KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC (EIN 52-0954463)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202033189349301523
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T07:21:40-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520954463	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER FOUNDATION HEALTH PLAN OF THE	BusinessNameLine1Txt
Business Name Line2	MID-ATLANTIC STATES INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% CHIEF ACCOUNTING OFFICER	InCareOfNm
Business Name Control	KAIS	BusinessNameControlTxt
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P WALTON	PersonNm
Person Title	CHIEF TAX OFFICER	PersonTitleTxt
Phone	5102716611	PhoneNum
Signature	2020-10-23	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	40.83.136.209	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320203185000011	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	1E84DBF70B49A1A22FE07D3164CE704C4EDA9F16	AtSubmissionCreationDeviceId
At Submission Filing Device Id	60F598D4446C9FFAD26D0F90BC91FF0DA40E2337	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RUTH E WILLIAMS-BRINKLEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA SUITE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,050,883,412	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.kp.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	9503	TotalEmployeeCnt
Total Volunteers	991	TotalVolunteersCnt
Total Gross UBI	$1,609,340	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$431,622	CYContributionsGrantsAmt
PY Program Service Revenue	$4,340,220,756	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,671,044,334	CYProgramServiceRevenueAmt
PY Investment Income	$9,776,345	PYInvestmentIncomeAmt
CY Investment Income	$15,091,173	CYInvestmentIncomeAmt
PY Other Revenue	$616,147	PYOtherRevenueAmt
CY Other Revenue	$687,868	CYOtherRevenueAmt
PY Total Revenue	$4,350,613,248	PYTotalRevenueAmt
CY Total Revenue	$4,687,254,997	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,792,900	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,609,982	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$893,977,152	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$905,012,086	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,414,400,698	PYOtherExpensesAmt
CY Other Expenses	$3,727,321,521	CYOtherExpensesAmt
PY Total Expenses	$4,310,170,750	PYTotalExpensesAmt
CY Total Expenses	$4,633,943,589	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,442,498	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$53,311,408	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,876,306,551	TotalAssetsBOYAmt
Total Assets EOY	$2,211,516,129	TotalAssetsEOYAmt
Total Liabilities BOY	$2,114,845,884	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,532,776,975	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$238,539,333	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$321,260,846	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,748,564,457	ExpenseAmt
Grant	$165,000	GrantAmt
Revenue	$4,272,684,297	RevenueAmt
Desc	MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (KFHP-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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$475,485,824	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$398,360,037	RevenueAmt
Desc	MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (KFHP-MAS) IS COMMITTED TO IMPROVING MEDICAL CARE FOR BENEFICIARIES OF MEDICAID AND OTHER GOVERNMENT SPONSORED PROGRAMS, NOT ONLY FOR KFHP-MAS MEMBERS, BUT ALSO WITHIN THE COMMUNITIES WE SERVE. AT THE END OF 2019, OVER 95,000 INDIVIDUALS WERE RECEIVING THE BENEFITS OF FULL MEMBERSHIP THROUGH KFHP-MAS'S MEDICAID MANAGED CARE PROGRAMS IN MARYLAND AND VIRGINIA. IN ADDITION, KFHP-MAS PROVIDED HEALTH CARE ON A FEE-FOR-SERVICE BASIS FOR MEDICAID BENEFICIARIES WHO WERE NOT ENROLLED AS KFHP-MAS MEMBERS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$80,810,286	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHARITY CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE) KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (KFHP-MAS) PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE PATIENTS THROUGH THE MEDICAL FINANCIAL ASSISTANCE (MFA) AND CHARITABLE HEALTH COVERAGE (CHC) PROGRAMS. KFHP-MAS OFFERS FINANCIAL ASSISTANCE THROUGH THE MFA PROGRAM TO HELP FAMILIES AND INDIVIDUALS WITH A DEMONSTRATED FINANCIAL NEED PAY FOR ALL OR PART OF THE COST OF EMERGENCY OR MEDICALLY NECESSARY CARE PROVIDED IN KAISER PERMANENTE FACILITIES AND/OR BY KAISER PERMANENTE PROVIDERS. IN 2019, THIS PROGRAM ASSISTED APPROXIMATELY 59,000 PATIENTS THROUGH FINANCIAL ASSISTANCE. THE CHC PROGRAM OFFERS REGULAR KAISER FOUNDATION HEALTH PLAN MEMBERSHIP AT MINIMAL COST TO LOW INCOME FAMILIES WHO ARE NOT ELIGIBLE FOR OTHER PUBLIC OR PRIVATELY SPONSORED COVERAGE. OVER 11,000 INDIVIDUALS WERE RECEIVING COMPREHENSIVE HEALTH CARE THROUGH THIS PROGRAM AT THE END OF 2019.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$15,677,794	ExpenseAmt
Grant	$1,444,982	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE COMMUNITY BENEFIT REPORT IN SCH O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,677,794	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,444,982	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$4,320,538,361	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	3273	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9503	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHIEF ACCOUNTING OFFICER	PersonNm
Phone	5102716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA STE 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bernard Tyson
Chairman & CEO	4.0	46.0	Yes (X)	Yes (X)	$0	$16,114,729	$19,364,810
Kathryn Lancaster
EVP & CFO	3.5	46.5		Yes (X)	$0	$6,221,959	$498,376
Gregory Adams
Chairman & CEO	4.0	46.0	Yes (X)	Yes (X)	$0	$5,505,365	$707,892
Arthur Southam
EVP, Health Plan Operations	4.0	46.0		Yes (X)	$0	$5,331,038	$506,745
Kimberly Horn
Regional President - MAS	45.0	5.0		Yes (X)	$0	$1,607,411	$1,896,063
Mark Zemelman
SVP, General Counsel & Secy	2.0	48.0		Yes (X)	$0	$2,074,271	$328,680
Donald Orndoff
SVP, NFS	4.0	46.0		Yes (X)	$0	$1,556,215	$176,921
Thomas Meier
SVP, Corporate Treasurer	1.5	48.5		Yes (X)	$0	$1,177,748	$260,343
Alfonse Upshaw
SVP,Corporate Controller & CAO	3.5	46.5		Yes (X)	$0	$948,792	$200,172
William Wiechmann
Assistant Secretary	50.0	0.0		Yes (X)	$0	$670,826	$305,268
Joseph Butz
VP, COO - MAS	50.0	0.0			$0	$761,233	$160,230	Yes (X)
Joan Gelrud
SVP, Hlth Plan & Hosp Quality	50.0	0.0			$0	$637,837	$216,256		Yes (X)
Delinda Washington
VP, Human Resources - MAS	50.0	0.0			$0	$634,893	$162,151		Yes (X)
Frank Titus
VP, HPSA - MAS	50.0	0.0			$0	$525,218	$256,883	Yes (X)
Mark Ruszczyk
VP, MSBD - MAS	50.0	0.0			$0	$568,814	$181,111	Yes (X)
Jill Feldon Lanouette
VP, Mktg Comm & Comnity Rltn's	50.0	0.0			$0	$461,803	$223,456		Yes (X)
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	3.5	46.5		Yes (X)	$0	$383,934	$286,903
Susan Spurlark
Assistant Secretary	50.0	0.0			$0	$224,469	$405,343			Yes (X)
Jon Kunkle
VP, CFO - Mid-Atlantic States	50.0	0.0			$0	$578,062	$29,421	Yes (X)
Kristin Bear
Assistant Secretary	4.0	46.0		Yes (X)	$0	$369,075	$214,980
Robert Ricketts
VP, CFO - MAS	50.0	0.0			$0	$367,150	$176,409	Yes (X)
Gracelyn Mcdermott
MGT, Account Mgt IV	50.0	0.0			$452,844	$0	$87,237		Yes (X)
Hayley Park
ED, Pharmacy Operations	50.0	0.0			$0	$448,721	$27,482		Yes (X)
Bernice Gould
Assistant Secretary	1.0	49.0		Yes (X)	$0	$234,945	$198,256
Rochelle Roth
Assistant Secretary	4.0	46.0			$0	$225,154	$146,499			Yes (X)
Margaret E Porfido J
Director	0.5	5.5	Yes (X)		$10,000	$291,762	-$23,196
Edward YW Pei
Director	0.25	7.25	Yes (X)		$0	$252,531	$19,000
Cynthia A Telles PHD
Director	0.7	9.0	Yes (X)		$0	$270,608	-$6,498
Leslie S Heisz
Director	0.25	4.75	Yes (X)		$0	$253,287	$8,494
Judith A Johansen JD
