HealthSpan Integrated Care: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HealthSpan Integrated Care (EIN 34-0922268)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201233189349302093
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T12:14:13-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340922268 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAISER FOUNDATION HEALTH PLAN OF OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % VP - NATIONAL TAX COMPLIANCE | InCareOfName |
| Name Control | KAIS | NameControl |
| Phone | 5102716611 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE KAISER PLAZA 15L | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 94612 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH STOKES | Name |
| Title | SVP, CC & CAO | Title |
| Phone | 5102716385 | Phone |
| Date Signed | 2012-11-02 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PATRICIA KENNEDY-SCOTT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE KAISER PLAZA 15L | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 94612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 610044588 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1777 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 43951 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 9372 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 262333 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 45581 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 587211818 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 558821465 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2006156 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2840498 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3752200 | OtherRevenuePriorYear |
| Other Revenue Current Year | 157813 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 593232507 | TotalRevenuePriorYear |
| Total Revenue Current Year | 561865357 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1785835 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1976805 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 144066609 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 151645515 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 502233248 | OtherExpensePriorYear |
| Other Expenses Current Year | 455827817 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 648085692 | TotalExpensesPriorYear |
| Total Expenses Current Year | 609450137 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -54853185 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -47584780 | RevenuesLessExpensesCY |
| Total Assets BOY | 260142184 | TotalAssetsBOY |
| Total Assets EOY | 271986191 | TotalAssetsEOY |
| Total Liabilities BOY | 383878920 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 446139061 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -123736736 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -174152870 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 539805021 | Expense |
| Grants | 84315 | Grants |
| Revenue | 558777514 | Revenue |
| Description | member health care services and medical training for care improvement Kaiser Foundation Health Plan of Ohio (KFHP of Ohio) 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 Ohio educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Ohio Health Plan's charitable activities can be found in Schedule O, Community Benefit Report. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7905437 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Charitable Care (Medical Financial Assistance and Charitable Coverage) Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. MFA - Health Plan offers financial assistance to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in a Kaiser Permanente facility. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 1,165 patients received comprehensive care for up to four years through these programs. Additional information about Ohio Health Plan's charitable activities can be found in Schedule O, Community Benefit Report. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1892490 | Expense |
| Grants | 1892490 | Grants |
| Revenue | 0 | Revenue |
| Description | Grants and Donations The Ohio Health Plan supported approximately 91 nonprofit organizations and enabled them to continue providing programs and services that serve vulnerable populations. Additional information about Ohio Health Plan's charitable activities can be found in Schedule O, Community Benefit Report. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1037012 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | SCH. O, COMMUNITY BENEFIT REPORT | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1037012 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 550639960 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2494 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1777 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VP - NATIONAL TAX COMPLIANCE | NamePerson |
| Telephone Number | 5102716385 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE KAISER PLAZA 15L | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 94612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Christine Cassel | |||||||||
| Director | 0.5 | X | 0 | 184500 | 0 | ||||
| Thomas Chapman | |||||||||
| Director | 2.0 | X | 0 | 191695 | 89109 | ||||
| Daniel Garcia | |||||||||
| SVP, Chief Compliance Officer | 2.0 | X | 0 | 1228765 | 73604 | ||||
| William Graber | |||||||||
| Director | 1.0 | X | 0 | 208269 | 0 | ||||
| J Eugene Grigsby III | |||||||||
| Director | 0.5 | X | 0 | 210900 | 0 | ||||
| George Halvorson | |||||||||
| Chairman and CEO | 5.0 | X | 0 | 7861915 | 74595 | X | |||
| Judith Johansen | |||||||||
| Director | 0.3 | X | 0 | 200075 | 0 | ||||
| Kim J Kaiser | |||||||||
| Director | 0.5 | X | 0 | 124500 | 0 | ||||
| Philip Marineau | |||||||||
| Director | 0.5 | X | 0 | 200769 | 0 | ||||
| Jenny Ming | |||||||||
| Director | 0.2 | X | 0 | 179269 | 0 | ||||
| Edward Pei | |||||||||
| Director | 0.5 | X | 0 | 173000 | 16500 | ||||
| J Neal Purcell | |||||||||
| Director | 0.5 | X | 0 | 234858 | 0 | ||||
| Cynthia Telles | |||||||||
| Director | 0.5 | X | 0 | 204613 | 0 | ||||
| Sandra Thompkins | |||||||||
| Director | 0.3 | X | 0 | 39031 | 0 | ||||
| Margaret E Porfido | |||||||||
| Director | 0.5 | X | 0 | 35013 | 0 | ||||
| Daniel Beck | |||||||||
| VP, Regional Counsel - Ohio | 30.0 | 0 | 146444 | 26853 | X | ||||
| Patricia Kennedy-Scott | |||||||||
| Region President - Ohio | 45.0 | 0 | 924039 | 153668 | X | ||||
| Kathryn Lancaster | |||||||||
| EVP & CFO | 4.0 | 0 | 2109102 | 289626 | X | ||||
| Thomas Meier | |||||||||
| SVP, Corporate Treasurer | 3.0 | 0 | 802247 | 110802 | X | ||||
| Donald Orndoff | |||||||||
| SVP, NFS | 5.0 | 0 | 634274 | 137999 | X | ||||
| ROCHELLE ROTH | |||||||||
| SENIOR DIRECTOR,QRM | 5.0 | 0 | 196984 | 42093 | X | ||||
| Arthur Southam | |||||||||
| EVP, Health Plan Operations | 5.0 | 0 | 2649224 | 348687 | X | ||||
| Deborah Stokes | |||||||||
| SVP, CC & CAO | 4.0 | 0 | 720302 | 118018 | X | ||||
| Bernard Tyson | |||||||||
| President & COO | 5.0 | 0 | 2800296 | 482152 | X | ||||
| Victoria Zatkin | |||||||||
| VP, Off of Brd & Corp Gov Svcs | 4.0 | 0 | 314768 | 84531 | X | ||||
| Mark Zemelman | |||||||||
| SVP, Gen Counsel & Secretary | 2.0 | 0 | 778576 | 191923 | X | ||||
| Donna Lynne | |||||||||
| Group President | 4.0 | 0 | 1314917 | 222947 | X | ||||
| Craig M Faerber | |||||||||
| VP, CFO - Ohio | 30.0 | 0 | 309003 | 31524 | X | ||||
| Pamela Hara | |||||||||
| VP, Quality/Service | 30.0 | 0 | 285673 | 76238 | X | ||||
| Joseph M LaGuardia | |||||||||
| VP, Mktg, Sls & Bus Devel | 30.0 | 0 | 238735 | 76571 | X | ||||
| Thomas Revis | |||||||||
| VP, CFO - Ohio | 30.0 | 0 | 420470 | 75326 | X | ||||
| Belva Tibbs | |||||||||
| VP, Medical Operations | 30.0 | 0 | 358555 | 84200 | X | ||||
| Timothy Alberts | |||||||||
| VP, Human Resources | 30.0 | 0 | 362386 | 84806 | X | ||||
| Heather Bossin | |||||||||
| Dir, Financial Services | 30.0 | 0 | 183417 | 58819 | X | ||||
| Carolyn Hightower | |||||||||
| VP, Regional HP Admin - OH | 30.0 | 0 | 378704 | 82750 | X | ||||
| Michelle Richter | |||||||||
| Dir, Group Sales and Acct Mgmt | 30.0 | 0 | 203449 | 35038 | X | ||||
| Jeffrey Wallace | |||||||||
| Dir, Pharmacies | 30.0 | 0 | 165746 | 65144 | X | ||||
