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KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC (EIN 52-0954463)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201323169349303862
Schema version
2012v2.1
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T12:41:14-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520954463EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
Address Line2SuiteAddressLine2
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH STOKESName
TitleSVP, CC & CAOTitle
Date Signed2013-11-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIMBERLY HORNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2618675595GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVEActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees6536TotalNbrEmployees
Total Nbr Volunteers678TotalNbrVolunteers
Total Gross UBI218917TotalGrossUBI
Contributions Grants Prior Year16275ContributionsGrantsPriorYear
Contributions Grants Current Year344247ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2272514533ProgramServiceRevenuePriorYear
Program Service Revenue CY2388129639ProgramServiceRevenueCY
Investment Income Prior Year7423339InvestmentIncomePriorYear
Investment Income Current Year6947254InvestmentIncomeCurrentYear
Other Revenue Prior Year587969OtherRevenuePriorYear
Other Revenue Current Year831446OtherRevenueCurrentYear
Total Revenue Prior Year2280542116TotalRevenuePriorYear
Total Revenue Current Year2396252586TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6464946GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1926096GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year509803098SalariesEtcPriorYear
Salaries Etc Current Year566568795SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1817965316OtherExpensePriorYear
Other Expenses Current Year1848484469OtherExpensesCurrentYear
Total Expenses Prior Year2334233360TotalExpensesPriorYear
Total Expenses Current Year2416979360TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-53691244RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-20726774RevenuesLessExpensesCY
Total Assets BOY985638340TotalAssetsBOY
Total Assets EOY1184225388TotalAssetsEOY
Total Liabilities BOY1007449179TotalLiabilitiesBOY
Total Liabilities EOY1298675195TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-21810839NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-114449807NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2175339308Expense
Grants1926096Grants
Revenue2385151394Revenue
Descriptionmember health care services and medical training for care improvement Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP of MAS) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of MAS educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Mid-Atlantic States Health Plan's charitable activities can be found in Community Benefits Report.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense50234096Expense
Grants0Grants
Revenue2696281Revenue
DescriptionCharitable Care (Medical Financial Assistance and Charitable Health Coverage) Mid-Atlantic States Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. Mid-Atlantic States Health Plan offers financial assistance through our MFA program to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2012, this program assisted more than 1,300 qualifying applicants. The CHC programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 8,400 individuals were receiving comprehensive care through these programs at the end of 2012. Additional information about Mid-Atlantic States Health Plan's charitable activities can be found in Community Benefits Report.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense15683863Expense
Grants0Grants
Revenue281964Revenue
DescriptionMedicaid and Other Government Sponsored Programs Mid-Atlantic States Health Plan is committed to improving the way beneficiaries of our Medicaid and other government sponsored programs receive care, not only in our facilities, but also in the communities we serve. In 2012, Mid-Atlantic States Health Plan participated in a number of government programs to support the provision of primary and specialty care to residents of the communities we serve. At the end of 2012, approximately 1,200 individuals were receiving the benefits of full membership in KFHP's managed care programs in the Mid-Atlantic region. Additional information about Mid-Atlantic States Health Plan's charitable activities can be found in Community Benefits Report.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense10400076Expense
Grants0Grants
Revenue0Revenue
DescriptionSEE COMMUNITY BENEFIT REPORTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp10400076TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense2251657343TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964820NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6536NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Christine Cassel
director1.010.0X02035000
Thomas Chapman
director2.011.0X021410817000
Daniel P Garcia
SVP, Chief Compliance Officer2.048.0X0142427283764X
William Graber
director0.57.0X02408230
J Eugene Grigsby III
director1.07.5X02210000
George C Halvorson
Chairman and CEO5.045.0X0980035186158X
Judith Johansen
director0.55.8X02071460
Kim J Kaiser
director0.58.0X02285000
Philip Marineau
director0.586.34X02256180
Jenny Ming
director0.34.8X02143230
Edward Pei
director0.57.5X020664117000
Margaret Porfido
director0.59.0X02377790
J Neal Purcell
director0.58.5X02514640
Cynthia Telles
director0.56.6X02267170
Bernard J Tyson
President & COO5.045.0X04087093624945X
Marilyn Kawamura
Region President - MAS40.010.0091302986735X
Kathryn Lancaster
EVP & CFO4.046.002779989332894X
Thomas R Meier
SVP, Corporate Treasurer3.047.00816082129748X
Donald H Orndoff
SVP, NFS5.045.00766341160171X
DeAnne Petersen
VP, CFO - MAS30.020.0037257681079X
ROCHELLE M Roth
EXEC. DIR, HP QCSO3.047.0024504447186X
Arthur M Southam
EVP, HP Operations4.046.003350376379989X
Susan Spurlark
VP, Regional Counsel30.020.00352450113273X
Deborah Stokes
SVP, CC & CAO4.046.00690493143269X
Victoria Zatkin
VP. Off of Brd & corp gov svcs4.046.0033927186546X
Mark S Zemelman
SVP, Gen Counsel & Secretary3.047.001019066229497X
Gregory Adams
Group president6.044.001910063311061X
Kimberly Horn
Region President - MAS30.020.0011224929632X
Russell K Bradley
VP, HP Services & Admin30.020.0028400571504X
Ruben J Burnett
VP, Natl Consultant Relations30.020.00471098103016X
Linda M Collins
COO - MAS30.020.00440040108839X
