KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC (EIN 52-0954463)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201113189349304406
Schema version: 2010v3.4
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 C
Schedule D
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T12:50:05-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520954463	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KAISER FOUNDATION HEALTH PLAN OF THE	BusinessNameLine1
Business Name Line2	MID-ATLANTIC STATES INC	BusinessNameLine2

Field	Value	IRS element (for citing)
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	KATHRYN LANCASTER	Name
Title	EXEC VP & CHIEF FINANCIAL OFFICER	Title
Date Signed	2011-10-31	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4159635100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	MARILYN J KAWAMURA	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	2591167453	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	MD	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	6481	TotalNbrEmployees
Total Nbr Volunteers	374	TotalNbrVolunteers
Total Gross UBI	395270	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1000	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2072471716	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2167518178	ProgramServiceRevenueCY
Investment Income Prior Year	17190027	InvestmentIncomePriorYear
Investment Income Current Year	14051735	InvestmentIncomeCurrentYear
Other Revenue Prior Year	331594	OtherRevenuePriorYear
Other Revenue Current Year	844684	OtherRevenueCurrentYear
Total Revenue Prior Year	2089994337	TotalRevenuePriorYear
Total Revenue Current Year	2182414597	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	7413818	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	13959286	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	442095453	SalariesEtcPriorYear
Salaries Etc Current Year	484757781	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	1651348508	OtherExpensePriorYear
Other Expenses Current Year	1717688949	OtherExpensesCurrentYear
Total Expenses Prior Year	2100857779	TotalExpensesPriorYear
Total Expenses Current Year	2216406016	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-10863442	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-33991419	RevenuesLessExpensesCY
Total Assets BOY	774115404	TotalAssetsBOY
Total Assets EOY	770152177	TotalAssetsEOY
Total Liabilities BOY	625509440	TotalLiabilitiesBOY
Total Liabilities EOY	671862797	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	148605964	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	98289380	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	2011821948	Expense
Grants	13959286	Grants
Revenue	2165166486	Revenue
Description	member health care services and medical training for care improvement Kaiser Foundation Health Plan of the Mid-Atlantic States (KFHP of MAS) provides medical and surgical care, including urgent care services, extended care and home health care, for its members without regards to age, sex, race, religion or national origin or the ability to pay. KFHP of MAS educates and trains medical students and other health care professionals and promotes scientific and nursing education in order to improve care. Additional information about Mid-Atlantic States Health Plan's charitable activities can be found in Schedule O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	31406325	Expense
Grants	0	Grants
Revenue	2153003	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 Kaiser Permanente facilities. In 2010, this program assisted 241 applicants, providing 270 prescriptions and 462 outpatient visits. CHC - these programs are available to low income adults and children who are not eligible for other public or privately sponsored coverage. More than 8,548 patients received comprehensive care for up to four years through these programs.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9719685	Expense
Grants	0	Grants
Revenue	33258	Revenue
Description	Participation in Government Sponsored Programs Mid-Atlantic Health Plan contributed $9.7 million to support the provision of medical care services to individuals in the state of Maryland. The Maryland Medical Assistance Program (MMA) provides funds to allow the state to increase rates that Medicaid pays to fee-for-service and managed care health care providers. The MMA program helps increase the number of practitioners willing to serve Medicaid patients, and without such practitioners, access to care could be seriously curtailed for vulnerable populations in Maryland.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	3906541	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	SEE COMMUNITY BENEFIT REPORT	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	3906541	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	2056854499	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	false	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	true	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	5967	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6481	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	true	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	DC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	VA	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 (37 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
Anthony Barrueta
SVP, Government Relations	5.0	X	0	571456	116411
CHRISTINE K CASSEL
DIRECTOR	0.5	X	0	172625	0
THOMAS W CHAPMAN EDD
DIRECTOR	1.0	X	11000	174427	59810
DANIEL P GARCIA
SVP, Chief Compliance Officer	2.0	X	0	1280238	73787
WILLIAM R GRABER
DIRECTOR	1.0	X	0	232123	0
J EUGENE GRIGSBY III PHD
DIRECTOR	1.0	X	11643	182100	0
GEORGE C HALVORSON
Chairman, CEO, President	5.0	X	0	7667335	76092	X
JUDITH JOHANSEN
DIRECTOR	0.5	X	0	184560	0
KIM J KAISER
DIRECTOR	0.5	X	0	122875	0
PHILIP MARINEAU
DIRECTOR	0.5	X	0	193623	0
JENNY J MING
DIRECTOR	0.3	X	0	182748	0
EDWARD PEI
DIRECTOR	0.5	X	0	168250	16500
J NEAL PURCELL
DIRECTOR	0.5	X	0	219738	0
CYNTHIA TELLES
DIRECTOR	0.5	X	0	182647	0
SANDRA THOMPKINS
DIRECTOR	0.5	X	0	166951	0
Marilyn Kawamura
Region President - MAS	35.0		0	961205	207332	X
Kathryn Lancaster
EVP & CFO	4.0		0	1558076	296474	X
THOMAS R MEIER
SVP, Corporate Treasurer	3.0		0	647785	107439	X
Donald Orndoff
SVP, NFS	5.0		0	508058	70932	X
DeAnne Petersen
VP, CFO - MAS	50.0		0	364277	81432	X
ROCHELLE M ROTH
SENIOR DIRECTOR, QRM	5.0		0	182639	51575	X
ARTHUR M SOUTHAM MD
EVP, Health Plan Operations	5.0		0	2020299	353928	X
Susan Spurlark
VP, Regional Counsel - MAS	30.0		0	376891	103384	X
Deborah Stokes
SVP, CORP CONTROLLER & CAO	4.0		0	622642	123860	X
BERNARD J TYSON
President & COO	5.0		0	1942514	359961	X
Steven Zatkin
SVP, Gen Counsel & Secretary	5.0		0	1247253	97716	X
VICTORIA B ZATKIN
VP, Off of Brd & Corp Gov Svcs	4.0		0	311369	83647	X
Mark Zemelman
SVP, Gen Counsel & Secretary	4.0		0	806199	150636	X
RUBEN J BURNETT
VP, SALES, MARKETING & BUS.	30.0		0	398683	94288		X
Carrie Harris-Muller
VP, Chief Admin Officer	30.0		0	421782	81873		X
KENDALL D HUNTER
VP, Chief Operating Officer	30.0		0	499236	104518		X
Russell Bradley
VP, HP Services & Admin	30.0		253643	0	49055			X
JUDITH L BRITTAIN
VP, DELIVERY SYS OPERATIONS	30.0		302531	0	80136			X
MARY E JAEGER
VP, HR - MAS	30.0		0	288267	77950			X
KAY W LEWIS
VP, UM, Risk Mgmt & Quality	30.0		0	355841	116387			X
TAMSEN L WESTMORELAND
Exec Dir Regional Comp - MAS	30.0		0	235609	40734			X
Christine Malcolm
FORMER SVP	0.0		0	568721	12021				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	578817	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	26019042	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3087878	TotalOtherCompensation
Number Individuals GT100 K	732	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
INOVA GROUP OF HOSPITALS
PO BOX 37019	BALTIMORE	MD	21297	HOSPITAL SERVICES	82425116
WASHINGTON HOSPITAL CENTER
PO BOX 631290	BALTIMORE	MD	21263	HOSPITAL SERVICES	56051648
HOLY CROSS HOSPITAL
9805 DAMERON DRIVE	SILVER SPRING	MD	20902	HOSPITAL SERVICES	63431065
CHILDRENS HOSPITAL
PO BOX 37215	BALTIMORE	MD	21297	HOSPITAL SERVICES	41671132
MID-ATLANTIC PERMANENTE MEDICAL GRO
2101 E JEFFERSON ST	ROCKVILLE	MD	20852	MEDICAL SERVICES	437740404

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	489	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MBR HLTH CARE PREM	621400	1843855315	1843855315
SUPPL CHARGE/PHARM	621400	97524030	97370834	153196
NON-PLAN & IND REV	621400	2013783	2013783
OTHER PRGM SERVICE	621400	15911368	15899133	12235
MEDICARE/MEDICAID	621400	208213682	208213682

