2014-11-12T13:22:56-06:00 2013-12-31 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-01-01 520954463 KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC % VP - TAX SERVICES KAIS 5102716611 ONE KAISER PLAZA 15L Suite OAKLAND CA 94612 DEBORAH STOKES SVP, CC & CAO 5102716385 2014-11-11 ROBERT W FRIZ P00438748 5102716385 2013 2015-11-30 17:44:51Z KIMBERLY HORN ONE KAISER PLAZA 15L OAKLAND CA 94612 2697627645 false X N/A X 1972 MD TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. 15 12 6754 697 140467 344247 22290 2388129639 2508202069 6947254 3370136 831446 159136 2396252586 2511753631 1926096 3004612 0 0 566568795 605887498 0 0 0 1848484469 1916589345 2416979360 2525481455 -20726774 -13727824 1184225388 1201017659 1298675195 1221895918 -114449807 -20878259 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 2275611193 96243 2504878519 member health care services and medical training for care improvement Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP of MAS) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of MAS educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. 48091881 2815302 Charitable Care (Medical Financial Assistance and Charitable Health Coverage) Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP) provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. KFHP 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 2013, this program assisted approximately 13,200 qualifying applicants. The CHC program offers regular Kaiser Foundation Health Plan membership at minimal cost to low income families who are not eligible for other public or privately sponsored coverage. More than 6,800 individuals were receiving comprehensive health care through this program at the end of 2013. 20416926 508248 Medicaid and Other Government Sponsored Programs Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP) is committed to improving medical care for beneficiaries of Medicaid and other government sponsored programs, not only for KFHP members, but also within the communities we serve. At the end of 2013, more than 2,500 individuals were receiving benefits under KFHP's Medicaid managed care programs in Maryland and Virginia. In addition, KFHP provided health care on a fee-for-service basis for Medicaid beneficiaries who were not enrolled as KFHP members. 13604984 2908369 0 SEE COMMUNITY BENEFIT SUMMARY RPT IN SCH O 13604984 2908369 0 2357724984 true true false true false false false false false false true false false false true false true true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 3783 0 true 6754 true true true false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true false DC MD VA X X VP - TAX SERVICES 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Christine Cassel Director 2.0 12.0 X 0 189000 0 Thomas Chapman Director 2.5 11.5 X 0 197476 17500 Jeffrey Epstein Director 0.5 4.5 X 0 124090 0 Daniel P Garcia SVP, Chief Compliance Officer 2.0 48.0 X 0 1424478 56135 William Graber Director 0.5 7.0 X 0 231153 0 J Eugene Grigsby III Director 1.0 7.5 X 0 206425 0 George C Halvorson Chairman 5.0 45.0 X X 0 10049725 146207 Judith Johanson Director 0.5 6.8 X 0 231370 0 Kim Kaiser Director 0.5 8.0 X 0 214808 0 Philip Marineau Director 0.58 6.44 X 0 211230 0 Jenny Ming Director 0.3 4.8 X 0 207633 0 Edward Pei Director 0.5 7.25 X 0 192630 17500 Margaret Porfido Director 0.5 6.6 X 0 229752 0 Cynthia Telles Director 0.5 6.0 X 0 225539 0 Bernard J Tyson CEO & President 5.0 45.0 X X 0 4150020 139874 Gregory A Adams EVP, Group President 6.0 44.0 X 0 1904557 229462 Kimberly K Horn Region President - MAS 50.0 0.0 X 0 1151289 398037 Kathryn Lancaster EVP & CFO 4.0 46.0 X 0 2196752 141775 Thomas R Meier SVP, Corporate Treasurer 3.0 47.0 X 0 1047162 44749 Donald H Orndoff SVP, NFS 5.0 45.0 X 0 929854 170182 Rochelle M Roth Assistant Secretary 5.0 45.0 X 0 222413 26424 Jacqueline Sellers Sr.Counsel/Assistant Secretary 1.0 49.0 X 0 248419 3983 Arthur M Southam EVP, Health Plan Operations 4.0 46.0 X 0 2609154 45573 Susan Spurlark VP, Regional Counsel - MAS 50.0 0.0 X 0 370796 75231 Deborah Stokes SVP,Corporate Controller & CAO 4.0 46.0 X 0 764912 -2441 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 4.0 46.0 X 0 330156 13335 Mark S Zemelman SVP, Gen Counsel & Secretary 2.0 48.0 X 0 1323548 43660 Russell K Bradley VP, HP Services & Admin 30.0 20.0 X 0 305366 80440 Ruben J Burnett VP, Nat'l Consultant Relations 30.0 20.0 X 0 414459 79686 Linda M Collins COO - MAS 30.0 20.0 X 0 472023 81380 DeAnne Petersen VP, CFO - MAS 50.0 0.0 X 0 392765 59208 Mark Ruszczyk VP, MSBD - MAS 30.0 20.0 X 0 226543 35095 Karen Elizabeth Blair VP, PR, Comm & Brand Mgmt 30.0 20.0 X 0 284535 84419 George F Buchness Jr VP, Strategic Business DEVPMT 30.0 20.0 X 0 265762 47048 Jeffrey A Goldman VP,Strategic Plan & Perf - MAS 30.0 20.0 X 0 353246 39290 Mary Elizabeth Jaeger VP, HR - MAS 30.0 20.0 X 0 357485 65507 Kay W Lewis VP, UM, Risk Mgmt & Quality 30.0 20.0 X 0 372025 42501 Marilyn Kawamura Region President - MAS 0.0 0.0 X 0 414555 16875 0 35043105 2198635 1037 true true false MID-ATLANTIC PERMANENTE MEDICAL GRO 2101 EAST JEFFERSON STREET ROCKVILLE MD 20852 PHYSICIAN SERVICES 488723954 HOLY CROSS HOSPITAL 9805 DAMERON DRIVE SILVER SPRING MD 20902 HOSPITAL SERVICES 57984965 VIRGINIA HOSPITAL CENTER PO BOX 1494 MERRIFIELD MD 22116 HOSPITAL SERVICES 56827080 WASHINGTON HOSPITAL CENTER PO BOX 631290 BALTIMORE MD 21263 HOSPITAL SERVICES 55894172 CHILDREN'S HOSPITAL PO BOX 37215 BALTIMORE MD 21297 HOSPITAL SERVICES 39518437 291 22290 22290 MBR HLTH CARE PREM 621400 2056130993 2056130993 SUPPL CHARGE/PHARM 621400 107487789 107381218 106571 NON-PLAN & IND REV 621400 1486724 1486724 OTHER PRGM SERVICE 621400 24803241 24769345 33896 MEDICARE/MEDICAID 621400 318293322 318293322 2508202069 3233408 3233408 0 0 159136 0 159136 0 159136 159136 185577703 433039 184725802 1148212 851901 -715173 136728 136728 0 0 0 0 2511753631 2508061602 140467 3529272 3004612 3004612 0 0 0 0 0 416943631 377731214 39212417 74834146 74834146 87656917 87412721 244196 0 26452804 12657025 13795779 0 1137729 1137729 1303234 1303234 0 0 171712 171712 0 10458794 552862 9905932 9199425 8517308 682117 143283692 116714096 26569596 0 43821144 43821144 2669044 1894594 774450 0 1310618 1310618 10241409 10241409 