Mary Elizabeth Jaeger
VP, HR - MAS30.020.0029232580738X
Kay W Lewis
VP, UM, Risk Mgmt & Quality30.020.00355377126131X
Ferial G Maghami
Exec Dir, Provider Affairs30.020.0048598055340X
Karen Elizabeth Blair
VP, PR, Comm. & Brand Mgmt30.020.0023995072226X
Tamsen Westmoreland
VP, Regional Compliance30.020.0023694053787X
Steven R Zatkin
Former Gen Counsel, Consultant0.00.0032350181586X
Kendall D Hunter
Former SVP Health Ins Exchange0.00.00651595112463X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs35437175TotalReportableCompFrmRltdOrgs
Total Other Compensation3825577TotalOtherCompensation
Number Individuals GT100 K864NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MID-ATLANTIC PERMANENTE MEDICAL GRO
2101 EAST JEFFERSON STREETROCKVILLEMD20852PHYSICIAN SERVICES472497676
INOVA GROUP OF HOSPITALS
PO BOX 37019BALTIMOREMD21297HOSPITAL SERVICES60833042
HOLY CROSS HOSPITAL
9805 DAMERON DRIVESILVER SPRINGMD20902HOSPITAL SERVICES56276250
WASHINGTON HOSPITAL CENTER
PO BOX 631290BALTIMOREMD21263HOSPITAL SERVICES59622963
VIRGINIA HOSPITAL CENTER
PO BOX 1494MERRIFIELDMD22116HOSPITAL SERVICES45581215
FieldValueIRS element (for citing)
Number Of Contractors GT100 K394NumberOfContractorsGT100K
Related Organizations313647RelatedOrganizations
All Other Contributions30600AllOtherContributions
Total Contributions344247TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MBR HLTH CARE PREM62140019830704581983070458
SUPPL CHARGE/PHARM621400102395601102256146139455
NON-PLAN & IND REV62140039603473960347
OTHER PRGM SERVICE621400196422201956275879462
MEDICARE/MEDICAID621400279061013279061013
FieldValueIRS element (for citing)
Total Program Service Revenue2388129639TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5911574TotalRevenueColumn
Exclusion$5,911,574ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real831446Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real831446Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column831446TotalRevenueColumn
Exclusion$831,446ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities223451964Securities
Other6725Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities222174225Securities
Other248784Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1277739Securities
Other-242059Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1035680TotalRevenueColumn
Exclusion$1,035,680ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2396252586TotalRevenueColumn
Related Or Exempt Function Income2387910722RelatedOrExemptFunctionIncome
Unrelated Business Revenue218917UnrelatedBusinessRevenue
Exclusion$7,778,700ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1926096Total
Program Services1926096ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total398099193Total
Program Services359450059ProgramServices
Management And General38649134ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59213443Total
Program Services59213443ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total79702014Total
Program Services79292837ProgramServices
Management And General409177ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total29554145Total
Program Services12216138ProgramServices
Management And General17338007ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2029332Total
Management And General2029332ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1203384Total
Management And General1203384ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total618518Total
Management And General618518ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total153418Total
Management And General153418ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total9978364Total
Program Services527552ProgramServices
Management And General9450812ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8686103Total
Program Services7597158ProgramServices
Management And General1088945ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total139501851Total
Program Services110560643ProgramServices
Management And General28941208ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total49967377Total
Program Services49967377ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2441956Total
Program Services1738010ProgramServices
Management And General703946ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1234366Total
Management And General1234366ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8664884Total
Program Services8664884ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total53106381Total
Program Services53106381ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total22728904Total
Program Services22660610ProgramServices
Management And General68294ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL PAYMENTS704152133704152133
PURCHASED MEDICAL SERVICES314482462314482462
SUPPLIES32947181730014745729324360
INTER-REGIONAL CHARGES9101216891012168

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total109051051Total
Program Services74941935ProgramServices
Management And General34109116ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2416979360Total
Program Services2251657343ProgramServices
Management And General165322017ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8202358BOY
EOY8391431EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY70625433BOY
EOY101127836EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY22901293BOY
EOY25010224EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6011700BOY
EOY6539876EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1215143183LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec455944854LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY581134560BOY
EOY759198329EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY292101623BOY
EOY280946152EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4661373BOY
EOY3011540EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY985638340BOY
EOY1184225388EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY241645685BOY
EOY246820670EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17315489BOY
EOY12711369EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12913877BOY
EOY12888484EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY735574128BOY
EOY1026254672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1007449179BOY
EOY1298675195EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY6795610BOY
EOY6795610EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-28606449BOY
EOY-121245417EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-21810839BOY