Field	Value	IRS element (for citing)
Total Program Service Revenue	2167518178	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10169980	TotalRevenueColumn
Exclusion	$10,169,980	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 Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	412611311	Securities
Other	23300	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	408535029	Securities
Other	217827	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4076282	Securities
Other	-194527	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3881755	TotalRevenueColumn
Exclusion	$3,881,755	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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	PARKING LOT	Description
Business Code	812930	BusinessCode
Total Revenue Column	844684	TotalRevenueColumn
Unrelated Business Revenue	229839	UnrelatedBusinessRevenue
Exclusion	$614,845	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	844684	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2182414597	TotalRevenueColumn
Related Or Exempt Function Income	2167352747	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	395270	UnrelatedBusinessRevenue
Exclusion	$14,666,580	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	13959286	Total
Program Services	13959286	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	597174	Total
Program Services	591202	ProgramServices
Management And General	5972	ManagementAndGeneral

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	350415377	Total
Program Services	310497826	ProgramServices
Management And General	39917551	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	37409765	Total
Program Services	36145866	ProgramServices
Management And General	1263899	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	70103818	Total
Program Services	58223217	ProgramServices
Management And General	11880601	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	26231647	Total
Program Services	23791649	ProgramServices
Management And General	2439998	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	1103248	Total
Management And General	1103248	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1522624	Total
Management And General	1522624	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	575192	Total
Management And General	575192	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	334297	Total
Program Services	334297	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	29391426	Total
Program Services	576273	ProgramServices
Management And General	28815153	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7389127	Total
Program Services	5889606	ProgramServices
Management And General	1499521	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	124436076	Total
Program Services	124436076	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	51933591	Total
Program Services	51933591	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	2326934	Total
Program Services	1956858	ProgramServices
Management And General	370076	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	1185771	Total
Program Services	781406	ProgramServices
Management And General	404365	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1037111	Total
Program Services	1037111	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35857504	Total
Program Services	35857504	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8865749	Total
Program Services	8865749	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BASIC CONTRACTUAL PAYMENTS	645383779	645383779
PURCHASED MEDICAL SERVICES	376416231	376416231
SUPPLIES	294578086	273671991	20906095
INTER-REGIONAL CHARGES	57418237	54274072	3144165
PURCHASED NON-MEDICAL SVC	43132705		43132705

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	34801261	Total
Program Services	32230909	ProgramServices
Management And General	2570352	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2216406016	Total
Program Services	2056854499	ProgramServices
Management And General	159551517	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6027088	BOY
EOY	7993398	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	66363500	BOY
EOY	66479635	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	21460375	BOY
EOY	22448940	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4747172	BOY
EOY	5359168	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	810664467	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	376678975	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	315534011	BOY
EOY	433985492	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	356858041	BOY
EOY	230590819	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3125217	BOY
EOY	3294725	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	774115404	BOY
EOY	770152177	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	218313743	BOY
EOY	243566511	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5262621	BOY
EOY	4207108	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	12964664	BOY
EOY	12939271	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	388968412	BOY
EOY	411149907	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	625509440	BOY
EOY	671862797	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	6795610	BOY
EOY	6795610	EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	141810354	BOY
EOY	91493770	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	148605964	BOY
EOY	98289380	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	774115404	BOY
EOY	770152177	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-33991419	ReconcilationRevenueExpenses
Reconcilation Other Changes	-16325165	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 Minus1 Year	1000	CurrentTaxYearMinus1Year
Total	1000	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1833460358	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1939546503	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2001419294	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2072423301	CurrentTaxYearMinus1Year
Current Tax Year	2167352747	CurrentTaxYear
Total	10014202203	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1833460358	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1939546503	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2001419294	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2072424301	CurrentTaxYearMinus1Year
Current Tax Year	2167352747	CurrentTaxYear
Total	10014203203	Total

Field	Value	IRS element (for citing)
Public Support Total509	10014203203	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10407879	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16063854	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16584560	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13960781	CurrentTaxYearMinus1Year
Current Tax Year	11014664	CurrentTaxYear
Total	68031738	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10407879	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16063854	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16584560	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13960781	CurrentTaxYearMinus1Year
Current Tax Year	11014664	CurrentTaxYear
Total	68031738	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1843868237	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1955610357	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2018003854	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2086385082	CurrentTaxYearMinus1Year
Current Tax Year	2178367411	CurrentTaxYear
Total	10082234941	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99325	PublicSupportPercentage509
Prior Year Support Percentage	0.99337	PriorYearSupportPercentage
Investment Income Percentage	0.00675	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00663	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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	true	GrantsOtherOrganizations
Grants Other Organizations	$18,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$318,128	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$239,064	OtherActivitiesAmount
Total Lobbying Expenditures IIB	575192	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1A THROUGH 1I	ReturnReference
Explanation	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: - 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. - 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. - 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. - 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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	67793066	OtherCostOrOtherBasis
Book Value	67793066	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	330193139	OtherCostOrOtherBasis
Depreciation	185352173	Depreciation
Book Value	144840966	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	110531880	OtherCostOrOtherBasis
Depreciation	46252188	Depreciation
Book Value	64279692	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	164957879	OtherCostOrOtherBasis
Depreciation	121116858	Depreciation
Book Value	43841021	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	137188503	OtherCostOrOtherBasis
Depreciation	23957756	Depreciation
Book Value	113230747	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	433985492	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO RELATED ENTITIES	$134,924,545
SELF-INSURED RISK - PROF & PUB	$0
MEDICARE COST REPORT RESERVE	$24,948,679
PENSION & POST-RETIREMENT BENE	$206,824,754
OTHER CURRENT LIABILITIES	$6,386,273
LONG-TERM DEFERRED RENT LIABILITY	$33,186,165
OTHER LONG-TERM LIABILITIES	$4,879,491

Field	Value	IRS element (for citing)
Total Of Amounts	411149907	TotalOfAmounts
Total Revenue	2182414597	TotalRevenue
Total Expenses	2216406016	TotalExpenses
Excess Or Deficit For Year	-33991419	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-4996045	NetUnrealizedGLOnInvestments
Other	-$11,329,120	OtherAmount
Total Adjustments	-16325165	TotalAdjustments
Excess Or Deficit Per FS	-50316584	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	2176018655	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-4996045	NetUnrealizedGainsInvestments
Other Revenues	6827945	OtherRevenues
Revenue Not Rptd F990	1831900	RevenueNotRptdF990
Revenue Subtotal	2174186755	RevenueSubtotal
Other Revenues Not Included	8227842	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	8227842	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	2182414597	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2226335239	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	13339200	OtherExpensesIncluded
Expenses Not Rptd F990	13339200	ExpensesNotRptdF990
Expenses Subtotal	2212996039	ExpensesSubtotal
Other Expenses Not Included	3409977	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3409977	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	2216406016	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RECONCILIATION OF REVENUE PER AUDITED FIN. STMT. WITH REVENUE PER RETURN	SCHEDULE D, PART XII	LINE 2D: Gain on sale of investments - book $ 4,543,206 CAPITAL TRANSFER OUT - CURRENT YEAR 1,506,152 INTEREST EXPENSE - RECLASS 560,760 FIXED ASSET LOSS - RECLASS 217,827 TOTAL $ 6,827,945 LINE 4B: BAD DEBT EXPENSES - RECLASS $ 3,075,680 INVESTMENT MANAGEMENT EXPENSES - RECLASS 334,297 Gain on sale of investments - tax 4,076,282 SEE PART XI, LINE 8, NOTE 1 741,583 TOTAL $ 8,227,842
RECONCILIATION OF EXPENSES PER AUDITED FIN. STMT. WITH EXPENSES PER RETURN	SCHEDULE D, PART XIII	LINE 2D: CHANGE IN OTHER COMPREHENSIVE INCOME $ 12,560,613 INTEREST EXPENSE - RECLASS 560,760 FIXED ASSET LOSS - RECLASS 217,827 TOTAL $ 13,339,200 LINE 4B: BAD DEBT EXPENSES - RECLASS $ 3,075,680 INVESTMENT MANAGEMENT EXPENSES - RECLASS 334,297 TOTAL $ 3,409,977
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMT	SCHEDULE D, PART XI, LINE 8	CHANGE IN OTHER COMPREHENSIVE INCOME $ (12,560,613) CAPITAL TRANSFER OUT - CURRENT YEAR 1,506,152 Gain on sale of investments - book 4,543,206 Gain on sale of investments - tax (4,076,282) SEE "NOTE 1" (741,583) TOTAL $ (11,329,120) NOTE 1: OTHER THAN TEMPORARY IMPAIRMENT OF INVESTMENT RECOGNIZED FOR FINANCIAL STATEMENT PURPOSES, WHICH WILL BE TAX REPORTED WHEN REALIZED
FIN 48 FOOTNOTE	SCHEDULE D, PART X, QUESTION 2	NOT REQUIRED