0 69733875 69733875 23484374 23449849 34525 CONTRACTUAL PAYMENTS 782330902 782330902 PURCHASED MEDICAL SERVICES 249202558 249202558 SUPPLIES 338059618 311035575 27024043 INTER-REGIONAL CHARGES 98068525 88850818 9217707 132112692 95740276 36372416 2525481455 2357724984 167756471 0 0 0 8391431 7741713 0 0 101127836 118200294 0 0 0 0 0 0 25010224 28564152 6539876 4956742 1258250376 462237513 759198329 796012863 280946152 242251370 0 0 0 0 0 0 3011540 3290525 1184225388 1201017659 246820670 178462284 0 0 12711369 4423563 12888484 12863090 0 0 0 0 0 0 0 0 1026254672 1026146981 1298675195 1221895918 X 8301762 8301762 0 0 -122751569 -29180021 -114449807 -20878259 1184225388 1201017659 X -13727824 -1241842 108541214 X false true X true false X 1000 0 16275 344247 22290 383812 2072423301 2167352747 2272514533 2388129639 2508061602 11408481822 0 0 0 2072424301 2167352747 2272530808 2388473886 2508083892 11408865634 0 0 0 11408865634 13960781 11014664 6430418 6743020 3392544 41541427 0 13960781 11014664 6430418 6743020 3392544 41541427 0 0 2086385082 2178367411 2278961226 2395216906 2511476436 11450407061 0.99637 0.99501 0.00363 0.00500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 20000 true 454157 true true 269889 744046 false SCHEDULE C, PART II-B, LINE 1A THROUGH 1I LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES THE ORGANIZATION IS A MEMBER OF THE KAISER PERMANENTE MEDICAL CARE PROGRAM AND PARTICIPATED IN AND BENEFITED FROM LOBBYING ACTIVITIES CONDUCTED AT THE REGIONAL AND NATIONAL LEVELS FOR THE BENEFIT OF ITS ENROLLED MEMBERS, THE BROADER COMMUNITYAND FOR THE HEALTH CARE INDUSTRY AS A WHOLE. AS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), HEALTH PLAN HAS A POLICY PROHIBITING ANY OF HEALTH PLAN'S RESOURCES BEING USED IN ANY POLITICAL CAMPAIGNS. THIS POLICY IS CLOSELY MONITORED FOR COMPLIANCE. DURING THE YEAR THIS ORGANIZATION MADE COMMENTS OR STATEMENTS CONCERNING LEGISLATION AND BALLOT INITIATIVES WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. HEALTH PLAN ENGAGED IN CONVERSATIONS WITH AND/OR WRITTEN COMMUNICATIONS TO VARIOUS FEDERAL, STATE, AND LOCAL OFFICIALS REGARDING MATTERS WHICH AFFECTED THE HEALTHCARE INDUSTRY AS A WHOLE. THE AMOUNT OF TIME AND MONEY INVOLVED IN THE ACTIVITIES IS DETAILED ON LINES A THROUGH I. HEALTH PLAN EMPLOYS INDIVIDUALS, INCLUDING ONE OR MORE REGISTERED LOBBYISTS AND/OR MAY RETAIN ONE OR MORE PROFESSIONAL CONSULTANTS TO REPRESENT HEALTH PLAN'S INTERESTS IN VARIOUS LEGISLATIVE AND REGULATORY BODIES AND FROM TIME-TO-TIME TO KEEP INFORMED ABOUT FEDERAL AND STATE LEGISLATION HAVING AN IMPACT ON HEALTH PLAN'S CHARITABLE ACTIVITIES AS AN EXEMPT HEALTH MAINTENANCE ORGANIZATION. THESE INDIVIDUALS ATTEMPT TO ENSURE THAT PROPOSED LEGISLATION AND ENACTED LAWS ARE COMPATIBLE WITH THE INTERESTS OF HEALTH PLAN, ITS MEMBERS AND ITS PATIENTS BY PERFORMING THE FOLLOWING ACTIVITIES: - COLLECTING, ANALYZING AND DISTRIBUTING WITHIN THE ORGANIZATION, PUBLIC AND PRIVATE POLICY RECOMMENDATIONS REGARDING PROPOSED LEGISLATION THAT AFFECT THE OPERATION OF HEALTH PLAN AND ITS ABILITY TO PROVIDE QUALITY HEALTH AND MEDICAL CARE SERVICES TO ITS MEMBERS AND THE BROADER COMMUNITY IN A COST EFFECTIVE MANNER. - PROVIDING APPROPRIATE INFORMATIONAL MATERIALS TO LEGISLATORS AND TO/THEIR STAFFS THAT PERTAIN TO MATTERS OF COMMON INTEREST IN THE HEALTH CARE COMMUNITY AND IN THE NOT-FOR-PROFIT COMMUNITY. - PREPARING WRITTEN AND ORAL TESTIMONY, APPEARING AT LEGISLATIVE HEARINGS, MONITORING LEGISLATIVE PROCEEDINGS AND MEETING WITH LEGISLATORS AND/OR THEIR STAFFS REGARDING ISSUES PERTINENT TO THE MISSION OF HEALTH PLAN. INDIVIDUALS APPEARING AT SUCH HEARINGS AND MEETINGS FOR AND ON BEHALF OF HEALTH PLAN OFTEN ARE REPRESENTING THE INTERESTS OF COMMON INTEREST GROUPS AS WELL AS THE INTERESTS OF THE MEMBERS AND PATIENTS OF HEALTH PLAN. OTHER EMPLOYEES AND OFFICERS PERFORM SERVICES BY DELIVERING SPEECHES AT VARIOUS PUBLIC AND PRIVATE FUNCTIONS AND IN SERVING AS FACULTY IN HEALTHCARE RELATED EDUCATIONAL PROGRAMS THROUGHOUT THE COMMUNITY. 69500150 69500150 788751064 251540666 537210398 144521412 69486602 75034810 220079390 134696027 85383363 35398360 6514218 28884142 796012863 0 DUE TO RELATED ENTITIES 384732357 SELF-INSURED RISKS 133636878 MEDICARE COST REPORT RESERVE 24645404 PENSION & POST-RETIREMENT BENEFITS 276607947 SUBORDINATED DEBT 133000000 OTHER LONG-TERM LIABILITIES 37493674 OTHER CURRENT LIABILITIES 36030721 1026146981 2504956211 -1241842 -4210326 -5452168 2510408379 1345252 1345252 2511753631 2411384663 -108880633 -108880633 2520265296 171712 5044447 5216159 2525481455 SCHEDULE D, PART XI RECONCILIATION OF REVENUE PER AUDITED FIN. STMT. WITH REVENUE PER RETURN LINE 2D: Gain on sale of investments - book $ 1,005,833 Bad Debt Reclass <5,044,447> INVESTMENT MANAGEMENT RECLASS <171,712> TOTAL <4,210,326> LINE 4B: Gain on sale of investments - tax $ 851,901 Fixed assets loss - reclass <879,777> OTTI (See Note 1) 1,373,128 TOTAL $ 1,345,252 Note 1: other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized. SCHEDULE D, PART XII RECONCILIATION OF EXPENSES PER AUDITED FIN. STMT. WITH EXPENSES PER RETURN LINE 2D: FIXED ASSET LOSS - RECLASS $ 879,777 CHANGE IN PENSION & OTHER COMPREHENSIVE INCOME <109,760,410> Total <108,880,633> LINE 4B: BAD DEBT EXPENSES - RECLASS $ 5,044,447 SCHEDULE D, PART X, Line 2 FIN 48 FOOTNOTE THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE UNDER FIN 48. true American Heart Association Inc 415 North Charles St Baltimore MD 21201 135613797 501(c)(3) 24640 Event Support Alexandria Neighborhood Health Svcs 2445 Army Navy Dr Arlington VA 22206 541849891 501(c)(3) 20000 Medical assistance American University 4400 Massachusetts NW Gray Hall Washington DC 20016 530196549 501(c)(3) 84121 School Health Eval Arlington Free Clinic 2921 S 11th St Arlington VA 22204 541671883 501(c)(3) 50000 Tech Assistance Associated Black Charities 1114 Cathedral St Baltimore MD 21201 521427774 501(c)(3) 7500 Event support Baltimore Community Foundation Inc 2 East Read Street Baltimore MD 21202 237180620 501(c)(3) 86750 Gen Op Support Baltimore Office of Promotion and Arts 7 East Redwood St Baltimore MD 21202 900091850 501(c)(3) 15000 General Op support Campaign To End Obesity 805 15th Street NW Washington DC 20005 260389759 501(c)(3) 25000 Event