community reflected in the chart are unaudited. CARE AND COVERAGE Charitable Care and Coverage Programs $ 44,456,604 Government Sponsored Programs 12,245,849 Subtotal $56,702,453 COMMUNITY HEALTH INITIATIVES Community Health Initiatives Programs and Services $ 168,963 Grants & Donations for Community Health Initiatives 2,221,940 Community Health Initiatives CB operations 95,245 Subtotal $ 2,486,148 SAFETY NET PARTNERSHIPS Grants & Donations for Safety Net Partnerships $ 3,547,833 Safety Net cb operations 2,055,398 Subtotal $ 5,603,231 KNOWLEDGE DISSEMINATION Medical Research $ 640,699 Educational Theatre Programs 1,162,997 Grants & Donations for Knowledge Dissemination 50,000 knowledge dissemination cb operations 1,271 Subtotal $ 1,854,967 OTHER COMMUNITY BENEFITS Grants & Donations for other community benefits $ 1,273,275 other cb Operations 1,668,947 Subtotal $ 2,942,222 TOTAL $ 69,589,022
form 990, part vi, question 4On March 3, 2011, Article E., Officers, of the Bylaws of the Corporation was amended to (a) provide that the officers of the Corporation may include one or more Group Presidents (Section E-1, Officers); (b) add a new Section E-8, Group President and/or Regional President, to describe the duties and responsibilities of those positions; (c) provide that the President shall be the Chief Operating Officer of the Corporation (Section E-7, President); and (d) provide clarification regarding leadership in the event of the absence or disability of the President (Section D-9, Executive Vice President or National Senior Vice President); and (e) to change the reference to "the President" in Sections E-3, E-4 and E-11 to "any President"
form 990, part vi, question 6kaiser foundation health plan, INC is the sole member.
form 990, part vi, LINE 7AKFHP appoints the directors (and fills vacancies and has authority to remove directors). The same 14 individuals who comprise the board of directors of KFHP also serve as the 14 directors of KFHP-CO, OH, NW, and MAS.
form 990, PART VI, LINE 7BThe 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 11B1. 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. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLC tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. The tax return is discussed with the full board of directors. A copy of the return is provided to each board member in electronic format prior to filing.
form 990, PART VI, LINE 12CRegularly 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: 1.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. 2.The Senior Vice President & Chief Compliance Officer and the Vice President of 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 3. 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. 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: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. 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. C. 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: (I) Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem (II) Written notice, with or without final warning (III) Paid or unpaid suspension, with or without final warning (IV) Termination of employment
form 990, PART VI, LINE 15A/BThe 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 annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to 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 at the median of 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 19Governing documents - are available as provided to state Dept. of Insurance and maintained on 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: VP - NATIONAL Tax COMPLIANCE Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 15L Oakland, CA 94612
form 990, Part VII, section A, column BIndividuals 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 5CHANGE IN OTHER COMPREHENSIVE INCOME $ (64,858,903) CHANGE IN UNREALIZED GAIN (1,225,416) OTHER THAN TEMPORARY IMPAIRMENTS (838,752) TAX GAIN ON SALE OF INVESTMENTS (1,675,947) BOOK GAIN ON SALE OF INVESTMENTS 2,190,043 TOTAL $ (66,408,975)
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Cassel,Christine TITLE:director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Chapman,Thomas TITLE:director HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Garcia,Daniel P TITLE:SVP, Chief Compliance Officer HOURS:48FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Graber,William TITLE:director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Grigsby III, J. Eugene TITLE:director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Halvorson,George C TITLE:Chairman and CEO HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Johansen,Judith TITLE:director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kaiser,Kim J. TITLE:director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Marineau,Philip TITLE:director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Ming,Jenny TITLE:director HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Pei,Edward TITLE:director HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Porfido,Meg TITLE:director HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Purcell,J. Neal TITLE:director HOURS:9FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Telles,Cynthia TITLE:director HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:thompkins, Sandra TITLE:director HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kawamura,Marilyn TITLE:Region President - Mid-Atlanti HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Lancaster,Kathryn TITLE:EVP & CFO HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Meier,Thomas R. TITLE:SVP, Corporate Treasurer HOURS:47FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Orndoff,Donald H TITLE:SVP, NFS HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ROTH,ROCHELLE M TITLE:SENIOR DIRECTOR,QRM HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Southam,Arthur M TITLE:EVP, HP Operations HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Stokes,Deborah TITLE:SVP, Controller & CAO HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Tyson,Bernard