| Steven Zatkin | |||||||||
| Consultant | 0.0 | 0 | 574121 | 76925 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 28148604 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3210448 | TotalOtherCompensation |
| Number Individuals GT100 K | 82 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LAKE HOSPITAL SYSTEM | |||||
| PO BOX 714031 | COLUMBUS | OH | 43271 | HOSPITAL SERVICES | 4131149 |
| THE CLEVELAND CLINIC | |||||
| 9500 EUCLID AVE | CLEVELAND | OH | 44195 | HOSPITAL SERVICES | 9193847 |
| OHIO PERMANENTE MEDICAL GROUP | |||||
| 1001 LAKESIDE AVE | CLEVELAND | OH | 44114 | MEDICAL SERVICES | 95556836 |
| THE METROHEALTH SYSTEM | |||||
| 2500 METROHEALTH DRIVE | CLEVELAND | OH | 44109 | HOSPITAL SERVICES | 6267480 |
| KAISER FOUNDATION HOSPITALS | |||||
| 1001 LAKESIDE AVE | CLEVELAND | OH | 44114 | HOSPITAL SERVICES | 59336875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 223 | NumberOfContractorsGT100K |
| Related Organizations | 36803 | RelatedOrganizations |
| All Other Contributions | 8778 | AllOtherContributions |
| Total Contributions | 45581 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MBRS HLTH CARE PRM | 621400 | 435632521 | 435632521 | |
| MEDICARE | 621400 | 90233024 | 90233024 | |
| SUPP CHARGES/PHARM | 621400 | 27904290 | 27904290 | |
| NON-PLAN & IND REV | 621400 | 960599 | 916648 | 43951 |
| OTHER PROGRAM SERVICE | 621400 | 4091031 | 4091031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 558821465 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2391118 | TotalRevenueColumn |
| Exclusion | $2,391,118 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 157813 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 157813 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 157813 | TotalRevenueColumn |
| Exclusion | $157,813 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 48613861 | Securities |
| Other | 14750 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 48179231 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 434630 | Securities |
| Other | 14750 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 449380 | TotalRevenueColumn |
| Exclusion | $449,380 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 561865357 | TotalRevenueColumn |
| Related Or Exempt Function Income | 558777514 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 43951 | UnrelatedBusinessRevenue |
| Exclusion | $2,998,311 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1976805 | Total |
| Program Services | 1976805 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93670375 | Total |
| Program Services | 81856867 | ProgramServices |
| Management And General | 11813508 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15580871 | Total |
| Program Services | 13966559 | ProgramServices |
| Management And General | 1614312 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35443285 | Total |
| Program Services | 29767411 | ProgramServices |
| Management And General | 5675874 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6950984 | Total |
| Program Services | 6914574 | ProgramServices |
| Management And General | 36410 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42818 | Total |
| Management And General | 42818 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 975766 | Total |
| Management And General | 975766 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71029 | Total |
| Management And General | 71029 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81349 | Total |
| Program Services | 81349 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111742000 | Total |
| Program Services | 109196575 | ProgramServices |
| Management And General | 2545425 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14962840 | Total |
| Program Services | 25916 | ProgramServices |
| Management And General | 14936924 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1305825 | Total |
| Program Services | 1062557 | ProgramServices |
| Management And General | 243268 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42959742 | Total |
| Program Services | 34472550 | ProgramServices |
| Management And General | 8487192 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5131483 | Total |
| Program Services | 5128078 | ProgramServices |
| Management And General | 3405 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 948329 | Total |
| Program Services | 585804 | ProgramServices |
| Management And General | 362525 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179812 | Total |
| Management And General | 179812 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5306838 | Total |
| Program Services | 5306838 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6338913 | Total |
| Program Services | 6338913 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3659244 | Total |
| Program Services | 3659244 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTUAL PAYMENTS | 154893711 | 154893711 | |
| SUPPLIES | 71227146 | 62654248 | 8572898 |
| INTER-REGIONAL CHARGES | 17737624 | 17264419 | 473205 |
| STATE & LOCAL TAXES | 6108942 | 6108942 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12154406 | Total |
| Program Services | 9378600 | ProgramServices |
| Management And General | 2775806 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 609450137 | Total |
| Program Services | 550639960 | ProgramServices |
| Management And General | 58810177 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21275690 | BOY |
| EOY | 21586402 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14804269 | BOY |
| EOY | 15274008 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5705521 | BOY |
| EOY | 5657326 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859883 | BOY |
| EOY | 662853 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 182167262 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 117636884 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62993734 | BOY |
| EOY | 64530378 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153901087 | BOY |
| EOY | 136979074 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 602000 | BOY |
| EOY | 27296150 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260142184 | BOY |
| EOY | 271986191 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66199034 | BOY |
| EOY | 53747797 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9420367 | BOY |
| EOY | 8488470 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308259519 | BOY |
| EOY | 383902794 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383878920 | BOY |
| EOY | 446139061 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4895579 | BOY |
| EOY | 4886800 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -128632315 | BOY |
| EOY | -179039670 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -123736736 | BOY |
| EOY | -174152870 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260142184 | BOY |
| EOY | 271986191 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -47584780 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2831354 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 190337 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 164696 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 80601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 262333 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45581 | CurrentTaxYear |
| Total | 743548 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 593239328 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 592918588 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 595429126 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 587211818 | CurrentTaxYearMinus1Year |
| Current Tax Year | 558821465 | CurrentTaxYear |
| Total | 2927620325 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 593429665 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 593083284 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 595509727 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 587474151 | CurrentTaxYearMinus1Year |
| Current Tax Year | 558867046 | CurrentTaxYear |
| Total | 2928363873 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2928363873 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6257742 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5406147 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4393255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2079211 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2548931 | CurrentTaxYear |