Director	0.5	8.5	Yes (X)		$0	$272,875	-$13,027
Regina M Benjamin MD
Director	0.5	8.0	Yes (X)		$0	$219,168	$36,843
Ramon F Baez
Director	0.2	5.7	Yes (X)		$0	$250,030	$1,555
Maryann Bodayle
Assistant Secretary	1.0	49.0		Yes (X)	$0	$177,929	$69,541
Richard P Shannon MD
Director	0.5	5.0	Yes (X)		$0	$235,500	$8,391
David J Barger
Director	0.5	9.5	Yes (X)		$0	$227,000	$4,554
David F Hoffmeister
Director	0.25	9.25	Yes (X)		$0	$234,880	-$3,793
Jeffrey E Epstein
Director	0.5	8.0	Yes (X)		$0	$251,395	-$26,164
A Eugene Washington
Director	0.25	6.75	Yes (X)		$0	$232,045	-$8,669
Daniel Garcia
SVP, Chief Compliance Officer	0.0	0.0			$0	$58,564	$0			Yes (X)
Kim J Kaiser
Director	0.0	0.5			$0	$39,460	$0			Yes (X)
William Graber
Director	0.0	0.0			$0	$10,284	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$452,844	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$47,629,662	TotReportableCompRltdOrgAmt
Total Other Compensation	$27,017,887	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2485	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MID-ATLANTIC PERMANENTE MEDICAL GRO
2101 EAST JEFFERSON STREET	ROCKVILLE	MD	20852	MEDICAL SERVICES	$906,875,887
HOLY CROSS HEALTH
1500 FOREST GLEN RD	SILVER SPRINGS	MD	20910	MEDICAL SERVICES	$139,078,039
VIRGINIA HOSPITAL CENTER
8456 TYCO ROAD	VIENNA	VA	22182	MEDICAL SERVICES	$106,754,147
CHILDREN'S HOSPITAL
111 MICHIGAN AVE NW 4TH FL	WASHINGTON	DC	20010	MEDICAL SERVICES	$79,251,640
WASHINGTON HOSPITAL CENTER
PO BOX 418203	BOSTON	MA	02241	MEDICAL SERVICES	$78,042,462

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	310	CntrctRcvdGreaterThan100KCnt
Government Grants	$135,761	GovernmentGrantsAmt
All Other Contributions	$295,861	AllOtherContributionsAmt
Total Contributions	$431,622	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERS' DUES	900099	$3,537,254,405	$3,537,254,405
MEDICARE REVENUE	900099	$834,238,213	$834,238,213
SUPPLEMENTAL REVENUE	900099	$165,720,109	$165,720,109
NON-PLAN & INDUSTRY	900099	$3,583,351	$1,974,011	$1,609,340
OTHER PROGRAM SVCS	900099	$130,248,256	$130,248,256

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,671,044,334	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,496,735	TotalRevenueColumnAmt
Exclusion	$14,496,735	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$687,868	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$687,868	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$687,868	TotalRevenueColumnAmt
Exclusion	$687,868	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$364,115,868	SecuritiesAmt
Other	$106,985	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$362,668,701	SecuritiesAmt
Other	$959,714	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,447,167	SecuritiesAmt
Other	-$852,729	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$594,438	TotalRevenueColumnAmt
Exclusion	$594,438	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,687,254,997	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,669,434,994	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,609,340	UnrelatedBusinessRevenueAmt
Exclusion	$15,779,041	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,609,982	TotalAmt
Program Services	$1,609,982	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Management And General	$10,000	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$644,096,160	TotalAmt
Program Services	$604,843,679	ProgramServicesAmt
Management And General	$39,252,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$89,306,532	TotalAmt
Program Services	$89,306,532	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$117,942,418	TotalAmt
Program Services	$103,540,704	ProgramServicesAmt
Management And General	$14,401,714	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,656,976	TotalAmt
Program Services	$53,656,976	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$49,500	TotalAmt
Management And General	$49,500	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,036,104	TotalAmt
Management And General	$1,036,104	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$403,431	TotalAmt
Management And General	$403,431	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$21,241,589	TotalAmt
Program Services	$688,645	ProgramServicesAmt
Management And General	$20,552,944	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,731,064	TotalAmt
Program Services	$15,708,264	ProgramServicesAmt
Management And General	$2,022,800	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$240,400,403	TotalAmt
Program Services	$162,913,808	ProgramServicesAmt
Management And General	$77,486,595	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$58,778,786	TotalAmt
Program Services	$58,762,540	ProgramServicesAmt
Management And General	$16,246	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,511,614	TotalAmt
Program Services	$1,937,080	ProgramServicesAmt
Management And General	$574,534	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,739,094	TotalAmt
Management And General	$2,739,094	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$29,330,966	TotalAmt
Program Services	$29,330,966	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$88,023,775	TotalAmt
Program Services	$88,023,775	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$25,598,430	TotalAmt
Program Services	$25,598,430	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACTUAL PAYMENTS	$1,574,548,970	$1,574,548,970
SUPPLIES	$783,329,102	$705,458,058	$77,871,044
PURCHASED MEDICAL SERVICES	$440,315,819	$440,315,819
INTER-REGIONAL CHARGES	$200,061,857	$200,061,857

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$241,221,017	TotalAmt
Program Services	$164,232,276	ProgramServicesAmt
Management And General	$76,988,741	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,633,943,589	TotalAmt
Program Services	$4,320,538,361	ProgramServicesAmt
Management And General	$313,405,228	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,679,543	BOYAmt
EOY	$52,974,763	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$154,360,027	BOYAmt
EOY	$241,194,495	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$40,150,900	BOYAmt
EOY	$35,307,222	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,394,907	BOYAmt
EOY	$7,832,129	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,927,879,746	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$817,141,087	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$916,431,510	BOYAmt
EOY	$1,110,738,659	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$573,198,776	BOYAmt
EOY	$509,103,800	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$140,090,888	BOYAmt
EOY	$254,365,061	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,876,306,551	BOYAmt
EOY	$2,211,516,129	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$527,697,718	BOYAmt
EOY	$439,798,998	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$48,429,431	BOYAmt
EOY	$55,757,343	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,538,718,735	BOYAmt
EOY	$2,037,220,634	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,114,845,884	BOYAmt
EOY	$2,532,776,975	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$8,301,762	BOYAmt
EOY	$8,301,762	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	-$246,841,095	BOYAmt
EOY	-$329,562,608	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$238,539,333	BOYAmt
EOY	-$321,260,846	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,876,306,551	BOYAmt
EOY	$2,211,516,129	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$53,311,408	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,290,259	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$140,323,180	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,275	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$431,622	CurrentTaxYearAmt