EOY-114449807EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY985638340BOY
EOY1184225388EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-20726774ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-359514ReconciliationUnrealizedInvest
Reconcilation Other Changes-71552680ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16275CurrentTaxYearMinus1Year
Current Tax Year344247CurrentTaxYear
Total361522Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2001419294CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2072423301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2167352747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2272514533CurrentTaxYearMinus1Year
Current Tax Year2388129639CurrentTaxYear
Total10901839514Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2001419294CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2072424301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2167352747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2272530808CurrentTaxYearMinus1Year
Current Tax Year2388473886CurrentTaxYear
Total10902201036Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50910902201036PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16584560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13960781CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11014664CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6430418CurrentTaxYearMinus1Year
Current Tax Year6743020CurrentTaxYear
Total54733443Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16584560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13960781CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11014664CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6430418CurrentTaxYearMinus1Year
Current Tax Year6743020CurrentTaxYear
Total54733443Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2018003854CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2086385082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2178367411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2278961226CurrentTaxYearMinus1Year
Current Tax Year2395216906CurrentTaxYear
Total10956934479Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99501PublicSupportPercentage509
Prior Year Support Percentage0.99391PriorYearSupportPercentage
Investment Income Percentage0.00500InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00609PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$18,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$370,022DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$230,496OtherActivitiesAmount
Total Lobbying Expenditures IIB618518TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1A THROUGH 1IReturnReference
ExplanationThe Organization is a member of the Kaiser Permanente Medical Care Program and participated in and benefited from lobbying activities conducted at the regional and national levels for the benefit of its enrolled members and for the health care industry as a whole. As an organization exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in 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 and its members by performing the following activities: (I) Collecting, analyzing and distributing within the Organization, public and private policy recommendations regarding proposed legislation that affect the operation of Health Plan and its ability to provide quality health and medical care services to its members in a cost effective environment. (II) 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. (III) Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those individuals appearing at such hearings and meetings for and on behalf of Health Plan often are representing the interests of common interest groups as well as the interests of the members of Health Plan. (IV) Other employees and officers perform services by delivering speeches at various public and private functions and in serving as faculty in healthcare related educational programs throughout the community.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis69588980OtherCostOrOtherBasis
Book Value69588980BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis602471890OtherCostOrOtherBasis
Depreciation221714171Depreciation
Book Value380757719BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis148545924OtherCostOrOtherBasis
Depreciation62428006Depreciation
Book Value86117918BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis232612909OtherCostOrOtherBasis
Depreciation151387220Depreciation
Book Value81225689BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis161923480OtherCostOrOtherBasis
Depreciation20415457Depreciation
Book Value141508023BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings759198329TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ENTITIES$316,931,242
SELF-INSURED RISKS$120,262,211
MEDICARE COST REPORT RESERVE$34,825,079
PENSION & POST-RETIREMENT BENEFITS$350,882,919
OTHER CURRENT LIABILITIES$32,086,668
OTHER LONG-TERM LIABILITIES$171,266,553
FieldValueIRS element (for citing)
Total Of Amounts1026254672TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt2392083992TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-359514NetUnrealizedGainsInvestments
Other Revenues-490457OtherRevenues
Revenue Not Rptd F990-849971RevenueNotRptdF990
Revenue Subtotal2392933963RevenueSubtotal
Investment Expenses Not Included2055550InvestmentExpensesNotIncluded
Other Revenues Not Included1263073OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3318623RevenueNotRptdOnFinStmt
Total Revenue Per Form9902396252586TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2412925866TotExpensesEtcAuditedFinclStmt
Other Expenses Included248784OtherExpensesIncluded
Expenses Not Rptd F990248784ExpensesNotRptdF990
Expenses Subtotal2412677082ExpensesSubtotal
Investment Expenses Not Included2153418InvestmentExpensesNotIncluded2
Other Expenses Not Included4148860OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4302278ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902416979360TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUE PER AUDITED FIN. STMT. WITH REVENUE PER RETURNSCHEDULE D, PART XILINE 2D: Gain on sale of investments - book $ 1,756,271 Bad Debt Reclass <2,093,310> INVESTMENT MANAGEMENT RECLASS <153,468> TOTAL $ <490,457> LINE 4A: INTEREST EXPENSE - RECLASS 2,055,550 LINE 4B: Gain on sale of investments - tax $ 1,277,739 Fixed assets loss - reclass <248,784> OTTI (See Note 1) 234,118 TOTAL $ 1,263,073 Note 1: other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized.