Support table Catoctin Foundation Inc 224A Cornwall St NW Leesburg VA 20176 541921059 501(c)(3) 55000 Implemet med safety Collaborative Civic Works Inc 2701 St Lo Drive Baltimore MD 21213 521925614 501(c)(3) 27970 General Op Support College of Southern Maryland Foundation PO Box 910 La Plata MD 20646 237279944 501(c)(3) 89575 Gen Op Support CommonHealth ACTION 1301 Connecticut Av Washington DC 20036 830398572 501(c)(3) 362483 Technical assistance Community Clinic Inc 8630 Fenton Street Silver Spring MD 20910 520988386 501(c)(3) 115000 General Op Support Community College of Baltimore County 7200 Sollers Point Rd Dundalk MD 21222 203246676 501(c)(3) 82961 Nursing Community Foundation National Cap Reg 1201 15th Street NW Washington DC 20005 237343119 501(c)(3) 140000 Project Support Crossroads Community Food Network Inc 6930 Carroll Ave Suite 404 Takoma Park MD 20912 364635237 501(c)(3) 50000 General Op Support DC SCORES 1224 M StNW200 Washington DC 20005 522230721 501(c)(3) 50000 General Op Support District Columbia Primary Care Assoc 1411 K Street NW Washington DC 20005 521999196 501(c)(3) 51500 General Op Support Food Research & Action Center Inc 2002 Clipper Pk Rd Baltimore MD 21211 237200739 501(c)(3) 50000 Event Support Future Harvest Inc 1114 Shawan Rd1 Cockeysville MD 21030 522132982 501(c)(3) 59842 General Op Support Generation Hope 1201 15th Street NW Washington DC 20005 273554088 501(c)(3) 19650 Event Support Girls on the Run of Montgomery County 12320 Parklawn Dr Rockville MD 20852 205531978 501(c)(3) 8000 Event Support Greater Baden Medical Services Inc 7450 Albert Rd 3rd Fl Brandywine MD 20613 520961414 501(c)(3) 64300 General Op Support Holy Cross Hospital Foundation Inc 11801 Tech Road Silver Spring MD 20904 208428450 501(c)(3) 25000 Event Support Nation's Capital Holy Cross Hospital of Silver Spring Inc 1500 Forest Glen Rd Silver Spring MD 20910 520738041 501(c)(3) 90000 General Op Support Howard Community Edu Foundation 10901 Little Patuxent Pk Columbia MD 21044 521272329 501(c)(3) 95000 Event Support John Hopkins Medicine 401 North Broadway Ste 1100 Baltimore MD 21287 520595110 501(c)(3) 10200 Med Reseach Support Joint Center For Pol and Eco Studies 805 15th St 2nd Fl Washington DC 20005 521069070 501(c)(3) 10000 Conference Support Knock Out Abuse 1303 Ballantrae Farm McLean VA 22101 541907723 501(c)(3) 12000 Event Support La Clinica del Pueblo 2831 15th St NW Washington DC 20009 521942551 501(c)(3) 9500 Event Support Living Classrooms Foundation 802 S Caroline St Baltimore MD 21231 521369524 501(c)(3) 53900 Health & Wellness Maryland Community Health Resources 45 Calvert St336 Annapolis MD 21401 526002033 Government 50000 Technical Assistance Gala Maryland Food Bank Inc 2200 Halethorpe Farm Baltimore MD 21227 521135690 501(c)(3) 40000 General Op Support Meals on Wheels of Central Maryland Inc 515 South Haven St Baltimore MD 21224 526074723 501(c)(3) 9650 Event Support Med Education Corp with Cuba 1814 Franklin St Oakland CA 94612 311603765 501(c)(3) 10000 Conference Support Medical Care Children Partnership Fdn 1616 Anderson Rd McLean VA 22102 261756738 501(c)(3) 13570 Event Support Career Success Program graduates Montgomery County Public Schools Edu 850 Hungerford Dr Rockville MD 20850 521804509 501(c)(3) 10000 Conference Support National Assoc of Black Journalists 1100 Knight Hall College Park MD 20742 521266959 501(c)(3) 10000 Event Support NOVA Scripts Central Inc 6400 Arlington Blvd Falls Church VA 22042 651275162 501(c)(3) 75000 Implemet med safety Playworks Education Energized 600 Pennsylvania Ave Washington DC 20003 943251867 501(c)(3) 65000 General Op support Safe Routes School National Partnership 207 Canyon Blvd 202 Boulder CO 80302 204306888 501(c)(3) 175000 Project Support SMYAL 410 7th Street SE Washington DC 20003 521394900 501(c)(3) 15000 Community Outreach St Agnes Hospital Foundation Inc 900 Caton Ave 123 Baltimore MD 21229 521415083 501(c)(3) 6750 Event support Sciences Students Summit Health Institute for Research 1629 K Street NW Washington DC 20006 521936403 501(c)(3) 50000 Building on Success The Executive Leadership Foundation 1001 N Fairfax St Alexandria VA 22314 521631358 501(c)(3) 32000 Event Support patients The Montgomery County Family Justice Ctr PO Box 10692 Rockville MD 20849 943444962 501(c)(3) 9250 Fundraiser The Skillsource Group Inc 8300 Boone Blvd Vienna VA 22182 300129320 501(c)(3) 13230 Project Support The Washington Redskins Charitable Fdn 21300 Redskin Park Dr Ashburn VA 20147 541982366 501(c)(3) 93576 Health and Golf Event US Soccer Federation Foundation 1211 Connecticut Ave Washington DC 20036 363976313 501(c)(3) 60000 Gen Op Support University of Maryland College Park Fdn 2242 SPH Bldg 255 College Park MD 20742 522197313 501(c)(3) 89500 General Op Support University System of Maryland Found 3300 Metzerott Rd Adelphi MD 20783 521125663 501(c)(3) 90000 Therapy Equipment Virginia Center for Health Innovation 919 East Main St Richmond VA 23219 800796077 501(c)(3) 25000 Event Support Virginia Health Care Foundation 707 East Main St Richmond VA 23219 541639924 501(c)(3) 50000 Event Support Virginia Hospital Center Foundation 1701 NGeorge Mason Arlington VA 22205 204129901 501(c)(3) 9400 Event Support Washington Ctr For Interns and Seminars 1333 16th Street NW Washington DC 20036 521019820 501(c)(3) 10000 Event Support Washington Regional Assoc of Grantmakers 1400 16th St NW Washington DC 20036 521756853 501(c)(3) 28000 Project Support Washington Tennis & Education Foundation 16th Kennedy St NW Washington DC 20011 526046504 501(c)(3) 50000 General Op Support 57 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS Grantees are required to sign a memorandum of understanding with Health plan prior to grant funds dispersal. grantees are required to submit a final report which delineates accomplishments, relates to stated objectives, and describes the evaluation method used to assess accomplishments. true true false false false false false true true true Gregory A Adams EVP, Group President 0 662079 0 977090 0 265388 0 209465 0 19997 0 2134019 0 240740 Karen Elizabeth Blair VP, PR, Comm & Brand Mgmt 0 192044 0 58729 0 33762 0 61175 0 23244 0 368954 0 0 Russell K Bradley VP, HP Services & Admin 0 176784 0 95104 0 33478 