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KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC (EIN 58-1592076)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201333169349304523
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)
Timestamp2013-11-12T13:31:23-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERSBusinessNameLine1

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)
EIN581592076EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KAISER FDN HEALTH PLAN OF GEORGIAINCBusinessNameLine1
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 SUITE 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 TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKerry KohnenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE KAISER PLAZA SUITE 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1328822315GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileGAStateLegalDomicile
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 Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees2604TotalNbrEmployees
Total Nbr Volunteers635TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8056693ContributionsGrantsPriorYear
Contributions Grants Current Year4664485ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1087593114ProgramServiceRevenuePriorYear
Program Service Revenue CY1131979156ProgramServiceRevenueCY
Investment Income Prior Year4236372InvestmentIncomePriorYear
Investment Income Current Year6359705InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1099886179TotalRevenuePriorYear
Total Revenue Current Year1143003346TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12022634GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9393627GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year182121879SalariesEtcPriorYear
Salaries Etc Current Year209255812SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year935402301OtherExpensePriorYear
Other Expenses Current Year1004569356OtherExpensesCurrentYear
Total Expenses Prior Year1129546814TotalExpensesPriorYear
Total Expenses Current Year1223218795TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-29660635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-80215449RevenuesLessExpensesCY
Total Assets BOY375804045TotalAssetsBOY
Total Assets EOY521618742TotalAssetsEOY
Total Liabilities BOY468048759TotalLiabilitiesBOY
Total Liabilities EOY718400600TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-92244714NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-196781858NetAssetsOrFundBalancesEOY
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
Expense1102907432Expense
Grants0Grants
Revenue1131339768Revenue
DescriptionMember health care services and medical training for care improvement Kaiser Foundation Health Plan of Georgia, Inc. (KFHP of Georgia) 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 Georgia educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Summary Report.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11250571Expense
Grants0Grants
Revenue639388Revenue
DescriptionCharitable Care (Medical Financial Assistance and Charitable Coverage) Georgia Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. Georgia 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 2,600 qualifying applicants. The CHC Program is available to low income families who are not eligible for other public or privately sponsored coverage. More than 1,600 individuals were receiving comprehensive care through this program at the end of 2012. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Summary Report.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9393627Expense
Grants9393627Grants
Revenue0Revenue
DescriptionGrants and Donations Georgia Health Plan supported approximately 100 nonprofit organizations and government agencies through the distribution of charitable contributions in 2012. Donations were strategically targeted to address the objectives of our four priority areas or streams of work. These funds enabled the nonprofit organizations and government agencies with whom we partner to continue providing programs and services that benefit vulnerable populations within the communities served by KFHP. Additional information about Georgia Health Plan's charitable activities can be found in Schedule O, Community Benefit Summary Report.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense9326888Expense
Grants0Grants
Revenue0Revenue
DescriptionSCH. O, COMMUNITY BENEFIT SUMMARY REPORTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp9326888TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense1132878518TotalProgramServiceExpense
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 With10961196NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2604NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 FiledGAStatesWhereCopyOfReturnIsFiled
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 STE 15LAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Kerry Kohnen
Region President - Georgia40.010.0XX0650751177801
Jeffrey Koplan
Director1.00.0X1300000
Donna Lynne
Director4.046.0XX01109779224081
J Neal Purcell
Director1.09.0X140002374640
Bernard J Tyson
Director & Chair5.045.0XX04087093624945
George Halvorson
Chairman and CEO5.045.0X0980035186158
Kathryn Lancaster
EVP & CFO4.046.0X02779989332894
Kirkland McGhee
VP, Regional Counsel - GA50.00.0X027947143969
Thomas Meier
SVP, Corporate Treasurer3.047.0X0816082129748
Donald Orndoff
SVP, NFS5.045.0X0766341160171
Arthur Southam
EVP, Health Plan Operations5.045.0X03350376379989
Deborah Stokes
SVP, CC & CAO4.046.0X0690493143269
Victoria Zatkin
Assistant Secretary4.046.0X033927186546
Mark Zemelman
SVP, Gen Counsel & Secretary3.047.0X01019066229497
James Cullinan
VP, Mktg Sales & Bus Dev't50.00.0041091168017X
Carrie J Jennison
VP, CFO - Georgia50.00.0081478889180X
Michael Bernard Wathen
VP, HP Svcs Admin - GA50.00.0019034563701X
Dawn Bading
VP, Human Resources - GA50.00.0030233376268X
Jonna Kirkwood
VP, Operations - GA50.00.0035028489242X
Carolyn J Mustille
VP, Quality, Service & Nursing50.00.0033994595326X
Daniel J Styf
VP, Strategy & Bus Execution50.00.0027146556208X
Beverly Thomas
VP, Community & Public Affairs50.00.0029709171332X
Steven Zatkin
Former Gen. Counsel/Consultant0.00.0032350181586X
FieldValueIRS element (for citing)
Total Reportable Comp From Org27000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs29227190TotalReportableCompFrmRltdOrgs
Total Other Compensation3309928TotalOtherCompensation
Number Individuals GT100 K229NumberIndividualsGT100K
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
PIEDMONT HOSPITAL
PO BOX 102526ATLANTAGA30368MEDICAL SERVICES57509444
NORTHSIDE HOSPITAL
PO BOX 101818ATLANTAGA30392MEDICAL SERVICES79220140
SOUTHEASTERN PERMANENTE MEDICAL GRO
3495 PIEDMONT ROAD NEATLANTAGA30305MEDICAL SERVICES256288882
CHILDREN'S HEALTHCARE OF ATLANTA
PO BOX 116101ATLANTAGA30368MEDICAL SERVICES16111096
GWINNETT HOSPITAL SYSTEM
PO BOX 116360ATLANTAGA30368GENERAL CONTRACTING14540496
FieldValueIRS element (for citing)
Number Of Contractors GT100 K347NumberOfContractorsGT100K
Related Organizations4009958RelatedOrganizations
All Other Contributions654527AllOtherContributions
Total Contributions4664485TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERS HEALTH CARE621400869553939869553939
SUPPLEMENTAL CHARGE6214005689954956899549
NON-PLAN & INDUSTRIAL62140031965253196525
OTHER PROGRAM SERVICES6214002313643123136431
MEDICARE/MEDICAID PAYMENTS621400179192712179192712
FieldValueIRS element (for citing)
Total Program Service Revenue1131979156TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2761470TotalRevenueColumn
Exclusion$2,761,470ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities189393204Securities
Other24000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities185797852Securities
Other21117Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3595352Securities
Other2883Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3598235TotalRevenueColumn
Exclusion$3,598,235ExclusionAmount

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 Column1143003346TotalRevenueColumn
Related Or Exempt Function Income1131979156RelatedOrExemptFunctionIncome
Exclusion$6,359,705ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9393627Total
Program Services9393627ProgramServices

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)
Total27000Total
Management And General27000ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total154036474Total
Program Services134086597ProgramServices
Management And General19949877ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16981710Total
Program Services16981710ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total26466919Total
Program Services25170836ProgramServices
Management And General1296083ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11743709Total