| Total | 20685286 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6257742 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5406147 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4393255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2079211 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2548931 | CurrentTaxYear |
| Total | 20685286 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 599687407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 598489431 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 599902982 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 589553362 | CurrentTaxYearMinus1Year |
| Current Tax Year | 561415977 | CurrentTaxYear |
| Total | 2949049159 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99299 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99149 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00701 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00851 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $62,150 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $4,439 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $4,439 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 71028 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C, Part II-B, Line 1A - 1I | Identifier |
| Explanation | LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES The Organization is a member of the Kaiser Permanente Medical Care Program and participated and benefited from lobbying activities conducted at the regional and national level for the benefit of its enrolled members and for the health care industry as a whole. As an organization generally 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 telephone conversations and/or written letters 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 has several employees and/or may retain a professional consultant to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed of 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 Interest 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5961963 | OtherCostOrOtherBasis |
| Book Value | 5961963 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 91062832 | OtherCostOrOtherBasis |
| Depreciation | 45919581 | Depreciation |
| Book Value | 45143251 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10507387 | OtherCostOrOtherBasis |
| Depreciation | 4650219 | Depreciation |
| Book Value | 5857168 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46678252 | OtherCostOrOtherBasis |
| Depreciation | 40078316 | Depreciation |
| Book Value | 6599936 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27956828 | OtherCostOrOtherBasis |
| Depreciation | 26988768 | Depreciation |
| Book Value | 968060 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 64530378 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER CURRENT ASSETS | 231600 |
| STATUTORY DEPOSITS | 400000 |
| DUE FROM AFFILIATED ORG. | 26664550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 27296150 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATED ORGANIZATION | $18,914,258 |
| RESERVE FOR PROF & PUBLIC LIAB | $34,611,795 |
| RESERVE FOR WORKERS COMP RISK | $3,692,261 |
| POST RETIREMENT BENEFITS | $183,651,693 |
| OTHER LIABILITIES | $2,495,104 |
| SELF INSURED - AUTO & UNEMPLOY | $74,974 |
| SUBORDINATED LIABILITIES | $101,480,069 |
| MEDICARE LIABILITY RESERVE | $24,182,640 |
| PREMIUM DEFICIENCY RESERVE | $14,800,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 383902794 | TotalOfAmounts |
| Total Revenue | 561865357 | TotalRevenue |
| Total Expenses | 609450137 | TotalExpenses |
| Excess Or Deficit For Year | -47584780 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 493080 | NetUnrealizedGLOnInvestments |
| Other | -$3,324,434 | OtherAmount |
| Total Adjustments | -2831354 | TotalAdjustments |
| Excess Or Deficit Per FS | -50416134 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 555175195 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 493080 | NetUnrealizedGainsInvestments |
| Other Revenues | -3848612 | OtherRevenues |
| Revenue Not Rptd F990 | -3355532 | RevenueNotRptdF990 |
| Revenue Subtotal | 558530727 | RevenueSubtotal |
| Other Revenues Not Included | 3334630 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3334630 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 561865357 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 605591329 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 99447 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 99447 | ExpensesNotRptdF990 |
| Expenses Subtotal | 605491882 | ExpensesSubtotal |
| Other Expenses Not Included | 3958255 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3958255 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 609450137 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Schedule D, Part XI, Line 8 | Change in Other Comprehensive Income $ (2,990,668) Change in Capital Contribution ( 8,779) Gain/Loss on Investments - Tax ( 434,630) Gain/Loss on Investments - Book 510,211 See "note 1" ( 400,568) _______________ TOTAL $ (3,324,434) Note 1: other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized | |
| Schedule D, Part XII, Line 2d | Bad debt expense - Reclass $ (3,876,906) Gain(Loss) on Investments - Book 510,211 OTTI (400,568) INVESTMENT MANAGEMENT FEES (81,349) _____________ TOTAL $ (3,848,612) | |
| Schedule D, Part XII, Line 4b | OTHER REVENUE - RECLASS $ 2,900,000 GAIN(LOSS) ON INVESTMENTS - TAX 434,630 ___________ TOTAL $ 3,334,630 | |
| Schedule D, Part XIII, Line 2d | Change in Other Comprehensive Income $ 2,990,668 Change in Capital Contribution 8,779 Other Revenue - Reclass (2,900,000) _____________ TOTAL $ 99,447 | |
| Schedule D, Part XIII, Line 4b | Investment Management Fees $ 81,349 Bad Debt Expenses - Reclass 3,876,906 ___________ TOTAL $ 3,958,255 | |
| Schedule D, Part X, Line 2 | NOT REQUIRED | FIN 48 FOOTNOTE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (49 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Akron-Canton Regional Foodbank | ||||||||
| 350 Opportunity Pkwy | Akron | OH | 44307 | 341369388 | 501(c)(3) | 20000 | Childhood Nutrition | |
| American Diabetes Association | ||||||||
| 4500 Rockside Rd440 | Independence | OH | 44131 | 131623888 | 501(c)(3) | 19250 | Cleveland Step Out | |
| American Heart Association Inc | ||||||||
| 1689 E 115th St | Cleveland | OH | 44106 | 135613797 | 501(c)(3) | 50075 | Healthy Family Event | |
| Beacon Journal Charity Fund Inc | ||||||||
| 333 S Main St 319 | Akron | OH | 44303 | 346543299 | 501(c)(3) | 10000 | Orthodontic Treatmnt | |
| Boys and Girls Clubs of Cleveland | ||||||||
| 6114 Broadway Ave | Cleveland | OH | 44127 | 340770686 | 501(c)(3) | 15000 | Healthy Habits | |
| Care Alliance | ||||||||
| 1530 St Clair Ave | Cleveland | OH | 44114 | 341748776 | 501(c)(3) | 27167 | Health Outcomes | |
| Celebrate Westlake | ||||||||
| 36097 Westminster Ave | N Rdgeville | OH | 44039 | 341703289 | 501(c)(3) | 10000 | 2011 Eagle Run | |
| City of Twinsburg | ||||||||
| 10075 Ravenna Rd | Twinsburg | OH | 44087 | 346004070 | Government | 10000 | Sr Transp Svc | |
| Cleveland Board of Education | ||||||||
| 1380 E Sixth St | Cleveland | OH | 44114 | 346000662 | Government | 500000 | Students of Promise | |
| Cleveland Clinic Foundation | ||||||||
| 9500 Euclid Ave DVB | Cleveland | OH | 44195 | 340714585 | 501(c)(3) | 350000 | Charity Care Service | |
| Cleveland Foodbank Inc | ||||||||
| 15500 S Waterloo Rd | Cleveland | OH | 44110 | 341292848 | 501(c)(3) | 35000 | Children's Nutrition | MC RC-25 |
| Cleveland Hearing & Speech Center | ||||||||
| 11635 Euclid Ave | Cleveland | OH | 44106 | 340714648 | 501(c)(3) | 15000 | Infant Hearing Prog | |
| Cleveland International Film Festival Inc | ||||||||
| 2510 Market Ave | Cleveland | OH | 44113 | 341262368 | 501(c)(3) | 5500 | Volunteer Grant | |
| Cleveland State Univ Foundation Inc | ||||||||
| 2121 Euclid Ave MM105 | Cleveland | OH | 44115 | 341316665 | 501(c)(3) | 5025 | Levin College Forum | |
| Community Legal Aid Services Inc | ||||||||
| 50 S Main St 800 | Akron | OH | 44308 | 340753560 | 501(c)(3) | 15000 | Health Ed Advocacy | |
| Conservancy for Cuyahoga Valley Nat Pk | ||||||||