Total	$459,897	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,075,698,789	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,408,656,198	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,700,220,530	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,339,528,366	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,669,434,994	CurrentTaxYearAmt
Total	$19,193,538,877	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,075,727,064	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,408,656,198	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,700,220,530	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,339,528,366	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,669,866,616	CurrentTaxYearAmt
Total	$19,193,998,774	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$19,193,998,774	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,930,224	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,333,472	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,320,498	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,236,407	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,184,603	CurrentTaxYearAmt
Total	$42,005,204	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,930,224	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,333,472	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,320,498	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,236,407	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,184,603	CurrentTaxYearAmt
Total	$42,005,204	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$280,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$317,240	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,680	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,700	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$657,620	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,079,937,288	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,413,306,910	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,705,598,708	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,352,767,473	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,685,051,219	CurrentTaxYearAmt
Total	$19,236,661,598	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99778	PublicSupportCY509Pct
Public Support PY509	0.99820	PublicSupportPY509Pct
Investment Income CY	0.00218	InvestmentIncomeCYPct
Investment Income PY	0.00176	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$80,918	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$622,289	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$251,837	OtherActivitiesAmt
Total Lobbying Expenditures	$955,044	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION ("KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC." AKA "KFHP MAS") IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM (KP) AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITY AND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), KFHP MAS HAS A POLICY PROHIBITING ANY OF KFHP MAS' RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. KFHP MAS ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. KP EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT KFHP MAS' INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON KP'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF KP, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF KFHP MAS AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF KFHP MAS. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF KFHP MAS OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF KFHP MAS. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$140,652,329	OtherCostOrOtherBasisAmt
Book Value	$140,652,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,167,737,878	OtherCostOrOtherBasisAmt
Depreciation	$495,642,315	DepreciationAmt
Book Value	$672,095,563	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$229,276,658	OtherCostOrOtherBasisAmt
Depreciation	$122,234,879	DepreciationAmt
Book Value	$107,041,779	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,359,053	OtherCostOrOtherBasisAmt
Depreciation	$195,107,438	DepreciationAmt
Book Value	$78,251,615	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,853,828	OtherCostOrOtherBasisAmt
Depreciation	$4,156,455	DepreciationAmt
Book Value	$112,697,373	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,110,738,659	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
LT DUE FROM AFFILIATED ORG	$142,802,700
OPERATING LEASE ROU ASSETS	$96,411,026
BROKER RECEIVABLE	$12,800,934
OTHER LONG-TERM ASSETS	$2,350,401

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$254,365,061	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED ORGANIZATIONS	$618,378,612
PROFESSIONAL & OTHER INSURED LIAB.	$168,748,964
PENSION & OTHER RETIREMENT LIAB.	$192,043,641
OPERATING LEASE LIABILITIES	$80,893,050
SUBORDINATED DEBT	$674,000,000
BROKER PAYABLES	$13,147,111
OTHER CURRENT LIABILITIES	$150,371,698
OTHER LONG-TERM LIABILITIES	$139,637,558

Field	Value	IRS element (for citing)
Total Liability	$2,037,220,634	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, Line 2	FormAndLineReferenceDesc
Explanation	ASC 740 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER ASC 740.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CASA DE MARYLAND INC
8151 15TH AVE	HYATTSVALLE	MD	20783	521372972	501(c)(3)	$14,222	PROJECT SUPPORT
CKAR CDC INC
6801 KENILWORTH AVE SUITE 203	RIVERDALE PARK	MD	20737	272647352	501(c)(3)	$240,000	PROJECT SUPPORT
COMMONHEALTH ACTION
1301 CT AVE N W 200	WASHINGTON	DC	20036	830398572	501(c)(3)	$250,000	Sponsorships
END TIME HARVEST MINISTRIES INC
5808 HARLAND ST	New Carrollton	MA	20784	521379809	501(c)(3)	$9,500	Sponsorships
GEORGE MASON UNIVERSITY FOUNDATION INC
4400 UNIVERSITY DR MS 1A3	FAIRFAX	VA	22030	541603842	501(c)(3)	$7,500	Sponsorships
GREATER WASHINGTON COMMUNITY
1325 G ST NW 480	Washington	DC	20005	237343119	501(c)(3)	$161,820	Sponsorships
HARBEL COMMUNITY ORGANIZATION INC
5807 HARFORD RD	Baltimore	MD	21214	520905968	501(c)(3)	$10,000	Sponsorships
HEALTH CARE FOR THE HOMELESS INC
421 FALLSWAY	BALTIMORE	MD	21202	521576404	501(c)(3)	$6,000	Sponsorships
HOLY CROSS HEALTH FOUNDATION INC
1500 Forest Glen Rd	Silver Spring	MD	20910	208428450	501(c)(3)	$20,000	Senior Fit
INSTITUTE FOR PUBLIC HEALTH INNOVATION
1301 CT AVE NW 200	WASHINGTON	DC	20036	463039129	501(c)(3)	$90,000	Sponsorships
LIGHT HEALTH AND WELLNESS COMPREHENSIVE
2200 N MONROE ST	BALTIMORE	MD	21217	522140604	501(c)(3)	$7,500	Sponsorships
LINKS FOUNDATION INCORPORATED
1200 MASSACHUSETTS AVE NW	WASHINGTON	DC	20005	521170830	501(c)(3)	$7,500	Sponsorships
MARYLAND AFRICAN AMERICAN MUSEUM
830 E PRATT ST	BALTIMORE	MD	21202	522107879	501(c)(3)	$15,000	Sponsorships
MARYLAND FARMERS MARKET ASSOCIATION
PO Box 6355	Annapolis	MD	21401	800874086	501(c)(3)	$20,000	PROJECT SUPPORT
MEDICAL CARE FOR CHILDREN PARTNERSHIP
6699 SPRINGFIELD CTR DR 303	Springfiled	VA	22150	261756738	501(c)(3)	$52,600	Sponsorships
NATIONAL COUNCIL OF YOUNG MENS CHRISTIAN
101 N Wacker Drive	Chicago	IL	60606	363258696	501(c)(3)	$7,500	2018 Community Integrated Health Conference
PRINCE WILLIAM COUNTY
1 COUNTY COMPLEXCT	Prince William	VA	22192	546001531	Government	$99,000	Sponsorships
PRINCE WILLIAM COUNTY PUBLIC SCHOOLS FDN
PO BOX 389	MANASSAS	VA	20108	541498824	501(c)(3)	$77,000	Sponsorships
SOWING EMPOWERMENT AND ECONOMIC
6201 RIVERDALE RD 200	Riverdale	MA	20737	522227244	501(c)(3)	$50,000	DEVELOP SENIOR AND AFFODABLE HOUSING FOR LOWER INCOME RESIDENTS
STEPHEN C ROSE LEGACY FOUNDATION
PO BOX 9070	OAKTON	VA	22124	474730275	501(c)(3)	$10,000	PROJECT SUPPORT
TRANSFORMING LIVES COMMUNITY DEVELOPMENT
6020 MARIAN DR	WASHINGTON	DC	20017	320442788	501(c)(3)	$20,000	PROJECT SUPPORT
UNIVERSITY OF MARYLAND COLLEGE PARK FDN
4603 CALVERT RD	COLLEGE PARK	MD	20740	522197313	501(c)(3)	$20,000	Sponsorships
VENTURE PHILANTHROPY PARTNERS
1201 15th St NW 510	Washington	DC	20005	311713618	501(c)(3)	$50,000	VPP Signature Event
VIRGINIA HOSPITAL CENTER FOUNDATION