Program Services6920448ProgramServices
Management And General4823261ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2517Total
Management And General2517ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total831755Total
Management And General831755ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total168246Total
Management And General168246ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total85427Total
Management And General85427ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total217279830Total
Program Services201040763ProgramServices
Management And General16239067ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8158079Total
Program Services750678ProgramServices
Management And General7407401ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2033074Total
Program Services1802968ProgramServices
Management And General230106ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total74494985Total
Program Services67021098ProgramServices
Management And General7473887ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12821155Total
Program Services12820963ProgramServices
Management And General192ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1422112Total
Program Services1024304ProgramServices
Management And General397808ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total414353Total
Management And General414353ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total14709468Total
Program Services14709468ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20292575Total
Program Services20292575ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4010482Total
Program Services4010482ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BASIC CONTRACTUAL PAYMENTS443548710443548710
SUPPLIES1290736111214883867585225
INTER-REGIONAL CHARGES35155732318315973324135
REPAIRS & MAINTENANCE94156479288727126920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30651598Total
Program Services10694581ProgramServices
Management And General19957017ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1223218795Total
Program Services1132878518ProgramServices
Management And General90340277ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY695806BOY
EOY620212EOY

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)
BOY32310378BOY
EOY37967432EOY

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)
BOY10527838BOY
EOY9772183EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1280557BOY
EOY1387831EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis368546957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec152936599LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY186223744BOY
EOY215610358EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY144304913BOY
EOY255933826EOY

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)
BOY460809BOY
EOY326900EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY375804045BOY
EOY521618742EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY97667730BOY
EOY114400136EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16107012BOY
EOY14622269EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY354274017BOY
EOY589378195EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY468048759BOY
EOY718400600EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY5665218BOY
EOY8511540EOY

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-97909932BOY
EOY-205293398EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-92244714BOY
EOY-196781858EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY375804045BOY
EOY521618742EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-80215449ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-2924304ReconciliationUnrealizedInvest
Reconcilation Other Changes-21397391ReconcilationOtherChanges
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 Years1882337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2057241CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2350668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8056693CurrentTaxYearMinus1Year
Current Tax Year7568244CurrentTaxYear
Total21915183Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1083297320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1060150602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years945171878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1087593114CurrentTaxYearMinus1Year
Current Tax Year1129075397CurrentTaxYear
Total5305288311Total

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 Years1085179657CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1062207843CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years947522546CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1095649807CurrentTaxYearMinus1Year
Current Tax Year1136643641CurrentTaxYear
Total5327203494Total

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 Total5095327203494PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6513719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5254905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4327774CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3549083CurrentTaxYearMinus1Year
Current Tax Year2761470CurrentTaxYear
Total22406951Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6513719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5254905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4327774CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3549083CurrentTaxYearMinus1Year
Current Tax Year2761470CurrentTaxYear
Total22406951Total

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 Years1091693376CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1067462748CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years951850320CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1099198890CurrentTaxYearMinus1Year
Current Tax Year1139405111CurrentTaxYear
Total5349610445Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99581PublicSupportPercentage509
Prior Year Support Percentage0.99479PriorYearSupportPercentage
Investment Income Percentage0.00419InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00521PriorYrInvestIncomePercentage
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)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
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
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcasttruePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$158,871DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$9,375OtherActivitiesAmount
Total Lobbying Expenditures IIB168246TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART II-B, LINE 1A THROUGH 1IIdentifier
Return ReferenceLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIESReturnReference
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 Basis24371491OtherCostOrOtherBasis
Book Value24371491BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189571392OtherCostOrOtherBasis
Depreciation68611501Depreciation
Book Value120959891BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis36016154OtherCostOrOtherBasis
Depreciation20803970Depreciation
Book Value15212184BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis104594649OtherCostOrOtherBasis
Depreciation62235394Depreciation
Book Value42359255BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13993271OtherCostOrOtherBasis
Depreciation1285734Depreciation
Book Value12707537BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings215610358TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
PENSION PLAN PAYABLE$83,120,097
SELF INS RISK-PROF PUBLIC LIAB$33,713,976
OTHER LIABILITIES$11,050,722
DUE TO AFFILIATED ORGANIZATION$149,601,523
PREMIUM DEFICIENCY RESERVE$22,120,901
NOTE PAYABLE TO AFFILIATES$288,177,600
SELF INS RISK - WORKERS COMP$1,593,376
FieldValueIRS element (for citing)
Total Of Amounts589378195TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt1144138848TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2924304NetUnrealizedGainsInvestments
Other Revenues11184943OtherRevenues
Revenue Not Rptd F9908260639RevenueNotRptdF990
Revenue Subtotal1135878209RevenueSubtotal
Other Revenues Not Included7125137OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7125137RevenueNotRptdOnFinStmt
Total Revenue Per Form9901143003346TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1248675992TotExpensesEtcAuditedFinclStmt
Other Expenses Included29081257OtherExpensesIncluded
Expenses Not Rptd F99029081257ExpensesNotRptdF990
Expenses Subtotal1219594735ExpensesSubtotal
Investment Expenses Not Included285427InvestmentExpensesNotIncluded2
Other Expenses Not Included3538633OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3624060ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901223218795TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART X, LINE 2FIN 48 FOOTNOTEThe organization financial statements do not include a footnote under FIN 48.