RECONCILIATION OF EXPENSES PER AUDITED FIN. STMT. WITH EXPENSES PER RETURNSCHEDULE D, PART XIILINE 2D: FIXED ASSET LOSS - RECLASS $ 248,784 LINE 4A: INVESTMENT MANAGEMENT EXPENSES - RECLASS $ 153,418 LINE 4B: BAD DEBT EXPENSES - RECLASS $ 2,093,310 INTEREST EXPENSE - RECLASS 2,055,550 TOTAL $ 4,148,860
SCHEDULE D, PART X, Line 2FIN 48 FOOTNOTEThe organization's financial statements do not include a footnote under FIN 48.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (47 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Access Carroll Inc
2 Locust Lane 301WestministerMD21157202146701501(c)(3)48024Uninsured Project Access Coordinator and Medication Coordinator
Act for Alexandria
1421 Prince St 400AlexandriaVA22314264322369501(c)(3)69215Food & Play Support
Alexandria Neighborhood Health Services
2445 Army Navy Dr 104AlexandriaVA22206541849881501(c)(3)50000Improving Access
American University
4400 Massachusetts AveWashingtonDC20016530196549501(c)(3)68967Measuring the ImpactNW Gray Hall
Arlington Free Clinic
2921 11th St SouthArlingtonVA22204541671883501(c)(3)52800Voila Paris Gala
Arlington Pediatric Center Inc
1701 N George Mason DrArlingtonVA22205541998631501(c)(3)72300Pediatric center
Baltimore Office of Promotion and The Arts
7 East Redwood St 500BaltimoreMD21202900091850501(c)(3)16000Eat Fresh@Baltimore
Bread for the City Inc
1525 Seventh St NWWashingtonDC20001521138207501(c)(3)55000DC Food Support
Catoctin Foundation Inc
224B Cornwall St NWLeesburgVA20176541921059501(c)(3)50000Loudoun Free Clinic Collaborative
Chase Brexton Health Services Inc
1001 Cathedral StBaltimoreMD21201521638592501(c)(3)50000Implementation Ptn
Crossroads Community Food Network Inc
6930 Carroll Ave 426Takoma ParkMD20912364635237501(c)(3)50000Fresh Checks:Healthy
DC Central Kitchen Inc
425 2nd St NWWashingtonDC20001521584936501(c)(3)75000Healthy Corners
Engaged Community Offshoots Inc
3901 Livingston StHyattsvilleMD20781264196401501(c)(3)75000Cultivating Wellness
Everybody Wins DC
1213 K Street NWWashingtonDC20005521938281501(c)(3)40000Lead MentorCorporate
Fairfax County Park Foundation Inc
12055 Government Ctr PkwyFairfaxVA22035542019179501(c)(3)10000Take 12 for HealthSuite 404
Family & Medical Counseling Service Inc
2041 MLK Jr Ave SEWashingtonDC20020521073362501(c)(3)42194PCMH Recognition
Food & Friends Inc
219 Riggs Road NEWashingtonDC20011521648941501(c)(3)20000Food & Friends Thank
Food Research & Action Center Inc
1875 Connecticut Ave NWWashngtonDC20009237200739501(c)(3)155000Fighting Hunger Mary540
Fredericksburg Area Regional Health Inc
1301 Sam Perry BldFredericksburgVA22401541677934501(c)(3)50000Electronic MedRecord
Inquiring Systems Inc
PO Box 2037SonomaCA95476942524840501(c)(3)15703Farm to Desk:Wrap Up
Interfaith Works Inc
114 W Montgomery AveRockvilleMD20854521072684501(c)(3)7500Fables & Tables
Joint Center PoliticalEconomic Studies
805 Fifteenth St NWWashingtonDC20005521069070501(c)(3)10000PLACE MATTERS2nd Floor
Junior Achievement of National Capital Area
1725 I St NW 200WashingtonDC20006540788947501(c)(3)25000Jr Achieve Finance
Lexington Market Inc
400 West Lexington StBaltimoreMD21201521163034501(c)(3)50230Get Fresh Lexington Nation's Capital
Loudoun Community Health Center
224 Cornwall St NWLeesburgVA20176202379419501(c)(3)51700Blue Jean Ball Fund
Meals on Wheels of Central Maryland Inc
515 South Haven StBaltimoreMD21224526074723501(c)(3)965020th Annual Culinary
Medical Care For Children Partnership Fdn
1616 Anderson RoadMcLeanVA22102261756738501(c)(3)8670Dress Up w/Grown-Ups
Mission Life Center
10721 Main St 1200FairfaxVA22030752999280501(c)(3)15000Annual Fundraiser
Montgomery Cty Business Round for Education
6010 Executive BlvdRockvilleMD20852412047342501(c)(3)16000Comprehensive ProgSuite 708
National Trust Hist Preservation the US
1785 Massachusetts Ave NWWashgtnDC20036530210807501(c)(3)50000Acadias Mobile Mrket
Parks & People Fdn For Baltimore R & P
800 Wyman park Dr 010BaltimoreMD21211521349346501(c)(3)13410Docs in Park Events
Playworks Education Energized
380 Washington StOaklandCA94607943251867501(c)(3)50000Playworks Project Gala
Prince William Health Partners Inc
2296 Opitz Blvd 200WoodbridgeVA22191030444689501(c)(3)49380Chronic Dis Prevent
SOME Inc
71 O Street NWWashingtonDC20001237098123501(c)(3)10000Direct Service Sup
St Agnes Hospital Foundation Inc