1701 N George Mason Dr	Arlington	VA	22205	204129901	501(c)(3)	$7,500	Music & Medicine 2019
VIRGINIA OPERA ASSOCIATION INC
PO BOX 2580	NORFOLK	VA	23501	540985006	501(c)(3)	$25,000	Sponsorships
WASHINGTON DISTRICT OF COLUMBIA METRO HBCU
PO Box 9833	Washington	DC	20016	364734475	501(c)(3)	$20,000	DC Metro HBCU Alliance Health Awareness Month
WINDWARD FUND
1201 Connecticut Ave	Washington	DC	20036	473522162	501(c)(3)	$15,000	Chesapeake Food Summit
WOMENS HOUSING COALITION INC
119 E 25TH ST	BALTIMORE	MD	21218	521189812	501(c)(3)	$8,600	Sponsorships

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100k) may require quarterly progress reports.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (41 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gregory Adams
Chairman & CEO	$0	$1,311,861	$0	$3,637,446	$0	$556,058	$0	$681,386	$0	$26,506	$0	$6,213,257	$0	$1,174,224
Ramon F Baez
Director	$0	$236,500	$0	$0	$0	$13,530	$0	$1,555	$0	$0	$0	$251,585	$0	$0
David J Barger
Director	$0	$227,000	$0	$0	$0	$0	$0	$4,554	$0	$0	$0	$231,554	$0	$0
Kristin Bear
Assistant Secretary	$0	$238,589	$0	$117,747	$0	$12,739	$0	$195,193	$0	$19,787	$0	$584,055	$0	$0
Regina M Benjamin MD MBA
Director	$0	$210,500	$0	$0	$0	$8,668	$0	$36,843	$0	$0	$0	$256,011	$0	$0
Maryann Bodayle
Assistant Secretary	$0	$162,592	$0	$13,052	$0	$2,285	$0	$59,564	$0	$9,977	$0	$247,470	$0	$0
Joseph Butz
VP, COO - MAS	$0	$427,562	$0	$293,310	$0	$40,361	$0	$138,387	$0	$21,843	$0	$921,463	$0	$0
Jeffrey E Epstein
Director	$0	$243,000	$0	$0	$0	$8,395	$0	-$26,164	$0	$0	$0	$225,231	$0	$0
Jill Feldon Lanouette
VP, Mktg Comm & Comnity Rltn's	$0	$216,982	$0	$117,880	$0	$126,941	$0	$198,528	$0	$24,928	$0	$685,259	$0	$53,407
Daniel Garcia
SVP, Chief Compliance Officer	$0	$0	$0	$0	$0	$58,564	$0	$0	$0	$0	$0	$58,564	$0	$49,611
Joan Gelrud
SVP, Hlth Plan & Hosp Quality	$0	$321,842	$0	$276,115	$0	$39,880	$0	$146,416	$0	$69,840	$0	$854,093	$0	$0
Bernice Gould
Assistant Secretary	$0	$208,314	$0	$24,065	$0	$2,566	$0	$187,578	$0	$10,678	$0	$433,201	$0	$0
William Graber
Director	$0	$0	$0	$0	$0	$10,284	$0	$0	$0	$0	$0	$10,284	$0	$0
Leslie S Heisz
Director	$0	$235,500	$0	$0	$0	$17,787	$0	$8,494	$0	$0	$0	$261,781	$0	$0
David F Hoffmeister
Director	$0	$222,000	$0	$0	$0	$12,880	$0	-$3,793	$0	$0	$0	$231,087	$0	$0
Kimberly Horn
Regional President - MAS	$0	$759,542	$0	$817,506	$0	$30,363	$0	$1,861,441	$0	$34,622	$0	$3,503,474	$0	$0
Judith A Johansen JD
Director	$0	$263,500	$0	$0	$0	$9,375	$0	-$13,027	$0	$0	$0	$259,848	$0	$0
Kim J Kaiser
Director	$0	$26,300	$0	$0	$0	$13,160	$0	$0	$0	$0	$0	$39,460	$0	$0
Jon Kunkle
VP, CFO - Mid-Atlantic States	$0	$249,593	$0	$317,408	$0	$11,061	$0	$12,577	$0	$16,844	$0	$607,483	$0	$0
Kathryn Lancaster
EVP & CFO	$0	$1,110,792	$0	$1,801,204	$0	$3,309,963	$0	$482,339	$0	$16,037	$0	$6,720,335	$0	$2,480,584
Gracelyn Mcdermott
MGT, Account Mgt IV	$225,290	$0	$217,851	$0	$9,703	$0	$60,061	$0	$27,176	$0	$540,081	$0	$0	$0
Thomas Meier
SVP, Corporate Treasurer	$0	$488,751	$0	$565,117	$0	$123,880	$0	$226,729	$0	$33,614	$0	$1,438,091	$0	$0
Donald Orndoff
SVP, NFS	$0	$445,801	$0	$478,235	$0	$632,179	$0	$148,482	$0	$28,439	$0	$1,733,136	$0	$576,482
Hayley Park
ED, Pharmacy Operations	$0	$77,869	$0	$50,000	$0	$320,852	$0	$19,192	$0	$8,290	$0	$476,203	$0	$0
Edward YW Pei
Director	$0	$238,000	$0	$0	$0	$14,531	$0	$19,000	$0	$0	$0	$271,531	$0	$0
Margaret E Porfido JD
Director	$10,000	$271,500	$0	$0	$0	$20,262	$0	-$23,196	$0	$0	$10,000	$268,566	$0	$0
Robert Ricketts
VP, CFO - MAS	$0	$254,766	$0	$107,625	$0	$4,759	$0	$150,496	$0	$25,913	$0	$543,559	$0	$0
Rochelle Roth
Assistant Secretary	$0	$172,901	$0	$49,992	$0	$2,261	$0	$128,451	$0	$18,048	$0	$371,653	$0	$0
Mark Ruszczyk
VP, MSBD - MAS	$0	$308,381	$0	$224,255	$0	$36,178	$0	$153,095	$0	$28,016	$0	$749,925	$0	$0
Richard P Shannon MD
Director	$0	$235,500	$0	$0	$0	$0	$0	$8,391	$0	$0	$0	$243,891	$0	$0
Arthur Southam
EVP, Health Plan Operations	$0	$1,115,013	$0	$1,813,133	$0	$2,402,892	$0	$475,052	$0	$31,693	$0	$5,837,783	$0	$1,916,554
Susan Spurlark
Assistant Secretary	$0	$16,678	$0	$166,249	$0	$41,542	$0	$404,586	$0	$757	$0	$629,812	$0	$0
Cynthia A Telles PHD
Director	$0	$257,500	$0	$0	$0	$13,108	$0	-$6,498	$0	$0	$0	$264,110	$0	$0
Frank Titus
VP, HPSA - MAS	$0	$310,277	$0	$197,897	$0	$17,044	$0	$230,475	$0	$26,408	$0	$782,101	$0	$0
Bernard Tyson
Chairman & CEO	$0	$1,597,794	$0	$13,057,701	$0	$1,459,234	$0	$19,325,730	$0	$39,080	$0	$35,479,539	$0	$2,727,724
Alfonse Upshaw
SVP,Corporate Controller & CAO	$0	$463,195	$0	$446,852	$0	$38,745	$0	$179,095	$0	$21,077	$0	$1,148,964	$0	$0
A Eugene Washington MD
Director	$0	$229,500	$0	$0	$0	$2,545	$0	-$8,669	$0	$0	$0	$223,376	$0	$0
Delinda Washington
VP, Human Resources - MAS	$0	$311,458	$0	$203,075	$0	$120,360	$0	$142,669	$0	$19,482	$0	$797,044	$0	$63,372
William Wiechmann
Assistant Secretary	$0	$293,923	$0	$191,429	$0	$185,474	$0	$277,852	$0	$27,416	$0	$976,094	$0	$0
Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy	$0	$264,788	$0	$101,619	$0	$17,527	$0	$260,726	$0	$26,177	$0	$670,837	$0	$0
Mark Zemelman
SVP, General Counsel & Secy	$0	$733,254	$0	$1,044,587	$0	$296,430	$0	$290,533	$0	$38,147	$0	$2,402,951	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4b	- SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT - Gregory Adams $ 501,612 Jill Feldon Lanouette 70,316 Kathryn Lancaster 3,257,380 Thomas Meier 79,722 Donald Orndoff 605,306 Arthur Southam 2,350,243 Susan Spurlark 34,507 Bernard Tyson 1,079,066 Delinda Washington 83,919 Mark Zemelman 239,768 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS.
SCHEDULE J, PART II, COLUMN C	THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' BENEFIT PLAN DECLINED IN 2019, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
SCHEDULE J, PART II, COLUMN F	AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS, DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	- Voting Member and Governing Body - THE EXECUTIVE COMMITTEE, COMPOSED OF THE DIRECTORS THAT ARE THE CHAIRS OF THE BOARD'S OTHER STANDING COMMITTEES, HAS AUTHORITY TO ACT FOR THE BOARD BETWEEN MEETINGS EXCEPT IT HAS NO AUTHORITY TO: A. FILL VACANCIES ON THE BOARD OR THE COMMITTEE; B. FIX THE COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OR ANY COMMITTEE; C. ADOPT, AMEND OR REPEAL BYLAWS; D. AMEND OR REPEAL ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS CANNOT BE AMENDED OR REPEALED BY THE EXECUTIVE COMMITTEE; E. APPOINT COMMITTEES OF THE BOARD OR APPOINT THE MEMBERS THEREOF; OR F. APPROVE ANY ASPECT OF A TRANSACTION INVOLVING THE COMPANY WHEN A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN THAT TRANSACTION, EXCEPT AS EXPRESSLY PROVIDED BY THE LAW. Form 990, Part VI, Line 2 Family or Business Relationships Board members Eugene Washington, MD and Richard Shannon, MD have a business relationship. Form 990, Part VI, Line 4 - Significant Changes to Governing Documents - On December 12, 2019, Article E, Section E-9 was amended to add that the Executive Vice President and Chief Financial Officer is designated to perform the duties of the Executive Vice President and Group President in his or her absence or disability.
FORM 990, PART VI, LINE 6	KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization.
FORM 990, PART VI, LINE 7A	- APPOINTMENT OF GOVERNING BODY - KAISER FOUNDATION HEALTH PLAN, INC. APPOINTS THE DIRECTORS (AND FILLS VACANCIES AND HAS AUTHORITY TO REMOVE DIRECTORS). THE SAME INDIVIDUALS WHO COMPRISE THE BOARD OF DIRECTORS OF KFHP ALSO SERVE AS THE DIRECTORS OF KFHP COLORADO, NORTHWEST, MID-ATLANTIC STATES, AND KFHPW HOLDINGS.
FORM 990, PART VI, LINE 7B	- APPROVAL OF CERTAIN GOVERNANCE DECISIONS - THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR THE PRESIDENT, THE GROUP PRESIDENT OR REGIONAL PRESIDENT; B) AMENDMENTS TO ARTICLES C (MEMBER), D (DIRECTORS) AND H OF THE BYLAWS MAY BE AMENDED ONLY BY THE MEMBER; C) AMENDMENT OF THE ARTICLES OF INCORPORATION.