SCHEDULE D, PART XIRECONCILIATION OF REVENUELINE 2D: TRANSFER OF UNREALIZED GAINS $ 2,846,322 INTER-ENTITY REVENUE - RECLASS 7,304,002 GAIN/LOSS ON INVESTMENTS - BOOK 1,369,012 Investment Management Expenses < 85,427 > OTTI LOSSES - SEE "NOTE 1" < 248,966 > _______________ TOTAL 11,184,943 NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT (OTTI) OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED. LINE 4B: FIXED ASSETS LOSS - RECLASS $ < 8,848 > BAD DEBT EXPENSES - RECLASS 3,538,633 GAIN/LOSS ON INVESTMENTS - TAX 3,595,352 ______________ TOTAL 7,125,137
SCHEDULE D, PART XIIRECONCILIATION OF EXPENSESLine 2D: FIXED ASSET LOSS - RECLASS $ 8,848 INTER-ENTITY REVENUE - RECLASS 7,304,002 CHANGE IN PENSION & OTHER COMPREHENSIVE INCOME 21,768,407 ______________ TOTAL 29,081,257 Line 4B: Bad Debt Expenses - Reclass $ 3,538,633

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (103 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Advantage Behavioral Health Systems
250 North AvenueAthensGA30601582112427Government50000Integrate Hlth Care
AID Gwinnett Inc
3075 Breckinridge Blvd415DuluthGA30096581973324501(c)(3)69704High Risk Youth HIV
American Heart Association Inc
1101 Northchase Pkwy 1MariettaGA30067135613797501(c)(3)96950CPR Anytime Program
American Lung Association Southeast Incorp
2452 Spring Road SESmyrnaGA30080590662271501(c)(3)50000SMART Project
Aniz Inc
233 Mitchell St Ste 200AtlantaGA30303582272426501(c)(3)38000Adolescents Learn
Armstrong Atlantic State Univ Fdn Inc
11935 Abercorn StSavannahGA31419581577237501(c)(3)20000Nursing Department
Assoc of State and Territorial Chronic Dis
2200 Century Pkwy 250AtlantaGA30345731328414501(c)(3)80000Metro Atlanta Safe
Atlanta Community Food Bank Inc
732 Joseph E Lowery BlvdAtlantaGA30318581376648501(c)(3)95000Expand Mobile Food
Atlanta Leadership Development Fdn Inc
Ten Peachtree Pl Ste 620AtlantaGA30309237015688501(c)(3)12000Leadership Atl Class
Atlanta Regional Commission
40 Courtland Street NEAtlantaGA30303586002324501(c)(3)50000Atlanta Regional Com
Atlanta Women's Foundation Inc
50 Hurt Plaza Suite 401AtlantaGA30303582389721501(c)(3)50000Atlanta Women's Fdn
Back on My Feet
50 Hurt Plaza Suite 850AtlantaGA30303262109809501(c)(3)18000Empower Individual
Brain Tumor Foundation for Children Inc
6065 Roswell Rd NE 505AtlantaGA30328581524616501(c)(3)30000Butterfly Fund
Camp Kudzu Inc
5885 Glenridge Dr Ste 160AtlantaGA30328582449646501(c)(3)25000Diabetes Management
Center for Pan Asian Community Servs Inc
3510 Shallowford Road NEAtlantaGA30341581437980501(c)(3)56700Dowa Clinic
Center for the Visually Impaired Inc
739 West Peachtree St NWAtlantaGA30308581168874501(c)(3)15000STARS
Children's Healthcare of Atlanta Inc
1584 Tullie Circle NEAtlantaGA30329581710601501(c)(3)1000000Children Healthcare
CHRIS Kids Inc
1017 Fayeteville Rd Ste BAtlantaGA30316581430183501(c)(3)75000Trauma, Treatment
City of Refuge Inc
1300 Joseph E Boone BlvdAtlantaGA30314582194642501(c)(3)49951City of Refuge Organ
Clarkston Community Center Foundation Inc
3701 College AveClarkstonGA30021582127610501(c)(3)20000Clarkston Nutrit Ed
Clayton Cty Community Srvs Authority Inc
1000 Main StForest ParkGA30298580965193501(c)(3)25000Rise Up!
Clayton State University Foundation Inc
2000 Clayton State BlvdMorrowGA30260237419285501(c)(3)80000Nursing Department
Cobb County Board of Health
1650 County Svcs PkwyMariettaGA30008581517015Government70000Babies Born Healthy
Cobb County Community Services Board
3830 S Cobb Dr Ste 300SmyrnaGA30080582107033Government70000Project Gateway
Community Advanced Practice Nurses Inc
173 Boulevard NEAtlantaGA30312582435328501(c)(3)69989Healthcare and Med
Culture Connect Inc
4151 Memorial Dr Ste 207EDecaturGA30032421692101501(c)(3)38820Medical Interpreter
Emory University
1762 Clifton Rd Ste 1400AtlantaGA30322580566256501(c)(3)110000Georgia School-BasedSuite 200
Families First Inc
1105 West Peachtree St NEAtlantaGA30309581054331501(c)(3)65000Families Firsts Teen
Fayette Care Clinic Inc
1260 Highway 54W 101FayettevilleGA30214200314897501(c)(3)70000Increasing Access
First Step Staffing
236 Auburn Ave NE 203AtlantaGA30303208038859501(c)(3)95000First Step Ben Prog
Georgia Ballet Inc
1255 Field ParkwayMariettaGA30066581420599501(c)(3)10000Arts In Education
Georgia Charitable Care Network Inc
1015Don Lee Hollowell PkyAtlantaGA30318800100336501(c)(3)72000GCCN Telemedicine
Georgia Conservancy Inc
817 W Peachtree St 200AtlantaGA30308581027246501(c)(3)50000School Siting Train
Georgia Health News Inc
2635 Rangewood CourtAtlantaGA30345273543332501(c)(3)8500Children health/safe
Georgia Meth Project
3715 Northside Pkwy1-320AtlantaGA30327264238238501(c)(3)50000Georgia Meth Project
Georgia Organics Inc
200 A Ottley DriveAtlantaGA30324582345310501(c)(3)77220Farm RX 'A Prescrip
Georgia Perimeter College Foundation Inc
3251 Panthersville RoadDecaturGA30034581492364501(c)(3)80000Nursing Department
Georgia State University Foundation Inc
One Park Place Suite 533AtlantaGA30303586033185501(c)(3)87500J. Rhodes Haverty
Girl Scouts of Greater Atlanta Inc
5601 N Allen RdMabletonGA30126580566190501(c)(3)24900Camp Financial Assis
Girls on the Run of Atlanta Inc
1904 Monroe Dr Ste 140AtlantaGA30306582568271501(c)(3)32000Atlanta Expansion
Good News Clinics Inc
810 Pine StreetGainesvilleGA30501582058853501(c)(3)70000Sam Poole Medical
Good Samaritan Health and Welln Cntr Inc
175 Samaritan WayJasperGA30143582576315501(c)(3)70000Sustain and Response
Good Samaritan Health Center of Cobb Inc