900 Caton Ave MS 123BaltimoreMD21229521415083501(c)(3)6750Caritas: Saint Agnes Career Success Program graduates
Suitland Family and Life Development Corp
14416 Old Mill RdUpper MarlboroMD20772522052386501(c)(3)50000Farmer's MarketSUITE 101
The Community Foundation Northern Virginia
8283 Greensboro DrMcLeanVA22102510232459501(c)(3)10000Mission Mercy 2012
The Community Foundation Natl Capital Reg
1201 15th St NW 420WashingtonDC20005237343119501(c)(3)100002012 CivicLeadership
The Friends of the National Arboretum Inc
3501 New York Ave NEWashingtonDC20002521257712501(c)(3)75000School Garden Well children to medical homes
Ulman Fund Inc
921 E Fort Ave 325BaltimoreMD21230522057636501(c)(3)8000Blue Jeans Ball
United Research and Education Foundation
1901 Pennsylvania Ave NW 1100WashingtonDC20006541880528501(c)(3)50000Let's Move SaladBars
Us Helping Us-People Into Living Inc
3636 Georgia Ave NWWashingtonDC20010521628279501(c)(3)10000Fall Reception
Virginia Hospital Center Foundation
1701 N George Mason DrArlingtonVA22205204129901501(c)(3)9880A Signature Evening Sciences Students
Virginia Hospital Research and Ed Foundation
PO Box 31394RichmondVA23294540801059501(c)(3)25000Health Innovation Luncheon
Washington Regional Assoc of Grantmakers
1400 16th St NW 740WashingtonDC20036521756853501(c)(3)110000WRAG's Health Works
Washington Urban League Inc
2901 14th St NWWashingtonDC20009530208981501(c)(3)2340075 Years We're Just patients
Whitman-Walker Clinic
1701 14th St NWWashingtonDC20009521122122501(c)(3)50000PrimaryCare Medical
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants47TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationGrantees are required to sign a memorandum of understanding with Health plan prior to grant funds dispersal. grantees are required to submit a final report which delineates accomplishments, relates to stated objectives, and describes the evaluation method used to assess accomplishments.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (37 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Russell K Bradley
VP, HP Services & Admin0187718078299017988057149014355035550900
Ruben J Burnett
VP, Natl Consultant Relations023860301377460947490901610128550574114074728
Christine Cassel
director020350000000000020350000
Thomas Chapman
director0214108000001700000023110800
Linda M Collins
COO - MAS0278731073579087730095984012855054887900
Daniel P Garcia
SVP, Chief Compliance Officer057713908153220318110668650168990150803600
William Graber
director024082300000000024082300
J Eugene Grigsby III
director022100000000000022100000
George C Halvorson
Chairman and CEO0124216806949670016085130668650192930988650900
Mary Elizabeth Jaeger
VP, HR - MAS0198706070181023438066572014166037306300
Judith Johansen
director020714600000000020714600
Kim J Kaiser
director022850000000000022850000
Marilyn Kawamura
Region President - MAS03205650406594018587007555001118509997640142071
Kathryn Lancaster
EVP & CFO06502870129745008322520319606013288031128830790044
Kay W Lewis
VP, UM, Risk Mgmt & Quality019996206720808820701131720129590481508068221
Ferial G Maghami
Exec Dir, Provider Affairs0466340121571031777504201801332205413200115547
Philip Marineau
director022561800000000022561800
Thomas R Meier
SVP, Corporate Treasurer031895104599750371560113460016288094583000
Jenny Ming
director021432300000000021432300
Donald H Orndoff
SVP, NFS039084003527500227510143756016415092651200
Edward Pei
director0206641000001700000022364100
DeAnne Petersen
VP, CFO - MAS02328530123855015868068224012855045365500
Margaret Porfido
director023777900000000023777900
J Neal Purcell
director025146400000000025146400
ROCHELLE M Roth
EXEC. DIR, HP QCSO0167060032120045864034254012932029223000
Arthur M Southam
EVP, HP Operations0755588015301020106468603644230155660373036501019527
Susan Spurlark
VP, Regional Counsel0233895098639019916099951013322046572300
Deborah Stokes
SVP, CC & CAO0347253027849606474401299810132880833762043578
Cynthia Telles
director022671700000000022671700
Bernard J Tyson
President & COO0932699020873520106704206055500193950471203801036741
Steven R Zatkin
Former Gen Counsel, Consultant099000288225025376067392014194040508700
Victoria Zatkin
VP. Off of Brd & corp gov svcs0196294010613303684408427502271042581700
Mark S Zemelman
SVP, Gen Counsel & Secretary0465119038715201667950214482015015012485630124315