Form 990, Part VI, Line 11B	- FORM 990 REVIEW PROCESS - 1. KEY INFORMATION NECESSARY FOR THE PREPARATION OF THE TAX RETURN IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE, EXECUTIVE COMPENSATION, COMMUNITY BENEFITS, TREASURY, GOVERNMENT RELATIONS, AND LEGAL. 2. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY AN EXTERNAL TAX ADVISOR. 3. ONCE SIGNED BY AN EXTERNAL TAX ADVISOR, THE RETURN AND UNDERLYING DATA ARE REVIEWED BY AN OFFICER OR A MEMBER OF MANAGEMENT DESIGNATED BY AN OFFICER FOR SIGNATURE AND FILING. 4. COPIES ARE THEN PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Line 12C	- Ethics and Compliance Enforcement - A. REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - KAISER PERMANENTE REGULARLY MONITORS COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY IN 3 KEY WAYS: A1. THE KAISER PERMANENTE COMPLIANCE HOTLINE IS AVAILABLE TO ALL EMPLOYEES AND VENDORS TO REPORT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL CALLS ARE ANSWERED BY A THIRD PARTY AND PROVIDED TO KAISER PERMANENTE'S NATIONAL COMPLIANCE OFFICE FOR REVIEW AND APPROPRIATE ACTION. EMPLOYEES CAN REPORT ANONYMOUSLY. RETALIATION IS PROHIBITED. 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 OR MANAGE CONFLICTS OF INTEREST. COMPLIANCE HOTLINE REPORTS ARE PROVIDED FOR REVIEW AND ACTION TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS BOARDS OF DIRECTORS ANNUALLY. A2.a - ETHICS AND COMPLIANCE ANNUALLY REVIEWS THE DIRECTORS', OFFICERS', KEY EMPLOYEES', AND EXECUTIVES' ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE DISCLOSURES AND PROVIDES 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 A2.b - ANNUALLY, EMPLOYEES IN ROLES WITH AN ELEVATED RISK OF CONFLICTS OF INTEREST COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. RESPONSES ARE REVIEWED AND ASSESSED. WHEN ACTION IS WARRANTED, THE SITUATION IS ADDRESSED IN ACCORDANCE WITH WRITTEN STANDARDS. DOCUMENTATION AND TRACKING IS MAINTAINED IN THE SAME WAY AS DIRECTORS, OFFICERS, AND KEY EMPLOYEES. A2.c - IN ADDITION TO THE CONFLICTS OF INTEREST QUESTIONNAIRE, ETHICS AND COMPLIANCE RECEIVES, CONSULTS, MONITORS, AND REPORTS ONGOING DISCLOSURES MADE BY EMPLOYEES THROUGHOUT THE YEAR. A3. ANNUALLY, AS A COMPONENT OF THE EXTERNAL AUDIT, AN OUTSIDE CERTIFIED PUBLIC ACCOUNTING FIRM REVIEWS THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRES PROCESS COMPLETED BY DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVES, AND ACTIONS TAKEN AS A RESULT OF THE DISCLOSURES. THE RESULTS OF THE ANNUAL AUDIT, INCLUDING ANY FINDINGS IN THIS AREA, ARE PRESENTED TO THE KAISER FOUNDATION HEALTH PLAN/HOSPITALS AUDIT AND COMPLIANCE COMMITTEE. B. REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY - TO ENSURE CONSISTENCY IN THE ENFORCEMENT OF THE POLICY KAISER PERMANENTE USES THE FOLLOWING STEPS AS A GENERAL GUIDELINE: B1. REPRESENTED EMPLOYEES ARE SUBJECT TO ANY CORRECTIVE/DISCIPLINARY ACTION PROVISIONS DESCRIBED IN SPECIFIC REGIONAL/NATIONAL COLLECTIVE BARGAINING AGREEMENTS AND/OR ORGANIZATIONAL POLICIES AND PRACTICES. B2. KAISER PERMANENTE NOTIFIES EMPLOYEES OF THE NATIONAL HUMAN RESOURCES POLICY NO. 14. CORRECTIVE/DISCIPLINARY ACTION POLICY DURING NEW EMPLOYEE ORIENTATION AND IN ANNUAL COMPLIANCE TRAINING. B3. IN THE EVENT THAT IT IS NECESSARY TO DISCIPLINE ANY EMPLOYEE BECAUSE OF, BUT NOT LIMITED TO, FAILURE TO COMPLY WITH APPLICABLE LEGAL/REGULATORY REQUIREMENTS, KAISER PERMANENTE POLICIES AND PROCEDURES, OR THE PRINCIPLES OF RESPONSIBILITY, OR FOR UNSATISFACTORY PERFORMANCE OR MISCONDUCT, COACHING/COUNSELING AND/OR CORRECTIVE/DISCIPLINARY ACTION MAY INCLUDE, BUT IS NOT LIMITED TO: - ORAL DISCUSSION AND/OR WARNING BY THE EMPLOYEE'S IMMEDIATE SUPERVISOR OR HIGHER LEVEL MANAGER TO CORRECT THE PROBLEM; - WRITTEN NOTICE, WITH OR WITHOUT FINAL WARNING; - PAID OR UNPAID SUSPENSION, WITH OR WITHOUT FINAL WARNING; - TERMINATION OF EMPLOYMENT.
Form 990, Part VI, Line 15A/B	- Compensation Determination - THE EXECUTIVE COMPENSATION PROGRAM AS ADMINISTERED BY KAISER FOUNDATION HEALTH PLAN, INC. IS DESIGNED TO RECRUIT, RETAIN AND MOTIVATE QUALIFIED SENIOR MANAGEMENT PERSONNEL. SENIOR MANAGEMENT PERSONNEL HAVE A SIGNIFICANT IMPACT ON THE STRATEGIC AND POLICY DIRECTION AND RESULTS OF THE ORGANIZATION. THEREFORE, THE EXECUTIVE COMPENSATION PROGRAM IS, TO A SIGNIFICANT DEGREE, PERFORMANCE-BASED. THE COMPENSATION PROGRAM IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. PRIOR TO PAYMENT, ALL PROGRAMS AND PAYMENTS TO THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS (EXECUTIVES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE MANAGEMENT COMMITTEE ON COMPENSATION. BASE PAY FOR EXECUTIVE POSITIONS IS ESTABLISHED AT A LEVEL COMPARABLE TO THE RELEVANT MARKET. IN ADDITION, OTHER COMPONENTS OF THE COMPENSATION PROGRAM BEAR 'AT-RISK' FEATURES DESIGNED TO FOCUS ON STRATEGICALLY IMPORTANT PERFOMANCE GOALA AND TO ASSIST IN ATTRACTING AND RETAINING TOP PERFORMERS. THE EXECUTIVE COMPENSATION PROGRAM IS TARGETED TO BE COMPETITIVE TO THE COMPARABLE EXTERNAL MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVE LEADERSHIP. EVALUATION OF COMPARABLE PAY DATA IS PERFORMED BY AN INDEPENDENT COMPENSATION, BENEFIT & HUMAN RESOURCES CONSULTING FIRM. THE COMPENSATION PROGRAM FOCUSES ON OBJECTIVES IN THE AREAS OF QUALITY OF MEMBER CARE AND SERVICE, MEMBERSHIP GROWTH, FINANCIAL SOUNDNESS, AND THE COMMUNITY AND SOCIAL MISSION OF THE ORGANIZATION.
Form 990, Part VI, Line 18	Forms 990 are available on www.guidestar.org.
Form 990, Part VI, Line 19	- Public Inspection - Governing documents, conflict of interest policy are available upon request as disclosed to other regulatory bodies. 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 Independent Auditors' Report. To request copies contact: Vice President, Communications Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, 18th Floor Oakland, CA 94612
Form 990, Part VII, Section A, Column B	- Hours for Related Organizations - Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated.
Form 990, Part XI, Line 9	- Other changes in net assets or fund balances - CHANGE IN PENSION AND OTHER RETIREMENT LIABILITIES $ (141,473,072) OTHER THAN TEMPORARY IMPAIRMENTS (156,760) GAIN (LOSS) ON SALE OF INVESTMENTS - BOOK 2,753,819 GAIN (LOSS) ON SALE OF INVESTMENTS - TAX (1,447,167) --------------- TOTAL $ (140,323,180)
FORM 990, PART III, LINE 4A-4D	- EXEMPT PURPOSE ACHIEVEMENTS - I. Introduction A. About Kaiser Permanente Founded in 1942 to serve employees of Kaiser Industries and opened to the public in 1945, Kaiser Permanente is recognized as one of Americas leading health care providers and nonprofit health plans. We were created to meet the challenge of providing American workers with medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Since our beginnings, we have been committed to helping shape the future of healthcare. Among the innovations Kaiser Permanente has brought to U.S. health care are: - Prepaid health plans, which spread the cost to make it more affordable - A focus on preventing illness and disease as much as on caring for the sick - An organized, coordinated system that puts as many services as possible under one roof - all connected by an electronic medical record Kaiser Permanente is an integrated health care delivery system comprised of Kaiser Foundation Hospitals (KFH), Kaiser Foundation Health Plan, Inc. (KFHP), and physicians in the Permanente Medical Groups. Today we serve more than 12.2 million members in eight states and the District of Columbia. Our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Care for members and patients is focused on their total health and guided by their personal physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. B. Kaiser Permanentes Approach to Community Health For 75 years, Kaiser Permanente has been dedicated to providing high-quality, affordable health care services and to improving the health of our members and the communities we serve. We believe good health is a fundamental right shared by all and we recognize that good health extends beyond the doctors office and the hospital. It begins with healthy environments: fresh fruits and vegetables in neighborhood stores, successful schools, clean air, accessible parks, and safe playgrounds. Good health for the entire community requires equity and social and economic well-being. These are the vital signs of healthy communities. Better health outcomes begin where health starts, in our communities. Like our approach to medicine, our work in the community takes a prevention-focused, evidence-based approach. We go beyond traditional corporate philanthropy or grant making to pair financial resources with medical research, physician expertise, and clinical practices. Our community health strategy focuses on three areas: - Ensuring health access by providing individuals served at Kaiser Permanente or by our safety-net partners with integrated clinical and social services; - Improving conditions for health and equity by engaging members, communities, and Kaiser Permanentes workforce and assets; and - Advancing the future of community health by innovating with technology and social solutions. C. Kaiser Permanentes Total Contribution Kaiser Permanente provided $3.4 billion in community benefits in 2019. The amounts attributable to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is $174.7 million as follows: - Financial Assistance at cost - $81.9 million - Medicaid - $44.1 million - Costs of other means-tested government programs - $33 million - Community health improvement services and community benefit operation $9.6 million - Health Professions Education - $1.6 million - Research - $3.0 million - Cash and in-kind contributions from community benefit - $1.4 million In addition to our direct spend on community benefits, we also leverage assets from across Kaiser Permanente to help us achieve our mission to improve the health of communities. This "Total Health" strategy includes our widely recognized activities around supplier diversity, socially responsible investing and environmental stewardship. II. Ensure Health Access A. Summary of The Strategy Ensuring health access means serving those most in need of health care through Medicaid, medical financial assistance, charitable health coverage, and other forms of subsidized care and coverage. It also means connecting people with wrap-around social services, healthy meals, affordable homes, safe playgrounds, and supportive schools. For many low-income people without access to health care coverage, or for those who lose their jobs and cant maintain health care coverage, an emergency room is often the only place they receive care. At Kaiser Permanente, were working to change that with programs that lower financial barriers by providing deeply subsidized health coverage and medical financial assistance for care. We also provide information about how to access and qualify for public programs such as Medicaid and financial assistance through the marketplace to individuals who may be eligible. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supports the health access needs of our communities through a combination of coverage and care programs. We provide coverage to low income populations through two key vehicles: first, via our participation in government programs like Medicaid and the Childrens Health Insurance Programs (CHIP), and second, via our own Charitable Health Coverage (CHC) program, which provides a premium subsidy for Kaiser Permanente coverage for qualified low-income families and children who do not have access to public or private health coverage. Similarly, we provide care to low-income populations through two key vehicles: first, via our treatment of Medicaid and CHIP enrollees (not assigned to Kaiser Permanente), and second, via the Medical Financial Assistance (MFA) program, which is Kaiser Permanentes traditional charity care or financial assistance program (FAP). For Kaiser Foundation Health Plan, Inc. and all of its subsidiary health plans, the main way to address health access challenges is by absorbing the cost of the coverage and care programs described above. In 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. spent a total of $159.1 million on our coverage and care programs (at cost, net of all related revenues). In addition, it provided $85,000 in grants to help improve health access challenges, including but not limited to funding key safety-net partner organizations. B. Coverage Having health coverage means consistent access to comprehensive and continuous medical and preventative services for people to get and stay healthy, a much better alternative to episodic care at emergency departments. Coverage is good for the patient, good for Kaiser Permanente and good for the US overall because it helps people get and stay healthy and avoid costly hospital services. i. Coverage provided through Medicaid, CHIP and other government programs The Affordable Care Act has had a far-reaching impact on the landscape of government-sponsored programs, as these options have become a key source of health coverage for a significant portion of the US population. Kaiser Permanente has responded to this challenge by developing organizational strategies to enable low-income individuals to obtain and/or retain health coverage through Medicaid, CHIP or other government programs, even as their personal or financial circumstances may be changing. At the end of 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 95,000 people through these government programs. ii. Coverage provided through CHC CHC is a unique approach to caring for low-income uninsured persons in the community. The program provides a premium subsidy for a KFHP off exchange plan to low income individuals and families who are not eligible for other public or privately sponsored coverage. Eligible participants receive a regular KFHP membership card and have access to the same services and providers as other KFHP individual and family plan members. CHC members also receive cost sharing support that eliminates out of pocket costs for most covered services provided at Kaiser Permanente facilities. CHC provides individuals/families who would otherwise not have access to coverage, consistent access through the "front door" of the health delivery system, including a medical home and preventive services, better alternatives than episodic care. At the end of 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was providing coverage to over 11,000 people through the CHC program.
C. Care	To get and/or stay healthy, people need access to high quality care by providers they trust. This care must include preventative services and required medications so that people can avoid ending up in the emergency room or requiring more extensive services down the line. Kaiser Permanente helps low income populations gain access to this type of care by leveraging the full scope of its integrated delivery system, including not only critical hospital-based services but also outpatient primary, specialty and pharmacy services. iii. Care provided through Medicaid, CHIP and other government programs Kaiser Permanente provides a wide range of health care services to individuals enrolled in Medicaid, CHIP and other government programs, regardless of whether they are assigned to Kaiser Permanente or not. In addition to the individuals who received health coverage in 2019 due to Kaiser Permanentes participation in these government programs, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also subsidized care to people who are enrolled in these programs but not formally assigned to Kaiser Foundation Health Plan. iv. Care subsidized by MFA Medical Financial Assistance program (MFA) helps low-income, uninsured, and underserved patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. The MFA program is one of the most generous in the health care industry and is available to those patients in greatest need. Eligibility is based on financial need. In general, patients whose household income is at or below 200 percent, and in some regions up to 400 percent, of the federal poverty guidelines are eligible for the MFA program. Patients who are experiencing high medical expenses as compared to their income may be eligible under high medical expenses criteria, regardless of household income. The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Over the course of 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. subsidized care for approximately 59,000 people through the MFA program. D. Social Health: Thrive Local As an integrated health system committed to total health, Kaiser Permanente must not only provide excellent medical care and health services, it must also address social health for Kaiser Permanente members and in our communities. To help address unmet social needs, Kaiser Permanente is deploying Thrive Local in each of its regions. Thrive Local integrates clinical and social care and is supported by data integration and partnerships with community-based organizations. Thrive Local consists of three components: a resource directory that provides current, up-to-date and searchable information on community resources; geographically-based community partner networks of social service organizations; and a technology platform that allows for two-way referrals between health care providers and social care providers. By linking clinical and social care delivery and building social health networks for our members and the communities we serve, Kaiser Permanente is making a bold move to transform health. E. Safety-Net Partnerships Kaiser Permanente is committed to building partnerships with the institutions that serve on the front lines of health care for the uninsured and underserved, often referred to as the health care "safety net." Through grants, training, and technical assistance, were working with safety-net hospitals and health centers to help these institutions reach people in our communities who are low-income, uninsured, or under-resourced. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. continued its ongoing support of the Community Ambassador Program (CAP) which places Kaiser Permanente-employed nurse practitioners, midwives, and physician assistants in safety-net clinics to provide clinical services and to share best practices in medical care. In 2019, Community Ambassador Programs 12 Community Ambassadors provided a total of 23,927 encounters at 10 community health centers. Of note, three Community Ambassadors currently facilitate prenatal centering programs, which have been linked to healthier babies and elimination of racial disparities in preterm birth. III. Improve Conditions for Health and Equity A. Summary of the Strategy Healthy individuals need healthy communities, and healthy communities need healthy people to thrive. At Kaiser Permanente, we are working to improve the conditions for health and equity in the community by addressing the root causes of health, such as economic opportunity, affordable housing, safe and supportive schools, and a healthy environment. These improvements grow from our collaboration with each community to co-design and co-create solutions that truly make a positive impact. By engaging members, communities, our sizeable workforce, and all of our organizations considerable assets, we are working to create communities that are among the healthiest in the nation, and inspiring greater health for America and the world. In 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. spent a total of $198,000 on charitable contributions designed to improve conditions for health and equity. In addition to the charitable contributions awarded to improve conditions for health and equity, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also provided $1.2 million in charitable contributions for other Community Health activities and programs. B. Social Health: Food for Life Kaiser Permanente is tackling the most basic of human needs - food - by helping at-risk members and communities access the food and nutrition they need to live a full and healthy life. We launched Food for Life to transform the economic, social and policy environments connected to food so that people across the nation have access to, and can afford, healthy food.