1605 Roberta Drive SWMariettaGA30008320045238501(c)(3)50000Primary Health Home
Good Samaritan Health Center Inc
1015Don Lee Hollowell PkyAtlantaGA30318582373395501(c)(3)69550Establishing MedicalSuite 290
Good Samaritan Health Ctr of Gwinnett Inc
3700 Club DriveLawrencevilleGA30044270080400501(c)(3)8100Project 250
Gwinnett Community Clinic Inc
2160 Fountain DriveSnellvilleGA30078581868227501(c)(3)24750Chronic Disease Mgm
Gwinnett Tech Foundation
5150 Sugarloaf PkwyLawrencevilleGA30043582106879501(c)(3)15000Nursing Department
Hands of Hope Clinic Inc
1010 Hospital Dr BStockbridgeGA30281421591970501(c)(3)24400Diabetic SelfCare
HealthMPowers Inc
3200 Pointe Pkwy Ste 400NorcrossGA30092582524601501(c)(3)20000Empowering Students
Healthy Mothers Healthy Babies of GA Inc
2300Henderson Mill Rd 410AtlantaGA30345581440585501(c)(3)15800Breastfeeding Initia
Heritage Fund of Atlanta Med Assoc Inc
100 Edgewood Ave Ste 820AtlantaGA30303582372394501(c)(3)18200Heritage Fund of Atl
Hispanic Health Coalition of Georgia Inc
424 Decatur StreetAtlantaGA30312752995466501(c)(3)35000Inclusive & Cultural
Hope Health Clinic Inc
409 W Solomon StreetGriffinGA30223200719396501(c)(3)70000Maximizing Nutrition
Jewish Family & Career Services Inc
4549 Chamblee Dunwoody RdAtlantaGA30338581479212501(c)(3)50000Ben Massell Dental
Junior Achievement of Georgia Inc
460 Abernathy Road NEAtlantaGA30328580598050501(c)(3)35000Program Support
Kate's Club INC
1330 W Peachtree St NW520AtlantaGA30309161646487501(c)(3)29400Kate's Club Support
Kennesaw State University Foundation Inc
1000 Chastain RoadKennesawGA30066237034345501(c)(3)90000Nursing Department
Leadership DeKalb Inc
315W Ponce deLeon Ave1069DecaturGA30030582131661501(c)(3)7500Health &Wellness Day
Life Tools Community Development Corp
5357 Chapel Hill RdDouglasvilleGA30135270070164501(c)(3)6300Open the Door Care
Macon College Foundation Inc
100College Station Dr A217MaconGA31210237066010501(c)(3)20000KP Nursing
Mary Hall Freedom House Inc
200 Hannover Park Rd 200AtlantaGA30350582238354501(c)(3)25000Destiny Unlimited
Maynard Jackson Youth Foundation
100 Peachtree St Ste 2275AtlantaGA30303581884897501(c)(3)19500Learn.Live.Lead.(L3)
McIntosh Trail Community Service Board
1501-A Kalamazoo DrGriffinGA30224582098758Government70000Spalding Health
Mercy Health Center Inc
767 Oglethorpe Ave Ste BAthensGA30606582603523501(c)(3)40000It Takes a Village
Mercy Heart Inc
2796 Georgia Hwy 20 SConyersGA30013263786470501(c)(3)12000Mercy Heart Operatn
Ministries United for Serv & Training Inc
1407 Cobb Parkway NorthMariettaGA30061582034725501(c)(3)58150Summer Lunch Program
MLK Jr Cntr Nonviolent Social Chge Inc
449 Auburn Avenue NEAtlantaGA30312581030989501(c)(3)270002013 Salute To Great
MLK Jr Poor Peoples Church of Love
1035 Donnelly Avenue SWAtlantaGA30310581340903501(c)(3)25000MLK, Jr.Suite 100
Morehouse College
830 Westview DriveAtlantaGA30314580566205501(c)(3)15000Dr. Franklin Health
National Mental Health Assoc of GA Inc
100 Edgewood Ave Ste 502AtlantaGA30303580611310501(c)(3)50000Healthcare AccessNW
Nature Conservancy Inc
1330 W Peachtree St NW410AtlantaGA30309530242652501(c)(3)15000Preserve North GA
New Hope Initiatives
970 Jefferson St NWAtlantaGA30318270230104501(c)(3)40000C.N.A.andSTRIVE Job
North Fulton Community Charities Inc
11270 Elkins RoadRoswellGA30076581521088501(c)(3)25000Emergency Assistance
Palmetto Health Council Inc
643 Main StreetPalmettoGA30268581307597501(c)(3)70000Integration Primary
Park Pride Atlanta Inc
233 Peachtree St NE 1600AtlantaGA30303581883895501(c)(3)48500Community GardeningSuite 300
Partnership Against Domestic Violence
114 New Street Suite LDecaturGA30030581314556501(c)(3)54250FY13 Teen Dat Viol
Partnership for Community Action Inc
815 Park North BlvdClarkstonGA30021586049575501(c)(3)45000Healthy Access Proj
Pedestrians Educat Drivers on Safety Inc
1389 Peachtree St NE 202AtlantaGA30309582267503501(c)(3)25000Safe Routes Transit
Physicians Care Clinic Inc
2675 N Decatur Rd 406DecaturGA30033582107579501(c)(3)19500Clinic & chronic dis
Piedmont Hospital Incorporated
1968 Peachtree Road NWAtlantaGA30309580566213501(c)(3)500000Enhancing Patients
Piedmont Park Conservancy Inc
400 Park Drive NEAtlantaGA30306581551369501(c)(3)74400Healthy Living
Project Open Hand-Atlanta Inc
176 Ottley DriveAtlantaGA30324581816778501(c)(3)95000Market Basket Pantry
Robert W Woodruff Arts Center Inc
1280 Peachtree St NEAtlantaGA30309580633971501(c)(3)99000Young smART
Rockdale County
1240 Dogwood Dr PO 289ConyersGA30012586000882Government50000Rockdale Senior Well
Senior Connections Inc
5328 Peachtree RoadChambleeGA30341581187876501(c)(3)50000Meals On Wheels
Senior Services North Fulton Inc
3060 Royal Blvd S130AlpharettaGA30022581948370501(c)(3)20000Transport Options
Snr Citizen Services of Metro Atlanta Inc
1705 Commerce Drive NWAtlantaGA30318580960309501(c)(3)50000Extra Help&Care Mgmt
Special Olympics Georgia Inc
4000DeKalb Technology PkyAtlantaGA30340237201676501(c)(3)8000Health & Wellness
Susan G Komen Breast Cancer Foundation
4840Roswell Rd Bldg D100AtlantaGA30342581959763501(c)(3)22000Komen Atlanta Race
The Cancer Foundation of Northeast Georgia
3320Old Jefferson Rd 700AthensGA30607203378035501(c)(3)12600Financial Assist
The Children's Museum of Atlanta Inc
275Centennial Olympic DrAtlantaGA30313581785484501(c)(3)50000Growing Healthy Kids
The Cntr for Black Women's Well CBWW Inc
477 Windsor St SW Ste309AtlantaGA30312582212203501(c)(3)65348Safety Clinic -CVD
The Community Fdn for Greater Atlanta Inc