0 57930 0 22510 0 385806 0 0 George F Buchness Jr VP, Strategic Business DEVPMT 0 210233 0 48450 0 7079 0 28524 0 18524 0 312810 0 0 Ruben J Burnett VP, Nat'l Consultant Relations 0 239406 0 155105 0 19948 0 62412 0 17274 0 494145 0 0 Christine Cassel Director 0 189000 0 0 0 0 0 0 0 0 0 189000 0 0 Thomas Chapman Director 0 197476 0 0 0 0 0 17500 0 0 0 214976 0 0 Linda M Collins COO - MAS 0 285966 0 115534 0 70523 0 63797 0 17583 0 553403 0 0 Daniel P Garcia SVP, Chief Compliance Officer 0 572755 0 802546 0 49177 0 25730 0 30405 0 1480613 0 0 Jeffrey A Goldman VP,Strategic Plan & Perf - MAS 0 144857 0 50844 0 157545 0 30398 0 8892 0 392536 0 0 William Graber Director 0 231153 0 0 0 0 0 0 0 0 0 231153 0 0 J Eugene Grigsby III Director 0 206425 0 0 0 0 0 0 0 0 0 206425 0 0 George C Halvorson Chairman 0 1302727 0 7147272 0 1599726 0 112605 0 33602 0 10195932 0 0 Kimberly K Horn Region President - MAS 0 498055 0 375000 0 278234 0 379817 0 18220 0 1549326 0 0 Mary Elizabeth Jaeger VP, HR - MAS 0 201171 0 78478 0 77836 0 45969 0 19538 0 422992 0 59549 Judith Johanson Director 0 231370 0 0 0 0 0 0 0 0 0 231370 0 0 Kim Kaiser Director 0 214808 0 0 0 0 0 0 0 0 0 214808 0 0 Marilyn Kawamura Region President - MAS 0 0 0 405942 0 8613 0 16875 0 0 0 431430 0 0 Kathryn Lancaster EVP & CFO 0 676598 0 1210688 0 309466 0 125720 0 16055 0 2338527 0 266810 Kay W Lewis VP, UM, Risk Mgmt & Quality 0 212200 0 83329 0 76496 0 20089 0 22412 0 414526 0 0 Philip Marineau Director 0 211230 0 0 0 0 0 0 0 0 0 211230 0 0 Thomas R Meier SVP, Corporate Treasurer 0 325824 0 438610 0 282728 0 14386 0 30363 0 1091911 0 244843 Jenny Ming Director 0 207633 0 0 0 0 0 0 0 0 0 207633 0 0 Donald H Orndoff SVP, NFS 0 401454 0 505726 0 22674 0 143813 0 26369 0 1100036 0 0 Edward Pei Director 0 192630 0 0 0 0 0 17500 0 0 0 210130 0 0 DeAnne Petersen VP, CFO - MAS 0 234979 0 141981 0 15805 0 40396 0 18812 0 451973 0 0 Margaret Porfido Director 0 229752 0 0 0 0 0 0 0 0 0 229752 0 0 Rochelle M Roth Assistant Secretary 0 161237 0 38925 0 22251 0 9945 0 16479 0 248837 0 0 Mark Ruszczyk VP, MSBD - MAS 0 139545 0 30000 0 56998 0 14603 0 20492 0 261638 0 0 Jacqueline Sellers Sr.Counsel/Assistant Secretary 0 187644 0 55237 0 5538 0 -7251 0 11234 0 252402 0 0 Arthur M Southam EVP, Health Plan Operations 0 775034 0 1476834 0 357286 0 22139 0 23434 0 2654727 0 311627 Susan Spurlark VP, Regional Counsel - MAS 0 233468 0 117396 0 19932 0 57718 0 17513 0 446027 0 0 Deborah Stokes SVP,Corporate Controller & CAO 0 346256 0 347325 0 71331 0 -22132 0 19691 0 762471 0 50089 Cynthia Telles Director 0 225539 0 0 0 0 0 0 0 0 0 225539 0 0 Bernard J Tyson CEO & President 0 1094700 0 2373012 0 682308 0 111774 0 28100 0 4289894 0 555429 Victoria B Zatkin VP, Off of Brd & Corp Gov Svcs 0 200385 0 91393 0 38378 0 8542 0 4793 0 343491 0 0 Mark S Zemelman SVP, Gen Counsel & Secretary 0 493974 0 632158 0 197416 0 17865 0 25795 0 1367208 0 155249 SCHEDULE J, PART I, LINE 3 - METHODS USED TO ESTABLISH CONSIDERATION OF CEO/EXECUTIVE DIRECTOR - Kaiser Foundation Health Plan of the Mid-Atlantic States relied on Kaiser Foundation Health Plan, Inc. that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee. SCHEDULE J, PART I, LINE 4a - Severance Payment - Jeffrey A. Goldman $ 91,764 Listed persons participated in arrangements entitling them to severance benefits in the event of termination by the organization without cause or due to job elimination. Depending on position level, tenure, and termination reason, severance benefits payable under these arrangements provide for pay and health benefits continuation plus payment of accrued obligations. In addition, for some of the listed persons, severance benefits payable include prorated incentive awards for performance periods not yet ended. None of the listed persons participated in arrangements entitling them to change-of-control payments. SCHEDULE J, PART I, LINE 4b - Supplemental Nonqualified Retirement Plan Payment - gregory adams $ 240,740 Jeffrey Goldman 33,049 George Halvorson 1,500,000 Mary Elizabeth Jaeger 59,549 Marilyn Kawamura 3,119 Kathryn Lancaster 267,106 Kay Lewis 56,689 Thomas Meier 246,161 arthur southam 314,156 Deborah Stokes 50,089 bernard tyson 555,429 Victoria B Zatkin 2,976 Mark Zemelman 156,419 Some of the participants listed in schedule J, part II participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to a notional account on behalf of each participant. Contributions vary by position, level and pay, and vest over time based on age and/or service. Participant accounts are credited with a fixed rate of interest, invested in available mutual funds or a combination of both. Certain officers accrue a benefit that vests based on age and service and targets a percentage of final average pay less prior plan offsets. Unvested amounts are subject to risk of forfeiture. SCHEDULE J, PART I, LINE 7 - Non-Fixed Payments - The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves. SCHEDULE J, PART I, LINE 8 Kimberly K Horn - Paid in 2013: Sign-On Bonus $375,000 Retention Pay $200,000 - Future Retention payments: October 2014 $250,000 January 2015 $150,000 SCHEDULE J, PART II, COLUMN C The actuarial value for some individuals' defined benefit plan declined in 2013, resulting in negative values in column (C) in some instances. form 990, PART I, LINE 7B Net Unrelated Business Taxable Income from Form 990-T, Line 34 TOTAL UBI (FORM 990-T, LINE 30) $ 13,844 NET OPERATING LOSS (NOL) APPLIED (13,844) UBTI WITH NOL (FORM 990-T, LINE 34) NONE Form 990, PART III, LINE 4A-4D 2013 COMMUNITY BENEFIT SUMMARY REPORT KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.'S COMMITMENT TO THE COMMUNITY KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (MID-ATLANTIC HEALTH PLAN OR KFHP-MAS) PROVIDES AND ARRANGES COMPREHENSIVE HEALTH CARE SERVICES FOR MEMBERS ON A PREDOMINANTLY PREPAID BASIS. ITS CONTRACTUAL OBLIGATIONS TO GROUP AND INDIVIDUAL MEMBERS ARE FULFILLED BY CONTRACTING WITH LOCAL HOSPITALS AND PERMANENTE PHYSICIANS TO PROVIDE THE REQUIRED HEALTH CARE SERVICES. KFHP-MAS STRIVES FOR EXCELLENCE IN SERVING ITS MEMBERS THROUGH MARKET-LEADING PERFORMANCE IN QUALITY AND SERVICE. AS A SUBSIDIARY OF KAISER FOUNDATION HEALTH PLAN, INC. (KFHP, INC.), MEMBERSHIP IS AVAILABLE WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, OR NATIONAL ORIGIN, OR TO THE INDIVIDUAL'S ABILITY TO PAY. HEALTH PLAN MEMBERS ARE BROADLY REPRESENTATIVE OF THE COMMUNITIES SERVED. ONCE ENROLLED, A MEMBER MAY MAINTAIN MEMBERSHIP REGARDLESS OF HEALTH OR EMPLOYMENT STATUS. AS RELATED NONPROFIT ORGANIZATIONS, KAISER FOUNDATION HEALTH PLAN, INC. AND KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. ARE COMMITTED TO IMPROVING THE HEALTH OF COMMUNITIES BEYOND ENROLLED MEMBERSHIP. ANNUAL DIRECT COMMUNITY BENEFIT INVESTMENTS (DCBI) ARE A FUNDAMENTAL EMBODIMENT OF THE ORGANIZATIONS' ONGOING COMMITMENT TO IMPROVE GENERAL WELLBEING WITHIN THE BROADER COMMUNITY. THESE INVESTMENTS RESULT IN INTENTIONAL, PLANNED, BUDGETED, MEASURABLE, AND ACCOUNTABLE BENEFITS INTENDED TO ADDRESS MANY OF THE HEALTH CHALLENGES FACED AT THE INDIVIDUAL, LOCAL, STATE, AND NATIONAL LEVELS. IN 2007, KAISER FOUNDATION HEALTH PLAN, INC.'S BOARD OF DIRECTORS REFINED THE FOCUS OF THE ORGANIZATIONS' COMMUNITY BENEFIT PROGRAM AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE - CREATES AND SUPPORTS PROGRAMS THAT LOWER THE FINANCIAL BARRIERS FOR THE UNDER- AND UNINSURED. B. COMMUNITY HEALTH INITIATIVES (CHI) - SEEKS TO MEASURABLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. DESIGNS, DELIVERS, AND SUSTAINS LONG-TERM PROGRAMS THAT ENGAGE COMMUNITIES IN WORK TO IMPROVE CONDITIONS IN THEIR NEIGHBORHOODS. C. SAFETY NET PARTNERSHIPS - BUILDS PARTNERSHIPS WITH COMMUNITY CLINICS, LOCAL HEALTH DEPARTMENTS, AND PUBLIC HOSPITALS. PROVIDES FUNDING, TECHNICAL ASSISTANCE, DISSEMINATION OF CARE MANAGEMENT AND QUALITY IMPROVEMENTS TECHNOLOGY TO HELP IMPROVE CARE AND EXPAND TREATMENT CAPACITY FOR VULNERABLE POPULATIONS. D. DEVELOPING AND DISSEMINATING KNOWLEDGE - IMPROVES HEALTH CARE BY SHARING OUR KNOWLEDGE - EDUCATING PRACTITIONERS, ADVANCING RESEARCH, EMPOWERING CONSUMERS AND INFORMING POLICYMAKERS ABOUT EVIDENCE BASED CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. IN 2013, MID-ATLANTIC HEALTH PLAN SERVED OVER 486,000 MEMBERS AND EXPENDED $78.8 MILLION (AT COST, NET OF $3.3 MILLION OF RELATED REVENUES) TO SUPPORT COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING SUMMARIZES MANY OF THE SIGNATURE COMMUNITY BENEFIT PROGRAMS AND SERVICES GROUPED ACCORDING TO THE NATIONAL STREAMS OF WORK. A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE IN 2013, MID-ATLANTIC HEALTH PLAN EXPENDED $65.2 MILLION (AT COST, NET OF $3.3 MILLION OF RELATED REVENUES) TO ADDRESS THE FINANCING AND DELIVERY OF HEALTH CARE FOR POPULATIONS VULNERABLE DUE TO SOCIO-ECONOMIC STATUS, ILLNESS, ETHNICITY, AGE, OR OTHER FACTORS. PROGRAM BENEFICIARIES (UNDER AND UNINSURED) RECEIVED FREE OR DISCOUNTED CARE IN A KAISER PERMANENTE FACILITY OR BY A PERMANENTE PROVIDER. 1. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) IN THE MID-ATLANTIC STATES OF MARYLAND AND VIRGINIA AND THE DISTRICT OF COLUMBIA, KFHP-MAS PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2013, MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $45.3 MILLION (AT COST, NET OF $2.8 MILLION OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS. 1a. MEDICAL FINANCIAL ASSISTANCE PROGRAM MID-ATLANTIC HEALTH PLAN'S MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM PROVIDES FINANCIAL ASSISTANCE FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES, MEDICATIONS, AND SUPPLIES TO PATIENTS WITH A DEMONSTRATED FINANCIAL NEED. PATIENTS MUST RECEIVE HEALTH CARE SERVICES AT A FACILITY OPERATED BY KAISER PERMANENTE OR FROM A KAISER PERMANENTE PROVIDER. ELIGIBILITY IS BASED UPON PRESCRIBED LEVELS OF INCOME AND EXPENSES. IN 2013, APPROXIMATELY 13,200 QUALIFIED APPLICANTS BENEFITED FROM THIS PROGRAM, RECEIVING FULL OR PARTIAL FOREGIVENESS FOR NEARLY 123,800 OUTPATIENT VISITS AND 56,500 PRESCRIPTIONS. THIS CHARITY CARE PROGRAM ALSO PROVIDES DISCOUNTED CHARGES FOR UNINSURED PATIENTS BELOW 400% OF FEDERAL POVERTY GUIDELINES AND CONTRACTED COLLECTION AGENCY PRACTICES ALIGNED WITH MID-ATLANTIC HEALTH PLAN'S SOCIAL VALUES AND PROPOSED IRS SECTION 501(R). 1b. CHARITABLE HEALTH COVERAGE CHARITABLE HEALTH COVERAGE (CHC) IS A UNIQUE APPROACH TO CARING FOR LOW-INCOME UNINSURED PERSONS IN THE COMMUNITY. ELIGIBLE PARTICIPANTS RECEIVE A REGULAR KAISER PERMANENTE MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF SERVICES AND PROVIDERS - A MUCH BETTER ALTERNATIVE TO A POTENTIALLY COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. THIS ALLOWS MID-ATLANTIC HEALTH PLAN TO INVEST IN THE LONGER TERM HEALTH OF PATIENTS AND THE COMMUNITY. SINCE INCEPTION IN THE EARLY 1980S, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF PERSONS WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. THE FOLLOWING DESCRIBES TWO CHC PROGRAMS IN THE MID-ATLANTIC REGION. MORE THAN 6,800 MEMBERS WERE RECEIVING COMPREHENSIVE CARE THROUGH THESE PROGRAMS AT THE END OF 2013. APPROXIMATELY $35.3 MILLION (AT COST, NET OF $2.8 MILLION OF RELATED REVENUES) WAS SPENT ON THESE PROGRAMS DURING THE YEAR. - BRIDGE PROGRAM - THIS PROGRAM ALLOWS LOW-INCOME INDIVIDUALS AT LESS THAN 300% OF FEDERAL POVERTY GUIDELINES WHO ARE FACING FINANCIAL DIFFICULTIES TO APPLY FOR SUBSIDIZED COVERAGE. IN ORDER TO QUALIFY FOR BRIDGE COVERAGE, INDIVIDUALS MUST NOT BE ELIGIBLE FOR ANY OTHER PUBLIC OR PRIVATE HEALTH CARE COVERAGE. - MEDICAL CARE FOR CHILDREN PARTNERSHIP PROGRAM - MID-ATLANTIC HEALTH PLAN PARTICIPATES AS A PEDIATRIC PRIMARY CARE PROVIDER WITHIN OUR FACILITIES FOR THE FIVE COMMUNITY PARTNERSHIPS WHO ADMINISTER THIS PROGRAM FOR ELIGIBLE CHILDREN IN MARYLAND AND VIRGINIA. THE PROGRAMS ARE ADMINISTERED THROUGH LOCAL GOVERNMENTAL AGENCIES AND NON-PROFIT ORGANIZATIONS. ELIGIBILITY IS RESTRICTED TO THOSE CHILDREN UNDER 300% OF FEDERAL POVERTY GUIDELINES WHO ARE NOT ELIGIBLE FOR ANY OTHER PUBLIC OR PRIVATE HEALTHCARE. 2. PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS IN 2013, MID-ATLANTIC HEALTH PLAN CONTRIBUTED $19.9 MILLION (AT COST, NET OF $508 THOUSAND OF RELATED REVENUES) TO SUPPORT THE PROVISION OF MEDICAL CARE SERVICES TO INDIVIDUALS IN THE FOLLOWING GOVERNMENT-SPONSORED PROGRAMS: 2a. THE MARYLAND MEDICAL ASSISTANCE PROGRAM PROVIDES RESOURCES THAT SUPPORT HEALTHCARE TO VULNERABLE POPULATIONS BY INCREASING THE NUMBER OF PROVIDERS WILLING TO SERVE MEDICAID PATIENTS. 