C. Thriving Schools	Our efforts to support health in schools are part of how we are advancing our vision for total health - a holistic approach that emphasizes the social, environmental, behavioral, and clinical aspects that shape ones well-being. Schools are passionate about ensuring that all students succeed. They need strong partners to help them address health as part of their strategy. Thats why Kaiser Permanente created Thriving Schools, our all-in engagement to improve health for students, staff, and teachers. Our vision is that every community can count on their school as a champion for good health that enables great learning. Kaiser Permanente Thriving Schools is intentional about coordinating our own knowledge and existing work in school health with the good work of others. Through our valued partnerships with some of the countrys most innovative organizations, we are able to provide concrete resources and pathways to health in schools. To create lasting change, we use our voice to advance local, regional, and national policies and a movement to make healthy schools the norm for everyone. A distinguishing feature of Thriving Schools is our complementary focus: we support students, staff, and teachers, and we address their physical, emotional, and social wellness. This approach builds a culture of wellness across the entire school. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supported the RISE (Resilience in School Environments) initiative, an enterprise-wide effort with the Alliance for Healthier Generation. RISE is designed to empower schools and districts to create safe and supportive learning environments by cultivating practices that strengthen the social and emotional health of all students and staff, understand and integrate social and emotional well-being into all aspects of school life. 31 schools and 1 district were recruited in 2019 to participate in RISE onsite program. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. funded a $100,000 grant to the Alliance for a Healthier Generation for the Healthy Schools Program also known as the Healthy Eating Active Living initiative. The Healthy Eating Active Living initiative empowers school and district leaders to create and sustain healthier learning environments for students, staff and teachers. School and districts receive a range of school health resources and information through onsite support and a virtual platform to help them choose smart snacks and healthier school breakfast and lunch programs, including movement in the classroom, support for health and physical education instruction, healthy food procurement, and adopting school and district wellness policies that guide positive, healthy practices. 36 schools made one or more improvements in physical activity, nutrition, or staff wellness meeting the guidelines of the Healthy Schools Program. D. Thriving Cities The places where we live, learn, work, and play - our cities and towns, our schools, our homes, our neighborhoods, - have an enormous impact on our health. And how we shape those places, through public policy and the support for healthy environments, has the potential to make real, lasting impacts on our surroundings and our everyday quality of life. Through Kaiser Permanentes ongoing partnerships with community organizations, municipal leaders, and public health champions, we are working to incorporate health, equity and sustainability considerations into public policy and the built environment in ways that influence how neighborhoods take shape and grow. Specific example(s) of our efforts in 2019 include: Kaiser Permanente continued as a partner in CityHealth, an initiative of the de Beaumont Foundation and Kaiser Permanente that advances a package of evidence-based policy solutions that will help millions of people live longer, better lives in vibrant, prosperous communities. CityHealth recognized large cities across the country for specific policies related to health and quality of life, including Pre-K, Tobacco 21, complete streets, smoke-free indoor air, and healthy food procurement. In the policy areas assessed by CityHealth among the 40 largest cities, a total of 35 new policy advances occurred since 2018. Baltimore was recognized by CityHealth for a new Maryland policy that raises the age of sale of tobacco products to 21. This policy is projected to deter young people from initiating tobacco use and curb related health effects. Kaiser Permanente testified in support of this policy as an effort to lessen the health effects related to tobacco use. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. has funded the Healthy Eating, Active Living (HEAL) Cities Campaign since its initiation in 2008. Since 2008, a total of 373 cities, including 68 in the Mid-Atlantic States region, have committed to pass and implement policies addressing healthy eating and active living. These policies range from health in general or comprehensive plans to healthy food procurement to complete streets and worksite wellness, with the Institute for Public Health Innovation leading the work in the Mid-Atlantic States. E. Economic Opportunity Inclusive economic growth is critical to both individual and community health. When there is a lack of economic opportunity in communities, the prospects for upward social mobility are diminished, often resulting in poorer health and higher mortality rates for people living in those communities. By contrast, economic growth and opportunity provides individuals with jobs, income, a sense of purpose, and opportunities to improve their economic circumstances overtime. As a large, influential institution in our communities, Kaiser Permanente recognizes that the way we do business can support economic opportunity in local communities through how we hire, purchase, build our facilities and partner with communities. Some ways that were helping revitalize and grow our communities by strengthening economic opportunity include: - Providing good jobs to individuals facing barriers to employment through high-impact hiring and workforce pipeline efforts. - Pursuing a social impact investment strategy to support impact investments aimed at addressing key social issues that have a significant impact on health. - Purchasing goods and services from local minority- and women-owned businesses and encouraging good employment practices by our vendor partners. - Building new facilities with an emphasis on positive local community impact, including local construction hiring, local and diverse purchasing, healthy and sustainable design features, neighborhood revitalization, and deep community engagement. Specific examples of our efforts in 2019 include: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with the Inner-City Capital Connections program to support small, minority-owned and women-owned business in Baltimore and in Washington D.C. to build their capacity for sustainable growth in revenue, profitability, and employment through a combination of in-person executive education, webinars, coaching, and connections to capital. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Baltimore YouthWorks Summer Youth Employment Program (SYEP), Prince Georges County Youth Works SYEP, Washington DCs Marion Barry SYEP and Montgomery Countys Summer Rise to provide healthcare exposure and experience via 6-week summer internships to 50 high school and college bound students from economically distressed communities. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. also launched its Graduate Fellowship Program through partnership with Virginia Commonwealth University to train 2 masters-level Health Administration students via a one-year rotational fellowship; partnered with NPower and YearUp to provide technical skills training to 5 students via 12-18-month apprenticeships as part of its Impact Hiring Initiative; and partnered with various local and national colleges and universities to provide clinical training to 396 medical students in the areas of Nursing, Radiology, Occupational Therapy, Lab, and Pharmacy. Kaiser Permanente continued its commitment to source goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community as a member of the Billion Dollar Roundtable. As part of this commitment, we encouraged our own suppliers to also increase their sourcing of goods and services from the minority, women, veteran, disabled, and LGBTQ-owned business community. Furthermore, we also began to measure job creation that resulted from our procurement spending and in 2019, found that our procurement spending led our supplier partners to create new jobs.
F. Housing for Health	Housing stability is a key factor in a persons overall health and well-being. Without a safe, stable place to live, it is nearly impossible to maintain health or sustain health improvements achieved in a medical setting. With the increase in homeless throughout our country, the need for safe, stable and affordable housing has never been greater. Kaiser Permanente understands the connection between housing and health. Our impact investments aim to create more affordable housing, reduce the displacement of lower- and middle-income households, and end homelessness by ensuring access to supportive housing. Specific example(s) of our efforts in 2019 include: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. partnered with Community Solutions in the District of Columbia, Baltimore, Montgomery County, Arlington County, and Fairfax County to drive reductions in the number of individuals experiencing homelessness. Community Solutions is Kaiser Permanentes national partner for ending veteran and chronic homelessness in Kaiser Permanente communities. Community Solutions is a nonprofit that leads Built for Zero, a movement of more than 80 cities and counties using data to radically change how they work and the impact they can achieve; and proving that it is possible to make homelessness rare and brief. In order to propel this movement to end homelessness up and over a tipping point, Community Solutions works with communities to solve the most persistent challenges that stand in the way. In the Mid-Atlantic States region, the service areas identified are in various stages of development depending on location, with Fairfax County, Arlington County, Montgomery County and the District of Columbia all working towards a reduction of 50% or reaching functional zero for either chronic, veteran or family homelessness by 2021. This partnership will provide investments that catalyze greater reductions. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. funded a $50,000 grant to Sowing Empowerment & Economic Development, Inc. In partnership with Refreshing Spring Church of God in Christ, the grant will build capacity of the partnership to develop 200+ units of senior and affordable housing to meet the needs of lower income residents. The campus will also consist of a community building to attend to the basic health, services, supplemental education and recreational needs of the community. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. was selected as one of six U.S. hospitals and health systems to anchor an affordable housing initiative in the Purple Line Corridor as part of the Center for Community Investments Accelerating Investments for Healthy Communities initiative. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. is supporting the initiative to reach its goals of 1,000 homes in the pipeline by 2021 and by 2030, No Net Loss of 17,000 homes in Purple Line Corridor currently affordable to families at 60% of Area Median Income or below. G. Environmental Stewardship We believe it is our obligation as a health care provider to minimize our environmental impact. We embed efforts to be environmentally responsible throughout our organization - in how we power our facilities, purchase foods and medical supplies and equipment, manage waste, and invest in our communities. We also prioritize partnerships with others to develop policies and systems that strengthen community health and protect our environment. In 2016, Kaiser Permanente adopted an ambitious set of environmental goals to guide the organization for the decade ahead. These goals have raised the bar on environmental responsibility, not just for Kaiser Permanente but for all health care organizations. Kaiser Permanente pledges that by 2025 it will: - Become "carbon net positive" by buying enough clean energy and carbon offsets to remove more greenhouse gases from the atmosphere than it emits. - Buy all of its food locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. - Recycle, reuse or compost 100 percent of its non-hazardous waste. - Reduce the amount of water it uses by 25 percent per square foot of buildings. - Increase its purchase of products and materials that meet environmental standards to 50 percent. - Meet international standards for environmental management at all its hospitals. - Pursue new collaborations to reduce environmental risks to the foodsheds, watersheds and air basins supplying its communities. Specific example(s) of our efforts in 2019 include: Kaiser Permanente finalized an agreement for a major renewable energy purchase, enabling us to achieve our goal of becoming carbon neutral in 2020. Kaiser Permanente dedicated 20% of overall spending on products to items that met our Environmentally Preferable Purchasing standards and dedicated 42% of spending on food to items produced locally or from farms and producers that use sustainable practices, including using antibiotics responsibly. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. dedicated 16% of its overall spending on products to items that met Kaiser Permanentes Environmentally Preferable Purchasing standards; responsibly reused, recycled or composted over 1,212 tons of materials; and reduced the energy use intensity (kilowatt hours/rentable square foot) of its facilities by 7% compared to its 2010 baseline. IV. Advance the Future of Community Health A. Summary of the Strategy Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems by: - Inspiring young people to pursue careers in health care - Conducting research to identify and eliminate disparities in care - Advancing health innovation and achieving greater and more equitable health outcomes In 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. spent a total of $4.6 million on programs to advance the future of community health (at cost, net of all related revenues). This included $1.6 million in health professionals education and $3 million in research. B. Health Professionals Education Our Graduate Medical Education (GME) program provides training and education for medical residents and interns in the interest of educating the next generation of physicians. The nationally acclaimed program attracts some of the top medical school graduates in the United States and serves as a national model by exposing future health care providers to an integrated health care delivery system. Residents are offered the opportunity to serve a large, culturally diverse patient base in a setting with sophisticated technology and information systems, established clinical guidelines and an emphasis on preventive and primary care. In 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. supported interns and residents through the GME program. The majority of medical residents are studying within the primary care medicine areas of family practice, internal medicine, ob/gyn, pediatrics, preventive medicine, and psychiatry. In addition to GME, we provide a range of training and education programs for nurse practitioners, nurses, radiology and sonography technicians, physical therapists, post-graduate psychology and social work students, pharmacists, and other non-physician health professionals.