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (144 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
Access to Wholistic & Prdctive Lvg Inst Inc
7114 Cipriano Springs Dr	LANHAM	MD	207063835	262296724	501(c)(3)	70000	Salvation Army In-treatment Center - Embracing Hea Access Coordinator and Medication Coordinator
Achieve Kids Tri Inc
2000 M St NW	WASHINGTON	DC	20036	262073899	501(c)(3)	10000	Achieve Kids Triathlon	520
Adventist HealthCare Inc
1801 Research Blvd	ROCKVILLE	MD	20850	521532556	501(c)(3)	39129	Qualified Bilingual Staff Train-the-Trainer Confer
Alternative House
PO Box 694	Dunn Loring	VA	22027	540899463	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
American Diabetes Association
2002 Clipper Park Rd	Baltimore	MD	21211	131623888	501(c)(3)	45000	2010 Reverse the Trend Grant
Annapolis Area Ministries Inc
10 Hudson St	Annapolis	MD	21401	521671388	501(c)(3)	74500	Health Assistance for Vulnerable Populations Special Health Care Needs
Arlington Free Clinic
2921 11th St	Arlington	VA	22204	541671883	501(c)(3)	90000	2010 Grant for general operating support table
Arlington Pediatric Center Inc
601 S Carlin Springs Rd	Arlington	VA	22204	541998631	501(c)(3)	75000	2010 Grant for Operational Support Collaborative
Ascensions Community Services Inc
1526 Howard Rd SE	Washington	DC	20018	510519629	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Associated Black Charities
1114 Cathedral St	Baltimore	MD	21201	521427774	501(c)(3)	264800	BMore Healthy Media Campaign
Associated Catholic Charities
2015 20th St	Ft Meade	MD	207551301	520591538	501(c)(3)	49000	End of Year Donation
Baltimore Community College Foundation Inc
2901 Liberty Heights Ave	Baltimore	MD	212157893	521361023	501(c)(3)	200000	BCCC Kaiser Permanente Scholarships Project	Harper Hall 101
Bethany Christian Services of Maryland
2130 Priest Bridge Dr	Crofton	MD	21114	311282580	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	9
Bikes Belong Foundation
PO Box 2359	Boulder	CO	80306	204306888	501(c)(3)	161250	Safe Passages for School Children
Black Lesbian and Gay Pride Day Inc
1325 Mass Ave	Washington	DC	20005	522021396	501(c)(3)	20000	2010 Health and Wellness Convention	600
Boat People SOS Inc
6066 Leesburg Pike	Falls Church	VA	22041	541563619	501(c)(3)	125000	Health Awareness and Prevention Program (HAPP)	100
Bread for the City Inc
1525 Seventh St NW	Washington	DC	20001	521138207	501(c)(3)	99000	2010 grant for nutrition initiative
Calvary Women's Services
110 Maryland Ave NE	Washington	DC	20002	521307706	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	103
Capital Area Food Bank
645 Taylor St NE	Washington	DC	20017	521167581	501(c)(3)	252000	Employee Giving Campaign Match
Carpenter's Shelter Inc
930 North Henry St	Alexandria	VA	22314	541571849	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
CASA of Maryland
8151 15th Ave	Langley Park	MD	20783	521372972	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Catoctin Foundation Inc The
224B Cornwell St NW	Leesburg	VA	20175	541921059	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Cesar Chavez Public Policy Charter HS
709 12th St SE	Washington	DC	20003	522088566	501(c)(3)	20000	District of Columbia Promise Neighborhood Initiati
Children's Hospital Foundation
111 Michigan Ave NW	Washington	DC	200102970	521640402	501(c)(3)	60000	Mobile Health Program
Christ House
1717 Columbia Rd NW	Washington	DC	20009	521362103	501(c)(3)	99000	2010 Grant for Operational Support
Comm Health Charities of the Nat Cap ARea
1240 N Pitt St	Alexandria	VA	22314	521089036	501(c)(3)	28500	Matching funds for 2009 Employee Giving Campaign	3RD Fl
CommnHealth ACTION
1025 Connecticut Ave NW	Washington	DC	20036	830398572	501(c)(3)	300743	Grant for Technical Assistance to support the Port Nation's Capital	1000
Common Good City Farm
3318 19th St NW	Washington	DC	20010	800365344	501(c)(3)	80000	Fresh Food Beyond LeDroit Park
Community Clinic Inc
15850 Crabbs Branch Way	Rockville	MD	20855	520988386	501(c)(3)	200000	Dental Health Program	350
Community Ministries of Rockville
1010 Grandin Ave	Rockville	MD	20851	520910334	501(c)(3)	95300	2010 Gala Sponsorship	A-1
DC Appleseed Center for Law and Justice
1111 Fourteenth St NW	Washington	DC	20005	521891162	501(c)(3)	29575	2010 Awards Dinner	510
DC Central Kitchen Inc
425 2nd St NW	Washington	DC	20001	521584936	501(c)(3)	174000	2010 Capital Food Fight school based healthcare
Dialogue on Diversity
1629 K St NW	Washington	DC	20006	521761217	501(c)(3)	17500	2010 Health Care Symposium	300
District of Columbia Primary Care Assoc
1411 K St NW	Washington	DC	200053404	521999196	501(c)(3)	20000	2010 Annual Meeting	300
Domestic Violence Center of Howard Cty Inc
5457 Twin Knolls Rd	Columbia	MD	21045	521115111	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	310
Doorways for Women and Families
PO Box 100185	Arlington	VA	22210	541087829	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
ECO-Farm
3901 Livingston St	Hyattsville	MD	20781	264196401	501(c)(3)	107500	2010 Sowing Seeds Here and Now Conference Gala
Elton John AIDS Foundation Inc
584 Broadway	New York	NY	10012	582033460	501(c)(3)	15000	Smash Hits Tennis Tournament	906
End Time Harvest Ministries In
5808 Harland St	New Carrollton	MD	20784	521379809	501(c)(3)	27000	2010 Port Towns Graduation Celebration
FACETS Cares Inc
10640 Page Ave	Fairfax	VA	22030	541516266	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	300
Fairfax County Office of Partnerships
12000 Government Center Pkwy	Fairfax	VA	22035	540787833	501(c)(3)	8912	Dress Up With Grown Ups Gala Career Success Program graduates	432
Family Services Inc
610 E Diamond Ave	Gaithersburg	MD	20877	520730225	501(c)(3)	150000	2010 SafetyNet Grant
Food & Friends Inc
219 Riggs Rd NE	Washington	DC	20011	521648941	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Food For Others Inc
2938 Prosperity Ave	Fairfax	VA	22031	541777157	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Food Research and Action Center
1875 Connecticut Ave NW	Washington	DC	20009	237200739	501(c)(3)	150000	Reducing Obesity Among District Students through H children to medical homes	540
Frederick Union Rescue Mission Inc
PO Box 3389	Frederick	MD	21705	520813371	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Fredericksburg Area Food Bank
3631 Lee Hill Dr	Fredericksburg	VA	22408	541255013	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
George Mason University Foundation Inc
4400 University Dr	Fairfax	VA	22030	541603842	501(c)(3)	13000	2010 Health & Fitness Expo
Good Shepherd Housing & Family Services
8305 Richmond Hwy	Alexandria	VA	22309	237447962	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	17B
Greater Prince William Community Health Ctr
4379 Ridgewood Center Dr	Woodbridge	VA	22192	830435138	501(c)(3)	150000	Healthy Kids for a Healthy Community	102
Guide Program Inc
8643 Cherry Lane	Laurel	MD	20707	520950208	501(c)(3)	99527	GUIDE Strategic IT Initiative Sciences Students
Healthy Howard Inc
PO Box 2275	Columbia	MD	21045	611549388	501(c)(3)	144110	The Impacts of Health and Wellness Coaching on the Health Care Directory
Heartly House Inc
PO Box 857	Frederick	MD	21705	521186250	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET patients
Hispanic College Fund Inc
1301 K St NW	Washington	DC	20005	521809680	501(c)(3)	58800	17th annual HCF Gala	450-A
Holy Cross Hospital
11801 Tech Rd	Silver Spring	MD	20904	208428450	501(c)(3)	7495	Sponsorship
Holy Cross Hospital Foundation
11801 Tech Rd	Silver Spring	MD	20904	520738041	501(c)(3)	22260	2010 Gala
Holy Cross Hospital Silver Spring Maryland
1500 Forest Glen Rd	Silver Spring	MD	20910	520738041	501(c)(3)	161040	Senior Fit Program Program
Inquiring Systems Inc
150 South Park	San Francisco	CA	94107	942524840	501(c)(3)	141000	D.C. Schools on the Move Phase 2
Jeanie Schmidt Free Clinic
PO Box 5143	Herndon	VA	20172	710877944	501(c)(3)	107000	Community Connections Program County
Joseph's House Inc
1730 Lanier Place NW	Washington	DC	20009	521693018	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Jubilee Foundation Inc
10408 Montgomery Ave	Kensington	MD	20895	521698505	501(c)(3)	14400	Sponsorship
Junior Achievement of the Natl Capital Area
1725 I St NW	Washington	DC	20006	540788947	501(c)(3)	15000	Junior Achievement Finance Park	200
Junior League of Baltimore Inc The
5902 York Rd	Baltimore	MD	21212	520591620	501(c)(3)	50000	Kids in the Kitchen - Curriculum Development
La Clinica del Pueblo
2831 15th St NW	Washington	DC	200094607	521942551	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Latin American Youth Center Inc
1419 Columbia Rd NW	Washington	DC	20009	521023074	501(c)(3)	23500	Fiesta 2010
Loudoun Community Health Center
224 A Cornwall St NW	Leesburg	VA	20176	202379419	501(c)(3)	254000	Loudoun Community Health Center Kids Clinic
Lupus Foundation of Greater Washington
2000 L St NW	Washington	DC	20036	237448063	501(c)(3)	60000	Patient Navigation Program	732
Manna Food Center Inc
9311 Gaither Rd	Gaithersburg	MD	20877	521289203	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET and Festival
Marian House
949 Gorsuch Ave	Baltimore	MD	21218	521243849	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Martha's Table Inc
2114 14th St NW	Washington	DC	20009	521186071	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Maryland Assoc of Nonprofit Org Inc
190 West Ostend St	Baltimore	MD	21230	521749231	501(c)(3)	98475	Health Advocates Leadership Institute	201
Maryland Food Bank Inc
2200 Halethorpe Farms Rd	Baltimore	MD	21227	521135690	501(c)(3)	28500	Blue Jeans Ball
Maryland Healthcare Education Institute
6820 Deerpath Rd	Elkridge	MD	21075	520901664	501(c)(3)	150000	Nursing Grants STI/HIV/AIDS Transmission in At-Risk Youth
MARY'S CENTER FOR MATERNAL & CHILD CARE
2333 Ontario Rd NW	Washington	DC	20009	521594116	501(c)(3)	119500	Year-End Direct Services Donation for Safety NET