| 1403 W Hines Hill Rd | Peninsula | OH | 44264 | 341917257 | 501(c)(3) | 15000 | Summer Program | |
| Cuyahoga Community College Foundation | ||||||||
| 700 Carnegie Ave | Cleveland | OH | 44115 | 237320719 | 501(c)(3) | 11700 | Presidential Scholarship Luncheon | |
| Diabetes Partnership of Cleveland | ||||||||
| 3601 S Green Rd 100 | Cleveland | OH | 44122 | 340762558 | 501(c)(3) | 19740 | Swim for Diabetes | |
| Domestic Violence Center | ||||||||
| PO Box 5466 | Cleveland | OH | 44101 | 341278377 | 501(c)(3) | 11100 | Mask-or-Aid Ball | |
| Epilepsy Association | ||||||||
| 2831 Prospect Ave | Cleveland | OH | 44115 | 237198807 | 501(c)(3) | 20000 | Proactive Skill Prog | |
| Free Medical Clinic of Greater Cleveland | ||||||||
| 12202 Euclid Ave | Cleveland | OH | 44106 | 237078501 | 501(c)(3) | 15000 | Teen Clinic/Outrch | |
| Gathering Place | ||||||||
| 23300 Commerce Pk | Beachwood | OH | 44122 | 341879035 | 501(c)(3) | 20000 | Childrens' Programs | |
| Greater Cleveland Community Shares | ||||||||
| 3631 Perkins Ave | Cleveland | OH | 44114 | 341493880 | 501(c)(3) | 5800 | KP Comm Care Fund | |
| Harvard Community Services Center | ||||||||
| 18240 Harvard | Cleveland | OH | 44128 | 237098744 | 501(c)(3) | 96000 | HEAL/CHI | |
| Helen Keller International | ||||||||
| 352 Park Ave So 1200 | New York | NY | 10010 | 135562162 | 501(c)(3) | 10000 | ChildSight Ohio | |
| Hospice of the Western Reserve Inc | ||||||||
| 300 E 185th St | Cleveland | OH | 44119 | 341256377 | 501(c)(3) | 10000 | Bereavement Camp | |
| Ideastream | ||||||||
| 1375 Euclid Ave | Cleveland | OH | 44115 | 341943865 | 501(c)(3) | 10000 | Keeping Kids Fit | |
| Info Line Inc | ||||||||
| 703 S Main St 211 | Akron | OH | 44311 | 341170391 | 501(c)(3) | 15000 | Diabetic Care Proj | |
| Kidney Foundation of Ohio Inc | ||||||||
| 2831 Prospect Ave | Cleveland | OH | 44115 | 340827748 | 501(c)(3) | 6200 | Gen Oper Donation | |
| Lake County Free Medical Clinic Inc | ||||||||
| 54 S State St 302 | Painesville | OH | 44077 | 341081191 | 501(c)(3) | 15790 | Safety Net Partner | |
| Lake Health District Fund | ||||||||
| 33 Mill Street | Painesville | OH | 44077 | 341598598 | 501(c)(3) | 21850 | Community Gardens | Suite 135A |
| Legal Aid Society of Cleveland | ||||||||
| 1223 West Sixth St | Cleveland | OH | 44113 | 340866026 | 501(c)(3) | 25000 | Comm Advocacy Prg | |
| Marymount Hospital Inc | ||||||||
| 12300 McCracken Rd | Garfield Hghts | OH | 44125 | 340714458 | 501(c)(3) | 100000 | Charity Care Service | |
| Mature Services Incorporated | ||||||||
| 415 S Portage Path | Akron | OH | 44320 | 510148544 | 501(c)(3) | 17770 | Brown Bag Med Prg | |
| MobileMed 1 Foundation | ||||||||
| 19910 Malvern Rd | Shaker Heights | OH | 44122 | 264038371 | 501(c)(3) | 50000 | Providing Health Care | |
| NAMI Greater Cleveland | ||||||||
| 2012 W 25th St 600 | Cleveland | OH | 44113 | 202254268 | 501(c)(3) | 10000 | Family Education Prog | |
| Neighborhood Family Practice | ||||||||
| 3569 Ridge Rd | Cleveland | OH | 44102 | 341300581 | 501(c)(3) | 22119 | Hispanic Pt Advocate | |
| North Coast Health Ministry | ||||||||
| 16110 Detroit Ave | Lakewood | OH | 44107 | 341536257 | 501(c)(3) | 29140 | Pt Critical Nds Fund | |
| Ohio Grantmakers Forum | ||||||||
| 37 W Broad St 800 | Columbus | OH | 43215 | 311111842 | 501(c)(3) | 10000 | Health Care Reform | |
| Opportunity Parish Ecum Neighborhood Mnstry | ||||||||
| 941 Princeton St | Akron | OH | 44311 | 341046107 | 501(c)(3) | 15000 | Safety Net Grant | |
| Planned Parenthood of Northeast Ohio Inc | ||||||||
| 444 W Exchange St | Akron | OH | 44302 | 341015976 | 501(c)(3) | 22020 | Teens TalkingtoTeens | |
| PM Foundation Inc | ||||||||
| 4909 Lorain Ave | Cleveland | OH | 44102 | 346608706 | 501(c)(3) | 7500 | Healthy Lifestyles | |
| Providence House Inc | ||||||||
| 2037 West 32nd St | Cleveland | OH | 44113 | 341336325 | 501(c)(3) | 42350 | Six MonthBed Sponsor | |
| Saint Martin De Porres High School | ||||||||
| 6111 Lausche Ave | Cleveland | OH | 44103 | 522401852 | 501(c)(3) | 15484 | Corp Work Study Prgm | |
| Slavic Village Development | ||||||||
| 5620 Broadway Ave | Cleveland | OH | 44127 | 341344279 | 501(c)(3) | 17026 | Pedal for Health | |
| United Way of Greater Cleveland | ||||||||
| 1331 Euclid Ave | Cleveland | OH | 44115 | 346516654 | 501(c)(3) | 25677 | Inaugural Bike Tour Sponsorship | |
| University Hospitals Health System Inc | ||||||||
| 11100 Euclid Ave | Cleveland | OH | 44106 | 340714775 | 501(c)(3) | 30000 | Centering Pregnancy | |
| Western Stark County Medical Clinic Inc | ||||||||
| 820 Amherst Rd NE | Massillon | OH | 44646 | 341887206 | 501(c)(3) | 15000 | Safety Net Grant | |
| YWCA of Greater Cleveland | ||||||||
| 4019 Prospect Ave | Cleveland | OH | 44103 | 340714800 | 501(c)(3) | 6675 | Women's Leadership Conference | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 49 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I, Part I, Question 2 | Identifier |
| Explanation | Grantees are required to sign a memorandum of understanding prior to grant funds disbursal. Grantees are required to submit a final report which delineates accomplishments, related to stated objectives, and describe the evaluation method used to assess accomplishments | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (35 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy Alberts | |||||||||||||
| 0 | 195803 | 0 | 58550 | 0 | 108033 | 0 | 67646 | 0 | 17160 | 0 | 447192 | 0 | 75247 |
| Daniel Beck | |||||||||||||
| 0 | 112997 | 0 | 31897 | 0 | 1550 | 0 | 16635 | 0 | 10218 | 0 | 173297 | 0 | 0 |
| Heather Bossin | |||||||||||||
| 0 | 168767 | 0 | 10308 | 0 | 4342 | 0 | 44429 | 0 | 14390 | 0 | 242236 | 0 | 0 |
| Christine Cassel | |||||||||||||
| 0 | 184500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 184500 | 0 | 0 |
| Thomas Chapman | |||||||||||||
| 0 | 191695 | 0 | 0 | 0 | 0 | 0 | 89109 | 0 | 0 | 0 | 280804 | 0 | 0 |
| Craig M Faerber | |||||||||||||
| 0 | 141195 | 0 | 60000 | 0 | 107808 | 0 | 24545 | 0 | 6979 | 0 | 340527 | 0 | 0 |
| Daniel Garcia | |||||||||||||
| 0 | 562551 | 0 | 640000 | 0 | 26214 | 0 | 61308 | 0 | 12296 | 0 | 1302369 | 0 | 0 |
| William Graber | |||||||||||||
| 0 | 208269 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 208269 | 0 | 0 |
| J Eugene Grigsby III | |||||||||||||
| 0 | 210900 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 210900 | 0 | 0 |
| George Halvorson | |||||||||||||
| 0 | 1215613 | 0 | 5039506 | 0 | 1606796 | 0 | 61308 | 0 | 13287 | 0 | 7936510 | 0 | 0 |
| Pamela Hara | |||||||||||||
| 0 | 227427 | 0 | 23576 | 0 | 34670 | 0 | 58449 | 0 | 17789 | 0 | 361911 | 0 | 0 |
| Carolyn Hightower | |||||||||||||
| 0 | 192027 | 0 | 63392 | 0 | 123285 | 0 | 65590 | 0 | 17160 | 0 | 461454 | 0 | 90458 |
| Judith Johansen | |||||||||||||
| 0 | 200075 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 200075 | 0 | 0 |
| Patricia Kennedy-Scott | |||||||||||||
| 0 | 359537 | 0 | 233004 | 0 | 331498 | 0 | 135879 | 0 | 17789 | 0 | 1077707 | 0 | 292404 |
| Joseph M LaGuardia | |||||||||||||
| 0 | 196292 | 0 | 9169 | 0 | 33274 | 0 | 59411 | 0 | 17160 | 0 | 315306 | 0 | 0 |
| Kathryn Lancaster | |||||||||||||
| 0 | 630520 | 0 | 907953 | 0 | 570629 | 0 | 276632 | 0 | 12994 | 0 | 2398728 | 0 | 529003 |
| Philip Marineau | |||||||||||||
| 0 | 200769 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 200769 | 0 | 0 |
| Thomas Meier | |||||||||||||
| 0 | 314471 | 0 | 339188 | 0 | 148588 | 0 | 97808 | 0 | 12994 | 0 | 913049 | 0 | 113944 |
| Jenny Ming | |||||||||||||
| 0 | 179269 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 179269 | 0 | 0 |
| Donald Orndoff | |||||||||||||
| 0 | 376297 | 0 | 235328 | 0 | 22649 | 0 | 124482 | 0 | 13517 | 0 | 772273 | 0 | 0 |
| Edward Pei | |||||||||||||
| 0 | 173000 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 189500 | 0 | 0 |
| J Neal Purcell | |||||||||||||
| 0 | 234858 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 234858 | 0 | 0 |
| Thomas Revis | |||||||||||||
| 0 | 53750 | 0 | 69540 | 0 | 297180 | 0 | 58166 | 0 | 17160 | 0 | 495796 | 0 | 92019 |
| Michelle Richter | |||||||||||||
| 0 | 150356 | 0 | 48525 | 0 | 4568 | 0 | 18037 | 0 | 17001 | 0 | 238487 | 0 | 0 |
| ROCHELLE ROTH | |||||||||||||
| 0 | 167206 | 0 | 26934 | 0 | 2844 | 0 | 29508 | 0 | 12585 | 0 | 239077 | 0 | 0 |
| Arthur Southam | |||||||||||||
