2012-11-12T14:05:52-06:00 2011-12-31 PRICEWATERHOUSECOOPERS LLP 2001 MARKET STREET SUITE 1700 PHILADELPHIA PA 19103 990 2011-01-01 943299123 CAMP BOWIE SERVICE CENTER % VP - NATIONAL TAX COMPLIANCE CAMP 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 DEBORAH STOKES 5102716385 2012-11-02 2673303000 2011 2016-02-24 21:20:13Z GERARD L COY ONE KAISER PLAZA 15L OAKLAND CA 94612 32725217 false X N/A X 1998 CA CAMP BOWIE SERVICE CENTER PROVIDES MEMBERSHIP ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO THE AFFILIATED EXEMPT ORGANIZATIONS THAT COMPRISE THE KAISER PERMANENTE MEDICAL CARE PROGRAM. 3 0 0 0 0 0 0 26091582 32709734 125551 15483 0 0 26217133 32725217 0 0 0 0 6608553 18841237 0 0 0 19340760 13864974 25949313 32706211 267820 19006 27706609 19227564 29096512 20856108 -1389903 -1628544 CAMP BOWIE SERVICE CENTER PROVIDES MEMBERSHIP ACCOUNTING AND ADMINISTRATIVE SUPPORT SERVICES TO THE AFFILIATED EXEMPT ORGANIZATIONS THAT COMPRISE THE KAISER PERMANENTE MEDICAL CARE PROGRAM. false false 32706211 32709734 PROCESS INDIVIDUAL MEMBERSHIP RECORDS FOR THE MEMBERS OF THOSE AFFILIATED ORGANIZATIONS THAT COMPRISE THE KAISER PERMANENTE MEDICAL CARE PROGRAM. 32706211 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true X 0 0 0 false false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true true true false CA X VP - NATIONAL TAX COMPLIANCE 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X ARTHUR SOUTHAM MD 0.1 X 0 2649224 348687 BERNARD TYSON 1.0 X 0 2800296 482152 DONNA LYNNE 1.0 X 0 1314917 222947 DEBORAH STOKES 0.3 X 0 720302 118018 GERARD L COY 10.0 X 0 745681 97813 KATHRYN LANCASTER 1.0 X 0 2109102 289626 THOMAS R MEIER 1.0 X 0 802247 110802 VICTORIA B ZATKIN 0.5 X 0 314768 84531 MARK S ZEMELMAN 0.1 X 0 778576 191923 RUSS HEROLD 50.0 X 0 142136 28990 CHARLES KIRSCHBAUM 50.0 X 0 127146 21333 CALVIN STRIGGLES 50.0 X 0 114129 25713 BARBARA ISHIKAWA 50.0 X 0 236897 37411 DENNIS SENTZ 20.0 X 0 338593 119066 0 13194014 2179012 0 false true false KELLY SERVICES INC PO BOX 530437 ATLANTA GA 30353 O/S PERSONEL 246058 FISERV OUTPUT SOLUTIONS 13100 N PROMENADE BLVD STAFFORD TX 77477 PRINTING & DUPL. SVC 637385 INSIGHT GLOBAL INC 4170 ASHFORD DUNWOODY RD 580 ATLANTA GA 30319 O/S PERSONEL 417171 KFORCE PO Box 277997 ATLANTA GA 30384 O/S PERSONEL 124688 4 0 MEMBERSHIP SERVICE 561499 32709734 32709734 32709734 15483 0 15483 0 0 0 0 0 0 0 32725217 32709734 0 15483 0 0 0 0 0 0 12642755 12642755 0 0 8170 8170 6079176 6079176 111136 111136 0 0 0 0 0 0 0 0 326009 326009 0 0 1997705 1997705 141254 141254 0 17257 17257 0 6915840 6915840 1860860 1860860 0 OUTSIDE MEDICAL SERVICES 995131 995131 EQUIPMENT RENTAL 814263 814263 NON-CAPITAL EQUIPMENT 87433 87433 OUTSIDE NON-MEDICAL SERVICES 474475 474475 234747 234747 32706211 32706211 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 68547 224055 16031746 3260829 3625616 12770917 0 0 0 0 0 0 0 0 24012446 6232592 27706609 19227564 827631 229811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28268881 20626297 29096512 20856108 X 0 0 0 0 -1389903 -1628544 -1389903 -1628544 27706609 19227564 X 19006 -257647 X false true true X false X X X false false false KAISER FOUNDATION HEALTH PLAN INC 941340523 09 true true true 11245149 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST 930798039 09 true true true 7693049 KASIER FOUNDATION HEALTH PLAN OF COLORADO 840591617 09 true true true 8232249 KAISER FOUNDATION HEALTH PLAN OF GEORGIA 581592076 09 true true true 3502819 KAISER FOUNDATION HEALTH PLAN OF OHIO 340922268 09 true true true 1595185 KFHP OF THE MID-ATLANTIC STATES INC 520954463 09 true true true 462981 6 32731432 Camp Bowie provides membership accounting and administrative support to Kaiser Foundation Health Plan Inc and its subsidiaries 8725906 1547513 7178393 4524310 1144562 3379748 2781530 568754 2212776 12770917 DUE FROM AFFILIATED ORG 6232592 6232592 0 ACCRUED BONUS 340228 PENSION/BENEFIT PLAN PAYABLE 896765 DUE TO AFFILIATES 13148099 LT DEFERRED RENT 745903 SEVERENCE/POST EMPLOYMENT BENEFITS 5495302 20626297 false true false false false false false false false ARTHUR SOUTHAM MD 0 741374 0 1175000 0 732850 0 