50 Hurt Plaza Suite 449AtlatntaGA30303581344646501(c)(3)650000K.P. Fund for CB
The Environmental Fund for Georgia Inc
1447 Peachtree St Ste214AtlantaGA30309582022001501(c)(3)970002013 Earth Day Event
The Henry W Grady Health System Fdn Inc
191 Peachtree St NE 820AtlantaGA30303582130437501(c)(3)2083000TRAVEL in PINK Fund
The Morehouse School Of Medicine Inc
720 Westview Drive SWAtlantaGA30310581438873501(c)(3)160000Strategic Partner
Trees Atlanta Inc
225 Chester AvenueAtlantaGA30316581584758501(c)(3)90000Atl BeltLine Arbore
United Way of Metropolitan Atlanta Inc
100 Edgewood Ave NEAtlantaGA30303580566194501(c)(3)300000Healthy Communities
University of West Georgia Foundation Inc
1601 Maple StreetCarrolltonGA30118586056464501(c)(3)20000K.P. Nursing
Visiting Nurse Health System Inc
5775 Glenridge Dr E200AtlantaGA30328580566250501(c)(3)70000PalliativeCare Pilot
Wellspring Living Inc
140 Howell Road Ste C-2TyroneGA30291582614182501(c)(3)32000Wellspring Girls Pro
Year Up Inc
730 Peachtree StreetAtlantaGA30308043534407501(c)(3)24695Student Services
YMCA of Metropolitan Atlanta Inc
100 Edgewood Ave Ste 1100AtlantaGA30303580566253501(c)(3)250000K.P./YMCA HEAL 2013
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants103TotalNbrOf501C3AndGovtGrants
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
ExplanationAt the end of their funding cycle, grantees are required to submit a final Report which delineates accomplishments related to stated objectives. Large grants (typically over $100K) may require quarterly progress reports.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (22 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
Dawn Bading
VP, Human Resources - GA0188141081790032402060354015914037860100
James Cullinan
VP, Mktg Sales & Bus Dev't020373801354460717270555440124730478928054707
George Halvorson
Chairman and CEO0124216806949670016085130668650192930988650900
Carrie J Jennison
VP, CFO - Georgia036344102325590218788075784013396090396800
Jonna Kirkwood
VP, Operations - GA02305790101947017758075498013744043952600
Kerry Kohnen
Region President - Georgia038435502024380639580164057013744082855200
Kathryn Lancaster
EVP & CFO06502870129745008322520319606013288031128830790044
Donna Lynne
Director0491921057697504088302098120142690133386000
Kirkland McGhee
VP, Regional Counsel - GA019650707968803276029281014688032344000
Thomas Meier
SVP, Corporate Treasurer031895104599750371560113460016288094583000
Carolyn J Mustille
VP, Quality, Service & Nursing0256541063734019670079892015434043527100
Donald Orndoff
SVP, NFS039084003527500227510143756016415092651200
J Neal Purcell
Director140002232500001421400001400023746400
Arthur Southam
EVP, Health Plan Operations0755588015301020106468603644230155660373036501019527
Deborah Stokes
SVP, CC & CAO0347253027849606474401299810132880833762043578
Daniel J Styf
VP, Strategy & Bus Execution0186193070335014937042358013850032767300
Beverly Thomas
VP, Community & Public Affairs0182000093038022053057936013396036842300
Bernard J Tyson
Director & Chair0932699020873520106704206055500193950471203801036741
Michael Bernard Wathen
VP, HP Svcs Admin - GA0160194014514015637049247014454025404600
Steven Zatkin
Former Gen. Counsel/Consultant099000288225025376067392014194040508700
Victoria Zatkin
Assistant Secretary019629401061330368440842750227104258170
Mark Zemelman
SVP, Gen Counsel & Secretary0465119038715201667950214482015015012485630124315

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE J, PART IISteven Zatkin - General Counsel to 6/30/10; consultant 3/4/11 to present. SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT OFFICIALS' COMPENSATION Kaiser Foundation Health Plan of Georgia 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 4BJAMES CULLINAN $ 54,707 GEORGE HALVORSON 1,500,000 KATHRYN LANCASTER 790,314 THOMAS MEIER 858 CAROLYN MUSTILLE 374 ARTHUR SOUTHAM 1,019,527 DEBORAH STOKES 43,578 BERNARD TYSON 1,036,741 STEVEN ZATKIN 5,087 MARK ZEMELMAN 126,344 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.SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT
SCHEDULE J, PART I, LINE 7The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves.NON-FIXED PAYMENTS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, LINE 4CHANGES TO GOVERNING DOCUMENTSThe Articles of Incorporation of the Corporation were amended in 2012 as follows: Articles Four, Five and Seven of the Restated Articles of Incorporation of the Corporation 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; (b) add the provision that removal of "any" President shall require the approval of the member; (c) add the provision that compensation of "any" President shall require the approval of the member; and (d) 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. Articles of Amendment to the Restated Articles of Incorporation of the Corporation were filed June 21, 2012; and The Articles of Incorporation of the Corporation were amended in 2013 as follows: Article Eight, which contained the name and address of the Corporations initial registered agent, was removed and the articles were fully restated to integrate into in one document all of the provisions of the articles currently on file. Second Restated Articles of Incorporation of the Corporation were filed January 25, 2013.
FORM 990, PART VI, LINE 6MEMBERS OR STOCKHOLDERSKAISER 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 7AELECT MEMBERS OF THE GOVERNING BODYKaiser Foundation Health Plan, Inc. appoints the Board of Directors (and fills vacancies and has authority to remove Directors).