J TITLE:President & COO HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Zatkin, Victoria TITLE:VP. Off of Brd & corp gov svcs HOURS:46FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Zemelman,Mark S. TITLE:SVP, Gen Counsel & Secretary HOURS:47FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:adams, gregory TITLE:grp president & regional pres HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Burnett,Ruben J. TITLE:VP, Mktg, Sales & Bus Developm HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Collins,Linda M TITLE:COO - MAS HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Harris-Muller,Carrie TITLE:VP, Chief Administrative Offic HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Hunter,Kendall D. TITLE:SVP, Health Ins Exchange Op HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Bradley,Russell K TITLE:VP, HP Services & Admin HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Brittain,Judith L TITLE:VP, Delivery Systems Op HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jaeger,Mary Elizabeth TITLE:VP, HR - MAS HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Lewis,Kay W TITLE:VP, UM, Risk Mgmt & Quality HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Maghami,Ferial G. TITLE:Exec Dir, Provider Affairs HOURS:20FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Zatkin,Steven R. TITLE:consultant HOURS:FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15LOAKLANDCA94612941340523HEALTH CARECA501(c)(3)9NAfalse
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15LOAKLANDCA94612941105628HEALTH CARECA501(c)(3)3KFHP INCtrue
KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA 15LOAKLANDCA94612840591617HEALTH CARECO501(c)(3)9KFHP INCtrue
KAISER FDN HEALTH PLAN OF GEORGIA INC
ONE KAISER PLAZA 15LOAKLANDCA94612581592076HEALTH CAREGA501(c)(3)9KFHP INCtrue
KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA 15LOAKLANDCA94612930798039HEALTH CAREOR501(c)(3)9KFHP INCtrue
KAISER FDN HEALTH PLAN OF OHIO
ONE KAISER PLAZA 15LOAKLANDCA94612340922268HEALTH CAREOH501(c)(3)9KFHP INCtrue
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299124ASSET MGMTCA501(c)(3)11 - IKFHP INCtrue
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612912171891RISK MGMTHI501(c)(3)11 - IKFHP INCtrue
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15LOAKLANDCA94612943299125ASSET MGMTCA501(c)(3)11 - IKFHtrue
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15LOAKLANDCA94612943299123HEALTH CARECA501(c)(3)11- IKFHP INCtrue
OHP
ONE KAISER PLAZA 15LOAKLANDCA94612930480268LEASINGWA501(c)(3)11 - IKFHP INCtrue
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15LOAKLANDCA94612930954562HEALTH CAREWA501(c)(3)9KFHP INCtrue
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15LOAKLANDCA94612943317484FINANCINGCA501(c)(3)11 - IIKFHP INCtrue
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZAOAKLANDCA94612311779500FINANCINGCA501(c)(3)11 - III-OKFHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
HCMS LLC
ONE KAISER PLAZA 15LOAKLANDCA94612203924985CASE MGMTCANAnone00false$0false
kaiser permanente ventures LLC
one kaiser plaza 15LoaklandCA94612273339892investmentCAnanone00false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15LOAKLANDCA94612030329760INSURANCEVTNAC CORP000.00000
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15LOAKLANDCA94612943203402INSURANCECANAC CORP000.00000
KAISER PROPERTY SERVICES INC
ONE KAISER PLAZA 15LOAKLANDCA94612943259432REAL ESTATECANAC CORP000.00000
ARCHIMEDES INC
ONE KAISER PLAZA 15LOAKLANDCA94612203774729CONSULTINGCANAC CORP000.00000
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15LOAKLANDCA94612943245176CONSULTINGCANAC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (40 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
kaiser foundation hospitals
a41096per agreement
kaiser foundation hospitals
e50000000per agreement
KAISER FOUNDATION HOSPITALS
g6507PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
K6894779PER AGREEMENT
KAISER FOUNDATION HOSPITALS
K5202958PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
K503745PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
K609177PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
K292592PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
K195655PER AGREEMENT
KAISER PERMANENTE INSURANCE COMPANY
K1679358PER AGREEMENT
camp bowie service center
k4134748per agreement
KAISER FOUNDATION HEALTH PLAN INC
L58336907PER AGREEMENT
KAISER FOUNDATION HOSPITALS
L942095980PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L268639PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
L1149007PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
L83706PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
L201974PER AGREEMENT
camp bowie service center
l398274per agreement
KAISER PERMANENTE INSURANCE COMPANY
L26792782PER AGREEMENT
LOKAHI ASSURANCE LTD
L90552000PER AGREEMENT
OAK TREE ASSURANCE LTD
L3628978PER AGREEMENT
ordway indemnity
l589200per agreement
KAISER FOUNDATION HEALTH PLAN of colorado
N11635PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
O48779995PER AGREEMENT
KAISER FOUNDATION HOSPITALS
O22364958PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
O1396500PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
O144216PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
O6832PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
O25420PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
P14473003PER AGREEMENT
KAISER FOUNDATION HOSPITALS
P700826074PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P71040PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
P65309PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
P17656PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
P37150PER AGREEMENT
LOKAHI ASSURANCE LTD
P10473036PER AGREEMENT
kaiser permanente insurance company
p6229715per agreement
oak tree assurance ltd
p1332584per agreement
KAISER FOUNDATION HEALTH PLAN INC
Q220462PER AGREEMENT
lokahi assurance ltd
q20594000per agreement

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