| 0 | 741374 | 0 | 1175000 | 0 | 732850 | 0 | 336623 | 0 | 12064 | 0 | 2997911 | 0 | 688121 |
| Deborah Stokes | |||||||||||||
| 0 | 315132 | 0 | 337575 | 0 | 67595 | 0 | 105024 | 0 | 12994 | 0 | 838320 | 0 | 48521 |
| Cynthia Telles | |||||||||||||
| 0 | 204613 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 204613 | 0 | 0 |
| Belva Tibbs | |||||||||||||
| 0 | 215980 | 0 | 59414 | 0 | 83161 | 0 | 66411 | 0 | 17789 | 0 | 442755 | 0 | 66796 |
| Bernard Tyson | |||||||||||||
| 0 | 892605 | 0 | 1290000 | 0 | 617691 | 0 | 469158 | 0 | 12994 | 0 | 3282448 | 0 | 587707 |
| Jeffrey Wallace | |||||||||||||
| 0 | 150136 | 0 | 8732 | 0 | 6878 | 0 | 48143 | 0 | 17001 | 0 | 230890 | 0 | 0 |
| Steven Zatkin | |||||||||||||
| 0 | 4500 | 0 | 542685 | 0 | 26936 | 0 | 66393 | 0 | 10532 | 0 | 651046 | 0 | 0 |
| Victoria Zatkin | |||||||||||||
| 0 | 192675 | 0 | 85692 | 0 | 36401 | 0 | 82570 | 0 | 1961 | 0 | 399299 | 0 | 0 |
| Mark Zemelman | |||||||||||||
| 0 | 398502 | 0 | 259500 | 0 | 120574 | 0 | 179338 | 0 | 12585 | 0 | 970499 | 0 | 80051 |
| Donna Lynne | |||||||||||||
| 0 | 476108 | 0 | 475000 | 0 | 363809 | 0 | 208108 | 0 | 14839 | 0 | 1537864 | 0 | 323554 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule J, part II | Steven Zatkin- General counsel to 6/30/10; consultant 3/4/11 to present. Sandra Thompkins- Board of directors to 4/1/11. Schedule J, line 3 Kaiser foundation health plan of ohio 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 - Approval by the board or compensation committee - Compensation survey or study - Approval by the board or compensation committee |
| Schedule J, Line 4a | Thomas Revis $179,945 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, Line 4b | THOMAS REVIS 92,019 BELVA TIBBS 66,796 PATRICIA KENNEDDY-SCOTT 292,404 KATHRYN LANCASTER 529,350 THOMAS MEIER 114,428 ARTHUR SOUTHAM 688,121 DEBORAH STOKES 48,521 BERNARD TYSON 587,707 STEVEN ZATKIN 4,891 MARK ZEMELMAN 81,133 GEORGE HALVORSON 1,500,000 TIMOTHY ALBERTS 75,247 CAROLYN HIGHTOWER 90,458 DONNA LYNNE 323,554 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture. |
| Schedule J, Line 7 | The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (51 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 4 | Changes to governing documents | Articles Four and Seven of the Articles of Incorporation of the Corporation were amended in 2012 to (a) clarify the purpose of the Corporation; (b) make a reference to the Internal Revenue Code (Section 501(c)(3)) consistent with other references in the Articles; and (c) 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. Certificate of Amendment by Member was filed February 7, 2012; and On March 3, 2011, Article E., Officers, of the Bylaws of the Corporation was amended to (a) provide that the officers of the Corporation may include one or more Group Presidents (Section E-1, Officers); (b) add a new Section E-8, Group President and/or Regional President, to describe the duties and responsibilities of those positions; (c) provide that the President shall be the Chief Operating Officer of the Corporation (Section E-7, President); (d) provide clarification regarding leadership in the event of the absence or disability of the President (Section E-9, Executive Vice President or National Senior Vice President); and (e) change the reference to "the President" in Sections E-3, E-4 and E-11 to "any President"; and On June 23, 2011, minor technical amendments were made to the Bylaws of the Corporation to make them more consistent with the Bylaws of Kaiser Foundation Health Plan, Inc. and its Health Plan subsidiaries and with organizational policies and current law. None of the changes were significant; and On December 1, 2011, Article A, Purpose, of the Bylaws of the Corporation was amended to (a) more clearly state the purposes in one Purpose section (A-1, former section A-2 was deleted); (b) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office (Section A-3 Nonprofit Character - now A-2); (c) make a reference to the Internal Revenue Code consistent with other references in the Bylaws (Section A-4 Disposition of Assets on Liquidation or Dissolution - now A-3); and (d) be consistent with current legal standards (Section A-5 Non-discrimination - now A-4). |
| Form 990, Part VI, Line 6 | KAISER FOUNDATION HEALTH PLAN, INC IS SOLE MEMBER Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization | |
| Form 990, Part VI, Line 7a | Kaiser Foundation Health Plan, Inc (KFHP) appoints the Directors (and fills vacancies and has authority to remove Directors). The same 14 individuals who comprise the Board of Directors of KFHP also serve as the 14 Directors of KFHP Colorado, Ohio, Northwest and Mid-Atlantic States | |
| Form 990, Part VI, Line 7b | The following actions of the corporation require approval of the sole member: a. removal of the Chairman of the Board or any President; b. amendment of Article D, Section D-4 of the Bylaws - Election and Term of Office of Directors | |
| Form 990, Part VI, Line 11b | Form 990 review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal 2. Community benefits details are presented to the community benefit committee of the board for review 3. Executive compensation details are presented to the compensation committee of the board for review 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers tax advisor 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer 6. The tax return is discussed with the full board of directors. A copy of the return is provided to each board member in electronic format 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 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 | Public Inspection Governing documents - are available as provided to state Dept. of Insurance and maintained on state agency website or upon request. Conflict of Interest is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: VP - 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 unrealized gain/loss on investments $ 493,080 Change in Other Comprehensive Income < 2,990,668> Change in Capital Contribution < 8,779> Gain/Loss on investments - Tax < 434,630> Gain/Loss on Investments - Book 510,211 OTTI Losses < 400,568> ______________ TOTAL <$2,831,354> | |
| Form 990, Part III, Line 4a - d | Exempt purpose achievements - Program Services | 2011 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF OHIO Kaiser Foundation Health Plan of Ohio or "Ohio Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Kaiser Foundation Health Plan of Ohio as well as Kaiser Foundation Hospitals (KFH) are nonprofit corporations that are part of the integrated health care delivery system known as the Kaiser Permanente Medical Care Program or "Kaiser Permanente." In 2011, the Ohio Health Plan served 103,499 members and has 1,558 full time administrative, clerical and technical employees. Ohio Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis. Health Plan fulfills its contractual obligations to group and individual members by contracting with KFH and Ohio Permanente Physicians to provide the required health care services. Membership in KFHP and its health plan subsidiaries is available without regard to sex, race, religion, ethnic background, sexual orientation, and occupational status or income level. Health Plan members are broadly representative of the various ages, social, and income groups within the areas it serves. Once enrolled, a member is free to maintain membership regardless of age, health status or employment. KAISER PERMANENTE'S COMMITMENT TO THE COMMUNITY Kaiser Permanente believes its Direct Community Benefit Investment (DCBI), is fundamental to being a nonprofit organization. It embodies the organization's commitment to improve the health of communities beyond services to Health Plan members. It is more than traditional corporate citizenship or corporate philanthropy. It is an intentional, planned, budgeted, measurable, accountable creation for better health in our communities. It is done in collaboration with, not in isolation from, the community. DCBI serves to fulfill Kaiser Permanente's social purpose, justify its tax-exempt status, and differentiate it from other health care organizations. This tradition of community benefit dates from the earliest days of the Program, when charitable care to non-employees, and later, nonmembers, was initiated. That heritage