Gregory Adams
Group president06457130101244302519070293536017525022211240227113
Karen Elizabeth Blair
VP, PR, Comm. & Brand Mgmt0184466022286033198058124014102031217600
Tamsen Westmoreland
VP, Regional Compliance0177273047560012107038549015238029072700
Kendall D Hunter
Former SVP Health Ins Exchange03120450172750016680009960801285507640580112463

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE J, PART I, LINE 3Top Management Officials' CompensationKaiser 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 4aSEVERANCE PAYMENTSFerial Maghami $ 177,188 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 4bSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANGeorge Halvorson $ 1,500,000 Mark Zemelman 126,344 Marilyn Kawamura 144,894 Kay Lewis 68,221 Deborah Stokes 43,578 Steven Zatkin 5,087 Thomas Meier 858 ferial maghami 115,547 bernard tyson 1,036,741 arthur southam 1,019,527 gregory adams 227,113 Kathryn Lancaster 790,314 Ruben Burnett 74,728 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTSThe 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 IISteven Zatkin - general counsel to 06/30/2010; consultant 3/4/2011 to present. Bernard Tyson - Board of Directors effective 12/06/2012. J Neil Purcell - Board of Directors to 12/31/2012. Marilyn Kawamura - President to 10/15/2012. Kimberly Horn - President effective 10/15/2012.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
form 990, PART I, LINE 7BNet Unrelated Business Taxable Income from Form 990-T, Line 34TOTAL UBI (FORM 990-T, LINE 30) $ 33,674 NET OPERATING LOSS (NOL) APPLIED (33,674) UBTI WITH NOL (FORM 990-T, LINE 34) NONE
form 990, PART III, LINE 4A-D2012 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. KAISER FOUNDATION HEALTH PLAN'S COMMITMENT TO THE COMMUNITY IN 2007, KAISER FOUNDATION HEALTH PLAN'S BOARD OF DIRECTORS REFINED THE FOCUS OF THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": 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 THE EVIDENCE BASE FOR CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES: IN 2012, THE MID-ATLANTIC HEALTH PLAN SERVED 481,986 MEMBERS AND EXPENDED $75.6 MILLION (AT COST, NET OF $2.9 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 2012, THE MID-ATLANTIC HEALTH PLAN EXPENDED $62.9 MILLION (AT COST, NET OF $2.9 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 REGION, HEALTH PLAN PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2012, THE MID-ATLANTIC STATES HEALTH PLAN SPENT $47.5 MILLION (AT COST, NET OF $2.7 MILLION OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS. MEDICAL FINANCIAL ASSISTANCE PROGRAM THE MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM 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. MID-ATLANTIC HEALTH PLAN FUNDED APPROXIMATELY $7.6 MILLION (AT COST, NET OF RELATED REVENUES) TO THIS PROGRAM IN 2012, BENEFITTING OVER 1,300 QUALIFIED APPLICANTS. 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 BRIEF AND COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. THIS ALLOWS US 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 8,400 MEMBERS WERE RECEIVING COMPREHENSIVE CARE THROUGH THESE PROGRAMS AT THE END OF 2012. APPROXIMATELY $40.0 MILLION (AT COST, NET 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 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 2012, MID-ATLANTIC HEALTH PLAN CONTRIBUTED $15.4 MILLION (AT COST, NET OF $200 THOUSAND OF RELATED REVENUES) TO SUPPORT THE PROVISION OF MEDICAL CARE SERVICES TO INDIVIDUALS IN THE FOLLOWING GOVERNMENT-SPONSORED PROGRAMS: - THE MARYLAND MEDICAL ASSISTANCE PROGRAM PROVIDES RESOURCES THAT SUPPORT HEALTHCARE TO VULNERABLE POPULATIONS BY INCREASING THE NUMBER OF PROVIDERS WILLING TO SERVE MEDICAID PATIENTS. - MEDICAID - KAISER PERMANENTE SERVED APPROXIMATELY 1,200 NON-MEMBER MEDICAID PEDIATRIC PATIENTS AS A PRIMARY CARE PROVIDER THROUGH PRIORITY PARTNERS AT EIGHT MEDICAL OFFICES IN 2012. THE MID-ATLANTIC HEALTH PLAN IS ALSO ON THE PATH TO BECOME A MEDICAID MANAGED CARE ORGANIZATION (MCO). MUCH OF 2012 WAS SPENT ON IMPLEMENTATION AND EXECUTION FOR A PLANNED GO-LIVE DATE IN JULY 2013 FOR VIRGINIA AND JANUARY 1, 2014 FOR MARYLAND. IN 2012, THE MID-ATLANTIC HEALTH PLAN FUNDED COST-BASED LOSSES OF $873 THOUSAND UNDER THE PROGRAM WITH MEDICAID MCO START UP COSTS OF $3.4 MILLION.