2b. MEDICAID - KAISER PERMANENTE SERVED APPROXIMATELY 1,500 NON-MEMBER MEDICAID PEDIATRIC PATIENTS AS A PRIMARY CARE PROVIDER THROUGH PRIORITY PARTNERS AT EIGHT MEDICAL OFFICES IN MARYLAND AND 1,000 MEMBERS AS A MEDICAID MANAGED CARE ORGANIZATION (MCO) IN THE COMMONWEALTH OF VIRGINIA IN 2013. MID-ATLANTIC HEALTH PLAN IS ALSO ON THE PATH TO BECOME A (MCO) FOR THE STATE OF MARYLAND WITH A PLANNED GO-LIVE DATE IN JULY 2014. THE FOCUS OF 2013 WAS IMPLEMENTATION AND EXECUTION IN BOTH JURISDICTIONS. IN 2013, MID-ATLANTIC HEALTH PLAN FUNDED COST-BASED LOSSES OF $1.1 MILLION (AT COST, NET OF $508 THOUSAND OF RELATED REVENUES) UNDER THE PROGRAM WITH MEDICAID MCO START UP COSTS OF $7.2 MILLION. B. COMMUNITY HEALTH INITIATIVES (CHI) MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $1.2 MILLION ON COMMUNITY HEALTH INITIATIVES DURING 2013 BY AWARDING CHARITABLE CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS AND GOVERNMENT AGENCIES. THE FOLLOWING ARE EXAMPLES OF THE RESOURCES CONTRIBUTED BY MID-ATLANTIC HEALTH PLAN TO SUPPORT COMMUNITY HEALTH INTIATIVES IN THE AREA. - HEALTHY EATING ACTIVE LIVING (HEAL) PROGRAMS - MID-ATLANTIC HEALTH PLAN SUPPORTS EFFORTS TO INCREASE ACCESS TO HEALTHY FOODS IN NEIGHBORHOODS, SCHOOLS, AND WORKPLACES ACROSS THE REGION, WITH A FOCUS ON VULNERABLE POPULATIONS. THIS INCLUDES FUNDING AND OTHER RESOURCES PROVIDED TO FOOD POLICY COUNCILS, FARMERS MARKETS, COMMUNITY FARMS AND GARDENS, HEALTHY GROCERY AND CORNER STORE INITIATIVES, HEALTHY FOOD BANKING, ETC. KAISER PERMANENTE IS A FOUNDING MEMBER OF THE MID-ATLANTIC REGIONAL CONVERGENCE PARTNERSHIP OF WASHINGTON REGIONAL AREA GRANTMAKERS, A COLLABORATION OF FUNDERS DEDICATED TO HELPING CREATE SUSTAINABLE AND EQUITABLE FOOD SYSTEMS TO SERVE THE RE C. SAFETY NET PARTNERSHIPS MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $524 THOUSAND BY AWARDING CHARITABLE CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS AND GOVERNMENT AGENCIES. THE FOLLOWING ARE HIGHLIGHTS FROM A FEW OF OUR SIGNATURE SAFETY NET PARTNERSHIPS: - THE HYPERTENSION INITIATIVE IS A PILOT PROGRAM DEVELOPED IN 2011 BETWEEN KAISER PERMANENTE AND TWO FEDERALLY QUALIFIED HEALTH CENTERS, BOTH LOCATED IN MARYLAND. THE PROGRAM IS INTENDED TO BUILD A BRIDGE BETWEEN KP AND COMMUNITY CLINICS BY PROVIDING SPECIALTY CARE SPECIFIC TO REFRACTORY HYPERTENSIVE PATIENTS. IN 2013, OVER 20 PATIENTS RECEIVED SPECIALTY CARE IN KAISER PERMANENTE MEDICAL FACILITIES FROM KAISER PERMANENTE NEPHROLOGISTS. - IN 2013, THE ALLPHASE PROTOCOL WAS ROLLED OUT TO TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN MARYLAND. THIS EVIDENCE BASED DRUG PROTOCOL HAS PROVEN TO REDUCE HEART ATTACKS AND STROKES IN DIABETICS. IN 2014, THE PROGRAM IS EXPECTED TO BE OFFERED TO ADDITIONAL FQHCS IN MARYLAND AND VIRGINIA, A FREE CLINIC AND NON-PROFIT PHARMACEUTICAL RESOURCE. D. DEVELOPING AND DISSEMINATING KNOWLEDGE KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. SPENT $3.7 MILLION IN 2013 TO SUPPORT PROGRAMS AND SERVICES ASSOCIATED WITH THE DEVELOPMENT AND DISSEMINATION OF KNOWLEDGE. 1. MEDICAL RESEARCH AT MID-ATLANTIC HEALTH PLAN, RESEARCH IS AN ESSENTIAL PART OF WHAT IT MEANS TO BE AN EVIDENCE-BASED ORGANIZATION. ACHIEVEMENTS REALIZED UNDER THIS PROGRAM ARE MADE POSSIBLE THROUGH A DEDICATED GROUP OF RESEARCHERS, THE COMPREHENSIVE NATURE OF KFHP, INC.'S ELECTRONIC MEDICAL RECORD SYSTEM, AND ACCESS TO THE HEALTH DATA OF OVER 9 MILLION KAISER FOUNDATION HEALTH PLAN, INC. MEMBERS. THROUGH STUDIES CONDUCTED AT REGIONAL AND NATIONAL RESEARCH CENTERS, RESEARCHERS ADDRESS CRITICAL ISSUES LIKE CANCER, CARDIOVASCULAR CONDITIONS, DIABETES, AND IMPROVEMENTS IN HEALTH CARE. MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $1.5 MILLION ON MEDICAL RESEARCH PROJECTS IN 2013. 1a. NATIONAL RESEARCH PROGRAM KAISER FOUNDATION HEALTH PLAN, INC. HAS A LONG HISTORY OF CONDUCTING HEALTH SERVICES AND MEDICAL RESEARCH THAT ADDRESSES HEALTH CARE POLICY, QUALITY OF CARE, AND QUALITY OF LIFE. THE RESULTS HAVE YIELDED FINDINGS THAT AFFECT NOT JUST THE PRACTICE OF MEDICINE WITHIN THE ORGANIZATION, BUT ALSO FOR SOCIETY-AT-LARGE. - KAISER FOUNDATION RESEARCH INSTITUTE (KFRI)- THE KAISER FOUNDATION RESEARCH INSTITUTE PROVIDES ADMINISTRATIVE SERVICES FOR FEDERALLY FUNDED MEDICAL RESEARCH CONDUCTED AT REGIONAL RESEARCH CENTERS LOCATED IN THE MID-ATLANTIC STATES AS WELL AS SEVERAL OTHERS. KFRI PERSONNEL ARE DESIGNATED AS THE AUTHORIZED ORGANIZATIONAL OFFICIAL FOR ALL FEDERALLY FUNDED RESEARCH PERFORMED BY BOTH KAISER FOUNDATION HOSPITALS AND KAISER FOUNDATION HEALTH PLAN, INC., AND ITS SUBSIDIARIES. 1b. THE PRINCIPAL RESEARCH ACTIVITIES CONDUCTED BY THE REGIONAL RESEARCH CENTER IN THE MID-ATLANTIC STATES INCLUDE THE FOLLOWING: - THE MID-ATLANTIC PERMANENTE RESEARCH INSTITUTE - KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. COLLABORATES WITH THE MID-ATLANTIC PERMANENTE RESEARCH INSTITUTE IN ADDRESSING THE CLINICAL, HEALTH POLICY, AND SERVICE CHALLENGES FACING RESIDENTS OF THE REGION. THROUGH THE NETWORK OF PROVIDERS, KFHP-MAS MEMBERS, AND THE HEALTHCARE SYSTEM ITSELF, THE RESEARCH INSTITUTE AIMS TO IMPROVE THE CARE EXPERIENCE OF PATIENTS AS WELL AS THE COMMUNITIES SERVED BY MID-ATLANTIC HEALTH PLAN. TOP RESEARCH AREAS: - ECONOMIC IMPACT OF HEALTHCARE - EPIDEMIOLOGY - HEALTH DISPARITIES - HEALTH INFORMATION TECHNOLOGY - HEALTH SERVICES - INFECTIOUS DISEASES KEY STATISTICS: - NUMBER OF RESEARCH PAPERS PUBLISHED IN JOURNALS IN 2013: 33 - NUMBER OF INVESTIGATORS: 7 - NUMBER OF SUPPORT STAFF: 16 THE FOLLOWING ARE EXAMPLES OF RESEARCH PROJECTS CONDUCTED BY INVESTIGATORS AT THE MID-ATLANTIC PERMANENTE RESEARCH INSTITUTE IN 2013: 1) "CHOOSING WISELY" LOW-VALUE CANCER CARE PILOT PROJECT RESEARCHERS ARE ASSESSING THE FEASIBILITY OF MEASURING ADHERENCE TO THE FIVE CHOOSING WISELY PRACTICES ENDORSED BY THE AMERICAN BOARD OF INTERNAL MEDICINE AND AMERICAN SOCIETY OF CLINICAL ONCOLOGY FOR LOW-VALUE CANCER CARE. THIS STUDY AIMS TO PROVIDE EVIDENCE ABOUT WHAT WORKS IN AN INTEGRATED HEALTH CARE SYSTEM TO ADDRESS QUALITY, AFFORDABILITY, AND ACCESS, AS WELL AS TO INCREASE GENERAL MEDICAL KNOWLEDGE ABOUT WHICH TESTS THE MEDICAL COMMUNITY SHOULD AND SHOULD NOT BE ORDERING. BY IDENTIFYING FACTORS ASSOCIATED WITH ADHERENCE, RESEARCHERS WILL LEARN HOW TO REDUCE OVERUSE OF LOW-VALUE INTERVENTIONS FOR CANCER PATIENTS. 