has continued through the years in Kaiser Permanente's early participation in publicly financed programs such as Medicaid and Medicare, establishment of residency training and medical research programs, and later, in the development of the Educational Theatre, Safety Net Partnerships, Community Health Initiatives and Charitable Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for under- and uninsured. - Community Health Initiatives - Designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods. - Safety Net Partnerships - Builds partnerships with community clinics, local health departments, and public hospitals. Provide funding, technical assistance, dissemination of care management and quality improvements technology to help improve care and expand treatment capacity for vulnerable populations. - Developing and Disseminating Knowledge - Improve health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The Board elaborated that at least 75% of total community benefit funding will be directed to program priorities within the four streams of work and the remaining 25% of funding will be directed by local regions to respond to local community benefit needs and opportunities that may or may not be within the four key focus areas. THE COMMUNITY BENEFIT PROGRAM IN THE OHIO REGION In 2011, the Ohio Health Plan spent approximately $12.3 million or approximately 2.2% of revenue to support the Community Benefit Program. A breakdown of the 2011 Community Benefit dollars is included in Attachment A. The following identifies many of the signature community benefit programs and services funded by Ohio Health Plan grouped according to the four streams of work. CARE AND COVERAGE FOR LOW-INCOME PEOPLE In 2011, the Ohio Health Plan expended $9.9 million 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. Charitable Care (Medical Financial Assistance and Charitable Coverage Programs) In the Ohio Region, Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance and Charitable Coverage Programs. In 2011, the Ohio Health Plan spent $7.9 million on under-and uninsured Ohio residents. - Medical Financial Assistance The Ohio Health Plan contributed $1.6 million to assist patients with limited or no resources to pay for care provided in Kaiser Permanente facilities. Each region offers financial assistance to help families and individuals that are unable to meet all or part of the cost of medical care on an immediate and nonrecurring basis. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% federal income guidelines and aligned contracted collection agency practices with Kaiser Permanente social values. The amount reported under this category is only part of the funds spent by KFH and KFHP for the poor and uninsured. The organization's commitment to charitable care is also reflected in a variety of other programs and initiatives such as the Charitable Coverage Program and grants and donations to community clinics and other safety net providers. Medical Financial Assistance is offered to both members and non members, and eligibility is solely based on income. - Charitable Coverage Transition Plan - The Transition Plan is a 2-year HMO insurance product that provides coverage for low-income individuals (up to 250% FPL) who are not eligible for public programs such as Medicaid or Medicare. Applicants are referred to Kaiser Permanente through a hotline telephone number that connects them to our community partner who assists them through the application process. More than half of the members are new to KP. The plan subsidizes co-pays and premiums, charging $20 per month for individuals and $40 per month for families. They receive comprehensive benefits including prescription drug coverage and hospitalization. Access to Care - Kaiser Permanente participates as an Access to Care safety net provider in Summit County and provides uncompensated, charity care to qualified (non Medicaid eligible) patients. Access to Care is a program of the Healthy Connections Network, a nonprofit organization located in Summit County, Ohio that links uninsured individuals to care. The Network utilizes providers throughout Summit County to provide uncompensated, charity care to qualified patients. The Network serves as the initial point of entry for the patient and makes referrals to partner providers based upon capacity and patient request. Services include primary care visits and some ancillary - lab and imaging services. All specialty care referrals are made back to Healthy Connections Network. Participation in Medicaid and Other Government Sponsored Health Care Programs The Ohio Health Plan has a long history of participation in publicly financed health programs. In 2011, the Ohio Region provided medical coverage and services valued at approximately $1.5 million (in excess of reimbursement) for individuals in the following program: - Care Source Medicaid Program - The Ohio Region does not contract directly with the state as a managed care plan, instead they contract with CareSource, the largest MCO in the state. On behalf of the Ohio Health Plan, Ohio Permanente physicians provide care for CareSource patients. When a patient selects KP as their provider they can access a proscribed list of primary care and ancillary services. In 2011, all physicians and facilities were credentialed as required by state regulations, to see these Medicaid patients. The difference between cost of care and reimbursement from CareSource is reported as Community Benefit. - Medicare-Medicaid Premium Subsidy - In Ohio, state policy does not allow use of state dollars to pay for Medicare monthly premiums, even for low-income persons. Health Plan paid the monthly Medicare premium for dual-eligible Medicare/Medicaid members. This effort supports low-income persons and provides richer Medicare benefits than fee-for-service. |
| Grants and Donations for Care and Coverage | Kaiser Permanente renewed support for the Teen Clinic and Teen Outreach Program at the Free Medical Clinic of Greater Cleveland. The Teen Clinic provides comprehensive services and leverages professional and clinical volunteer support to serve young people age 13-21. The Teen Outreach Program provides health and wellness education at The Free Clinic and in community venues throughout Greater Cleveland. Kaiser Permanente made grants to the Cleveland Clinic Foundation and Marymount Hospital to support the provision of charity care services for patients who are uninsured or underinsured. COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers and sustains long-term programs that engage communities in work to improve the conditions in their neighborhoods, workplaces and schools that can support good health, particularly Healthy Eating, Active Living (HEAL). The Ohio Health Plan spent $363,655 on community health initiatives during 2011. Grants and Donations for Community Health Initiatives The Community Health Initiative in Ward 1 Cleveland is in its 6th year. In 2011 focus remained on building sustainable infrastructure and capacity for the institutional home of HEAL, maintaining 10 community gardens and participating in numerous initiatives to change the built environment and impact policy to make healthy and active living the easy choice. HEAL advocacy efforts led the City of Cleveland to include and fund the construction of a walking path into the city's largest park renovation. A grant was made to Harvard Community Services Center, to provide support as the institutional home of Ohio's CHI community. Support was granted to The Lake County General Health District for the Lake County Community Garden Program, which will establish community gardens in Mentor and Concord Township to improve access to fresh fruits and vegetables for residents. The gardens will be part of the Lake County "Action Communities for Health, Innovation, and Environmental Change" (ACHIEVE) initiative, a county-wide partnership to improve physical activity and nutrition among residents of Lake County. SAFETY NET PARTNERSHIPS Through funding, technical assistance, influencing public policy, training and volunteering, dissemination of care-management and quality improvement technologies, Kaiser Permanente helps these vital health care providers improve care and expand treatment capacity for the communities and vulnerable people they serve. The Ohio Health