B. COMMUNITY HEALTH INITIATIVES (CHI)THE MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $1.0 MILLION ON COMMUNITY HEALTH INITIATIVES DURING 2012 BY AWARDING CHARITABLE CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS AND GOVERNMENT AGENCIES. THE FOLLOWING ARE EXAMPLES OF THE RESOURCES CONTRIBUTED BY THE MID-ATLANTIC STATES 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 REGION. - THE MID-ATLANTIC HEALTH PLAN IS HOST TO A FARMERS MARKET AT OUR BALTIMORE CITY PLAZA MEDICAL CENTER, FARM STANDS AT OUR LARGO, CAMP SPRINGS, AND MARLOW HEIGHTS MEDICAL CENTERS AND OUR REGIONAL OFFICE BUILDING, AND A COMMUNITY GARDEN AT THE WHITE MARSH MEDICAL CENTER. - KEY HEAL PARTNERSHIPS INCLUDE: THE PORT TOWNS COMMUNITY HEALTH PARTNERSHIP, PLAYWORKS, SAFE ROUTES TO SCHOOLS, FOOD RESEARCH ACTION CENTER, DC CENTRAL KITCHEN, BALTIMORE CITY OFFICE OF SUSTAINABILITY, AND THE INSTITUTE FOR PUBLIC HEALTH INNOVATION. - THE PORT TOWNS COMMUNITY HEALTH PARTNERSHIP WAS LAUNCHED IN 2008 BY KAISER PERMANENTE IN COLLABORATION WITH OTHER ORGANIZATIONS. THIS IS A 5-7 YEAR INVESTMENT THAT PROVIDES TECHNICAL ASSISTANCE, PROJECT MANAGEMENT, AND EVALUATION SUPPORT TO IMPROVE POLICIES, PRACTICES, AND PROGRAMS THAT INFLUCENCE HEALTH IN A COUNTY THAT SUFFERS SOME OF THE HIGHEST RATES OF CHRONIC ILLNESS IN THE STATE. IN 2012, THIS INITIATIVE HELPED ATTRACT MORE THAN $4 MILLION IN FEDERAL GRANTS TO THE COUNTY, AND HAS BEEN CITED AS A MODEL FOR THE COUNTY'S HEALTH IMPROVEMENT PLAN. C. SAFETY NET PARTNERSHIPS THE MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $944 THOUSAND ON SAFETY NET PARTNERSHIPS DURING 2012 BY AWARDING CHARITABLE CONTRIBUTIONS TO NONPROFIT ORGANIZATIONS AND GOVERNMENT AGENCIES. THE FOLLOWING ARE HIGHLIGHTS FROM A FEW OF OUR SIGNATURE SAFETY NET PARTNERSHIPS: - 2012 WAS THE FOURTH YEAR OF THE COMMUNITY AMBASSADOR PROGRAM WHICH GREW FROM TWO NURSE PRACTITIONERS (NPS) TO A TOTAL OF 38 NPS AND PHYSICIAN ASSISTANTS PLACED IN 19 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. - THE HYPERTENSION INITIATIVE IS A PILOT PROGRAM DEVELOPED IN 2011 BETWEEN KAISER PERMANENTE AND THREE FEDERALLY QUALIFIED HEALTH CENTERS, ONE IN WASHINGTON DC, AND TWO IN MARYLAND. THE PROGRAM IS INTENDED TO BUILD A BRIDGE BETWEEN KP AND COMMUNITY CLINICS BY PROVIDING SPECIALTY CARE SPECIFIC TO REFRACTORY HYPERTENSIVE PATIENTS. FULL ROLLOUT IS EXPECTED IN 2013. - IN 2012, THE MID-ATLANTIC REGION COORDINATED WITH THE DIVERSITY DEPARTMENT TO PROVIDE A CULTURALLY-COMPETENT TRAIN THE TRAINER FORUM FOR THE SAFETY NET COMMUNITY. THIS PROJECT RESULTED IN THE CERTIFICATION OF ELEVEN SAFETY NET FACILIATORS FROM OUTSIDE OUR ORGANIZATION. D. DEVELOPING AND DISSEMINATING KNOWLEDGE 1. CLINICAL AND HEALTH SERVICES RESEARCH THE MID-ATLANTIC DEPARTMENT OF RESEARCH CONDUCTS POPULATION-BASED STUDIES, HEALTH SERVICES RESEARCH AND CLINICAL TRIALS TO ANSWER IMPORTANT HEALTH POLICY AND PUBLIC HEALTH QUESTIONS. THESE PROJECTS ARE FUNDED BOTH INTERNALLY AND EXTERNALLY THROUGH FEDERAL AND STATE GOVERNMENT AGENCIES AND OTHER NONPROFIT ORGANIZATIONS SUCH AS UNIVERSITIES AND FOUNDATIONS. BESIDES GUIDING OUR CLINICIANS' PRACTICE PATTERNS AND ENHANCING THE HEALTH AND MEDICAL CARE OF OUR MEMBERS, THIS RESEARCH ALSO CONTRIBUTES TO THE WEALTH OF MEDICAL KNOWLEDGE SHARED THROUGH WIDELY-DISSEMINATED PUBLICATIONS AND PRESENTATIONS. IN 2012, THE MID-ATLANTIC HEALTH PLAN FUNDED APPROXIMATELY $1.4 MILLION TOWARDS MEDICAL RESEARCH PROJECTS. 2. EDUCATIONAL THEATRE PROGRAMS (ETP) THE MID ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $1.0 MILLION IN 2012 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 2012, ETP GAVE MORE THAN 400 PERFORMANCES FOR APPROXIMATELY 63,000 CHILDREN AND ADULTS AT 173 DIFFERENT SCHOOLS AND OTHER LOCATIONS. ADDITIONALLY, ETP PRODUCED A MUSIC VIDEO DESCRIBING THE BENEFITS OF AND DISPELLING THE MYTHS SURROUNDING SEASONAL FLU SHOTS. E. OTHER COMMUNITY BENEFIT INVESTMENTS IN 2012, THE MID-ATLANTIC HEALTH PLAN SPENT APPROXIMATELY $7.9 MILLION ON OTHER COMMUNITY BENEFITS BEYOND THE NATIONAL STREAMS OF WORK.