FORM 990, PART VI, LINE 7BMEMBERS' APPROVALThe following actions of the corporation require the approval of the member. Typically the member (KFHP) would approve actions requiring member approval and the Board of Directors of KFHP-GA also would approve or ratify the action: 1. Removal of the Chairman of the Board, CEO, or any President. The compensation of any President and other executive officers of the corporation shall be approved by the member's Compensation Committee; 2. The sale, lease, exchange, or other disposition of, the mortgage, pledge or dedication to the repayment of indebtedness (whether with or without recourse), or any other encumbrance of property of the corporation, or the acquisition of assets, whether or not in the usual or regular course of the corporation's activities, where the fair market value of such corporate property or assets being disposed of, acquired or encumbered exceeds 10% of the value of the assets of the corporation as reflected in the most recent annual or quarterly financial statements that are available on the date immediately preceding the date of the relevant transaction shall require the approval of the member; 3. Capital expenditures that exceed $25 million shall require the approval of the member; 4. The issuance of tax-exempt bonds; 5. Amendments to Article C (Members), D (Directors) and H (Amendment and Effect of Bylaws) of the Bylaws and amendments to the Articles of Incorporation. Article A (Purposes), B (Offices), E (Officers), F (Committees) and G (Miscellaneous) of the Bylaws may be amended by the Board of KFHP-GA acting alone and do not require ratification by the member.
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 benefit 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 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 compact disk containing the signed 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. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. 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 process completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. B. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy - To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: 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 informs 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. - 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 18Form 990 is available on www.guidestar.org.
FORM 990, PART VI, LINE 19PUBLIC INSPECTIONGoverning 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 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 ORGANIZATIONSIndividuals 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 IX, LINE 11gOther Fees for ServicesPURCHASED MEDICAL SERVICES - OUTSIDE PERSONNEL $ 186,309,752 PURCHASED SERVICES - OTHER NON-MEDICAL 30,970,078 _________________ TOTAL 217,279,830
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCESTRANSFER OF UNREALIZED GAINS $ 2,846,322 CHANGE IN OTHER COMPREHENSIVE INCOME < 21,768,407> GAIN/LOSS ON INVESTMENTS - TAX < 3,595,352> GAIN/LOSS ON INVESTMENTS - BOOK 1,369,012 OTHER THAN TEMPORARY IMPAIRMENTS < 248,966> _________________ TOTAL < 21,397,391>
FORM 990, PART III, LINE 4A-D2012 COMMUNITY BENEFIT SUMMARY REPORTKAISER FOUNDATION HEALTH PLAN OF GEORGIA, 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 GEORGIA: IN 2012, GEORGIA HEALTH PLAN SERVED 234,407 MEMBERS AND EXPENDED $34.8 MILLION (AT COST, NET OF $1.6 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 GEORGIA HEALTH PLAN EXPENDED $16.1 MILLION (AT COST, NET OF $1.6 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 GEORGIA REGION, HEALTH PLAN PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2012, THE GEORGIA HEALTH PLAN SPENT APPROXIMATELY $10.6 MILLION (AT COST, NET OF $639 THOUSAND OF RELATED REVENUES) ON UNDER-AND UNINSURED PATIENTS. - MEDICAL FINANCIAL ASSISTANCE PROGRAM - THE GEORGIA HEALTH PLAN'S MEDICAL FINANCIAL ASSISTANCE (MFA) PROGRAM PROVIDES TEMPORARY FINANCIAL ASSISTANCE AND/OR MEDICALLY NECESSARY SERVICES, MEDICATIONS, AND SUPPLIES TO PATIENTS WITH A DEMONSTRATED FINANCIAL NEED. PATIENTS MUST RECEIVE HEALTH CARE SERVICES AT A KAISER PERMANENTE FACILITY AND/OR FROM A KAISER PERMANENTE PROVIDER. KAISER PERMANENTE'S CHARITY CARE PROGRAM ALSO INCLUDES DISCOUNTED CHARGES FOR UNINSURED PATIENTS BELOW 400% FEDERAL POVERTY GUIDELINES AND ALIGNED CONTRACTED COLLECTION AGENCY PRACTICES WITH KAISER PERMANENTE SOCIAL VALUES. MORE THAN 2,600 QUALIFIED APPLICANTS BENEFITED FROM THIS PROGRAM IN 2012. - CHARITABLE HEALTH COVERAGE PROGRAM - 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 KAISER PERMANENTE BRIDGE PROGRAM ENROLLS AND SUBSIDIZES 95% OF THE PREMIUM FOR UP TO TWO YEARS FOR ELIGIBLE INDIVIDUALS WHO DO NOT HAVE ACCESS TO ANY OTHER FORM OF HEALTH INSURANCE. THIS PROGRAM PARTNERS WITH COMMUNITY AGENCIES TO IDENTIFY ELIGIBLE CLIENTS WHOSE INCOME FALLS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES. THROUGHOUT 2012, 2,349 UNIQUE INDIVIDUALS WERE SERVED, WHILE 1,386 INDIVIDUALS WERE NEWLY ENROLLED IN THE BRIDGE PROGRAM. THE PROGRAM ENDED THE YEAR WITH OVER 1,600 BRIDGE MEMBERS. 2. MEDICAID THE GEORGIA HEALTH PLAN PARTICIPATES IN THE FEDERAL MEDICAID PROGRAM AS A PROVIDER OF PEDIATRIC PRIMARY AND SPECIALTY CARE THROUGH CONTRACTS WITH AMERIGROUP COMMUNITY CARE AND PEACH STATE HEALTH PLAN. IN 2012, KAISER PERMANENTE SUPPORTED MORE THAN 16,000 OFFICE VISITS FROM MORE THAN 5,900 PEDIATRIC MEDICAID AND CHILDREN'S HEALTH INSURANCE PLAN (CHIP) PATIENTS.