2) ALL/PHASE EVALUATION IN MID-ATLANTIC SAFETY NET CLINICS THIS STUDY AIMS TO EVALUATE THE DISSEMINATION AND IMPLEMENTATION OF THE ALL/PHASE (ASPIRIN, LISINOPRIL, LIPID LOWER AGENT / PREVENTING HEART ATTACKS AND STROKES EVERYDAY) CARDIOVASCULAR RISK REDUCTION PROGRAM FOR PATIENTS HAVING DIABETES IN THE MID-ATLANTIC SAFETY NET CLINICS. THIS PROJECT WILL DIRECTLY BENEFIT THE GENERAL MEDICAL COMMUNITY, AND SPECIFICALLY THE MEDICALLY DISADVANTAGED IN THE MID-ATLANTIC STATES REGION. THE OUTCOMES ARE EXPECTED TO ADVANCE TRANSLATIONAL RESEARCH AND CLINICAL PROTOCALS DEVELOPED AT KFHP-MAS TO A COLLABORATIVE, FREE CLINIC AND PHARMACY DISTRIBUTION SERVICES MODEL. 2. EDUCATIONAL THEATRE PROGRAMS (ETP) MID ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $841 THOUSAND IN 2013 TO SUPPORT EDUCATIONAL THEATRE PROGRAMS (ETP) IN THE REGION. THESE PROGRAMS HAVE PROVIDED PROFESSIONAL, AWARD-WINNING HEALTH EDUCATION FOR PRE-KINDERGARTEN TO 12TH GRADE STUDENTS FOR OVER 25 YEARS IN MARYLAND, VIRGINIA, AND THE DISTRICT OF COLUMBIA. IN 2013, ETP GAVE MORE THAN 400 PERFORMANCES FOR APPROXIMATELY 52,000 CHILDREN AND ADULTS AT 160 DIFFERENT SCHOOLS AND CONDUCTED MORE THAN 260 WORKSHOPS TO APPROXIMATELY 9,000 CHILDREN AND ADULTS ON BULLYING AND OBESITY PREVENTION. ADDITIONALLY, ETP PRODUCED A MUSIC VIDEO DESCRIBING THE BENEFITS OF AND DISPELLING THE MYTHS SURROUNDING SEASONAL FLU SHOTS. E. OTHER COMMUNITY BENEFIT INVESTMENTS DURING 2013, MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $8.2 MILLION ON OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. THIS INCLUDES THE ADMINISTRATIVE EXPENSES OF A COMMUNITY BENEFIT DEPARTMENT DEDICATED TO SUPPORTING REGIONAL COMMUNITY BENEFIT PROGRAMS AND SERVICES AND COORDINATING RELATED INITIATIVES. - COMMUNITY AMBASSADOR PROGRAM 2013 WAS THE FIFTH YEAR OF THE COMMUNITY AMBASSADOR PROGRAM WHICH GREW FROM TWO NURSE PRACTITIONERS (NPS) AND ONE PHYSICIAN ASSISTANT TO A TOTAL OF 38 NPS AND PHYSICIAN ASSISTANTS PLACED IN 16 SAFETY NET CLINICS IN WASHINGTON DC, SUBURBAN MARYLAND AND NORTHERN VIRGINIA. THE PURPOSE OF THE PROGRAM IS TO EXPAND THE CAPACITY OF LOCAL SAFETY NET CLINICS TO INCREASE HEALTHCARE ACCESS TO THE UNDER/UNINSURED. APPROXIMATELY $6.2 MILLION WAS INVESTED IN THIS PROGRAM IN 2013. F. ENVIRONMENTAL STEWARDSHIP POOR ENVIRONMENTAL QUALITY CONTRIBUTES TO DISEASE AND ECONOMIC INSECURITY. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. HAS COMMITTED ITSELF TO PROTECTING AND IMPROVING THE NATURAL ENVIRONMENT AS A KEY COMPONENT OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. ALTHOUGH COSTS ASSOCIATED WITH THIS INITIATIVE ARE NOT INCLUDED IN THE DOLLARS REPORTED IN DIRECT COMMUNITY BENEFIT INVESTMENTS, EFFORTS IN THIS AREA CONTRIBUTE TO ADVANCING A BROADER VISION EMPHASIZING HEALTHY PEOPLE AND HEALTHY ENVIRONMENTS. TO FULFILL THIS COMMITMENT, KAISER FOUNDATION HEALTH PLAN, INC. MAINTAINS A GOVERNANCE STRUCTURE FOR ENVIRONMENTAL STEWARDSHIP THAT ENABLES THE ORGANIZATION TO CONTINUOUSLY IMPROVE ITS PERFORMANCE. THIS STRUCTURE INCLUDES CLEARLY DEFINED ROLES, RESPONSIBILITIES, PLANS, AND ROUTINES, AND HAS RESULTED IN FIVE ORGANIZATIONAL FOCUS AREAS THAT HAVE BEEN SELECTED BASED ON THEIR ABILITY TO HAVE THE MOST IMPACT ON THE ENVIRONMENTAL FORCES THAT SHAPE ENVIRONMENTAL AND HUMAN HEALTH: - FINDING SAFE ALTERNATIVES TO HARMFUL INDUSTRIAL CHEMICALS - RESPONDING TO CLIMATE CHANGE - PROMOTING SUSTAINABLE FARMING AND FOOD CHOICES - REDUCING, REUSING, AND RECYCLING TO ELIMINATE WASTE - CONSERVING WATER IN EACH OF THESE FOCUS AREAS, KAISER FOUNDATION HEALTH PLAN, INC. HAS ESTABLISHED AMBITIOUS GOALS (INCLUDING A TARGET TO REDUCE TOTAL GREENHOUSE GAS EMISSIONS BY 30% BY 2020, COMPARED TO OUR 2008 BASELINE), IMPLEMENTED INITIATIVES, ACHIEVED MEASURABLE IMPROVEMENTS, OBTAINED EXTERNAL ASSURANCE OF PERFORMANCE, AND REGULARLY REPORTED PROGRESS TO THE BOARD OF DIRECTORS, STAFF, AND THE PUBLIC. BY REPLACING PAPER MEDICAL CHARTS AND DIGITIZING X-RAY IMAGES THROUGH THE ELECTRONIC MEDICAL RECORD SYSTEM, MID-ATLANTIC HEALTH PLAN IS ALSO CONTRIBUTING TO THE AVOIDANCE OF APPROXIMATELY 1,000 TONS OF PAPER WASTE AND 200,000 POUNDS OF X-RAY FILM PER YEAR. DURING 2013, KEY PERFORMANCE INDICATORS FOR KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. INCLUDED: - REDUCING TOTAL GREENHOUSE GAS EMISSIONS (METRIC TONS CO2E/GROSS SQUARE FOOT) BY 83% COMPARED TO THE 2008 BASELINE FOR ALL FACILITIES AND ASSETS UNDER KFHP-MAS'S OPERATIONAL CONTROL. - RECYCLING, REUSING, OR COM FORM 990, PART VI, LINE 6 KAISER FOUNDATION HEALTH PLAN, INC. IS THE SOLE MEMBER. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization. Form 990, Part VI, Line 7a - Appointment of Governing Body - KAISER FOUNDATION HEALTH PLAN, INC. appoints the directors (and fills vacancies and has authority to remove directors). The same 15 individuals who comprise the board of directors of KFHP also serve as the 15 directors of KFHP-CO, NW, and MAS. form 990, PART VI, LINE 7B - Approval of Certain Governance Decisions - The following actions of the corporation require approval of the sole member: a) removal of the chairman of the board or the regional president; b) amendments to the bylaws that pertain to the member, the board of directors, or procedures for amending the bylaws (articles c, d, and h of the bylaws); c) amendment of the articles of incorporation. form 990, PART VI, LINE 11B - Form 990 Review Process - 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 4. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 5. A copy of the return is provided to each board member prior to filing. form 990, PART VI, LINE 12C - Compliance Enforcement - A. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance office for review and appropriate action. Employees can report anonymously and without fear of retaliation. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. 2. The National Compliance Office and Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required. In addition, Conflicts of Interest Questionnaire Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. 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: 1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. 2. 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. 3. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem; - Written notice, with or without final warning; - Paid or unpaid suspension, with or without final warning; - Termination of employment. form 990, PART VI, LINE 15A/B - Compensation Determination - The executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization. Form 990, Part VI, Line 18 Forms 990 are available on www.guidestar.org. form 990, Part VI, Line 19 - Public Inspection - Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. Conflict of Interest - is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements - are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: Vice President - TAX SERVICES Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612 form 990, Part VII, section A, column B - Hours for Related Organizations - Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated. Form 990, Part XI, Line 9 - Other changes in net assets or fund balances - CHANGE IN OTHER COMPREHENSIVE INCOME $ 109,760,410 OTHER THAN TEMPORARY IMPAIRMENTS (1,373,128) LESS GAIN ON SALE OF INVESTMENTS - TAX (851,901) GAIN ON SALE OF INVESTMENTS - BOOK 1,005,833 TOTAL $ 108,541,214 KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA 15L OAKLAND CA 94612 941340523 HEALTH CARE CA 501(c)(3) 9 NA false KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND CA 94612 941105628 HEALTH CARE CA 501(c)(3) 3 KFHP INC true KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA 15L OAKLAND CA 94612 840591617 HEALTH CARE CO 501(c)(3) 9 KFHP INC true KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA 15L OAKLAND CA 94612 581592076 HEALTH CARE GA 501(c)(3) 9 KFHP INC true KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA 15L OAKLAND CA 94612 930798039 HEALTH CARE OR 501(c)(3) 9 KFHP INC true KAISER FDN HEALTH PLAN OF OHIO ONE KAISER PLAZA 15L OAKLAND CA 94612 340922268 HEALTH CARE OH 501(c)(3) 9 KFHP INC true KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943299124 ASSET MGMT CA 501(c)(3) 11 - I KFHP INC true LOKAHI ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND CA 94612 912171891 WC PLACEMENT HI 501(c)(3) 11 - I KFHP INC true KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943299125 ASSET MGMT CA 501(c)(3) 11 - I KFH true CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA 15L OAKLAND CA 94612 943299123 HEALTH CARE CA 501(c)(3) 11 - I KFHP INC true OHP ONE KAISER PLAZA 15L OAKLAND CA 94612 930480268 LEASING WA 501(c)(3) 11 - I KFHP INC true KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA 15L OAKLAND CA 94612 930954562 HEALTH CARE WA 501(c)(3) 9 KFHP INC true 1800 HARRISON FOUNDATION ONE KAISER PLAZA 15L OAKLAND CA 94612 943317484 FINANCING CA 501(c)(3) 11 - II KFHP INC true KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA 15L OAKLAND CA 94612 311779500 FINANCING CA 501(c)(3) 11 - III-NF KFH true HEALTH CARE MANAGEMENT SOLUTIONS LLC ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 203924985 CASE MGMT CA NA N/A OAK TREE ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 true KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA 15L OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 true KAISER PROPERTY SERVICES INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943259432 REAL ESTATE CA NA C CORP 0 0 0.00000 true ARCHIMEDES INC ONE KAISER PLAZA 15L OAKLAND CA 94612 203774729 CONSULTING CA NA C CORP 0 0 0.00000 true KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA 15L OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 true false false false false true false false false false false true true false true true true true true KAISER FOUNDATION HEALTH PLAN INC L 12018080 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC M 93744248 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC P 52517033 per agreement KAISER FOUNDATION HEALTH PLAN INC Q 51181597 per agreement KAISER FOUNDATION HEALTH PLAN INC R 17270964 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC S 31124472 PER AGREEMENT KAISER FOUNDATION HOSPITALS a 1650184 PER AGREEMENT KAISER FOUNDATION HOSPITALS e 2353772 PER AGREEMENT KAISER FOUNDATION HOSPITALS L 171764448 PER AGREEMENT KAISER FOUNDATION HOSPITALS M 274881905 PER AGREEMENT KAISER FOUNDATION HOSPITALS p 245500300 PER AGREEMENT KAISER FOUNDATION HOSPITALS q 597194760 PER AGREEMENT KAISER FOUNDATION HOSPITALS r 539153177 PER AGREEMENT KAISER FOUNDATION HOSPITALS s 685720122 PER AGREEMENT CAMP BOWIE SERVICE CENTER M 8970429 PER AGREEMENT CAMP BOWIE SERVICE CENTER P 464569 per agreement CAMP BOWIE SERVICE CENTER q 16763949 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY L 3570753 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY M 18399015 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY q 4453234 PER AGREEMENT LOKAHI ASSURANCE LTD L 13886483 PER AGREEMENT LOKAHI ASSURANCE LTD m 20700000 PER AGREEMENT LOKAHI ASSURANCE LTD q 17068758 PER AGREEMENT LOKAHI ASSURANCE LTD r 42086000 per agreement LOKAHI ASSURANCE LTD s 42416000 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST L 415977 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST m 140044 PER AGREEMENT KAISER FDN HEALTH PLAN OF THE NORTHWEST q 76058 PER AGREEMENT KAISER FDN HEALTH PLAN OF OHIO L 92848 PER AGREEMENT KAISER FDN HEALTH PLAN OF OHIO m 295410 PER AGREEMENT KAISER FDN HEALTH PLAN OF OHIO q 155088 PER AGREEMENT KAISER FDN HEALTH PLAN OF OHIO r 52682 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO L 416633 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO m 267965 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO p 796417 PER AGREEMENT KAISER FDN HEALTH PLAN OF COLORADO q 82991 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC L 922972 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC m 1805092 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC p 161378 PER AGREEMENT KAISER FDN HEALTH PLAN OF GEORGIA INC q 70225 PER AGREEMENT OAK TREE ASSURANCE LTD m 207539 PER AGREEMENT OAK TREE ASSURANCE LTD p 55398 PER AGREEMENT OAK TREE ASSURANCE LTD q 263037 PER AGREEMENT Schedule R, Part II In 2013, Kaiser Foundation Health Plan, Inc. and HealthSpan Partners, an unrelated not-for-profit Ohio-based health system, entered into a definitive agreement to transfer the sole corporate membership of Kaiser Foundation Health Plan of Ohio to HealthSpan Partners. On October 1, 2013, the member substitution transaction was completed.