form 990, part vi, line 4Changes to governing documentsThe Articles of Incorporation of the Corporation were amended in 2012 as follows: Articles Third and Sixth were amended to (a) revise the purpose section for consistency with the Articles of Incorporation of Kaiser Foundation Health Plan, Inc. (the member of the Corporation) and its other Health Plan subsidiaries, including making a reference to the Internal Revenue Code (Section 501(c)(3)) consistent with other references in the Articles; and (b) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Second Articles of Amendment to Restated Articles of Incorporation of the Corporation were filed May 15, 2012. Minor, non-substantive changes were made to Articles Fourth, Seventh, Eighth and Ninth to: (a) update the information therein (including the names of the current Directors, and the registered agent); (b) make them more consistent with the articles of the Corporation's member, and the articles were fully restated to integrate into one document all of the provisions of the articles currently on file. Second Articles of Amendment and Restatement were submitted for filing and are currently pending regulatory approval. The Bylaws of the Corporation were amended in 2012 as follows: On December 6, 2012, Article D, Directors and Article E, Officers were amended to provide for up to fifteen directors and up to three inside directors, and the possibility of the Chairman of the Board and the Chief Executive Officer not being the same person. 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 7AKFHP 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, OH, NW, and MAS.
form 990, PART VI, LINE 7BThe following actions of the corporation require approval of the sole member: a) removal of the chairman of the board or the regional president; b) amendments to the bylaws that pertain to the member, the board of directors, or procedures for amending the bylaws (articles c, d, and h of the bylaws); c) amendment of the articles of incorporation.
form 990, PART VI, LINE 11BForm 990 Review Process1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. A copy of the return is provided to each board member prior to filing.
form 990, PART VI, LINE 12CCompliance EnforcementA. 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/BCompensation DeterminationThe 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 18Available on GuideStar.org website
form 990, Part VI, Line 19Public Inspection CopyGoverning 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 - NATIONAL Tax COMPLIANCE Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612
form 990, Part VII, section A, column BHours for Related OrganizationIndividuals 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 9Other changes in net assets or fund balancesCHANGE IN OTHER COMPREHENSIVE INCOME $ (71,797,094) OTHER THAN TEMPORARY IMPAIRMENTS (234,118) GAIN ON SALE OF INVESTMENTS - TAX (1,277,739) GAIN ON SALE OF INVESTMENTS - BOOK 1,756,271 TOTAL $ (71,552,680)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
HCMS LLC
ONE KAISER PLAZA 15LOAKLANDCA94612203924985CASE MGMTCANANONEfalsefalse
kaiser permanente ventures LLC
one kaiser plaza 15LoaklandCA94612273339892investmentCAnaNONEfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (35 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KAISER FOUNDATION HOSPITALS
E89371302PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
L21454454PER AGREEMENT
kaiser foundation hospitals
L68261159per agreement
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L450840per agreement
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
L662794PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF THE NW
L312613PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN OF OHIO
L124501PER AGREEMENT
CAMP BOWIE SERVICE CENTER
L8395015PER AGREEMENT
OAK TREE ASSURANCE LTD
L784622PER AGREEMENT
KAISER FOUNDATION HEALTH PLAN INC
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KAISER FOUNDATION HOSPITALS
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