Medical Society of Virginia Foundation
2924 Emerywood Pkwy	Richmond	VA	23294	521394768	501(c)(3)	8920	2010 Physician's Gala	300
Micah Ecumenical Ministries
PO Box 3277	Fredericksburg	VA	22402	204044884	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Miriam's Kitchen
2401 Virginia Ave NW	WASHINGTON	DC	20037	521331552	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Mission Life Center
10721 Main St	fairfax	VA	22030	752999280	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	1200
Mission of Mercy Inc
22 South Market St	Frederick	MD	21701	860704883	501(c)(3)	100000	Mission of Mercy's Access to Care Program	6D
Montgomery College Foundation Inc
900 Hungerford Dr	Rockville	MD	20850	521267008	501(c)(3)	200000	Kaiser Permanente of the Mid-Atlantic States Healt	200
Montgomery County Department of Health
101 Monroe St	Rockville	MD	20850	526000980	GOVT ENTITY	100000	The Montgomery Cares 'Next Steps' Program: Expandi
Montgomery Cty Coalition for the homeless
600-B East Gude Dr	Rockville	MD	20850	521735674	501(c)(3)	9250	2010 Celebrating Partnerships Gala
Montgomery Hospice
1355 Piccard Dr	Rockville	MD	20850	521664426	501(c)(3)	9120	Bereavement Conference	100
Mosaica Inc
1522 K St NW	Washington	DC	20005	521872115	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	1130
Mt Washington Pediatric Hospital Inc
1708 West Rogers Ave	Baltimore	MD	21209	520591483	501(c)(3)	150000	Healthy Living Academy (HLA)
Muslim Community Center Medical Clinic
15200 New Hampshire Ave	Silver Spring	MD	20905	521072792	501(c)(3)	95000	Women Wellness Program
My Sister's Place Inc
PO Box 29596	Washington	DC	20017	521263256	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
NAMI Montgomery County (MD) Inc
11718 Parklawn Dr	Rockville	MD	20852	521150412	501(c)(3)	70000	Improving the lives of individuals affected by men
National Assoc of Commissions for Women
401 N Washington St	Rockville	MD	20850	205110222	501(c)(3)	12000	Capital Opportunities for America's Women and Girl	100
National Children's Museum
955 LEnfant Plaza N SW	Washington	DC	20024	237423491	501(c)(3)	8950	2010 National Children's Museum Gala
National Hispana Leadership Institute
1601 N Kent St	Arlington	VA	22209	742544980	501(c)(3)	12500	2010 Leadership Institute for Healthy Eating and Active Living (PG HEAL)	803
Natl Kidney Fdn of the Natl Capital Area
5335 Wisconsin Ave NW	Washington	DC	20015	521001444	501(c)(3)	8900	2010 Kidney Ball	300
Network2000
PO Box 22765	Baltimore	MD	21203	521814260	501(c)(3)	5660	Women of Excellence Sponsorship
Northern Virginia Community College Edu Fdn
4001 Wakefield Chapel Dr	Annandale	VA	22003	510249730	501(c)(3)	200000	NOVA Kaiser Permanente Scholarship Program for Nur
Northern Virginia Dental Clinic Inc
5827 Columbia Pike	Falls Church	VA	22041	541646071	501(c)(3)	265000	Northern Virginia Dental Clinic / NVDC - Loudoun and supplies	405
Northern Virginia Family Service
10455 White Granite Dr	Oakton	VA	22124	540791977	501(c)(3)	135545	2010 Road to Independence Gala Program opening	100
NOVA Scripts Central Inc
6400 Arlington Blvd	Falls Church	VA	22042	651275162	501(c)(3)	150000	Medication and Pharmaceutical Services for Norther	120
Park Heights Renaissance Inc
4151 Park Heights Ave	Baltimore	MD	21215	770673126	501(c)(3)	100000	Healthy Eating, Healthy Living Community Greening
Pediatric Primary Care Project
15941 Donald Curtis Dr	Woodbridge	VA	22191	541796203	501(c)(3)	60000	SNEAG Grant from 2009 - to add additional provider	180
People Encouraging People Inc
2002 Clipper Park Rd	Baltimore	MD	21211	521168285	501(c)(3)	150000	Project OPEN (Outreach, Prevention, and Enrollment	105
Port Towns Community Development Corp
4217 Edmonston Rd	Bladensburg	MD	20710	521998685	501(c)(3)	25000	2010 Grant for Capacity building
Pregnancy Aid Centers Inc
4809 Greenbelt Rd	College Park	MD	207402001	237418649	501(c)(3)	72000	Expanding Safety Net Services: Health Care/Nutriti
Primary Care Coalition of Montgomery Cty
8757 Georgia Ave	Silver Spring	MD	20910	521847976	501(c)(3)	112486	2010 Grant for electronic medical records conversi	10th Fl
Prince George's Community College Fdn
301 Largo Rd	Largo	MD	20774	521429938	501(c)(3)	200000	Professional Education Scholarship for Health Scie
Prince William Area Free Clinic Inc
4001 Prince William Pkwy	Woodbridge	VA	22192	541619202	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	101
Prince William Health Partners Inc
2296 Opitz Blvd	Woodbridge	VA	22191	030444689	501(c)(3)	92000	Healthy Eating and Active Living (HEAL) for High S	320
Protect Yourself 1 Inc
2938 Kidds Schoolhouse Rd	Parkton	MD	21120	810644880	501(c)(3)	36500	Sponsorship of Safe2Live website development in the Virginia Health Care Foundation
Providence Health Foundation
1150 Varnum St NE	Washington	DC	20017	521275583	501(c)(3)	49898	Fort Lincoln Health Navigator Project
Rails-to-Trails Conservancy
2121 Ward Court NW	Washington	DC	20037	521437006	501(c)(3)	24000	Meet the Metropolitan Branch Trail - opening day '	5TH FL
Rappahannock Council Against Sexual Assault
2601 Princess Anne St	Fredericksburg	VA	22401	541443112	501(c)(3)	50000	Violence and Vulnerable Populations -- Culturally
Rappahannock Refuge Inc
902 Lafayette Blvd	Fredericksburg	VA	22401	521419314	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
Red Wiggler Foundation Inc
PO Box 968	Clarksburg	MD	208710968	521973795	501(c)(3)	50000	Red Wiggler Community Farm's Active People and Hea
Samaritan Inns Inc
2523 14th St NW	WASHINGTON	DC	20009	521474935	501(c)(3)	74500	Building Capacity of the Safety Net: Nutrition and
Shady Grove Adventist Hospital Foundation
14955 Shady Grove Rd	Rockville	MD	20850	521216429	501(c)(3)	10000	For Expansion of Diabetes Self Management Educatio	165
Share Our Strength Inc
1730 M St NW	WASHINGTON	DC	20036	521367538	501(c)(3)	198000	First Class Breakfast: Helping Maryland Students C	700
So Others Might Eat
71 O St NW	WASHINGTON	DC	20001	237098123	501(c)(3)	99500	2010 Grant for Operational Support
Spanish Catholic Ctr of Catholic Charities
1618 Monroe St NW	WASHINGTON	DC	20010	520980905	501(c)(3)	29500	2010 Gala
Suitland Family and Life Development Corp
14416 Old Mill Rd	Upper Marlboro	MD	20772	522052386	501(c)(3)	90000	PG Youth-Adult Partnership for Healthy Eating and	101
Summit Health Institute for Research & Edu
1313 L St NW	Washington	DC	20005	521936403	501(c)(3)	94629	TA for Ward 8 Early Childhood Obesity Project	111
The Comm Fdn for the Natl Capital Region
1201 15th St NW	Washington	DC	20005	237343119	501(c)(3)	3274240	Sponsorship of Prince George's Community Foundatio	420
The Friends of Natl Arboretum's DC Yth Gdn
3501 New York Ave NE	Washington	DC	20002	521257712	501(c)(3)	144737	The Washington Youth Garden Schoolyard Garden Well
The Fuel Fund of Maryland Inc
305 W Chesapeake Ave	Towson	MD	21204	521204629	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET
The Gaston & Porter Health Improv Ctr Inc
8612 Timber Hill Ln	Potomac	MD	20854	030455203	501(c)(3)	150000	Prime Time Sister Circles(R) (PTSC)
The Lloyd F Moss Free Clinic
1301 Sam Perry Blvd	Fredericksburg	VA	22401	541677934	501(c)(3)	90000	2010 Grant for Operational Support
The Montgomery Cty Family Justice Ctr Fdn
600 Jefferson St	Rockville	MD	20852	943444962	501(c)(3)	9750	1st annual MC Family Justice Center Benefit Dinner
The Pship for a Healthier Carroll Cty Inc
535 Old Westminster Pike	Westminster	MD	211576269	522156892	501(c)(3)	143000	L.E.A.N. Carroll-Healthy Eating	102
The Religious Coalition for Emergency Human Needs
27 DeGrange St	Frederick	MD	21701	521449375	501(c)(3)	85000	Access to Dental Care and Prescription Medications
The Universities at Shady Grove
9630 Gudelsky Dr	Rockville	MD	20850	521125883	501(c)(3)	15000	Community Events Sponsoring
Through The Kitchen Door International Inc
3305 Pauline Dr	Chevy Chase	MD	208153919	311677181	501(c)(3)	95700	Public School Replication; Teens Get Cooking
Towson University Foundation
8000 York Rd	Towson	MD	21252	520939453	501(c)(3)	77700	2010 Grant
Ulman Cancer Fund for Young Adults
10440 Little Patuxent Pkwy	Columbia	MD	21044	522057636	501(c)(3)	83400	Upgraded sponsorship of Half-Full Triathlon	G1
United Way of Central Maryland Inc
100 South Charles St	Baltimore	MD	21203	520591543	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	5th Fl
United Way of the National Capital Area
8391 Old Courthouse Rd	Vienna	VA	22182	530234290	501(c)(3)	24500	Year-End Direct Services Donation for Safety NET	200
University of Maryland Baltimore Fdn Inc
655 W Lomard St	Baltimore	MD	21201	311678679	501(c)(3)	10000	Our Environment, Our Health: A Nurses Call to Acti
University of the District of Columbia
899 North Capitol St NE	Washington	DC	20002	536001131	501(c)(3)	200000	CCDC Healthcare Education Initiative
Us Helping Us-People Into Living INC
3636 Georgia Ave NW	Washington	DC	20010	521628279	501(c)(3)	79439	2010 Autumn Reception
Virginia Department of Health
418 S Washington St	Alexandria	VA	22314	546001775	501(c)(3)	82711	Playspaces & Gardening: Making the Healthy Choice
Virginia Health Care Foundation
707 East Main St	Richmond	VA	23219	541639924	501(c)(3)	50000	Health Safety Grant	1350
Virginia Hosp Ctr-Arlington Health Works
1701 N George Mason Dr	Arlington	VA	22205	204129901	501(c)(3)	25000	2010 Family Fun Day
Washington Area Consortium on HIV Infection in You
651 Pennsylvania Ave SE	Washington	DC	20003	521610088	501(c)(3)	28875	17th Annual Auction
Washington Regional Assoc of Grantmakers
1400 16th St NW	Washington	DC	20036	521756853	501(c)(3)	114250	2010 Grant for Washington AIDS Partnership Project	740
Whitman Walker Clinic
PO Box 73768	Washington	DC	20056	521122122	501(c)(3)	91000	2010 AIDS Walk
Workforce Solution of Montgomery County Inc
11002 Veirs Mill Rd	Wheaton	MD	20902	522250602	501(c)(3)	155000	Healthcare Navigator	510
Year Up Inc
1560 Wilson Blvd	Arlington	VA	22209	043534407	501(c)(3)	50000	Year Up Health & Wellness Initiative	350