B. COMMUNITY HEALTH INITIATIVES (CHI)1. COMMUNITY HEALTH EDUCATION AND PREVENTION PROGRAMS - THE GEORGIA HEALTH PLAN IS THE SPONSOR OF THE GREEN MARKET, A WEEKLY FARMERS' MARKET (MAY-DECEMBER) OFFERING A VARIETY OF ORGANIC FRUITS, VEGETABLES, FRESH CUT FLOWERS, BAKED GOODS AS WELL AS HEALTHY COOKING DEMONSTRATIONS. IN 2012, 90,000 PEOPLE ATTENDED THE GREEN MARKET. - IN 2012 THE GEORGIA HEALTH PLAN OFFERED A VARIETY OF HEALTHY LIVING CLASSES AND CUSTOMIZED PROGRAMS TO OVER 1,260 CLIENTS OF 5 METRO ATLANTA "Y" BRANCHES WHO SERVE VULNERABLE COMMUNITIES. 2. GRANTS AND DONATIONS FOR COMMUNITY HEALTH INITIATIVES - THE GEORGIA HEALTH PLAN CONTRIBUTED $3.5 MILLION TO NONPROFIT ORGANIZATIONS TO SUPPORT A VARIETY OF COMMUNITY HEALTH INITIATIVES. C. SAFETY NET PARTNERSHIPS GRANTS AND DONATIONS FOR SAFETY NET PARTNERSHIPS - GEORGIA HEALTH PLAN SPENT APPROXIMATELY $5.9 MILLION ON CHARITABLE CONTRIBUTIONS ASSOCIATED WITH SAFETY NET AND OTHER PRIORITIES IN 2012. - THE GEORGIA HEALTH PLAN WORKED WITH THE GEORGIA CENTER FOR NONPROFITS TO PROVIDE CAPACITY BULDING CONSULTING TO SAFETY NET CLINICS. GEORGIA HEALTH PLAN COLLABORATED WITH KAISER PERMANENTE'S TRAINING AND DEVELOPMENT DEPARTMENT TO PROVIDE A QUALIFIED BILINGUAL 'TRAIN THE TRAINER' AND EDUCATIONAL PROGRAM TO 10 SAFETY NET AND COMMUNITY HEALTH PARTNERS. - KAISER PERMANENTE OF GEORGIA AWARDED A CONTRIBUTION OF $70,000 TO THE PALMETTO HEALTH COUNCIL. THIS MONEY WAS USED TO FUND A DEPRESSION CASE MANAGER. DURING THE GRANT YEAR, THE CASE MANAGER SERVED 800 PATIENTS DIAGNOSED WITH DEPRESSION OR DEPRESSION/ANXIETY WHO HAD A CHRONIC ILLNESS SUCH AS CANCER, DIABETES OR HYPERTENSION. D. DEVELOPING AND DISSEMINATING KNOWLEDGE 1. CLINICAL AND HEALTH RESEARCH - GEORGIA HEALTH PLAN FUNDED APPROXIMATELY $6.4 MILLION TOWARDS MEDICAL RESEARCH PROJECTS DURING 2012. 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, KAISER GEORGIA CENTER FOR HEALTH RESEARCH-SOUTHEAST PARTICIPATED IN 106 RESEARCH STUDIES AND DISSEMINATED RESULTS IN 21 PEER-REVIEWED PUBLICATIONS IN SCIENTIFIC JOURNALS. THREE STUDIES FOCUSED ON CONDITIONS AFFECTING VULNERABLE POPULATIONS THROUGHOUT GEORGIA INCLUDING: 1) ATLANTA BELTLINE, 2) HELPING "LIVE HEALTHY GEORGIA" TO THRIVE, AND 3) PROMOTING INNOVATIVE STRATEGIES TO COMBAT VACCINE REFUSAL IN MINORITY POPULATIONS. - KAISER GEORGIA CENTER FOR HEALTH RESEARCH COLLABORATED WITH LOCAL AND NATIONAL INSTITUTIONS INCLUDING THE FOLLOWING: THE CENTERS FOR DISEASE CONTROL AND PROVENTION, THE GEORGIA DIVISION OF PUBLIC HEALTH, GEORGIA DEPARTMENT OF HUMAN RESOURCES, THE NATIONAL INSTITUTES OF HEALTH, THE FOOD AND DRUG ADMINISTRATION, AND THE NHI'S NATIONAL CANCER INSTITUTE. 2. EDUCATIONAL THEATRE PROGRAMS (ETP) - THE GEORGIA HEALTH PLAN SPENT APPROXIMATELY $1.1 MILLION IN 2012 TO PRODUCE THE EDUCATIONAL THEATRE PROGRAMS (ETP) IN GEORGIA. KAISER PERMANENTE GEORGIA'S EDUCATIONAL THEATRE PROGRAM ENGAGES AUDIENCES IN LEARNING VITAL HEALTH MESSAGES THROUGH TWO UNIQUE TEAMS OFFERING A RANGE OF COMPELLING PROGRAMS. THE EDUCATIONAL OUTREACH TEAM OFFERS LONG-TERM RESIDENCIES AS WELL AS WORKSHOPS TO UNDERSERVED COMMUNITIES AND SCHOOLS WITH HIGH-NEED STUDENTS. THE PERFORMANCE COMPANY CONTINUES THE TRADITION OF TEACHING HEALTHY MESSAGES THROUGH HIGH-QUALITY THEATRE PERFORMANCES FOR SCHOOLS, CHURCHES, AND COMMUNITY GROUPS. TOPICS ADDRESSED BY THE TEAMS RANGE FROM AIDS AWARENESS, STRESS MANAGEMENT, EARLY CHILDHOOD SAFETY MESSAGES AND GRIEF MANAGEMENT TO HEALTHY EATING AND ACTIVE LIVING. - IN 2012, ETP HELD OVER 1,000 PERFORMANCES FOR A TOTAL AUDIENCE OF MORE THAN 150,000 ADULTS AND CHILDREN. 3. TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS 1) PHARMACY RESIDENCY PROGRAM - KAISER PERMANENTE GEORGIA CURRENTLY HAS TWO POST-GRADUATE PHARMACY RESIDENCY PROGRAMS: POSTGRADUATE YEAR ONE (PGY1) MANAGED CARE PHARMACY RESIDENCY AND A POST-GRADUATE YEAR TWO (PGY2) AMBULATORY CARE PHARMACY RESIDENCY PROGRAM. THE PROGRAMS ARE DESIGNED TO DEVELOP ACCOUNTABILITY; PRACTICE PATTERNS; HABITS; AND EXPERT KNOWLEDGE, SKILLS, ATTITUDES, AND ABILITIES IN THE RESPECTIVE AREA OF PHARMACY PRACTICE. - DURING 2012, A TOTAL OF FOUR RESIDENTS PARTICIPATED IN THE POST-GRADUATE PHARMACY PROGRAMS, 2 POSTGRADUATE YEAR ONE (PGY1) AND 2 POSTGRADUATE YEAR TWO (PGY2) RESIDENTS. ONE OF THE CURRENT PGY1 RESIDENTS HAS COMMITTED TO CONTINUE IN THE PGY2 PROGRAM IN 2013. AS OF THE END OF 2012, ALL PGY2 AMBULATORY CARE RESIDENTS THAT HAVE COMPLETED THE PROGRAM ARE BOARD-CERTIFIED. THIS ACCOMPLISHMENT IS A GOAL OF THE PROGRAM. 2) SELF-SUFFICIENCY PROGRAMS - THE INROADS PROGRAM SEEKS TO INCREASE BUSINESS CAREER OPPORTUNITIES AND KNOWLEDGE FOR HIGHLY QUALIFIED DIVERSE STUDENTS WHILE GIVING CORPORATIONS THE OPPORTUNITY TO DEVELOP DIVERSE MANAGERIAL TALENT. INROADS IDENTIFIES INTERESTED AND CAPABLE HIGH SCHOOL, COLLEGE, AND UNIVERSITY STUDENTS WHO ARE PLACED WITHIN HEALTH PLAN'S FACILITIES IN GEORGIA FROM TWO TO FIVE SUMMERS WITH THE GOAL OF PERMANENT PLACEMENT UPON GRADUATION. - IN 2012, THE GEORGIA HEALTH PLAN EMPLOYED 8 INROADS INTERNS. ONE OF THE INTERNS FROM THE 2012 GRADUATING CLASS WAS HIRED TO A POSITION AT KAISER PERMANENTE. 