C. Research	Kaiser Permanente has a long history of conducting health research related to both prevention and treatment of disease that benefits its members, the communities it serves and the nation. Kaiser Permanentes research efforts are core to the organizations mission to improve population health, and its commitment to continued learning. Research activities are conducted at Kaiser Permanentes eight regional research centers and three national groups: Kaiser Permanente Research Bank, Kaiser Permanente Center for Effectiveness & Safety Research; and Utility for Care Data Analysis. In addition, the Kaiser Foundation Research Institute administers and supports research at the research centers. Kaiser Permanente researchers study critical health issues including: cancer, cardiovascular conditions, diabetes, behavioral and mental health, and health care delivery improvement. Kaiser Permanente Research is broadly focused on three themes: understanding health risks; addressing patients needs and improving health outcomes; and informing policy and practice to facilitate the use of evidence-based care. Kaiser Permanente is uniquely positioned to do research due to its rich, longitudinal, electronic clinical databases that capture virtually complete health care delivery, payment, decision-making and behavioral data in detail to support primary, secondary and tertiary clinical care across inpatient, outpatient and emergency department settings for its geographically and demographically diverse members. In 2019, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. engaged in approximately 100 active studies including over 25 clinical trials and published approximately 50 journal articles. Kaiser Foundation Health Plan of the Mid-Atlantic States, Incs research program, the Mid-Atlantic Permanente Research Institute (MAPRI) was established in 2011 and is the research core for Mid-Atlantic Permanente Medical Group, a Professional Corporation, in collaboration with Kaiser Foundation Health Plan of the Mid-Atlantic States. The Institutes mission is to advance medical knowledge and improve the quality of care and health of our members and communities we serve by conducting innovative scientific and clinical research. The Institutes primary research continues to be patient-focused, with major areas of study in infectious diseases, cardiovascular and metabolic research, oncology, and health informatics, as well as clinical trials. Influenza results in an average of 41,400 deaths in the United States each year. Safe and effective influenza vaccines are widely available and have been used for more than 60 years. However, vaccination coverage in the U.S. is lower among Blacks than Whites. These racial/ethnic disparities in influenza vaccination rates remain an issue even among those with access to care and no out-of-pocket costs. A study published in 2019 by a team at the Mid-Atlantic Permanente Research Institute examined data for 185,000 individuals who identified as White or Black, and found that Black members have 42% lower odds of vaccination than White members. The contributions to the total White-Black disparity in vaccination included: age (16%), neighborhood median income (11%), and online patient portal registration (13%). Improving patient portal registration may be a target component of an effective strategy to reduce racial disparities in vaccination. D. Advancing Innovation Despite our nations best efforts at addressing the myriad of challenges facing the health of our communities, we see that social, economic and health disparities among people continue to grow. At Kaiser Permanente, were trying to shift that paradigm by working to advance conditions for health through the spread of best practices, innovation and technology. Kaiser Permanente works in partnership with our communities, using our collective knowledge to identify and implement creative solutions to difficult community health problems. Using technology as the backbone of our efforts, we are exploring new approaches for accelerating and scaling community health solutions to create greater impact. Together, we are advancing health innovation and achieving greater and more equitable health outcomes. Specific example(s) of our efforts in 2019 include: Kaiser Permanente partnered with The Public Good Projects (PGP) to reduce stigma and raise awareness around mental health conditions. PGPs Action Minded Mental Health campaign has four components which include Therapy Pets, Like One Another, Mental Health Champions, and Community Partners and each component tailors its evidence-based approach to reach a specific audience. PGPs disease surveillance system monitors all publicly available media sources for mentions of mental health topics, and PGP tailors its messaging to address trending mental health topics.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	KAISER MANAGEMENT SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KAISER PLAZA 15L	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94612	ZIPCd

Field	Value	IRS element (for citing)
EIN	823908916	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	MD	LegalDomicileStateCd
Total Income	$1,485,391,150	TotalIncomeAmt
End Of Year Assets	$39,112,816	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(c)(3)	3	NA	false
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(c)(3)	10	NA	false
KAISER FOUNDATION HEALTH PLAN OF CO
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF GA INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	581592076	HEALTH CARE	GA	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FOUNDATION HEALTH PLAN OF THE NW
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(c)(3)	10	KFHP INC	Yes (true)
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	910511770	HEALTH CARE	WA	501(c)(3)	3	KFHPW HLDING	Yes (true)
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(c)(3)	12-I	KFH	Yes (true)
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299123	ADMIN	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	912171891	WC PLACEMENT	HI	501(c)(3)	12-I	KFHP INC	Yes (true)
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943317484	FINANCING	CA	501(c)(3)	12-I	KFHP INC	Yes (true)
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA SUITE 15L	OAKLAND	CA	94612	311779500	FINANCING	CA	501(c)(3)	12-I	KFH	Yes (true)
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930954562	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	Yes (true)
KP BERNARD J TYSON SCHOOL OF MEDICINE
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	814053028	MEDICAL EDU	CA	501(C)(3)	2	KFH	Yes (true)
KFHPW HOLDINGS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC	Yes (true)
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA	Yes (true)
KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	823819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC	Yes (true)
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911314907	INACTIVE	WA	501(c)(3)	12-I	KFHP OF WA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NXT CAP SR FD ILLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 N Wacker Dr 1200	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
EIN	371651297	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
UBI Code V	$0	UBICodeVAmt
Ownership	0.00000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	$0	$0	Yes (true)
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	$0	$0	Yes (true)
GROUP HEALTH SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911392222	INACTIVE	WA	NA	C CORP	$0	$0	Yes (true)
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	911467158	INSURANCE	WA	NA	C CORP	$0	$0	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (37 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Kaiser Foundation Health Plan Inc
L	$2,913,461	Per Agreement
Kaiser Foundation Health Plan Inc
M	$146,180,243	Per Agreement
Kaiser Foundation Health Plan Inc
P	$190,183,519	Per Agreement
Kaiser Foundation Health Plan Inc
Q	$74,526,188	Per Agreement
Kaiser Foundation Health Plan Inc
R	$6,069,516	Per Agreement
Kaiser Foundation Health Plan Inc
S	$341,464,027	Per Agreement
Kaiser Foundation Hospitals
L	$1,382,503	Per Agreement
Kaiser Foundation Hospitals
M	$261,785,242	Per Agreement
Kaiser Foundation Hospitals
P	$10,641,199	Per Agreement
Kaiser Foundation Hospitals
Q	$4,372,496	Per Agreement
Camp Bowie Service Center
L	$260,845	Per Agreement
Camp Bowie Service Center
Q	$41,901,691	Per Agreement
Kaiser Permanente Insurance Company
L	$3,664,141	Per Agreement
Kaiser Permanente Insurance Company
M	$24,906,062	Per Agreement
Kaiser Permanente Insurance Company
P	$126,958	Per Agreement
Kaiser Permanente Insurance Company
Q	$6,758,406	Per Agreement
Lokahi Assurance LTD
L	$6,273,000	Per Agreement
Lokahi Assurance LTD
M	$23,500,000	Per Agreement
Lokahi Assurance LTD
P	$1,112,420	Per Agreement
Lokahi Assurance LTD
Q	$26,854,841	Per Agreement
Lokahi Assurance LTD
R	$2,564,564	Per Agreement
Kaiser FDN Health Plan of the Northwest
L	$80,824	Per Agreement
Kaiser FDN Health Plan of the Northwest
M	$76,395	Per Agreement
Kaiser FDN Health Plan of the Northwest
P	$260,187	Per Agreement
Kaiser FDN Health Plan of the Northwest
Q	$296,047	Per Agreement
Kaiser FDN Health Plan of Colorado
L	$642,290	Per Agreement
Kaiser FDN Health Plan of Colorado
M	$632,866	Per Agreement
Kaiser FDN Health Plan of Colorado
P	$228,542	Per Agreement
Kaiser FDN Health Plan of Colorado
Q	$170,757	Per Agreement
Kaiser FDN Health Plan of Georgia Inc
L	$4,153,737	Per Agreement
Kaiser FDN Health Plan of Georgia Inc
M	$4,092,954	Per Agreement
Kaiser FDN Health Plan of Georgia Inc
P	$326,780	Per Agreement
Kaiser FDN Health Plan of Georgia Inc
Q	$28,517,872	Per Agreement
Oak Tree Assurance LTD
L	$4,647,150	Per Agreement
Oak Tree Assurance LTD
M	$4,645,350	Per Agreement
Oak Tree Assurance LTD
P	$56,302	Per Agreement
Oak Tree Assurance LTD
Q	$59,845	Per Agreement