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	144	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANTS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	Grantees are required to sign a memorandum of understanding with Health plan prior to grant funds disbursal. grantees are required to submit a final report which delineates accomplishments, relates to stated objectives, and describes the evaluation method used to assess accomplishments.	Explanation

Schedule J IRS990ScheduleJ

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 (36 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
Anthony Barrueta
0	354645	0	196875	0	19936	0	103343	0	13068	0	687867	0	0
Russell Bradley
175402	0	16300	0	61941	0	36452	0	12603	0	302698	0	0	0
JUDITH L BRITTAIN
215249	0	77131	0	10151	0	67375	0	12761	0	382667	0	0	0
RUBEN J BURNETT
0	229737	0	150972	0	17974	0	81852	0	12436	0	492971	0	0
CHRISTINE K CASSEL
0	172625	0	0	0	0	0	0	0	0	0	172625	0	0
THOMAS W CHAPMAN EDD
11000	174427	0	0	0	0	0	59810	0	0	11000	234237	0	0
DANIEL P GARCIA
0	517930	0	585000	0	177308	0	62481	0	11306	0	1354025	0	151518
WILLIAM R GRABER
0	232123	0	0	0	0	0	0	0	0	0	232123	0	0
J EUGENE GRIGSBY III PHD
11643	182100	0	0	0	0	0	0	0	0	11643	182100	0	0
GEORGE C HALVORSON
0	1177487	0	5155125	0	1334723	0	62481	0	13611	0	7743427	0	0
Carrie Harris-Muller
0	251873	0	153997	0	15912	0	69437	0	12436	0	503655	0	0
KENDALL D HUNTER
0	266341	0	212586	0	20309	0	92082	0	12436	0	603754	0	0
MARY E JAEGER
0	189817	0	81709	0	16741	0	65514	0	12436	0	366217	0	0
JUDITH JOHANSEN
0	184560	0	0	0	0	0	0	0	0	0	184560	0	0
Marilyn Kawamura
0	390260	0	438827	0	132118	0	194439	0	12893	0	1168537	0	90440
Kathryn Lancaster
0	615090	0	919900	0	23086	0	283406	0	13068	0	1854550	0	0
KAY W LEWIS
0	187972	0	90999	0	76870	0	105335	0	11052	0	472228	0	56775
Christine Malcolm
0	0	0	0	0	568721	0	0	0	12021	0	580742	0	0
PHILIP MARINEAU
0	193623	0	0	0	0	0	0	0	0	0	193623	0	0
THOMAS R MEIER
0	316076	0	297094	0	34615	0	94371	0	13068	0	755224	0	0
JENNY J MING
0	182748	0	0	0	0	0	0	0	0	0	182748	0	0
Donald Orndoff
0	333479	0	0	0	174579	0	57212	0	13720	0	578990	0	0
EDWARD PEI
0	168250	0	0	0	0	0	16500	0	0	0	184750	0	0
DeAnne Petersen
0	215614	0	133030	0	15633	0	68996	0	12436	0	445709	0	0
J NEAL PURCELL
0	219738	0	0	0	0	0	0	0	0	0	219738	0	0
ROCHELLE M ROTH
0	156416	0	23838	0	2385	0	38895	0	12680	0	234214	0	0
ARTHUR M SOUTHAM MD
0	735252	0	1241861	0	43186	0	342622	0	11306	0	2374227	0	0
Susan Spurlark
0	224511	0	132617	0	19763	0	90491	0	12893	0	480275	0	0
Deborah Stokes
0	313713	0	249552	0	59377	0	110792	0	13068	0	746502	0	40338
CYNTHIA TELLES
0	182647	0	0	0	0	0	0	0	0	0	182647	0	0
SANDRA THOMPKINS
0	166951	0	0	0	0	0	0	0	0	0	166951	0	0
BERNARD J TYSON
0	737887	0	1180500	0	24127	0	346893	0	13068	0	2302475	0	0
TAMSEN L WESTMORELAND
0	169242	0	62477	0	3890	0	28298	0	12436	0	276343	0	0
Steven Zatkin
0	283028	0	932500	0	31725	0	86239	0	11477	0	1344969	0	0
VICTORIA B ZATKIN
0	196570	0	80174	0	34625	0	81763	0	1884	0	395016	0	0
Mark Zemelman
0	342852	0	224105	0	239242	0	137956	0	12680	0	956835	0	57187

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE J, PART I, LINE 3	Top Management Officials' Compensation	Kaiser Foundation Health Plan of the Mid-Atlantic States relied on Kaiser Foundation Health Plan, Inc that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee
SCHEDULE J, PART I, LINE 4a	SEVERANCE	CHRISTINE MALCOLM $ 568,515 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, SEVERANCE BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
SCHEDULE J, PART I, LINE 4b	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS	George Halvorson $ 1,237,500 Mark Zemelman 218,741 Daniel Garcia 151,518 Marilyn Kawamura 92,729 Kay Lewis 56,775 Deborah Stokes 40,338 Steven Zatkin 5,463 Thomas Meier 609 Kendall Hunter 569 Kathryn Lancaster 368 Total $ 1,804,610 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture.
SCHEDULE J, PART I, LINE 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	MARK MALCOLM	NamePerson