Plan donated $228,346 to support safety net providers through its Thriving Communities Grant Program. Following are three examples: - Care Alliance, an FQHC, undertook the Health Outcomes Improvement Initiative to improve health outcomes of Care Alliance patients. The program, led by a Quality Improvement Registered Nurse, launched wellness programming to help lead to an application for recognition as an NCQA Patient Centered Medical Home. - Kaiser Permanente supported the Community Advocacy Program, a medical-legal partnership which places Legal Aid attorneys at MetroHealth sites to work with physicians to identify and address legal issues that impact health outcomes in patients. - North Coast Health Ministry is a free clinic providing health care services to low-income, uninsured men, women and children living in western Cuyahoga County. Kaiser Permanente's grant will support the Chronic Illness Management Program which seeks to prevent and minimize complications associated with chronic illnesses through a coordinated team of caregivers and leveraging prescription assistance programs to provide medications to patients at no cost. DEVELOPING AND DISSEMINATING KNOWLEDGE Kaiser Permanente aims to improve health by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Ohio Health Plan spent $514,260 to support programs and services for the development and dissemination of knowledge and provided grants and donations to nonprofit organizations. Educational Theatre Programs (ETP) The Ohio Health Plan's Educational Theatre Programs is based upon a model for promoting health through theatre. KP staff collaborate with the Cleveland Metropolitan School District to train student actors as health education ambassadors and in turn deliver health messages to a broader audience of peers. The program is comprised of three productions: Secrets, focused on HIV/AIDS and other sexually transmitted diseases; The Amazing Food Detective, designed to educate elementary school students about the importance of good nutrition and exercise; and Peace Signs, a conflict resolution, violence prevention, and healthy choices production. Approximately 53 high school students worked as actors in the three productions; and presented 29 performances to 7,054 children and adults. Grants and Donations for Knowledge Dissemination Approximately $70 thousand in grants were awarded for programs related to evidence based medicine, prevention programs and health education. Following are a few examples of community based programs and services funded through the Kaiser Permanente's Thriving Communities Grants Program: Teens Talking to Teens (Triple T) is Planned Parenthood's flagship youth development program supporting the development of healthy lifestyles, responsible decision making, and leadership development amongst adolescents. Grant funds from Kaiser Permanente supported Triple T programs in East Cleveland and Akron. A grant from Kaiser Permanente assisted Providence House in piloting a Trauma Intervention and Therapy Program. Providence House is a crisis nursery offering shelter for at-risk children as well as education, mentoring, case management and aftercare focused on family preservation. The services of The Gathering Place's Children's Programs have been developed based on known data regarding the impact of family illness on children and also on the most widely accepted theories of child development and child mental health. During the grant period, a tool to assess the outcome of children's participation in various programs and services will be refined and piloted. OTHER COMMUNITY BENEFITS The Ohio Health Plan spent approximately $1.3 million to support a variety of other community benefit programs and services to improve community health. Youth and Other Self Sufficiency Programs The Ohio Health Plan supported 56 students in two different programs. The Y.O.U. program offers economically disadvantaged high school students in Ohio with supportive and meaningful employment experiences in the health care field. Employment is during the summer months throughout the organization. INROADS focuses on developing minority college students for leadership roles in corporations and in the community. Student interns typically work two to five summers at Kaiser Permanente with the goal of permanent placement upon graduation from college. | |
| Other Community Grants and Donations | The Ohio Health Plan awarded 57 grants totaling $758,758 to various community-based organizations to support projects targeted towards children, youth and prevention initiatives. Following is an example of the grants and donations given to community organizations: The Cleveland Metropolitan School District's Students of Promise Program, also known as Closing the Achievement Gap (Program) was created based on the understanding that there should be no 'reason' for Cleveland's African American male students to drop out of high school. 'Reasons' can be affected by family, school or community and may include a lack of connection to the school environment, such as: a perception that school is boring, feeling unmotivated, not getting along with teachers, and not understanding the academic material and the weight of real world events. A comprehensive approach was designed based on using multiple interventions to address the whole student, which includes addressing both the academic and social-emotional learning needs. St. Martin de Porres' unique partnership with the greater Cleveland business community has been identified as a leading indicator of student's persistence rate in college. Each Saint Martin student works in a job-sharing team comprised of four students. Working in a rotating schedule, each team fills one full time equivalent job in a standard Monday-Friday business week schedule. The program sets the tone for student behavior and expectations in the workplace and in the classroom. The program also provides meaningful opportunities for professionals to interact with and mentor their student workers while making a difference in their lives. The Diversity Center has honored men and women of outstanding dedication and community service in our region at the annual Humanitarian Award Dinner. Nominees exhibit an extensive record of involvement in civic, charitable, volunteer, and professional organizations. Each nominee has contributed to the improvement of human relations among diverse groups in Northeast Ohio. Regional Community Benefit Operations The Ohio Health Plan has a dedicated Community Benefit Department with three full time employees to coordinate CB initiatives and support regional community benefit programs and services. ATTACHMENT A 2011 COMMUNITY BENEFIT INVESTMENT - OHIO REGION The following chart summarizes the 2011 Community Benefit investments by the Ohio Health Plan. The investments in the community reflected in the chart are unaudited. CARE & COVERAGE Charitable Care & Coverage Programs $ 7,905,437 Government Sponsored Programs 1,455,045 Grants/Donations for Care and Coverage 505,000 Care & Coverage CB Operations 46,155 Subtotal: $ 9,911,637 COMMUNITY HEALTH INITIATIVES Grants/Donations for Community Health Initiatives $ 330,646 Community Health Initiatives CB Operations 33,009 Subtotal: $ 363,655 SAFETY NET PARTNERSHIPS Grants/Donations for Safety Net Partnerships $ 228,346 Subtotal: $ 228,346 KNOWLEDGE DISSEMINATION Medical Research $ 206,120 Educational Theatre Program 153,914 Health Care Training & Education Programs 84,486 Grants/Donations for Knowledge Dissemination 69,740 Subtotal: $ 514,260 OTHER COMMUNITY BENEFITS Self Sufficiency Programs $ 23,966 Grants/Donations for Other Community Benefits 758,758 Other CB Operations 489,363 Subtotal: $ 1,272,087 TOTAL $12,289,985 | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Christine Cassel TITLE:Director HOURS:7 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas Chapman TITLE:Director HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel Garcia TITLE:SVP, Chief Compliance Officer HOURS:48 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:William Graber TITLE:Director HOURS:7 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J. Eugene Grigsby III TITLE:Director HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:George Halvorson TITLE:Chairman and CEO HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Judith