336623 0 12064 0 2997911 0 688121 BERNARD TYSON 0 892605 0 1290000 0 617691 0 469158 0 12994 0 3282448 0 587707 DEBORAH STOKES 0 315132 0 337575 0 67595 0 105024 0 12994 0 838320 0 48521 DONNA LYNNE 0 476108 0 475000 0 363809 0 208108 0 14839 0 1537864 0 323554 GERARD L COY 0 352219 0 260702 0 132760 0 85749 0 12064 0 843494 0 115894 KATHRYN LANCASTER 0 630520 0 907953 0 570629 0 276632 0 12994 0 2398728 0 529003 THOMAS R MEIER 0 314471 0 339188 0 148588 0 97808 0 12994 0 913049 0 113944 VICTORIA B ZATKIN 0 192675 0 85692 0 36401 0 82570 0 1961 0 399299 0 0 RUSS HEROLD 0 119752 0 16035 0 6349 0 14151 0 14839 0 171126 0 0 BARBARA ISHIKAWA 0 163757 0 57746 0 15394 0 22572 0 14839 0 274308 0 0 MARK S ZEMELMAN 0 398502 0 259500 0 120574 0 179338 0 12585 0 970499 0 80051 DENNIS SENTZ 0 174991 0 84274 0 79328 0 106499 0 12567 0 457659 0 0 Schedule J, Question 3 All officers, directors and employees performing services for Camp Bowie Service Center (CBSC) are employees of other Kaiser organizations. CBSC is recharged by other Kaiser organizations for employees' time. CBSC currently utilizes 342 employees of other Kaiser organizations. Camp bowie service center relied on a related organization that used one or more of the methods described below to establish the top management officials' compensation: Compensation committee Independent compensation consultant Written employment contract Compensation survey or study, and Approval by the board or compensation committee Schedule J, Question 4a 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, Question 4b Gerald L. Coy $ 115,894 Kathryn Lancaster 529,350 Thomas Meier 114,428 Deborah Stokes 48,521 Donna Lynne 323,554 Arthur M. Southam 688,121 Bernard J. Tyson 587,707 Mark S. Zemelman 81,133 TOTAL $2,488,708 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. Form 990, Part VI, Line 6 Kaiser Foundation Health Plan, Inc is sole member Form 990, Part VI, Line 7a Kaiser Foundation Health Plan, Inc appoints the directors (and fills vacancies and has authority to remove directors) Form 990, Part VI, Line 7b The single member, Kaiser Foundation Health Plan, Inc, could have approval over goveranance decisions. Form 990, Part VI, Line 11b FORM 990 REVIEW PROCESS 1. KEY INFORMATION IS OBTAINED AND/OR CONFIRMED WITH INTERNAL SOURCES INCLUDING REGIONAL FINANCE AND EXECUTIVE COMPENSATION. 2. Prior to finalization, the return is reviewed with a PRICEWATERHOUSECOOPERS tax advisor. 3. once signed by a PRICEWATERHOUSECOOPERS tax advisor, the return and underlying data are reviewed by an officer or a member of management designated by an officer for signature and filing. 4. Copies are then provided to Board Members prior to filing. Form 990, Part VI, Line 12c 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 Chief Compliance Officer and the SVP of Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required; In addition, Conflicts of Interest Questionnaire reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires 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. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: A. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. B. Kaiser Permanente informs employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. C. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem - Written notice, with or without final warning - Paid or unpaid suspension, with or without final warning - Termination of employment Form 990, Part VI, Line 15a/b The executive compensation program as administered by Kaiser Foundation Health Plan, Inc is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors 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 19 Governing documents, Conflict of Interest Policy - are available upon request as disclosed to other regulatory bodies To request copies contact: Vice President - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Ste 15L Oakland, CA 94612 Form 990, Part VII, Section A, Column B Hours for related organizations Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated. Form 990, Part XI, Line 5 Other Changes in Net Assets or Fund Balances Change in Other Comprehensive Income <$257,647> Form 990, Part V, Line 2 All officers, directors and employees performing services for Camp Bowie Service Center (CBSC) are employees of other Kaiser organizations. CBSC is recharged by other Kaiser organizations for employees' time. CBSC currently utilizes 342 employees of other Kaiser organizations. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR SOUTHAM, MD TITLE:DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BERNARD TYSON TITLE:DIRECTOR HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONNA LYNNE TITLE:DIRECTOR & CHAIR HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBORAH STOKES TITLE:SVP, CC & CAO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GERARD L COY TITLE:PRESIDENT HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHRYN LANCASTER TITLE:EXECUTIVE VP, CFO HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS R MEIER TITLE:SVP & TREASURER HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VICTORIA B ZATKIN TITLE:ASSISTANT SECRETARY HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK S. ZEMELMAN TITLE:SECRETARY HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RUSS HEROLD TITLE:SR MANAGER ACCOUNTING HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES KIRSCHBAUM TITLE:SR OPERATIONS MANAGER HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CALVIN STRIGGLES TITLE:MANAGER - ACCOUNTING HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BARBARA ISHIKAWA TITLE:DIR - MEMBERSHIP ADMIN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DENNIS SENTZ TITLE:CONTROLLER/MARKETING/SALES HOURS:30 KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA 15L OAKLAND CA 94612 941340523 HEALTH CARE CA 501(c)(3) 9 NA false KAISER FOUNDATION HEALTH PLAN OF CO INC ONE KAISER PLAZA 15L OAKLAND CA 94612 840591617 HEALTH CARE CO 501(c)(3) 9 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF GA INC ONE KAISER PLAZA 15L OAKLAND CA CA 94612 581592076 HEALTH CARE GA 501(c)(3) 9 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE NW ONE KAISER PLAZA 15L OAKLAND CA 94612 930798039 HEALTH CARE OR 501(c)(3) 9 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF OH INC ONE KAISER PLAZA 15L OAKLAND CA 94612 340922268 HEALTH CARE OH 501(c)(3) 9 KFHP INC false KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND CA 94612 941105628 HEALTH CARE CA 501(c)(3) 3 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA 15L OAKLAND CA 94612 520954463 HEALTH CARE MD 501(c)(3) 9 KFHP INC false KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA 15L OAKLAND CA 94612 930954562 HEALTH CARE OR 501(c)(3) 9 KFHP INC false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943299125 ASSET MGMT CA 501(c)(3) 11 - I KF HOSPITALS false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943299124 ASSET MGMT CA 501(c)(3) 11 - I KFHP INC false LOKAHI ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND CA 94612 912171891 WC Placement HI 501(c)(3) 11 - I KFHP INC false OHP ONE KAISER PLAZA 15L OAKLAND CA 94612 930480268 LEASING WA 501(c)(3) 11 - I KFHP INC false 1800 HARRISON FOUNDATION ONE KAISER PLAZA 15L OAKLAND CA 94612 943317484 FINANCING CA 501(c)(3) 11 - II KFHP INC false KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA 15L OAKLAND CA 94612 311779500 FINANCING CA 501(c)(3) 11 - I KF HOSPITALS false HEALTH CARE MANAGEMENT SOLUTIONS LLC ONE KAISER PLAZA 15L OAKLAND CA 94612 203924985 CONSULTING CA NA N/A 0 0 0.00000 KAISER PERMANENTE VENTURES LLC ONE KAISER PLAZA 15L OAKLAND CA 94612 272252521 INVESTMENTS CA NA N/A 0 0 0.00000 ARCHIMEDES INC ONE KAISER PLAZA 15L OAKLAND CA 94612 203774729 CONSULTING CA NA C CORP 0 0 0.00000 KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA 15L OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA 15L OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 KAISER PROPERTIES SERVICES INC ONE KAISER PLAZA 15L OAKLAND CA 94612 943259432 REAL ESTATE CA NA C CORP 0 0 0.00000 OAK TREE ASSURANCE LTD ONE KAISER PLAZA 15L OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 false false false false false false true false false false true true false false true true true true