Field	Value	IRS element (for citing)
Relationship	KFHP INC EMPLOYEE	Relationship
Amount Of Transaction	96476	AmountOfTransaction
Description Of Transaction	COMPENSATION	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (52 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
form 990, PART I, LINE 7B	TOTAL UBI (FORM 990-T, LINE 30) $ 1,969 NET OPERATING LOSS (NOL) APPLIED (1,969) UBTI WITH NOL (FORM 990-T, LINE 34) NONE
form 990, PART III, LINE 4A-D	2010 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. or "Mid-Atlantic Health Plan" is a tax-exempt subsidiary health plan of Kaiser Foundation Health Plan, Inc. (KFHP). Mid Atlantic Health Plan 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 2010, the Mid-Atlantic Health Plan served more than 488,171 members, and had 5,193 full-time administrative, clerical and technical employees as well as 895 full-time Permanente physicians. Mid-Atlantic Health Plan provides and arranges comprehensive health care services for members on a predominantly prepaid basis and fulfills its contractual obligations to group and individual members by contracting with KFH and a Permanente Medical Group 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 Programs, Safety Net Partnerships, Community Health Initiatives and Charitable Health Coverage Programs. In 2007, the KFHP/H Board of Directors refined the focus of the organization's Community Benefit Program and established the following four priority areas which have come to be known as "streams of work": - Care and Coverage for Low-Income People - Creates and supports programs that lower the financial barriers for the 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. Provides 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 - Improves health care by sharing our knowledge- educating practitioners, advancing research, empowering consumers and informing policymakers about the evidence base for care and health. The 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 PROGRAMS IN THE MID-ATLANTIC REGION The Mid-Atlantic Health Plan expended approximately $56.5 million to support community benefit activities. A breakdown of the 2010 Community Benefit dollars attributable to the Mid-Atlantic Health Plan is included in Attachment A. The following identifies many of the signature community benefit programs and services grouped according to the national streams of work funded by the Mid-Atlantic Health Plan. CARE AND COVERAGE FOR LOW-INCOME PEOPLE There are roughly 46 million Americans without health care coverage. Uninsured, low-income individuals and families who are not eligible for public programs often have to rely on traditional charity care. Frequently, individuals in this situation may wait to seek medical care until their conditions become critical, and end up in hospital emergency rooms for treatment of conditions that are preventable or easily treated in earlier stages. In 2010, the Mid-Atlantic Health Plan expended $39.6 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 Health Coverage Programs) In the Mid-Atlantic States, Health Plan provides charity care to low-income vulnerable populations through the Medical Financial Assistance and Charitable Health Coverage Programs. In 2010, the Mid-Atlantic States Health Plan spent $29.3 million on under- and uninsured residents in Maryland, Virginia and the District of Columbia to serve more than 8,548 children and adults. - Medical Financial Assistance The Medical Financial Assistance (MFA) Program provides temporary financial assistance to individuals who are in both medical and financial need and ensures that collection practices do not further burden an individual or family in financial distress. The program is available to assist Health Plan members in reducing out-of-pocket costs such as co-payments, co-insurance, medical services and/or pharmacy. Nonmembers are offered assistance for specified medically necessary services related to an episode of care. In order to receive financial assistance, members and nonmembers must not be eligible to receive assistance under any other public or private program. MFA awards are only for services provided in Health Plan facilities. Kaiser Permanente's charity care program also includes discounted charges for uninsured patients below 400% of the federal poverty guidelines. - Charitable Health Coverage Charitable Health Coverage (CHC) is a unique approach to caring for low-income uninsured persons in the community. Participants receive a regular Kaiser Permanente membership card and access to the full range of service and providers-a much better alternative to a brief and costly emergency room visit or hospitalization. This allows the Mid-Atlantic Health Plan to invest in the longer term health of patients and the communities. Since inception in the early 1980s, CHC programs have made a real difference in the lives of persons who might otherwise have no other source of care. The following describes two CHC programs in the Mid-Atlantic region. Bridge Program - This program enables participants to have comprehensive health care coverage at significantly reduced costs at a time when they are experiencing financial difficulties due to job loss, involuntary reduction in work hours, death, divorce, or legal separation from a spouse. Typically, these individuals are not eligible for any other public or private health care coverage and whose income is less than 250% of the federal poverty guidelines. Health Plan subsidizes either 90% or 95% of their monthly health care premium relative to the member's income. At the end of 2010, nearly 6,168 individuals were enrolled through community partners located in 12 local jurisdictions. Medical Care for Children Programs - In 2010, more than 2,300 children were enrolled in the program in six jurisdictions throughout the Mid-Atlantic Health Plan region. Children in these programs may not be eligible for public or private health care programs and must have family incomes of below 250% of the federal poverty guidelines. The program operated in partnership with local governments, hospitals and/or nonprofit community groups. Referrals to specialists not available from the Permanente Medical Group and inpatient hospitalizations are covered by the program's partners. This program targets children of "working poor" families.
.	Participation in Government-Sponsored Programs In 2010, Mid-Atlantic Health Plan contributed $9.7 million to support the provision of medical care services to individuals in the following government-sponsored program. - The Maryland Medical Assistance Program provides funds to allow the state to increase rates that Medicaid pays to fee-for-service health care providers and managed care health care providers. The program helps increase the number of practitioners willing to serve Medicaid patients, and without such practitioners, access to care could be seriously curtailed for vulnerable populations in Maryland. - Medicaid - Kaiser Permanente contracted with Priority Partners, a Medicaid Managed Care Organization to provide primary health care services in Montgomery, Prince George's and Frederick counties in Maryland. COMMUNITY HEALTH INITIATIVES As an innovator in health, Kaiser Permanente designs, delivers, and sustains long-term programs that engage communities in work to improve conditions in their neighborhoods, workplaces, and schools to support good health, particularly Healthy Eating, Active Living (HEAL). The Mid-Atlantic Health Plan spent $3.3 million on community health initiatives during 2010. Health Eating Active Living Programs The Mid-Atlantic HEAL program provides a variety of community outreach activities and services to address the environmental factors that effect childhood and adult obesity. The focus is on increasing access to healthy foods, fun and safe places for children and adults to engage in physical activity as well as raise awareness and educate the consumer about ways to lead a healthier lifestyle through healthy eating and active living. Grants and Donations for Community Health Initiatives The Mid-Atlantic Health Plan donated $3.3 million to 35 nonprofit community organizations to support a variety of community health initiatives. The following are examples of programs and services funded in 2010: - The Capital Area Food Bank in Washington, DC received $200,000 to increase the amount, consistency, and variety of fresh produce available to partner organizations that work with the Capital Area Food Bank and community outreach programs through a coordinated model that integrates access with outreach services that educate and inform healthy eating habits and food choices. - Friends of the National Arboretum - Washington Youth Garden received $144,000 to support the Garden Science eight-week classroom program and three- to five-week outdoor program focusing on natural science principles, nutrition, and school garden projects. The program targets low and very low income elementary students and families in Ward 5 of Washington, DC with the goal of reconnecting residents to food and healthy food sources. SAFETY NET PARTNERSHIPS Through funding, technical assistance, public policy advocacy, 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. Grants and Donations for Safety Net Partnerships The Mid-Atlantic Health Plan spent $5.3 million to support 89 organizations that deliver medical or dental care services to uninsured people in community settings, primarily safety net clinics in the District of Columbia, Maryland, and Virginia. In May 2010, a special request for proposals was issued to safety net providers for the purpose of funding services that address health needs of the uninsured. The following are examples of programs and services funded: - Greater Prince William Community Health Center received $150,000 for operational support as a key safety net provider in Prince William County, VA. Funds will go towards providing prenatal care for expectant mothers and primary (including immunizations) and dental care required for newborns through 18 years old. - The Community Clinic Inc. received $200,000 to construct and equip its first comprehensive dental health program located in Gaithersburg, MD. The program expects to serve 10,000 Community Clinic patients in 2011, serving the Montgomery and Prince George's Counties.