Johansen TITLE:Director HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kim J. Kaiser TITLE:Director HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Philip Marineau TITLE:Director HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jenny Ming TITLE:Director HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Edward Pei TITLE:Director HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J. Neal Purcell TITLE:Director HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Cynthia Telles TITLE:Director HOURS:7 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Sandra Thompkins TITLE:Director HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Margaret E Porfido TITLE:Director HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel Beck TITLE:VP, Regional Counsel - Ohio HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Patricia Kennedy-Scott TITLE:Region President - Ohio HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kathryn Lancaster TITLE:EVP & CFO HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas Meier TITLE:SVP, Corporate Treasurer HOURS:47 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Donald Orndoff TITLE:SVP, NFS HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROCHELLE ROTH TITLE:SENIOR DIRECTOR,QRM HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Arthur Southam TITLE:EVP, Health Plan Operations HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Deborah Stokes TITLE:SVP, CC & CAO HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Bernard Tyson TITLE:President & COO HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Victoria Zatkin TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mark Zemelman TITLE:SVP, Gen Counsel & Secretary HOURS:48 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Donna Lynne TITLE:Group President HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Craig M. Faerber TITLE:VP, CFO - Ohio HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Pamela Hara TITLE:VP, Quality/Service HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Joseph M LaGuardia TITLE:VP, Mktg, Sls & Bus Devel HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas Revis TITLE:VP, CFO - Ohio HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Belva Tibbs TITLE:VP, Medical Operations HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Timothy Alberts TITLE:VP, Human Resources HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Heather Bossin TITLE:Dir, Financial Services HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Carolyn Hightower TITLE:VP, Regional HP Admin - OH HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michelle Richter TITLE:Dir, Group Sales and Acct Mgmt HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jeffrey Wallace TITLE:Dir, Pharmacies HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Steven Zatkin TITLE:Consultant HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | true |
| Kaiser Foundation Health Plan of GA Inc | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 581592076 | Health Care | GA | 501(c)(3) | 9 | KFHP INC | true |
| Kaiser Foundation Health Plan of the MAS | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 520954463 | Health Care | MD | 501(c)(3) | 9 | KFHP INC | true |
| Kaiser Foundation Health Plan of the NW | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 930798039 | Health Care | OR | 501(c)(3) | 9 | KFHP INC | true |
| Kaiser Foundation Hospitals | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 941105628 | Health Care | CA | 501(c)(3) | 3 | KFHP INC | true |
| Camp Bowie Service Center | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 943299123 | Admin | CA | 501(c)(3) | 11 - I | KFHP INC | true |
| Kaiser Health Alternatives | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 930954562 | Health Care | OR | 501(c)(3) | 9 | KFHP INC | true |
| Kaiser Hospital Asset Management Inc | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 943299125 | Asset Mgt | CA | 501(c)(3) | 11 - I | KF HOSPITALS | true |
| Kaiser Health Plan Asset Management Inc | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 943299124 | Asset Mgt | CA | 501(c)(3) | 11 - I | KFHP INC | true |
| Lokahi Assurance Ltd | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 912171891 | Risk mgmt | HI | 501(c)(3) | 11 - I | KFHP INC | true |
| OHP | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 930480268 | Leasing | WA | 501(c)(3) | 11 - I | KFHP INC | true |
| 1800 Harrison Foundation | ||||||||||
| ONE KAISER PLAZA 15L | OAKLAND | CA | 94612 | 943317484 | FINANCING | CA | 501(c)(3) | 11 - II | KFHP INC | true |
| Kaiser Hospital Assistance Corporation | ||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 311779500 | FINANCING | CA | 501(c)(3) | 11 - III-O | KF HOSPITALS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Code VCodeVAmount | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HCMS LLC | ||||||||||||
| ONE KAISER PLAZA 15L | OAKLAND | CA | 94612 | 203924985 | CONSULTING | CA | NA | NONE | 0 | 0 | $0 | 0.00000 |
| KAISER PERMANENTE VENTURES LLC | ||||||||||||
| ONE KAISER PLAZA 15L | OAKLAND | CA | 94612 | 272252521 | INVESTMENTS SVC | CA | NA | NONE | ||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||
| Kaiser Permanente Insurance Company | |||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 943203402 | Insurance | CA | NA | C Corp | |||
| Kaiser Properties Services Inc | |||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 943259432 | Real Estate | CA | NA | C Corp | |||
| Oak Tree Assurance Ltd | |||||||||||
| One Kaiser Plaza 15L | Oakland | CA | 94612 | 030329760 | Insurance | VT | NA | C Corp | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (36 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | ||
| K | 2735910 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN INC | ||
| L | 16754063 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN INC | ||
| O | 15477669 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN INC | ||
| P | 7116816 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| A | 5162877 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| E | 34000000 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| K | 61651131 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| L | 43524690 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| O | 59807090 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| P | 149876304 | PER AGREEMENT |
| KAISER FOUNDATION HOSPITALS | ||
| Q | 40000000 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||
| K | 294219 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||
| L | 101237 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||
| N | 93997 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||
| O | 543694 | PER AGREEMENT |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | ||
| P | 2926 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF GEORGIA INC | ||
| K | 149026 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF GEORGIA INC | ||
| L | 347471 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF GEORGIA INC | ||
| O | 37125 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF GEORGIA INC | ||
| P | 18601 | PER AGREEMENT |
| KFHP OF THE MID-ATLANTIC STATES INC | ||
| K | 397629 | PER AGREEMENT |
| KFHP OF THE MID-ATLANTIC STATES INC | ||
| O | 37150 | PER AGREEMENT |
| KFHP OF THE MID-ATLANTIC STATES INC | ||
| P | 25420 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF THE NORTHWEST | ||
| K | 46729 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF THE NORTHWEST | ||
| L | 19416 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF THE NORTHWEST | ||
| O | 3733 | PER AGREEMENT |
| KAISER FDN HEALTH PLAN OF THE NORTHWEST | ||
| P | 35590 | PER AGREEMENT |
| CAMP BOWIE SERVICE CENTER | ||
| L | 1595185 | PER AGREEMENT |
| CAMP BOWIE SERVICE CENTER | ||
| O | 82079 | PER AGREEMENT |
| KAISER PERMANENTE INSURANCE COMPANY | ||
| K | 1112857 | PER AGREEMENT |
| KAISER PERMANENTE INSURANCE COMPANY | ||
| L | 29798548 | PER AGREEMENT |
| KAISER PERMANENTE INSURANCE COMPANY | ||
| P | 4483796 | PER AGREEMENT |
| LOKAHI ASSURANCE LTD | ||
| L | 42825671 | PER AGREEMENT |
| LOKAHI ASSURANCE LTD | ||
| P | 5572120 | PER AGREEMENT |
| LOKAHI ASSURANCE LTD | ||
| Q | 7665000 | PER AGREEMENT |
| OAK TREE ASSURANCE LTD | ||
| P | 282245 | PER AGREEMENT |