4. GRANTS AND DONATIONS FOR KNOWLEDGE DISSEMINATION - KAISER FOUNDATION HEALTH PLAN OF GEORGIA WORKS WITH LOCAL COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKER SHORTAGES. IN 2012, GEORGIA HEALTH PLAN AWARDED $470,000 TO SEVERAL HEALTH PROFESSION PROGRAMS. SCHOLARSHIP PROGRAMS WERE FUNDED AT 8 NURSING PROGRAMS AND THE MOREHOUSE SCHOOL OF MEDICINE. IN ADDITION, CONTRIBUTIONS WERE MADE TO THE MOREHOUSE COLLEGE HEALTH PROFESSION SCHOLARSHIP FUND TO ENCOURAGE UNDERGRADUATE STUDENTS TO PURSUE COLLEGE COURSES THAT WILL LEAD TO CAREERS OR FURTHER EDUCATION IN THE HEALTH CARE FIELD. - A CONTRIBUTION OF $100,000 WAS MADE IN 2012 TO THE SATCHER HEALTH LEADERSHIP INSTITUTE AT THE MOREHOUSE SCHOOL OF MEDICINE TO ADDRESS MENTAL HEALTH DISPARITIES, AND FACILITATE THE INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE. E. OTHER COMMUNITY BENEFIT INVESTMENTS DURING 2012, THE GEORGIA HEALTH PLAN SPENT $1.6 MILLION ON OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. CHARITABLE CONTRIBUTIONS WERE DEDICATED TO PROGRAMS THAT DO NOT FIT INTO THE FOUR PRIORITY AREAS SUCH AS THE WOODRUFF ARTS CENTER/YOUNG AUDIENCES.

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 SUITE 15LOAKLANDCA94612941340523HEALTH CARECA501(C)(3)9NAfalse
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612941105628HEALTH CARECA501(C)(3)3KFHP INCtrue
KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612840591617HEALTH CARECO501(C)(3)9KFHP INCtrue
KFHP OF THE MID-ATLANTIC STATES
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612520954463HEALTH CAREMD501(C)(3)9KFHP INCtrue
KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612930798039HEALTH CAREOR501(C)(3)9KFHP INCtrue
KAISER FDN HEALTH PLAN OF OHIO
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612340922268HEALTH CAREOH501(C)(3)9KFHP INCtrue
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943299124ASSET MGMTCA501(C)(3)11 - IKFHP INCtrue
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612912171891RISK MGMTHI501(C)(3)11 - IKFHP INCtrue
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943299125ASSET MGMTCA501(C)(3)11 - IKFHtrue
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943299123ADMINCA501(C)(3)11 - IKFHP INCtrue
OHP
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612930480268LEASINGWA501(C)(3)11 - IKFHP INCtrue
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612930954562HEALTH CAREOR501(C)(3)9KFHP INCtrue
1800 HARRISON
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943317484FINANCINGCA501(C)(3)11 - IIKFHP INCtrue
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612311779500FINANCINGCA501(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 TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
HCMS LLC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612203924985CASE MANAGEMENTCANAN/A00$0false0.00000
KAISER PERMANENTE VENTURES LLC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612272252521INVESTMENTSCANAN/A00$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612030329760INUSRANCEVTNAC CORP000.00000false
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943203402INUSRANCECANAC CORP000.00000false
KAISER PROPERTY SERVICES INC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943259432REAL ESTATECANAC CORP000.00000false
ARCHIMEDES INC
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612203774729CONSULTINGCANAC CORP000.00000false
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA SUITE 15LOAKLANDCA94612943245176CONSULTINGCANAC CORP000.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
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 EmployeestrueSharingOfPaidEmployees
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 (31 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
kaiser foundation hospitals
b59286per agreement
kaiser foundation hospitals
e110000000per agreement
kaiser foundation hospitals
m263933242per agreement
kaiser foundation hospitals
p105152177per agreement
kaiser foundation hospitals
q3044045per agreement
kaiser foundation hospitals
r193059108per agreement
Kaiser foundation health plan inc
c2846322per agreement
Kaiser foundation health plan inc
l7764329per agreement
Kaiser foundation health plan inc
m34247881per agreement
Kaiser foundation health plan inc
p20833808per agreement
Kaiser foundation health plan inc
q12088549per agreement
KFHP of colorado
l236822per agreement
KFHP of colorado
m196733per agreement
KFHP of colorado
p225742per agreement
KFHP of the Mid-Atlantic States
l1624336per agreement
KFHP of the Mid-Atlantic States
m662794per agreement
KFHP of the Mid-Atlantic States
p69647per agreement
KFHP of the Mid-Atlantic States
q168556per agreement
KFHP of the Northwest
l140240per agreement
KFHP of the Northwest
q50994per agreement
KFHP of OHIO
l514833per agreement
KFHP of OHIO
m132620per agreement
Camp Bowie Service Center
m3762040per agreement
Camp Bowie Service Center
p314236per agreement
Kaiser Permanente Insurance Company
l7162453per agreement
Kaiser Permanente Insurance Company
m30525706per agreement
Kaiser Permanente Insurance Company
q15506392per agreement
Lokahi Assurance Ltd
m7706821per agreement
Lokahi Assurance Ltd
q1143653per agreement
Oak Tree Assurance Ltd
m243151per agreement
Oak Tree Assurance Ltd
q87783per agreement