.	DEVELOPING AND DISSEMINATING KNOWLEDGE Kaiser Permanente aims to improve health care by sharing its knowledge, educating practitioners, advancing research, empowering consumers, and informing policymakers about the evidence base for care and health. The Educational Theatre Programs is a potent strategy for disseminating clinically-honed prevention messages to students, families, and their broader communities. In 2010, the Mid-Atlantic Health Plan spent $736,887 to support this program. Educational Theatre Programs (ETP) The Educational Theatre Programs in Mid-Atlantic States has provided professional, award-winning health education plays for grades K-12 for 20 years in Maryland, Virginia and the District of Columbia. In 2010, ETP performed for approximately 49,000 children and adults in the Greater Baltimore-Washington metro area. They completed 193 performances. Each program presents current age-appropriate health information. Actor-educators are extensively trained in related health issues and workshop facilitation. Resources material for students, teachers and parents reinforce the educational messages in each performance. OTHER COMMUNITY BENEFITS The Mid-Atlantic Health Plan spent $5.4 million on other community benefits beyond the national streams of work. Regional Community Benefit Operations The Mid-Atlantic Health Plan has a dedicated Community Benefit Department with 8 full time employees to support regional community benefit programs and services and coordinate CB initiatives. 2010 COMMUNITY BENEFIT INVESTMENT - MID-ATLANTIC STATES The following chart summarizes the 2010 Community Benefit investments in Maryland, Virginia and Washington, DC. The investments in the community reflected in the chart are unaudited. CARE AND COVERAGE Charitable Care and Coverage Programs $ 29,253,322 Government Sponsored Programs 9,686,427 CB Operations for Care and Coverage 707,318 Subtotal $ 39,647,067 COMMUNITY HEALTH INITIATIVES Community Health Initiatives Programs and Services $ 21,786 Grants & Donations for Community Health Initiatives 3,259,276 CB Operations for Community Health Initiatives 46,161 Subtotal $ 3,327,223 SAFETY NET PARTNERSHIPS Grants & Donations for Safety Net Partnerships $ 5,338,095 CB Operations for Safety Net 33,257 Subtotal $ 5,371,352 KNOWLEDGE DISSEMINATION Medical Research $ 318,808 Educational Theatre Programs 1,082,351 Grants & Donations for Knowledge Dissemination 1,206,629 Subtotal $ 2,607,788 OTHER COMMUNITY BENEFITS Other CB Grants & Donations $ 3,807,869 CB Operations 1,696,861 Subtotal $ 5,504,730 TOTAL $ 56,458,160
form 990, part vi, question 4	On June 24, 2010, Article E., Officers, of the Bylaws of the Corporation was amended to (a) provide for a Chief Executive Officer as an officer of the Corporation to be elected by member (Sections E-1, Officers; E-2, Election and Term of Office; and E-4, Removal and Resignation); and (b) to provide for the title of Ambulatory Surgery Center ("ASC") Administrator (Section E-1) and add a new Section E-11 to provide for the appointment of an ASC Administrator at each ASC operated by the Corporation and to set forth the authority and responsibilities of an ASC Administrator. 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); and (d) ) provide clarification regarding leadership in the event of the absence or disability of the President (Section D-9, Executive Vice President or National Senior Vice President); and (e) to change the reference to "the President" in Sections E-3, E-4 and E-11 to "any President"
form 990, part vi, question 6	kaiser foundation health plan, INC is the sole member.
form 990, part vi, LINE 7A	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-CO, OH, NW, MAS
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 the regional president; b) amendments to the bylaws that pertain to the member, the board of directors, or procedures for amending the bylaws (articles c, d, and h of the bylaws); c) amendment of the articles of incorporation
form 990, PART VI, LINE 11B	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 KPMG 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 and without fear of retaliation. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/ Hospitals Boards of Directors annually. 2.The Senior Vice President & Chief Compliance Officer and the Vice President 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 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 notifies 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: (I) Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem (II) Written notice, with or without final warning (III) Paid or unpaid suspension, with or without final warning (IV) 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	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, 15L Oakland, CA 94612
form 990, Part VII, section A, column B	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	CHANGE IN OTHER COMPREHENSIVE INCOME $ (12,560,613) CHANGE IN UNREALIZED GAIN (4,996,045) CAPITAL TRANSFER OUT - CURRENT YEAR 1,506,152 OTHER THAN TEMPORARY IMPAIRMENTS (741,583) TAX GAIN ON SALE OF INVESTMENTS (4,076,282) BOOK GAIN ON SALE OF INVESTMENTS 4,543,206 TOTAL $ (16,325,165)
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Anthony Barrueta TITLE:SVP, Government Relations HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:CHRISTINE K CASSEL TITLE:DIRECTOR HOURS:7	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:THOMAS W. CHAPMAN, EDD TITLE:DIRECTOR HOURS:8	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:DANIEL P GARCIA TITLE:SVP, Chief Compliance Officer HOURS:48	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:WILLIAM R GRABER TITLE:DIRECTOR HOURS:7	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:J. EUGENE GRIGSBY, III, PHD TITLE:DIRECTOR HOURS:7	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:GEORGE C. HALVORSON TITLE:Chairman, CEO, President HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JUDITH JOHANSEN TITLE:DIRECTOR HOURS:6	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:KIM J KAISER TITLE:DIRECTOR HOURS:8	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:PHILIP MARINEAU TITLE:DIRECTOR HOURS:6	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JENNY J MING TITLE:DIRECTOR HOURS:5	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:EDWARD PEI TITLE:DIRECTOR HOURS:8	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:J NEAL PURCELL TITLE:DIRECTOR HOURS:9	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:CYNTHIA TELLES TITLE:DIRECTOR HOURS:7	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:SANDRA THOMPKINS TITLE:DIRECTOR HOURS:6	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Marilyn Kawamura TITLE:Region President - MAS HOURS:15	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Kathryn Lancaster TITLE:EVP & CFO HOURS:46	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:THOMAS R. MEIER TITLE:SVP, Corporate Treasurer HOURS:47	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Donald Orndoff TITLE:SVP, NFS HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:DeAnne Petersen TITLE:VP, CFO - MAS HOURS:	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ROCHELLE M. ROTH TITLE:SENIOR DIRECTOR, QRM HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:ARTHUR M. SOUTHAM, MD TITLE:EVP, Health Plan Operations HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Susan Spurlark TITLE:VP, Regional Counsel - MAS HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Deborah Stokes TITLE:SVP, CORP CONTROLLER & CAO HOURS:46	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:BERNARD J. TYSON TITLE:President & COO HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Steven Zatkin TITLE:SVP, Gen Counsel & Secretary HOURS:45	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:VICTORIA B. ZATKIN TITLE:VP, Off of Brd & Corp Gov Svcs HOURS:46	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Mark Zemelman TITLE:SVP, Gen Counsel & Secretary HOURS:46	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:RUBEN J. BURNETT TITLE:VP, SALES, MARKETING & BUS. HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Carrie Harris-Muller TITLE:VP, Chief Admin Officer HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:KENDALL D. HUNTER TITLE:VP, Chief Operating Officer HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Russell Bradley TITLE:VP, HP Services & Admin HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:JUDITH L. BRITTAIN TITLE:VP, DELIVERY SYS OPERATIONS HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:MARY E JAEGER TITLE:VP, HR - MAS HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:KAY W. LEWIS TITLE:VP, UM, Risk Mgmt & Quality HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:TAMSEN L WESTMORELAND TITLE:Exec Dir Regional Comp - MAS HOURS:20	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Christine Malcolm TITLE:FORMER SVP HOURS:	FORM 990 PART VII

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
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(C)(3)	9	NA
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(C)(3)	3	KFHP INC
KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(C)(3)	9	KFHP INC
KAISER FDN HEALTH PLAN OF GEORGIA INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	581592076	HEALTH CARE	GA	501(C)(3)	9	KFHP INC
KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(C)(3)	9	KFHP INC
KAISER FDN HEALTH PLAN OF OHIO
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	340922268	HEALTH CARE	OH	501(C)(3)	9	KFHP INC
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(C)(3)	11	KFHP INC
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	912171891	RISK MGMT	HI	501(C)(3)	11	KFHP INC
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(C)(3)	11	KFH
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943299123	HEALTH CARE	CA	501(C)(3)	11	KFHP INC
OHP
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930480268	LEASING	WA	501(C)(3)	11	KFHP INC
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	930954562	HEALTH CARE	WA	501(C)(3)	11	KFHP INC
1800 HARRISON FOUNDATION
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943317484	FINANCING	CA	501(C)(3)	11	KFHP INC
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA	OAKLAND	CA	94612	311779500	FINANCING	CA	501(C)(3)	11	KFH

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HCMS LLC	BusinessNameLine1

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)
EIN	203924985	EIN
Primary Activity	CASE MGMT	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	NONE	PredominantIncomeType
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.00000	PercentageOwnership

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
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	0	0	0.00000
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	0	0	0.00000
KAISER PROPERTY SERVICES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943259432	REAL ESTATE	CA	NA	C CORP	0	0	0.00000
ARCHIMEDES INC
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	203774729	CONSULTING	CA	NA	C CORP	0	0	0.00000
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	0	0	0.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	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 (34 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
KAISER FOUNDATION HOSPITALS
C	94473
KAISER FOUNDATION HEALTH PLAN INC
K	6373208
KAISER FOUNDATION HOSPITALS
K	13656462
KAISER FOUNDATION HEALTH PLAN OF COLORADO
K	399593
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
K	867693
KAISER FOUNDATION HEALTH PLAN OF THE NW
K	212198
KAISER FOUNDATION HEALTH PLAN OF OHIO
K	106984
KAISER PERMANENTE INSURANCE COMPANY
K	1727993
KAISER FOUNDATION HEALTH PLAN INC
L	60632409
KAISER FOUNDATION HOSPITALS
L	810427280
KAISER FOUNDATION HEALTH PLAN OF COLORADO
L	213028
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
L	1313178
KAISER FOUNDATION HEALTH PLAN OF THE NW
L	269
KAISER FOUNDATION HEALTH PLAN OF OHIO
L	323033
KAISER PERMANENTE INSURANCE COMPANY
L	7789507
LOKAHI ASSURANCE LTD
L	47098373
OAK TREE ASSURANCE LTD
L	4243
KAISER FOUNDATION HEALTH PLAN INC
N	9284
KAISER FOUNDATION HEALTH PLAN INC
O	20074918
KAISER FOUNDATION HOSPITALS
O	33706176
KAISER FOUNDATION HEALTH PLAN OF COLORADO
O	1041535
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
O	142186
KAISER FOUNDATION HEALTH PLAN OF THE NW
O	4815
KAISER FOUNDATION HEALTH PLAN OF OHIO
O	15374
KAISER PERMANENTE INSURANCE COMPANY
O	35590176
KAISER FOUNDATION HEALTH PLAN INC
P	4375440
KAISER FOUNDATION HOSPITALS
P	704686805
KAISER FOUNDATION HEALTH PLAN OF COLORADO
P	25521
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
P	57488
KAISER FOUNDATION HEALTH PLAN OF THE NW
P	15038
KAISER FOUNDATION HEALTH PLAN OF OHIO
P	4988
LOKAHI ASSURANCE LTD
P	7754669
KAISER FOUNDATION HEALTH PLAN INC
Q	231
KAISER FOUNDATION HOSPITALS
Q	1868604796